20240075 Ver 2_Determination Request_20240126

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:* King Mill Lowgrounds
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: * Carl B. Langdon, Jr.
Responsible Party : (for LLC, Corporations, businness, agency, etc.)
Telephone Number: 919-291-8162
Email Address: * [e-mail]
How would you like to received your determination?*
Name on the Recorded Deed: * Carl B. Langdon
Responsible Party : (for LLC, Corporations, businness, agency, etc.)
Telephone Number: 917-584-2981
Email Address: * [e-mail]
How would you like to received your determination?
USPS Email
Name on the Recorded Deed: * Nancy Melissa Langdon
Responsible Party : (for LLC, Corporations, businness, agency, etc.)
Telephone Number: 917-584-2981
Email Address: * [e-mail]
How would you like to received your determination?*
Is there an agent or consultant responsible for the request?*

Attach agent authorization letter: * LOAs.pdf 261.45KB
PDF only
Agent/Consultant Information
How would you like to receive your USPS
determination letter?* Email
Name of Agent:* Kaitlyn Hogarth
Company Name: * Wildlands Engineering Inc
Email Address:* [e-mail]
Project Information
Has anyone form DWR done a previous site visit?*
Yes
No
Other
Date of Visit:
Site Information
Nearest Highway/Street: * 479 King Mill Road
Nearest Town: * Four Oak
Nearest Named Stream:* Black Creek
River Basin: * Neuse
County: *
Johnston
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
Fig3_DWRSoils.pdf 1.07MB
Fig2_DWRTopo.pdf 2AMB
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
Fig3_DWRSoils.pdf 1.07MB
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
479 King Mill Road
Address Line 2
City State / Province / Region
Four Oaks NC
Postal / Zip Code Country
27524 US
Latitude: 35.4792913
Longitude:-78.4709098
Misc attachments: Fig1_DWRSiteMap.pdf 2.13MB
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;
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: *
!t?;,? W yye '? tm
1 /26/2024
20240075
2
Yes No
Blake Hartshorn: blake.hartshorn
Select Regional Office:* Central Office - [phone]