20071787 Ver 1_More Info Received_20071023

071 787
10. Describe the overall }am}ect ~ detail, mclucl~ the ty~ of ec~ttipmet~ to he use:
I~.
V.
mot.
I I. F~plaht the pose ofthe
1~~Sta>i ~ i ~ p~
.. ST~~
rs~o w
CfZoSSi~6 ~o~
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1n~STAL~C'~
~'rior Prejce# Hi~ory
If }urisdictional determinations andlor permits have been ~~ and/or ob~.ined for this
project {'including all prior phases of the same suhdivisionj in the past, please explain. include
the USACE Action ID Number, DWQ Project AIuml~, application date, auct date permits and
certifications rvexe issued or withdrawn. t'rovide photocopies of perviously issued permits,
certifieaticx~s or other useful inforsr~ation. l~scribe previously appm~ed wetland, stream ,.tad
buffer impacts, along with associated mifigation where applicable). lfthis is a NCDC-'T project,
list atld describe permits issuefl fcir prior segm~ts af. the same T.I.F. Project, along with
ccinstcuc~ion schedules. S +~6z Ate' T A CN ~..t~
Future Prcije~ Plans
Are nay future permit requests anticipated for this project? if so, descn`be the anticipaxed work,
and provide justificat%n forth exolusirizt of this work firm the curt application.
P1J,~ ?t~ To~J~}~o~>rs ~ ~o laaat~roa-cu.. rrn~r,acT~ A>'J~actflarlF~.
Proposed i~ttpacfs #Q minters cif the United Sin#esf maters of the State
It is the apgiicaitt`s {or agent`s} responsibility ~ mine, delineate aml map ais anpaLfis r~,
wetlands, open water, and stream chaaaels associated with the project. Each impact must ~~
listed separately in the tables below (eg., culvert i~allatton should l~ listed. sedately #~tri~
riprap dissipater pads. tae sure tQ indicate if an impact is temporary. Ail proPosesi impaci~w,
permanent and temporary, must be listed, and must lie labcleii and curly identifiable on ail
accompanying site plan. All wetlands and wagers, and all streams {intermittent and perennnias
should be shown on a delineation map, whether or rot impacts are proposed to these s,~steirts.
~Netland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applic~t's discretion. If this propel ira~ct ~ ~ricily for
wetland or stream mitigation, list and describe the impact iri Section VIII below. if additiona.~
space is needed for listing or description, please attach a separate sheet.
l . Provide a written +description of the proposed impacts:
Page 7 of 12 D ~ `~ ~ u V
OCT 2 3 2007
DENR • WAT~1R pttALITY
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