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x Data sheets prepared/submitted by or on behalf of the <br />applicant/consultant. <br />x Office concurs with data sheets/delineation report. <br />^ Office does not concur with data sheets/delineation report. <br />^ Data sheets prepared by the Corps: . <br />^ Corps navigable waters' study: . <br />x U.S. Geological Survey Hydrologic Atlas: <br />^ USGS NHD data. <br />x USGS 8 and 12 digit HUC maps. <br />x U.S. Geological Survey map(s). Cite scale & quad name: Figure 1 in <br />report from Somerset 1:24,000. <br />x USDA Natural Resources Conservation Service Soil Survey. Citation: <br />Figure 3 in report. <br />^ National wetlands inventory map(s). Cite name: <br />^ State/Local wetland inventory map(s): <br />^ FEMA/FIRM maps: <br />^ 100-year Floodplain Elevation is: (National Geodectic Vertical Datum <br />of 1929) <br />x Photographs: x Aerial (Name & Date):Figure 2 in report. <br />or x Other (Name & Date):Site Photos 6.19.08. <br />^ Previous determination(s). File no. and date of response letter: <br />^ Other information (please specify): . <br />IMPORTANT NOTE: The information recorded on this form has not <br />necessarily been verified by the Coras and should not be relied uaon for <br />later jurisdictional determinations <br />~ ~• ~o <br />Signature and da of <br />Regulatory Project Manager <br />(REQUIRED) <br />Signature and date of <br />person requesting preliminary JD <br />(REQUIRED, unless obtaining <br />the signature is impracticable) <br />3 <br />