20190566 Ver 1_Determination Request (4)_20190430

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:* James City Connector
Is this a transportation project?* r Yes r No
What type of request is this?* r% Buffer r IP Stream Determination
r- Isolated Wetland V Stream
Check all that apply.
Owner Information
Name on the Recorded Deed:* State of NC, NCDOT--Division 2
Responsible Party: Larry Jones
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 252-439-2822
How would you like to received your determination?*
F W
Email Address:* [e-mail]
Is there an agent or consultant responsible for the request? *
r Yes
r No
Attach agent authorization letter:* Agent Authorization. pdf 395.43KB
PDF only
Agent/Consultant Information
..........................................................................................................................................................................
How would you like to receive your r uSPS
determination letter?* r Email
Name of Agent:* William Wescott
Company Name:* Vaughn & Melton
Email Address:* [e-mail]
Project Information
Has anyone form DWR done a previous site visit?*
r
Date of Visit:

Site Information
Nearest Highway/Street:*
Terminal Drive
Nearest Town:*
New Bern
Nearest Named Stream:*
Scotts Creek
River Basin:*
Neuse
County:*
Craven
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 docurrent
USGS Topographic Map.pdf 223.85KB
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.
Click the upload button or drag and drop files here to attach docurrent
1989 Craven County Soil Survey.pdf 231.72KB
Ftlf 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.
C Address Lookup
F Manually
Latitude: 35.08104
Longitude:-77.03419
Misc attachments: Maps.pdf 769.24KB
pdf or krre file types only
By digitally signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• 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
Date Submitted:
Initial Review
ID#*
Version
Do you want to send for review?*
Select Reviewer:*
Select Regional Office:*
�ll�l9t �dC�7._
4/30/2019
20190566
F Yes r No
Garcy Ward: eads\gpward
Washington Regional Office - [phone]