HomeMy WebLinkAbout20190982 Ver 1_Determination Request_20190723Please 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:* Wedge Solar
Is this a transportation project?* r Yes r No
What type of request is this?* r% Buffer r IP Stream Determination
r- Isolated Wetland r Stream
Check all that apply.
Owner Information
Name on the Recorded Deed:* James Edward Gurganus and Wife
Responsible Party: (for LLC, Corporations, businness, agency, etc.)
Telephone Number: 919-734-2296
Howwould you like to received your determination?*
F USPS W Email
Email Address:* dbrame@pilotenviro.com
Is there an agent or consultant responsible for the request?*
r
Attach agent authorization letter:* Agent Authorization (Gurganus).pdf 39.82KB
FDF only
Agent/Consultant Information
...............................
How would you like to receive your r USPS
determination letter?* r Email
Name of Agent:* David Brame
Company Name:* Pilot Environmental
Email Address:* dbrame@pilotenviro.com
Has anyone form DWR done a previous site visit?*
r
Date of Visit:
Site Information
Nearest Highway/Street:*
AB Deacon Road
Nearest Town:*
Goldsboro
Nearest Named Stream:*
West Bear Creek
River Basin:*
Neuse
County:*
Wayne
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo.
Click the upload button or drag and drop files here to attach docurrent
Wedge_USACE JD Request_7.23.19.pdf 6.38MB
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.
Click the upload button or drag and drop files here to attach docurrent
Rif file type only
Soil Survey Link: https://vwv.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
6 Manually
Latitude: 35.417207°
Longitude: -77.916595°
M isc attachments: pdf or lom 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
Oyu S'.��{�
Date Submitted:
Initial Review
ID#*
Version
Do you want to send for review?*
Select Reviewer:*
Select Regional Office:*
7/23/2019
20190982
r Yes r No
Robert Tankard: eads\rbtan kard
Washington Regional Office - (252) 946-6481
Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- Begin Date (Date Received):
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: Wedge Solar
2. Work Type: ❑Private ❑ Institutional ❑ Government ❑ Commercial
3. Project Description / Purpose [PCN Form B3d and B3e]:
4. Property Owner/ Applicant [PCN Form A3 or A4]: Delanor Daw, James Gurganus & Roy Barnes Heirs
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Pilot Environmental, Inc.
6. Related Action ID Number(s) [PCN Form B5b]:
7. Project Location— Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
35.4154450/-77.9147300
AB Deacon Rd, Goldsboro, NC
8. Project Location— Tax Parcel ID [PCN Form Bla]: 3620377407,3620382367 & 3620278943
9. Project Location— County [PCN Form A2b]: Wayne County
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Goldsboro
11. Project Information — Nearest Waterbody [PCN Form 132a]: Headwaters Stoney Creek/West Bear Creek
12. Watershed / 8 -Digit Hydrologic Unit Code [PCN Form 132c]: 03020202/03020202
Authorization: Section 10 ❑ Section 404 ❑✓
Regulatory Action Type:
Standard Permit
Nationwide Permit #
Regional General Permit #
Jurisdictional Determination Request
Section 10 and 404 ❑
Pre -Application Request
Unauthorized Activity
Compliance
No Permit Required
Revised 20150602
urisdictional Determination Reauest
US Army Carps
of Engineers,
tIi I mryloii Dkhicl
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www. saw.usace.aM.mil/Missions/RegLil�ryPennitProgram/Contact/CountyLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: (828)271-7980
Fax Number: (828) 281-8120
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: (919) 554-4884
Fax Number: (919) 562-0421
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: (910) 251-4610
Fax Number: (252) 975-1399
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: (910) 251-4025
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1
Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: AB Deacon Rd
City, State: Goldsboro, NC
County: Wayne
Parcel Index Number(s) (PIN): See Attached
B. REQUESTOR INFORMATION
Name: David Brame, Pilot Environmental, Inc.
Mailing Address: Post Office BOX 128
Kernersville, NC 27285
Telephone Number: 336-310-4527
Electronic Mail Address: dbrameppilotenyiro.com
Select one:
❑ I am the current property owner.
F✓ I am an Authorized Agent or Environmental Consultant'
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: See attached
Mailing Address:
Telephone Number:
Electronic Mail Address:
1 Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2
Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION',4
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
See Attached
Print Name
Capacity: ❑ Owner ❑ Authorized Agent'
Date
Signature
E. REASON FOR JD REQUEST: (Check as many as 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 all jurisdictional aquatic resources under Corps authority.
I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
❑ I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a project or perform activities 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.
Q Other: Client Reauested
For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
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).
Version: May 2017 Page 3
Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
❑ I am requesting that the Corps provide a preliminary JD for the property identified herein.
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.
PJDs are sufficient as the basis 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 requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" 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 JDs are 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. ALL REQUESTS
❑ Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓❑ Size of Property or Review Area -52 acres.
❑ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4
Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
❑v Project Coordinates (Decimal Degrees): Latitude:
Longitude
35.415445°
-77.9147300
P-1 A legible delineation map depicting the aquatic resources and the property/review area.
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
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or 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 Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
b 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/Re ug latory-Permit-
Program/Jurisdiction/
Version: May 2017 Page 5
Jurisdictional Determination Request
❑ Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form'
Fs/1 Vicinity Map
❑ Aerial Photograph
a USGS Topographic Map
❑� Soil Survey Map
❑ Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
❑ Landscape Photos (if taken)
❑ NCSAM and/or NCWAM Assessment Forms and Rating Sheets
❑ NC Division of Water Resources Stream Identification Forms
❑ Other Assessment Forms
' www.saw.usace.ariny.mil/Portals/59/docs/regulatory/regdocs/JD/RGL 08-02_App _ A_ Prelim JD_ Form_fillable.pdf
' Please see http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approvedjurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6
AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address:
Owner Information:
Address: 642 P'�rr z
Go (ck,s6,, , N c
Telephone Number: (�,c�_ 33�- 18 '-
Fax
Fax Number:
E-mail Address:
JURISDICTIONAL DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
belana< L. cbaw
Print Name1L`/
Capacity: Owner Authorized Agent
Date
re
10, Z01
F -
Proposal for Environmental Services
Pilot Proposal 3362
January 11, 2018
AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address: Aa
G,r a& f'.c.. 2,7S
Owner Information:
Address: i Q N4 xf Oct
L ;? 7Y
Telephone Number: �� 73�-22. I6
Fax Number:
E-mail Address:
JURISDICTIONAL DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
act' as the duly authorized agent of the owner of record of the property.
Ma
Prir
ame I_
Capacity: Zowner _Authorized Agent
ature
O
Proposal far Environmental Services
Pilot Proposal 3362
January 11, 2018
AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address: _7`1 ,2a rz S (i'(b5;
A37— 7�a�
Owner information: fps c vl'1S
Address:
Telephone Number: 2/_q— 3 �( Y-- !! _6V2
Fax Number:
E-mail Address:
JURISDICTIONAL DETERMINATION DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Print Name
Capacity: K Owner XAuthorized Agent
8
USGS Topographic Map
Wedge Solar
Approximate 52-Acre Tract
Goldsboro, Wayne County, NC
Pilot Project 3989.1
Drawing 1
USGS Topographic Map
Northeast Goldsboro, NC Quadrangle
Scale: 1” = 2,000’
LEGEND
Site Boundary
Web Soil Map
Wedge Solar
Approximate 52-Acre Tract
Goldsboro, Wayne County, NC
Pilot Project 3989.1
Drawing 2
USDA Web Soil Survey
of Wayne County,NC
Scale: 1” =300’
LEGEND
Site Boundary
Published Soil Map
Wedge Solar
Approximate 52-Acre Tract
Goldsboro, Wayne County, NC
Pilot Project 3989.1
Drawing 2A
USDA Soil Survey
of Wayne County, NC
Published 1974, Sheet 15
Not to Scale
LEGEND
Site Boundary
NWI Map
Wedge Solar
Approximate 52-Acre Tract
Goldsboro, Wayne County, NC
Pilot Project 3989.1
Drawing 3
USFWS NWI
Wetlands Mapper
Scale: 1” =300’
LEGEND
Site Boundary
FEMA FIRM
Wedge Solar
Approximate 52-Acre Tract
Goldsboro, Wayne County, NC
Pilot Project 3989.1
Drawing 4
National Flood Hazard Layer
from FEMA Web Map Service
Scale: 1” =1,000’
STREAMS AND WETLANDS WERE NOT IDENTIFIED ON THE SITE DURING THE DELINEATION.THE
DELINEATION HAS NOT BEEN VERIFIED BY THE USACE AND IS SUBJECT TO CHANGE.THIS MAP
INCLUDES GPS LOCATIONS OF DELINEATED FEATURES.DELINEATED BY MTB/DSB ON 7.10.19.
Wetland Map
Wedge Solar
Approximate 52-Acre Tract
Goldsboro, Wayne County, NC
Pilot Project 3989.1
Drawing 5
Aerial Imagery from ESRI
and Pilot GPS Data
Scale: 1” =300’
Date:7.12.19
LEGEND
Site Boundary
Non-Aquatic Resource (Ditch)
Data PointDP-1
DP-1
Project/Site:
Applicant/Owner:State:Sampling Point:
Investigator(s):
Subregion (LRR or MLRA):Lat:Long:
Soil Map Unit Name:
X
Are Vegetation , Soil , or Hydrology Yes X No
Are Vegetation , Soil , or Hydrology
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
X No
X No X
No X
X
Yes X
Yes X
Yes X No X
Inundation Visible on Aerial Imagery (B7)
Saturation (A3)
Sparsely Vegetated Concave Surface (B8)
Are “Normal Circumstances” present?
Wetland Hydrology Present?
Surface Water (A1)
High Water Table (A2)
Yes
Hydrophytic Vegetation Present?
Hydric Soil Present?
Yes
Secondary Indicators (minimum of two required)Wetland Hydrology Indicators:
(If needed, explain any answers in Remarks.)
No
Surface Water Present?
Wetland Hydrology Present?
Moss Trim Lines (B16)
Dry-Season Water Table (C2)
Crayfish Burrows (C8)
Saturation Visible on Aerial Imagery (C9)
Geomorphic Position (D2)
Shallow Aquitard (D3)
FAC-Neutral Test (D5)
Sphagnum Moss (D8)(LRR T, U)
Hydrogen Sulfide Odor (C1)
Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Drift Deposits (B3)
Algal Mat or Crust (B4)
Sediment Deposits (B2)
Saturation Present?
Water-Stained Leaves (B9)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)Iron Deposits (B5)
Datum:
Surface Soil Cracks (B6)
Drainage Patterns (B10)
Aquatic Fauna (B13)
Marl Deposits (B15)(LRR U)
Yes
Remarks:
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Field Observations:
Water Table Present?No
No
Depth (inches):
Depth (inches):
Depth (inches):
No
(includes capillary fringe)
Ra - Rains sandy loam
35.413660°
7.10.19
-77.913223°
No
HYDROLOGY
wgs 84
Is the Sampled Area
within a Wetland?Yes
(If no, explain in Remarks.)
significantly disturbed?
naturally problematic?
Flat
Yes
LRR P, MLRA 133A
U.S. Army Corps of Engineers
WETLAND DETERMINATION DATA SHEET – Atlantic and Gulf Coastal Plain Region
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
OMB Control #: 0710-xxxx, Exp: Pending
Requirement Control Symbol EXEMPT:
(Authority: AR 335-15, paragraph 5-2a)
NWI classification:
Water Marks (B1)
Sampling Date:Goldsboro/Wayne
NCWedge Solar, LLC
Wedge Solar City/County:
Slope (%):
None
DP-1
none
Section, Township, Range:MTB/DSB
Primary Indicators (minimum of one is required; check all that apply)
Are climatic / hydrologic conditions on the site typical for this time of year?
0Local relief (concave, convex, none):Landform (hillside, terrace, etc.):
Yes
Remarks:
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain – Version 2.0
Sampling Point:
(Plot size:
1.
2.
3.
4.
5.
6.(A/B)
7.
8.
x 1 =
50% of total cover:20% of total cover:x 2 =
Sapling/Shrub Stratum (Plot size:x 3 =
1.x 4 =
2.x 5 =
3.Column Totals:(B)
4.
5.
6.
7.X
8.
50% of total cover:20% of total cover:
Herb Stratum (Plot size:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
50% of total cover:20% of total cover:
Woody Vine Stratum (Plot size:
1.
2.
3.
4.
5.
50% of total cover:20% of total cover:X
3 - Prevalence Index is ≤3.01
1Indicators of hydric soil and wetland hydrology must be
present, unless disturbed or problematic.
Woody Vine – All woody vines greater than 3.28 ft in
height.
0
=Total Cover
5
30
Ilex opaca
1
2
3
5
=Total Cover
Remarks: (If observed, list morphological adaptations below.)
Hydrophytic
Vegetation
Present?Yes No
30
FACU
30
15
30
Hydrophytic Vegetation Indicators:
6
Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Yes
Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
=Total Cover
Definitions of Four Vegetation Strata:
Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Absolute
% Cover
20
Yes
)10
10
20
5Arundinaria gigantea
DP-1
7
9
FACU species
Total Number of Dominant
Species Across All Strata:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
Yes
(B)
Indicator
Status
20
VEGETATION (Four Strata)– Use scientific names of plants.
OBL species
FACW species
FAC species
77.8%
(A)
10
FAC
Yes
Yes
FACU
FAC
0
Yes
Yes
12
FACW
FAC
330
0
105
0
15
(A)
Prevalence Index = B/A =
60
10
Multiply by:
30
3.14
UPL species
)
=Total Cover
1 - Rapid Test for Hydrophytic Vegetation
Problematic Hydrophytic Vegetation1 (Explain)
FACW
2 - Dominance Test is >50%
Percent of Dominant Species
That Are OBL, FACW, or FAC:
Total % Cover of:
Prevalence Index worksheet:
60
30
180
Dominant
Species?
Smilax rotundifolia FAC
120
)
Oxydendrum arboreum
Magnolia virginiana
Tree Stratum
Ilex opaca
Oxydendrum arboreum
Liquidambar styraciflua
30 )
5
10
Smilax glauca
5
FAC
Yes
Yes
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain – Version 2.0
X
Sandy Mucky Mineral (S1)(LRR O, S)
Reduced Vertic (F18)(MLRA 150A, 150B)
Depth (inches):X
Iron-Manganese Masses (F12)(LRR O, P, T)
Barrier Islands 1 cm Muck (S12)
(MLRA 153B, 153D)
Depleted Dark Surface (F7)
Delta Ochric (F17)(MLRA 151)
Dark Surface (S7)(LRR P, S, T, U)
Polyvalue Below Surface (S8)
Prominent redox concentrations
Restrictive Layer (if observed):
Type:
(outside MLRA 150A, 150B)
Piedmont Floodplain Soils (F19)(LRR P, T)
Very Shallow Dark Surface (F22)
Anomalous Bright Floodplain Soils (F20)
3Indicators of hydrophytic vegetation and
Hydric Soil Present?
(MLRA 149A, 153C, 153D)
Marl (F10)(LRR U)
Depleted Ochric (F11)(MLRA 151)
(MLRA 153B)
Red Parent Material (F21)
Redox Depressions (F8)
Umbric Surface (F13)(LRR P, T, U)
Thick Dark Surface (A12)
Histosol (A1)
Barrier Islands Low Chroma Matrix (TS7)
Depleted Below Dark Surface (A11)
C
Thin Dark Surface (S9)(LRR S, T, U)
Histic Epipedon (A2)
%
Matrix
Color (moist)Type1
Redox FeaturesDepth
Loamy Gleyed Matrix (F2)
25
Loc2 Texture Remarks
Loamy/Clayey
%
M
(inches)Color (moist)
10YR 4/1 7510-18
0-10 100
7.5YR 4/6
10YR 3/2
SOIL Sampling Point:
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)Indicators for Problematic Hydric Soils3:
1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.2Location: PL=Pore Lining, M=Matrix.
1 cm Muck (A9)(LRR O)
2 cm Muck (A10)(LRR S)
Reduced Vertic (F18)
NoYes
Hydrogen Sulfide (A4)
Stratified Layers (A5)
Organic Bodies (A6)(LRR P, T, U)
5 cm Mucky Mineral (A7)(LRR P, T, U)
Muck Presence (A8)(LRR U)
1 cm Muck (A9)(LRR P, T)
DP-1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
(LRR S, T, U)
(MLRA 138, 152A in FL, 154)
Piedmont Floodplain Soils (F19)(MLRA 149A)
(outside MLRA 138, 152A in FL, 154)
(MLRA 153B, 153D)
Other (Explain in Remarks)
Anomalous Bright Floodplain Soils (F20)
Very Shallow Dark Surface (F22) wetland hydrology must be present,
unless disturbed or problematic.
Redox Dark Surface (F6)
Loamy Mucky Mineral (F1)(LRR O)
Depleted Matrix (F3)
(outside MLRA 150A)
Coast Prairie Redox (A16)Black Histic (A3)
Sandy Redox (S5)
Stripped Matrix (S6)
Remarks:
Coast Prairie Redox (A16) (MLRA 150A)
Sandy Gleyed Matrix (S4)
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain – Version 2.0
7/10/2019II� II ConnectGIS Feature Report
CONNEC ITT GI Wayne
Printed July 10, 2019
WEB NOSTING See Below for Disclaimer
IYAYNKoIH: � `
Streets
,4 B ra r Local Roads
oRNES GYP UP � -
$� ;��� � IrtEerst�te
ro — US Routes
DYP
70 — MC Rooes
YP
Railroads
https://wayne.connectgis.com/Download File.ashx?i=_ags_map8lf8edec2e1042af9c5a92edlfcfl9b5x.htm&t=printid 1/2
- { SJAFB Runway
Public Airport
Parcels
Previous LD1= Lines
Lok -LI rle
— Parcel --look
CI and Town
Extra Territorial Jurisdiction
0
County Borders
13
SJAFS Boundary
Surrounding Centerlines
NC.Seaarrfary
t
Irrterstate
— US Route
— NC Route
Surrounding Counties
Regulated Ditches and Streams
Rivers and Lakes
https://wayne.connectgis.com/Download File.ashx?i=_ags_map8lf8edec2e1042af9c5a92edlfcfl9b5x.htm&t=printid 1/2
7/10/2019 ConnectGIS Feature Report
OBJECTID
PIN
Owner Name
29772
3620278943
DAW DELANOR L
Co -Owner Name
Owner Address 1
Owner Address 2
667 HARE RD
Owner Address 3
Owner City.
Owner State
GOLDSBORO
NC
Owner Zip
Unit or Apt
Deed Date
27530-7971
5/7/2015 12:00:00 AM
REID
Deed Book
Deed Page
0024712
3199
606
Sale Month
Sale Year
Sale Price
5
2015
100000
Previous Deed Book
Previous Deed Page
Previous Sale Month
00704
0018
6
Previous Sales Year
Previous Sale Price
Property Use
1967
0
50 - RURAL SINGLE FAMILY
RESIDENCE
Record Source
Property Address
Legal Description
Owner
HARE RD
HARE RD REAR
Acres Neighborhood Account Number
19.86 05906 606170
Township Code Building Value Outbuilding Value
05 0 0
Land Value Total Market Value Total Assessed Value
89130 89130 17780
Vacant Or Improved Vacant or Improved 2
V I
Jsers of the GIS information/data contained in this web mapping application are hereby notified that the information was compiled from recorded deeds, plats and
other public records and data. Users are notified that the aforementioned public primary information sources should be consulted for verification of the data contained
n this information. The County of Wayne and the mapping companies or other entities assume no legal responsibility for the information contained herein. By accepting
this disclaimer you agree and understand the disclaimer.
https://wayne.con nectg is. corn/Download File. ashx?i=_ags_map81 f8edec2e1042af9c5a92ed 1 fcf19b5x. htm&t=printid 2/2
7/10/2019 ConnectGIS Feature Report
��II��II TT v
CONNEC IGI - Wayne
Printed July scl imer
2019
WEB N{]ST3fil�r See Below for Disclaimer
WAYNKC +
t, L &L.
I : 407 Feet
Streets
Local Roads
� �rtEerstate
US Routes
MC Routes
Railroads
5JAFB Runway
M
Public Airports
0
Parcels
Previous Lot Imes
LO t -LI rot
Pa rcel4iook
CI and Town
�E
Extra Territorial Jurisdiction
0
County Borders
13
SJAFS Boundary
I--,'
Surrounding Centerlines
NC.Seaarrfary
interstate
US Route
NC Route
Surrounding Counties
Regulated Ditches and Streams
Rivers and Lakes
https://wayne. connectgis. com/Download Fi le.ashx?i=_ags_map94d917645c3e4e8b94390ac6f2O3bfe6x. htm&t=pri ntid 1/2
7/10/2019 ConnectGIS Feature Report
OBJECTID
PIN
Owner Name
46282
3620382367
GURGANUS JAMES EDWARD & WIFE
Co -Owner Name
Owner Address 1
Owner Address 2
290 DAW PATE RD
Owner Address 3
Owner City.
Owner State
GOLDSBORO
NC
Owner Zip
Unit or Apt
Deed Date
27534-9048
12/1/2006 12:00:00 AM
REID
Deed Book
Deed Page
0024747
2483
615
Sale Month
Sale Year
Sale Price
12
2006
0
Previous Deed Book
Previous Deed Page
Previous Sale Month
01207
0725
8
Previous Sales Year
Previous Sale Price
Property Use
1988
0
50 - RURAL SINGLE FAMILY
RESIDENCE
Record Source
Property Address
Legal Description
Owner
HARE RD
HARE RD REAR
Acres Neighborhood Account Number
13 05906 26441890
Township Code Building Value Outbuilding Value
05 0 0
Land Value Total Market Value Total Assessed Value
68640 68640 11640
Vacant Or Improved Vacant or Improved 2
1 1
Jsers of the GIS information/data contained in this web mapping application are hereby notified that the information was compiled from recorded deeds, plats and
other public records and data. Users are notified that the aforementioned public primary information sources should be consulted for verification of the data contained
n this information. The County of Wayne and the mapping companies or other entities assume no legal responsibility for the information contained herein. By accepting
this disclaimer you agree and understand the disclaimer.
https://wayne.con nectg is. corn/Down load File. ashx?i=_ags_map94d 917645c3e4e8b94390ac6f203bfe6x.htm&t=printid 2/2
7/10/2019
CONNECTGNS
B
Or
1YAYNKOUW't
ConnectGIS Feature Report
Wayne
Printed July 10, 2019
See Below for Disclaimer
Streets
Local Roads
� IrtEerst�te
'— US Routes
— NC Routes
Railroads
SJAFB Runway
0
Public Airport
0
Parcels
Previous LDt Lines
Lo t -LI rot
— Parcel-4-Inak
C1 and Town
�E
Extra Territorial Jurisdiction
0
-County Borders
E3
SJAFS Boundary
Surrounding Centerlines
NC.Semndary
Irrterstate
— US Route
— NC Route
Surrounding Counties
Regulated Ditches and Streams
.10 rs and Lakes
1 : 284 Feet
https://wayne. connectgis. com/Download Fi I e.ashx?i=_ags_mapca709a3449fd4l459c6f63beO429c4cbx. htm&t=printid 1/2
7/10/2019
ConnectGIS Feature Report
OBJECTID
PIN
Owner Name
65349
3620377407
BARNES ROY HEIRS
Co -Owner Name
Owner Address 1
Owner Address 2
%EMMA YATES
1108 HARRIS ST
Owner Address 3
Owner City.
Owner State
GOLDSBORO
NC
Owner Zip
Unit or Apt
Deed Date
27530-6662
1/1/1901 12:00:00 AM
REID
Deed Book
Deed Page
0024746
OFI LM
48
Sale Month
Sale Year
Sale Price
1
1901
0
Previous Deed Book Previous Deed Page Previous Sale Month
Previous Sales Year Previous Sale Price Property Use
50 - RURAL SINGLE FAMILY
RESIDENCE
Record Source Property Address Legal Description
Owner TOMMY'S RD TOMMY'S RD REAR
Acres Neighborhood Account Number
20 05906 3389400
Township Code Building Value Outbuilding Value
05 0 0
Land Value Total Market Value Total Assessed Value
36720 36720 36720
Vacant Or Improved Vacant or Improved 2
1
lsers of the GIS information/data contained in this web mapping application are hereby notified that the information was compiled from recorded deeds, plats and
ether public records and data. Users are notified that the aforementioned public primary information sources should be consulted for verification of the data contained
i this information. The County of Wayne and the mapping companies or other entities assume no legal responsibility for the information contained herein. By accepting
his disclaimer you agree and understand the disclaimer.
https://wayne.connectgis.com/DownloadFile.ashx?i=_ags_mapca709a3449fd4l459c6f63beO429c4cbx.htm&t=printid 2/2
F -
Proposal for Environmental Services
Pilot Proposal 3362
January 11, 2018
AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address: Aa
G,r a& f'.c.. 2,7S
Owner Information:
Address: i Q N4 xf Oct
L ;? 7Y
Telephone Number: �� 73�-22. I6
Fax Number:
E-mail Address:
JURISDICTIONAL DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
act' as the duly authorized agent of the owner of record of the property.
Ma
Prir
ame I_
Capacity: Zowner _Authorized Agent
ature
O