2023016 Ver 1_Determination Request_20230714

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:* Sanders Property
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: * Zeta Tolson Sanders, Trustee
Responsible Party : Gloria Sanders
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: [phone]
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: * Sanders Agent
108.5KB
Authorization 07.12.2023 UNSIGNED....
PDF only
Agent/Consultant Information
How would you like to receive your USPS
determination letter?* Email
Name of Agent: * Roy Brownlow
Company Name:* Tidewater Associates, Inc.
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: * Bear Creek Road
Nearest Town: * Hubert
Nearest Named Stream:* Bear Creek
River Basin: * White Oak
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
Sanders Property USGS 2400 Topo
354.69KB
Parcels Overlay_PDF.pdf
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
Sanders Property_Hubert-Onslow_ Web
521.68KB
Soil Survey Map_Report.pdf
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
Project Look Up Address
Street Address
The Camp Road
Address Line 2
Tidewater Associates, Inc.
City
Hubert
Postal / Zip Code
28539
State / Province / Region
NC
Country
US

Latitude: 34.6463407
Longitude:-77.2074244
Misc attachments: Sanders Tract KMZ files.kmz
3AMB
Sanders Property_Hubert_Aerial.pdf
375.85KB
Sanders Property_Hubert_Looking South
360.25KB
Aerial.pdf
Sanders Property_Hubert_Southeast
385.48KB
Corner Aerial. pdf
Sanders Property_Hubert_Onslow_
1.32MB
LiDAR_PDF.pdf
pdf or knnz file types only
By digitally signing below, I certify that:
o I have given true, accurate, and complete information on this form;
o 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)
o 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');
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the "Determination Request' form."
Signature
Date Submitted:
Initial Review
..................................................................................................................
ID#*
Version
Do you want to send for review?*
Select Reviewer: *
Select Regional Office:
7/14/2023
............................................
2023016
1
Yes No
Michael Meilinger: Michael. Meilinger
Wilmington Regional Office - [phone]