20221268 Ver 1_Determination Request_20220916

Stream Origin/Buffer Applicability Determination
NORTH CAROLINA
fnrrronmentui duality
Processing Information
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: * River Bend
Is this a transportation project?* 0 Yes (U No
Is this request fora mitigation site?* 0 Yes O No
What type of request is this?*
✓O Buffer
O Isolated Wetland
Check all that apply.
Owner/Applicant Information
Owner Information
Name on the Recorded Deed:*
Davis, Robert H & Hargett, Melba
Responsible Party : Ellis Development Group (Matt Hook)
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 484-797-0627
How would you like to received your determination?*
USPS Email
Email Address:*
[e-mail]
Is there an agent or consultant responsible for the request?*
Yes
No
Attach agent authorization letter:*
IP Stream Determination
Stream
Ellis Sage authorization.pdf 1.53MB
PDF only
Agent/Consultant Information
Agent/Consultant Information
How would you like to receive your
determination letter?*
USPS
Email

Name of Agent:*
Company Name: *
Email Address:*
Ryan Elliott
Sage Ecological Services, Inc.
[e-mail]
Project and Site Information
Project Information
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: *
Craven
Old Pollocksville Road
River Bend
Rocky Run
Neuse
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
Figurel_USGSMap.pdf 1.2MB
Pdf file type only
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
Figure2_SoilSurveyMap.pdf 1.59MB
Pdf file type only
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
403 Old Pollocksville Road
Address Line 2
City State / Province / Region
New Bern NC
Postal / Zip Code Country
28562 United States
35.075411
-77.156638
Sign and Submit
Figure3_EnvSketchMap_LetterPortrait.pdf 2.89MB
pdf or kmz file types only
By digitally signing below, I certify that:
o I have given true, accurate, and complete information on this form;
o 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")
o 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");
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the "Determination Request' form."
Signature*

Feature A
Map Location
BEAUFORT
r~ oxmTEmET
0
USCSSTopographic Map
River Bend
Sage Project #22O2.004
USGSTopo[WapServer,2O22
PoUookeviUe.NCQuadrangle
Prepared by: F!Beaoh
February2. 2022
1 mox~ 1.000feet
1,000
2,000
Project Study Area
Figure 1
cCoLOG .CAL
",n..cs
Sage Ecological Services, Inc.
Office: e19-335-6757

Wetland WA1
Flags WA01 -WA1 0
+/-0.044 ac.
Wetland WC
Flags 01 -14
+/- 0.381 ac.
Wetland WB
FlagsWA300-WA31 8
+/- 0.111 ac.
Wetland WF1
Flags WB01-WB14
+/-0.270 ac.
Perennial Stream - Jurisdictional WOTUS
Wetland WA2
Flags WA11-WA183
+/-2.989 ac.
Wetland WA3
Flags WA42-WA59
+/-1.174 ac.
Wetland WE2
Flags 60782
+/-0.140 ac.
Wetland WF2
Flags VVB15-VVB20
+/-0.049 ac.
River Bend
Sage Project # 2202.004
Wetland WH
Flags 100:131
+/- 0.358 ac.
NOTE: Features depicted herein must be field
verified by the USAGE and /or NCDWR, or its
delegated authority before being valid.
Location, shape and size of depicted features
on the evaluated site are approximate and
should be surveyed by a licensed NC surveyor
for final site planning.
Wetland WE1
Flags DG01--DG-09
+/-0.074 ac.
Sage Ecological Services, Inc.
Office: 919-335-6757
Cell: 919-559-1537

A
Feature A
GoA
Project Study Area
Map Location
NRCS Soil Survey Map
River Bend
Sage Project # 2202.004
Craven County Soil Survey, 1998
Sheet # 11 (Pollocksville)
Prepared by: P. Beach
0
February 2, 2022
1 inch = 1,000 feet
1,000
2,000
Feet
Figure 2
SAGE
ECOLOGICAL
SERVICES
Sage Ecological Services, Inc.
Office: 919-335-6757
Cell: 919-559-1537

AGENT AUTHORIZATION FORM
All Blanks to Be Filled in By the Current Landowner or Legal Representative
Name: o6e,4 hi• -petvl5
Address: 7 1 7$ f-le' w y -70 L 5 •{
1Ntv4..J 1-e-rn , N Z 0 SG 2
Phone: 2 S 2- S 1 4- i .5d
Email: obc4-4,vis piS yan. Cc,rvt
Project Name/Description: River Bend
Sage Project # 2022.004
Date: O 7- t) L- Z Z
The Department of the Army
U.S.. Army Corps of Engineers, Wilmington District
P.0 Box 1890
Wilmington, NC 28402
Attn: Emily Thompson
Field Office: Washing_toon RFO
Re: Wetlands and Streams Related Consulting and Permitting
To Whom It May Concern:
I, the undersigned, the owner or a duly authorized representative of record of the property/properties identified
herein, do authorize representatives of the U.S. Army Corps of Engineers (Corps) to enter upon the property herein
described for the purpose of conducting on -site investigations and issuing a determination associated with Waters
of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers
and Harbors Act of 1899. I also hereby designate and authorize Sage Ecological Services to act on my behalf as my
agent in the processing of permit applications, to furnish upon request supplemental information in support of
applications, etc. from this day forward.
This notification supersedes any previous correspondence concerning the agent for this project.
Notice: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by Sage staff. Please contact Sage to arrange a meeting
prior to visiting the site.
BY: 12aGoc.1 t I - 1 s BY: ✓%j7
Print Name of Landowner or Signature of Landowner or
Legal Representative Legal Representative