20221575 Ver 1_Stream Origin_Buffer Applicability Determination_20221109

Stream Origin/Buffer Applicability Determination
NORTH CAROLINA
Envlronm¢ntcl Qvofiry
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: * Reedy Branch Storage
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/Applicant Information
IP Stream Determination
Stream
Owner Information
Name on the Recorded Deed:* J & S Firetower Property, LLC
Responsible Party : (for LLC, Corporations, businness, agency, etc.)
Telephone Number:
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
Agent/Consultant Information
Project and Site Information
Project Information

Soils Map.pdf
Soil_Report.pdf
Pdf file type only
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: *
Pitt
Reedy Branch Road
Winterville
Swift Creek
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
USGS Topo.pdf
Pdf file type only
57.16MB
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
228.99KB
479.14KB
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.
Latitude:
Longitude:
Misc attachments:
35.530024
-77.417434
Sign and Submit
Address Lookup
Manually
pdf or kmz file types only
By digitally signing below, I certify that:

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*
gaioick

PITT COUNTY, NORTH CARE
(Joins sheet 49)
Ly
2a70000 FEET (Joins sheet 63)