20160714 Ver 1_401 Application_20160716

PAID
2016071
® North Carolina Wildlife Resources Commission
Gordon Myers, Executive Director
July 15, 2016
NC DWR, 401 & Buffer Permitting Unit
512 North Salisbury Street
Raleigh, NC 27604
RE. PCN for RGP 125 & 56, Hancock Creek BAA Renovation, Craven County
Dear Sir or Madam
The North Carolina Wildlife Resources Commission, in partnership with the National Forest
Service — Croatan National Forest, is submitting a PCN for RGP 125 and 56 for renovation of Hancock
Creek Boating Access Area in Craven County on Hancock Creek. This project will need both a 401
Water Quality Certification and a Neuse River Buffer Authorization
This project has completed the NEPA Categorical Exclusion process and will not have a CAMA
Permit issued It is simultaneously going through DCM's Federal Consistency Determination process.
Enclosed are the site plans, PCN application, Agent Authorization letter, Categorical Exclusion,
proof of electronic payment, and additional location data map.
If you need additional information to complete your review, please contact me at
sara.sherman(cDncwildlife org or 919-707-0164
Sincerely,
Sara Sherman
Project Engineer
SS
Enclosures
PJUL
2 12016
'T
Mailing Address: N.C. Wildlife Resources Commission • 1720 Mail Service Center • Raleigh NC 27699-1701
Telephone: [phone]

OCP RP DOCUMENT PAYMENT GENERAL INFORMATION DPG
NEXT FUNCTION: ACTION: _ HISTORY: _ 07/07/2016 14:58:17
BROWSE:
-------------------------------------------------------------------------------
PRY ENTITY 17PT VEND/ENP N6R: 566000372 40
VEND/EMP SHORT NAME: DEO DOCUMENT HBR: HRNCOCK/062716
DOCUMENT DATE : 06/27/2016 PAYMENT IJBR: 001 PP.TL P1'I•IT NBR: 000
IND AMOUNT
SALES TAH/VAT VAT INCLUSIVE N
SALES TRH 2 EXPENSE IND
SALES TRX 3 GL EFFECTIVE DATE: 07;'06/2016
FREIGHT EXTRACT DATE
ADDITIONAL COST ACCRUAL CRNC DATE:
GROSS INVOICE a 240.00 CURRENCY CODE
PRYME14T AMOUNT 240.00 DISCOUNT TYPE NOT TAY.EN
AMOUNT PAID 240.00 DISCOUNT TAKEN .00
PRYMENT STATUS PAID
PAYMENT TERI-IS NET PRY IMMEDIATELY PRYMEI•IT REF NBP. 0000085194
PAYMENT DATE 07;06;'2016 PAYMENT TYPE ELECTRONIC
PAYMENT ROUTE CD HANDLING CODE
FACTOR, NUMBER. 01 -IE I1IVC PER P'!I•IT: YES
REASON CODE/DESC BAI•IK ACCT PYNT CD: ]GO
PIl' a 06/023

Office Use Only:
Corps action ID no.
DWQ project no. '
Form Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A. Applicant Information
I.' Processing
1 a. Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number: RGP 125 & RGP 56
1 c. Has the NWP or GP number been verified by the Corps?
❑ Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
0 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express 0 Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑X No
For the record only for Corps Permit -
❑ Yes No
1 f. Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes 0 No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
0 Yes ❑ No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑X Yes ❑ No
2. Project Information
2a. Name of project:
Hancock Creek Boating Access Area (aka Cahooque Creek)
2b. County:
Craven
2c. Nearest municipality / town:
Havelock
N/A
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state project no:
N/A
3. Owner Information ML 2 2016
3a. Name(s) on Recorded Deed:
I United States Government
370-108 401 & BUFFER PERMITTING
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
Croatan National Forest Ranger Station, 141 East Fisher Ave
3e. City, state, zip:
New Bern, NC 28560
3f. Telephone no.:
252-638-5628
3g. Fax no.: [e-mail]
252-637-9113
3h. Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
❑X Agent ❑ Other, specify:
4b. Name:
Sara Sherman
4c. Business name
(if applicable):
NC Wildlife Resources Commission
4d. Street address:
1720 Mail Service Center
4e. City, state, zip:
Raleigh, NC 27699
4f. Telephone no.:
919-707-0164
4g. Fax no.:
919-707-0162
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
N/A
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
5-005-001
1 b. Site coordinates (in decimal degrees):
Latitude: 34.917493 Longitude: -76.853152
1c. Property size:
7,846.014 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Hancock Creek
2b. Water Quality Classification of nearest receiving water:
SC; Sw; NSW
2c. River basin:
Neuse
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
This is an existing public boating access area located within Croatan National Forest The site includes a gravel parking lot, a single -lane concrete
boat ramp, a wood fixed dock that is used by both boaters and fishers/crabbers, and a restroom building. The area is surrounded by woods and is
accessed by a gravel road.
3b. List the total estimated acreage of all existing wetlands on the property:
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project:
see attached.
3e. Describe the overall project in detail, including the type of equipment to be used:
see attached.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (includingall prior phases)in the past?
[] Yes ❑ No Q Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
El Preliminary Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
4d. if yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ❑ No ❑X Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑X No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ❑X Streams — tributaries ❑X Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 -
Choose one
Choose one
Yes/No
-
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
-
VV4 -
Choose one
Choose one
Yes/No
-
W5 -
Choose one
Choose one
Yes/No
-
W6 -
Choose one
Choose one
Yes/No
-
2g. Total Wetland Impacts:
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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 T
Excavation
Hancock Creek
PER
Corps
900
23
S2 P
Fill - Boat Ramp
Hancock Creek
PER
Corps
900
23
S3 -
Choose one
S4 -
Choose one
S5 -
Choose one
S6 -
Choose one
3h. Total stream and tributary impacts
23
3i. Comments:
S1 Excavation includes removal of all ramp structure, no dredging is proposed. S1 and S2 overlap the same shoreline location.
Page 4 of 10
PCN Form —Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water Impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑X Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number—
Permanent (P) or
Temporary
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
B1 P
Ramp
Hancock Creek
No
1,200
530
B2 T
construction footprint
Hancock Creek
No
600
230
B3 T
construction footprint
Hancock Creek
No
1,520
760
B4 -
Yes/No
B5 -
Yes/No'
B6 -
Yes/No
6h. Total Buffer Impacts:
4,840
6i. Comments: All Neuse River Buffer impacts are for water -dependent construction.
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Only water dependent structures are proposed within the Neuse River Buffer. The same developed creek access footprint is being reused for the new
ramp and pier instead of creating a new impact footprint elsewhere on the shoreline.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The ramp will be constructed by pouring a concrete slab on level high ground. The ramp rock base will be built on -grade. Then the ramp concrete slab
will be pushed into place into the water using a bulldozer. No live concrete will come into contact with the creek. A turbidity curtain will be used during
ramp demolition and construction Silt fence will be installed around new development perimeters.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes Q No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
11 Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete If Making a Payment to In -lieu Fee 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:
Choose one
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. Comments:
5. Complete If Using a Permittee Responsible Mitigation Plan,
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ❑ No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑X Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Minimal impact for ramp and fishing pier only.
❑ Yes Q No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
1 %
2b. Does this project require a Stormwater Management Plan?
❑ Yes No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
This project is not adding 10,000 square feet of impervious surfaces.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which localgovernment's jurisdiction is thisproject?
❑ Phase II
❑X NSW
3b. Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWQ Stormwater Program Review
Coastal counties
❑HQW
4a. Which of the following state -implemented stormwater management programs apply❑ORW
(check all that apply):
]Session Law 2006-246
❑Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
[] Yes ❑ No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form —Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
Yes
❑ No
use of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
OX Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (if so, attach a copy of the NEPA or SEPA final approval
Q Yes
❑ No
letter.) Completed NEPA Categorical Exclusion attached. Project is concurrently going
Comments: through NCDCM's CAMA Federal Consistency Determination process.
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
O Yes
OX No
or Riparian Buffer Rules (15A NCAC 26.0200)?
2b.
Is this an after -the -fact permit application?
❑Yes
Q No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past and reasonably anticipated future impacts) result in
0 Yes
Q No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposedproject, or available capacity of the subject facility.
N/A. Restroom building on site is vault.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
0 Yes ❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑x No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
National Forests biologist determined resources were not present during NEPA Categorical Exclusion process. USFWS online database for Raleigh
Field Office -Craven County indicates some are listed in the County. However, project is not expected to adversely impact.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA - not a marine habitat
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ YesX❑ No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
National Forest staff determined resources were not present during NEPA Categorical Exclusion process.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑X Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
comply with local floodplain ordiance
8c. What source(s) did you use to make the floodplain determination?
ncfloodmaps.com
NCWRC/Sara Sherman
i 5 f aol to
Applicant/Agent's Printed Name
plicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization
letter from the applicant isprovided.)
Page 10 of 10

Hancock Creek BAA PCN attachment
B.3b
Unknown
B.3c
Unknown
B.3d
The purpose of this project is to renovate and improve public boating and fishing access at Hancock
Creek Boating Access Area. This site is a joint USNFS-NCWRC partnership site operated within Croatan
National Forest. Hancock Creek provides direct access into the Neuse River.
The existing ramp is at a more gentle slope than current design standards and users have problems
launching and recovering boats. The signed ADA parking space and path are not truly compliant with
current ADA standards. The fixed dock is currently being used by both boaters during launch/retrieve
and by anglers and crabbers as a public fishing dock so there are conflicts between the user groups.
There are no designated single -car parking spaces in the parking lot. During peak demand times, added
parking capacity would be beneficial as users park along the gravel driveway.
The proposed renovation would improve public access by addressing the current deficiencies. The new
boat ramp would have slope and geometry that meet current design standards to assist launching and
recovery of boats. The renovated parking lot would have ADA parking and sidewalks that are fully -
compliant. The renovation includes a floating dock to assist boaters and a separate fixed pier fishing
platform for anglers and crabbers to separate the user groups. The proposed site plan includes a new
row of single car parking spaces. The proposed site plan includes an additional row of trailer parking
spaces to increase capacity.
NCWRC requests written authorization for an 8' -wide floating dock with the boat ramp. NCWRC
proposes the 8' -width to assist users of all capabilities (including those with disabilities and limited
mobility for any other reason) and because that width is necessary to assist users loading equipment,
gear, and small boats such as kayaks at the facility. NCWRC has found that docks narrower than 8' in
width have potential to be unstable and therefore unsafe for the public.
B.3e
This project will include demolition of the old ramp and fixed dock, construction of a new concrete
ramp, installation of a new floating dock, construction of a fixed pier fishing platform dock, construction
of new concrete ADA parking and sidewalks, maintenance grading of an existing gravel parking lot,
clearing of small wooded areas for expansion, and construction of additional parking to increase parking
capacity.
Equipment used for this project will include excavator, dump trucks, backhoe, bulldozer, barge, and
vibratory hammer.

USDA United States Forest National Forests in North Carolina 160A ziwcoa Street
Department of Service Asheville, NC 28801
- Agriculture 828-2574200
FAX: [phone]
File Code: 2630
Date: July 13, 2016
Sara J. Sherman
Facility Construction Engineer
North Carolina Wildlife Resources Commission
1729 Mail Service Center
Raleigh, NC 27699-1720
Dear Ms. Sherman:
The North Carolina Wildlife Resources Commission is authorized, for the purposes of enhancing
an existing boating and fishing access area on Hancock Creek, to obtain required permits for the
U.S. Forest Service property at and adjacent to the existing Cahooque Creek Boating Access
Area (a.k.a. Hancock Creek Public Fishing Access).
The National Forests in North Carolina requires that all permit applications be reviewed by
Forest Service personnel prior to submission, and that they be copied on any permits received for
this project. Please send all permit applications for review and subsequent permits to Sheryl
Bryan, Forest Fisheries and Wildlife Biologist, who can be reached at 828-257-4271 or
sbD anOfs.fed.us.
This authorization will expire on December 31, 2016.
Sincerely,
HURSTON A. NICHOLAS
Forest Supervisor
cc: Sheryl Bryan, Brady Dodd, Barry Jones
95 Caring for the Land and Serving People Premed on Rccyckd Pape Co

I
EASTERN ZONE
CATEGORICAL EXCLUSION IDT REVIEW CHECKLIST
(For Projects Not Requiring a Decision Memo)
For a proposed action that fits an excluded category that does not require a project or case file and decision memo (FSH
1909 15 32 1), this form summarizes the results of an IDT review of the activity and serves to verify completion of the analysis
required to identify extraordinary circumstances, as defined in FSH 1909.15.31.2, that would preclude the use of the categorical
exclusion
Name of Project: Cahooque Creek Boating Access Area Maintenance and Improvement (note:
this site is referred to as the Hancock Creek Boating Access Area by the NCWRQ
Ranger District: Croatan
County: Carteret
Date: May 15, 2016
LRMP Management Area:
Categorical Exclusion: 32.15 (5): Repair and maintenance of recreation sites and facilities
Description of Project: See attached draft NCWRC plans. Specific activities summarized as:
maintenance of existing parking areas along the road and within the facility; addition of
approximately 8 trailer parking spaces to the south/west side of the facility; improve ADA
parking; repair of existing boat ramp and courtesy dock; improve existing fixed dock
Scoping: District please insert scoping history here.
Review of Extraordinary Circumstances
The following resource conditions have been reviewed by specialists to determine whether extraordinary circumstances related
to a proposed action warrant further analysis and documentation in an EA or an EIS (FSH 1909 15 31 2) The mere presence of
one or more of these resource conditions does not preclude use of a categorical exclusion (CE) It is the existence of a cause -
effect relationship between a proposed action and the potential effect on these resource conditions and if such a relationship
exists, the degree of the potential effect of a proposed action on these resource conditions that determine whether
extraordinary circumstances exist (36 CFR 220.6(b))
Specialists responsible for review of each resource condition will mark the condition as not
applicable, resource not present, resource present -no effect, or resource present -possible
effects and sign in the following table or provide an email to be filed in the project folder.
Resource
Resource Condition
Specialist Signature/Date
Wildlife. Federally listed
/s/SX.,ylA, &yar
threatened or endangered
Resource not present.
field verified by L. Stroup and
Fisheries and Wildlife Biologist
species or designated
S.Bryan 02/24/16
National Forests in North Carolina
critical habitat
Fisheries Federally listed
/s/ S/wlf� Bran
threatened or endangered
Resource not present
Fisheries and Wildlife Biologist
species or designated
field verified by L Stroup and
National Forests in North Carolina
S Bryan 02/24/16
critical habitat

Resource
Resource Condition
Specialist Signature/Date
Botany- Federally listed
No
/s/ ccirU Kau f fvitavL
threatened or endangered
Resource not present. NCNHP
Botanist/Ecologist
species or designated
data verified by G Kauffman
National Forests in North Carolina
Other: engineering
05/15/16
critical habitat
Floodplains, wetlands, or
Small wetland present, but not
/s/ YX-'-'q . Baru
municipal watersheds
in areas proposed for treatment.
Fisheries and Wildlife Biologist
field verified by L.Stroup and
National Forests in North Carolina
S.Bryan 02/24/16
Congressionally
designated areas
(wilderness areas,
Resource not present: not
w
wilderness study areas, or
applicable to this project
national recreation areas)
Inventoried roadless areas
Resource not present. not
applicable to this project
Research natural areas
Resource not present. not
applicable to this project
Archaeological sites,
historical properties, or
Resource not present field
Not available for signature
American Indian cultural
verified by J Hardison 01/16
See attached emails
sites (SHPO)
Other Resource Review
Other resource specialist may be asked to review the project for any concerns beyond the
extraordinary circumstances listed in FSH 1909.15.31.2. Use the following table to document
any additional reviews. After determining there are no concerns, Specialist will sign this
document or provide an email to be filed in the project folder.
Resource
Review Needed?
Specialist Signature/Date
Silviculture
No
Recreation
Fuels
No
Other: engineering

Additional Comments or Mitigations: The NCWRC has funded the design and will fund the
implementation of this project. The NCWRC will be responsible for all permits required for
implementation of this project. The FS is responsible for site/plan approval and NEPA
documentation.
Prepared by:
(Project Leader) Signature/Title/Date
Approved by:
(Responsible C

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