20191637 Ver 2_PCN Page 6-Revised 093020_20200930

2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
"W." will be used in the table below to represent the word "wetland".
2a1 Reason * (?) 2b. Impact type * M 2c. Type of W. * 2d. W. name * 2a. Forested * 2f. Type of 2g. Impact
Jurisdicition*(?) area*
1 Road and Lot Fill P Headwater Forest A Yes Both 0.036
Road Fill
P
Headwater Fe es Wetland
A
Both
0.086
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.122
2g. Total Wetland Impact
0.122
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.
"S." will be used in the table below to represent the word "stream".
3a. Reason for impact (?
*
e of impact*
3d. S. name *
3e. Stream Type *
3f. T
g. S. width
3h. Impact
❑
Jurisdiction *
length
S1
Rip Rap Dissipator
Permane
A
Perennial
4
10
- All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
x 0
3i. Total temporary stream impacts:
0
3i. Total stream and ditch impacts:
X 0
3j. Comments:
Revised rip -rap dissipator design eliminates stream impacts below OHWM.
6. Buffer Impacts (for DWR)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts below.
6a. Project is in which protect basin(s)?*
Check all that apply.
[ Neuse ❑ Tar -Pamlico
[ Catawba ❑ Randleman
[ Goose Creek ❑ Jordan Lake
17 Other Cape Fear
6b. Impact Type * (?)
6c. Per or Temp* (?)
6d. Stream name*
6e. Buffer mitigation required?*
6f. Zone 1 impact*
6g. Zone 2 impact*
Grading/Stormwater
P
A
No
1,135
2,777
(square feel)
(squarefeet)
Sewer Crossing
P
A
No
3,395
1,607
(square feeQ
(square feel)
Pine Tree Removal
T
A
No
0
435
(square feel)
(sgierefee()
6h. Total buffer impacts: