HomeMy WebLinkAbout20240214 Ver 1_JD Package Riddle Tracts_20240131
JurisdictionalDeterminationRequest
A.PARCELINFORMATION
MpdlxppeEs
Street Address:_______________________________________________
Xjmnjohupo-OD
City,State: _______________________________________________
OfxIbopwfs
County:
S15:11.112.126.111-S15:18.112.113.111
Parcel Index Number(s) (PIN):
B.REQUESTORINFORMATION
Name:OpbiEfbo
6426TDpmmfhfSpbeTvjufF
MailingAddress:
Xjmnjohupo-OD39523
_________________________________________
:21.626.9119
Telephone Number: _________________________________________
OefboAtfhj/vt
Electronic Mail Address: ________________________________________
Select one:
I am thecurrent property owner.
1
5 I aman Authorized Agent or Environmental Consultant
InterestedBuyer or Under Contract to Purchase
Other,pleaseexplain. ________________________________________
__________________________________________________________
2
C.PROPERTYOWNERINFORMATION
KptfqiSjeemf
Name:
QPCpy6483:
MailingAddress:
:21.975.4246
Telephone Number:
dnppezAbumboujdtipsftfow/dpn
Electronic Mail Address:
_______________________________________________________________________________________________________________________
1
MustprovidecompletedAgentAuthorizationForm/Letter.
2
Documentation of ownership also needs to be provided with request(copy of Deed, County GIS/Parcel/Tax Record).
Page 2
Version:May2017
JurisdictionalDeterminationRequest
3,4
D.PROPERTYACCESS CERTIFICATION
By signing below, I authorize representatives of the WilmingtonDistrict,U.S.Army Corps of
Engineers(Corps) to enter upon the property hereindescribedfor the purpose of conducting on-
siteinvestigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the CleanWater Act and/or Section 10 of the RiversandHarborsAct of 1899. I, the
undersigned, am either a duly authorized owner of record of the propertyidentifiedherein, or
acting as the duly authorized agent of the owner of record of the property.
OpbiEfbo
Print Name
5
5
Capacity: Owner Authorized Agent
Date
Signature
E.REASON FOR JD REQUEST:(Check as manyas applicable)
I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid alljurisdictionalaquaticresourcesunderCorpsauthority.
5
Iintendtoconstruct/develop a projectorperformactivitiesonthisparcelwhichmay
requireauthorizationfromtheCorps,andtheJDwould beusedtoavoidandminimize
impactstojurisdictionalaquaticresourcesandasaninitialstepin a futurepermitting
process.
I intendtoconstruct/develop a projectorperformactivitiesonthisparcelwhichmay
requireauthorizationfromtheCorps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
Iintendtoconstruct/develop a projectorperformactivities in a navigable water of the
U.S.which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
A Corps JD is required in order obtain my local/state authorization.
I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
I believe that the site may be comprised entirely of dry land.
Other:___________________________________________________________________
_______________________________________________________________________
3
For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
4
If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5
Must provide agent authorization form/letter signed by owner(s).
Page 3
Version:May2017
JurisdictionalDeterminationRequest
F.JURISDICTIONALDETERMINATION(JD) TYPE (SelectOne)
I am requesting that the Corps provide a preliminaryJDfor the property identified herein.
5
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be “waters of the United States” or “navigable waters of the United States”on a property.
PJDsare sufficient as thebasis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional “waters of
the United States”. PJDs cannot be appealed(33 C.F.R. 331.2); however, a PJD is
“preliminary” in the sense that an approved JD can be requestedat any time. PJDs do
not expire.
I am requesting that the Corps provide anapprovedJDfor the property identifiedherein.
An Approved Jurisdictional Determination(AJD) is a determination that
jurisdictional “waters of the UnitedStates” or “navigable waters of the United
States”are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDsare sufficient as the basis for permit
decisions. AJDs are appealable(33 C.F.R. 331.2).The results of the AJD will be
posted on the Corps website.A landowner, permit applicant, or other “affected
party” (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G.ALLREQUESTS
Map of PropertyorProjectArea.ThisMapmust clearlydepict the boundaries of the
5
review area.
22/64
5
Size of Property or ReviewArea acres.
The property boundary (or review area boundary) isclearly physically marked on the site.
Page 4
Version:May2017
JurisdictionalDeterminationRequest
H.REQUESTSFROMCONSULTANTS
45/366512
Project Coordinates (Decimal Degrees): Latitude: ______________________
5
88/992665
Longitude: ______________________
A legible delineation map depicting the aquatic resources and the property/review area.
5
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
6
reviewed and approved).
North Arrow
Graphical Scale
Boundary of Review Area
Date
Location of data points for each Wetland Determination Data Formor tributary
assessment reach.
For Approved Jurisdictional Determinations:
Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
Jurisdictional non-wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non-Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
Isolated waters, waters that lack a significant nexus to navigable waters, or non-
jurisdictional upland features should be identified as Non-Jurisdictional. Please
include a justification in the label regarding why the feature is non-jurisdictional (i.e.
“Isolated”, “No Significant Nexus”, or “Upland Feature”). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
Wetland and non-wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non-wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed WetlandDetermination Data Formsfor appropriate region
5
(at least one wetland and one upland form needs to be completed for each wetland type)
____________________________________________________________________________
6
Please refer to the guidance document titled “Survey Standards for Jurisdictional Determinations” to ensure that the
supplied map meets the necessary mapping standards.http://www.saw.usace.army.mil/Missions/Regulatory-Permit-
Program/Jurisdiction/
Page 5
Version:May2017
JurisdictionalDeterminationRequest
Completed appropriate Jurisdictional Determinationform
5
7
PJDs,please complete a Preliminary Jurisdictional Determination Formand include the
Aquatic Resource Table
8
AJDs,please complete an Approved Jurisdictional Determination Form
Vicinity Map
5
Aerial Photograph
5
USGSTopographic Map
5
Soil Survey Map
5
Other Maps, as appropriate (e.g. NationalWetland Inventory Map, Proposed Site
5
Plan,previousdelineationmaps,LIDARmaps,FEMA floodplainmaps)
Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
NC Division of Water Resources Stream Identification Forms
Other Assessment Forms
_____________________________________________________________________________
7
www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/JD/RGL_08-02_App_A_Prelim_JD_Form_fillable.pdf
8
Please see http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Jurisdiction/
PrincipalPurpose:Theinformationthatyouprovide will beusedinevaluatingyourrequestto determine
whetherthereareany aquatic resources within the projectareasubjecttofederaljurisdictionunder the regulatory
authorities referencedabove.
RoutineUses:Thisinformationmaybeshared with theDepartmentof Justice andotherfederal,state,andlocal
governmentagencies,and the public,andmaybemade available aspartof a public notice asrequiredbyfederal
law.Yournameandproperty location wherefederal jurisdiction is to bedetermined will beincluded inthe
approved jurisdictional determination (AJD),which will bemade available tothe public on the District's website
andontheHeadquartersUSAGEwebsite.
Disclosure:Submissionofrequestedinformation is voluntary;however,ifinformation is notprovided, the
requestforanAJDcannotbeevaluatednorcananAJDbeissued.
Page 6
Version:May2017