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Home My WebLink About20160656 Ver 1_More Info Received_20160809 Homewood, Sue From:Emmett Perdue <eperdue@eprusa.net> Sent:Tuesday, August 09, 2016 4:30 PM To:Homewood, Sue; Kevin Tweedy Cc:Cidney Jones Subject:King Creek PCN: Landowner Agreements for Conservation Practices Attachments:KingCreek_Landowner Agreements with Bledsoe.pdf Sue, In response to your question to Kevin below, I have attached the NRCS agreements between Mr. Bledsoe and the surrounding land owners allowing the conservation practices to be installed. Please let me know if this documentation is what you need for the PCN or if we need to provide anything further. Thank you and have a good evening, Emmett Emmett Perdue, PE Water Resource Engineer 919-388-0787 (office) 919-215-6757 (cell) eperdue@eprusa.net www.eprusa.net From: Homewood, Sue \[mailto:sue.homewood@ncdenr.gov\] Sent: Saturday, July 30, 2016 10:48 AM To: Kevin Tweedy <ktweedy@eprusa.net> Subject: King Creek PCN Hi Kevin, The PCN for the King Creek project lists 3 landowners but you only sent in one agent authorization form. We need to see proof that all 3 landowners acknowledge that you are applying for permits on their property. Thanks, Sue Homewood Division of Water Resources, Winston Salem Regional Office Department of Environmental Quality 336 776 9693 office 336 813 1863 mobile Sue.Homewood@ncdenr.gov 1 450 W. Hanes Mill Rd, Suite 300 Winston Salem NC 27105 Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. 2 1 USDA NC- MRCS COL Worksheet Jen 2014 AGREEMENT TO ALLOW INSTALLATION OF CONSERVATION PRACTICES Land under contract shall have a IeaseJrent agreement for the length of the contract. Landowners will provide their permission for the participant to install structural/vegetative practices. Some practices may have a longer lifespan that could exceed the length of the contract. proceed with a NRCS contract containing the listed Structural/Vegetative conservation practice(s). I understand that StructuralNegetative conservation practices) must be maintained for the lifespan of the practice above. ~ 14 above) i nature �t Wocrr 15 baba) -..-, _ a— 7777_ - - _ _ ANDIOR_ I certify that the above referenced lessee or renter has Use of the Land described above Zr the Inclusive USDA is an equal opportunity provider and employer. v 0 } N N cQi E v m 32 �s L J J' � a a 40 Lo ca 4 vt�i U i a ooz c�v m E N 3 a eh W o0 fag I 'c D� NChe - NRCS COL Workset VJ Jan 4014 AGREEMENT TO ALLOW INSTALLATION OF CONSERVATION PRACTICES Land under contract shall have a leasefrent agreement for the length of the contract. Landowners will provide their permission for the participant to Install structural/vegetative practices. Some practices may have a longer lifespan that could exceed the length of the contract. proceed with a NRCS contract containing the listed Struc turalWegetative conservation practice(s). I understand that Structural/Vegetative, conservation practice(s) must be maintained for the lifespan of the practice above. (Buba* f4 above) <. I certify that the above referenced lessee or renter has Use of the Land descrl M s bed above for the Inclusive dates as Indicated above(Blacks 9and 10). 1abAWk 1Bbebw SIG TU OF . ER DA" USDA is an equal opportunity provider and employer. roan p raved -OMB No. 0560-0190 .FSA -211 U. S. DEPARTMENT OF AGRICULTURE (07-25-02) Farts Service Agency - Commodlty Credit Corporation - Federal Crop Insurance Corporation POWER OF ATTORNEY THE UNDERSIGNED does hereby appo t (1)_ �((/�J_ , of (2) ii/t) C (3) County, State of (4) —_ `r1 e, (the attars ay -in -fact to act for (j) - in connection with Farm Service Agency and Commodity Credit Corporation program ro mher(s) checkedbelow. Checking any of the FSA or CCC programs does not have any impact as to the FaC ttasactiom .checked below: A. FSA and CCC PROGRAMS (Check applicable program numbers) I. All cuneatpmgranm ❑ 6 N=inxuWC1WDizAnerAa k== [ 2 AlI cuveai and all &=a programs Program. ❑ 7. Tobacco programa. ❑ 3 Direct end Catuft Cyclical Program ❑ S. Marketing Assistance Leans aceept2ompeanutseoveredby sadLosaDe9ciwWPayments. Item All. ❑ 9. ceour"don pnrgmms. 4 2002 Direct and CoaaOer-Lj"elt�ai ❑ 10. hOklecome Lass Canttact Program Peamn Program• NOTE: 77aATMs"w4aT-wo,aM&nrdautasa�dr,r.w 01WP& oyAaarTss4uu ssv►ands.ora..oruP-kw +.aaorrme,ae&== ttaeanaWfar+!aw"c.�oma geopft bettrdretlas"+tiufo�dSaeueyandpualhr�mantAafaf2nar(Peh L 1a7-i7f aod7CFilPart7la Tho rabnvalar"ai/ea+ddb lrpaYldoatyasatbaaAsa/rtlnOW ❑ J. Paautat tZnwe<Suy-0ut Program ❑ 11. Other (5peeW B. Tmasactions for FSA and CCCProgram (Cheek applicable program numbers) 1. All action. 2. Signing application, awmemects, and Saar. 3. Election oibu= and yields mcepepesew designation covered by Ism B4. 4. Desipsticnofpmmrt histaric el bac and yield to a Soo Q , J. Making reports, ❑ 6. Conducting au madxtieg assisaace loan and LDP ❑ 7. Other (Spar) This form asay also 6e used to great authorityto an atsomey-m-fact to act unthis grantor's behalf with:espect to ctatta& FaC programa and crops. Checking any of rite FCIC tramactiams does not have any impact as to the FSA or CCC tr mmtions checked above-- C. bove; C. FCIC CROPS (Farts• eAlle or speWY each cusp and year) L JA 3. 4. D. TRANSAIMON NUMBERS USED BY FaC (Cherrkapphcable nranbera) Q'l. AA actions. ❑ 4. lAddmg claim 1brinde®ity. ❑ 2. RakingappuondnfDriasntmne. ❑ J. Making notarautdeogm ❑ 3. Reporting osop musage and notes of ❑ d Other ) datnap reports This Power of Anomey is valid in all counties in the United States males odterwise acted. This power of am:anay sbali reta-in in full force and effect mmil, (1) written notice of its revocation has been dirty served upon FSA; (I) dd& of the undersigned gmnar; or (9) mcompetarnee or kcapackui= of the mu ermped, grantor. The mndamiped gmator shalt provide separate written notice of ra'votmtfon to the 8ppHIC2141e crop hWFr mw agent. This power of attomey shall not be e$eotive until propedy exeatted and served to a FSA Service Centxr. L ,AUTHOR17ED SIGNATURE -1 6A- Spattur(s) ofQm=r(s) ( ) B. Date (3d44D-Y7M C. Social 9e=rltyNmailer �tl 91 7A. Stpssi~tte of tura Mm m Alp, tea. T uK eir—) & Ttdc c Dam . Ideates Na. (ice-DD-YYYY) of2n*y 8A.= Sigradue (FSA Emp10)"se ) am..�� C. Official Position f— ¢MA. f I Notary Public farm shill be aabiawiedgdi by a Notary Public wdm mmewad by a FSA employee ora carparate sea! ofgTtaraoria ): sip== (a) Stats; of (b) County of (c) 10. 7Ms power ofamzmey was served to (a) County FSA Office, (b) Stare of /V L° and became afirecdve this (c)=11Lkday of (V . (s) U� Z NOTE: 77aATMs"w4aT-wo,aM&nrdautasa�dr,r.w 01WP& oyAaarTss4uu ssv►ands.ora..oruP-kw +.aaorrme,ae&== ttaeanaWfar+!aw"c.�oma geopft bettrdretlas"+tiufo�dSaeueyandpualhr�mantAafaf2nar(Peh L 1a7-i7f aod7CFilPart7la Tho rabnvalar"ai/ea+ddb lrpaYldoatyasatbaaAsa/rtlnOW idamry tin psoas arld awhdntlu grants . ma agpoar".=!,the nNaaaaadlre6mraam is varu+ogr, harrfMa; hdAaa m bewa els hiaault6i Emy � hi," 'a�,i AL Depwomm wrxredaaro zai'rr i F* W Low ro w r TM P aa°�o1p°"bdiam .ad aa.a,eawrw Ta sCt, pu�ae ere 7T T ha app*** a an I"abe►aCaaP�Tdad Aararo6cp to clr T?*& -A** A�duva� Aetef 7aia ere myna" wn&W era wnw.. &els peen it na jauhd fo m m fth a �vliatloe dfb0bfnrho u %W dhgNrp & Ned oM9 nYmmrapr raaroat nun*= 7Tr used ore eanwt nustWrabrilds� eapadlan a 0504189 rA.unn reotaad ro eornpNta ails irdaataate+T aoramlon is science m aaeapa isAgruzoa gMmvammansgahadaNmWeamWcoolole*Wandrawi Vuncmhmifi_. on. �at�ya�a7T� YO tahvTYFSAnOaFflCECMaauw, nda ond TAa U.S WpwWmW of (UMAIP"o� djm* wMbo M tl ata pmpW M and aehndaa ae the esea-fnar. aala, nak6w odp L pander. res0an. am danw. poWlbol baY�a� anwundfL and aunlal orIM aufrowas Aletahaaabwpyat�72,or�y. roell Paaene x"rlt aeandart.Mlo nanonaaamaaw rnurofarcornnaaaWaaon dcrop�anrMlormadpa TaehLAVaraa,BtuN,Waemalaa,O.C.payiar09flCarcaa(7=�(�ronrorcTDt USGAfaaoaqualoppegP�oaa►aman�pteyr.dcaVdltepnrr4ltean92d•W,Nldlean� roved - OM® No. 0550-01 .FSA -211 U. S. DEPARTMENT OF AGRICULTURE (07-25-02) Farm Service Agency - Commodity Credit Corporation - Federal Crop Insurance Corporation POWER OF ATTORNEY TPX UNDERSIGNED does hereby appoint (1) , of(2) e/jd �Y ;e ed-- Ci (3) ,rtM•� County, State of (4) �L C. attorney-ia-fact to act for (s1 �LrR.J kwd=L'�)- in connection with Fame Service Agency and Commodity Credit Corporation program number(s) ch. ecked below_ Checking any of the FSA or CCC programs does not have any impact as to the FCIC transactions checked below: or A. FSA and CCC PROGRAM (Check applicable program numb -T) L All tonin programs. ❑ 6. Neainataed Crop Diaaater •sailum ; e 2 All currea't and all finis propane. 3. Dimrct and Caocdzr-Cyelial Program except 2002 peanuts covered by ' Item A4. 4. 20Q2 Direct and Canotersr-Cyclical Peamrt Program ❑ 5. Paan Quos Svy-Out Program.l Program ❑ 7. Tobacco programa ❑ 8. Madmaing Assist nce Loans and Loan Defmieaey raymmtL ❑ 9. CQ=WntI=.x' rain. ❑ I0. MIDI Income Lase Coau=Prepam B. Transactions for FSA and CCC Programa (Check applicable program nu.We") 1. An acdons. 2. Signing applicadona, agreements, and eauncts. 3. Election ofbasm and yields exr.'eprp-= desipnefice, covered by Item B4. 4. Designation. ofpemut hiatodod ban and yield to a h= ❑ .3. maldagrvorrs, � marlretirtg aaiataoca loan and LDP ❑ 7. Other (Speck) Thin form may also be used to grant authority to an attt►rlrg4ji .ff= to ad= the grantors behalf with respect to cmtdn FCIC programa and crops. Cheeping any of the FCIC transactions does not have any impact ae to the FSA or CCC r> ars actio s checked above-. C. FQC CROPS (E'nw 'W r or Speco each aW avid year) 1. 2 3. 4. D. TRANSACTION NUhMERS USED BY FQC (Check applicable manbers) ❑ 1. All acaom. ❑ 4. Making ddm for Indomaity. ❑ 2. Making application For +^ ❑ S. Making contract chengm ❑ 3. Reporting crop acenap and notice of ❑ 8. Otos lSp�irY) reparta. This Power of Anomey is valid in all counties in *a United States ®Ins otherwise noted_ This power of atbomey sbaH remain in W farce sad effect natal (1) wrium ni?dca of its revocation has ban duly served opost FSA; (2) death of the uadersigaod grantor; or (3) iacnmpetxmce or incmpaci oa of the mulasigned grantor The undersigned grantor shall provide separea wsbtan notice of tevaudion to the applicable crop mm= agent Tbia power of sitomey shall not be affsetive until properly mtecated and served to a FSA service Center. JTn U.Spaprriram aA� (USDA) po/ae6 aeat+ranaor kv xis program andaUV" ar drr ase ofaa% tiro, nenbrar afpir prrar retpfar, ser dr..etek► ol�eaf bWent amwafpa a� duabetkn andnrarWerr anoau rAkraYarorrbaWbaaaappyroatpr�ranalP■mnrairda■br�rrtMarrgrinratanfMwrrsarrrerreooreunaadand rE 9uaaap, eudegau atr 1 aaW conga 11 'S TAAriEPC+nrarar (107 7242000 fwaa and T= Te & a of dwawmmL cam■ i/SDA atria , Olaea W CM 14M)ndrprrwnWAvanw, 8N; war*W% AG 20aSt1•W9a aria (20;1720 0ae4 iron er JDDJ U !e w mpW cpporharsyr�readarend anplgvMANO 6A. Signature(s) of C=Mor(s) B. Date (Ati;DD-YYr0 C. Social Security N»l'iar 7A. SigDedare of G=wr (Parmership, Corporation. Ti'rsst a&-.) . lith C. Date D. Idateif talion No. W-DV-rJ ofEndw 8A W Sigaattaa (FSS Eraployae D yJ - C. Official poaidon ("DD-Y= = p p•Y1� 9. Notary Public form shall be acbmoladgrkly a Notary Public canner wfttresssd by a F3A employee or a corporate seal ofgrmwr is J- Signatm (a) --- Slate of (b) County of (C) 10. Mix power of attoaaey was served to (a) S a t ry County FSA Office, (b) Std of _- sad banns affective this (c)_�_ clay of (,0 , (e) D (J NOTE, Tar nAaahrorabmatin!naraaadrieoVNrtwA*AOANa10740 SSW driftPrprnrRPJAHO rAcla7aea;asrnardrd. 7rnaafradtytBrragmadrp0uAW -9 frdvmar.. MGA=dSMMWB Rb*JnrNanuaAerN2omfPukLrff-t7nand1ClitPw7ra ThraarmrmkwlWb,cardblopraydocumWyarapMI' aaapaba W adaray rt -r (dare fY aro Arson sad araronan 9MW0d 41 Vh app=W& ti&ALMNWuldcre'sty boaftf0aeayarad=gAnJea.ry10adwap RSCoprWjv9cf aerohrSrrrn LAAW aandraandh.rynra.roaaaarniepyvaararaaanvdwlvarm,a,oL rLArpwmrda+riaaraeas Maaroanr.araf k,aAdnanlaim msroawaayr,rtlhretlFarQw:l, fushc"Proag"eTawreae7rr,neaefh.rrro0d7;a1dSUrSaCr7fdIw4aerornr.ranwdrx9k 77ZD ay br ■pplir�Opr b thr iaEmeltaopr4►edsd; Aeardfnp ro drr PgrwwR Rrdraerfhn Ana 7ae.S an agra}+mgna errand araaaaw; ,rad a !r notrrrurrd ro napraf to. a rsa■adorr d8demrahn oa)ao r eareiat nturror Tla ��ard DM0 aaa■af nuaberi6r rhe: /mhmrpOn ceaNadaa h 0080-0re4 71r Wrn mGrrd to mmpah ttir U�6rmatrr WIN r■tlmrYd to aweer a*NAN Pper nhoarar. Ma anrr AY iferrumorae aaaodrrp /lFaaad anti aa10r■ yrYJM/9 ander rh/ Wb lNrtlrd and aal�Ydl10 aw /rAbrAV sir CarrCd " d katfinam PE7iAW 7ht9 CONFUEW FOM 7Q VOrJa COtq iYi�A ori lGf JTn U.Spaprriram aA� (USDA) po/ae6 aeat+ranaor kv xis program andaUV" ar drr ase ofaa% tiro, nenbrar afpir prrar retpfar, ser dr..etek► ol�eaf bWent amwafpa a� duabetkn andnrarWerr anoau rAkraYarorrbaWbaaaappyroatpr�ranalP■mnrairda■br�rrtMarrgrinratanfMwrrsarrrerreooreunaadand rE 9uaaap, eudegau atr 1 aaW conga 11 'S TAAriEPC+nrarar (107 7242000 fwaa and T= Te & a of dwawmmL cam■ i/SDA atria , Olaea W CM 14M)ndrprrwnWAvanw, 8N; war*W% AG 20aSt1•W9a aria (20;1720 0ae4 iron er JDDJ U !e w mpW cpporharsyr�readarend anplgvMANO WDA - NCr tiliR� COL Wbelo�heet .ha sl�i AGREEMENT TO ALLOIN INSTALLATION OF CONSERVATION PRACTICES Load under mdrad WWI haw it Washwi agtsetrMi for the larplh Of ribs contrast. Laidomm vA ptsvlds Unk ps4nleelon for ■te parriOVW to lnew etrpacdom Sane ptadlcee prey lave a WW ttfogm MW could excead the krWh of ON cw*ad. a & - /-- rs I %Q - 31 111 i as mnQQwmns) A proceed wM a NR ftuc>O md%tebetd game" OEM I certify that the es as Intik b MUDIMMEMB 6 Au : LI dj". wMact conte the Hded Sh o erMan ptack e(s) mat be lessee or renter waby ti"� p udw(aj. I undo mww that for rite then of rile p mdoe aborta. Dors a amV vn+e I -1p-/6" for t�•�.s•al:.n...`�_`..��iL �......-.��r��.��.�. �i:ACL; IC.:..I.. 45Tf• :: A.i a..sb--�...��.��.—... .... . : �.�..,p...., .. .. • 118WleanequdoppaMx�Prowde►aad�byer. F cc } lad CDCO11 !'n LU JJJ Lu mm W .Fr S Z > > ~ u C LL 1- w m Q r a�ao� o N 9 t3 a 40 k IL_ USDA NC- NRCS COL Worksheet Jan 2014 AGREEMENT TO ALLOW INSTALLATION OF CONSERVATION PRACTICES Land under contract shall have a leaseirent agreement for the length of the contract Landowners will provide their permission for the participant to install structurallvegetative practices. Some practices may have a longer lifespan that could exceed the length of the contract Proceed with a -MRCS contract containing the listed StructuralNegetative conservation practice(s). I understand that StructuralNegetative conservation prectice(s) must be maintained for the lifespan of the practice above. (Bock %above) I certify that the above referenced lessee or renter has Use of the Land described above for the inclusive dates as Indicated above ('Blocks 9 and 10). (SAwwft a In h1wA lsbekW) USDA Is an equal oppoftwky provider and employer. WNW, I pe, Aj ro! I USDA Is an equal oppoftwky provider and employer. ax C e V t 0 Z v V r IN C N M LL J m E a tom Z —V: w L � as N T mm CD C J WCM W E 2 S 77 �a Lo A LL ` r T Q Itr ci ax C e V t 0 Z v V r IN C N M LL J m E a tom Z —V: 0 .0 O 5� Z 2F C 7 tO Y Cf)lie •t' . 's i 77. oy w L ai ICL W O N N � •- c toa go d' E c a D Z, ¢ N Om id JJJJJ xxsxx ai F �. � a x a » 3 m to . L LL wec0coro a N � m o m a m 0 .0 O 5� Z 2F C 7 tO Y Cf)lie •t' . 's i 77. oy