HomeMy WebLinkAbout20220664 Ver 1_Determination Request_20220512Stream Origin/Buffer Applicability Determination
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Name: * Casey Creek
Is this a transportation project?* Yes • No
Is this request for a mitigation site?* • Yes No
What type of request is this?* Buffer
Isolated Wetland
Check all that apply.
Owner Information
Name on the Recorded Deed: *
Responsible Party :
Martha Korngay
Wildlands Engineering, Inc.
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 757.288.4880
How would you like to received your determination?*
USPS Email
Mailing Address: *
Street Address
4200 Country Club Circle
Address Line 2
City State / Province / Region
Virginia Beach VA
Postal / Zip Code Country
23455-4414 USA
Name on the Recorded Deed: *
Johnnie Mangrum Brock
Responsible Party : Wildlands Engineering
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 919.705.3277
How would you like to received your determination?*
USPS Email
Email Address:*
bedrockconst43@gmail.com
Is there an agent or consultant responsible for the request?*
Yes
No
IP Stream Determination
Stream
Attach agent authorization letter:*
Agent/Consultant Information
Martha Kornegay executed LOA.pdf
Brock_LOA.pdf
PDF only
How would you like to receive your USPS
determination letter?* 4 Email
Name of Agent: *
Company Name:*
Email Address:*
Project Information
Chris Roessler
Wildlands Engineering
coessler@wildlandseng.com
Has anyone form DWR done a previous site visit?*
Yes
• No
Other
Date of Visit:
Site Information
Nearest Highway/Street: *
Nearest Town:*
Nearest Named Stream: *
River Basin:*
County: *
Wayne
3890 US Highway 13
Grantham, NC
Casey Creek
Neuse
27.32KB
361.99KB
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo.
Click the upload button or drag and drop files here to attach document
Fig3USGS.pdf
Pdf file type only
960.93KB
TOPO map look up: https://viewer.nationalmap.gov/basic/
Please attach a map of the site indicating project boundaries on the NRCS Soil Survey.
Click the upload button or drag and drop files here to attach document
Fig6bNRCSSoils.pdf
Pdf file type only
1.04MB
Soil Survey Link: https://www.nres.usda.gov/wps/portal/nres/surveylist/soils/survey/state/?stateld=NC
Latitude and Longitude
Please provide the Latitude and Longitude for physical location for the determination that. If you have a physical
address you can look up the Latitude and Longitude by typing in an address or filling out the information
manually.
Choose below how you would like to provide this information.
• Address Lookup
Manually
Project Look Up Address:
Latitude:
Longitude:
Misc attachments:
Street Address
3890 US Highway 13 South
Address Line 2
City State / Province / Region
Goldsboro NC
Postal / Zip Code Country
27530 US
35.2934495
-78.1854881
By digitally signing below, I certify that:
Fig7Concept.pdf
pdf or kmz file types only
4.72MB
a I have given true, accurate, and complete information on this form;
a I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the
"Uniform Electronic Transactions Act")
a I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
a I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
a I intend to electronically sign and submit the "Determination Request' form."
Signature
Date Submitted:
Initial Review
......................................................
ID#* 20220664
Version* 1
Do you want to send for review? * • Yes No
Select Reviewer: * Shelton Sullivan:eads\sosullivan
Select Regional Office: * Central Office - (919) 707-9000
5/12/2022
LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Book: 1823 Page: 155 County: Wayne
Parcel ID Numbers: 2546314958, 2546229607 and 2546335459
Street Address: 3890 S US 13 Hwy, Goldsboro, NC 27530
Property Owner: Martha C. Kornegay, Trustee, or her successors in Trust, under the Martha C.
Kornegay Declaration of Trust, dated November 21, 2000
The undersigned, registered property owner of the above property, does hereby authorize Wildlands
Engineering, Inc. to take all actions necessary for the evaluation of the property as a potential stream,
wetland and/or riparian buffer mitigation project, including conducting stream and/or wetland
determinations and delineations, as well as issuance and acceptance of any required permit(s) or
certification(s). I agree to allow regulatory agencies, including the US Army Corps of Engineers, to visit
the property as part of these environmental reviews.
Property Owner's Address: 4200 Country Club Circle, Virginia Beach, VA 23455-4414
Property Owner Telephone Number: 757-363-7040
I hereby certify the above information to be true and accurate to the best of my knowledge.
-64
C. Kornegay,
(Date)
TP 9.15.21
LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Book: 916 Page: 852 County: Wayne
Parcel ID Number: 2546248066
Street Address: Paul Hare Road, Goldsboro, NC 27530
Property Owner (please print): Johnnie Mangrum Brock
The undersigned, registered property owner of the above property, does hereby authorize
Wildlands Engineering, Inc. to take all actions necessary for the evaluation of the property as a
potential stream, wetland and/or riparian buffer mitigation project, including conducting stream
and/or wetland determinations and delineations, as well as issuance and acceptance of any required
permit(s) or certification(s). I agree to allow regulatory agencies, including the US Army Corps of
Engineers, to visit the property as part of these environmental reviews.
Property Owner's Address: 536 Paul Hare Road, Goldsboro, NC 27530
(if different from above)
Property Owner Telephone Number: 2 o j %,4)
I hereby certify the above information to be true and accurate to the best of my knowledge.
Owner Authorized SWature) (Date)
10.1.21 TP/MTC
i
Grantham USGS 7.5 Minute
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Figure 3 USGS Topographic Map
�"'� W I L D L A N D S 0 250 500 Feet Casey Creek Mitigation Site
ENGINEERING I I I I I Neuse River Basin (03020201)
Wayne County, NC
Figure 7 Concept Map
W I L D L A N D S Casey Creek Mitigation Site
ENGINEERING 0 150 300 Feet Neuse River Basin (03020201)
I I I I I
Wayne County, NC
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1974 NRCS Soil Survey of Wayne County - Sheet 29
Figure 6b 1974 NRCS Soil Survey Map
ON.WILDLANDS 0 250 500 Feet Casey Creek Mitigation Site
ENGINEERING I IIi I Neuse River Basin (03020201)
Wayne County, NC