20240435 Ver 1_More Info Received_20240325

D. Proposed Impacts Inventory
1. Impacts Summary
1 a. Where are the impacts associated with your project
(check all that apply):
0 Wetlands
El Buffers
El Pond Construction
0 Streams - tributaries
El Open Waters
2. Wetiand Impacts
If there are wetland impacts proposed on the site, complete this table for each wetland area impacted.
2a.
2al.
2b.
2c.
2d.
2e.
2f.
2g.
Site #*
Impact
Impact
Wetland Type*
Wetland Name*
Forested
Jurisdiction
Impact Area
Reason/Type*
Duration*
?*
Type*
(ac)*
W11
Fill (Incl.
Permanent
Headwater
W6
Yes
Both
0.24
Riprap)
Forest
W2
Road/
Permanent
Headwater
W8
Yes
Both
0.06
Driveway
Forest
Crossing
W3
Fill (Incl.
Permanent
Headwater
W3
Yes
Both
0.05
Riprap)
Forest
W4
Other
Permanent
Bottomland
W43
Yes
Both
0.30
Hardwood
Forest
W5
Other
Permanent
Headwater
W43
Yes
Both
0.17
Forest
Hand
Temporary
Bottomland
U-2 Crossing
Yes
Both
0.03
W6
Clearing
Hardwood
Forest
Hand
Temporary
Bottomland
U-3 Crossing
Yes
Both
0.02
W7
Clearing
Hardwood
Forest
Hand
Temporary
Bottomland
U-6 Crossing
Yes
Both
0.02
W8
Clearing
Hardwood
Forest
Hand
Temporary
Bottomland
U-7 Crossing
Yes
Both
0.03
W9
Clearing
Hardwood
Forest
W10
Hand
Temporary
Headwater
U-8 Crossing
Yes
Both
0.03
Clearing
Forest
Wil
Hand
Temporary
Headwater
U-9 Crossing
Yes
Both
0.02
Clearing
Forest
Hand
Temporary
Bottomland
U-12 Crossing
Yes
Both
0.02
W12
Clearing
Hardwood
Forest
Page 9 of 22 PCN Form Version 4.3- February 22, 2024

Hand
Temporary
Bottomland
U-13 Crossing
Yes
Both
0.16
W13
Clearing
Hardwood
Forest
Hand
Temporary
Bottomland
U-15 Crossing
Yes
Both
0.03
W14
Clearing
Hardwood
Forest
Hand
Temporary
Bottomland
U-16 Crossing
Yes
Both
0.001
W15
Clearing
Hardwood
Forest
2g 1.
Total temporary wetland impacts
0.37 ac
2g2.
Total permanent wetland impacts
0.82 ac
2g3.
Total wetland impacts
1.19 ac
2h.
Type(s) of material being discharged and the amount of each type in cubic yards:
Click to enter text.
2i.
Comments:
Click to enter text.
Page 10 of 22 PCN Form Version 4.3- February 22, 2024