20240160 Ver 1_More Info Received_20240202 (2)

Corps AID Number:
Example: SAW-2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
6. Future Project Plans
6a. Is this a phased project?*
O Yes O No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
This includes other separate and distant crossing for linear projects that require Department of the Army authorization but don't require pre -construction notification.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Q Wetlands Q Streams -tributaries O Buffers
O Open Waters O Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
"W." will be used in the table below to represent the word "wetland".
W1
2a1 Reason * (?)
Grading
2b. Impact type* (?)
P
2c. Type of W. *
mland Hardwood For-
2d. W. name*
Wetland A
2e. Forested *
Yes
2f. Type of
Jurisdicition*(?)
Corps
2g. Impact
area*
0.063
(acres)
W2
Workpad/Cans
T
Bottomland Hardwood For
Wetland A
Yes
:J
Corps
0.009
(acres)
Add
2g. Total Temporary Wetland Impact
0.009
2g. Total Permanent Wetland Impact
0.063

2g. Total Wetland Impact
0.072
2i. Comments:
See Appendix 1 - Impacts Map for approximate acreage.
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.
"S." will be used in the table below to represent the word "stream".
3a. Reason for impact* (?)
3b.lmpact
c. Type of impact*
3d. S. name*
3e. Stream
3f. Type of
3g. S. width*
3h. Impact
type*
F
Type*(?)
Jurisdiction"
length*
S1
Grading
Permanent -
Fill
S2 (UT-1 To UT-1
Intermittent
Both
2
70
Average (feet)
(linear feet)
sz
Grading
Permanent �
Fill
To UT-1
ff
Both
Average (feet)
(linear feet)
S3
Workpad/Causew
Temporary -
Workpad/Causewa
S2 (UT-1 To UT-1
Intermittent
Both
2
19
Average (feet)
(linear feet)
H
Workpad/CausewTemporary
Tworkpad/Causewa
S3 (UT-1 To UT-1
Intermittent
Both
1
13
Average (feet)
(linear feet)
Add another impact
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
3i. Total permanent stream impacts:
81
3i. Total temporary stream impacts:
32
3i. Total stream and ditch impacts:
113
3j. Comments:
See Appendix 1 - Impacts Map for approximate acreage.
E. Impact Justification and Mitigation
1. Avoidance and Minimization