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HomeMy WebLinkAboutVer _Determination Request_20230202Please 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?* Yes No Is this request for a mitigation site? * Yes No What type of request is this?* Buffer Isolated Wetland Check all that apply. East Garner Sewer Easement Corridor Owner Information Name on the Recorded Deed: * Multiple Responsible Party : Robert Shunk, Jr. (for LLC, Corporations, businness, agency, etc.) Telephone Number: (919)-308-2123 Email Address: * Cdarnell@sageecological.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: * 04 - AGENT AUTHORIZATION FORM SAGE_signed.pdf PDF only Agent/Consultant Information How would you like to receive your USPS determination letter?* Email Name of Agent: * Cory Darnell Company Name:* Sage Ecological Services, Inc Email Address: * cdarnell@sageecological.com n IP Stream Determination Stream 321.21 KB Has anyone form DWR done a previous site visit?* Yes No Other Unknown- Previous tracts have been previously delineated by other consultants. Date of Visit: Site Information Nearest H ighway/Street: * Creech Road Nearest Town: * Garner Nearest Named Stream: * Little Arm Branch River Basin: * Neuse County: Wake 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 Figure 1_USGSMap_SS_Outfall_Adden... 1.65MB 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 Figure2_Soils_Map_SS_Outfall Adden... 2.42MB 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. Latitude: 35.711322 Longitude:-78.602134 Misc attachments: Address Lookup Manually DWR Buffer Package - East Garner Assemblage SS Easement - SAGE#2022.021 - 02-2-23.pdf 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; 14.54MB • 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 ��orf �� trill Date Submitted: 2/2/2023 Initial Review RRO Do you want to send this for review? Yes No