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HomeMy WebLinkAbout20150919 Ver 1_Application_20150904..,,__C;�- �{��.. �TY v.,r,, , �,i'SK��E. J lA.i � UP �1'''Z... w pF �v �o. tr,r � `�;. . �. C)�,�� ;"�' �° � � °'y, ' F.. � 9 ,y�r � Z" '! � y, a �- � 1 ��. ', .�. :�� „r,` `' '�r �' `�„�'��:. d �h f �� � 'p} � �,/.'. ,•.�* '4I'RlL�12.t'i�� $ ::� vy3�i.. FJ:s�- UAAt VIO�W '"'K '`�'1,. �%. ,- :� ""�.S;c..���i'.:...: L4.�' .. � :�' � . .:� • ..� ... �. � ���: .,,.... ��. � � � � � � ' 'r � • � �` ` � , �. SOJ: MAIL SERVICE CENTER, RALEIGH, N.C. 27Eg9-1 SO1 PAT M�CRO�� �TIC�o�,A� J. T����'�c�� GQVERNC7R �ECKETARY Septemb�r 4, 2C� 1 � I1�Ir. Steve Kichefski I.J. S. Ar��.y Corps of Engineers Asheville Re�ula.tary Field Office 151 Patton Avenue, Room 208 Asheville, N� 288� 1-5046 Subj ect: Nationwide Fer��nit # 14 Replace Bridge #264 on SR 1317 w�th A�C� Ashe County, Nort�i Carc�lina Projec� Number: 178�'.11.IZ.63 �I��Vt� l�ermit �e�: � 4 Dear 11�Ir. I�.ichefski : The North. Carolina Department of Tra�.sportatlon ls sch�d�:led t� replac� �ridg� #264 i� Ashe Cc�unty with a new aluminum bo� culve�t at �h� s�.�e �ocatic��e Th� ��isi�a�� structure is a 22' x 20.5' sir�gle span bridge wi�th s�eel I-bea.ms can ��0 d�g��e s���ve .�11 of the remainzng components are timber. �'he �rc�pc�sed alu�inur� bo�. �ulv�r� �� l�' �i�.� x 4' high x 6�' long. Culvert slope v�ill �..8%. Three Baffl�s �i11 b� inse�ted ��t� �h� culvert to maintain channel vvidth (inlet, aut�et a�d c�ne �nte�ior). li/Iit�g�.ti�r� �v�1� b� provided through EEP (60'). An �ff-site deto�.r is proposede S�r��.r�. i�p��is �.r� tabulated belc�v�. Stream Impacts: The repl�.cem�nt of the existing bridge vvith th.e �aropos�d r��� �ul��r�: ��11 �r�c��.i�� t�mpc�rary dewatering. Impervious sar�dbag dikes w1�� b� �c�nstru�t�d ��s�re�:r�. ��.d PHONE 919-707-28n4 FAX 919-733-915Q Ashe Bridge #2&4 on SR 1317 September 4, 2Q 15 dovv�stream of �the ex�st�ng structure to lsolat� th� constructi�n �on�. �1��.� �a�t��° �rx�l tempora�rily be pumped around or p�ped through t�ie �c��.s�tr�:�t�c�r� ar�a �.nd. ��11 � discharged. dc�wnstream. Any d��ty wa�er l��ated lnsid� th� �onstru�ti�r� �.r��. v�i1� � pumped into a silt bag if necessary. (Jnc� the ne�v struct�.r� is 1n �la��, �i�.� 11�.1���`�l�l�.S d�ke� will be removed and preconstruci�o�. sire�mb�d �levatiar�s w111 b� r�st�r� e �onstruct�on af this project vUill req�.ix� zmpacts �to waters of the T...Tnit�d �tat�s i� th� �T�� River Basin. The exlsting bridge crc�sses i�.l��l .�I1�� ��°�'��: �C1�.�5. �, �'r��� ��. �T is prc�ject was reviewed for the presence of threatened and endang�r�d sp�ci�se Th� �L,�, is �isted as a prc�tected species in this COtil'l�J' iJU� I10 i��,� c���1V1�y W�,S i�%S�i`V� 111 ��1.� bridge. �e anticipate �ild� �, ��W t]C�'�S W11� %►e Cl,�..t. d.� ti1�' ��U� �C$ �.C��cltl0�l. � �.r� requestin� that the Cc�rps coardi�nate with USF�VU'� regard�ng t�.� NL,E . ��r��ld recommend a NLTAA call or� ihis proj �c�. C�ultural resaurce compliance �worl� has be�n cr�m�ale�ed. �o archaec�lc�gi�al ��sou�°��s �r histaric properties fall with the APE of this proj ect (see at�ac�.��.� d The proj ect impacts are �.ot significant in natur� and �ho�ld not re�.av� c�r d��rad� existing �wat�r quality uses. Stormwater will b� ro�.ted t�ar�ugh gr�.ss �r ���k lir�� ditches, d�pending on the ditch 11ne slope. Total l�:nd disturbanc� vvill be l��s t�.a�. 1�.��°�. Pipe sizes used vvill be the minimum necessary to �reate �. s�:fe rc�adw�.y. y utlliz�r�� �t � erosion control measures outlined in the at�ac�ments to this a�plicat��an� dc�vvns�r��m �vater quality standards will be protected. A11 approprlat� BT��I's �vill be us�� du�i�.� cor�struct�c�n. � By copy c►f this ele�tronic letter, it �s requested� that Mrs. ��Iar��a �harnbers vvith th� I�c�r��. �arolina Wildlife Re�sources� Commission camment dire�tly t� you ���cer��n� �1�� 4�4 Natic�nwide Per�nit applicatic�n �vith a copy se�t to�� �n�. B�y copy� of this electranic letter, it is requested t�.at the I�ivi�io� �f V��.ter� C�u�:1�iy, 401/Wetlands LJ�nit, issue the appropriate per�nit far const�r�.�t�i�►n c��' this p�c�j�c�. I�t �s requested that any comments related tc� �he 441 c�rti� cati�on be� forwarded di�e�ily �c� r�.� with a co�ay sent to the j...TS Ar��y �orps of Engineerse We woule� like to begir�. construction as soon as po�ssibl�. If �urt�ier in�c��rma�i�n xs required, please let me know. Yc�ur ea�ly r�vie�v and cons�der�a�ic�r� vv�ll �� a�pr�ciat�de . S1�.cere �, � ���'��� � �. � ��� � ��F � �� �� �� ��' � � � �� �� � �I�ath Slaughter , 1v�s�an 11 E��ri�°�r�.rn�n��.l �up�r�isa�° En�lc�sures cc : l��Iarla �hamb�rs� NC�NR+C Ashe Bridge #264 on SR 1317 September 4, 2015 Amy Chapm.an, I��vision c�f V�ater i�ual�ty Dave Wanuch�., I��visior� c�f Water �uality I��arella Buncick, USFWS �/Ii1�� Pettyj ohn, PE, i�ivision Engineer Il�avid Wayne, PE, Bridge I1�Iaintenance En�ineer J�ami �-uynn, Division Bridge I�ragram ��Ia�ag��° I�eath S1aug�ter, Division Envi�ronmental CJff��er Ne�l Trivette, Roadside Enviranmental Fie�d �peratic�ns Eng�neer ��.%{��� "���v�� ��°�:,�� ��>r... �� C)fflce IJSe C�nly: . . ""^+ .at, . 4��: �"_ YV���9J �V�.��� /6.d° ��. � . . �� y1. 3�l�ti'�+vJxR4`/.2Ti'�Y.I�r'J`�? W`+�'G.'/''+ � r� . . . . �� � �`� £,� •�.,�4.�,��r.�'i d��t �'}i"Cl,�'�� i10►. � ��,;i� .��.�N�;� ����, ,� .:>.'" ���"�"�`"� Forr� iler�i�r� 1.� C�ec '10 2��� Pre-C�onstructlon Na►�ificai�on PIC�N ar A. A licant Information 1. Processing 1a. Type(s) c�f approval sc�ught from the Cor s: � Sectic�n 444� �err�it ��ectior� 10 F'er�it � 1 b. Speeify N�tionwide Permit (NWP) number: 14 or �eneral Permit (GP) number: 1 c. Has the NWP or GP number been verified by the Corps'� [� 1��� � a 1 d. �"�pe(s) of appraval sought from the DWQ (check all that apply): � 4�'I Water C�uality Cerkification — Regular ��I�n-4�4 Jurisdictian�l �ener�� I�ermit [� 4p1 1Nater Quality Certification -- Express ❑ Ripari�n Buffer Authorizatic�n 1 e. Is this notificafiion �c�lely for the record For the record �r�ly f�r DWQ 4�1 Far the r��ard �nly f�r �e�rp� F'�rmit: because writt�n approval is not required? Certificatic�n: ❑ �res � Nc� [� �es � 1 f. Is payment inta a mitigation bank or in-Iieu fee pragram praposed for mitigation ��,�S �� of impacts? If so, attach the acceptance letter from mitigation bank c�r in-1ie� fee program. 1 g. Is the project located in any of NC's twenty c�astaf counties. If �es, answer 1 h ❑�'�� � below. 1h. Is the project lacated within a NC DCM Area of Enviranmental �or�cern �AEC)? ❑ Yes �) �I� 2. Project Information 2a. Name of project: Bridge #264 on SR 1317 Zb. County: Ashe 2c. Nearest municipality / town: Cres#on 2d. �ubdivision name: 2e. N�DCJT only, T.I.P. ar stat� �?gP.11.R.63 praject no: 3. Owner Infarmation 3a, Name(s) c�n Recarded Deed: NCDC�T 3b. Deed Book and P�ge No. 3c. Responsible Party (for LLC i f applicable): 3d. Street address: 801 Sfiatesville Road 3e. City, state, zip: North Wilkesbaro, fVC 2865� 3f. Telephone nc�.: 336-9Q3-92�2 3g. F�x rtQ.: 336-667-4549 3h. Email address: hslaughter��ncdot.gov P�ge 1 of 10 IPCN Fc�rm -- Versior� 1,3 December 14, 2��8 ��r�i�r� 4. applicant [nformation (if different from owner) 4a. Applicant is: ❑ Agent ❑ C�ther, specify: 4b. Name: 4c. Busir�es s name {if applic�ble}. 4d. Street address: 4e. �ity, state, zip: 4f. Telephone no.: 4g. F�x no.: 4h. Email address: 5. AgentJGcansultant Information (if applicable} 5a. Name. 5b. Business name (if applicable): 5c. Street address: 5d. City, state, zip: 5e. Telephon� no.: 5f. Fax no.: 5g. Ernail address: Page 2 c�f 14 P�N F�rm -- Versior� 1.3 C�e�emb�r 1 a, 2Q�� ersi�r� B. Project Information and Prior Projec�t History 1. P�a►perty Identific�tion 1 a. Property identificat�an no. (tax PI N or parcel I Q). 1 b. Site coardinates (in decimal degrees}: L�titude: 36.483i t� Longitudeo -�1.6123� (DD. D�DDDD} (-C�L�. [JD[�DaCt) 1c. Property size; 0.�4 acr�� 2. Surface Waters 2a. Name of nearest b�dy af water (stream, river, etc.) ta Rich �lill Creek proposed project: 2b. V1/ater Quality Classi�cation of nearest receiving w�ter: G; Trout + 2c. River basin: f��w 3. Project Description 3a. Describe the existing conditions an the site and the general land use in the vicinity ofi the project a� the �ir�e �1� thi� application: �ubstandard bridge to be replaced in a rural area �b. List the total estimated acreage of all exisfiing wetlands on the property: 0 acres 3c. List the total estimated linear feet of all exisfiing streams (intermittent and p�rer�niaij on �he praperty: � 100 linear feet 3d. Explain the purpose of the praposed project: Upgrade substand�rd stream crossing 3e. Describe the ov�r�ll project in detail, including the type of equipm�nt to be used: See attached cover letter. 4. J�risdictional Determinations 4a. Have jurisdictianal wetland or stream determinations by the Corps or Stat� been requested or c�btained for this property / praject (including all prior phases) in the past? ��'es ��la [�] �Jnkno�rn Comments: 4b. If the Corps made the jurisdictianal determinatic�n, what �ype o� determination w�s made? ❑ Preliminary ❑ Fir��l 4c. If yes, who delineated the jurisdictional areas? Agency/�onsultan� Gompar�y: Name (if knownj: Other: 4d. If yes, list the dates of the Corps jurisdictional determinations or �tate determinations and attach documer�tatior�e 5. Project Histary 5a. Have permits or certificatians been requested or ob�ained for ❑ Yes � No ❑ lJnkno�r� this project (inc�uding al1 priar ph�ses} in the past? 5b. If yes, explain in detail according to "help file" ir��tructions. �. Futur+� Project Plans 6a. Is this a phased prc�ject? [� Yes � No 6b. If yes, explairr. Page 3 �f 1 � PCN F�rm -- Versior� �.3 I�ecember 1 Q, 2�08 �fer�i�r� C. Proposed Imp�cts Inventory � . Impacts Summary 1 a. Which sectians were completed below for yc�ur project (check all tl�at appfy): [� Viletiands � Streams - tributaries ❑ Bu�fers ❑ Op�n Waters [.] Pond Gonstruction 2. Wetland Imp�cts If there are wetland impacts proposed on the site, then complete t�is question for each wetland �rea impacted. 2a. 2b. 2c. 2d. 2e. 2f. Wetland impact iype o�f jurisdicti�n number -- Type of impact Type of wetland Far�sted (Corp� -�404, 'I �re� �� i�pact Perm�nent (P) or (if known} DVVC� — n�n-4�04, �ther} (�cres) Tem ora T � Ves [� Corps W1 ❑ P❑ T Nt� DW � � C� {�] Yes ❑ Corps W2 ❑ P� T Nc� DWC� Ci ❑ [� Yes � Corps W3 ❑ P❑ T Nc� DiNQ � 0 � Yes �] Corps W4 ❑ P❑ T Nc� DWC� ❑ 0 ❑ Yes ❑ Corps W5 ❑ P O T N� DW ❑ ❑ C� �] Y�s Q Corps W6 ❑P❑T Nc� dW � � � 2g. Total wetland impacts 2h. Camments: 3. Stream 1 rn pacts If there are perenr�ial c�r intermittent stream impacts (including tempor�ry impacts) praposed �n the �ite, �her� comple�e this question for al1 stream sites impacted. 3a. 3b. 3c. 3d. 3e. 3f. 3g. Stream impact Type of impact Strear� name �'er�nnial Type �f jurisdic�ior� A�erage I�p��� number - (PEF�} or (Corps - ��4, 10 �tre�r� leng�h Permanent {P} �r intermittent �Wt� -- non-4��4�, �idt� (Iine�r TempararY' (T) CINT�? other) (f�et) feetj ABC & �j P�R � Cc�rps �1 � P� T Dewaterin Rich Hill Creek �NT p�� 9 98 g ❑ � � P�R ❑ Corps S2 [� P[� T INT DWC� ❑ 0 ❑ P�R ❑ Corps S3 ❑PCjT ❑IN1" ❑DWC� 54 �P❑T ❑ P�R Q �orps [.] I NT Q C�Vi/Q ❑ PER ❑ Corps S5 � P❑ T I NT C7�C� � � ❑ P�R � �orps S6 ❑ P❑ T I Ni C�WC� � 0 3h. Tc�tal stream and tributary impacts 98 3i. Comments: 60' ABC with headwalls, 38' temporary dewatering Pag� 4 0� 1 � PCI� F�rm -- Version 1.3 December 14, 2a0� i�er�ior� 4. Open Water impacts If there �re propased impacts to lakes, pands, estuaries, tributarie�, sc�ur�ds, the A�tl�nti� Ocear�, c�r any oth�r c�pe� �rater c�f the IJ.S. then individually list all open water impacts bel�w. 4a. 4b. 4ce 4d. 4e. Open water Name af waterbody impact number -- (if applicable) Type af impa�t Vr/ate�body typ� �re� �f ir�pa�t (acr�s� Permanent {P) ar Tem ora T 01 ❑P❑T �2 ❑P❑T (J3 ❑P❑T C)�4 ❑ P Q T 4f. Total a►pen water irr�pacts 4g. Camments: 5, P�►nd ar Lake Cor�struction If ond or lake construction rc� osed, then com lete the chart bel�w. 5a. 5b. 5c. 5d. 5�. Wetland lmpacts (acres) �tream Impacts (f�et) lJpl�nd Pand ID Propc�sed use or purpase (a�res) number of pond Flooded Filled �xc�vated Flooded Fiiled Exc�vated Fload�d P1 P2 Sf. Total 5g. C�mments: NIR 5h. Is � dam high hazard permit required? ❑ Yes � i�o If yes, permit IC� r�a: 5i. Expected pand surface �rea (acres): 5j. Si�e of pand watershed (acres): 5k. Method af canstruc�ion: G. Buffer Impacts {fc�r DWQ) If praject will imp�ct a protected riparian buffer, then complete the chart below. If yesq then individ�aally li�t all buffer irnpact� below. If an im acts re uire miti afiion, then ou MUST �I1 o�t S�ction D of this farm. 6�. � Neuse ❑ T�r-�'amlicc� � CJther: Projecfi is in which protected basin? [� C�tawba [� i�andlem�t� 6b. 6C. 6d. 6�. �f. �ge Buffer impact number -- Reason Buffer Zor�� 1 impa�� ��ne � ir�pact Perm�nent (P) or for �tream name mitig�tion (squ�re �ee�) ��q�a�re fee�� Tem ara T im act r� uored? ❑ Y�s B1 ❑P�T ❑Nc� C] Y�s g� � P � T Nc� 0 c� � Yes B3 ❑ P [� T f�lc� � 6h. Total buffer i�n�acts 6i. Comments: Page 5 of � � PCN Fc�rm -- i/�rsion �.3 C�ecember � a, 2�08 i�er�ian D. Impact Justification and Mitigation 1. Avoidance and Minimization 1 a. Specifically d�scribe measures taken to avaid or rr�inimiz� the praposed ir�pacts ir� designing prc�j�c�. The cuivert length is the minimum needed to improve safety at thi� Iac�tion. Fioc�dplains �r�d bafi�les �nrill b� constructe� tc� maint�in chann�l width. 1 b. Speci�cally describe measures taken to avoid or minimiZe the proposed impa�ts through co�structiar� ��chniques. All appropriate BMPs will be used during construction 2. C�mpensatory Mitigatian for Impacts to Waters of th� U.�. or Waters �f �he �tat� 2a. Daes the praject r�quire Compensatory Mitigation for � Y°�s Cj �la impacts to Waters of the U.S. or Waters c�f the Sta�e? 2b. If �es, mitigation is required by (check all that apply). �] DWQ ��ar'ps ❑ lillitigatian bank 2c. If yes, which mitigat ion option will be used fc�r this ro'ect? � Paymen� to in-Iieu fee progr�m � 1 [� Permit�ee Respcansible iVii�ig�ti�r� 3. Camplete if Using a Mitigation Bank 3a. Name af Mitigation Bank: 3b. Credits Purchased (attach receipt and letter} iype C�u�ntity 3c. Comments: 4. Complete if Making a Payment to In-lieu Fee Program �4a. Approval letter from in-Iieu fee program is afitached. � Y�s 4b. Stream mitigation r�quested: 6� linear feet 4c. If using stream mitigation, stream temperature: ❑ w�rm 0 co�l �cald 4d. Buffer mitigation requested (DWQ only): squ�re �eet 4e. Riparian wetland mitigation requested: acres 4fi. Nc�n-riparian wetland mitigation requested: acres 4g. Caastaf (tidal) wetland mitigatian requested: acre� 4h. Comments: 5. Complete if lJsing a Permittee Responsible Mitigatic�n Pl�r� 5a. If using a permittee responsible mitigation pla�, provide a description of the proposed miti�ation plar�. P�ge6c�f1� P�N F�rm -- Versian 1.3 December 14, 2aQ8 �/�r�ior� �. Buffer Mitigation (�tate Regulated Riparian Buffer Rules} �- required by �W 6a. Will the project res�lt in an impact within a protected ripari�n buffer that require� ❑�'e� � N� buffer n�itigation? �b. If yes, then identify the square feet of impact to each zone of the riparian buffer th�� requires mitig�ti�r�. ��I�ui�t� the amount of mitigatic►n required. 6c. 6d. ��. Zone ������ for impact iatal impact IVlulfiiplier Requir�d mitigafii�r� (square feet} (squ�re feet� Zone � 3 (2 �for Catawba) Zone 2 1.5 6f. Tatal buffer mitigation required: 6g. If buffer mitigation is required, discuss what type af mitigation is proposed {e,g., p�ymen� �o priv�te mitig�ti�n b�r�k, permittee responsible riparian buffer restor�tion, payment info an �pproved in-lieu fee fund). 6h. Comments: Page 7 �f 1Q PCN F�rm -- ilersi�� 1.3 Decemb�r 1�, 2aQ� iier�ior� E. Stormwater Management and Diffuse Fiow Plan (require� by C�WQ) 1. Diffuse Flow Plan 1 a. Does the project include or is it adjacent ta protected riparian b�ff�rs identified ���� ��� within one of the N� Riparian BufFer Prntec�ion Rules? 1 b. if yes, then is a diffuse flaw plan included? If n�, exp(ain �hy. � ��� � � �omments: 2. Stormwater Mana ement P1an 2a. What is the overali perc�nt imperviausness of this project? % 2b. L�aes this project require a Stc�rmwater Managemenf Plan? Q Ye� � o 2c. If this praject DCJES NaT require a Stormwater Management F'lar�, expl�in why: �isturbing less �han �1 �cre 2d. If this project DCJE� require a Stormwater Managem�nt Plan, then pro�ide a brief, narra�ive des�riptior� �� the plar�: � �ertifi�d Lo��l (�QVernrr�er�� 2e. Wha will be responsible far the review of the Starmwater Management Pl�n? ❑ DWQ �tarmvvat�r F'rogr��ni � �WQ 4U1 Unit 3. Certified Local Government Stormwa#er Review 3a. In which local government's jurisdiction is this project? [� Phas� II 3b. Which qf the followin locall -im Iemented stormwater r�ana em�nfi ro rams ���� g Y � � � � [�j USM� apply (check a11 �hat apply): � W�fier Supply VV�ter�hed �j C�ther: 3c. H�s the approved �tormwater Management Plan with proof af �pproval been � l'es ��lo attached? 4. DWQ Stormwater Pro ram Review 0 Coas�al co�ar�ties � HQW 4a. Which of the fc�llowing state-implem�ented starmwater manag�ment programs apply ��� (check all that applY): ��e�sic�r� Law 2��6�2�6 � Qth�r: 4b. Has fihe approved Stormwater Management Plan with proof o�F approval bee� attached? � ��s � � 5. DWQ 401 Unit Stormwater Review 5a. Does the Stc�rmwater Management P1an meet the appropriat� requirements? ���s ��o 5b. Have all of the 4�1 Ur�it submittal requirements been met? ���� ❑� Page $ of 10 PCN F�rm -- Versian 1.3 C�ecember 1�, 2�08 Versi�n F. Supplementary �Informatian 1. Environmental Dc�cumentatian (DWQ Requirement) 1 a. ��es the project involve an ex�enditure of public (federal/stat�/local) funds or �he ���� ��� use of public �federallstate} land? 1 b. if you answered "yes" to the above, dc�es the project requir� preparation of ar� environmental document pursuant to the requirements t�f the Nati�nal or State [� �es �� (Norkh Carolina) Envirc�nmental Policy Act (NEPA/SEPA}? � c. If you answered "yes" to the above, has the document review been finalized by the Sfiate Clearing House? {If so, attach a copy of the NEPA or S�P,� final �pproval Ietter.} C] �'�� � � Comments: 2. Violations (DWQ �tequirement) 2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 21� .0500), IsQlated Wetland F�ules (15A NCAC 2N .13OQ}, DWQ Surface V�fater or Wetland Standard�, ❑��� �� or Riparian Buffer Rules (15A NCAC 2B .0200}'? 2b. Is this an after-the-fact permit application? ��'�� ��� 2c. If yau answered "yes" to one or bc�th of the above �uestians, provide an explanation �f the vialat�an{s}: 3. Cumulative Impa�cts (DWQ Requirement) 3a. Will this project (based on past and reasonably anticipated future �mpa��s) result ir� �,�� �� additional develo ment which cauld im act nearb downstre�m water ualit ? � � p � � Y q Y 3b. If you answered "yes" to the above, submit a qualitative or qu�ntit�tive curnuiative impact analy�i� ir� �cc�ard��ce �rith �h� most recent DWQ policy. If you answered "r�o," pravide a shor� narrative descripti�n. 4. Sewage Disposal (DWQ Requirement) 4a. Clearly detail the ultimate treatment methods and disposition (non�discharge or discharge} a�f wa�tewater ge►�er�t�d fro� the proposed project, or available capacity of the subject facility. N/A Page � c�f 1 {J F��N F�rm -- Version 1.3 IDecember i�, �2�a8 i/�r�i�r� 5. Endangered Species and Designated Critical Habitat (Corps Requ�rement) 5a. Wifl this project occur in or near an area with feder�lly protect�d s�ecies or ��,�� ��� habitat? 5b. Have you checked with the USFWS concerning Endar�gered �pecies �c� ���� ��� impacts'? � Ral�igh 5c. If yes, ind icate the USFWS Field Office you ha�e cont�cted. � �►sheville 5d. What data sources did you use to determine whether your sit� wauld impact Endar�gered Speci�s Qr aesigr�ated C�ritic�! Habitat? GI� and visual observation. IJSFWS will be copied on this permit application. Requesting that the �orp� cc��rdir�at� with U�FW� regarding the NLEB. 6. Essential Fish Nabitat (Corps Requirement} 6a. Will this project oc�ur in or near an area designa�ed as essential fi�h habitat'? � Yes � iVc� 6b. UVhat data sources did you use to determine whether your sit� would impa�t Essen�ial �ish 4�abit�t'? WRC will comment 7. Historic or Prehistoric Gultural Resources (Corps Requir�me�t) 7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultura! preservation .�.�5 �� status e. . National Historic Trust desi nation or ro erties si nificant in � � ( � , � K� p 9 North Carolina history and archaeolagyj? 7b. What data sources did you use to determine whether your site would impact historic ar �rcheolt�gical resc�urce�� Project was reviewed by the OHE. See atfiached forms. 8. Flood Zone Designation {Corps Requirement) 8a. Vliill this project occur in a FEMA-designated 1�4-year floo�plain'? 0 Yes ��lo 8b. If yes, explain how project mee�s FEMA requirements: 8c. V1/hat source(s) did you use to make the floodplain determination? FRIS ,,,��� �����.. J. �Ieath Slaughter ��' �� 9/4�i1 � �; � � � � � ��° � A IicantlA ent's Printed Name Appiican�/Agent's �ig � re ���e �� � (Agent's si ature is valid only if �n authorizati letter fram the applicar�� is ravided.) F'ag� 10 c�f 1 � PCN F�rm — Ver�i�n '� ,3 Qec�mber 10, �0�8 �i�rsi�r�