20141055 Ver 1_Shoreline Stabilization_20141006

® Alcoa Power Generating Inc.
Yadkin Division 2 0 1 4 1 0 5 5
T�
PO Box 576 PAND
ALCOA Badin, NC 28009 -0576 USA
Application for Activity Permit for Reservoir and Shoreline Alteration
(Excavation, Dredge, and Fill)
Print or type all information below and return to APGI, Yadkin Division, P O Box 576, Highway 740, Badin, N C 28009
r
SECTION ONE – BACKGROUND INFORMATION (to be completed by the applicant)
1 Full Name (adjoining property owner) Ici ' &CRS
2 Permanent Mailing Address d r T- i S C
3 Local Address (if different ) rl /,'/ (;
4 Telephone (Business) / �� (Permanent) % &07 d � , (Local)
5 Fax No and E-mail (optla al) 1 e �itQ V
r0kv5:2
rVO C¢
o6 RBSe unitt�y 'i
.
9 Subdivision Ty 10 Sectio
11 Lot No .5 e—L- -7 12 Tax Map No
13 Directions to property (f necessary, use the enclosed drawing sheet to provide us a map to the site)
14 Is the shoreline along the property described above designated as a "High Cultural Probability Zone" in Yadkin's Shoreline
Management Plan (leave blank if you do not know) ❑ Yes ❑ No
SECTION TWO— INFORMATION FOR RESERVOIR AND SHORELINE ALTERATION (attach the following to the application)
11
1 Map of the reservoir area where the excavation is proposed - applicant must attach a map of the area of the reservoir and adjoining
shoreline property owned by the applicant where excavation is proposed The map must clearly exhibit the area of the proposed
excavation and to what depth (contour elevation) the excavation is proposed
2 Description'of the planned excavation - applicant must attach a written description of the planned excavation including an estimate
of the reservoir bottom to be modified and the amount of material to be removed from the reservoir
3 Plan for disposal of excavated material - applicant must attach a written description of their plans for disposing of the excavated
sediment No sediment maybe disposed of within the FERC project boundary (655 foot contour APGI Yadkin Datum), or on property
owned or managed by Yadkin or Alcoa
4 Resource impacts assessment - applicant must attach a brief written description of the potential impacts of the proposed excavation
activity on surrounding reservoir resources, including impacts to water quality and fish habitat If there is -any vegetation growing in
or around the area of proposed excavation, it should be noted and the areas of vegetation should be photographed, and photos
included with application
5 Schedule for conducting the proposed excavation - applicant must attach a written schedule for completing the proposed excavation
6 Agency Approvals - applicant must attach copies of written concurrence with the proposed excavation from the following agencies
(refer to Instructions for Application for Activity Permit for Reservoir and Shoreline Excavation)
U S Army Corps of Engineers
North Carolina Division of Water Quality
North Carolina Department of Cultural Resources (required in "High Cultural Probability Zones ")
7 Non - refundable permitting fee - applicant must include a check or money order made payable to APGI, Yadkin Division in the amount
of $100 00
SECTION THREE (to be completed by the applicant)
I hereby apply for a permit to perform the above - described shoreline alteration at High Rock Reservoir I agree to abide by all applicable
requirements of Yadkin's Shoreline Management Plan, the conditions of the Activity Permit for Reservoir and Shoreline Alteration
(Excavation, Dredge, and Fill) and other Yadkin procedures and requirements I also agree that no work will begin until I receive an
Activity ..17rmit signed by Yadkin
Ap hcant's Signature Date
Page I of 2
White Copy - Yadkin Canary Copy - Applicant Pink Copy - Other

NCDENR - Fees and Procedures
Page 1 of 1
Minor' water quality applications Less than one acre of viettandsf+vaters At 'D less than 150 feet of streams (intermittent or perennial) 1 '240 00
Checks should be made payable to 'N.0 Division of Water Resources
1 includes all wetlands and waters identified as Waters of the State including 40-1 Wettands, Isolated Wetlands, and other non -404 `Netlands subject to a permitting
program administered by the State of North Carolina
2 Includes all streams claimed by the State of ,forth Carolina US Army Corps of Engineers stream categories such as important /unimportant or Relatively Permanent
Waters are not relevant to this Issue
3 The Legislation refers to major and minor applications These artificial categories refer to combined impacts and have no relationship irhatsoever to the actual
tvoes of 401 Ce,tii,cetiors z:- -J isolated 'Ifetfande Dernlits (Ind, nduat and C,enerat) Feas zre a_ad strtctt ci the scope cf i m pan i of eo 1112 tyre cf aut➢m- <a_,on
requested if you apply for a 401 Certification and an Isolated Wetlands Permit on a smile project, the Impacts are added to determine the total application fee
Procedures-
Alt applications must be accompanied by a check for the required amount Pa,,ment must be made in full No applicants or projects are exempt from the fee
requirement unless it is designated an Emergency Watershed Protection project
• if payment is not included vnth the application the application grail be returned to the applicant as incomplete
• 1` the co r=ct p; e s not , 9Iv-e! ,, _b = t,,' _ d,,a cr a C„ y r i rphcai t '-'eject t _ t= _ e__ , `:- . _ pt ca ' -a't . =cot = a _._aa
informing them that the project udl not be processed until the full payment is provided
• Changes to an existing 401 Water Quality Certification or Isolated Wetlands Permit require a modification to the certification/ permit by DWR A fee is required with
each isivanrn of a modificatinn
A fee is required for each application submitted so applicants are encouraged to include as many project details and phases as possible in the miva' application
It a project requires a CAMA permit, a separate payment for the 401 Certification is not required The Division of Coastal Management administers the fee for both
the CAtAA Permit and 401 Certifirahontlmlated Watiands Permit
• No refunds will be issued for denied, modified or vnthdrawm certification requests If D`A'R or the U S Arm; Corps of Engineers retires a project due to insufficient or
inaccurate information no refunds wnll be issued
Nationwide Permits or General Isolated Wetland Permits for minor wettand impacts or those without wetland or stream fit[ that do not require written approval do
not require payment of the fee If an applicant still chooses to submit an apotication in order to have wntten approval to file vnth their project records, then the
fee payment is required if wetland or stream fill is mvoh,ed
• Receipts tot fees wilt only be sent upon written request
• Stream impact -rill be calculated based on length rather than an area in all cases (regardless of Indmdua[ aersus Nat,onvnde permit status or significant versus
insignificant channel) Tms has been the policy since February 1097 but recently some confusion has developed vrith some applicants
For non transportation projects send at', fire (5) copies of the application for DWR to
Neibng Address (if sending by first class mail via the US Postal Service)
NC DOIR, 401 a Buffer Permitting Unit
1617 Mail Servire Center
P.aleig,. OC Li,99 1517 Phfs,cal add, e,s t t serd,ig oy oeuvery sarvice, UPS, FeJC ,, etr j
11C DWR, 401 a Buffer Permitting Unit
512 North Satisbury Street
Raleigh NC 27604
http: / /portal.ncdenr.org /web /wq /swp /ws /401 /certsandpennits /apply /fees 9/29/2014

ComectGIS Feature Report
http / /rowan2 connectgis com/DownloadFile ashx9i= _a9s_map59d495
Printed September 23 2014
I CC�hlNECTGIS Rovsn2
wg6 HOSttvt See Below for Disclaimer
' 500H231 50OA09E'
"`'-
' 50GA417 ?{� 5Cr)A159
2r
,ti Q' 7
`500A393
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¢
500H050
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50oH471 � 00A116 500A127 500N226
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50OA617 f 500 659
500AG44
t 5006,30
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0OA272 2 500+290
—_.,.
his information vies prepared from the Rowan County NC Geographic Information System Rowan County has made substantial efforts to ensure the accuracy of location and labeling information contained on this site
he information provided is a representation of various City and County data sources and does not serve as an official map Rowan County promotes and recommends the independent verification of any infomrat:t
ntained on this site by the user Rovn County makes no warranty or other assertion as to the fitness of the maps for any particular purpose and neither Rowan County nor it's agents or employees shall be liable (o
an claim alleged to have resulted from any use thereof
1 of 1 9/23/2014 4.09 PM

Rowan County Tax Record Application - Account Information http //rowan ustaxdata com/account cfm ?ownerlD= 6213001 &parcelID
IN
Account Buildings Land Tax Card Sketch Deeds Sales Tax Bill Map
Account Details for BARNES DONNA L & HUS BARNES DAVID New Search
Property Owner [Owner's Mailing Address Property Location Address I
!BARNES DONNA L & HUS 285 SPORTSMAN DR 285 SPORTSMAN DR
BARNES DAVID SALISBURY, NC 28146 -2576
(Administrative Data !Administrative Data (Valuation Information
Parcel ID No 50OA471
OLD Tax ID I Legal Desc L23 -24 B3 & L29 B1 Market
PIN 500 A 471 i .99AC Value $
ID
6213001
} 639 -664
Deed Year 2009
(Owner
Deed Bk/Pg 11481115
;Tax District
127 - LIBERTY
Plat Bk/Pg I
VFD
ISales Information
Land Use Code
;Grantor
Land Use Desc
Sold Date 1990 -03 -02
Neighborhood
!
00701B
Sold Amount $ 30,000
I
I
Bach to Results
I
Print This Property Record Card
i
i
Market Value - Land and all permanent
improvements, if any, effective valuation date j
January 1, 2008, date of County's most recent
General Reappraisal
'Assessed 197,392
!Value $ I
I
IF Assessed Value not equal Market Value then
subject parcel designated as a special class
- agricultural, horticultural, or forestland and
I thereby eligible for taxation on basis of
Present -Use
New Search
Data Disclaimer All data shown here Is from other primary data sources and is public Information Users of this data are hereby
notified that the aforementioned public Information sources should be consulted for verification of the information contained on
this website While efforts have been made to use the most current and accurate data, Rowan County, NC and NexGen Digital
Document Solutions assume no legal responsibility for the use of the Information contained herein
Please direct any questions or comments about the data displayed here to
This application was developed for Rowan County by NexGen Digital
Document Solutions
1 of 1 9/23/2014 4 07 PM

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Office Use Only
Corps action ID no
DWQ project no
Form Version 1 4 January 2009
9
Page 1 of 10
PCN Form — Version 1 4 January 2009
. as.c�aa3s4
a).aG13a-3
Pre - Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing—
la
Type(s) of approval sought from the Corps
❑ Section 404 Permit ❑ Section 10 Permit
lb Specify Nationwide Permit (NWP) number or General Permit (GP) number
1c
Has the NWP or GP number been verified by the Corps?
❑ Yes ❑ No
1d
Type(s) of approval sought from the DWQ (check all that apply)
❑ 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1e
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification
❑ Yes ❑ No
For the record only for Corps Permit
❑ Yes ❑ No
1f
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program
❑ Yes ❑ No
1g
Is the project located in any of NC's twenty coastal counties If yes, answer 1h
below
❑ Yes ❑ No
1 h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑ No
2.
Project Information; =' ,
2a
Name of project
AD
2b
County
0 LAIC,
2c
Nearest municipality / town
VC
OLT 0 1014 r
2d
Subdivision name
i
2e
NCDOT only, T I P or state project no
-
3.
Owner Information
3a
3b
Name(s) on Recorded Deed
Deed Book and Page No
��!
3c
Responsible Responsible Party (for LLC if
applicable)
3d
3e
Street address
City, state, zip
S 'Po iG__.___CIS C AR
3f
Telephone no
_
3g
Fax no
3h
Email address
9
Page 1 of 10
PCN Form — Version 1 4 January 2009
. as.c�aa3s4
a).aG13a-3

4. Applicant Information (if different from owner)
4a Applicant is
❑ Agent ❑ Other, specify
4b Name
4c Business name
(if applicable)
4d Street address
4e City, state, zip
4f Telephone no
4g Fax no
4h Email address
S. Agent/Consultant Information (if applicable)
5a Name
5b Business name
(if applicable)
5c Street address
5d City, state, zip
5e Telephone no
5f Fax no
5g Email address
Page 2 of 10

B. Project Information and Prior Project History
1.
Property Identification
la
Property identification no (tax PIN or parcel ID)
1b
Site coordinates (in decimal degrees)
Latitude Longitude
1c
Property size
acres
2.
Surface Waters
2a
Name of nearest body of water to proposed project
U
2b
Water Quality Classification of nearest receiving water
2c
River basin
3.
Project Description
3a
Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application TV �t Rind 6 i r
3b
List the total estimated acreage of all existing wetlands on the property _Q
3c
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
3d
Explain the purpose of the proposed project
Re ,,706/1r- KJi e jo 1.-,f Cco , 6—am
3e
Describe the overall project in detail, including the type of equipment to be used
v »? T ha c
4.
Jurisdictional Determinations
4a
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
❑ Yes ❑ No ❑ Unknown
Comments
4b
If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑ Final
4c
If yes, who delineated the jurisdictional areas?
Name (if known)
Agency /Consultant Company
Other
4d
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
S.
Project History
5a
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑Yes Mo ❑Unknown
5b
If yes, explain in detail according to "help file" instructions
6.
Future Project Plans
6a
Is this a phased project?
❑ Yes 54 No
6b
If yes, explain
Page 3 of 10
PCN Form — Version 1 4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
la 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
Wetland impact
number
Permanent (P) or
Temporary T
2b
Type of impact
2c
Type of wetland
2d
Forested
2e
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f
Area of
impact
(acres)
W1
Choose one
Choose one
Yes /No
-
W2
Choose one
Choose one
Yes /No
W3
Choose one
Choose one
Yes /No
W4
Choose one
Choose one
Yes /No
W5
Choose one
Choose one
Yes /No
W6
Choose one
Choose one
Yes /No
2g Total Wetland Impacts:
2h Comments
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
Stream impact
number
Permanent (P) or
Temporary (T)
3b
Type of impact
3c
Stream name
3d
Perennial (PER) or
intermittent (INT)?
3e
Type of
jurisdiction
3f
Average
stream
width
(feet)
3g
Impact
length
(linear
feet)
S1
Choose one
S2
Choose one
S3
Choose one
S4
Choose one
S5
Choose one
S6
Choose one
3h Total stream and tributary impacts
31 Comments
Page 4 of 10
PCN Form — Version 14 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U S then indivii ually list all open water impacts below
4a
Open water
impact number
Permanent (P) or
Temporary T
4b
Name of waterbody
(if applicable)
/ C
ff '
4c
Type of impact
4d
Waterbody
type
4e
Area of impact (acres)
01
Choose one
Choose
02
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f Total open water impacts
4g Comments
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below
5a
Pond ID number
5b
Proposed use or
purpose of pond
5c
Wetland Impacts (acres)
5d
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f Total:
5g Comments
5h Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below If yes, then individually list all buffer impacts
below If any impacts require miticiation, then you MUST fill out Section D of this form
6a Project is in which protected basin?
❑ Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other
6b
Buffer Impact
number—
Permanent (P) or
Temporary T
6c
Reason for impact
6d
Stream name
6e
Buffer
mitigation
required?
6f
Zone 1
impact
(square
feet )
6g
Zone 2
impact
(square
feet
B1
Yes /No
B2
Yes /No
B3
Yes /No
B4
Yes /No
B5
Yes /No
B6
Yes /No
6h Total Buffer Impacts:
61 Comments
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
lb Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State?
❑ Yes ❑ No
2b If yes, mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
El Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type Choose one
Type Choose one
Type Choose one
Quantity
Quantity
Quantity
3c Comments
4. Complete if Making a Payment to In -lieu Fee Program
4a Approval letter from in -lieu fee program is attached
❑ Yes
4b Stream mitigation requested
linear feet
4c If using stream mitigation, stream temperature
Choose one
4d Buffer mitigation requested (DWQ only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non - riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5. Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
Page 6 of 10
PCN Form —Version 1 4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation
❑ Yes ❑ No
6b If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required:
6g If buffer mitigation is required, discuss what type of mitigation is proposed (e g , payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund)
6h Comments
Page 7 of 10

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a
Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules?
❑ Yes ❑ No
1 b
If yes, then is a diffuse flow plan included? If no, explain why
❑ Yes ❑ No
2.
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ❑ No
2c
If this project DOES NOT require a Stormwater Management Plan, explain why
2d
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
2e
Who will be responsible for the review of the Stormwater Management Plan?
3.
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this project?
3b
Which of the following locally - implemented stormwater management programs
apply (check all that apply)
❑ Phase II
❑ NSW
❑ Wa ePr Supply Watershed
❑ PP Y
❑ Other
3c
Has the approved Stormwater Management Plan with proof of approval been
attached?
El Yes ❑ No
4.
DWQ Stormwater Program Review
4a
Which of the following state - implemented stormwater management programs apply
(check all that apply)
❑Coastal counties
❑HOW
❑ORW
E] Session Law 2006 -246
❑Other
4b
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5.
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1 4 January 2009

F. Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1a
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes
❑ No
use of public (federal /state) land?
lb
If you answered "yes' to the above, does the protect require preparation of an
environmental document pursuant to the requirements of the National or State
El Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c
If you answered "yes' to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑Yes
E] No
letter)
Comments
2.
Violations (DWQ Requirement)
2a
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑Yes
❑ No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after - the -fact permit application?
❑Yes
❑ No
2c
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
3.
Cumulative Impacts (DWQ Requirement)
3a
Will this protect (based on past and reasonably anticipated future impacts) result in
❑Yes
❑ No
additional development, which could impact nearby downstream water quality?
3b
If you answered "yes' to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered "no," provide a short narrative description
4.
Sewage Disposal (DWQ Requirement)
4a
Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed protect, or available capacity of the subject facility
Page 9 of 10
PCN Form — Version 1 4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
habitat?
❑ Yes ❑ No
5b Have you checked with the USFWS concerning Endangered Species Act
impacts?
❑ Yes ❑ No
5c If yes, indicate the USFWS Field Office you have contacted
-
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑ No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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
status (e g , National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
❑ Yes ❑ No
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
B. Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA - designated 100 -year floodplain?
❑ Yes ❑ No
8b If yes, explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination?
�©AtV L_ 56Lmes
Applicant/Agent's Printed Name
Date
As Signature
(Agent's signature is valid only if an authorization
letter from the applicant is provided
Page 10 of 10