20120965 Ver 1_More Info Received_20121029

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
El Yes 0 No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
El Yes Z No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
El Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The Guiford County Natural Heritage Inventory, NC Natural Heritage Program, NC Wildlife Resources Commission and
personal experaince from 25 years of conducting biological, wetland and stream inventories in the piedmont of North
Carolina
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
El Yes No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The Guiford County Natural Heritage Inventory, NC Natural Heritage Program, NC Wildlife Resources Commission and
personal experaince from 25 years of conducting biological, wetland and stream inventories in the piedmont of North Carolina
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
El 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?
Town of Surnmerfield planning department
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100 -year floodplain?
El Yes No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
J
September 25,
--K-eim-,et-h-A—. -B
2012
Applicant/Agorit's Signature
(Agent's signature is valid only if a6-_ay1h'orization letter from the applicant
Applicant/Agent's Printed Name
Date
is erovided.)
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PCN Form — Version 1.3 December 10, 2008 Version