20191577 Ver 1_Application signature page_20191112

6. Entlangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
©Yes ❑ No
habitat?
51b. Have you checked with the USFWS concerning Endangered Species Act
❑x Yes ❑ No
Impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. What data sources did you use to determine whether your site would Impact Endangered Species or Designated Critical
Habitat?
See Attached Supplemental Information.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑x No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
South Atlantic Habitat and Ecosystem IMS. Impact will not occur in a madne system.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the scat(=, federal or tribal
governments have designated as having historic or cultural preservation
Yes ❑ No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
See Attached Supplemental Information
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year 0oodplain?
❑X Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
TGS Engineers, David Petty, IS coordinating with FEMA and will be submitting a Conditional Latter of Map Revision to FEMA for review and approval.
8c. What source(s) did you use to make the floodplain determination?
FEMA Map number 3700963500J d 3100963600J, effective date January 6, 2010.
R. Clement Riddle
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Applicant/Agent's Printed Name
Date
plicent/Agenl's Signature
(Agent's signature is valid only if an authorization
letter from the applicant isprovided.)
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