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Home My WebLink About20190415 Ver 1_Determination Request_20190402Stream Origin/Buffer Applicability Determination 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 ansviered. Project Name:* Mark Suggs irrigation pond Is this a transportation project?* r Yes r No What type of request is this?* V Buffer r- IP Stream Determination r- Isolated Wetland V Stream Check all that apply. Owner Information Name on the Recorded Deed:* Mark A Suggs Responsible Party: (for LLC, Corporations, businness, agency, etc.) Telephone Number: 252-714-7701 How would you like to received your determination?* r` USPS W Email Email Address:* msuggs@pgemc.com Is there an agent or consultant responsible for the request?* r Yes r No Attach agent authorization letter:* Agent Authorization. pdf 141.04KB FDF only Agent/Consultant Information ........................................................................................................................................................................................ How would you like to receive your r USPS determination letter?* r Email Name of Agent:* William Wescott Company Name:* Wescott Environmental Services, Inc Email Address:* wescottenvironmentalservices@gm ail.com Project Information Has anyone form DWR done a previous site visit? r Yes r No r Other Date of Visit: Site Information Nearest Highway/Street:* NC 121 Nearest Town:* Farmville Nearest Named Stream:* Little Contentnea Creek River Basin:* Neuse County:* Pitt Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo. nick the upload button or drag and drop files here to attach docurrent USGS Topographic Map.pdf 124.07KB Rif 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. nick the upload button or drag and drop files here to attach docurrent 1974 Pitt County Soil Survey.pdf 151.94KB Rif file type only Soil Survey Link: https://wmw.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. f Address Lookup r Manually Latitude: 35.60814 Longitude: 77.62663 Misc attachments: Maps and photos.pdf 2.67MB pdf or ITrz 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 IN* Version* Do you want to send for review?* Select Reviewer:* Select Regional Office:* Sign 4/2/2019 20190415 f• Yes f No Chris Pullinger:eads\rcpullinger Washington Regional Office - (252) 946-6481 [252] 402-9662 Wescott Environmental Services, Inc. wescottenvironmentalservices@gmaiLcom Agent Authorization Form In I, Mark Sues , hereby give permission to Wescott Environmental Services, Inc. to access the following property for the purpose of identifying and delineating waters and wetlands. I also give permission to the appropriate State and/or Federal agencies to accompany Wescott Environmental Services, Inc. to verify the findings. Wescott Environmental Services, Inc. is hereby authorized to act on my behalf when interacting with Federal, State and Local agencies and for all plan submission applications and permit submittals. Parcel ID: 84659 Location: Property is located in Pitt County, approx. 2.3 miles west of Farmville at 4770 Hwy 121 W., Farmville, NC. Project coordinates: 35.60814 N -77.62663 W Name: Mark Suggs Address: P.O. Box 722 Ai arized Signature Farmville, NC 27528 Phone: 252-714-7701 Email: msuggs@pgemc.com Date 1974 Pitt County Soil Survey, map 61 E JI' LN JV14 jp-1 3r . �V A Ee L USGS Topographic Map h ` i w Pitt Co -- Farmville 3-1 NW u OL PJ] r j.. � i 1• \ ` . Mark Suggs Y .00 irl cFarm1lle Ts '� �7Aa4ff:� ry ♦�ft• t �,� � I 1 J Google Earth LI !+' jNlark Suggs ` i mr s —'—,_ i t a A YS 5 ate• 16 ft A Irrigation Pond 4 acres r 416 Googf6 Earth 02018 Google 1000 ff 1 ■ r 416 Googf6 Earth 02018 Google 1000 ff w Earth Nrb FxA xA GOA 7 p 3 Google Earth 9-2018 Google 200 ft N rig° i -x«s�°' ( ' y- Y a;: - * f''{4 J'®!a fir!✓' ? 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