Loading...
HomeMy WebLinkAbout20201196 Ver 1_SAW-2018-01123 (signed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³)LJXUH9LFLQLW\0DS´  ,QGLFDWH:KLFKRIWKH)ROORZLQJ$SSO\ $.PreliminaryDetermination  7KHUHDSSHDUWREHZDWHUVLQFOXGLQJZHWODQGVRQWKHDERYHGHVFULEHGSURMHFWDUHDSURSHUW\WKDWPD\EHVXEMHFWWR6HFWLRQ RIWKH&OHDQ:DWHU$FW &:$ 86&† DQGRU6HFWLRQRIWKH5LYHUVDQG+DUERUV$FW 5+$  86&† 7KH ZDWHUVLQFOXGLQJZHWODQGVKDYHEHHQGHOLQHDWHGDQGWKHGHOLQHDWLRQKDVEHHQYHULILHGE\WKH&RUSVWREHVXIILFLHQWO\DFFXUDWH DQGUHOLDEOH7KHDSSUR[LPDWHERXQGDULHVRIWKHVHZDWHUVDUHVKRZQRQWKHHQFORVHGGHOLQHDWLRQPDSGDWHG7KHUHIRUH WKLVSUHOLPLQDU\MXULVGLFWLRQGHWHUPLQDWLRQPD\EHXVHGLQWKHSHUPLWHYDOXDWLRQSURFHVVLQFOXGLQJGHWHUPLQLQJFRPSHQVDWRU\ PLWLJDWLRQ)RUSXUSRVHVRIFRPSXWDWLRQRILPSDFWVFRPSHQVDWRU\PLWLJDWLRQUHTXLUHPHQWVDQGRWKHUUHVRXUFHSURWHFWLRQ PHDVXUHVDSHUPLWGHFLVLRQPDGHRQWKHEDVLVRIDSUHOLPLQDU\-'ZLOOWUHDWDOOZDWHUVDQGZHWODQGVWKDWZRXOGEHDIIHFWHGLQDQ\ ZD\E\WKHSHUPLWWHGDFWLYLW\RQWKHVLWHDVLIWKH\DUHMXULVGLFWLRQDOZDWHUVRIWKH867KLVSUHOLPLQDU\GHWHUPLQDWLRQLVQRWDQ DSSHDODEOHDFWLRQXQGHUWKH5HJXODWRU\3URJUDP$GPLQLVWUDWLYH$SSHDO3URFHVV 5HIHUHQFH&)53DUW +RZHYHU\RXPD\ UHTXHVWDQDSSURYHG-'ZKLFKLVDQDSSHDODEOHDFWLRQE\FRQWDFWLQJWKH&RUSVGLVWULFWIRUIXUWKHULQVWUXFWLRQ  7KHUHDSSHDUWREHZDWHUVLQFOXGLQJZHWODQGVRQWKHDERYHGHVFULEHGSURMHFWDUHDSURSHUW\WKDWPD\EHVXEMHFWWR6HFWLRQ RIWKH&OHDQ:DWHU$FW &:$ 86&† DQGRU6HFWLRQRIWKH5LYHUVDQG+DUERUV$FW 5+$  86&†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† DQG6HFWLRQRIWKH&OHDQ:DWHU$FW &:$ 86&† 8QOHVVWKHUHLVDFKDQJHLQODZRURXUSXEOLVKHGUHJXODWLRQVWKLVGHWHUPLQDWLRQPD\EHUHOLHGXSRQIRU DSHULRGQRWWRH[FHHGILYH\HDUVIURPWKHGDWHRIWKLVQRWLILFDWLRQ  7KHUHDUHZDWHUVLQFOXGLQJZHWODQGVRQWKHDERYHGHVFULEHGSURMHFWDUHDSURSHUW\VXEMHFWWRWKHSHUPLWUHTXLUHPHQWVRI6HFWLRQ RIWKH&OHDQ:DWHU$FW &:$  86&†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† 3ODFHPHQWRIGUHGJHGRUILOOPDWHULDOFRQVWUXFWLRQRU SODFHPHQWRIVWUXFWXUHVRUZRUNZLWKLQQDYLJDEOHZDWHUVRIWKH8QLWHG6WDWHVZLWKRXWD'HSDUWPHQWRIWKH$UP\SHUPLWPD\ FRQVWLWXWHDYLRODWLRQRI6HFWLRQVDQGRURIWKH5LYHUVDQG+DUERUV$FW 86&†DQGRU ,I\RXKDYHDQ\TXHVWLRQV UHJDUGLQJWKLVGHWHUPLQDWLRQDQGRUWKH&RUSVUHJXODWRU\SURJUDPSOHDVHFRQWDFW%U\DQ5RGHQ5H\QROGVDWRU EU\DQURGHQUH\QROGV#XVDFHDUP\PLO  C.%DVLV)RU'HWHUPLQDWLRQ%DVLV)RU'HWHUPLQDWLRQ6HHWKHSUHOLPLQDU\MXULVGLFWLRQDOGHWHUPLQDWLRQ IRUPGDWHG '.5HPDUNV 1RQH  ($WWHQWLRQ86'$3URJUDP3DUWLFLSDQWV  7KLVGHOLQHDWLRQGHWHUPLQDWLRQKDVEHHQFRQGXFWHGWRLGHQWLI\WKHOLPLWVRI&RUSV¶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igitally signed by RODEN REYNOLDS.BRYAN.KENNETH.1263385574 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=RODEN REYNOLDS.BRYAN.KENNETH.1263385574 Date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x$&&(37,I\RXUHFHLYHGD6WDQGDUG3HUPLW\RXPD\VLJQWKHSHUPLWGRFXPHQWDQGUHWXUQLWWRWKHGLVWULFWHQJLQHHUIRUILQDO DXWKRUL]DWLRQ,I\RXUHFHLYHGD/HWWHURI3HUPLVVLRQ /23 \RXPD\DFFHSWWKH/23DQG\RXUZRUNLVDXWKRUL]HG<RXU VLJQDWXUHRQWKH6WDQGDUG3HUPLWRUDFFHSWDQFHRIWKH/23PHDQVWKDW\RXDFFHSWWKHSHUPLWLQLWVHQWLUHW\DQGZDLYHDOO ULJKWVWRDSSHDOWKHSHUPLWLQFOXGLQJLWVWHUPVDQGFRQGLWLRQVDQGDSSURYHGMXULVGLFWLRQDOGHWHUPLQDWLRQVDVVRFLDWHGZLWKWKH SHUPLW x2%-(&7,I\RXREMHFWWRWKHSHUPLW 6WDQGDUGRU/23 EHFDXVHRIFHUWDLQWHUPVDQGFRQGLWLRQVWKHUHLQ\RXPD\UHTXHVW WKDWWKHSHUPLWEHPRGLILHGDFFRUGLQJO\<RXPXVWFRPSOHWH6HFWLRQ,,RIWKLVIRUPDQGUHWXUQWKHIRUPWRWKHGLVWULFW HQJLQHHU<RXUREMHFWLRQVPXVWEHUHFHLYHGE\WKHGLVWULFWHQJLQHHUZLWKLQGD\VRIWKHGDWHRIWKLVQRWLFHRU\RXZLOO IRUIHLW\RXUULJKWWRDSSHDOWKHSHUPLWLQWKHIXWXUH8SRQUHFHLSWRI\RXUOHWWHUWKHGLVWULFWHQJLQHHUZLOOHYDOXDWH\RXU REMHFWLRQVDQGPD\ D PRGLI\WKHSHUPLWWRDGGUHVVDOORI\RXUFRQFHUQV E PRGLI\WKHSHUPLWWRDGGUHVVVRPHRI\RXU REMHFWLRQVRU F QRWPRGLI\WKHSHUPLWKDYLQJGHWHUPLQHGWKDWWKHSHUPLWVKRXOGEHLVVXHGDVSUHYLRXVO\ZULWWHQ$IWHU HYDOXDWLQJ\RXUREMHFWLRQVWKHGLVWULFWHQJLQHHUZLOOVHQG\RXDSURIIHUHGSHUPLWIRU\RXUUHFRQVLGHUDWLRQDVLQGLFDWHGLQ 6HFWLRQ%EHORZ %352))(5('3(50,7<RXPD\DFFHSWRUDSSHDOWKHSHUPLW x$&&(37,I\RXUHFHLYHGD6WDQGDUG3HUPLW\RXPD\VLJQWKHSHUPLWGRFXPHQWDQGUHWXUQLWWRWKHGLVWULFWHQJLQHHUIRUILQDO DXWKRUL]DWLRQ,I\RXUHFHLYHGD/HWWHURI3HUPLVVLRQ /23 \RXPD\DFFHSWWKH/23DQG\RXUZRUNLVDXWKRUL]HG<RXU VLJQDWXUHRQWKH6WDQGDUG3HUPLWRUDFFHSWDQFHRIWKH/23PHDQVWKDW\RXDFFHSWWKHSHUPLWLQLWVHQWLUHW\DQGZDLYHDOO ULJKWVWRDSSHDOWKHSHUPLWLQFOXGLQJLWVWHUPVDQGFRQGLWLRQVDQGDSSURYHGMXULVGLFWLRQDOGHWHUPLQDWLRQVDVVRFLDWHGZLWKWKH SHUPLW x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x$&&(37<RXGRQRWQHHGWRQRWLI\WKH&RUSVWRDFFHSWDQDSSURYHG-')DLOXUHWRQRWLI\WKH&RUSVZLWKLQGD\VRIWKH GDWHRIWKLVQRWLFHPHDQVWKDW\RXDFFHSWWKHDSSURYHG-'LQLWVHQWLUHW\DQGZDLYHDOOULJKWVWRDSSHDOWKHDSSURYHG-' x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or appeals on Initial Proffered Permits send this form to:  'LVWULFW(QJLQHHU:LOPLQJWRQ5HJXODWRU\'LYLVLRQ$WWQ%U\DQ5RGHQ5H\QROGV'DUOLQJWRQ$YHQXH:LOPLQJWRQ1RUWK &DUROLQD  For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to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³)LJXUH9LFLQLW\ 0DS´ 86(7+(7$%/(%(/2:72'2&80(17 08/7,3/($48$7,&5(6285&(6$1'25 $48$7,&5(6285&(6$7',))(5(176,7(6  6WDWH1&&RXQW\'DYLGVRQ&LW\7KRPDVYLOOH &HQWHUFRRUGLQDWHVRIVLWH ODWORQJLQGHJUHHGHFLPDOIRUPDW /DWLWXGH/RQJLWXGH 8QLYHUVDO7UDQVYHUVH0HUFDWRU 1DPHRIQHDUHVWZDWHUERG\+DPE\&UHHN (5(9,(:3(5)250(')256,7((9$/8$7,21 &+(&.$//7+$7$33/<  2IILFH 'HVN 'HWHUPLQDWLRQ'DWH)LHOG'HWHUPLQDWLRQ'DWH V DQG 7$%/(2)$48$7,&5(6285&(6,15(9,(:$5($:+,&+0$<%(68%-(&7725(*8/$725< -85,6',&7,21  ^ŝƚĞEƵŵďĞƌ>ĂƚŝƚƵĚĞ;ĚĞĐŝŵĂů ĚĞŐƌĞĞƐͿ >ŽŶŐŝƚƵĚĞ;ĚĞĐŝŵĂů ĚĞŐƌĞĞƐͿ ƐƚŝŵĂƚĞĚĂŵŽƵŶƚŽĨ ĂƋƵĂƚŝĐƌĞƐŽƵƌĐĞƐŝŶ ƌĞǀŝĞǁĂƌĞĂ;ĂĐƌĞĂŐĞ ĂŶĚůŝŶĞĂƌĨĞĞƚ͕ŝĨ ĂƉƉůŝĐĂďůĞ dLJƉĞŽĨĂƋƵĂƚŝĐ ƌĞƐŽƵƌĐĞƐ;ŝ͘Ğ͕͘ ǁĞƚůĂŶĚǀƐ͘ŶŽŶͲ ǁĞƚůĂŶĚǁĂƚĞƌƐͿ 'ĞŽŐƌĂƉŚŝĐĂƵƚŚŽƌŝƚLJƚŽ ǁŚŝĐŚƚŚĞĂƋƵĂƚŝĐƌĞƐŽƵƌĐĞ ͞ŵĂLJďĞ͟ƐƵďũĞĐƚ;ŝ͘Ğ͕͘ ^ĞĐƚŝŽŶϰϬϰŽƌ^ĞĐƚŝŽŶ ϭϬͬϰϬϰͿ ^ƚƌĞĂŵ^ ϯϱ͘ϴϲϮϵϲϱ ͲϴϬ͘ϭϴϲϲϳϭ ϭϮϭůŝŶĞĂƌĨĞĞƚ EŽŶͲǁĞƚůĂŶĚ ϰϬϰ ^ƚƌĞĂŵ^ ϯϱ͘ϴϱϵϳϳϵ ͲϴϬ͘ϭϴϰϵϳϳ ϮϮϬůŝŶĞĂƌĨĞĞƚ EŽŶͲǁĞƚůĂŶĚ ϰϬϰ ^ƚƌĞĂŵ^ ϯϱ͘ϴϲϭϵϬϭ ͲϴϬ͘ϭϴϭϴϳϱ ϭϯϯůŝŶĞĂƌĨĞĞƚ EŽŶͲǁĞƚůĂŶĚ ϰϬϰ ^ƚƌĞĂŵ^ ϯϱ͘ϴϲϯϳϴϰ ͲϴϬ͘ϭϴϬϮϳϳ ϭ͕ϮϬϱůŝŶĞĂƌĨĞĞƚ EŽŶͲǁĞƚůĂŶĚ ϰϬϰ ^ƚƌĞĂŵ^ ;ZŝĐŚ&ŽƌŬͿϯϱ͘ϴϲϬϴϯϲ ͲϴϬ͘ϭϳϴϲϱϬ ϮϲϮůŝŶĞĂƌĨĞĞƚ EŽŶͲǁĞƚůĂŶĚ ϰϬϰ ^ƚƌĞĂŵ^& ϯϱ͘ϴϲϰϬϮϭ ͲϴϬ͘ϭϳϵϯϳϴ ϭϰϯůŝŶĞĂƌĨĞĞƚ EŽŶͲǁĞƚůĂŶĚ ϰϬϰ ^ƚƌĞĂŵ^' ϯϱ͘ϴϱϰϬϳϱ ͲϴϬ͘Ϭϭϵϱϯϱϵ ϲϭϳůŝŶĞĂƌĨĞĞƚ EŽŶͲǁĞƚůĂŶĚ ϰϬϰ  ^ŝƚĞEƵŵďĞƌ>ĂƚŝƚƵĚĞ;ĚĞĐŝŵĂů ĚĞŐƌĞĞƐͿ >ŽŶŐŝƚƵĚĞ;ĚĞĐŝŵĂů ĚĞŐƌĞĞƐͿ ƐƚŝŵĂƚĞĚĂŵŽƵŶƚŽĨ ĂƋƵĂƚŝĐƌĞƐŽƵƌĐĞƐŝŶ ƌĞǀŝĞǁĂƌĞĂ;ĂĐƌĞĂŐĞ ĂŶĚůŝŶĞĂƌĨĞĞƚ͕ŝĨ ĂƉƉůŝĐĂďůĞ dLJƉĞŽĨĂƋƵĂƚŝĐ ƌĞƐŽƵƌĐĞƐ;ŝ͘Ğ͕͘ ǁĞƚůĂŶĚǀƐ͘ŶŽŶͲ ǁĞƚůĂŶĚǁĂƚĞƌƐͿ 'ĞŽŐƌĂƉŚŝĐĂƵƚŚŽƌŝƚLJƚŽ ǁŚŝĐŚƚŚĞĂƋƵĂƚŝĐƌĞƐŽƵƌĐĞ ͞ŵĂLJďĞ͟ƐƵďũĞĐƚ;ŝ͘Ğ͕͘ ^ĞĐƚŝŽŶϰϬϰŽƌ^ĞĐƚŝŽŶ ϭϬͬϰϬϰͿ ^ƚƌĞĂŵ^, ϯϱ͘ϴϱϲϲϲϭ ͲϴϬ͘ϭϵϭϳϴϯ ϴϲůŝŶĞĂƌĨĞĞƚ EŽŶͲǁĞƚůĂŶĚ ϰϬϰ ^ƚƌĞĂŵ^/ ϯϱ͘ϴϱϴϭϳϭ ͲϴϬ͘ϭϴϵϯϭϬ ϰϰůŝŶĞĂƌĨĞĞƚ EŽŶͲǁĞƚůĂŶĚ ϰϬϰ ^ƚƌĞĂŵ^: ϯϱ͘ϴϲϮϯϴϮ ͲϴϬ͘ϭϴϬϲϵϳ ϯϵϵůŝŶĞĂƌĨĞĞƚ EŽŶͲǁĞƚůĂŶĚ ϰϬϰ tĞƚůĂŶĚ tϯϱ͘ϴϲϮϴϭϬ ͲϴϬ͘ϭϴϲϮϲϭ Ϭ͘ϬϵĂĐƌĞ tĞƚůĂŶĚ ϰϬϰ tĞƚůĂŶĚ tϯϱ͘ϴϲϬϯϴϴ ͲϴϬ͘ϭϴϱϯϳϬ Ϭ͘ϭϮĂĐƌĞ tĞƚůĂŶĚ ϰϬϰ tĞƚůĂŶĚ tϯϱ͘ϴϱϵϴϭϰ ͲϴϬ͘ϭϴϰϵϲϮ Ϭ͘ϭϬĂĐƌĞ tĞƚůĂŶĚ ϰϬϰ tĞƚůĂŶĚ tϯϱ͘ϴϲϮϯϬϬ ͲϴϬ͘ϭϴϮϴϵϴ Ϭ͘ϬϰĂĐƌĞ tĞƚůĂŶĚ ϰϬϰ tĞƚůĂŶĚ tϯϱ͘ϴϲϮϮϲϰ ͲϴϬ͘ϭϴϮϲϯϭ Ϭ͘ϮϮĂĐƌĞ tĞƚůĂŶĚ ϰϬϰ tĞƚůĂŶĚ t&ϯϱ͘ϴϲϭϰϳϵ ͲϴϬ͘ϭϴϬϮϳϬ Ϭ͘ϬϮĂĐƌĞ tĞƚůĂŶĚ ϰϬϰ tĞƚůĂŶĚ t'ϯϱ͘ϴϲϰϭϲϲ ͲϴϬ͘ϭϳϴϭϬϰ ϱ͘ϵϬĂĐƌĞƐ tĞƚůĂŶĚ ϰϬϰ tĞƚůĂŶĚ t,ϯϱ͘ϴϲϯϰϵϲ ͲϴϬ͘ϭϳϴϴϲϯ Ϭ͘ϬϰĂĐƌĞ tĞƚůĂŶĚ ϰϬϰ tĞƚůĂŶĚ t/ϯϱ͘ϴϲϯϳϭϬ ͲϴϬ͘ϭϳϵϲϲϭ Ϭ͘ϮϮĂĐƌĞ tĞƚůĂŶĚ ϰϬϰ tĞƚůĂŶĚ t:ϯϱ͘ϴϲϯϭϳϳ ͲϴϬ͘ϭϴϬϵϭϱ Ϭ͘ϭĂĐƌĞ tĞƚůĂŶĚ ϰϬϰ tĞƚůĂŶĚ t<ϯϱ͘ϴϱϰϬϲϵͲϴϬ͘ ϭϵϱϭϬϴϬ͘Ϭϭ tĞƚůĂŶĚ ϰϬϰ tĞƚůĂŶĚ t>ϯϱ͘ϴϲϱϮϯϲ ͲϴϬ͘ϭϳϳϱϯϱ Ϭ͘Ϭϳ tĞƚůĂŶĚ ϰϬϰ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may be" ZDWHUVRIWKH86DQGRUWKDWWKHUH"may be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igitally signed by RODEN REYNOLDS.BRYAN.KENNETH.1263385574 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=RODEN REYNOLDS.BRYAN.KENNETH.1263385574 Date: 2018.08.06 08:36:09 -04'00' Rich ForkSHWDWASAWBWCSBSIWKSGSGWHSFSDWJRich Fork (SE)WGWFSCWEWGWLSJWICaldcleugh RdOld US Hwy 29Bus 29-70Davidson Community College RdOld Greensboro RdOldGreensboro Rd(CONVERT AT-GRADE INTERSECTION TO INTERCHANGE)STIP R-5737NORTH CAROLINA DEPARTMENTOF TRANSPORTATIONDIVISION OF HIGHWAYSDIVISION 9DAVIDSON COUNTYCOMMUNITY COLLEGE INTERCHANGEDAVIDSON COUNTYFIGURE 4 JURISDICTIONAL MAPService Layer Credits: Source: Esri, DigitalGlobe, GeoEye,Earthstar Geographics, CNES/Airbus DS, USDA, USGS,AeroGRID, IGN, and the GIS User CommunityLegendR-5737 Study AreaIntermittent StreamsPerennial StreamsEphemeral StreamsWetlands1 in = 850 feetÊ