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D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
0 Wetlands ❑ Streams -tributaries O 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.
"W." will be used in the table below to represent the word "wetland".
2a1 Reason*(?)
2b. Impact type* (?)
2c. Type of W.*
2d. W. name*
2e. Forested *
2f. Type of
Jurisdicition*(?)
2g. Impact
area*
W 1
Fill
P v
Non -Tidal Freshwater Mary
Wetland G I
I Both
10.068
(acres)
�FT—�Fill
�Jp
v
Non -Tidal Freshwater Mary
Shoreli
I Both
10.032
(acres)
Add
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.100
2g. Total Wetland Impact
0.100
2i. Comments:
Impact W1 associated with fill material for proposed swim beach. Impact W2 associated with fill
material for trail improvements.
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.
Q Neuse ❑ Tar -Pamlico
❑ Catawba ❑ Randleman
❑ Goose Creek ❑ Jordan Lake
❑ Other
6b. Impact Type* (?)
6c. Per or Temp*
(�)
6d. Stream name*
6e. Buffer mitigation required?*
6f. Zone 1 impact*
6g. Zone 2
impact*
Fill for Swim Beach - Prohibit(
P
Open Water
Yes
1,731
3,290
Trails, Allowable
P
Open Water
No
(square feet)
119,490
(square feet)
8,290
Fishing Piers, Allowable
-]
P
Open Water
No
(square feet)
1,980
(square feet)
1,320
Pedestrian Bridge 1, Allowabl
P
Stream 1
�EN-:
(square feet)
250
(square feet)
Q
Pedestrian Bridge 2, Allowabl
�Ep
Stream 2 1
No
(square feet)
250
(square feet)
Q
(square feet)
(square feet)
Pedestrian Bridge 3, Allowabl
P
Stream 3 1
�FNO
500
Q
(square feet)
(square feet)
Add another impact
6h. Total buffer impacts:
Zone 1
Zone 2
Total Temporary impacts: 0.00
0.00
Zone 1
Zone 2
Total Permanent impacts: 24,201.00
12,900.00
Zone 1
Zone 2
Total combined buffer impacts: 24,201.00
12,900.00
6i. Comments:
mpacts associated with fill for proposed swim beach and trails, and pier and bridge structures.
Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc.
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File must be PDF
E. Impact Justification and Mitigation
1. Avoidance and Minimization