20221704 Ver 1_Determination Request_20221205

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: * Fremont Meadows Subdivision
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: *
Little River JoCo Properties
Responsible Party : Danny Creech
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 919-442-5100
How would you like to received your determination?*
USPS Email
Mailing Address: *
Email Address:*
Street Address
402-C Bluegrass Road
Address Line 2
City State / Province / Region
Selma NC
Postal / Zip Code Country
27576 USA
[e-mail]
Is there an agent or consultant responsible for the request? *
Yes
No
Attach agent authorization letter:*
Agent/Consultant Information
How would you like to receive your
determination letter?*
Name of Agent: *
Michael McAllister
IP Stream Determination
Stream
Signed Agent Assignment Letter.pdf 26.4KB
PDF only
USPS
Email
Company Name:*
Municipal Engineering, Inc.

Email Address:*
Project Information
[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: *
Wayne
NC HWY 222
Fremon, NC
Aycock Swamp
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
Stream-Topo.pdf
Pdf file type only
1.33MB
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
Soil Map with Property Line.pdf 776.42KB
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:
Street Address
862 NC-222
Address Line 2
City State / Province / Region
Fremont NC
Postal / Zip Code Country
27830 US
Latitude: 35.535156
Longitude: -77.957712
Misc attachments:
By digitally signing below, I certify that:
pdf or kmz file types only
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#* 20221704
Version* 1
Do you want to send for review? * • Yes No
Select Reviewer: * Robert Tankard:eads\rbtankard
Select Regional Office: * Washington Regional Office - [phone]
12/5/2022