20131056 Ver 2_20131056 Ver 2_Determination Request_20230321_20230321

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
Regency Townhomes
Yes No
Yes No
Buffer
Isolated Wetland
Check all that apply.
Name on the Recorded Deed: * Regency Multi Family Investments LLC
Responsible Party : Kevin Johnston
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: [phone]
Email Address: * [e-mail]
How would you like to received your determination?*
IP Stream Determination
Stream
Is there an agent or consultant responsible for the request?*
Yes
No
Attach agent authorization letter: * Regency Townhomes_Agent Auth Owner
1.32M6
Auth KJ Signed 3.15.23.pdf
PDF only
Agent/Consultant Information
How would you like to receive your USPS
determination letter?* Email
Name of Agent: * Kate Hefner
Company Name:* Timmons Group
Email Address: * [e-mail]
n

Has anyone form DWR done a previous site visit?*
Yes
No
Other
Date of Visit:
Site Information
Nearest Highway/Street: * Regency Boulevard
Nearest Town: * Greenville
Nearest Named Stream:* Fork Swamp
River Basin: * Neuse
County: *
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
Figure 1 - VIC.pdf 766.36KB
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
Figure 5 - NRCS.pdf 736.7KB
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: 35.557984
Longitude:-77.397053
Misc attachments: 2023.03.21_BD Request
Package_Regency Townhomes_FINAL 4.21 MB
(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
GA r� 'Net
Date Submitted: 3/21/2023
Initial Review
ID#* 20131056
Version * 2
Do you want to send for review?* Yes No
Select Reviewer: * Robert Tankard:[e-mail]
Select Regional Office:* Washington Regional Office - [phone]