19970634 Ver 1_COMPLETE FILE_19970715

State of North Carolina
Department of Environment,
Health and Natural Resources • •
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary C) E H N F=?k
A. Preston Howard, Jr., P.E., Director
October 9, 1997
Hyde County
DWQ Project # 970634
APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS
Ms. Jacquelyn J. Bedwell
Post Office Box 10226
Knoxville, TN 37902
Dear Ms. Bedwell:
You have our approval, in accordance with the attached conditions and those listed below, to fill in
0.07 acres of wetlands or waters for the purpose of residential fill at Lot 138, Block G, Wahab
Subdivision as you described in your application dated September 29, 1997. After reviewing your
application, we have decided that this fill is covered by General Water Quality Certification Number
3106 This certification allows you to use Nationwide Permit Number 18 when it is issued by the Corps
of Engineers. In addition, you should get any other federal, state or local permits before you go ahead
with your project including (but not limited to) Sediment and Erosion Control, Coastal Stormwater,
Non-Discharge and Water Supply Watershed regulations. This approval will expire when the
accompanying 404 or CAMA permit expires unless otherwise specified in the General Certification.
This approval is only valid for the purpose and design that you described in your application
except as modified below. If you change your project, you must notify us and you may be required to
send us a new application. If total wetland fills for this project (now or in the future) exceed one acre,
compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h) (6) and (7). For
this approval to be valid, you must follow the conditions listed in the attached certification and any
additional conditions listed below.
1. Deed restrictions, conservation easements or similar mechanisms shall be placed in all lots with
remaining jurisdictional wetlands and waters to restrict future wetland and/or water impact. These
mechanisms shall be put in place within 30 days of the date of this letter or the issuance of the 404
Permit (whichever is later).
If you do not accept any of the conditions of this certification, you may ask for an ad'udicatory
hearing. You must act within 60 days of the date that you receive this letter. To ask for a II . 9.
send a written petition which conforms to Chapter 150B of the North Carolina General Statutes to the
Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean
Water Act. If you have any questions, please telephone John Domey at 919-733-1786.
Attachment
Pon How Ir .E.
cc: Wilmington District Corps of Engineers
Corps of Engineers Washington Field Office
Washington DWQ Regional Office
Mr. John Domey
Central Files
9706341tr
Division of Water Quality • Non-Discharge Branch
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
ENVInmmAL PROFESSIONALS, INC.
Planning for a better environment
[phone]

September 23, 1997 SSA SEP 2 9
1997,
ENWONwFWALSCIENCES
IIS Army Corps of Fngineers Regulatory 13ranch w?
Attn.: Mr. Tom Walker
Pn 13ox 1000
Washington, N(' 279889
Dcar Mr. Walker,
In reference to our conversation on September 16, 1997 regarding the recent NWP 18
issued to Jacquelyn 13edwcll on I,ol 138, we are reapplyinb for NWI' I8 for a total of 3,091 sq. ft.
to fill. '/here has been a recent change in file ('AMA wetland alignment which would allow the
lot to be redesigned. Should you have any questions please call me.
Sincerely,
S
.lay johns n

P.O. BOX 3368 - KILL DEVIL HILLS, NORTH CAROLINA 27948-.3368

DFM ID, ACTION'., Sep
NA'T'IONWIDE I T R RI;0(JI;S I kl) (PROVIDI: NATIONWIDE PERMIT/1): NWP !I 18. 719/) F^ -9199
?rq 9
JOINT DORM FOR CSC/FN??S
NATIONWIDE I'l;Klvll'I'S'TIIA'I' REQUllZl; NO'1'11'ICA'I'ION'1'0'I'lil.i CORPS OF ENGINEERS
NAI'IONWIDI? PFRMI'I S'TIIA'T RI;OUIRF APPLICATION FOR SECTION,101 CERTIFICATION
WILMING'T'ON DISTRICT ENOIN1_ ER
CORPS OF ENGINEERS
DEPARTMENT OF TI II; ARMY
PO BOX 1890
WILMINGTON, NC 28,101-1890
ATTN.: CI?SAW-('O-I?
'TclcPhonc (919) 251-,15I I
WATER QUALITY PLANNING
DIVISION OF ENVIRONMEN'T'AL MANAGEMENT
NC DEPAR'T'MENT OF ENVIRONMENT, HEALTI4
AND NATURAL RESOURCE'S
PO BOX 29535
RALFIGI I. NC 27626-0535
ATTN.: MR-101 IN DORNEY
'rclcphonc [phone]
ONE (1) COPY OF '1'I ITS COMPLETED AI'I'I_,ICAI'ION SI IOULD BE SENT -1.0 THE CORPS OF ENGINEERS.
SEVEN (7) COPIES SI IOULD BI; SEN'T' TO T'I Ili N.C. DIVISION OF ENVIRONMEN'T'AL MANAGEMENT.
PLEASE PRINT.
1. OWNERS NAME: .Iacclticlyn,l 13cchccll
2. OWNERS ADDRESS: I'0 Boy I(J226
Kriq.x ?illc,'I'N__37902
3. OWNERS PHONE NUMBL:R (I IOMI-"): _ __ (WORK): 423-588-1000
4. IF APPLICABL.F,: AC;I N'l"S NAMI; OR RESPONSIBLE. CORPORATE OFFICIAL, ADDRESS, PHONE
NUMBER: G??rgc II._?Vc?od, C'Lil'
_Env ironnicntal Prolcssionals_, Inc.
-
PO Box 3308
Kill Dev_il-I fills, NC 279,18
919 <Id1-0239
5. LOCATION OF WORK (MUST A'TTACI I MAP). COUNTY: Hydc
NEAREST TOWN OR CITY: Ocracoke
SPECIFIC LOCA'T'ION (IN(LUDE ROAD NUMBERS, LANDMARKS, ETC.): Lot 138 Block G, Wahab
Subdivision ol'I'llcach Rd, adjacent to
Pamlico Sound
6. LATITUDE: 3s"07'00"
7. LONGITUDE: 75'58'00"
8. NAME OF CLOSEST S'I'R[-,AM/RIVf;R: Pamlico Sound
9. RIVER BASIN: N/A
10. IS'I'IiIS PROJECT' LOCA'1'L:D IN A WA'1'1 1tSl TED CLASSIFIED AS'I'ROUT, SA, HQW, ORW, WS I, OR WS
117 YES ® NO ?
1 I. IIAVI:: ANY SECTION 401 I'ERMI'T'S BF.I;N PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY'?
YES ? NO X
IF YES, EXPLAIN.
12. ES'I'IMA'I'ED TO'I'AL NUM131',IZ OF ACRI;S OI' WATERS OI''I'I IE U.S., INCLUDING WE'CLANDS,
LOCATED ON PROJECT SITE: .24
13, NUMBER OF ACRES OF WE'TI,AND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .07
DRAINED:
FLOODED:
EXCAVATED:
TOTAL, IMPACTED: .07
14. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): propps 2s to lill_ 3,091 sq. Il. 91 `404 wetlands
15, PURPOSE OF PROPOSED WORK: To l)rcparc sitc_for residcntial.homc
10. STATE REASONS WHY THE APPI,ICANT BEI,IEVES THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. ALSO, NOTE ME?ASIIRF,S'TAKEN TO MINIMIZE WETI.AND IMPAC'T'S. Onlythe arcs is
bcit?lillcd to nro%,idc adcc)<iate sclbacks_I'or sc%%-a dis osal.
17. YOU ARE, REQUIRED TO CONTACT TI IE U.S. FISH AND WILDI,IFE SERVICE (USFWS) AND/OR
NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL
I IABITAT IN THE PERMIT AREA TI TA'I' MAY BE AFFFC'TF,D BY THE PROPOSED PROJFC'T. HAVE
YOU DONE SO? YES NO L]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
Only contacted NMFS_- COE is handling review ofendangrods
18. YOU ARE REQUIRED 1'0 CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO)
REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE
AFFF,CTF'D BY TI LE PROPOSED PRO.IEC'T.
HAVE YOU DONE SO? YES X NO ?
RESPONSE FROMTHE' SHPO SHOULD BE ATTACHED.
19. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WF,TLAND DF,I,INEATION MAP SHOWING ALA, WETLANDS, STREAMS, AND LAKES ON THE
PROPERTY.
E3. IF AVAILABLE:. REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROPERTY.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE, PLACEMENT OF THE DEI,INF;ATION LINE.
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH COPY.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? residential
F. IF APPLICABL,F„ WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL'? onsitc ground
absort)lion sytcrn.
4vik-R'S SIGNATI RE/D?AtE

OCRACO?K/'E
,I
S.R. 1324
F VICINITY MAP
NTS
S.R. 1333 S. R.
1337
BEACH RD.
l
SITE N
AREA TO BE
FILLED OR UNDISTURBED AREA
DISTURBED
FABRIC BURIED BELOW
EXISTING GRADE
SILT FENCE
DETAIL
NTS
LOT 1
NOTES:
TOTAL LOT - 11,414 SQ.FT.
TOTAL UPLANDS - 1,242 SQ.FT.
TOTAL WETLANDS - 10,172 SQ. FT.
TOTAL FILL - 3,091 SQ. FT.
LEDGEND:
® - 1292 SQ. FT. WETLAND AREA TO BE FILLED
- 404 WETLANDS
- COASTAL WETLANDS
(ROCK AND SHELL RD.)
NATIONWIDE 18 PERMIT APPLICATION SCALE: 1" = 30'
JAQUELYN BEDWELL DATE: 9/24/97
LOT 138 JOB NUMBER: 96-204D
DRAWN BY: JJ
OCRACOKE HYDE COUNTY NORTH CAROLINA REVIEWED: GW
,091 SQ. FT. AREA
0 BE FILLED
OT 139 1 LOT 140 1
_ --
ENVIRONMENTAL
PROFESSIONALS INC.
PLANNING FOR A BETTER
ENVIRONMENT
P.O. BOX 3368
KILL DEVIL HILLS, N.C. 27948
PHONE [phone]
FAX [phone]
BEACH RD.
50.00'

-----STS 54.08''
OWNER UNKNOWN I, MANSON RAY MFCKINS. R.L.S., CERTIFY THAT THIS PUT WAS DRAWN UNDER
MY SUPERVISION FROM AN ACTUAL SURVEY UNDER MY SUPERVISION;
THAT THE RATIO OF PRECISION AS CN_CULATED IS 1:10,0004; THAT
THIS PUT IS PREPARED IN ACCORDANCE WITH SECTION ,1500 Of
THE STATE HOARD REGISINATION RUI.FS 'STANIW IIS OF PRACTICC.
L-2592 ----- DATE
T^-f-r-(-
LEGEND
EXISTING IRON ROD OR PIPE
O IRON ROO SET
EXISTING CONCRETE MONUMENT
404 WETLANDS
CAMA 404
(J}/•/-? /// WETLANDS
A STAKE O 404 LINE
NOTES:
1. THIS SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE
DISCLOSED BY A FULL AND ACCURATE TITLE SEARCH.
2. AREA BY COORDINATE COMPUTATION - 11,414 S.F.
J. F.I.R.M. ZONE: AS: BEE 7'
4. PIN NO.: N/A
5. RECORDED REFERENCE: P.C. A. SL. 26A
6. BUILDING LINES SHOWN HEREON MUST BE VERIFIED.
THE SURVEYOR MAKES NO CERTIFICATION AS TO
20NING AND/OR RESTRICTIVE COVENANT SETBACKS.
B. SURVEY BASED ON EXISTING MONUMENTATION,
RATHER THAN RECORD PLAT BEARINGS.
7. ELEVATIONS (NGVD 1929) AS SHOWN
VICINITY MAP (NTS)
9f
Y
R'
I
I
LOT 111 ? I
I LOT 110 1 1-01 109 I
I
L-
---- I 1 3
- -------- ---- I
-----
J=
---

? oN ROCK _
& SHELL RD -
I
-Im -
iA IN 30 vw
7 BEACH RD
500°, .
N1 50.00
LA
NDS 100.00' v
ur'LAND WET
S.F.
i L01 140 LOT 141
I

I
(41,242 S.F. ?4A I
1. 65 X z.7'?DO I
C
-- ? CS ? I
NW 1
11 y( /// I < I 1
404 LINE TABLE
0 ///
w
w N
m
<
NUMBER DIRECTION

'
" DISTANCE

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w
a?
k'
wo
I
0
12
-
.
.. 4.17
' °2 in
0 o
T 1
L2
3 S 26
51
25
W
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26.54' < 1-1 In L
-Z `''z
S,, ? ofn
0
1
4 N 28.24' a4
E- %?
0
ow I
S S 77V4'23" W 27.29' Ali /// "i
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t
L
84'48' 1" E
1187'
J"• -
U
i p
6 N
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' I
G
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7

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S 7545'47"
6
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N
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00-
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OT 138 N >
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LOT
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n co
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50.08' ? 50.08
50.08' -- 50.Ofl-- - - - -- - -- -' 1?
SURVEY FOR
JACQUELYN J. BEDWELL
LOT 138 - BLOCK G - R.S WAHAB, SILVER LAKE & BEACH PROP.
OCRACOKE - OCRACOKE TOWNSHIP - DARE COUNTY - NORTH CAROLINA
FILE: 97171 SURVEYED: 5-20-97; JRM PLATTED: 6-10-97; KDT
4o 20 0 40 80 SEADOARD S(MVEYING & PLANNING, INC.
SCole 1'!0774 3200 NORTH CROATAN HWY. KILL DEVIL HILLS, NC 27948
OFFICE [phone] FAX: [phone]
11
L of 3S " 0-7, 00
LdN4 7S-"r9/00'I
U.S. ARMY CORPS OF ENGINEERS
?I
Wilmington District
Action ID: 121 7 0 5`1- Z U County:
Notification of Jurisdictional Determination
Property owner/Authorized Agent V, L nv-ro-memiA? Ploles<ivr/s 116,
Address / U (3,x 3 3 6 8
?< i l? n e u d 14;1k AAA -;1, `1 ff
Telephone Number (q I`i) `I `I I - O 2.3 `1
Size and Location of Property(
G
Indicate Which of the following apply:
Highway name/number, town, etc.)
'0(-
There are etlands on the above c . •ribed property which we rongly suggest should bed cared and
curve The surveyed wetlpil lints must be verified by ur staff before the Corps Will make a final
jur' cctional determinatio m your property.
• Because of t ize of your propc and our present worklo I, our identification an elineation of yo r
wetlands nnot be ' ccomplis d in a timely manner. Yc may wish to employ < onsultant to obi 'n a
Xithout ' ely delineation of t wetlands. Once your co Rant has flagged it wet nd line on the pr erty,
ff will review it, ?sThe , if it is accurate, we stro ply recommend that yo ave the line su ycd for
roval by the Co Corps will not mal?c a final jurigdictional determinatiop on ur property /
n approved survey . s rYY r r r/ /+ +? r d a r eN //m?R }
V tillti.l, e 0`' /Jln?.,I (o/?il^r7-
l of Corps jurisdiction have been explained
• e wetlands on your lot have been delincatedVnd the linutsy
Th
to you. Unless there is it change in the law or our published i egulations, this determination may be relied
upon for a period not to exceed t{xee•ycars from the date of this notification.
• There are no wetlands pr five nt on the above dcwrm-• property which ar subject t the permit
requir nts of Section 4 of the Clean Water Act USC 1344). Unless ere is a cge in theJ (w
oUm-the published regu tons, this determination may c relied upon for a F. od not to exceed three years
date of thi notification.
• The project is located in one of the 20 Coastal Counties. You should contact the nearest State Office of
Coastal Management to determine their requirements.
Placement of dredged or fill material in wetlands on this property without a Department of the Army
permit is in most cases a violation of Section 301 of the Clean Wetter Act (33 USC 1311). A permit is
not required for work on the property restricted entirely to existing high ground. If you have any
questions regarding the Corps of Engineers regulatory program, please contact
ro, Oct. Ir e" at 64ll? q 15 l1, l6
Property owner/Authorized Agent Sign
Project Manager Signature X,; l" cg /Vr\- , V
Date G ?2 S 9 :iz-
Expiration bate 6 1 5-/7_ oo .,
SURVEY PLAT OR FIELD SKETCH OF DESCRIBED PROPERTY AND THE WETLAND
DELINEATION FORM MUST BE ATTACHED TO THE YELLOW (FILE) COPY OF THIS FORM.
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rA,.?J l• ,.' f ;.its l " , np; . r,r., ''"'• \ $(' 1.
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AM'
59:
This advance copy of the Outer Bank.; Soil Survey has not been correlated and is subject to future
refinement. Mapped areas of about 3 acre`.:: or larger are reliable for most land management uses.
SCALE: I INCH _ 1.000 FEET
The publication of the text material and soil maps of the Outer banks was partially funded by the
Office of Coastal Zone Management, National. Oceanic and Atmospheric Administration through the
Coastal Resources Commission, North Carolina Department of Natural and Economic Resources and by
the United States National Parlc Service, Department of interior.

DATA FORM L:nvironnlental Professionals :Inc.
ROUTINE WETLAND DETERMINATION P.O. Box 3368
(1987 COE Wetlands Delineation Manual)
Kill Devil Hills, N.C.'•27948
Project/Site: LLj S //iff '? ?b<i•?, Date: S/1?97
Applicant/Owner: J ,,e County: pw?
Investigator: J., State: /t/, t ,
Do Normal Circumstances exist on the site? No Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes V?q) Transect ID:
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator -•
'
? / r
? D? ?
°
JL? dd
?
- 9
yQGLN
1. \
Uwn?LC ?L •
e
nc?
, .
2. let: Ckt?1 d-C.t?.? /?
(/,'1L? Y-'L? /'lt. c' 10.
3. _r+•- 11-4c, +^ tee- d tL? /??j /.r., 154 • . 1 1.
4.?ne,'.?+•v?w J 12.
/10" 1,5.tc 13.
6. 14.
7. 15.
a. 16.
Percent of Dominant Spocias that ara Ot1L, FACW or FAC /
2
?J C?J
f
(excluding FAC-). n•
?
o arc
QQ
Remarks: ?.r/ e? ?CG'vty l
t' `4t?.•-- I
tJ mo
J
HYDROLOGY
_ Recorded Data (Describe in Remarks):
-Stream, Lake, or Tide Gauge
_ Aerial Photographs
_ Other
Recorded Data Available Wetland Hydrology Indicators:
Primary Indicators:
_ Inundated
-Saturated in Upper 12 Inches
_ Water Marks
_ Drift Lines

Feld Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper 12 Inches
Water-Stained Leaves
Depth to Free Water in Pit: > (in.) _
_ Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: % ` (in.) _
_ Other (Explain in Remarks)
Remarks: 5

;i
it
1
F Aa ponoiddy ......
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e,
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Project/Site: Lod- 13 8 /(- Date:
Applicant/Owner:y?UJ
- County, per,..
Investigator: Ja J10 V
7 -
77 State: /t/, e,
Do Normal Circumstances exist on the site? Y& No Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes (0 Transect ID:
Is the area a potential Problem Area? Yes r? Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. DV -- a.
2. ? (.r k, a, -
- 10.
3.
?o /
? ,cG 5 'J
r? ?CctriS ?
11.
,J
4. 1r v?,. ti /
S s ,-r? A-1/0 12.
5. i.?a />ic ft.l5 T 0Y' 13.

8. 14.
7, 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC•).
5o
Remarks: lV?tw*" r ( L c?J! C1 u„ t ` 5 ,/Js csSy-?
HYDROLOGY
_ Recorded Data (Describe in Remarks):
-Stream, Lake, or Mdo Gauge
_ Aerial Photographs
_ Other
_VNo Recorded Data Available Wetland Hydrology Indicators:
Primary Indicators:
Inul?datod
CIZI ratod in Upper 12 Inches
-Water Marks
_ Drift Lines

Feld Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) Oxidized Root Channels in Upper 12 Inches
Water-Stained Loaves
Depth to Free Water in Pit: _1=4;1-cal Soil Survey Data
?I`Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks:
DATA FORM Environmental Professionals-Inc.
ROUTINE WETLAND DETERMINATION P.O. Box 3368
(1987 COE Wetlands Delineation Manual)
Kill Devil Hills, N.C:'•27948
?b??r sidY. _? „1?f/q. 1'
;;OILS
i ainnua Clas'
Jf
:j Map Unit r /??.. ?...
h {
(Series and FieId Obiorva`lor "
•/ y Yes NO
Confin:, Mapped , p ... ..-----
Taxonomy t 'bgrowll: ,[ ..._.t=., •°??:
Profile Do:!:ri tion: ---r- Mottle Taxcurs, Cu;,."crtiona,
)r Motile Colors
_ Abunjncj:?ontras Str?_ i ._...?..'_' '
Depth !ra r;
r. . ;i .-foist '`M`:n?nll Moist)
Inches ,ioHzon
•
j
Hydric Suit ir,diua(ors:
.,?ncroliona
_ Hiatoe:al ; tiuh Organic •.:ontont in Surf'" • Layer in Sandy Soils
_ Histic GpiNc,.. nic Strookinp in sandy Sufi
Sulfidic Ode; iji tad on Locul Hydric Soils Lv:,
rc Mc,". (u?; ; , U.iaod on Notional Hydric Soil"
odu ing othor (E)(plain in Romorks)
t-9Tn`!'-d or L Chr ,.,;n Colors
Romot
- j (Circle)
No (Clrt:lo)
Hydropirytic Va _+(ntion u,ra?? No i
Wouand Hydroloo Prorc,t'l Nu i I r this Sampling point Within s +'fotlund7 os No
Hydric :,oils Prn"ont? i
Ron,nrr.:.
_.. _. hprovod
PHONE; CONVERSATION RECORD
TALKS WZI-I.... ./Y?....... .DA`T'E 71H/Y7TIME :ice AM k-U)
!Yl,? . . . PHONE NO. 9/Y 7,2-6 S-Dyv
RE.?!??'r'S. .°. 3. .eve vV vim? 7 arc/mar .,?s: !??!8 t lye Co.
PLACED CALL PARTY CAI,I..ED?
MY MESSAGE ..REPLY......... .........................
......................•...............................
......................................................
PARTY'S ..MESSAGE KI,:PLY.(? ........................
......................................................
......................................................
AC'T'ION OR FOLLOW UP NECESSARY./00 ......................
......................................................
......................................................
REFER TO .............. ?66. ?'Y FILE
SIGNED...
PHONE CONVERSATION RECORD
TALKED WITH. ......DATE AM
OF,5A, ? .•S?i?kn i'?. %r?sc?v,?t?i , J.Vl?->Lv .... .PHONE NO. `?/' 733 s?7G3
RE t ll (;.5. .o.3 . ..U7;?.g . !- `. tJr C..
?-PLACED CALL PARTY CALLED
MY MESSAGE ..REPLY ..................................
PARTY' S .. MESSAGE RL:PLY .?P
ACTION OR FOLLOW UP NL.CISSARY.N° ......................
......................................................
. .
REFER TO ............ FI LE ..... . . . . . . . . . . . . .
SIGNED.... ll 1?4 .:..
V
PHONE CONVERSATION RECORD
TALKED WITH ......................DATE / / TIME AM PM
OF ........................................PHONE NO.
RE ....................................................
..I PLACED CALL ..PARTY CALLED
MY ..MESSAGE ..REPLY ..................................
PARTY'S ..MESSAGE ..REPLY .....................
..............................................
..............................................
ACTION OR FOLLOW UP NECESSARY .................
..............................................
..............................................
REFER TO .................... FILE
SIGNED .....................