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HomeMy WebLinkAbout20221774 Ver 1_Determination Request_20221213Stream 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: * Perry Real Estate New Hope 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: * PERRY REAL ESTATE GROUP LLC Responsible Party : David M Perry (for LLC, Corporations, businness, agency, etc.) Telephone Number: 919-734-4074 How would you like to received your determination?* USPS Email Email Address:* bkjones@nc.rr.com 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: * Company Name:* Email Address:* Project Information Bryan K Jones, PE IP Stream Determination Stream Perry Auth Letter x.pdf 626.64KB PDF only USPS Email Bryan K Jones Consulting Engineers, PA bkjones@nc.rr.com 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 Opposite 900 West New Hope Rd Goldsboro Reedy Branch 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 Perry 2016 NC_Northeast_Goldsboro_20160718_T... 5.86MB print.pdf 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 Cuyler-Best & New Hope Soil Map Wayne 961.08KB mapl5.pdf 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: 35.40208 -77.93145 Perry Wayne GIS 2022-11-30 182412.pdf 2.38MB 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 Date Submitted: Initial Review ..................................................... ID#* 20221774 Version* 1 Do you want to send for review? * • Yes No Select Reviewer: * Robert Tankard:eads\rbtankard Select Regional Office: * Washington Regional Office - (252) 946-6481 12/13/2022 MUSGSU.S.DEPARTMENT OF THE INTERIOR U.S. GEOLOGICAL SURVEY 3M' 0 0 § , 'T 'o"po NORTHEAST GOLDSBORO QUADRANGLE NORTH CARO INA-WAYNE CO. 7.5-MINUTE SERIES 7— '�M '21 3— ' I - � �'� 7_0 ­.d by U­ S­ ­4�i S­ � 59-­ '34' 11 �'_E 7— F-10H SCALE 1:24 DOO c'­. 0 ZVI_ .. .. . .. ... . .... . .... NORTHEAST GOLDSBORO, NC 2016 4 ". -- OWWe F % l MMot" x. 0 A614 t 8 Z P-A 000s 0000Z: T. oleos L./ 0 000 [ 000 Z 000 E 0004 0009 aiiW I 0 ?f o T 9 November 28, 2022 US Army Corps of Engineers 3331 Heritage Trade Drive, Suite 105 Wake Forest, North Carolina 27587 NC Division of Water Resources 943 Washington Square Mall Washington, North Carolina 27889 Re: Perry Real Estate Group, LLC & Greenbrier Office Park, LLC, Wayne County. Deed Book 1670-453 (PIN# 3610839018); Deed Book 1670-560 (PIN# 3610933731); Deed Book 2406-222 (PIN 3610828686) I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do authorize representatives of NC Division of Water Resources and the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon the property herein described (Pin #'s listed above) for the purpose of conducting on -site investigations and issuing a determination associated with Neuse River riparian buffers and 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. Also, Mr. Wyatt Brown of Brown's Environmental Group, Inc and Mr. Bryan Jones of Bryan K Jones Consulting Engineers, PA has my permission to act as my agents on this property concerning wetlands and Neuse River riparian buffer determinations. Respectfully, Vkkl Mr. David Perry, Manager / Member Perry Real Estate Group, LLC Manager / Member Greenbrier Office Park, LLC