20161271 Ver 4_Determination Request_20220610

1/19/23, 10:05 AM
Start
Stream Origin/Buffer Applicability Determination
NORTH CAROLINA
EmfronnierelvdQuality
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: * Swiftie Mitigation Project
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
p IP Stream Determination
[ Stream
Owner Information
Name on the Recorded Deed: *
Palustrine Group LLC
Responsible Party : Water & Land Solutions LLC
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 571-643-3165
How would you like to received your determination? *
USPS Email
Email Address:*
[e-mail]
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1/19/23, 10:05 AM Start
Is there an agent or consultant responsible for the request? *
Yes
No
Agent/Consultant Information
Project and Site Information
Project Information
Has anyone form DWR done a previous site visit? *
Yes
No
Other
Staff Name: Jennifer Burdette
Date of Visit: 10/24/2017
Site Information
Nearest Highway/Street: * NC 33 NW
Nearest Town: * Leggett
Nearest Named Stream: * Swift Creek
River Basin: * Tar -Pamlico
County: *
Edgecombe
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
Swiftie - USGS Topo Map.pdf 646.69KB
Pdf file type only
TOPO map look up: https://viewer.nationalmap.gov/basic/
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1/19/23, 10:05 AM Start
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
Swiftie - NRCS Soils Map.pdf 916.45KB
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.
Latitude:
Longitude:
Misc attachments:
35.996211
-77.6053
Sign and Submit
Address Lookup
Manually
Swiftie - Existing_Aquatic_Resources.pdf 1.31 MB
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*
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Approx. Project Boundary
Parcel Boundary
Existing Stream
Existing Ditches
Existing Wetland
0 300 600 1,200
Feet
1 inch = 600 feet
PALUSTRINE GROUP LLC
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4
4WATER & LA N D M
SOLUTIONSX
Swiftie Mitigation Project
HUC8 Watershed 03040207
Edgecombe County, North Carolina
Existing Aquatic
Resources Map
Figure
Map Projection: NAD_1983_StatePlane_NC_FIPS_3200_Feet
Date: 6/8/2022
Service Layer Credits: Source. Eso, Dig italGlobe, GeoEye, Earthstar Geographies, CNES/Airbus DS, USDA, USGS, AeroGRID, IGN and the
GIS User Community

Q Approximate Project Boundary
Parcel Boundary
NaB
/1,Q
kB
500 1,000 2,000
Feet /
1 inch = 1,000 feet
WATER & LAND'
SOLUTIONS
Swiftie Mitigation Project
HUC8 Watershed 03040207
Edgecombe County, North Carolina
NRCS Soil
Survey Map
Figure
X
Map Projection: NAD_1983_StatePlane_North _Carolina _FIPS_3200_Feet
Date: 6/8/2022
Imagery data source: EDR

Q Approximate Project Boundary
Q Parcel Boundary
-Wimberly —)
Ws •
1,000 2,000
1 inch = 2,000 feet
4WATER & LAN D
SOLUTIONS
Swiftie Mitigation Project
HUC8 Watershed 03040207
Edgecombe County, North Carolina
USGS Topo
Draughn, Tarboro
Figure
V
/�
Map Projection: NAD_1983_StatePlane_NOrth_Carollna_FIPS_3200_Feet
Date: 6/8/2022
Imagery data source: EDR