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