Loading...
HomeMy WebLinkAbout20161109 Ver 1_Pipe #02-2032 Application_20161114�� � �� , � ���� .� �� .. � �� � , � .. . � �� ��` �. � � �t � � � �- � � � �������� � � ,� _ � � ��'CT'�?�"�t`� S�.bj���� ���.�t������� �'�� � �� �� �����.�� ��p� �#Q�-2��2 �� �� � 1 � � ����,�h�.�y ����t�, ����tl� ��.r�1���. . �'��j��t ���.�b�r� � ���.1 � .�� 1 � � ��° �� i� � �� �24�Q� . � . .� . '�' f.. ` i • ii . '! `i '� ! `�` s ` � �"` ' � � ! � � � i �' I � • � � �s �.� � � � � � � i # �' i � � � � I , �; �' � , f � f � � i ` � • ' � ` � '` � � , � � �; S �. i � �; ` ° i # � . �_ _ � i �" ' # i' t � i } t` � ' �, i # i � < �' �, � �s ` `a� ��, � ` �,� s; `� �� � �' ` � S's The replacen�ent of the existing pipe ��th �he prop�sed new pipe �i�� rec�uire temp�rary de�vate�ing, An imperv�ous sandbag dike �i11 be constructed app�o�imately 1� feet u�stream of the e�isting st�u.cture ta create a small po��. �1ean vc�ater vvil� �empo�arlly b� pumped around the cons�ruction area and wi�l be discharg�d dov�nstream. Any dirty w�.�ier located ins�de the cons�ruct�on area vv�ll be pumped into a sil� bag �f necessar�. C�nce the new struc�ure is �n place, the impe�vious d�ke will be removed and precanstruction streambed elevatiQns will be restored. �l�oth�r�g �on�pares $�..__ State of North Carolina j Department of Transpartation I Divisic�n Eleven 80I Statesville Road { PO Box 250 � North Wilkesboro, NC 28659-0250 336 6�'7 911 I T � �'. ����� �����5�� ���� ����� �� ��� � � �; �������,�� � �3�� ���° � �, �� � � � � � . �: � � � . � � s, . �� � � � � � ���� �_. � � � ; � . �� ��� ��.. �_ . :_ �� i� � � : � � v � � � � _ � . � _ �x�� �� : �_� ` . � _ �_; � � � � n �. � _ � ° �� � � �� � �,.. � � ,.� � ..� � � � �. � � .� . � � � ��� _ � ��� ������� I�C���.��5 �.�� �.�� ��.��1��.��.�� �.� ��.� ��°� �.��. ��1����. ��� �����' ��� ���� �.��.�� ���° ���s �����.��a ��� �������°��.t� ����� ���� �� �s��� ���°��� c��s����t���� ����.��.�d �s �. ��°�������°��.������ �����°���.���� ��� � �� ��� � ���.�. s����s� �. ��.�°���. c��:��� ��.� �.�d � ��:�°��� �������°�.��y �c���� � __ � �� :� � .., � .. � .' ... � f . � .. . .. # : t, i �: ;�. : �,. ! :� � :� . �� . . � i.. ��, i . � � . � � ` � 'i' � � �. � � � � � � �: _. ,� � : . : � -.. ` �. . ' .... � � . .. �� ; � � � ',� a � ` � i ' :.- : . �, � '� ,_ - �- � ' i. ' . ; . , . , ' �i +-: i, �� � �. � �, � �, : . � �. .. � . � �, � � �" � ' � �-. � - � !, i. �._ ,i ' . �. � �. ��' ` : � ' :. � , � � � � ' _ � � s = � � � ; ' _ � "- � � � � ' � • � . i � � � � ; . .. � s ` a � � ! f !; �' ° � � , � a.' � : i ! +t . f ': ' f ° . # ' .. i . ' s s` � ` 4 �,, � _ � _ _ � �. � . � � � � �� ;� -. � � � � � ��, �r �! " !� ���_ � � # • ` • �. � � �: � ` ` !'. i; ' i �`_�' , # i s i�' : f� #'. � � . i i I -'� -•': � -, - - - 4 �; `. -` _ ._ i • ' t':` .. i. #' s:�i ", .' '�: �����r�1�� �� I-��a�h Slaughter �vision �nvlro ��t�.1 ffi�er Encl�sures �c: �Iarla �hambers, �Uestern P�edmont Reg�on Coordinator, i�C�J�C Amy �hapman, I�ivision of �Uater Resources Dave ��a.nucha, I�iv�s�on of Water R.esources David �ayne, PE, I�ivision Bridge I��Iaintenance Eng�neer .Tami �uynn, Di�is�on Br�dge Program Ii�anager �-Ieath Slaughter, Divisian Enviro�mental C�fficer Zacl� Souther, Roads�de Envaro�.�ental Field Operations Techn�c��.n n � �.- �, ��- � 3 �� � i �� ��; -: � ��� �� �� ; =� � � �� :� � , s--- ����� ������ �� ��, � � � � � � � � � � r����� ��. .,"S F , � Q W r . $ � `' � "' F ... _: . . ..I /:i•.. _ ��r ����c�� �.� ��� � � � � � � � , � � � � � � � � $ �������� . � �� .�'����� � p��������� �� � ��� �: � ������� ��� �r��� � ������� �� �'�rr��� ' � � � , ����� �� � id� �r �� � � �� b��: r ���r � �r��� � � �� ���: ��� � ��� �r ��� �r ���� �������� � ��� ��p�� � ��� � � d. 1��p�{�� �� �p ����I ������ ���� ��� {����k �I �h�� ������� � ��r � ���� ��if c��i�� � � �� � ��� ��r�� ��ti�r��� ��r � �� �� � � ���r ������ ��ifi������ � ��pr��� � ip����� � �r �����i���i�� ��, �� ��i� r��tif����i�� ���e�y ��r th� r�cc��d F�r ��� r�c�rd ���y ��r 401 F�r ��� r ��r� ��y °f�r �rp� �r i�o b������ �vri��e� appr�v�l is ��# re��ired? �er�ifica�i�n: � ��s � � � �r�� o � �, �� �ay��r�� ���� a r�i�igati�� b��k �r ir��li�� ��� pr�g��� p��p��e� �Qr r�i�ig��ia �,�� � � ��f ir�pac�s� If s�, a��a�h the �ccep����e le���r �r�r� �i�����iQr� �ar�k �r in-1i�� f�� proc�ran�. 1 g. �s the pr��ect lo�ated ir� �ny of �C's t�enty co�stal counties. I�f yes, ar�svu�r 1 h ❑ Yes � o b�l��v. 1h. is the projec� iacated �i�hin a�C ��1� Area o� �n�ironmer�ial C�r�cer� {�E�)? ❑ l°�s �� . r�j��t Inf�r �ti�� 2a. �ar�e of projec�: �eplace Pip� #02-2�32 on N� 1� 3 2b, Cou�ty: Alleghany 2c. Neares� rnunicipali�y I town: Scattville 2d. Subdivision name: 2�. i��C3�� �r��y, �. 4. F�, ��' �t��� 17BP,11.C.1 project no: 3. 4wner Informa�ion 3a. Name{s) �n Recorded Deed: NCC�C�T 3b. Deed Soak and Page No. 3�. R�sp�n�ibl� �'�rty {for �.L� i f a�plicable}: 3d. S�reet address: 84� Statesville Road 3e. City, state, zip: Nor#h UVilkesbaro, NC 28659 3f. Teiepi��ne no.: 33�-903-9202 3c�. Fa� t�e�.: 336-��7-4549 3h, Email address: hsla�ghter��ncdot.gov Page 1 of 1 Q PCN Forrn — Version 1.3 December 10, 2008 Version � $ � � � � � � � , ��. �������� ��: ; � ���� � ����, �p��� p � � � ' ; t � : 3 � �. ���� � � � � ��� �i� � �: � � { �. �r��� � r � � � � ��. ��y, �����, �� : � �. ������� ��.. � � � �� ��.: � � � �, ���� � � ��: � � � � � �� ��. ����: . ������� �� � ��� �����������: ��. t���� �������: ��. ��y� ���t�, ���: ��. ��������� ��.: ��. ��� ��.: ��. ����� �������: Page 2 0� � fl P��# Form — Version 1.3 December 10, 20Q8 Version # � i � � � ; � � � � � � � � � ����� �� 3 � � � � . � ' � � ��� �� � � n �� � � � �� � � � s � ' � � ���� n a4 � � � ��� ¢ � � , � � �� _ . ��� ���� �r� � ��� �� � � �. ` ��.������ {e�i�.������� � � � � ' � � �, ��p�r�y ����. } �. � ���� �a � 2�. ���� ��f ���r��t b�dy �f ����� �������, ����r, ���.� �� � �r��h�r� �r�e� � ���p���d �r�j�c�: 2be ��a�er C��a��i�y �����if��ti�� �f ������� r�������� ����r: �; �'���� -� 2�. ���e� ���i�, ��� 3� r�j��� ���ri �i�� 3�. �e�cribe ��� ����t�r�g ��r�di�i��� �r� ��� �it� ��d ��� g���r�� ���d ��� �� �h� �i��r�i�y �� t�� �r�j��� �t ��� �i�� �f ���� �pplic��i�r�: ��astand�r� pip� to b� repl�ced i� � r�ral �r�� 3b. �ist �he ���al e�t�m��ed acr�age c�f all exi�tir�g �e�lar�d� �r� #h� prop�rty: 0 ��re� 3c. �ist �he �o�al ���i�a��d li�ear ���t of all exis�ir�g �tr�am� {in�ermi���n� �nd perer�r�i�l� �n the prape��: 1 �4 iinear fee# 3d. ��pl��� ti�� ��rp��� �� �h� pr�p���d pr�j���: �pgrade subst�ndard s�r�am crossing 3e. De�cribe the �verall praject in de�ai[, ir�cluding ��e �yp� �f equipr�e�i �o be used: See at�ached cover let�er. . Jc�risdictic�nal �t�rrr�inat�on� 4a. Have jurisdictional �re�iand or strea� determinations by �he Corps or ��ate been req�ested or obtained for fihis prc�perty 1 ��,�� ��a ❑�nknowr� projec� (includ�ng all prior phases) �n the pas�? Commen�s. 4��. �� �he �t�rp� r��d� th� j�ri��i��i���� d���r�i���i�r�, �h�� �yp� o# determination was made? ❑ Preliminary ��ina� 4c, If yes, who delineated the jurisdictior�al areas� Agency/Consul�ant Cflmpany: f�ame {if knowr�}: �ther: 4d. If yes, list the dates of the Corps jurisdictional determinations ar Sta�e de�ermi�atio�s and a��ach documentati�n. 5. Praject History �a. Nave permits or certifica�ions been requested or Qb�ai�ed for � Yes ��o C] Unknown this project {including ali priar phases) in �he past? 5b. if yes, explain in de�ail according to "help file" instruc�ions. �. F�ture �roject Plans �a. Is this a phased project? � Yes �j No 8b. If yes, explain. Page � of 1 Q PCN �orm — Versi�n �.3 December 10, 2008 Version ` , � � �� ��� ��� � � � � � , � ��� � ; � � � �o ���� �������� ��� ��������� ����� ��� ���� ������� ������ ��� ���� ������� � � �� � - �� � - ��� � �� � � � � � � ��� ����� � ���� �������t��� � 2. �������d ������� � � If ���r� �r� ������d ��p���� p��p���� �� ��� ����, ���� �������� ���� ��e�t��� ��r ���� ���I��� �r�� ��p��t�d. � 2�� 2�. ��. �, � 2eg �, ��i�r� i ��� � � � �f '�r�sdi��i�� � � Y � ���� r �- �yp f ��p��� y � � ���� � r �� � � rp � 4fl , � �� �f i p��� � � � � �r ����� { } � ��� ������ � � — ��r�-4�4, ����r� {�cr��� � �� ���r �" � � � �� � �orp� � �� � � � � � � � ��� � � 2 � T � ��� � ���p� � � � ❑ � � � ��s �] ��rp� �3 � � `T o C3� � ❑ � 1'�� � �orps � � � � �� �� � �i � 0 ��� � ���p� � ❑ � � N � D�� � ❑ � ��� a c���� vv� ❑ � ❑ � �o �w� ❑ � 2g. �o�a.� �v�tlan � p�cts 2h. �omr�ent�: . trea 1 p��t� If �here �re per�r�niai �r i�terr�ifit�n� s��earn i�p�cts {ir�cludir�g ��r�por�ry ir�pac�s) p��pc��ed or� �he si�e, �her� comple�e �hi� questic�n for all s�ream sifies impacted. 3a. 3b. 3c. 3d. 3e. 3f. 3g. S�ream impact Type �f impact � Stream �ame Perennial Type of jurisdiction Averag� ��pa�� number - {PER) or {Carps - 404, 1 fl stream length Permanent {P� or intermi�tent DWQ — non-404, wid�h {Iinear T'emporary {�') {l�i�}� o#her} {fee�} ����� Fill, Riprap & � P�R � Ct�rps S1 � P� T Dewa�erin Prathers Creek INT DWQ 1$ 115 9 ❑ � ❑ pER ❑ CQrps S2 ❑ P ❑ T � �T DW ❑ ❑ � 0 P�R ❑ Corps S3 � P ❑ �r i�T D1/VC� 0 � � PER � Corps S4 � P� T I NT aW 0 ❑ � ❑ PER ❑ Corps S5 ❑ P[� T INT DW a ❑ � � PER ❑ Corps �� � F� � T I NT DW � ❑ � 3h. Tatal stream and tributary impac�s 115 3i. Comments: 39' �II, 5�' riprap & 2� linear feet of dewatering Page 4 of 10 PCN Form — Version 1.3 December 1 Q, 2008 Version f. . . . . . � � � � � ° �� � � �� �� � � � ��� �� �� � � � ; � , �� �� �, ��� �� �� �� �� � �� �� ���� � �, � �� �� � � �� � � � � �� . . �� � �� ��� � ��y ���� �� � ��� � �� � . � , . � . � �. � �. � ��e � �� � � � �� � � � � � � �� �� �� � � � ��� ��� � � � � � �� � � r �y ; � � � �� � �r � � � � � f � � � � �� � � � � � � � � � � � � �'�rr� �r� � f � � �� � � � � 2 , � � � � � �� � � �� ��t I � ��� � ��� � . � e���: m r r ti If �r� �r ��k� ��r��tr���i�� �� ��e , ���r� ��rr� I��� th� �h�r� b���vv, �a. 5b. 5�, 5d. 5�. e�la�d �r�p�ct� {�cres) �tr��� Ir�p�c�s {fee�) �p��nd �r�d I r�p���d ��� �r purp��� ��cres} ���ber �f p��d Fl�od�� Fiiled ��c�����d Fle��ded Fill�d Ex������d F1��d�d 1 P2 �f. 'T�t�� 5g. ��r�r��n��: /A 5h. is a dam high hazard permit required? � Yes � t�� If yes, permit ID no: �i. Expected p�r�d surface are� {acres�: 5j. Size of pond vvaters�ed {acres}: �k. Method of construc�ion: . ���r �r�p�c�s �f�r � lf project will impact a pr�tected riparian buffer, then complete the chart beiQ�r. If yes, then individually lis� all buffer impacts below. If an impacts require miti atian, then o� �US�' �II out Section D�f this form. 6a. 0 i�e�se ❑ �"ar-Pamlico ❑ �ther: Project is in which protected basin? � Catawba � Randfeman 6b. �c. �d. �e. �f. 6g. Buffer impact number — Reason Buffer Zon� � impact Zone 2 impact Permanent (P} or for Stream name mitigation (square feet) {square feet� Tem ora T im act re t�ired? ❑ Yes B1 ❑P❑T �� ❑ 0 Yes B2 �P❑T N� � ❑ �es �3 � P � T �o ❑ �h, Total buffer impacts �i. Commen�s: Page 5 of � 0 P�N Form — Version 1.3 December 10, 2Q48 Version � � � � � � � � � � � � � � � � s � � . ��f�� ��� ���� �r � � � � � � � ��� �� �� � � �� �� � ��� r � ��. � � °�� � � � �� � �� ���� � � � � � � � � �� � ��� � � �� �, � � � � �. ����������� d������� �����r�� ����� �� ����d �r ���� ��� ��� �������� �r�p���� �����€�� ������������ ������q���a � � ��� �����p����� �� ���� �� ���� ������ �����r������ � � � � �� i � � � � � � � 2�. ���� ��� p�����t ��c����� ���p�����c�r� ����g��i�� f�r � � ��� � �� � � � � ��p���� �� ����er� �� ��� �.�. �r V����r� �f ��� ����e . , � � � Zb, �� ��s, ���ig�.��o� �� ��c��i��d by �c1��ck a1� t1��� ����Y�: � � �V�C� � ���'p� � � ��i���i�� ba�k 2�. �f y�s, �i�h �tig�� i�� �p�i�� �II b� ���d ��r ��i� �rr���t �� in�l��� f�� r�gr�� �r��ec�? r it��� � ���i � i�i ��i�� e � t � i � � �� 3a, ��e �f i�ig��i�� ��k: 3b. �redits P�rcha��d �a�t�ch r�ceip� �r�d I���er} `Typ� �anti�y 3c. �ammer�t�; , � p��te �f �kir�g �y er�t t��-�i� ee r r� 4a. P�ppro�al I�tter fror� �n-lieu fee program i� attached. ❑ Yes 4b. �tream mitigation requested: 39 [ine�r feet 4c. If using stream mitigation, stream tempera�ure: ❑ warm � caol �co�d �d. Buffer mitigaiion req�ested (C�1l�Q or�ly): square fee� 4e. Riparian we�iand mi�iga�ion reque�ted: acres �f. Non-ripariar� wetland mi�igation reques�ed: �cres 4g. �oastal {tidal) wetland mitigation reqUes#ed: acres 4h. Comments: 5. Complete i�f Using a Permittee Responsible Mi#igation Plan 5a. If using a permittee responsible mi�igatior� plan, provide a description of �he proposed mitiga�ion plan. Page 6 af 10 PCN Form — Version 1.3 December 10, 2008 Version i . . . . $ . . . g � . . .. . �i � .. . . . . . . . �. � Q � � � � � �� � �� � � � � � ��, ��� ��� ������� r����� �� �� � ���� ������ � ��������� �������� ��°��� ���� r������� � �� ��� � � � ����r ����������� � � � � � � � � � �b. �� ���� ���� ������ ��� ����r� ���� �� ������ �� ���� ���� �� ��� �������� �� �� ���� �������� ����������. ����I��� ��� £ � ������ �� ���������� �������d, � � p � � � � � � � � � � r � �� ��� � ��p �� � ��������� � �q�i��� ���g����� � � �� ��r� ���t� � �� ���� ����� � � � ���� � 3 �2 ��r �����ba� � ���e 2 � � � n5 � ; ��. i°�i�� b�ff�r ����c������ r�q�ire€�� f �g. �� b���� �i�i������ �� ��qc��r�d, d����s� ���� ��p� �f rr�i�ig���c�� �� pr�p��ed ��.g., p����r�� i� ��i���� r�i�����i�r°� b���c, p�rr�i��e� r��p�nsib�e rip�riar� b�f#�� r��t��a�ic�r�, p�yr��r�� in�� �� �ppro��d i�-�i�u fee ��r�d). �h, �amr�e��s. Page � of 14 PCN Form — Version 1.3 December 10, 2008 Version � �_ �� � � � �� � � � � i � � � � a ��� ��� ������� ������� ��` �� �� �d������ �� ��������� �������� �� ��� �������� � ��� � � ����� � �� � �� � � � � ��� � �a� � � � � � � � � �. �� ���, ���� �� ��f���� �� ��� �����de � �� ��, ������� ��, � � �� � � ������ : � � t�r ���� � a � ��� ��� e 2�. VU�a� �� �he c�����1� perce�� �����i���r���� ��f �h�s prc��e��� °l� � � 2 . ��� #h�� pr����� r �ir t�r ��er ���ge ��� I��� ��� � 2�. If �hi� pr�je�t �" req�aire ��t�r�n�ater a��ge��r�� �an, e�pl�i� �hy: n� c���ge ir� i�per�i��� s�rface �r�� � e �� �t tie� �1 V���.i� i ����! � Gd l�1 9 9 H �d��1 �dt 6���I 1 !�3 !� ��1 1y ���i� �l � V �1d�i �I t��� � 1�3 1 �i�� Y � �.d�+�6i�t���ld� t.l� ��� ��1 I. � ��rtified �acal ����r�m�n� 2e, h� wil� be r������ib�� f�r ��� r�vi�� �f �he �t�rrn���er a�age���t la�� � C� �torrr�v�a�er ragrarr� � DWQ 401 t� n i� . er�ified �.���� �rrern��r�t t�rmw���r e�ie� 3a. In �nrrhich locaf gc�vernmen�'s ju�isdic�ion i� this projec�? 0 F'hase II I-i 1 n rnn�rater �ana en1�n� ro r�m� � NSW 3b. Wh�ch �af �he ��Il�w�ng loca ly r�p �r�e ted �t� g p g a I c h e c k a i l t h a t a I: ❑ USIVI� pp Y � p� Y� ❑ V1Jaier Supply Watershed � ❑ ��her: 3c. Has the appro�ed S�orm�ater Mar�age�en� Piar� wi�h provf of appr�val been ❑ Yes � No a�#ached? 4, DWQ Stormwater Pro r�m Review ❑ Coastal caun�ies ❑ HQW 4a. 1Nhich of the foll�wing s�ate-implemen�ed stormwater management programs apply � ORW {check all that applY)� ❑ Session Law 2Q06-24� � Uther: 4b. Has the approved Stormwater �anagemer�t Plan wi#h proof of approval been attached� � Yes � No 5. QWQ 401 Unii Stormwa#er Review 5�. Does �he S��rmwater �an�gerr�er�� Pla� mee� �he �ppr�pria�e r�q�ir�r�er��s� ❑ Yes � No 5b. Have all of �he 401 Unit submitta[ requirements been met? � Yes ❑ No Pag e 8 of 10 PCN Farm — Version 1.3 December 10, 2008 Version € � � � � € � { � � � � � � � � £ � � � . ��� ��� ������ ������� � ����d���r �� ����� �f������1�����1��� �� ��� � �r �� � � ; ��� f � ��� �� � �/�� � � I � � � � � �y1IY��+�"}�9y�p��q /� y`�` y''�"�1�y i � � . �� �i.Ak� �6 i�.7 �! � di� ��3 6 �I i �A.I��y �d�� ��� ��4.d���*� �� ��3 $ ���3 �6�t�� �� �� I ��i��� ����� d��� �r�� ������� �� �h� r�q��r������ �f ��� ������� �� ���� � � � � � � ��� ��������� ������ ����� ����y �� � � �� �. � � �. �� y �� �����r�� "y��'� �� ��� �����, ��� t�� d�����r�� r��i�� ���� �������d b� ��� ����� �i��r�r�� ������ {�� ��� ������ � ��py �f ��� ��F'� �r ���'� �r��� �pp����l � �����r.} � � � � �r����t�; . � � i � � �, Is �h� ���� i� ���I��ic�� �f ��I��d t.tl�� {1 � �� 2 .�5�0�, ���lat�d e���r�d �aie� {15 � 2 . � 300}, �rf��� ���� �r ��i�nd ���d�rd�, �s � or �ip�r��r� ���fer �les {�5A CP�� 2� .Q2��}� 2b, I� ��i� �r� �f�er-�he-�act permi� �ppli�a�i��? � ��s � � 2�. �f �a� ar�swer�d "y�s" �� �n� or b��h �f �he �bav� q�es�i�r�s, pro�ide ar� expla�afii�� �f �he �i�lati�n��): . umul�t��� 1 p�ct� ( �qt��rem��fi} 3a. V���� �h�� pra���� �b���� �� pas� ��d r������b�� ���i�ip�t�� ����r� ��p����� r�s��t �n � l'es � i�� additionai devel�pment, �hich coUld impact nearby d�wnstream rnrater q�aali�y? 3b. If yo� ar�s��red "ye�" �o �he above, s�brr�i� � q�ali��tive o� q�a��i�ati�e cur�c�l��ive impac� ar�alysis in �ccc�rd�r��e wi�h �he most recent DWQ poiicy. If yQu ansvvered "no," provide a short r�arra�ive description. 4. �e�nr�g� C��spo�al {�WQ Req��rernen�) 4a. Clearly detail �he ultimate trea�ment methods and disposition �t�on-discharge ar discharge} of wast�water generated from the proposed project, or available capacity of the subject facility. N/A Page 9 of 10 PCN Farm — VersiQn 1.3 December 10, 2008 Version � � � � � � � � � � � 1 ��, ��� ���� ��� ��� ����� �� �� ���� �� ���� ���� �������� �������� � ����� �� � � � : � � � � � � �� � � � �� � , � i � � . � �� ��1���C ��� �� ���� ��1�� � � �� ��� �� �� � � ������ � � ���I �1 � �a �� ���, ��� ����� ��� � I�� ��� ���i �1��� � ������ . � �������� �, �1�� C���� ���..����� �i ��� �..33�� �� �����'t�1��1� �������' ���� �1�� �t�� 1����� E�1��� ���� ���l�� �i ��[ #i��� �`I�I��� ������� � � �i� �I�t��� S ��� �3 � � � � �� � ��. V�i�� thi� �rc�je�� ��c�ar �n c�r r���r �n �r�� desig����d �� �ss���i�i ��h h�bit��� � ��� � N� ��. VUh�� d��� ��t�rc�� did y�ca �a�� �� de��r�i�� �h��her y��r �it� ����d ir�p�c� Es��r��i�� Fi�h ��bi���� VVF�� �ill �c�rr�r���� 7. ��stc�r�� �r �r�h�s��r�� ��It��a� �esc��r�e� {�c�rp� ��q�ir�r���i� ��. �Viil t�i� pr����t ����r �r� �� r���r �� ar�� tha� �i�� �t�t�, ��d�ra� �r t��b�i gQvernr�ents have designated �s having his#ori� c�r �ui�ural preser�atior� ��es � i�o ������ {e.g., ���i�r��� His��ri� Tr��� d�sign����r� �r pr�p�r��e� �ig�i������ �� f�orth �arolina histary �r�d archaeology}? 7b. VVhat da�a sourc�s did yo� us� to defierrr�in� �rhether you� site vvould impac# hist�ric ar arch�ological resources� Activity is exemp� due ia �rnal9 scale vvi�i�in existing righi-of-�ray. �. Ficaod ��ne Desigr�ation {�t�rps Requirer�er�t} ��. VV��� th�� proj��t ����r �r� � FE�,�-d��igr����d 1�Q-��ar f���d�lair�? ❑ ��� � �� 8ba If y�s, explain how project meets FEMA req�iremen�s; �c. Wha� saurc�{s) did you use to rnake the floc�dp[ain determina�ion? ncfiloodmap� J. �eaih Slaughter 11 I1411 G � A licant/A en�'s Printed Name pp�ican�/Agen�'s Sig ure C�ate p� � {Agen�'s signature is valid only if an authoriz ti n letter from #he applicar�t is provided.} Pag e 10 of 10 F'CN Form — Version 1.3 December 10, 2008 Version