20180444 Ver 2_Determination Request_20221203

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: *
Is this a transportation project?*
Is this request for a mitigation site?*
What type of request is this?*
Owner Information
Name on the Recorded Deed: *
Responsible Party :
Telephone Number:
4520 s us 17 hwy
Yes No
Yes No
Buffer
Isolated Wetland
Check all that apply.
Karen -Dorothy LLC
Spectrum Building & Remodeling LLC
(for LLC, Corporations, businness, agency, etc.)
2527238558
How would you like to received your determination?*
USPS Email
Email Address: *
[e-mail]
Is there an agent or consultant responsible for the request?*
Project li
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:*
Hwy 17
New Bern
Neuse
IP Stream Determination
Stream

County: *
Craven
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
UIXyeMzkPN.pdf
Pdf file type only
3.21MB
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
Web Soil Survey.pdf 1.79MB
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
4520b U.S. Highway 17 South
Address Line 2
City State / Province / Region
New Bern NC
Postal / Zip Code Country
28562 US
Latitude: 35.091889
Longitude: -77.137532
Misc attachments:
By digitally signing below, I certify that:
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: 12/3/2022

Initial Review
ID#* 20180444
Version* 2
Do you want to send for review? * • Yes No
Select Reviewer: * Robert Tankard:eads\rbtankard
Select Regional Office: * Washington Regional Office - [phone]

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OCraven NC049 Tabular and Survey Area: Version
County, Spatial, 26,
North complete Sep 8, 2022
Carolina Tabular: Version 26,
Sep 8, 2022
Spatial: Version 6,
Sep 16, 2019
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