20110109 Ver 1_More Info Received_20110817

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C. 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
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes
t ? Corps
? No
?DWQ
2g. Total wetland impacts 0 Sq. Ft.
2h. Comments: No 404 Welland Impacts
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)
S1 ® P ? T Pipe U/T Little ® PER ? Corps 10' 25'
Contentnea Creek ? INT ® DWQ
S2 ? P ® T Dewatering Urr Little ® PER ? Corps 10' S'
Device Contentnea Creek ? INT ® DWQ
S3 ? P ® T Dewatering U!r Little ® PER ? Corps 10' 5'
Device Contentnea Creek ? INT ® DWQ
®P [_1 T Pipe WT
T Little ® PER ? Corps 10' 25'
Contentnea Creek ? INT ® DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 60 LF
3i. Comments: 10 Linear Feet of Temporary Stream Impacts ;50 LFPermanent Stream Impacts 38 Linear Feet Permitted By
DWQ 20110109; 12 LF Permanent Impacts for Longer structure and 10 LF Additional Temporary Impa Needed Fora Total
of 60 Linear Feet. 0
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Page 4 of 10 AUG 1 7 D
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