20080978 Ver 2_More Info Received_20100405

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T

W1 ®P ? T Fill/Conversion to

Reservoir
Isolated ® Yes

? No ? Corps

® DWQ
0.414
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0.414
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ®P ? T Fill UT Yadkin River ® PER
? INT ® Corps
? DWQ 5 205
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts JAM? "t-a
3i. Comments:
A
DE* • A.;(ERWAU7y
??JtNDS ANDS iOR,q.
Page 5 of 11 MNCa•f
PCN Form - Version 1.3 December 10, 2008 Version
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N_ie' D Line-, Section 401 - 0.414 acre
Legend
py9? ?c -?- Yadkin OHWM
Perennial Stream - 205 ft.
Non-Jurisdictional drainage feature
Section 401 Wetlands - 0.414 acre
Non-Jurisdictional Ditch - 0.091 acre
Feet Property Boundary
0 125 250 500 750 1 000
`ll?L
Davidson Water, Inc. Upgrade
N
Revised Wetland Map, March 3, 201 E
Davidson County, NC 4 _ 5 201
QE- WATER OUALITY
STORNTRATERt BRMCH S