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HomeMy WebLinkAbout20231180 Ver 1_Determination Request_20230821Please 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 Craven Community College - Public Safety Center Yes No Yes No Buffer Isolated Wetland Check all that apply. Name on the Recorded Deed: * Craven Community College Responsible Party : Jack B. Veit III (for LLC, Corporations, businness, agency, etc.) Telephone Number: 252-636-6600 Email Address: * jveit@cravencountync.gov How would you like to received your determination?* Is there an agent or consultant responsible for the request?* Yes No Attach agent authorization letter: * Craven County_Timmons Group Authorization_signed.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: * kate.hefner@timmons.com n IP Stream Determination Stream 86.59KB Has anyone form DWR done a previous site visit?* Yes No Other Date of Visit: Site Information Nearest Highway/Street: * Executive Parkway Nearest Town: * New Bern Nearest Named Stream:* Deep Branch River Basin: * Neuse County: Craven 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 1.39MB 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 1.14MB 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: 35.126519 Longitude:-77.159735 Misc attachments: 2023.08.21—Craven CC - Public Safety Center BD Request Package 4.74MB (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: 8/21/2023 Initial Review ID#* 20231180 Version * 1 Do you want to send for review?* Yes No Select Reviewer: * Robert Tankard:robert.tankard Select Regional Office:* Washington Regional Office - (252) 946-6481