HomeMy WebLinkAbout20200317 Ver 2_Determination Request_20200810Please 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:* Acorn Hill
Is this a transportation project?* f Yes r No
What type of request is this?* r Buffer rJ IP Stream Determination
r Isolated Wetland PF Stream
Check all that apply.
Owner Information
Name on the Recorded Deed:* Felton Outland
Responsible Party: Chris Roessler, Wildlands Engineering
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 9196240905
How would you like to received your determination?*
1— 141
Email Address:* croessler@wildlandseng.com
Is there an agent or consultant responsible for the request?*
Yes
c'
Attach agent authorization letter:* Outland_AcornHill_LOA.PDF 21.14KB
FDF only
Agent/Consultant Information
How would you like to receive your r IJSPS
determination letter?* r Email
Name of Agent:* Chris Roessler
Company Name:* Wildlands Engineering
Email Address:* croessler@wildlandseng.com
Project Information
Has anyone form DWR done a previous site visit?*
c:
C'
r
Staff Name: Anthony Scarbraugh
Date of Visit: 2/24/2020
'n
Nearest Highway/Street:* US 158
Nearest Town:* Sunbury
Nearest Named Stream:*
River Basin:
County:*
Acorn Millpond Cr (Jones Pond)
Pasquotank
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
Pasquotank05_FollySwamp_Acorn HillCr... 1.66MB
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.
aick the upload button or drag and drop files here to attach docurrent
Pasquotank05_FollySwamp_Acorn HillCr... 4.38MB
Rif file type only
Soil Survey Link: https://wwvv.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.
r Address Lookup
r Manually
Latitude: 36.442619
Longitude:-76.557085
Misc attachments:
Outland and Morgan Exhibit A.pdf 755.15KB
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
o 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:*
8/10/2020
20200317
F Yes r No
Chris Pull inger:eads\rcpullinger
Washington Regional Office - (252) 946-6481
LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Book: 243 / 02018 Page: 695-697 / 0690 County: Gates
Parcel ID Number: 0600319, 0600287
Street Address: 1690 US 158 East, Sunbury, North Carolina
Property Owner (please print): Felton J. Outland
Property Owner (please print): Janice Outland
Property Owner (please print):
Property Owner (please print):
The undersigned, registered property owner(s) of the above property, do hereby authorize
Wildlands Engineering, Inc. to take all actions necessary for the evaluation of the property as a
potential stream, wetland and/or riparian buffer mitigation project, including conducting stream
and/or wetland determinations and delineations, as well as issuance and acceptance of any required
permit(s) or certification(s). I agree to allow regulatory agencies, including the US Army Corps of
Engineers, to visit the property as part of these environmental reviews. 0
Property Owners(s) Address:
(if different from above)
Property Owner Telephone Number:
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
.'/ i
(Date)
(Property Owner Authorized Signature) (Date)
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WILDLANDS
ENGINEERING
0 1,000 2,000 Feet
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Pasquotank River Basin 03010205
Sunbury, Gates County, NC
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OUTLAND, FELTON JAMES, JR. + PARKER, W. W., JR. i +Y•y' y
7918962779000 7928073727000
LJ HOOKS FAMILY FARM, LLC
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`HINTON, BESSIE R
7918354349000
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ARKER, WILLIAM
WALTER JR
7928470534000
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7918678174000 OUTLAND, FELTON JAMES, R. d • _ �OUTLAND,•FELTON JAMES, JR. �f 7918953386000 , �% 7928163555000 \280' y
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HOFFLER, ELMORGAN IZABETH } PARKER, WILLIAM WPLTER JR �Y
KURT L 7918747726000 7928466577000
791823369C 0' Easemient Break
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Parcels
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Project Parcels
Outland Project Area (-75 ac)
` 215' -
Morgan Project Area (-3.6 ac)
External Crossings
- - - _FEMA Floodplain
. �2586.�,
Project Streams
:•�� •-Project
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Acorn Hill Creek Preservation Project
W I L D L A N D S 0 1,000 2,000 Feet Pasquotank River Basin 03010205
Sunbury, Gates County, NC
ENGINEERING 20Feb2O2O - cr