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Home My WebLink About20240244 Ver 1_All Attachments Combined for SUBMITTAL - Sanford to FV_20240207 AGENT AUTHORIZATION FORM PROJECTDESCRIPTION: The Town of Fuquay-VarinaDepartment of Public Utilitiesproposes to install18miles of drinking water conveyance from the Sanford Water Filtration Facilityto the Fuquay-Varina and Holly Springs distribution systems crossingWake, Chatham, and Lee Counties of North Carolina. STREET ADDRESS: PROPERTY OWNER:Town of Fuquay-Varina The undersigned, Michael Wagner, on behalf of the Town of Fuquay-VarinaPublic Utilities Department, do hereby authorize _ , of ______ (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, excluding any and all financial obligations. Michael Wagner Public Utilities Director Town of Fuquay-Varina 134 N. Main Street Fuquay-Varina, NC 27526 (919)567-3911 Authorized Signature: _____________________________________ 11/20/2023 Date: ________________________________ Appendix 2 - PRELIMINARY JURISDICTIONALDETERMINATION (PJD) FORM BACKGROUNDINFORMATION A.REPORTCOMPLETIONDATE FORPJD: 2302903134 B.NAMEANDADDRESSOFPERSONREQUESTINGPJD: Upxo!pg!Gvrvbz!Wbsjob C.DISTRICTOFFICE,FILENAME,ANDNUMBER: D.PROJECTLOCATION(S)ANDBACKGROUNDINFORMATION: (USETHETABLEBELOW TODOCUMENTMULTIPLEAQUATIC RESOURCESAND/OR AQUATIC RESOURCES AT DIFFERENTSITES) State: County/parish/borough:City: Xblf0Dibuibn0Mff ODGvrvbz.Wbsjob Center coordinates of site (lat/longindegreedecimalformat): 46/6988.89/9771 Lat.:Long.: UniversalTransverseMercator: 28T Name of nearest waterbody: Tifbspo!Ibssjt!Sftfswpjs0Ibssjt!Mblf E.REVIEWPERFORMEDFORSITEEVALUATION(CHECKALLTHATAPPLY): Office (Desk)Determination. Date: Field Determination. Date(s): TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH “MAY BE”SUBJECT TO REGULATORY JURISDICTION. Site Latitude Longitude Estimated amount TypeofaquaticGeographic authority number(decimal (decimal of aquaticresourceresource (i.e., wetland to which the aquatic degrees)degrees)inreviewarea vs. non-wetland resource “may be” (acreage and linear waters) subject (i.e., Section feet, if applicable) 404 or Section 10/404) 46/6536.8:/142: XM4Tfdujpo!515 1/3!bdsfxfumboe 46/6565.8:/1397 XM3Tfdujpo!515 1/6!bdsfxfumboe 46/6639.8:/1312 XM21/18!bdsfTfdujpo!515 xfumboe 46/6926.8:/:148 XMB1/18!bdsfTfdujpo!515 xfumboe opo.xfumboe!xbufst! 56!mjofbs!gffu TM3246/6611.8:/1341 Tfdujpo!515 opo.xfumboe!xbufst 226!mjofbs!gffu TM3146/66:6.8:/:96: Tfdujpo!515 1)TheCorpsofEngineersbelievesthattheremaybejurisdictional aquatic resources in the review area, and the requestor of this PJD isherebyadvisedofhisorheroption torequestandobtainanapproved JD (AJD)for that review areabased on an informed decision after having discussed the various types of JDs and their characteristics and circumstances when they may be appropriate. 2)Inany ci rcumstance whereapermitapplicantobtainsanindividualpermit,ora Nationwide General Permit (NWP)or othergeneralpermitverificationrequiring“pre- construction notification” (PCN), or requestsverificationfora non-reportingNWPor othergeneralpermit,andthe permitapplicanthasnotrequestedan AJD for the activity, the permitapplicantisherebymadeawarethat: (1)thepermitapplicanthas electedto seek a permit authorizationbasedonaPJD,whichdoesnot makean officialdeterminationofjurisdictionalaquatic resources; (2)theapplicanthasthe optiontorequestan AJD beforeacceptingthetermsandconditionsofthepermit authorization,and thatbasinga permitauthorizationonan AJD couldpossiblyresult inlesscompensatorymitigationbeingrequiredordifferentspecialconditions;(3)the applicanthastherighttorequestanindividualpermitratherthanacceptingtheterms andconditionsoftheNWPorother general permitauthorization;(4)theapplicantcan acceptapermitauthorizationandtherebyagreetocomplywithallthetermsand conditionsofthatpermit,includingwhatevermitigationrequirementstheCorpshas determinedtobenecessary;(5)undertaking anyactivityinrelianceuponthesubject permitauthorizationwithoutrequesting an AJD constitutestheapplicant’sacceptance oftheuseofthe PJD;(6)acceptinga permitauthorization(e.g.,signinga proffered individualpermit)orundertakinganyactivityinrelianceonanyformofCorps permit authorizationbasedonaPJD constitutesagreementthatall aquatic resourcesin the review areaaffectedinanywaybythatactivity will be treated as jurisdictional, and waivesanychallengeto suchjurisdictioninanyadministrativeor judicial compliance or enforcement action,orinanyadministrativeappealor in any Federal court;and (7) whethertheapplicantelectstouseeitheran AJDoraPJD,theJD willbeprocessed assoonaspracticable. Further,an AJD,aprofferedindividualpermit(andallterms andconditionscontained therein), or individualpermitdenialcanbeadministratively appealedpursuant to 33 C.F.R. Part 331. If,duringanadministrativeappeal,it becomesappropriateto make anofficial determinationwhethergeographic jurisdictionexistsoveraquatic resources in the review area, ortoprovideanofficial delineationofjurisdictional aquatic resources in thereview area, theCorpswill providean AJD toaccomplishthat result, as soon as is practicable. ThisPJD finds that there “maybe” watersoftheU.S.and/or that there “may be”navigable waters of the U.S. onthesubjectreview area, andidentifiesallaquaticfeatures in thereview areathatcouldbeaffectedbytheproposedactivity,basedonthefollowing information: SUPPORTINGDATA.Datareviewedfor PJD (check all that apply) Checkeditemsshouldbeincludedinsubjectfile. Appropriately reference sources belowwhereindicated for all checkeditems: Maps,plans,plotsorplatsubmittedbyoronbehalfofthePJD requestor: Mpdbujpo!Nbq-!Bfsjbm!Nbq-!VTHT!Upqp!Nbq Map:________________. Datasheetsprepared/submittedby or on behalf of thePJD requestor. Officeconcurswithdata sheets/delineationreport. Officedoesnotconcurwithdatasheets/delineationreport.Rationale: _______. DatasheetspreparedbytheCorps:________. Corpsnavigablewaters’study:____________. U.S.GeologicalSurveyHydrologicAtlas:________. USGS NHD data. USGS8and12digitHUCmaps. Npodvsf-!Dplftcvsz-!Gvrvbz.Wbsjob U.S.GeologicalSurveymap(s).Citescale&quadname:_________. Xblf!Dpvouz)2:81*-!Dibuibn!Dpvouz)3117*-!Mff!Dpvouz)2:9:* NaturalResourcesConservationServiceSoilSurvey.Citation: __________. Nationalwetlandsinventorymap(s).Citename:________. State/localwetlandinventory map(s):____________. 4831176811L-!4831175811L-!4831175711K-!4831173711M-!4831171711L-!4831171511M-!4821:7:711K-!4821:7:611L-!4821:79611L-!4821:79511K FEMA/FIRM maps:________________. 100-yearFloodplainElevationis:____.(NationalGeodeticVerticalDatumof 1929) Photographs:Aerial(Name&Date):______. Other(Name&Date):______. or Previous determination(s).Fileno.anddateofresponseletter:__________. Otherinformation(pleasespecify): ______________. IMPORTANTNOTE:Theinformationrecordedonthisformhasnotnecessarily beenverifiedbytheCorpsandshouldnotberelieduponforlater jurisdictional determinations. SignatureanddateofSignatureanddateof Regulatory staff memberpersonrequesting PJD completing PJD (REQUIRED,unlessobtaining 1 thesignatureisimpracticable) 1 Districts may establish timeframes for requestor to return signed PJD forms. If the requestordoes not respond within the established time frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing an action.