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Home My WebLink About20210023 Ver 1_Determination Request_20201211Please 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:* Anderson Farm Mitigation Site 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: Jackson Farming Company, LLC William L Jackson (for LLC, Corporations, businness, agency, etc.) 919-922-7861 How would you like to received your determination?* V USPS I— cmail Mailing Address:* Street Address 122 Cox Farm Road Address Line 2 city State / Frovince / Region Mount Olive NC Rbstal / Zip Code Country 28365 US Is there an agent or consultant responsible for the request?* r YP� C Attach agent authorization letter:* Jackson Farming LOAexecuted.pdf FDF only Agent/Consultant Information How would you like to receive your r USPS determination letter?* r Email Name of Agent:* Andrea Eckardt Company Name:* Wildlands Engineering Inc Email Address:* aeckardt@vvildlandseng.com 319.32 KB Project Information Has anyone form DWR done a previous site visit?* Yes No Other Date of Visit: Site Information Nearest Highway/Street:* 167 Bowden Road Nearest Town:* Mt Olive Nearest Named Stream:* Thoroughfare Swamp River Basin:* Neuse County:* 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 521.69KB Ftir 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_Anderson_Bank.pdf 216.95KB Ftir 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 r Manually Latitude: 35.252438 Longitude:-78.103945 Misc attachments: Figure 1_SiteMap_Anderson_Bank.pdf 2.05MB pdr or lace 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: Initial Review ID#* Version* Do you want to send for review?* Select Reviewer:* Select Regional Office:* 12/11 /2020 20210023 1 r Yes r No Chris Pullinger:eads\rcpullinger Washington Regional Office - (252) 946-6481 LANDOWNER AUTHORIZATION FORM PROPERTY LEGAL DESCRITION: Deed Book: 2816 Page: 441 County: Wayne 3275 596 Parcel ID Number: 2564775727 2574420745 2574413713 2574323190 2574334662 Street Address: At the intersection of O'Berry Road and Bowden Road, and Cox Pond Road and Country Club Road in Mount Olive, North Carolina Property Owner (please print): Jackson Farming Company, LLC, William L. Jackson, Managing Member 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: 122 Cox Farm Road, Mount Olive, North Carolina 28365 (if different from above) Property Owner Telephone Number: 919-922-7861 We hereby certify the above information to be true and accurate to the best of our knowledge. (Property Owner Authorized" Signature) ME ' 1 Project Location Project Area 1 � 1 1 Southwest Goldsboro, USGS 7.5 Minute Topographic Quadrangle W I L D L A N D S 0 125 250 Feet ENGINEERING i I I I Figure 2. USGS Topographic Map Anderson Farm Neuse River Basin (03020201) Wayne County, NC Project Location Project Area Project Stream Project Ditch Non -Project Stream a Mt Olive C� Existing Culvert 1t*,W1LDLANDS ENGINEERING 35.252438,-78.103945 Goldsboro 1AXKSON FARMING COMPANY LLC 2564775+72+7, N-M., 1 - -� 0 150 300 Feet Figure 1. Site Map Anderson Farm Neuse River Basin (03020201) Wayne County, NC �I } 11 • 1.• • I r .rry �•: •f11 Lf,f. A ti fr Project Location f • ' r } �' � r •,{ r • r f _ r r _ 1 .r �, • . .fir 1-r r �� ';=�1 •X •f1.. 11.• -0f'-+J��•r�re{••• •�I •11{f �� — •ti}, •11 •.; R ,fir �,•'•,; ri 1 -• ,k• _{ _� r y r j 1 I I l o q: 1 i '1• L�' r•" l' • •r r r : • r• ••r r . . r • r Ra F • r .. r t r '. • r• f r *'r I •I• •r ' 1 1 • r .. ... ... r • r . r f r titi .r. .r 1 1974 NRCS Soil Survey of Wayne County - Sheet 36 .d I b WILDLANDS ENGINEERING }Q: I 0 125 250 Feet Figure 3. 1974 NRCS Soil Survey Map Anderson Farm Neuse River Basin (03020201) Wayne County, NC