HomeMy WebLinkAbout20211201 Ver 1_Determination Request_20210713Please 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:* 3333 Vass -Carthage Road Property
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?* F Buffer r- IP Stream Determination
F Isolated Wetland V Stream
Check all that apply.
Owner Information
Name on the Recorded Deed:* Domonic E. Campbell
Responsible Party: Domonic E. Campbell
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 910-639-2475
How would you like to received your determination?*
F I1W
Email Address:* campbell@builtbydcc.com
Is there an agent or consultant responsible for the request?*
c:
C
Attach agent authorization letter:* Signed Agent Authorization Form.pdf 289.58KB
PDF only
Agent/Consultant Information
How would you like to receive your r uSPS
determination letter?* r Email
Name of Agent:* Jon Swain,
Company Name:* McGill Associates, PA
Email Address:* jon.swaim@mcgillassociates.com
Has anyone form DWR done a previous site visit?*
C Yes
(-- No
C Other
Date of Visit:
Site Information
Nearest Highway/Street:*
Vass -Carthage Road
Nearest Town:*
Carthage
Nearest Named Stream:*
Ponds Branch
River Basin:*
Cape Fear
County:*
Moore
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo.
Gick the upload button or drag and drop files here to attach docurrent
USGS Map.pdf 1.35MB
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.
Gickthe upload button or drag and drop files here to attach docurrent
NRCS-USDA State Soil map.pdf 3.44MB
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: 35.277725
Longitude:-79.357358
Misc attachments: 3333 Vass -Carthage - Delineation
550.4 KB
Map.pdf
Photo Sheet 1.pdf 1006.07KB
Photo Sheet 2.pdf 858.3KB
pdf 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:*
7/13/2021
20211201
r Yes r No
Chad Turlington:eads\ccturlington
Fayetteville Regional Office - (910) 433-3300
D
Wetland Table
0.61
-0 Wetland A Acres
4 Ile7,1
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WA -OUT
a f
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JURISDICTIONAL WETLANDS IDENTIFIED ON THIS MAP
Potential Wetland
HAVE BEEN LOCATED WITHIN SUB —METER
ACCURACY UTILIZING AN ARROW 100 GLOBAL
•� Waters Of the US - POSITIONING SYSTEM (GPS) AND THE SUBSEQUENT
Wetland A DIFFERENTIAL CORRECTION OF THAT DATA. GPS
POINTS MAY DEMONSTRATE UNCORRECTABLE
ERRORS DUE TO TOPOGRAPHY, VEGETATIVE COVER,
' lrr AND/OR MULTIPATH SIGNAL ERROR.
i NOTE: THE ILLUSTRATED WETLAND LOCATIONS ARE
`' ! r fi' • APPROXIMATE. THESE AREAS HAVE BEEN FLAGGED
IN THE FIELD AND HAVE NOT BEEN SURVEYED.
ALTHOUGH MCGILL ASSOCIATES, P.A. (MCGILL) IS
'k r CONFIDENT IN OUR ASSESSMENT, THE US ARMY
CORPS OF ENGINEERS IS THE ONLY AGENCY THAT
CAN MAKE FINAL DECISIONS REGARDING
JURISDICTIONAL WETLAND AND WATERS OF THE US
DELINEATIONS.
THIS MAP WAS PREPARED BY MCGILL USING THE
Legend BEST INFORMATION AVAILABLE TO MCGILL AT THE
TIME OF PRODUCTION. THIS MAP IS FOR
INFORMATIONAL PURPOSES ONLY AND SHOULD NOT
BE USED TO DETERMINE PRECISE BOUNDARIES,
-'" ROADWAYS, PROPERTY BOUNDARY LINES, NOR
Wetland f� L J -- LEGAL DESCRIPTIONS. THIS MAP SHALL NOT BE
CONSTRUED TO BE AN OFFICIAL SURVEY OF ANY
Limits n DATA DEPICTED.
SOURCE DATA: MOORE COUNTY GIs.
Data Point + isl p
100 0 50 100 200
Property
Line
GRAPHIC SCALE DIVISION VALUE = 100 FEET
��
1'Y1C ���88.328.2024etLaneNW
Hickory, NC 28601
e2e.s2e.2o24
NC Finn License#C-0459
mcgillassociates.com
DATE
7/9/2021
CAMPBELL PROPERTY DELINEATION
DOMONIC CAMPBELL
DELINEATION MAP
FIGURE
3
PROJECT#
21.05303
PROJECT MANAGER
is
MOORE COUNTY, NORTH CAROLINA
0 Shaping Communities Together
MC IN1
AGENT AUTHORIZATION FORM
PROJECT NAME. Campbell Property Delineation
PROPERTY LEGAL DESCRIPTION: D13:3985 PG:381
PARCEL ID. 859501363130
STREET ADDRESS: 3333 Vass-Carthaoe Road
Carthage, NC 28327
Please Print
Property Owner/Representative: Domonic E. Campbell
(If Representative) Title: N/A
The undersigned, registered property owners of the above noted property, do hereby authorize
Jon Swaim _ of McGill Associates P.A. _
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's/Representative's Address (if different than property above):
Lrk�yi�l� &j v l-
Teleph one: 910-639-2475
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authoriz d Signature Authorized Signature
Date: ?Z 6 / L-0Z4 Date:
MCGILL ASSOCIATES 1240 19th STREET LANE NW, HICKORY, NC 28601 / 828.328,2024 / MCGILLASSOCIATES.COM
<]
KZ
1
_
✓ " P :
Y �,��' �' ,s, SSE ; € �,
ir
,46
Photo Two: View looking at Wetland A on the
Photo One: View looking at Wetland A on the
subject property.
subject property.
x
A
71
n�
+
Photo Three: View looking at the hydric soils
Photo Four: View looking at Wetland A on the
in Wetland A.
subject property.
DATE
7/9/2021
CAMPBELL PROPERTY DELINEATION
SHEET
124019th Street LaneNW
Hick ory,NC28601
e2e.s2e.2o24
DOMONIC CAMPBELL
PHOTO SHEET
1
PROJECT#
21.05303
' NC Finn License#C-0459
mcgillassociates.com
PROJECT MANAGER
is
MOORE COUNTY, NORTH CAROLINA
r
`,l
\ ..
i
5 e ! .. 0 lC
I�1 ,� 1�"' "' Ate'♦
off,
Photo Five: View looking at the Ephemeral
Photo Six: View looking at the Ephemeral
Stream on the subject property.
Stream on the subject property.
�y 71- :1✓ L �',
Photo Seven: View looking at the typical
upland areas on the subject property.
DATE
7/9/2021
CAMPBELL PROPERTY DELINEATION
SHEET
124019th Street LaneNW
Hick ory,NC28601
e2e.s2e.2o24
DOMONIC CAMPBELL
PHOTO SHEET
PROJECT#
21.05303
' NC Finn License#C-0459
mcgillassociates.com
PROJECT MANAGER
is
L
MOORE COUNTY, NORTH CAROLINA
r._
r
Y�
p �3 4
� p
'`,' r= f
Legend1000 - 0 500 1000 2000
Vv
Property Line l`
• - GRAPHIC SCALE DIVISION VALUE = 1000 FEET
DATE
CAMPBELL PROPERTY DELINEATION
FIGURE
.
C '
124019th Street LaneNW
Hickory, 28601
e2e.s2e.202o24
7/08/2021
DOMONIC CAMPBELL
USGS MAP
2
PROJECT#
21.05303
NC Finn License#C-0459
PROJECT MANAGER
mcgillassociates.com
is
MOORE COUNTY, NORTH CAROLINA