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