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HomeMy WebLinkAbout20151329 Ver 1_Application_20151218..x�a � i � ' K I�� � : ���� • T�y��:Y• �d�� 4�p�� _ V � �I �ra�� i �` • t G7�. ' . . _i� n �, ... \ 939 \ . . _ ,� . � _ .. _ �����Spae� )�-: � ��� �� �� ;5,� . G B �' . _ j . \ )II\\��, V ° ! � � T � � `\ `< .. "m t i �"� ' �� vt, SC' & . �s.. � � t ��.y���� :. < ±' , !. ._. . � � ���� PROJECT NUMBER • 11B 200311 STRUCTURE NUMBER: C300 ROAD NUMBER: SR 1172 COUNTY: ALLEGHANY STREAM NAME: BLEDSOE CREEK STREAM CLASSIFICATION: CLASS C•TR. STREAM WIDTH: 14' WIDE SHEET: 1 OF 1 DATE: 12/17/2015 EC DRAWN BY: D. A WpYNE # 244 � � `�� ; 20' r`� I E� .i ,:, 3 } � ; t ,� � � . i+,� ,; ;. � ; � � � � ' \ � i ' : i r , � ;� E C PLAN ,' ( . i . ,��- ; ; F� i ,5��� S�,U�d s to L�e 1 ^ wr"n � �FNeec� � , �� , 0 � �3 S c �6 � �rti+ �'V \ F� V :-',�:- f �_ e i's � , � � � .� � � '� rd t��� i� ����i . � # � # __ .. . - - �°-. ,:�, - �, � • �t � �- - •. � , _ _ ,if 1:: � - - ::�' i1� • - , � ,- ''- � _ - �� -,� . ; � i ,� � � ! � . � � '- �' , ' � � , � ; ,. � � ::..� • .:. � i.. � �� ':.� ��• � �` ��:� �.�. � ��� , �� i :i ��. * ��., :: i " . �/ ►. ��� Th� NC Department of Transpartation is e�periencing bank ��asi�n behind the headwall �f tl�e subj ect culvert �oca�ed in Sparta. �epairs need to be made be�ore �e �as� more �� the shoulde�° or part of a travel lan�. We are prc�posing to redeposit soil Inta ihe eroded hol� and plaie the face of the fill �vith �lass II stone. Total d�star�ce of ar�nor plating will be appr�ximately 2� linear feet along �3ledsoe �reek {�lass: �; Trout). This vvill all�w us to reestablish our shoulder and stop th� ong�ing erosian problem. The proposed activity wlll require temporary dewatering. An irnper�iaus sandbag dike will be cQnstructed to isolate the constructic�n area. �ny dirty water loca�ed inside of the canstruction area will be pumped into a silt bag if necessary_ Precanstruction s�reambed elevations will be restored once the v�ork is complete. Dewate�ing impacts wi11 total 4� linear feei. This prc�j ect was reviewed for the presence of t�reatened and endangered species. There are bog �urtles in the general area but the proj ect is very lim�ted in s�ope and wlll have no effec� on any federally listed endangered plant or animal species. No tree c�.tting is needed �o make �he repa�rs. I�i�toric compliance wor� is unr�e�essary due to the scope of . the �epa�r. T�e proj ect impacts are not signlf cant in nature and should improve �va�e� quality b� eliminating the ongoing erosion Issue. Downstream water quality sta.�dards wi11 be protected by util�zing apprc�priate BR�IPs during construction. �'��th��g �c��par�es 5...�..._ State af North Caroiina j Department of Transportation ( Division Eieven 801 Statesville Road j PO Box 250 � North VVilkesbora, NC 28659-0250 336 66� 911 I T �� � �� �. ���� �� ���� �������.��� � � �� � ����� � �� � �� �. � � �.�°�� t� c� ��. � �. �.� c��c���°�. s � � ' � � _� ' � - - : � - _. . ,, • � �: .: .: � . � � s �: �' �, : :� � � �� . :# � �-. �: � �� � , � ., 'a'. ,/ �' � , . r: � .. � ' " .:. � , ��.: �.... � � �`. � ..:� � � �. ��� � .�i ! � # •. � ,. f �, � � � �' � � � � �: � t � j � , ` � # j � , � � ' �" ' l''/ l / �t ' � f ' � 1 !' , �' 1 '1 . ! � ` f f'; � i . i! � i� i `_ ' ! ' • i .. i _ : i � . � i .I �, � .. • � :., � �. L ! ♦ � .� � � .. � .. ..� � i � �.. `� :. : "� �' i �_ � s��� � ,. � �_ .. fr f ... � .. r- '. �ed.t�l ���.Llg�lte�' I)ivis�c�n ��viro �nt�.I �fficer ce e ��Iarla Ch�.mb�rs, NC��R� 1��n� Chapman, I��v�si�n c�f Wa�er Qualit� {2 �api�s} i��Iike Pet�yj oh�, PE, D��ision �nglneer David �Uayne, PE, Bridge 11�Iaintenance Engineer �Ieath Slaugh�er, �ivision Environmenta� Officer Zack Souther, Roadside Environmental Field �perations Techn�eian ��G� ��E' ��1��: ���pS �C�It}� 4� ��, ���� pr°€���e� r��. ��rrr� �/er�i�r� � .3 �e� 1 � Z�C�� � � $ � �m .�. li���� I�f�����i�r� � � �r�������g � a. Type{�} �� �ppr�val s�ug�t �r�� �h� � i �c�i�n 'I � �ermi� �r �: � e�t �r� 4�Q� P��r��f � � � � � 1 b. �p�cif� �ti�nwide �r�i� { VU�} ��mb�r: 3 or �eneral �r�it {�F�} n�r�ber: 1 �. �� th� �r r�ur�b�r be�r� ��ri�i�d by �h� ��rp�� ❑ ��� � � 1 d. ��p�{�} �f �ppr�v�l s��agh� frQn1 th� DVV� ��heck al� ���� �pp1y}: � A�O� a�er �alit� ��rtifica�i�� — e��lar ��r�-4�44 J�risd�ctie�r��l er��r�l ��rr�it � 401 VVater �u�li�y �er�if c��ion — Expres� [� F�iparian Su�fer Au�horiza�i�� 1�. 6s this r�oti�ca#ian solely �or �he record �or the rec�rd �nly far �UVQ 401 F�r �h� rec�rd or��y f�r C��ps �err�i�: because writt�n approva! is nc�t required? Cer#ification: � �es � �o ❑ �es � �o 1 f. Is payment int� a mitigation b�nk �r �r��lieu fee program proposed for mitigatio� ���s � No of impacts? If so, attach the acceptance �e�ter from mi�igatior� bank or in-lieu fee program. � g. [s the pro�ect located in any of NC's twenty coas#al coun�ies. If yes, answer 1 h ❑ Yes � No below. 1 h. Is the project I�cated �i�hin a NC DC� Area of Environmen�al Concern {AE�}? ❑ Yes � No 2. Project Information 2a. Name of project: Culver� #300 2b. County: Alleghany 2c. Nearest municipali#y / town: Sparta 2d. �ubdivision name: 2e. NCDOT only, T.I.P. or sta#e 11 B.200311 projec# no: 3. Owner Informatian 3a. Name{s} on Recarded Deed: NCDQT 3b. Deed� Book and Page No. 3c. Responsible Party (for LL� i f applicable}: 3d. Street address: 801 Statesville Road 3e. City, state, zip: North Wilkes�oro, NC 28�59 3f, Tefephone noo: 336-9�3-92�2 3g. Fax na.: 33�-�67-4549 3h. Email address: hslaughter��ncdo#.�ov Page 1 of 10 PCN Form — Version 1.3 December 10, 2008 Versio� . �i � � i i� r r r� 4�. ��p�i���� i�: � �g�r�� � �����, �p���fy: 4b. �r��: �. �s�r��� � ��� ��f ����i���i�}. , t���� �ddr���: ��. ����7 �����e� �i�. 4f. Telephor�e ��.: �g. Fa� ��.. 4h. �mai! add�e�s. . � �/ �� � � f r #i {�f �� 1�� 5�. �la�e: 5b. usiness narr�e {if applicable}. 5c, �treet addre��: 5d. City, s�ate, zip: 5e. Telephone no.: 5f. Fax nc�.: 5g. Emai1 addr�ss: Page 2 of 10 PCN Form — Version 1.3 December 10, 2008 Version H � � � . � ��� �. � � � �fl 1 � , �� � � � �1�1����1 �1 �i�, �� � � � �� � � }: �. i� ���r ir���� {i ��i I gr���}: L��t�ad�. 3�.5� 1 ��� i��dee - 81. � 24�74 �a�.t������} {-��.ag��at�} ��. ����erty Size: �.� ��reS . �� �t r 2�. �lame af r�e�r��t b�dy �� ���e� {s�rea�, ri�er, e��.} �� �ied��e ��ee�c pr�po��� prc�ject; 2b. Wa�e� C��ali�� �I��s�fic�ti�n a€ neare�� recei�i�g �rat�r: �; �"ro�� 2c. �iver basi�. �ew 3. �r�je�t C�es�r�p#i�n 3�. �3escribe th� �xisiing c�nditi�r�s on the site ar�d �he general lar�d �se ir� th� vicinity of �he pr�j�c� �� the �i�e c�f �hi� applicatian: �aved road �rrith grassed shoulders in an urban set�ing ai�ng a�C route. 3b. List the t�tal estirnated acreage �f all existing �retlands ar� the pr�perty: 0 acre� 3c. Lis� the tofial estimated linear feet af all existing streams {ir�terme�tent and perenr�ial} on the prop�rty: stream crossing 3d. �xp�ain �he p�rpose of ihe proposed project: � �tab�iize sh��ld�r 3e. Describe the overall project in detail, including the type c�f equipment �o be used: See attached cover letter. 4. Jurisdictional Determinatic�ns 4a. Have jurisdictior�al we#land or stream determina�i�ns by �he Corps ar State been requested or obtained for this property i praject (including all priar phases) in �he past? ❑��s � No � Unknown Comments: 4b. If the Corps made the jurisdictional determinatian, what �ype o# determination was made? � Preliminary ❑ Final 4c, if yes, who delineated the jurisdictional areas? Agency/Cons�ltant Company: Name (ifi known}: flther: 4d. If yes, list #he dates of the �orps jurisdictional determinations or State d�terminations and attach documentation. 5. Project History �a. Have permits or cer�ifications been requested or obtained for � Y�� � No ❑ tJnknown this project {including all prior phases) in the past? 5b. !f yes, explain in de#ail according to "help file" ins�ructians. G. Future Project Plans �a. Is this a phased project? � Yes � No �b. If yes, explain. Page 3 of 10 PCN Farm — Version 1.3 December 10, 2048 Version , r°�p���d � p ��� � ������r� 1. �r�p�c�� t�r�r�ar� � �. hi�� ����i�r�� er� �� p����d �e��� f�r y��r ���j��t {ch��� �I� �h�� ������� e�l��d� �r���� - �ri ��ar��� ��f��� p�r� ���r� �r�d ����r���i�r� 2. VVe��a�d Imp���� �f there are �e�iand ir�p�cts prapos�d gn ��e si#e, �her� �or�pl�t� t�is q�es�i�r� for �aci� uv�tla�d area imp�cted. 2�. 2b. 2c. 2d. 2�. 2�. �tl�r�d im�ac� �y�� of j�ri�dic�ior� n�rnber — T�p� �f ir�p�c� Type �� ����and F�re��ed ��orp� - 4�4, � 0 re� of im���� F��rmane�� �P} �r {i�f kr�av�r�� C� — non-444, oth�r} ���res} Tern ora `T i ���i � Ye� [� �orps � �o [� DW� � �es � Corps 2 ❑ P i` D ❑ i�o ❑ Wt� ❑ Yes ❑ �orp� 3 � � � � DW ❑ Nc� ❑ Q 0 Yes ❑ Cc�rps 11�J4 ❑ P ❑ T DW � No C] Q ❑ Yes Q corps VV5 � P� i N DW ❑ � ❑ � ❑ Yes ❑ Gorps 1i�1� ❑ P❑ T N DW ❑ o ❑ � 2g, Total wetland impacts 2h. Comments: 3. Stream impacts If there are perennial or intermit�en� stream impacts (including te�nporary impacts) proposed on �he site, then complete thi� question for all stream sites impac�ed. 3a. 3b. 3c. 3d. 3e. 3f. 3g. Stream impact Type of impact S�ream name Perennial Type of jurisdiction Average Impact number - (PER) or {Corps - 404, 10 stream iength Permanent {P} or intermittent DWQ — non-4�4, width (linear Temporary (T) {INT}? ather} (feet) feet) Riprap & � PER � Corps S�� P� T Dewaterin B��dsoe Creek ��T D� � 10 �Q � � � Q ❑ PER ❑ Corps S2 ❑ P❑ T I�IT DW ❑ ❑ � � PER ❑ Corps �� � � � T INT DW � ❑ � ❑ PER ❑ Corps S4 ❑ P❑ T 1 NT DW ❑ ❑ � � PER ❑ Corps S5 [� P 0 T INT � DW ❑ ❑ Q ❑ PER Q Corps S6 0 P❑ T I NT aW ❑ ❑ � 3h..Total siream and tributary impacts �0 3i. Comments: 40 linear feet of the impacts are tempc�rary dewatering, 2� feet riprap Page 4 af 1 Q PCN Form — Version 1.3 December � Q, 2008 �lersion _ � r � �� �� ���r� �r� pI �p���d ��p���� �� �����, p��d�, �����r���, ���lsJ�6�r� �, �7��� �, 6i :� ��I���i� ����, �r �y ��� r � �� ���r � ��e , . �I�er� ��d��id�a��y �i�� �I� �p�� ���r i�p�c�� b����. 4�, 4��, 4�a �� II . p�r� ���r ar�� � a��rb�dy ��p��fi ��r�b�r — �i� pli� bl�� T� � � �� ���r � � �� r f � p �� { �r��} �r���er�� { } �r Tem �ra � C)1 � P � �i �2 �F'Q� C�3 � P��' �� (� P[�� f, T�i�1 �pe� �a���° i �a��s 4g. �ommenis. a �nd ar l�ak� on��r�ctic� �f ond or lake ��r�s�r�c�ic�r� �� �sed, �h�r� c�m let� �h� �har� b�Iow. 5ae �b. 5c. 5d. �e. l�Je�iand Imp��ts {acr�s} �tream Impa�i� {f�et} �pland i'ond 1D Prc�posed use or purpose {acres} number of pond Flooded Filled Excavated Flc�oded Filled Excavated Flooded P1 PZ 5f. Total �g. Commen��: NIA 5h. Is a dam high hazard permit required? ❑ Yes � Na If yes, permit ID no: 5i. Expected pond surface area {acres}: 5j. Size of pand wa�ershed (acres}: 5k. Method of construction: f. Buffer Impacts {for DWQ} If project wili impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts below. If an impacts require miti ation, then ou MUST fill aut Section D�f this farrn. Ga. ❑ Neuse ❑ Tar-Pamlico ❑ Other: Project is in which protected basin? ❑ Catawba � Randleman �b. �c. �d. 6e. Gf. 6g. Buffer impact number — Reason Buffer �one 1 impact Zone 2 impac# Permanen� �P} or for Stream name r�i�igation (sq�are feet} (square feet} Tem ora T im act re �ir�d? ❑ Yes B1 ❑P❑T No ❑ 0 Yes B2 ❑P❑T No � C� Yes B3 ❑ P 0 T No ❑ 6h. Tatal buffer impacts 6i. Comments: Page 5 of 1 � PCN Form — Version 1.3 December 10, 2Q08 Version � I � �� i� ti i�i �ti s i � � i �� � �. �pe�ifi�a�ly de����b� r�e��car�� �ak�r� �� ����d �� ���i���� �h� pr�p���d ir������ �� ����g�i�g p��j�c�. ripr�p ���g�� i� the r����r�c�r� ��eded. � b. �p�c�f����y de��rib� r�����re� ��ke� �� ����d �r ��r�i�iz� �h� �r�p�s�d ir������ �h���c�� ��r���������r� ���hr�iq���, �i� �ppr�pr�at� ��1�� �il� b� �s�d durir�g cc�r�str�c�i�� � �a ���14/LY■ 9����s Y ����Lr[M��iB� ��� �dR i�M��� �� O i �.����� V� ��� ���0 7�R� �bS�M�� M� ��� ��Vl�� � d 1d 2�. ��e� �he pr�jec� requi�e �4�nper�sa��ry �itig��io� f�r � �'es � �� im�ac�s t� a�ers of th� ..�r aiers �f ��� �ta�e? 2b. If yes, m�t�ga�i�on is r�quir�d by (check a11 tha� app1Y}: �VV� ��orp� � itig�t�o� bank 2c. If yes, which �itiga� i�� �ption vvill be used f�r thi� ro'ec�? ❑ Payrr���� �� i�-�i�� f�� pr�gra � 1 ` ❑ Perr�nitt�e Re�p�nsible li�itigatior� . ar�p��t� �f �ir�g � Mit�g�tian �r�k 3�. Name of Mitigati�n Bank: 3b. �redits Purch�sed (attach re�eipt �r�d I�t��r} �ype Quantity 3c. Commen�s: 4. Complete if Making a Payment to In-lieu F'ee Program 4a. Approval letter from in-lieu fee program is attached, ❑ Yes 4b. Stream mitigation requested. linear feet 4c. If using stream mitigation, stream temperature: 0 warrr� ❑ cool ❑cc�ld 4d. Buffer mitigation requested {DWQ only): square feet 4e. Riparian wetland mitigation requested: acres 4f. Non-riparian wetland mitigation requested: acres 4g. Coastal {tidal) wetland mitigation requested: acres 4h. Gomments: 5. Complete if Using a Permittee Responsible Mitigation P1an �a. If using a permittee responsible mitigation p1an, prc�vide a descripti�n of the proposed mitigation plan. Page b of 14 PCN Form — Version 1.3 December 14, 2008 Version � r ��i �i t t � � � � r� � � � � r � r� . il� ��� ������ �e���� �� r� � ���� i�h�r� pr�t����d �ip�ri�� b��e� ���� ��q�i�e� � �(�� � b�ff�� ���� ������ a �f y��, ���� �d���i �� �q��r� fi��� �f � �t �� �� ���� �� ��� �i �r��� �f��r th � �� ��r�� ��'i ��i��, ����I��� �h ����r�t �f �iti ��i�� ��q�ir� . �c. �d. �e, ��� e���r� ��� ir�pa�� �'�t�l i�p��� c�l�iplier eqcaired r�i�ig��i�� �squ�r� �fee�} {�q��re �ee�} ��r�e 1 3 {2 f�r ��ta�b�� ���� 2 1.5 �f. 1'�t�l b�ffer i#ig�ti�n ��q�ireda �g. #f buff�r mitiga�i�n is reguired, di�cuss �I�a� �ype of r�itiga�i�r� is pr�p�sed �e.g., p��ment t� priv�t� r�i�ig��i�� bank, permit�ee respo�sible rip�ria� buffer r�st�ratior�, p�yment ir�#o an �pprQved in-lieu f�e fund}. �h. ��rrnmer�ts: Page 7 of 14 PCN Form — Version 1.3 December 1Q, 2Q08 Version . t r � � r i � 1� i���� ��� ��� � �. ��e� �h� pr�j��� i��l�d� �r �� i� ��j���r�� �� �r����t�d ri��r��r� ���f��� id�r��ifi�d ��� �� �i�hir� ��� �f t�� �I� f�i �ri�r� �3c�f�er F�rc��ec�i�r� i������ � � � 1 b. �f yes, �her� i� � diff�se f�o�nr �lan incl�ded� �f r��, �xp�air� v�rhy- � ��� � o �or�m�n��: . t�r �t�r a � � �n� 1� 2�. VVh�# i� the �v���11 per��n� �rr�p�r�io�a�ness ��f th�� p����c�? °la 2b. C}ae� �his pr�je�� req�ire � ��c�rr��nr��er �ar�age�er�� �'���� [� Ye� � �i� 2c. If this projec� D�E� �(�T require a St�rmwa#er Managem�nt �lar�, explain �hy. Less than 1 acr�. 2d. If this project D��� r�quire a���rm�ater IVia�age�ent F'lar�, ther� pro�it�e a br�ef, n�rr�ti�e descripti�n of �he plar�: � Certified Local Governmen� 2e. V1Jho will be respansibl� for �i�e r�view of the Stc�rmwater �anagemen� Plan� � DWQ Stormwater Program ❑ DWQ 401 Uni� 3. Certified Lc�cal Government Stormwater Review 3a. In which locai governmen#'s jurisdiction is this project? ❑ Phase II 3b. Which of the followin locali -im lemented stormwater mana ement ro rarns ���� � y� � p g 0 USMP apply {check all that apply}: ❑ Water Supply Watershed � Other: 3c. Has the approved Starmwater Management Plan with praof of approval been [� Yes � No at�ached? 4. DWC� Stormwater Pro ram Review 0 Coas�al counties ❑ HQ1N 4a. Which of the following state-implemented stormwater management programs apply ���W {check all that apply): ❑ Session Law 2Q06-246 � Other: 4b. Has #he approved Stormwater Management Plan wi#h prQof of approval been at�ached? � Yes ❑ No 5. DW{,� 401 U n i� Sto rmwate r Review 5a. does the Stormwater Management Plan meet the appropriate requirements? ���S ��� 5b. Have all of the 401 Unit submittal requirements been met? ❑ Yes ❑ No Page 8 of 14 PCN Form — Version 1.3 December 10, 2008 Version . � r � � � �����r� ��t�� t���rr������i�� { �q��r� �r�t� � �. ��� �i�� � j��� i���l� � �� ��d���r� �� ����i� �f� � �1�����I������ f�� � �r t�� � �s� �� p�bli� {fe er��l�tate} land� ��. If yo� ar�s�rered "y��" t� �he �b�ve, does ��e prt�je�� req��r� prep�ra�i�r� �f �n environmental doc�men� pursuar�t to �he req�irement� o� �he i�a�ic�r�al �r S��te � Y�s �� ��or�h ��r�lir�a} �nvir�r�m�r���l �'olicy Ac# {N�PA1�E�'A}� 1�. If you �r�swered "yes" �c� ��e ab�ve, has t�� doc�a��r�� r�vie�rr ���� fir�a�i�ed by ��e �tate ��e��i�g I�o�s�� {�f s�, �tt�ch a �c�py of �he I��F�� �r ��F�A �r��l appro�al I����r,� � ��� � 1�� �ornm�n�s: . �o1�ti�ns � equir�men�} 2�. I� th� �i�e ir� vialatior� of �V1/C� 1l�e�land Rules {15A ���►� 2H .450Q}, �sc�lated Wetland Rules {15A i�CAC 2N .1300}, �Wf� Surfac� VVa#er �r i�ie�land Stanc��rds, 0�e� � No ar Riparian Eiuffer Rules {1 �A N�AG 2B .�ZOOj? 2b. �s this an afte�-th�-fact permit �pplica�ion? ❑ Y�s � I�o 2c. If you answered "yes" t� one or bo#h of the above ques�ions, provide an expla�atian of the violationts): 3o Cumulat�ve Impacts ��W{� Re�uiremen#� 3a. 1nlill this project {based on past and reasonably aniicipa�ed fu�ure impacts) result in ❑ Yes � Na add�t�onal development, which could impact nearby d�wnstream water quality? 3b. If you answered "yes" ta the above, submit a qua�itative or quantita�ive cumulative impact analysis ir� accordance with the most recen# DWQ policy. If yau answered "n�," prc�vide � shor� narra�ive description. 4. Sewage Disposal (DWQ Requirement} 4a. Clearly detail the ul�imate treatment methods and disposition �non-discharge ar discharge) af wastewater generated from the proposed project, c�r available capaGity of th� subject facility. NiA Page � af 10 PCN Form —�lersion 1.3 December 10, 2008 Version a � i � �i�� i i r � ��. V���� ���� pr�j��� ����� �r� �� ���r �� �r�� �'��� ��d�����y p�������d �p����� �� � ��� � �� h�b�#��� 5�. ���e y�� �h��k�� �i�� �h� l���V�� �����r���g ��d��g���� �p����� ��� ��� �I� irnpac�s'? � � ❑ �aleigF� 5�. I� ��s, ir�d ic��e �he �F �ie�d fific� y�� ha�� ��r�����ed. Q ��he�ill� 5d. h�t d�t� ��t�r��� did ��u ��� �� determ��� h�ther y��� �i�� ����d ��p��� Er�d�r�g�r�d �p��ie� �r ��igna#�d �r�ti�a� Habii�t? r �1S and vi�ual observa�ior� � ���r����l ��h �bit�� � �rps �qu�r� ��#� 6�,1li�ill this proj�c� �ccur ir� or near �� area designa�ed as es�enti�l �sh habi�a�? ❑ Ye� � h10 �b. 1/Vnat data sourc�s did y�� us� to determine v�rhe�her your site would impact Essential Fish Habi�at? UVRC will comm��� 7e Flistc�ric o� f�reh�stori� �ultural �esources {�orps F�eq�irer�ent) 7�. �il�ill �h�s pr�je�.� oc��r i� �� ���r �� area �h�� �h� �tat�, ����r�� �r t��b�� governments have designated as having histori� or cultural preservation ���� ��� status {e.g., Natiflnal Histori� Trust designation or properties signi�cant in �lorth Carolina history and archaeolagy}? 7b. What data sources did you use to determine whe�her your site uvould impact historic or archeological resources? Project sco�e. 8. Flood Zane Designation {Corps Requirement} 8a. Will this project occur in a FEMA-designa�ed 100-year floodplain? ❑ Yes �j No 8b. If yes, explain how project meets FEMA requirements: 8c. What source{s) did you use to make the floodplain determination? ncfloodmaps J, �-Ieath Slaughter � 12I� 8115 � A licant/A ent's Printed Name Rpplican�IAgen�' ignature Date p� g {Agent's s nature is valid only if an a arizatian letter fram the applicant is provided.) Page 10 af �Q PCN Form — Version 1.3 December 10, 2008 Versian