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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