HomeMy WebLinkAbout20231245 Ver 1_Determination Request_20230627Please 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:* Sutton Nurtient Offset Bank
Is this a transportation project?* Yes No
Is this request for a mitigation site? * Yes No
What type of request is this?* Buffer IP Stream Determination
Isolated Wetland Stream
Check all that apply.
Owner Information
Name on the Recorded Deed: * A. Daniel & Lucille A. Sutton
Responsible Party : (for LLC, Corporations, businness, agency, etc.)
Telephone Number: 252-514-6634
Email Address: * alexander.baldwin@davey.com
How would you like to received your determination?*
Name on the Recorded Deed: * Linda T. & Daugherty Jenkins
Responsible Party : (for LLC, Corporations, businness, agency, etc.)
Telephone Number: 252-638-1823
Email Address: * alexander.baldwin@davey.com
How would you like to received your determination?
USPS Email
Is there an agent or consultant responsible for the request?*
Attach agent authorization letter: * Jenkins_LOA signed2.pdf 83.23KB
Sutton_LOA_Signed.pdf 78.98KB
PDF only
Agent/Consultant Information
...................................................................................................................................................................
How would you like to receive your USPS
determination letter?* Email
Name of Agent: * Alex Baldwin
Company Name:* Restoration Systems, LLC
Email Address: * alexander.baldwin(cD_davey.com
Project Information
................................................................................................
Has anyone form DWR done a previous site visit?*
Yes
No
Other
Date of Visit:
Site Information
Nearest Highway/Street: * 1501 Dover Road
Nearest Town: * Cove City
Nearest Named Stream:* Core Creek
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
Fig-2_Sutton_USGS.pdf 782.49KB
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
Fig-3_Sutton_NRCS.pdf 606.38KB
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.
Address Lookup
Manually
Latitude: 35.212261
Longitude:-77.255188
Misc attachments: Fig- 1_Sutton_Aerial.pdf 747.25KB
Fig-4_Sutton_QL2.pdf 787.62KB
pdf or kmz file types only
By digitally signing below, I certify that:
• 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
Date Submitted:
Initia, r vviuvv
ID#*
Version
Do you want to send for review?*
Select Reviewer: *
Select Regional Office:*
A-Ax �ALD,11/
6/27/2023
20231245
1
Yes No
Glenn Stewart: Glenn. Stewart
Washington Regional Office - (252) 946-6481