20091292 Ver 1_More Info Received_20091207

I z'Y-a9
09 - 1 2 9 2
Hello, please find enclosed 5 copies of the signature page
to the USAGE PCN form that should have arrived in your
office via FedEx on Friday Dec. 4, 2009.
The Name of the project as stated in Box 2a of the PCN is
Broadneck Swamp Low Water Crossings.
Thank you.
?f s,A
? 'C _ 2000
DENR - MTER QUAL: fY
NAT! ANDS AND S+CRNIIAATER 3RANOChi

5. Endangered 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?
5b. Have you checked with the USFWS concerning Endangered Species Act ® Yes ? No
impacts?
®
Raleigh
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?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
USFWS personnel
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, 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?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No
8b. If yes, explain how project meets FEMA requirements: No permanent structures are being placed in the project area, this
is a hydrological restoration project.
8c. What source(s) did you use to make the floodplain determination? flood models developed for the Roanoke River and
floodplain gauge data.
J eon !? c?-k ?r
12-
Applicant/Agent's Printed Name App Ica t/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
/'i J,
-. ZJ09
DEC
Page 12 of 12 DENR-WATFRGUAL'+lY
PCN Form -Version 1.3 December 10, 2?$'? erslorirCRA1'1?ER BRANCH