1 Ver 1_Determination Request_20230228

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: *
AMERICAN COMPLETE ORGANICS RECYCLING PROPOSED
COMPOST FACILITY
Yes v No
Yes O No
Buffer
Isolated Wetland
Check all that apply.
Schwarz Properties LLC
Responsible Party : Fred Mussari, NC Organics Recycling
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 772-409-4044
How would you like to received your determination?
USPS Email
Email Address: * [e-mail]
Is there an agent or consultant responsible for the request?
Yes
No
Attach agent authorization letter: * ACOR Agent Form.pdf
PDF only
Agent/Consultant Information
How would you like to receive your USPS
determination letter?* Email
Name of Agent:* Jon Swaim
Company Name:* McGill Associates, PA
Email Address: * [e-mail]
Project Information
IP Stream Determination
Stream
269.75KB

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:
Scotland
Airport Road
Maxton, Laurinburg
Maxton Branch
Lumber
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
USGS Map.pdf 1MB
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
Soil Report.pdf 911.82KB
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: 34.764732
Longitude:-79.366320
Misc attachments: ACOR Environmental Review Report
4.49M6
010522 (reduced).pdf
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;

• 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")
• 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');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
• I intend to electronically sign and submit the "Determination Request' form."
Signature
C' oar L5', 4?siVY
Date Submitted: 2/28/2023
Initial Review
ID#*
Version *
Do you want to send for review?* Yes No