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HomeMy WebLinkAbout20201940 Ver 1_Determination Request_20201204Please 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:* Rosewood Bank Parcel Is this a transportation project?* f Yes r No Is this request for a mitigation site? * r Yes r No What type of request is this?* rJ Buffer IP Stream Determination Isolated Wetland rJ Stream Check all that apply. Owner Information Name on the Recorded Deed:* Responsible Party: Telephone Number: Ronald and Paula Waters (for LLC, Corporations, businness, agency, etc.) 919-821-0662 How would you like to received your determination?* V I— „I Mailing Address:* Street Address 165 Perkins Mill Road Address Line 2 city State / Frovince / Region Goldsboro NC Rbstal / Zip Code Country 27530-8469 us Name on the Recorded Deed:* Responsible Party: Telephone Number: Spring Hill Farms LLC Frank and LYnette Howell (for LLC, Corporations, businness, agency, etc.) 919-921-0457 How would you like to received your determination?* V I — Mailing Address:* Street Address 106 J&L Drive Address Line 2 city State / Rovince / Region Goldsboro NC Rbstal / Zip Code Country 27530 us Is there an agent or consultant responsible for the request?* c: r Attach agent authorization letter:* Rosewood LOA Combined.pdf 414.94KB PDF only How would you like to receive your f USPS determination letter?* r Email Name of Agent:* Andrea Eckardt Company Name:* Wildlands Engineering Inc Email Address:* aeckardt@Wldlandseng.com on Has anyone form DWR done a previous site visit?* Yes c: Other Date of Visit: Site Information Nearest Highway/Street:* 867 NC 581 Highway 5 Nearest Town:* Goldsboro Nearest Named Stream:* Charles Branch River Basin:* Neuse County:* Wayne Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo. aick the upload button or drag and drop files here to attach document Figure2_USGSTopoMap_Bank.pdf 677.06KB Pdf 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 document Figure3_SoilsMap_Bank.pdf 487.55KB FaF 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. r Address Lookup f Manually Latitude: 35.403316 Longitude:-78.075560 Misc attachments: Fig ure1_SiteMap_Bank.pdf 2.26MB pdf or Ivre 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: 12/4/2020 Initial Review ID#* 20201940 Version* 1 Do you want to send for review?* r Yes r No Select Reviewer:* Shelton Sullivan:eads\sosullivan Select Regional Office:* Central Office - (919) 707-9000 LANDOWNER AUTHORIZATION FORM PROPERTY LEGAL DESCRITION: Deed Book: 2890 Page: 739 County: Wayne Parcel ID Number: 2670534130 Street Address: 753 S NC 581 Highway, Goldsboro, North Carolina Property Owner (please print): Ronald and Paula Waters 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. Property Owners(s) Address: 165 Perkins Mill Road Goldsboro, North Carolina 27530 Property Owner Telephone Number: 919-921-0662 We,*ereby certify the above information to be true and accurate to the best of our knowledge. W rty Owner Authorized Signature) (Property Owner Authorized Signature) LANDOWNER AUTHORIZATION FORM PROPERTY LEGAL DESCRITION: Deed Book: 3071 Page: 697 County: Wayne Parcel ID Numbers: 2670553851, 2670554703, 2670554654, 2670555505, 2670555457, 2670556317, 2670557320 and 2670553301 Street Address: Off Rab Trail, Goldsboro, North Carolina Property Owner (please print): Spring Hill Family Farms, LLC 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. Property Owners(s) Address: 164 Frankies Lane, Goldsboro, North Carolina 27530 (if different from above) Property Owner Telephone Number: 919-921-0457 We hereby certify the above information to be true and accurate to the best of our knowledge. (Property Owner Authorized Signature) Figure 1. Site MapRosewood Bank ParcelNeuse River Basin (03020 201) 0 400200 Feet Wayne County, NC ¹ U T t o C h a rl e s B r a n c h UT1 UT2 D1 D2 D4 D3 UT3 Spring Hill Family Farms LLC2670553301 Spring Hill Family Farms LLC2670557320 Spring Hill Family Farms LLC2670556317 Spring Hill Family Farms LLC2670555457 Spring Hill Family Farms LLC2670555505 Spring Hill Family Farms LLC2670554654 Spring Hill Family Farms LLC2670554703 Spring Hill Family Farms LLC2670553851 WATERS RONALD E & W PAULA2670534130 Project Location Proposed Conservation Easement Utility Easem ent Proposed Project Stream Proposed Project Ditch Non-Project Stream 2017 Aerial Photography 200' 200' 200' 200' 200' ^_ 35.406567, -78.075854 Figure 2. USGS Topograph ic MapRosewood Bank ParcelNeuse River Basin (03020 201) 0 400200 Feet Wayne County, NC ¹ Project Location Proposed Conservation Easement Northwest Goldsboro, USGS 7.5 Minute Topographic Quadrangle Figure 3. 197 4 NRCS Soil Sur vey MapRosewood Bank ParcelNeuse River Basin (03020 201)0 400200 Feet Wayne County, NC ¹ Project Location 1974 NRCS Soil Survey of Wayne County - Sheet 19