20110478 Ver 1_Staff Comments_20110520

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C. Proposed Impacts Inventory
1. Impacts Summary
1a. 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 jm^°^+° ^•^^^°^A e
7 d.
2a.
A_
- 2f.
Wetland impact ??u//? ? ?iia? C_
b CS-
r
_
75 Su
num
er -
Permanent (P) or
Temporary T Swt' /U Are a of impact
(acres)
W1 ? P ? T

`
W2 ? P ? T C o (?L? ? O hC!° l 1. e- 1
Gr?/,? r!ic)G ? SCE.
W3 ? P ? Tj/
W4 ?P?T
41,f
W5 ?P?T
W6 ?P?T -

2g. Total wetland h,,Pn t3
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then comp lete 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 El T r Piped Unknown F1 PER
® INT ? Corps
® DWQ <10 65
S2 ,}BSI Regraded Unknown ? PER
INT ? Corps
® DWQ <10 180
S3 ? P ? T 5k 1? ?G (? e-e. , G(tic PER El Corps
INT ? DWQ
S4 ? P ? T eOr ? PER ? Corps
? INT ? DWQ
S5 E] P F1 T /y
Lf ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 245
3i. Comment will be mitigated on-site with plantings along the new channel.
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DENR - WATER QU
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PCN Form - Version 1.3 December 10, 2008 Version