The URL can be used to link to this page

Home My WebLink About20141134 Ver 2_SR 1339 Application_20181121S�rr�-r� c�r I��Tr i �C.r�QL��r�r 17[;I'ART4IENT OP r�'12A'�ISPC�RTAT1()N PA"[� MeCI�.C}R,`t` P. a. Box 25201, Radeigh, 1`�1C 27b l 1-52(l2 GC)4'1:F�VDR P� �4)N1-:: 9l'9-733-252{} �Jctober 28, 2{714 I"+�r. 1'�ndy Willr�rn� L1. S. 11nny Carps af En�incers R�.lei��1 �egb�latQr•y Fielci Of�ice �331 Heritage "I'rade Dri�ve, Suite lf}5 W'ake F��•e.st, NC 275�7 Sb�bjec�: I��tinn�.�°idc Pennit ##14 SR 133� (Rc�ar-ii�g E3rancl� I�oad) Ashe C'ount}�, Ne�rth C:�irc��i��a Project Numl�er. 11 C.(1051.4$ QI)'��2 �'ermi� �cc: �57fJ) I)ear ��-. Williams: TC)NY �TA"TA S��CY�CT�t�Y The N� �3epartmcnt c�f "� rans�ai-tabic�a� �s sc.hecfuled to grade, drain, b�se and p�vc �R 1339, �oarin� Branc�z Rc�ad in As��e Cotiinty. Tatal prc�ject len��h is 0.76 rt�iles. The narrat�;� l i faon wic�� ra�e� way will he w�denec� tc� ]��ect anci th�.n pavec�. �m}�ervi�us sur�aee area wil� idicrc�s� �� ab�ut �J.46 acres. This is very �-oc;ky �errain with spriil�ws enianating frotx� the c�l�l cut ir� sl�imerc�us lc,cat�ans. T�le str�ean� cr�ssin�; �it statiQn 1+22 is really ttie c�i�ly €�r1� that loolr:s like a crac�itrc�n�l streals�. Thc rcmainin� tivet �i�es ca�-r�r spr�n�s that Gtiter tl�� ditc�� line. "l'hi� prc�ject w�ill rec�uip•e �l�e rs:��l�cement 4f seti�er► wet pipes as s�lr�wn helc��r: Streatn impacts; Sixti�n Nur��ber b �-�2 ] 3�-0[} 1 C+(}S 27+39 28+Q7 29+SQ (L 33+35 Existin� k'�nc :Site 18''x 4a' � 4"x 3 0' N�r�1e 1 �"x 40' 1$"x 40' 12"x � 5' 1'�"x 50' �'roposecl' Pipe Siz� �4„x 65' 24"x 4Cl' 40'x 18" 18"x 5f�' 1 �":�c 6(1' 18"x 44' 18"x b5' Per�n�rient �'il0'IRi��ra�� Im�acts � 1'�5 feet Tera3�arar�• Dervate��Qi� Intpacts = 40 fcet Ripra,,� �n�n�cts (ft. T �D IU l0 10 1(] 1 fl 1Q fi�emporaly I)ewa�eri�� fft. Tntal ��raiect dmnacts = 1'. iC'l. C3ox 250. N. W'1�K�5�c�RD.'�fC 28Ci59 PFiUNF q33Gj GCi7-�I I 1 l�Ah {33G} iiCi7-��49 �'otal Ir�pac�s �t this S�xtic�n 75 2p 5� 2[l 30 15 25 2�5 feet Mr. Andy Williams SR ] 339, Roaring Branch Road, Ashe Page 2 Dctaber 28, 2014 The repiacernent wet pipe at station 1+22 will require temporaty dewatering. An imper�ious sandbag dike will be constructed upstream of the existing pipe to create a srnall pool. Cleaxx water will temporarily be puznped around the construction area and will be discharged dowzlstream. Any dirty water located inside of the construction area will be pumped into a silt bag if necessary. Qnce the new pipe is in piace, the iznper�ious dike will be removed and preconstruction streambed ele�ations will be restored. Due ta the low flow nature at the remaining wet pipe locations, the remaining construction areas will be dried by dropping sand bags in the ditch line. �f flow starts to o�ertop the bags we can turn on the pump briefly. The stream crassings all carry different UTs to Roa�-ing Branch (Class: C; �RV�. This project was reviewed for the pres�nce of threatened and endan.gered species on February 2G, 2014. This project will ha�e no effect on any federa�ly listed endangered plant vr animal species. Historic compiiance work has heen completed and no surveys were required. The project impacts are nat significant in nature and should not remo�e ar degrade existing water quality uses. Stormwater will be routed thraugh grass or rock Iined ditches, depending on the ditch line slope. Pipe sizes used will k�e the minimum necessary to create a safe roadway. Wet pipes exceeding 6% grade will not be buried. By utilizing the erosivn control measures outlined in the attachments to this application, downstream water quality standards will be protected. ��erall water quality in the area will be innpro�ed by pa�ing the ASC tra�eI lanes. AIl apprapriate BMPs will be used during constructzon. Attached is a Preconstruction N�tificatian Form, plan s�aeets with proposed erosion cont�rol measures, a marked county map and a marked topography map. By cvpy af tlus electronic letter, it is requested that Mrs. Marla Chambers with the North Carolina Wildlife Resources Commission comment directly to you concerning the 4Q4 Nationwide Permit application with a cvpy sent to me. By copy of this electronic letter, it is requested that the Division of Water Resources, 4�11Wetlands Unit, zssue the appropriate permit for construction of this project. It is requested that any comments related ta the 4Q 1 certification be electronically farwarded directly to me with a capy sent to the US Arrny Corps of Engineers. We wauld like ta begin construction as soon as possible. If further infarmatian is required, please let me know. Your early review ax►d consideration will be appreciated. Sincerely, Heath Slaughter Divisian Environmental O�icer Mr. Andy Williams 5R 1339, Roaring Bran�h Road, Ashe Page 3 October 28, 2014 Enclosures cc: Mar1a Chambers, NC WRC Amy Chapman, Di�ision of Water Resources Da�e Wanucha, Di�ision vf Water Resources Mike Pettyjohn, PE, Divisi�n Engineer Doug Tet�Iaff, Distri�t Engineer Randall Miles, County Maintenance Engineex Heath Slaughter, Division En�ironmental4fficer Zack Souther, Roadside En�iurvnmental Field �perations Technician o�QF wAr�A°� � r 7 y P �c Offioe Use Only: Cvrps action ID no. OWQ project no. Form Version 1.3 aec 1 D 2008 Pre-Construction Nv�ification PC Farm A. A licant Infarmativn 1. Processing 1 a. Type{s} pf approval sought from the Carps: � Section 404 Permit ❑ Section 10 Permit 1 b. Specify Natianwide Permif (MWP} number: 14 or General Permit (GP} number: 1 c. Has the NWP or GP number been �erified by the Corps? ❑ Yes � No 1 d. Type(s) Q# appro�al sought from the DWC� (check all ffi�at applyJ: � 401 Water Quality Certification — Regular ❑ Nan-404 Jurisdictional General Permit ❑ 4D1 Wafer Quality Certifi�atian — Express ❑ Riparian Buffer Authorization 1 e. Is this notification solely for the record For the record only for DWQ 4Q1 For the record only for Corps Permit: because written approval is nat required? Certification: ❑ Yes � Na ❑ Yes � No 1f. Is payment into a mitigation bank or in-lieu fee program proposed f4r mitigation � Yes ❑ No of impa�ts? lf so, attach the acceptance letter from mitigation bank or in-lieu fee program. 1 g. Is fhe project located in any of NC's twenty coastal caunties. If yes, answer 1 h ❑ Yes � No below. 1 h. ls the project located within a NC ❑CM Area of Environmen#al Concern (AEC}? ❑ Yes � No 2. Project Information 2a. Name of project: SR 1339, Roaring Branch Road 2b. County: Ashe 2c. Nearest municipal9ty 1 town: Lansing 2d. Subdi�ision name: 2e. NC�OT only, T.I.P. or state �� C.005148 projec# no: 3. Owner Inlormation 3a. Name{s) on Recorded beed: NCD�T 3b. Deed Boak and Page No. 3c. Respvnsit�le Party (for LLC i f applicable}: 3d. Street address: 801 S#atesr►ilke Road 3e. City, state, zip: North Willcesboro, NC 28659 3f. Telephone no.: 336-903-9202 3g. Fax no.: 336-687-0549 3h. Email address: hslaughter�ncdot.goU Page 1 of 10 PCN Farm — Version 1.3 December 10, 2�48 Vei-sian 4. Applicant lnformation (if different irom awner} 4a. Applicant is: ❑ Agent ❑ �ther, specify: 4b. I�ame: 4c. Busines s name (if appficable): 4d. 5tree# address: 4e. Ci#y, sta#e, zip: 4f. Telephone no.: �Fg. Fax no.: 4h. Email address: 5. AgentlConsultant fniormation (if applicat�lej 5a. IVame: 5b. Business name (if applicabEe}: 5c. Street address: 5d. City, s#ate, xip: 5e. Telephane no.: 5f. Fax no.: �g. Email address: Page 2 of '! 0 PCN Farm — Version 1.3 December 1 U, 2QD8 Versivn B. Project lnformation and Priar Project Histary 1. Property ldentiflcation 1a. Property identification na. {tax PIN or parcef ID): 1 b. Site coordinates (in decimal degrees): Latitude: 36.5D351 Longitude: - 81.58953 (aD.D�DDDDJ (-DD.D�DDDD) 'I c. Property size: 4.8 acres 2. Surface Waters 2a. Name of nearest body af water (stream, river, etc.j to UTs fo Roaring Branch proposed project: 2b. Water Quality Classification of nearest recei�ing water: C; ORW 2c. River basin: New 3. Project Oescription 3a. Describe the existing conditions on the site and the general land use in the �icinity of the project at the time of this application: Unpar►ed road in a rura! area. 3b. List the total estimated acreage of all exisfing wetlands on the property: 0 acres 3c. List the total estimated linear feet of all existing streams (intermittent and perennial} on #he property: 360 finear feet 3d. Explain the purpose af the proposed project: Upgrade roadway. 3e. Describe the overall project in detail, induding the type of equipment to be used: 5ee attached cover letter. 4. Jurisdictional Determinations 4a. Ha�e jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property 1 p�oject (including all prior phasesj in the past? ❑ Yes � No ❑ Unknown Comments: 4b. lf the Corps made the jurisdictional determination, what type of determination was made? ❑ Preliminary ❑ Final 4c. If yes, who delineated the jurisdic#ional areas? Agen�ylConsultant Company: Name (if known): Other: 4d. If yes, list the dates of the Corps jurisdiGtional determinations or 5tate determinations and attach documentation. 5. Praject History 5a. Ha�e permits or certifications been requssted nr obtained for � Yes � iVo ❑ Unknown this project (including ail priar phases} in the past? 5b. If yes, expEain in detail aocording to "help file' instructions. 6. Future Project Plans 6a. Is this a phased project? ❑ Yes � No Gt�. I# yes, explain. Page 3 of 1 Q PCN Form — Versifln 1.3 December 1 Q, 2Q08 Version C. Proposed Impacts fnventory 1. Impacts 5ummary 1 a. Which sections were completed belnw fnr your proje�t (�heck all that apply]: ❑ Wetlands � Streams - tributaries ❑ Buffers ❑ Open Waters ❑ Pond Canstruction 2. Wetland Impacts If there are wetland impacts propased an the site, then complete this question for each wetland area impacted. 2a. 2b. 2c. 2d. 2e. 2f. Wetland impact Type �f jurisdiction number — Type of impact Type of wetland Forested {Corps - 444, 1 D Area of impact Permanent {P} or {if known} DWQ — non-4D4, ofher) (acres] Tem ara W1 ❑ P❑ T ❑ Yes ❑ Corps ❑ Na ❑ DWQ W2 ❑ P❑ T ❑ Yes ❑ Corps ❑ Na ❑ DWQ �� P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W4 ❑ P � T ❑ Yes ❑ Corps ❑ No ❑ DWQ W5 ❑ P❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W6 ❑ P � 7 ❑ Yes ❑ Corps ❑ No ❑ DWQ 2g. Total wetland impacts 2h. Comments: 3. Stream Impacts lf there are perennial or intermittent stream impacts {including temporary impacts} proposed on the site, then camplete this question for all stream sites impacted. 3a. 3b. 3c. 3d. 3e. 3f. 3g. Stream impact Type af impact Stream name Perennial Type of jurisdiction Ar►erage Impact numher - (PER) or (Corps - 4�4, 1 a stream length Permanent (P} ar intermittent DWQ — non-4D4, wid#h (linear Temporary {T) {INT)? ather} {feetj #eet) S1 � P� r Piping, Riprap & UT #1 to Roaring � PER � Carps 2 �� Dewatering Branch ❑ !NT � DWQ S2 � P❑ T Piping & Riprap UT #2 to Raaring ❑ PER � Cnrps 1 2D Branch � INT � DWQ UT #3 to Roaring ❑ PER ❑ Corps 53 � P❑ T Piping & ftiprap Branch � INT ❑ DWQ � �4 S4 � P❑ T Piping & Riprap UT #4 ta Roaring � PER ❑ Corps � 2Q Branch ❑ iNT ❑ DWQ 55 � P❑ T Piping 8� Riprap UT #5 to Roaring � PER ❑ Corps 1 3a Brancn ❑ !NT ❑ DWQ S6 � P❑ T Piping & Rtprap U7 #fi ta Roaring � PER ❑ Corps ,� ,� 5 Branch ❑ iNT ❑ �WQ 3h. Total stream and tributary impacts 3i. Comments: 5ee next sheet for tatals Page � of 1 D PCN Form — Version 1.3 ❑ecember 1 Q, 2008 Version C. Proposed Impacts Inventory 1. Impacts Summary 1 a. Which sections were c�mpleted below for your project (�heck all tha# apply}: ❑ Wetlands � Streams - #ributaries ❑ Buffers ❑ Open Waters ❑ Pond Construcfion 2. Wetland Impa�ts ii there are wetland impacts proposed on the site, th�n complete this question for each wetland area impacted. 2a. 2b. 2c. 2d. 2e. 2f. Wetland impact Type of jurisdi�tion number — Type o# impact Type of wetland Forested (Corps - 404, 1 a Area of impact Permanent {P) or �if knowny DWQ — non-404, other) {acresJ Tem ora W1 ❑ P[] T ❑ Yes ❑ Corps ❑ No ❑ DWQ W� � P� T ❑ Yes ❑ Corps ❑ No ❑ DWQ W3 ❑ P � T ❑ Yes ❑ Corps ❑ IVo ❑ �WQ W4 ❑ P❑ T ❑ Yes ❑ Corps ❑ Na ❑ DW� W5 ❑ P❑ T ❑ Yes ❑ Corps ❑ Na ❑ aWQ W6 ❑ P❑ T ❑ Yes ❑ Corps ❑ Nn ❑ DWQ 2g. Total wetland impacts 2h. Comments: 3. 5tream Impacts If there are perennial er in#ermittent stream impacts (incfuding temparary impacts} proposed an the site, then complete this question for aiI stream sites impacted. 3a. 3b. 3�. 3d. 3e. 3f. 3g. Stream impact Type of impact Stream name Perennial Type of jurisdiction A�erage Impact number - (PER) ar �Corps - 404, 10 stream length Permanent (P} or intermittent pW4 — non-404, widfh {linear Temporary (T) (IN�? other) (feetj feet} 51 � P❑ T Riping, Riprap UT #7 to Roaring � PER � Corps 1 2� Branch ❑ INT � DWQ S2 ❑ P � T ❑ PER � Cnrps � 1 NT � DWQ 53 ❑ P❑ T ❑ PER ❑ Corps � IPdT ❑ DWQ 54 ❑ P❑ T � PER ❑ Corps ❑ INT ❑ �WQ S5 ❑ P❑ T � PER ❑ Corps ❑ INT ❑ �WC� S6 ❑ P❑ T � PE� ❑ Cnrps ❑ fNT ❑ DWQ 3h. Total stream and tributary impacts 235 3i. Comments: 125 Pi�e, 70 riprap, 40 dewatering Page 4 of 10 PCN Farm — Versian 1.3 December 1 fl, 2�08 Versian 4. Open Water Empacts If there are propnsed impacts to lakes, ponds, estuaries, tributaries, saunds, the Atlarrtic Ocean, or any other apen water of the U.S. then individual�y list all apen water impac#s below. 4a. 4b. 4c. 4d. 4e. Open water Name of waferbody impac# number— �i€ applicable} Type of impact Waterbody #ype Area of impact (a�res} Permanent (P} ar Tem ora D1 ❑P❑T 02 ❑P❑T �3 ❑P�T 04 ❑P❑T 4f. Tota1 open water impacts 4g. Comments: 5. Pond ar Lake Construction If ond or lake constnaction ro osed then com lete the chart belaw. 5a. 5b. 5c. 5d. 5e. Wetland ]mpacts (acres) 5trea�n Impa�ts {feetJ Upland Pond ID propased use or �urpose (acres) number af pond Flooded Fillec! Excavated Flooded Filled Exca�ated Floaded P1 P2 5f. Tntal 5g. Comments: lVIA 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 af construc#i�n: 6. Buffer Impacts (for DWQ] If proje�t will impact a protected riparian buffer, then complete the chart bekow. If yes, then indi�idually list all bufFer impac#s beiow. ff an im acts re uire miti ation, the� ou MUST filf out Section D of this form. 8a. ❑ Neuse ❑ Tar-Pamiico ❑ Other: Project is in which protected basin? ❑ Catawba ❑ Randleman Bb. Bc. 6d. 6e. 6f. 6g. Buffer impact numE�er— Reason 6uffer Zane 1 impact Zone 2 impa�t Permanent {P) or for 5tream name mitigation {square feet} (square feet) Tem of a im act re uired? 81 ❑P❑T ❑Yes ❑ Na �2 ❑ P ❑ T ❑ Yes ❑ No B3 ❑ P ❑ T ❑ Yes ❑ No dh. Total huffer impacts 6i. Comments: Page 5 of 10 PCN Form — Version 1.3 I]ecember 1 a, 2Q08 Version D. Impact Justifi�ation and Mitigation 1. A�oidance and Minimization 1a. Specifically describe measures taken td a�aid or minimiae the propased impacts in designing project. The pipe lengths are the minimum needed t� irr�prove roadway. 1 b. Specifically describe measures taken to avoid ar minimize the proposed impac#s through c�nstruction techniques. All apprnpriate BMPs will �e used during constructian 2. Compensatory Mitigation for Impacts ta Watets of the U.S. �r Waters of the State 2a. Does the project require Compensatory Mitigation for � Yes ❑ No impacts to Waters of the U.S. or Waters nf the State7 2b. If yes, mitigation is required by (check all that apply}: ❑ DWQ � Corps ❑ Mitigafian bank 2c. If yes, which mitigat ion option will be used far this project? � Payme�t to in-lieu fee program ❑ Permittee Responsible Mitigation 3. Complete if Using a Mitigation Bank 3a. Name af Mitigation Bank: 3b. Credits Purchased (attach receipt and letter] Type Quantity 3c. Comments: 4. Complete if Making a Payment ta In-lieu Fee Pragram 4a. Appro�al letter from in-lieu fee program is attached. � Yes 4b. Stream mitigation requested: 50 linear feet 4c. If using stream mifigation, stream temperature: ❑ warm ❑ coo! �cold 4d. 8uffer mitigation requested (DWQ only}: square feet 4e. Riparian wetland mitigation requested: acres df. IVon-riparian wetland mitigation requested: acres ag. Coastal (tidaf) wetland mitigation requested: acres 4h. Camments: 5. Complete if Using a Permittee Respansible Mitigatinn Plan 5a. If using a permittee responsible mitigation plan, pro�ide a description of the proposed mitigatian p[an. Page 6 of 1 � PCN Form — Version 1.3 December 10, 2Q08 Version fi. Buffer Mitigation (State Regn{ated Riparlan Buffer Rulesj — required by DWQ 6a. Will the project result in an impact within a protected riparian buffer that requires ❑ Yes � No bufFer mitigation? 5b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitiga#ion. Cafcula#e the amount of mitigation required. sc. sd. se. Zan� Reasan for impact Total im�act Multiplier Required mitigation {square feet} {square feet} Zone 9 3(2 for Catawba} �orse 2 1.5 6f. Tntal bufFer mitigaiian required: 6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank, permiftee respansib�e riparian buffer restoration, payment into an appro�ed in-lieu fee fundj. 6h. Camments: Page 7 of 1 D PCN Farm — Version 1.3 December 1 Q, 2Qfl8 Version E, 5tormwater Management and �iffuse Flow Plan {required by DWQ) 1. Diffuse Ffow Plan 1 a. Does the project include ar is it adjacent to protected riparian buffers identified � YE5 � No within one of the �EC Riparian Buffer Pratection Rules? 1b. If yes, then is a diffuse flow plan included? If no, explain why. Comments: ❑ Yes ❑ No 2. 5tormwater Mana ement Plan 2a. What is the overall percent imperviousness of this praject? °/o 2b. Does this project require a Stormwater Managemen# Plan? � Yes ❑ No 2c. lf this project DDES NOT require a 5tormwater Management Plan> explain why: 2d. If fhis project D�ES require a Stormwater Management Plan, ihen provide a brief, na�rative descriptian of the plan: Falfs under D�T NPDES Permit ❑ Certified Local Go�ernment 2e. Who wiil be respansible for the re�iew of the Stormwater Management PIan7 ❑ �WQ Stormwater Program ❑ DWQ 401 Unit 3. Certified Local GQ�ernment 5tormwater Re�iew 3a. In which local govemment's jurisdictian is this project? ❑ Phase II 3b. Which of the following localiy-implemented stormwater management programs ❑ NSW apply {check all that apply): ❑ L1SMP ❑ Water Supply Watershed ❑ Other: 3�. Has the approved Stormwater Management Plan with praof of approval been ❑ Yes ❑ Ato attached? 4. DWQ 5tormwater Pro ram Revlew ❑ Caastal caunties ❑ HQW 4a. Which of the foliowing state-implemented stormwater management programs apply � pRW (checic afl that apply): ❑ Session Law 20D6-246 ❑ Other: 4b. Has the approved Stormwater Management Pfan with proof of approval been attached? ❑ Yes ❑ Ho 5. DWQ 4D�t Unit Stormwater Rerriew 5a. Does the Stormwater Management Plan meet the appropriate requirements? ❑ Yes ❑ Ho 5b. Ha�e ail of the 4a1 Unit submitta! requirements been met? ❑ Yes ❑ No Page 8 of 10 PCN Form — Versian 1.3 December 1 �, 20D8 Version F. Supplementary Informatinn 1. En�ironmental Documentation [DWQ Requirement] 1 a. Does the project involve an expenditure of public {federallstatello�alj funds or the � Yes ❑ Na use �f public [federallstate) [and? 1 b. if yau answered "yes' fo the above, does the project require preparation of an environmental do�ument pursuant to the requirements of the National or State ❑ Yes � IVo {North Carolina) Enviranmental Policy Ac# �NEPAISEPA)? 1c. If you answered "yes" to the above, has the do�ument re�iew been frnafized by the State CEearing House? ([f sa, attach a copy of the IYEPA ar SEPA final appro�al letter.) ❑ Yes ❑ Na Comments: 2. Violations (DWQ Requirement) 2a. Is the site in violation of QWq Wetland Rufes (15A NCAC 2H .0500), IsoEated Wetland Rules [75A NCAC 2H .1300y, DWC�.. Surface Water or Wetiand Standards, ❑ Yes � No or Riparian Buffer Rules (15A NCAC 2B .Q20�)? 2h. Is this an after-the-fact permit applica#ion? ❑ Yes � Na 2c. li you answered "yes" to one or both of the abvve ques#ions, provide an explanation of the violati�n{sj: 3. Cumulatf�e Impacts (DWQ Requirement] 3a. Wi{I this project {based on past and reasnnably anticipated future impacis) result in � Yes � No additianal development, which could impact nearby downstream water quality? 3b. If you answered "yes" to the abo�e, submit a qualitati�e or quantitative cumulative impaci analysis in accordance wi#h the most recent DWQ policy. if you answered "no," provide a short narr'ati�e description. 4. 5ewage Disposal {�WQ Requirementj 4a. Clearly detail the ultimate treatmenf inethods and disposition [non-discFtarge nr dischargej of wastewater generated from the propnsed project, or a�ailable capacity �f the subject facility. N!A Page 9 of 10 PCN Fvrm — Version 1.3 December 1 a, 2afl8 Version 5. Endangered Species and Designated Critical Habitat �Carps Requiremen#) 5a. Will this project occur in �r near an area with federally protec#ed spe�ies or (� Yes � No habitat? 5b. Have you checked with the USFWS conceming Endangered 5pecies A�t � Yes � N❑ impacts? ❑ Raleigh 5c. lf yes, ind icate the USFWS Field �ffice you ha�e cantacted. ❑ Asheville 5d. What data saurces did you use to determine whether your site wauld impact Endangered 5pecies ar �esignated Critical Habitat? GI5 and visual observation 6. �ssential �ish Hahitat (Carps Requirementj 6a. Will this prQject occur in or near an area designated as essential fish habitat? ❑ Yes � No 6b. What data sources did you use te determine whether your site woufd impact Essen#ial Fish Fiabitat? WRC will comment 7. Historic or Prehistoric Cuitural Resaurces (Corps Requirementj 7a. Vlfill this praject occur in ar near an area that the state, federal or tribal govemmerrts have designated as ha►ring hist�ric or cultural preservatian [� Yes Q� Na �tatus (e.g., National Historic �rust designation or properties significant in North Carfllina history and archaeology]? 7b. What data sources did you use to determine whether yaur site w�uld impact historic or archenlogical resources? Project submitted to SHPO 8. Flood Zane Designation {Carps Requirement) 8a. Will this project occur in a FEMA-designated 100-year floodplain? ❑ Yes � No 86. If yes, explain how project meets FEMA requirements: 8c. What sour�e(s} did you use ta make the fl�odplain defermination? nc#loodmaps �. Heath Slaughter i�� 10128l�4 rC .�i�iLH.+ ApplicantlAgent's Printed Name Applicar►UAgent's S� ature Date (AgenYs s nature is valid anly if an authn z ian letier fram the applicant is ro�id P�ge 10 �fi 10 PCN Form — Version 1.3 December 10, 20a8 Versian