20221318 Ver 1_Determination Request_20220926

Stream 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: * Pitt Solar
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: *
IP Stream Determination
Stream
WHITE PATSY G AKA PATSY JOE G WHITE
Responsible Party : Pitt Solar LLC,
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 7049566532
How would you like to received your determination?*
USPS Email
Email Address: *
[e-mail]
Name on the Recorded Deed:*
GROUP THREE HOLDING LLC
Responsible Party : Pitt Solar LLC
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 7049566532
How would you like to received your determination?*
USPS Email
Email Address:*
[e-mail]
Name on the Recorded Deed: *
JAMES WALLACE L JR
Responsible Party : Pitt Solar LLC,
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 7049566532
How would you like to received your determination? *
USPS Email
Email Address: *
[e-mail]
Name on the Recorded Deed:*
IVES WILDA ANDREWS HEIRS

Responsible Party : Pitt Solar LLC,
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 7049566532
How would you like to received your determination?*
USPS v Email
Email Address: *
Douglas.taylor@sunenergyl .com
Name on the Recorded Deed: *
JAMES CHRISTOPHER CLYDE
Responsible Party : Pitt Solar LLC,
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 7049566532
How would you like to received your determination?*
USPS Email
Email Address:*
Douglas.Taylor@sunenergyl .com
Name on the Recorded Deed:*
MANNING CHARLIE L III
Responsible Party : Pitt Solar LLC,
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 7049566532
How would you like to received your determination? *
USPS Email
Email Address:*
Douglas.Taylor@sunenergyl .com
Name on the Recorded Deed: *
BUNTING FARMS INC THE
Responsible Party : Pitt Solar LLC,
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 7049566532
How would you like to received your determination?*
USPS v Email
Email Address: *
Douglas.Taylor©sunenergyl .com
Name on the Recorded Deed:*
MANNING JANIE E
Responsible Party : Pitt Solar LLC
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 7049566532
How would you like to received your determination?*
USPS Email
Email Address: *
Douglas.taylor@sunenergyl .com
Name on the Recorded Deed: *
BUNTING FARMS INC THE

Responsible Party : Pitt Solar
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 7049566532
How would you like to received your determination?*
USPS Email
Email Address: *
[e-mail]
Is there an agent or consultant responsible for the request?*
Attach agent authorization letter:*
Agent/Consultant Information
Bethel_NCDENR_Signed_Forms.pdf 1.48MB
PDF only
How would you like to receive your USPS
determination letter?*
Name of Agent: *
Company Name:*
Email Address:*
Project Information
• Email
Pitt Solar LLC
SunEnergyl
[e-mail]
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: *
Hwy 13; Big Oak Road
Bethel
Grindle Creek
Tar -Pamlico
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
NC Robersonville West 20220823 Ed... 26.19MB
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
PittSolar_SoilMaps.pdf 5.8MB
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
Latitude:
Longitude:
Misc attachments:
35°47'52.64"N
77°21'17.34"W
By digitally signing below, I certify that:
SAW-2021-00989 JD.pdf 3.02MB
pdf or kmz file types only
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
Date Submitted:
Initial Review
.....................................................
ID#* 20221318
Version* 1
Do you want to send for review? * • Yes No
Select Reviewer: * Robert Tankard:eads\rbtankard
Select Regional Office: * Washington Regional Office - [phone]
9/26/2022