14 Ver 1_Determination Request_20230121

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
Hawthorne at the Pointe
Yes No
Yes No
Buffer
Isolated Wetland
Check all that apply.
Name on the Recorded Deed: * HIM WOODLANDS PHASE II LLC
Responsible Party : Philip Payonk
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 336-553-1700
Email Address: * [e-mail]
How would you like to received your determination?*
Is there an agent or consultant responsible for the request?*
Yes
No
Attach agent authorization letter: * Agent_Authorization.pdf
PDF only
Agent/Consultant Information
How would you like to receive your LISPS
determination letter?* Email
Name of Agent:* Kim Williams
Company Name:* Davey Resource Group
Email Address: * [e-mail]
Project Information
.........
Has anyone form DWR done a previous site visit?*
Yes
No
Other
IP Stream Determination
Stream
346.61 KB

Staff Name: Chad Coburn
Date of Visit: 1/24/2017
Site Information
...........................................................................................
Nearest Highway/Street: * Echo Farms Blvd
Nearest Town: * Wilmington
Nearest Named Stream:* Barnards Creek
River Basin: * Cape Fear
County: *
New Hanover
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
Hawthorne Topo Map.pdf 891.07KB
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
Hawthorne Soils Map.pdf 1.04MB
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: 34.162004
Longitude:-77.915808
Misc attachments: Hawthorne Stream Map and Forms.pdf 2.75MB
2017 DWR Stream Determination
608.74KB
letter. pdf
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: 1/21/2023
Initial Review
ID#* 14
Version *
Do you want to send for review?* Yes No
Select Reviewer: * Michael Meilinger: Michael. Meilinger
Select Regional Office:* Wilmington Regional Office - [phone]