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HomeMy WebLinkAbout20240355 Ver 1_Determination Request_20240229Please 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 Name on the Recorded Deed: Responsible Party : Happy Trail Farms, LLC - Ayden, NC Yes No Yes No Buffer Isolated Wetland Check all that apply. Happy Trail Farms, LLC Woody Whichard (for LLC, Corporations, businness, agency, etc.) Telephone Number: Email Address: * woodywhichard@gmail.com 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 Letter.pdf PDF only Agent/Consultant Information How would you like to receive your USPS determination letter?* Email Name of Agent:* Chris Lllley Company Name:* The Overton Group, LLC Email Address: * chris@overtongroup.net Project Information Has anyone form DWR done a previous site visit?* Yes No Other IP Stream Determination Stream 78.78KB Date of Visit: Site Information Nearest Highway/Street: * S Lee Street Nearest Town: * Ayden Nearest Named Stream:* Contentnea Creek River Basin: * Neuse County: * Lenoir 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 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 Soil Map.pdf 542.97KB 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: 35.4557 Longitude:-77.4297 Misc attachments: 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: 2/29/2024 Initial Review ID#* 20240355 Version * Do you want to send for review?* Yes No Select Reviewer: * Robert Tankard: robert.tan kard Select Regional Office: * Washington Regional Office - (252) 946-6481