20100312 Ver 1_Application_20100609 (2)

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COUNTY CRAVEN
TOP OF RAIL
END BENT I CROWN OF p F
EXISTING CLASS B RIP
ROADWAY CROWN
END BENT I
hol w.
DEPTH
DOWNSTREAM PROFILE
EXISTING TIMBER BRIDGE 19A` LONG BY 20`
WIDE
END BENT 2
EXISTING CLASS B RIP RAP
PROPOSED 1 La 121-4" x 7' -9" x 32'
STRUCTURAL PLATE PIPE ARCH
r - - - - --
WATER DEPTH = /.0'
NOT TO SCALE
•
END BENT 2
BEDDING
ws
N
s
NOT TO SCALE
•
END BENT 2
BEDDING

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds,
the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
5j. Size of pond watershed (acres):
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
S. Buffer Impacts (for DWQ)
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
below. If any impacts require mitigation, then
you MUST fill out Section D
of this form.
Temporary (T)
❑ Neuse
0 Tar-Pamlico
❑ Other: None
01 ❑P❑T
❑ Catawba
❑ Randleman
02 E] P E] T
6c.
6d.
6e.
03 [:] P E] T
6g.
Buffer impact
04 El P [:1 T
number —
4E Total open water impacts
None
4. Comments: None
Zone 1 impact
S. Pond or Lake Construction
Permanent (P) or
If and or
lake construction proposed, then complete the chart below.
mitigation
5a.
5b.
6c.
5d.
5e.
required?
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
0 Yes
Z No
610 Sq. Ft.
(acres)
number
of pond
El Yes
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
i
6h. Total buffer impacts
2455 Sq. Ft.
1640 Sq. Ft.
P2
5E Total
None
5g. Comments: None
5h. Is a dam high hazard permit required?
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
S. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below.
If yes, then individually
list all buffer impacts
below. If any impacts require mitigation, then
you MUST fill out Section D
of this form.
6a.
❑ Neuse
0 Tar-Pamlico
❑ Other: None
Project is in which protected basin?
❑ Catawba
❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary M
impact
required?
B1 EPnT
B4 Fill
Un-Named Tributary of Brice's
Creek
0 Yes
Z No
610 Sq. Ft.
410 Sq. Ft.
B2 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
F1 Yes
❑ No
6h. Total buffer impacts
2455 Sq. Ft.
1640 Sq. Ft.
Page 5 of 10
PCN Form — Version 1.3 December 10, 2006 Version

5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWO)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
0 Neuse El Tar-Pamlico • El Other: None
Project is in which protected basin? El Catawba El Randleman
. .. . ...........
Buffer impact
number
Reason
Bu r
Zone I impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary _(TY
im act
red?
Un-Named Tributary of Brice's
Creek
410 Sq. Ft.
Un-Named Tributary of Brice's
Creek
7
610 Sq. Ft.
Un-Named Tributary of Brice's
Creek
6h. Total buffer impacts
6i. Comments. See Page 6-A
For Total Buffer Impacts
Page 5 of 10
PCN Form — Version 1.3 December 10, 2008 Version