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Home My WebLink About20230135 Ver 1_Buffer and/or Stream Determination Request_20230112Stream Origin/Buffer Applicability Determination NORTH CAROLINA fnrrronmentui duality 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: * Little Timber Is this a transportation project?* Yes O No Is this request fora mitigation site?* O Yes 0 No What type of request is this?* ✓O Buffer O Isolated Wetland Check all that apply. Owner/Applicant Information Owner Information Name on the Recorded Deed:* Elizabeth Ann Grady Responsible Party : Triangle East Timber Company Inc (for LLC, Corporations, businness, agency, etc.) Telephone Number: 919-920-1330 How would you like to received your determination?* USPS Email Email Address:* mitigation@ecoterra.com Is there an agent or consultant responsible for the request?* Yes No Attach agent authorization letter:* IP Stream Determination Stream SIGNED - Agent Authorization.pdf 888.19KB PDF only Agent/Consultant Information Agent/Consultant Information How would you like to receive your determination letter?* USPS Email Name of Agent:* Company Name: * Email Address:* Jordan Burbage Eco Terra, LLC jordan@ecoterra.com Project and Site Information Project Information 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 Oberry Rd Brogden Thoroughfare 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 NUO1 - Triangle East - Stream 2.15MB Determination - USGS Topo.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 NUO1 - Triangle East - Soil Survey.pdf 3.65MB 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. Address Lookup Manually Choose below how you would like to provide this information. Latitude: Longitude: Misc attachments: 35.257439 -78.100931 Sign and Submit pdf or kmz file types only By digitally signing below, I certify that: 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* a e / .. 6 )1NP.471 . s • lid B (IN PI 1 a#� ecolterra. - f 1 Legend e-- Proposed Conservation Easement • - ENA 1st_ ■ ty of Goldsboro, Johns Ke Figure 2: Soil Survey Map Owner: Triangle East Timber Company Neuse 03020201 Wayne County, North Carolina 35°15'26.78"N 78° 6'3.35"W USDA Soil Survey of Wayne County Jr •• [�G r �r 1.4uty/Stag of N®rth Caroli Gar ihhd •,'4r • W+E Vie 'ND E 0 500 1,000 US Feet • • ..s Legend Proposed Conservation Easement ty of Goldsboro, Johnston C®unty, Stalte of North Carolina DOT, Esri, HERE, Garmin( INCREMENT P, USGS, METI/NASA, EPA, USDA 1 O ecalterra, Figure 1: USGS Topographic Map Owner: Triangle East Timber Company Neuse 03020201 Wayne County, North Carolina 35°15'26.78"N 78° 6'3.35"W 2022 USGS Topographic Quadrangles: Southwest Goldsboro and Mount Olive W+E 0 500 1,000 US Feet ecolerram Agent Authorization Form Parcel ID: 2564990818 County: Wayne Street Address: O'Berry Road Mount Olive, NC 28365 Property Owner(s): Elizabeth Ann Grady The undersigned, registered property owners of the above noted property, do hereby authorize employees of Eco Terra, LLC (Contractor / Agent) to act as an agent on our behalf in the identification and delineation of jurisdictional wetlands and streams located on the above property. We hereby authorize entry upon the property by authorized agents of the United States Army Corps of Engineers, North Carolina Division of Water Resources, and North Carolina Division of Mitigation Services to perform duties in conjunction with the establishment of a mitigation or buffer bank. The above information submitted in this form is true and accurate to the best of our knowledge. Owner/Authorized Signature Date q33 /Y1,//s o%ve NC 2f 365 Property Owner's Address (if different than property above) q`q- q20-1330 Telephone 1328 DeKalb Ave NE, Atlanta, GA 30307 404.596.8004 EcoTerra.com Printed on 100% post -consumer recycled paper ecolerra Agent Authorization Form Parcel ID: 2565810875 County: Wayne Street Address: 1558 O'Berry Road Mount Olive, NC 28365 Property Owner(s): Triangle East Timber Company, Inc. The undersigned, registered property owners of the above noted property, do hereby authorize employees of Eco Terra, LLC (Contractor / Agent) to act as an agent on our behalf in the identification and delineation of jurisdictional wetlands and streams located on the above property. We hereby authorize entry upon the property by authorized agents of the United States Army Corps of Engineers, North Carolina Division of Water Resources, and North Carolina Division of Mitigation Services to perform duties in conjunction with the establishment of a mitigation or buffer bank. The above information submitted in this form is true and accurate to the best of our knowledge. ittud-uxsz-- o-a3 Owner/Authorized Signature Date 6 2//s E'I /1�1a. O/%✓el 4/e 283 6 5 Property Owner's Address (if different than property above) qi9 - 739 - 2021 Telephone 1328 DeKalb Ave NE, Atlanta, GA 30307 1 404.596.8004 EcoTerra.com Printed on 100% post -consumer recycled paper