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HomeMy WebLinkAbout20160917 Ver 1_SR 1345 Application_20160914_ _ � - �_- � � � _ : , r, � � � s • • , � �. !. ' i � �' � �,. �' t '� � -� � : � �'' � � � � � ; � �'� . i: •:: . _ :�� #1� � � : � � �E'�'�`��"C,��'� S�b����s �at�����d� �����t # 1. 4 5�.13�5 ��. �. ��.���� �.o�.d� ����.�g� �����, ���h ��.�o����. ��t����� ������� 1 ����951�9 �I� ���°��t ���: ��40j �'�� i�� �pa�i ��t �f �'�°�.�spc�r��.t��� �s sch�d�l�d �� �r�.d�, c��°�.�n, �s� a.�d p�:v� � 1�45, . . u��an oad ir� �t�.�ga ��unty. Th� �sh� �oun� po�t�o� of this r��.d �a� p�r����ted and ���s�r�����d �� 20Q�. �'���:� p�°����� ������ �� � .23 �1�s b�.� �h��e ��1� �� �. ��.p��d ���t��� f�� . �__ � __i�� .___�_ �� � _� ��w_�_�������-r�����-��_�����__����_—. �����v��. r� . _ ._ � . _ . _�� . _ � �: o� _ r . _ _ 29-��5 — 52� 10 due to �n��ronm�ntal and r�ght-of-way l�mltat�ons. Imperv�oiis surf'ac� area w�11 __ �_�__ �__ y_�_ � incr�as� by abo�� C�.3 a�r��. �'h�s projec� ��11 req���� th� r�plac��ent c�f �o�r ��t pip�s as �ho�v� belo�v; �"1 e � a 1 If buried, these pipe slopes would exceed b% grade. As a result, we are not propos�n� to bury these p�pes slnce any � sh passage would be very unlikely and head cuts would b� probable. A rlp�ap pad will be plaeed in the streambed at the outlet of these pipes to reduce scour. The pipes at stat�ons 18�25 and 60+50 are already perched. The replacemeni of the above noted wet pipes wi11 require temparary de�vatering. An �mpervious sandbag dilce �v�ll be cans�ructed upstream of the existing p�pes to create a small pool. �lean water wi11 temporar�ly be pumped around the construction areas and will be discharged dov�ns�ream. Any dirt:� water located ins�de of th� construction areas �vi11 be pumped in�o a silt ���th�n� �om�a�es s.�._ State of North Carolina ( Department of Transportation ( Divisic�n Eleven 801 Statesvilie Road ( PO Bax 25Q � North Wilkesboro, NC 28659-0250 336 b61 911 I T � ��n ����� �������� � � ���, . e ����� �� � ,���� ����� ��� � 4, 2� � � �.� �� �������. g �� � � � � �s �.�°� �� ����, � � � � �c��� � �� i�� � �°� ��� �.� �������������� ����� � �����.��� � ��� � ������� . � � � = r � . � ; . �� � � � � � �� � 0 _ . � � �e � � � s � ���� �� � � � � � � ' � ` � � �` � #; � #" j' / � � ' � ' ,� � ` � i a, '� � ��: '� ` : � ... i ., , i � �-, . � ; i; � ' ;. i �.. _ � "� . S :� � . � ��. _� �� � :�. � ; ��: t i� '� � a i i i, "-: ' � i:. -� � � '� , . �: � , a _� ��� �. _ , s. �� ' �t ` ;,._, : . . �; � � �' � �.: t �.. �.. ._ � _�.. '� -: �. -` � - : : .� ��=�. . ::. , ., '�:, � . �,. �: i� `' .. � � � ��. � ��......, .� ��� � i�. � ,�� �..� i . i- ,...... � .. � , ,.:, ' � ' 4 � e i ,- a i �.. -, �" t ; � " "� � � : 'z � _ � � * : r. s ' �� �, - ,� � � � , .�.. a, '_.., , �:_ a. '� :. . � �,_ � s ' t, es, � � �._ ` ._� ` - ...... ` r _ s.. ....,. ��<. ; ,'a , . Y. �. ; ! � r� . ._ ' >� .. - . � # ' ` � � °; � '� `_ _. � '. !;1 ` ` �# :�_ s �s`` � i�, � ,. �; . `t` . -� i` ` : �. s � � ` � - ' � � a ; " # : � .. � ` :� s � �. � � `: a �. `�... _ s � �. t � ' � � ! � , ` ., � , ' � � ...., � i� _ � -�� � �.. ` � a: ��: ! � � � �', i �:. � .' � , �: � ' i'� � � �.. r i �.., -. g � � ' �, , ' �: s , ° .' ' f # 'i # # " # ". � �.• ,i-, s � � s ! � i � 's ` :� a' '! i` #ii '� : � ;= ; .! � •. � �i #' ` �`i.` � = # �. � , � �; �- �, � ..: � a, ia � �_ � ,a . a i �. � ;_ .:i.. s. �. _, i _. .,i , �.� � � �-�, � �_ �,. � a a: . T . � .� i�. i , �.. ... � :�... � :. , �� . . a , !, � .. . .� t , �. . � s .: r �. � ...... � � �� . ��: � .: �.: �� 4� � � � s ' i . s ! s i i' #; i ` `!: � '' . s ` � . ' s `:' i` i f' `!' i f. � - � i . `' . ` � s i!' �! s " i �s �' �� ! = ; i # `: 1 . ;. � y ` �< �, i� _ i _ � � , � � � , : ` , � � L i i � � � ! � _ � � � � i� � � : ' � ,. . s � � �, � i • � i f = ,� . • : .: i; ' i ' • ' ' '' � : •. � ` � ' i i ; • ` �, - / � t f `' # � a ! � # � i il � � ' i : � � � � _ � i i t; � ` � I � �' �' � • � � ! � ! �' � � � � � ` � � � * a � � � � � I �' . ! . � . .�� . ..� � ; �; _ . �. r � . ���� � '�. By copy of thls electron�c le�ier, �t �s requested iha� the Divislon of Water Resources, 4� 1/Wetlands Un�t, �ssue the appropriate per�nit far construction of th�s pro�ec�. It �s requested thai any comments related to the 40 �������a���� b� ����tr����a�ly forwarded dlrectly io me with a copy sent to the �i.�S Army �orps of Engineers. We vvould like to begin canstruc��on as saon as possible. If further Infor�nation �s requlred, please let me 1�nQv�. �our early rev�ew and cansidera�lon will be appreciated. Sincerel�, �eath Slaughte� Dlvision Environmenta� Of��er Enclasures ec: I1�Iarla �hambers, NC�►TRC Amy �hapman, I�ivision of Water Resc�urces � �n ����� ��������� � � ���, e a ����� ���, ���� �� �� �� � �, 2� � � ��� �. �� �., ������ �� ����` �5������ � �,�`����. � �l� , ���� � ��� �. ��, � 1��51� C�� ��� �`��� � ��� � � C� , �, ����1�1'� �������` � � �����, ����°��� ������° �vi� ��i����c��, �����y �.��i������ ��������° ��.��� �����, ��. s� � ���r� � ��.� �������° �.�k S� ���r, �� si � ���i�c�r� ����.� ��� ���.��� s �'�c ����. �� �_ _ � ` #: # s= . _ _ __.. w�_� ��n =. � � _F.�� �, _.. _.a_ r � _ w � � .� � �: y� .�� �, � � �.,_ � � . r � - , � .. � � � _ _ __ _.,._ _.1 :�» � � r� __ . ., ... � __ Y w _. _ . _ �._,. � � ., __1 � �. ,� _< _ �_,, _. ��_._,r__ - � . � _ : __._ , , . , w.� _, _. . , � t.._�. �� ��_ _ _. . . ��.__ _ t,.�� _. „� r�_,_.._� .,__..���z. r_w.�. � _ , � �1��`�, �� ���� � � ��`����, ���������' ��, ���� �s�� � q ���������`, �f�������� � � � ���"���Q ���SS� ; ���� � �� ��� � . � � ��: ��.�.3�� �� ���c�� ���� � ������ �� . , : .; ; , � r , _ : , , � # , � , , , � ,. � _ i �: ,, . � �- � � � . : � �► � # : - . . . . . s �. , � � � . .; � � ��� ��� ����� ��� ��� �� ���� �� ��� ���� ����x ��� ����� ����� � ��� ������� ���� ����� � ������ �������� ���� ���� �� �� ������� ����� ��z �� � ����� ������ �� ����� �� ��� �������� ��� ����������$ _ _ _ _ _ ____ __ _ _ _ _ _ __ ____ _ _ _ __ __ ___ _ _ _ __ ___ __ _ _ _ __ _ __ _ _ ___ ____ �r�r�� Sl���ht�r, .l�hn�th�r� F� S��t. V��dnesd�y, �une 15, ZQ1G 5:03 PI� `��� F�a��, �a�y ���� <���arr�?��d��.���� : . ��o Pilk�n�to�, �livia � <��pil�Ci��t�r��r�����.���>; Ki�by, �reg A <�kirb���c���.���r> Sub���g. �We SR1345 �N Ciuncan Road - Watauga Co ���� ���� ������� ���� ��������� From: Kirby, Greg 1� Se�t: Wednesday, J�r�e 15, 201� 5:01 P�1i To. Slaughter, Johnathan H <hsl�u�ht���r���Q�,��v> Cc: Pilkir�gton, Olivia L <c�l�i�kir��t�r��r�cc�ot.�c�v> S�bjecte SR1345 BH Duncan Road - Watauga Co Heath, After reviewing the ROW plans for BH Duncan.. we are N�Tproposing removir�g any existing buildir�gs frc�m the project, There is a barn shown at 21+5� rt ar�d last time I was up there it was gone and a taol shed at 29+60 rt{gapped sectior�} that has been maved back aff project by property ownersa �et me kr�ow if you need anymore info. �reg Kirby iranspor�atic�n Technician C�ivision 11 E�oo�e District �ffice : : .. .� � . - . � . � � �. � �� ���� ������ � �� �� �� �, �* . �� ��� � �� � r : � ����� ������ � � . � � � r. .� � � .� � � � y� � ���� �r����� r��. � � � � ,� �� �.�:� Jjfl ''r J �� . i{ `f f_ ..,- F�r� � r�i�� 1. �� � � � � � � � ��� � �i � a �������� � . �Cy��{�� �� � p� ��� ��� �� ��� �� ��C��; �Y� ,. �, �. �t �— � - � � �- .�1 � . , �_ . a �� �. � . p �� �� � i � r �� � } �� b r: � � ���� � �� �� � � �� �r; � �. �� �� � �� r � � ri�� y �� �� � � � � � . �`y e��� f r � � � �� f� �� ��h��� I� �� � �Y�� 1 ��� � �it� �r�if ��ti�� � g�l�r �r�- J��i� ���i�� � ��r � � �� � 4 � ���� ���it� ��if c��i�� -- �pr��� � �p�r��� � �� �����i������ 1�. �� �his r���ifica�i�� solely ��r th� ����rd F�r t�� r���r ���y ��r 01 ��r #�� r�� � ��� ��r �r � �r ��: b�c���e �ri��e� appro�al i� r��� req�ir�d? �er�if�atic��: � �es � Q ��s o 1�. �s p�yr��r�� ir�t� � mi�ig�ti�r� b�r�k �r i�-liec� �e� pr��r�r� pr�pa�ed f�r mi�iga�i�r� ���s �f ir�tpac�s? If s�, at��ch ��e �ccep�a��� let�er fr�m r�i�ig�iion bar�k �r in-iieu fee progr��. � . �� �h� ��'��t ��c�t� ��t r� �f '� � ��t� ����t�l ��t,��ti��. �� y��� �r����r 1 h � Y�� 9 � ! � belovu. . _ _ _ _ . . _ . .1 h, �s ihe project loc�ted vvithin � N� C�CIV1 �rea af ��viro�m�nfial Concern �AE�}'� [] �es 2. �roject Ir�formation 2a. �lar�e of projec�: �� 1345, �. �. �ur���r� �oad 2b. �ounty: i11la�auga 2c. l�earest municipality 1 town: Sutherlands 2d. Scabdivision name: Ze. Ri�DOT or�ly, T.I.P. or state 11 C.�9510� project no: 3. Owner Information 3a. �lame(s) on Recorded Deed: �i�D�7 3b. Deed Book and Page No. 3c. Respansible Par�y {for �LC i� applicable): 3d. Stree� address; 80� Sta�esviile Road 3e. City, state, zip: North VVilkesboro, �C 28�59 3f. Telephor�e no.: 33�-903-9202 3g. Fax no.: 33�-�67-4549 3h. Emai� address: hslaughter��ncdot.gov Page 1 af 10 PCN Form — Versian 1.3 �eeember 10, 2008 Version � � _ , � � � � � � ��i. � ����I 1� ��. ��� F� � ���0 g m�������. � � �� � � , s � � * u � y � � �, � �� � � � �� �I� � : � � � � � � � . �� � � � ; � i � , ���� ��6i��y �7 . 4�. ���� ��� � .: � � � 4�. ��� ��.: � 4�, r� i� �dd����: � r i i �� � 5�. ���n�: 5b, u������ � � {�� ��p�������j: 5�. ��r��� �dd����: ��. �i��; ��a��, ��p: 5e. ���e�ho�� r�c�.: 5f. F�� �c�.: 5g. �mai� addr���: Page 2 af 10 PCN Farm — Version 1.3 December 1�, 2QQ� Version s < i ` = ! � # #. # �_i ! s,.� � .� �� y• v � ; # � ` _ � � .a � �.f !_ . !u .. ,' , _ . #' �` `�" ` �� � .r � *� # � ��:-:� � ��. ��p�r�� ����; a � ��� ����� ��. ���� �� ���r��� b�dy �f ��t�r �������, r���r, ���.� �� pr�p���d �rc�����: 2b. VV���r ����i�y �����if���i�� �� ���r��� r���i�i�� ����r; 2�. i��� b��i�; .r . _ � " i # � �� � �� ��'# � „ ,�� II� � _� . .. . :, . .: � # . # " i � '. � ����'�� 3. rc�j��� �����°�pt��� 3�. ����r��� �h� ��i��i�g ���d��i��� �� ��� �i�� ��d �h� g��er�� I��� ��� i� �h� �i�ir�i�y �f �h� pr�j��t �� �h� ti�� �f thi� ���li�a�i��, �Jr�p���d re�ad ir� � r�r�� �r�a. 3b. L��t t�e to�al �s�i�a�ed �cr��g� �fi �ll �xis�i�c� �v�tlar�ds �r� ��� pr�p�ri�. Q .. a �. ..; ` a � �� :a�. � a � .� � � ,�. i ��:" O � �: � � � � . w i �. � � + ` , � ��.. � 7 .� S � � : ! ��� . . e � . �aM � .. .� a �1�� � !f .� a � . �� � � !� � �� ` � � .. � � . . �.1pgr�d� ���d���. 3e. �escribe the overall projecfi in detail, including th� type of equipment f� be �sed: See a��ached �over iet�er. o Juri�dic�i�n�l �ter inati�n� 4a. Mave jurisdic�i�nai wetlar�d or stre�m determir�atior�� �y �he �arps ar State been requested or ob�ained far this properiy / ro�ect incl�din all rior hases in the ast? 0 Yes ��o Q llnknovvn p 1 � 9 p p � p Comments: 4b. If the Corps made �he jurisdicti�nai determinatian, what #ype prelim�na ❑ Final of d rm�nation was made? � � ete 4c. If yes, who delineated the jurisdictional areas� AgencylCons�l�ant Company: �ame �if knov�rn): �th�r: 4d. If yes, list t�e dates of �he Corps jurisdic�ional determina�ions or State deterrninations and attach dacumentation. 5. Project History 5a. Have permits or certifications been requested or obtair�ed for this project {including all priQr phases) in �ne pas#? 5b. I� yes, explain in de�ail according to "help file" instructions. �ee a�tached cover iet�er �. Future Project Plans �a. Is �his a phased project? �b. If yes, explain. � Yes ❑ No ❑ Yes � No � Unknown Page 3 of � 0 PCN Form — Version 1.3 December � 0, 2008 Version � � � �� � �� �� � e � ��� � 1 , ���� ��� � � � � � i � � �� � � �� ��� � �� � � � �, �� � �� � ��� �� �� � � r � r� � � �� ��� , ��� � � ��� �f � �� r� ��i�� i c� r �� � �� ��� � t��� �� �� �� ��� �� ���� f�r ���� �I r� �� � �fi� . � , 2 , 2�. � . 2es 2fn ��I�� � �� � �y � j���� ���i�� � A �� b�r — �`y f i �� f ��� � ���� � �r � � 4, � � r � � �� �r���e�� {�} �r {�f k�� �} � — ���-4� , ��h��� � � �r j �"e �ra � � `Y�� � ❑ ��r�� � � V�2 ❑ F� � �' �� �i��� �!� � F� � T ■ '` ■ ; :� � - ■ # � - ■ • ■ -. ■ • ■ ■ • �i�*� � ��� � ��rp� � C��� �] �orp� � c�wc� � Gc�rp� � ��� ❑ ��rps ❑ �i�l� �,� ❑ �orps vv� ❑ � ❑ � � �o � Dw� _ . _ 2g, T�tal �v��l�nd i ����s 2h. Cornment�: 3. Stream Impa�#� if �here are perenr�i�i or intermittent str�am ir�pac�s {i�cit�di�g �emporar� impa�ts) p��posed on the �ite, th�n ���tpl�te this �U@S�IOn �0�` ai� S�C'��1'Yii SI�GS I1'i1�c�C��C�. 3a. 3b. 3c. 3d. 3e. 3f. ��. Strear�n impact Typ� of impact S#ream name Perenr�ia� Type af jurisdiction Average �mp��� number - (PIER) �r {Corps � �04, 10 stream length Permanen� {P� flr �ntermit�er�t p�UQ — non-404, width {linear Temporary {T) {INT)? ofiher) {feet) feet) Piping, Riprap & �1T #1 fio Wallace � PER � Corps Si �P�T $ � � 70 ►1 ' �/ �1 ' ►� ■ s ■ Dewatering Piping & Dewatering Piping, Riprap & ��Wat��'I �1� PlpfC1�, i�lp�'�� c�s Dewat�ring ranc �JT #2 to Waiiace Branch Wallace Branch W�I��C� Bi`�i1Ch S� ❑P❑T 3h. Total stream and tributary impacts 3i. Comrnen#s: �3 pipe, 4� riprap, 1�Q dewatering 1 65 1 �3 � �� 263 Page 4 of 14 PCN Form — Version 1.3 December 10, 2008 Version -- ___ � � a � � � �� � � �� L � � � �� � �� � � � � �� ��� �� �y ��� �� �� } �� � �� �� ���� � y � �� � � � � � � ? �� . . � �1 ��2 ��1 � �� �� � �� � � � �� � , � � , �, ; �s � a � � � ���� ����� ��� �� ����r���y � � � � �� �� � � � {�� ��� � } � � �� � � � � � � � �� � �� � �r ����� � � r � � � ��� �r�� � � # �� � ��� �2 ���� ; �3 ����" � _ I 4 ' . ���� � � ���� � ���� � 4 . ��������: . tr i ��f �r�d �r ���� ����tr�����r� rc� ���d, ���� ��r� ���� �h� �h�r� b��c��. �a. 5b. 5�, �d. 5�. �V�����d Ir�pa��� {��r��� ��r��r� Ir�p��#s �����} �p1�r�d Por�d I� Prop�sed �s� �r p� rp�se {��res) r��r�ber o�f p��d Flc��ded F�I��d ��c��at�d Fl��ded ��Il�d �xca��t�d Fl��ded �� F'2 �f. Total . . . . _ 5g. �amr�ents; �i1e4 5i�. Is a dar� high haz�rd permi� required� � Yes � I�Q if yes, perm�� ID no: 5i. Expected p�nd surf�ce area {acres}: 5j. Size �f pond watershed {acres}: 5k, 11�ethod of construction: �. �uffier Impacts {fc�r �1�/�� If project will impac# a protected riparian buffer, ihen comple�e the chart below. If yes, then individually list all buffer impac�s below. If an impacts require miti ation, �hen ou 11�UST fill out Section D of this form. ��. � Neuse � Tar-Pamlico ❑ �ther: Project is in which protec�ed basin� � Catawba � Randleman 6b. �c. 6d. �e. �f. 6g. Buffer impact r�umber — F�eason Bc�ffer Zone 1 impact �one 2 impact Permanent {P} or far Stream name mitig�tiQn {square feet) (square feet} Tem ora T im act re uired? � Yes B1 ❑P❑T ��o � Yes B2 ❑P❑T Q�� ❑ Yes B3 �POT �No bh. Tatal bu�fer impacts 6i. Comments: Page 5 of 10 PCN Form — Versian 1.3 December � 0, 20Q8 Version �� � f � � _ < .. , : �f � . �-� � f. 'sz . � , � ' = 1 ���� � < �<: .r ...- ` :, ;' � ` '-- r ; �� . � �f� � � � .. -� ar, ... _ ��. a � - . ' i s_ ,�. :t. . �. .p` , .,. ' � , , � :� ar � � � . � . - s �. � � � � , :`: � � . � +is L - - .. � ` � .�.. � s ,.� � ._- . . _ t � ' .; � . � ' - . .% � . �' _ � � # �� � � :_ _' � � .._ � -� ' � � � � ! � -�. .� � >.: � � if �. �,-_, �` ;� � . � � ._ ; . i' . . _ - . , , a _ , _ , .., __ . � ��., ' _ _ _ ,_ � .. .. _ ,. ., � .. ,. __ .. _ � �, % �; � _,� " .� �.�, �� t _ . �; � } .. ,I, " � , � �; .. :� �, � , .. � .� � � � ; � �� �� i1E , ,'; , _ � '�� �,� � � , � �. . � _. _, � , .:�,, � �' , �' ' s � � � � ; .r " i � � _ ' # ` , .` � � � � , ' # '. �, , � ,� � � � : ��'� � . `'.: .s, � �' � . ':: . „ � �' s` ; , ,� � ; :� ,.�� , : ; , �� .f � , : � = ._ �: �` � � .s _. � �,.�.t �, ' � aa. ;�. :� � ., ,.yr-:: > � �s:. � , ` �., ; s;. � .'. � . � � ., , � :� � � � �� � �. . � �. ` � : .� � � i �. � -� .. .. � I :.. �. � �.� � .�.. .�� � � '': � I' .... � • -. � < t � . 7 �. �� • � '_ i[ � �. � '. ` ��.� ! � � �: � ` +. • -4 `! #' ' ` . . .•• ;_ � _ �. � .. . .�- -� � . .. - _ .. 3� ��p��t� �f l���r�g � ���ig��i�� ��k 3�. R�am� �f �litiga�i�r� ��nk: 3b. �r�dit� F'�r��a��d ��t��c� r��eip� �r�d I�t��r} 3c. �c�m��nts; � � � 11 � • ! '. � ���tl����C}i1 b�r�k � ��yr��r�� �� i�-���� ��� prc�gr�r� � � ��r��tt�� ���p������� �i�ig����r� • - �' . . �mplete �f Nlaks�g a Payment to 1n-1�e� F�e �rogr� 4a. Appraval letter from in-iieu fee program i� attached. � Yes 4b. Stre�r� mitig�tior� reques�ed: 12� fir�ear feet �c. If using str�am rnitigation, sfiream #er�peratur�: 0�nrarm � coal 4d. Buffer mitiga�ion req�es�ed (DWQ c�nly�: square fee� 4e. Riparian wetland mi�iga�ion requested: acres 4f. Non-riparian �retlar�d mitigatiQn requested: acres 4g. CQas�al {tidal) we#land mi#igation requested: acres 4�h. Comments: 5o Compiete if Using a Permittee Responsibie IVlitigation P1an ►1 • • 5a. If using a permittee respansible mitigatian plan, pravide a description of th� proposed mitigation plan. Page b af 10 P�N Form — Vers�on 1.3 December 10, 2008 Version � �� � � i � � � � ��. ��� ��� ������� ������ �� �� ��p��� ����� � ��������� �������� ����� ���� �������� � �� ��� � � � ��f� � ���� ������ � � � . �#� �. � � �� � � � � f � � � �� � � � r� �� � � �� � � r �� ��� �� . �� � � � � � � � � � i�i �� � � ��� -0 �. �. � �4 � ������ ��� ��p��� ����� i����� � ������i�� ��q����� �i�������� ,���� ' � �� � � ����j {�q� r ����� � �� � 3 �2 ��� �� b�� � � � ���� 2 '� . � � ��f. T`���� b�ff�r ���i��#��� r���ir�d$ � �g. �f b�ff�r �i�ig����r� �� r��q�ir�d, di����� �h�� ��p� �� r�i�ig�t��� �� p��p���� {�.g,, p�yr���f �� �ri���� �i�ig����r� b���, �r ii��� r � ��i 1 r� �ri � ��f�r r����r��i �� ay ��� ��� �� p r��ed ���li�� ��� ��r�d}. �h. � �e�t�; Pag e 7 of 10 PCN Form — Version 1.3 December 10, 20U8 Version .� ' � �. # t '. � ` m J �� �� � � ���_ , � :` • , p: - !; ', : / •, . i !, : _ '�, _ � .� � n � ; . � � � � � � . � . � . � �� n . � � � � L�� �S # � . � fi � �� S � �d � � � � . � 'b�A �� �� .. i C � . S . . tl � � ��H# . ����� � ��� � r� � � d r r�t���� ��� � � . I� � , ���� �� d� ��� �� �I � �����d�d� �� � , �� � i� ��. �����r��s: � � 2. � ��r� � ���r ��� ��� � ���# � � � ��� � 2�, VV��� �� ��� ���r��� ��r��r�� ���p��i�������� �� �h�� �r������ °�� � 2b. ���� �h�� pr�j��� r�q�ir� � ��t�rt�����r ������r���� ����? � � ��� � ��� 2�. If �hi� pr�j��t C����� �C�i" r�q��r� ����r���t�r ���r��g�rn��� F����, ��pl�ir� ��y� 2d. �f �hi� pr�j��� ���� r�q��r� � �t��rr���t�r �����g�����r�� ��i�r�, �h�r� p����d�� � br��f, ���r�t��� d����ri�p�i�� �f �he plar�: �all� �nd�r [��T �IF'L��� P�rr�i� � � - s f_ - •• s _ � _ - - � ,- s „ - . .•- - ' _ ` -�r w � :._ ___f ;; -_., s ; .,,. -. . • . s• - - � � � � .. i • -' i � f • . � � ' _• • . "' .. .�� " ` ! !! .' ... - . .:... . ' .i• i "• i . � . .i�, � � � • !i ! .i! • . •�� . . `� 4. DWQ Stormwater Program Review � - -, , „ . - - � � � • .- 's+�. � E' , �' ' � ❑ ��iaS� � � � �sw � ���P ❑ Water Supply Watershed �] O#her: ❑ �es ❑ �o ❑ Coastal counties ❑ H �� 4a. Which of the following state-implemented stormwater management programs appiy � pR� {check a11 �I�at apply}: �j Session Law 200�-246 ❑ O�her: 4b. Has the approved Stormwat�r l�anagement Plan with proof of approval been a�tached� 5. DWQ 401 Unit Stormwater Review 5a. Does the Stormwater Management Plan meet �he appropriate requirements? �b. Have all of the 401 Unit st�bm�ttal requiremen�s been rne#? ❑ Yes 0 No Q Yes ❑ No ❑ Yes ❑ No Page 8 of 1 Q PCN Form — Version 1.3 December 10, 2008 Version � � s �� � �� �� � � . ��� ��� ���j��� ������� �� �����d����� �� ������ ��������������������� ���d� �r ��� � f ����� r�/���� � � . �� ��� ��� �r� "y� '� � ��� � �� , ���� ��� ������ � �i�� ��p�r ���� �� � �vi���r������ ��� ��� �r���r�� �� f�� ����ir������ �� ��� a�i���� �� ���� � �r�h �r�l�� } ��ir�� ��t�� ��i�� �� � p��� � . �� y�� �� �r� �� � �� � � � � , t�� ��� ��� r �� � f� I��� by �h� ���� �� r�n � '� ��f ��, ��� �� �� � f �� �r f���l �ppro� I [�����.� � ������i�. �� . � � �� { �r � �. �s t�e ���� i� v��la�i�� �� �t�a�d ��e� �� � 2 ,� ���, �����fi�d ���ar�� Ule� {15 ��� 2 .1344), � �urface ��er �r et���d �#��d�r �, ��� � �r �ip�ri�r� ���fer �le� {15� �A� 2E� .02���� , „ : .. _ . ,- ... . .. � � � ' � � i, � .. i i # • � . f i � • � ' !, • ! i " .. " # . ,. • i � • . i ' ' � , #> .,. � �- i_ �r; � � � �r' * � �s s � `i S' s � ♦ �s �� � �� � ` ` ■ � �' ; yf. �.. � . � � I.. �. � �. � ;� � � ... s �. . � .�. � �. . � .l.. � i. .! �� !: .. � ! � � f�. �. .` ��. f�� . �: . �� . .. I . . � ! ��: ��� �.� �/ S� ! .i .� ��. I i.- . I� .� O . . . �� : � � : .�/ . � I . . �/ : — � •.' .' . � • i. " • - - � � •s • . - -s s s f +�' . • - ,, ' �` * � , . � � _ '� * i , � � - s ; . . 4a. �iearly de�ail �he ultimate treatment me�hods and disposition (non-discharge or discharge} of wastewater generated from the proposed prflject, or availab[e capaci#y of the subjec# facility. NIA Page 9 at 10 PCN Form — Version 1.3 December 10, 2008 Version -� - ° � �� i ., � u i `= `, � __ � " _, ` u... ;f - � ~ '� i ` r ` :#° . -: , ; ;'. # : �" . � . • � . �� � .� �. ��� � � � � �� � �� � � � � � � ��� � � �� � � �� �� � �� �� g � � � �� �� � � �� � �� � � � �� �� � ����� � � �i , ii � � �� i � �. � ._ i. . � � .., #. ..�: � . .. �:` > �.. �_ . � � � �� � i � �� � � �° �� � �� � � �� ��� �� � �� �� � �� �� r �� � �� ��i� i abit �� I �r�d �i��al �b����ti�r�. �q����ir�g ���� ��e �r � c���di���� ��h ��g�rdi� �h� � . � � � � ir ��. VVi�I thi� p��j��� ����r �r� �r n��r �� �r�a d��ic�����d �� �����ti�� fi�h h��i���� [� �'�� �b. ha� da�� so�rces did ��� use �� determir�� �nrhether your �i�e �ro�ld imp�c� �ssential i�� �bi�a�� ill ��mr��nt f: ! `' i, s i ' i; , ' i i . . � ' i ` � �� , , i i ; ! ! �. .. . . .. � .. ` `i: . .. . �� � . '�. , ... � � aa. .. ' � � . . � .. . •:. � �� r ... .. ... �r : � f. � ; : �. :` � i . � . � � � .. ■ :- � .._::_ �, .....',,, *. . .. � • � : � :.. •�. � �r. � � . . � . . :. ��. � � � . .s, � ...., �� . � � . �� � � � �. �. �. �. . t- : �� � t; . � �. . �. !.. �. � � :�: �: i.. � s. i. �. � � . . 7b. VVhat da�� saur�es di� yo� �s� to det�rmine �hether �our si�� vvo�ld impact I�i�t�r�c or arche�iogic�l res�urce�? �rojec� �ubmi�ted �o �NE. i�: .�'� ��� � �;. �� -� :. . .- ..� � " :�" .• �� � : .:,. `� f� ..,. . s. � . .. � . �i --. . `. , ' . _ ,.... , . _ . _ i.. _ . v, :_ � ; . , , ; _ .� _ . , � i � � � ! . ! " i � : �: _ _. t ,d � � � :. > -. , s • � � � � � � I : ; 8b. if yes, explain how projec� meet� FEMA requirements: 8c. What source{s} did you use to make the flo�dplain determination? ncfloodmaps J. �Ieaih Sl�.ughter ApplicantlAgent's Prin�ed Name f ., �,..� �� ��� � 9/1411 � Applicar��lAgent's Sigr� re {Agen�'s �na#ure is valid only if an authorizati letter from the applicant IS �}i�Vld@{�.) Page 1 C} of 14 PCN Form — Version 1.3 December 10, 2008 Version