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Home My WebLink About20150392 Ver 1_More Info Received_201506082. Wetland Impacts If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted. 2a. 2b. 2c. 2d. 2e. 2f. Wetland impact Type of jurisdiction number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact Permanent (P) or (if known) DWQ — non -404, other) (acres) Temporary T 1 ❑ P ® T Impactl — Utility Herbaceous ❑ Yes ® Corps Crossing ® No ® DWQ .01 W2 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W3 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ 2g. Total wetland impacts .01 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. 3b. 3c. 3d. 3e. 3f. 3g. Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact number - (PER) or (Corps - 404, 10 stream length Permanent (P) or intermittent DWQ — non -404, width (linear Temporary (T) (INT)? other) (feet) feet) 2 ❑ P ®T Impact 2 — Utility UT French Broad ® PER ® Corps 2 20 Crossing ❑ INT ® DWQ 3 [:]PET Impact 3 — Utility UT French Broad ® PER ® Corps 3 20 Crossing ❑ INT ® DWQ 4 [:]PDT Impact 4 — Utility UT French Broad ® PER ® Corps 6 20 Crossing ❑ INT ® DWQ 5 ❑ P ® T Impact 5 — Utility UT Mill Pond ® PER ® Corps 4 20 Crossing Creek ❑ INT ® DWQ 6 ❑ P ®T Impact 6 — Utility UT Mill Pond ® PER ® Corps 4 20 Crossing Creek E] INT ® DWQ 7 ®P ❑T Impact 7 — Utility UT Mill Pond ® PER ® Corps 4 20 Crossing Creek ❑ INT [A DWQ 8 [:]PDT Impact 8 — Utility UT Mill Pond ® PER ® Corps 4 20 Crossing Creek E] INT ® DWQ 9 ®P [—IT Impact 9 — Utility UT Mill Pond ® PER ® Corps 4 20 Crossing Creek E] INT ® DWQ 10 ❑ PET Impact 10 — Utility Mill Pond Creek ® PER ® Corps 6 20 Crossing ❑ INT ® DWQ 11 ❑P ®T Impact 11 — Utility UT Mill Pond ® PER ® Corps 6 20 Crossing Creek ❑ INT ® DWQ 12 ❑P ®T Impact 12 — Utility UT Mill Pond ® PER ® Corps 2 20 Crossing Creek ❑INT ®DWQ 13 ❑P ®T Impact 13 — Utility UT Mill Pond ® PER ® Corps 4 20 Crossing Creek ❑ INT ® DWQ 14 ®P ❑T Impact 14 — Utility UT Mill Pond ® PER ® Corps 4 20 Crossing Creek ❑ INT ® DWQ 15 ®P ❑T Impact 15 — Utility UT Mill Pond ® PER ® Corps 3 20 Crossing Creek ❑ INT ® DWQ 16 ❑P ®T Impact 16 — Utility UT Mill Pond ® PER ® Corps 4 20 Crossing Creek ❑ INT ® DWQ Page 5 of 12 PCN Form — Version 1.3 December 10, 2008 Version