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Home My WebLink About20191209_Determination Request_20190917Stream Origin/Buffer Applicability Determination' Processing Information Please 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:* PNG Line 204 Relocation Is this a transportation project?* r Yes F No What type of request is this?* rJ Buffer r` IP Stream Determination F- Isolated Wetland r` Stream Check all that apply. Owner/Applicant Information Owner Information Name on the Recorded Deed:* Piedmont Natural Gas (Easement Only) Responsible Party: Ms. Kelsey Pace (for LLC, Corporations, businness, agency, etc.) Telephone Number: 704.731.4705 How would you like to received your determination?* r USPS 9 Email Email Address:* Kelsey.pace@duke-energy.com Is there an agent or consultant responsible for the request?* r Yes C No Attach agent authorization letter:* Signed Agent Authorization Form Line 347.33KB 204 Relo.pdf FDF only Agent/Consultant Information Agent/Consultant Information How would you like to receive your r USPS determination letter?* r Email Name of Agent:* Joey Lawler Company Name:* S&ME Email Address:* jlawier@smeinc.com Project and Site Information Project Information Has anyone form DWR done a previous site visit?* t" Yes r No r Other Date of Visit: Site Information Nearest Highway/Street:* US Highway 17 Nearest Town:* Williamston Nearest Named Stream:* Gum Branch River Basin:* Tar -Pamlico Cou nty: Beaufort Washington Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo. Qick the upload button or drag and drop files here to attach docurrent 2-3USGS.pdf 4.1 MB 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. Qick the upload button or drag and drop files here to attach docurrent 4-5SOILSURVEY.pdf 2.22MB Ftlf file type only Soil Survey Link: https://www.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 r Address Lookup provide this information. C Manually Latitude: 35.675898° Longitude: -77.081743° Misc attachments: 1_VICINITY.pdf 974.18KB 6-7AERIAL.pdf 3.45MB Buffer Call Lisbdsx.pdf 97.56KB pdf or km file types only Sign and Submit By digitally signing below, I certifythat: • 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 o I intend to electronically sign and submit the "Determination Request' form." Signature ,70AXY 4- AGENT AUTHORIZATION FORM Date: Pro ect Intormation S&ME Project Name: PNG Line 204 Relocation Type of Project: Natural Gas Transmission Line Relocation Location: Beaufort and Martin Counties, NC Property owner/Kep Intormation Owner Name: Piedmont Natural Gas Mailing Address: 4720 Piedmont Row Drive City, State, Zip Code: Charlotte, NC 28054 Telephone No. 704.731.4705 Contact: Kelsey Pace (kelsey.pace@duke-energy.com) Aaent Intormation Business Name: Street Address: City, State, Zip: Telephone No. Contact: S&ME, Inc. 9751 Southern Pine Blvd Charlotte, NC 28273 704.523.4726 Joey Lawler, PWS / Walter Cole, LSS Authorization: I, Kelsey Pace , hereby authorize S&ME, Inc. to submit information to and coordinate with the US Army Corps of Engineers (USACE) and/or the NC Division of Environmental Quality (NCDEQ) and other relevant Federal/State/Local agencies pursuant to obtaining necessary environmental permits for the project referenced above. If applicable, this also authorizes the USACE/NCDEQ to access the proposed easement for the purposes of conducting site assessment/confirming the accuracy of delineated boundaries. Kelsey Pace Digitally signed by Kelsey Pace Signature' Date: 2019.08.07 11:18:51 -04'00' S&ME, INC. / 9751 Southern Pine Blvd /p 704.523.4726 f 704.525.3953 /www.smeinc.com yea 401 K.1 -al ma rn REFERENCE: 2016 AERIAL PHOTOGRAPH (NC ON EMAP) THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION, UNLESS STATED OTHERWISE. Ln fi Lu EO lD,3 !4' low', < a -jDEQ I u < �J 0) DELIM-2 u 0 0 94 -, z u uj uj V� -rl 0 41. U -J Cc z 0 U Lu Lu Z ZD < 0 LL Z) Lu 71 SCALE: �.�,R 1 800 DATE: STREAM BUFFER DETERMINATIONS: 9-11-19 SUBJECT TO BUFFER RULES PROJECT NUMBER NOT SUBJECT TO BUFFER RULES 7335-19-023 ------- ...... =3BUFFERED WATERSHED BOUNDARY FIGURE NO. PROPOSED LIMITS OF DISTURBANCE (LOD) . . . . . . . . . . ....... .... 50 -FT BUFFER OF LOD 6 Stream Buffer Determination Table PNG Line 204 Relocation Tar -Pamlico (15A NCAC 213.0233) NOTES: Soil DEQ ID Map ID Feature Type USGS Lat Long Subject? Comment Survey Ditch/Channelized 1 JD30 X X 35.6534940 -77.0728470 Yes Stream Ditch/Channelized 2 JD29 X 35.6555480 -77.0728850 Yes Stream Ditch/Channelized 3 JD28 X 35.6638870 -77.0764730 Yes Stream 4 S07 Stream X X 35.6766810 -77.0821850 Yes 5 NJD14 Ditch X 35.6806420 -77.0842220 No Ditch/Channelized 6 JD24 X X 35.6805150 -77.0840610 Yes Stream NOTES: