20211593 Ver 1_03_UpdatedImpactTable_20220103

C. Proposed Impacts Inventory
1. Impacts Summary
la. Which sections were completed below
for your project (check all that apply):
❑ Buffers
Construction
// Wetlands /1 Streams - tributaries
❑ Open Waters ❑ Pond
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number —
Permanent (P) or
Temporary (T)
2b.
Type of impact
2c.
Type of wetland
(if known)
2d.
Forested
2e.
Type of jurisdiction
(Corps - 404, 10
DWQ — non-404, other)
2f.
Area of impact
(acres)
Site 1
Fill
Headwater Forest
(Non-404)
/1 Yes
❑ Corps
0.05
W3 /1 P ❑ T
0 No
i1 DWQ
Site 1
Fill
Headwater Forest
(Non-404)
0 Yes
❑ Corps
0.10
W7 /1 P ❑ T
No
i1 DWQ
Site 2
Fill
Headwater Forest
(Non-404)
Yes
❑ Corps
0.02
W1 /1 P ❑ T
0 No
i1 DWQ
Site 2
Fill
Headwater Forest
(Non-404)
Yes
❑ Corps
0.06
W2 /1 P ❑ T
0 No
i1 DWQ
Site 2
Roadway
Construction/Fill
Headwater Forest
(404/401)
Yes
/1 Corps
0.34
W11 // P ❑ T
❑ No
/1 DWQ
Site 2
Construction
Access
Headwater Forest
(404/401)
Yes
Corps
0.08
W11 ❑ P I T
❑ No
/1 DWQ
2g. Total wetland impacts
0.23 (Non 404)
0.42 (404/401)