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Home My WebLink About20200812 Ver 1_PCN Application Form Section C Edits_20200722C. 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 Culvert Non -Tidal ❑ Yes ® Corps 0.018 Freshwater Marsh ® No ® DWQ W2 ® P ❑ T Clearing Non -Tidal ElYes ® Corps 0.003 Freshwater Marsh ® No ® DWQ W3 ® P ❑ T Fill Headwater Forest ® Yes ❑ No ® Corps ® DWQ 0.008 W4 ®P ❑ T Fill (riprap) Headwater Forest ® Yes ❑ No ® Corps ® DWQ 0.004 W5 ® P ❑ T Clearing Headwater Forest ® Yes ❑ No ® Corps ® DWQ 0.001 W6 ® P ❑ T Excavation Headwater Forest ® Yes ❑ No ® Corps ® DWQ 0.001 W7 ® P [-IT Fill (riprap) Headwater Forest ® Yes ❑ No ® Corps ® DWQ 0.001 W8 ® P ❑ T Clearing Headwater Forest ® Yes ❑ No ® Corps ® DWQ 0.001 W9 ®P ❑ T Fill (riprap) Headwater Forest ® Yes ❑ No ® Corps ® DWQ 0.001 W10 ® P ❑ T Clearing Headwater Forest ® Yes ❑ No ® Corps ® DWQ 0.001 W11 ®P ❑ T Fill Non -Tidal ❑ Yes ® Corps 0.003 Freshwater Marsh ® No ® DWQ 2g. Total wetland impacts 0.039 2h. Comments: See attached Impact Figures and Cross -Sections for reference. Permanent Fill in Wetlands = 1,434 square feet; Mechanized Clearing in Wetlands = 266 square feet; Permanent Excavation in Wetlands = 7 square feet. Total Permanent Impacts = 0.039 acres (1,707 square feet) 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) Inlet Protection ® PER ® Corps S1 ®P ❑ T Riprap and Bank Stream A El INT ®DWQ 8 17 Stabilization S2 ® P ❑ T Culvert (60" RCP) Stream A ® PER ❑ INT ® Corps ® DWQ 8 23 S3 ® P ❑ T Grading Stream A ® PER ❑ INT ® Corps ® DWQ 8 5 Outlet Protection ® PER ® Corps S4 ® P ❑ T Riprap/Bank Stream B ❑INT ®DWQ 5 31 Stabilization S5 ® P ❑ T Culvert (72" RCP) Stream C ® PER ❑ INT ® Corps ® DWQ 1.5 170 Outlet Protection ® PER ® Corps S6 ® P ❑ T Riprap/Bank Stream C ❑INT ®DWQ 1 48 Stabilization S7 ® P ❑ T Culvert (66" RCP) Stream C ® PER ❑ INT ® Corps ® DWQ 7 78 Outlet Protection ® PER ® Corps S8 ® P ❑ T Riprap/Bank Stream C ❑INT ®DWQ 7 39 Stabilization Outlet Protection ® PER ® Corps S9 ® P ❑ T Riprap/Bank Stream C ❑INT ®DWQ 2.5 8 Stabilization S10 ❑ P ® T Other (Spillgate Stream C ® PER ® Corps 6 29 Removal) ❑ INT ® DWQ 3h. Total stream and tributary impacts 448 3i. Comments: See attached Impact Figures and Cross -Sections for reference. Total Permanent Stream/Tributary Impacts = 419 linear feet. Bank Stabilization accounts for 143 feet.