20120009 Ver 1_Application_20120104

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION k-1
BEVERLY EAVES PERDUE
GOVERNOR
December 9, 2011
U S Army Corps of Engineers
Regulatory Field Office
151 Patton Avenue Room 208
Asheville, NC 28801 -5006
ATTN Ms Lon Beckwith
NCDOT Coordinator
EUGENE A CONTI 7R
SECRETARY
201 20009
Subject Application for Section 404 Nationwide Permit 13 for the proposed
replacement of Bridge No 75 and 76 over Right Prong Mud Creek and Left
Prong Mud Creek on SR 1123 (Little River Road) in Henderson County,
Federal Aid Project No BRZ -1123 (11) Division 14, TIP No B 4147 WBS
334961 1
Dear Madam
The North Carolina Department of Transportation ( NCDOT) proposes to replace Bridge No
75 a 68 foot single span bridge over Right Prong Mud Creek and Bridge No 76 a 21 foot
single span bridge over Left Prong Mud Creek on Little River Road (SR 1123), with a 160
foot two span bridge at existing location There are 148 linear feet of permanent impacts
associated with the replacement of Bridges Nos 75 and 76 due to the use of nprap for bank
stabilization
Comments from the North Carolina Wildlife Resources Commission ( NCWRC) will be
required prior to authorization by the Corps of Engineers By copy of this letter and
attachments, NCDOT hereby requests NCWRC review NCDOT requests that NCWRC
forward their comments to the Corps of Engineers and the NCDOT within 30 calendar days
of receipt of this application
Please see enclosed copies of the Pre - Construction Notification (PCN) Form Stonnwater
Management Plan Rapanos Form Permit drawings and Design plans The Categorical
Exclusion (CE) was completed on February 4, 2008 Documents were distributed shortly
thereafter Additional copies are available upon request
MAILING ADDRESS
NC DEPARTMENT OF TRANSPORTATION
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS
1598 MAIL SERVICE CENTER
RALEIGH NC 27699 1598
TELEPHONE [phone]
FAX [phone]
WEBSITE WWW NCDOT ORG
LOCATION
1020 BIRCH RIDGE DRIVE
RALEIGH NC 27610 -4328

This project calls for a letting date of July 17, 2012 and a review date of May 29 2012
however the let date may advance as additional funding becomes available
A copy of this permit application and its distribution list will be posted on the NCDOT
website at http / /www ncdot org /doh/preconstruct/pe /neu/permrt html If you have any
questions or need additional information, please call Jennifer Harrod at [phone]
Sincerely
Gregory J Thorpe, Ph D , Manager
1 _ Project Development and Environmental Analysis
Cc NCDOT Permit Application Standard Distribution List
File
2

0 04 W AT c9,
o �
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Pre - Construction Notification (PCN) Form
A
Applicant Information
1
Processing
la
Type(s) of approval sought from the
Corps
®Section 404 Permit ❑Section 10 Permit
lb
Specify Nationwide Permit (NWP) number 13 or General Permit (GP) number
1c Has the N WP or GP number been verified by the Corps?
❑ Yes
® No
1 d
Type(s) of approval sought from the DWQ (check all that apply)
® 401 Water Quality Certification — Regular ❑ Non 404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ 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 ❑ No
For the record only for Corps Permit
❑ Yes ® No
1f
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
® No
1g
Is the project located in any of NC s twenty coastal counties If yes answer 1 h
below
❑ Yes
® No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2
Project Information
2a
Name of project
Replacement of Bridge No 75 over Right Prong Mud Creek and Bridge No 76 over
Left Prong Mud Creek on Little River Road (SR 1123)
2b
County
Henderson
2c Nearest municipality / town
Edneyvdle
2d
Subdivision name
not applicable
2e
NCDOT only T I P or state
project no
B 4147
3
Owner Information
3a
Name(s) on Recorded Deed
North Carolina Department of Transportation
3b
Deed Book and Page No
not applicable
3c
Responsible Party (for LLC i f
applicable)
not applicable
3d
Street address
1598 Mail Service Center
3e
City state zip
Raleigh NC 27699 1598
3f
Telephone no
[phone]
3g
Fax no
[phone]
3h
Email address
jwharrod @ncdot gov

4 Applicant Information (if different from owner)
4a Applicant is
❑ Agent ❑ Other specify
4b Name
not applicable
4c Business name
(if applicable)
4d Street address
4e City state zip
4f Telephone no
4g Fax no
4h Email address
5 Agent/Consultant Information (if applicable)
5a Name
not applicable -
5b Business name
(if applicable)
5c Street address
5d City state zip
5e Telephone no
5f Fax no
5g Email address

B Project Information and Prior Project History
1 Property Identification
la Property identification no (tax PIN or parcel ID)
not applIcab/e
lb Site coordinates (in decimal degrees)
Latitude 35 264779 Longitude 82 486154
(DD DDDDDD) ( DD DDDDDD)
1 c Property size
0 002 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Right and Left Prong Mud Creek
proposed project
2b Water Quality Classification of nearest receiving water
C
2c River basin
Broad
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
Residential development along roads interspersed with agriculture forested along stream
3b List the total estimated acreage of all existing wetlands on the property
0
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
159 linear feet
3d Explain the purpose of the proposed project
Bridge No 76 is structurally deficient and Bridge No 75 is functionally obsolete Due to the required hydraulic opening for
Bridge No 76 and the spacing between the two bridges of 15 feet it is not feasible or practical to replace Bridge No 76
and not replace Bridge No 75 One structure will replace both existing bridges and result in safer and more efficient
traffic operations
3e Describe the overall project in detail including the type of equipment to be used
The project involves replacing a 68 foot bridge Bridge No 75 and a 21 foot bridge Bridge No 76 with a 160 foot 2
span bridge on the existing alignment with an off site detour Standard road building equipment such as trucks dozers
and cranes will be used
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past'?
❑ Yes ® No ❑ Unknown
Comments We are requesting a final approved JD with this
application
4b If the Corps made the jurisdictional determination what type
❑ Preliminary ❑ Final
of determination was made?
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company
Name (if known)
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
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b If yes explain in detail according to help file instructions

6 Future Project Plans
6a Is this a phased project? ❑ Yes ® No
6b If yes explain

C Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that apply)
❑ Wetlands ® Streams tributaries ❑ 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
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps 404 10
Area of impact
Permanent (P) or
(if known)
DWQ — non 404 other)
(acres)
Temporary T
Site 1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
Site 2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
Site 3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
Site 4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
Site 5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
Site 6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
X Permanent
X Temporary
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
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of
Average
Impact length
number
(PER) or
jurisdiction
stream
(linear feet)
Permanent (P) or
intermittent
(Corps 404 10
width
Temporary (T)
(INT)?
DWQ — non 404
(feet)
other)
Bank
Left Prong Mud
® PER
® Corps
Site 1 ® P ❑ T
Stabilization
Creek
INT
DWQ
17
60
due to Bridge
Site 2 ® P ❑ T
Bank
Stabilization
Left Prong Mud
® PER
® Corps
17
10
due to Ditch
Creek
❑INT
[:1 DWQ
Site 3 ® P ❑ T
Bank
Stabilization
Right Prong Mud
® PER
® Corps
15
65
due to Bridge
Creek
❑INT
DWQ
Site 4 ®P ❑ T
Bank
Stabilization
Right Prong Mud
® PER
® Corps
15
13
due to Ditch
Creek
❑INT
DWQ
Site 5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
Site 6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ

3h Total stream and tributary impacts
148 Perm
0 Temp
31 Comments
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 indiv ually list all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of
impact number —
waterbody
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
(if applicable)
Temporary T
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
X Permanent
X Temporary
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed then complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or
(acres)
number
purpose of pond
Excavat
Flooded
Filled
ed
Flooded
Filled
Excavated
Flooded
P1
P2
Sf Total
5g Comments
5h is a dam high hazard permit required
❑ Yes ❑ No If yes permit ID no
51 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
❑ Neuse
El Tar Pamlico El Other
Project is in which protected basin?
❑ Catawba
❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number —
Reason for impact
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
Stream name
mitigation
(square feet)
(square feet)
T
required?
—Temporary
B1 ❑P ❑T
El Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
B3 ❑P ❑T
El Yes
❑ No
6h Total buffer impacts
61 Comments

D Impact Justification and Mitigation
1 Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The proposed bridge is 71 feet longer than the two existing bridges allowing for a larger hydraulic opening the proposed
bridge will be at approximately the same grade as the existing structure an off site detour will be used
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
By replacing the existing bridges with a single structure on the existing alignment we are able to avoid a floodplain
modification for Mud Creek and allows for less construction activities in the Mud Creek floodplain
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 ® No
If no explain impacts are due to the use of nprap for bank
stabilization and is not considered a loss of waters of the
US
2b If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c If yes which mitigat ion option will be used for this
project?
❑ Mitigation bank
❑ payment to in lieu fee program
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank not applicable
3b Credits Purchased (attach receipt and letter)
TType
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
❑ warm ❑ cool ❑cold
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

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

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
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
lb
If yes then is a diffuse flow plan included? If not explain why
❑ Yes ❑ No
Comments
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
N/A
2b
Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c
If this project DOES NOT require a Stormwater Management Plan explain why
2d
If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
See attached permit drawings
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
® DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government s jurisdiction is this project?
not applicable
❑ Phase II
3b
Which of the following locally implemented stormwater management programs
❑ NSW
❑ 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
4a
Which of the following state implemented stormwater management programs apply
❑ HQW
(check all that apply)
❑ ORW
❑ Session Law 2006 246
❑ Other
4b
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
Stormwater Permit is Pending
5
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No N/A
5b
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No N/A
lull

F Supplementary Information
1 Environmental Documentation (DWQ Requirement)
la Does the project involve an expenditure of public (federal /state /local) funds or the
® Yes ❑ No
use of public (federal /state) land?
lb 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
® Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c 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
® Yes ❑ No
letter)
Comments
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
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b Is this an after the fact permit application?
❑ Yes ® 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
❑ Yes
additional development which could impact nearby downstream water quality?
® No
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
Due to the minimal transportation impact resulting from this bridge replacement this project will neither influence nearby
land uses nor stimulate growth Therefore a detailed indirect or cumulative effects study will not be necessary
4 Sewage Disposal (DWQ Requirement)
4a Clearly detail the ultimate treatment methods and disposition (non discharge or discharge) of wastewater generated from
the proposed project or available capacity of the subject facility
not applicable
11

5
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a
Will this project occur in or near an area with federally protected species or
® Yes ❑ No
habitat?
5b
Have you checked with the USFWS concerning Endangered Species Act
® Yes ❑ No
impacts?
❑ Raleigh
5c
If yes ind icate the USFWS Field Office you have contacted
® Asheville
5d
What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
USFWS web page of T/E species for Henderson County lists seven species Habitat is present within the study area for
the following species Appalachian elktoe Small whorled pogonia and White insette These species all have a biological
conclusion of No Effect NHP database of element occurrences
6
Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b
What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NMFS County Index
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
® Yes ❑ 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?
NEPA Documentation On May 29 2007 the NCDOT met with HPO and the Federal Highway Administration to discuss
effects on the Flat Rock Historic District it was determined that this alternative would have No Adverse Effect on the
Flat Rock Historic District
8
Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA designated 100 year floodplain?
® Yes ❑ No
8b
If yes explain how project meets FEMA requirements NCDOT Hydraulics Unit coordination with FEMA
8c
What source(s) did you use to make the floodplain determination? FEMA Maps
(Z
Dr Gregory J Thorpe, PhD
'
Date
Applicant/Agent s Printed Name
Appllc nt/Agent s Signature
(Agents signature is valid only if an authorization letter from the applicant
is provided
12

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DIVISION OF HIGHWAYS
HENDERSON COUNTY
WBS 3349611 (B 4147)
BRGS 75 r RIGHT PRONG CREEK nd
76 er LEFT PRONG CK ON SR 1129
SHEET OF 07/29/11
Permit Drawing
Sheet �l Of

PARCEL NO
PROPERTY
NAMES AND
NAMES
OWNERS
ADDRESSES
ADDRESSES
4 and 7
F O Shealy
P O Box 476
Flat Rock, NC 28731
5
Mary Ann Balilwan
21 Alpen Rose Way
Martha Rose Gordon
Horseshoe, NC 28742
6
Michael & Pamela Cooper
P O Box 2526
Hendersonville NC 28793
8
Hal M Hunter
2524 Asheville Highway
Hendersonville, NC 28791
NCD®T
DIVISION OF HIGHWAYS
HENDERSON COUNTY
WB&SUMId (11--4147)
BRCS 75 ever RIGHT PRONG CREEK ant
76 ever LEFT PRONG CK ON SR 1129
SHEET OF 07/29/11
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Constructabdity /Permrthng/Comnutments
Has the method of construction for proposed bridges and / or culverts been addressed9 See
CFI Checklist attached to field inspection letter
Has the method of removal for budge superstructure and substructure been discussed? See
CFI Checkhst,attached to field inspection letter
Is any additional right of way construction easements, or drainage easements required other
than those shown on the plans for the issues discussed above If so show location and limits
(Specify temporary or permanent)
Does the proposed design take into consideration the constructabihty issues associated with
constructing the roadway, drainage, structures utilities and maintaining traffic so that the
right of way Iuruts and permit application can be developed accordingly
VPg
Have all environmental commitmentss been reviewed and can they be implemented?
Are historic properties and / or archeological sites clearly identified on the plans? Do the
commitments clearly explain how the impacts to these sites will be avoided or m,mm,zed9

APPROVED JURISDICTIONAL DETERMINATION FORM
U S Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook
SECTION I BACKGROUND INFORMATION
A REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD)
B DISTRICT OFFICE FILE NAME AND NUMBER
C PROJECT LOCATION AND BACKGROUND INFORMATION Bridge No 75 over Right Prong Mud Creek and Bridge No 76
over Left Prong Mud Creek on Little River Road (SR 1123)
State NC County/parish/borough Henderson City Edneyville
Center coordinates of site (lat/long in degree decimal format) Lat 35 264779 N Long 82 486154 W
Universal Transverse Mercator
Name of nearest waterbody Right Prong Mud Creek and Left Prong Mud Creek
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows French Broad River
Name of watershed or Hydrologic Unit Code (HUC) 06010105
Check if map /diagram of review area and /or potential Jurisdictional areas is /are available upon request
❑ Check if other sites (e g offsite mitigation sites disposal sites etc ) are associated with this action and are recorded on a
different JD form
D REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY)
® Office (Desk) Determination Date
® Field Determination Date(s)
SECTION II SUMMARY OF FINDINGS
A RHA SECTION 10 DETERMINATION OF JURISDICTION
There Pick List navigable waters of the US within Rivers and Harbors Act (RHA) Jurisdiction (as defined by 33 CFR part 329) in the
review area [Required]
❑ Waters subject to the ebb and flow of the tide
p Waters are presently used or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce
Explain
B CWA SECTION 404 DETERMINATION OF JURISDICTION
There Pick I St waters of the US within Clean Water Act (CWA) Jurisdiction (as defined by 33 CFR part 328) in the review area [Required]
Waters of the U S
a Indicate presence of waters of U S in review area (check all that apply) i
❑ TNWs including territorial seas
® Wetlands adjacent to TNWs
]� Relatively permanent waterS2 (RPWs) that flow directly or indirectly into TNWs
❑ Non RPWs that flow directly or indirectly into TNWs
❑ Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to non RPWs that flow directly or indirectly into TNWs
Q Impoundments of jurisdictional waters
jQ Isolated (interstate or intrastate) waters including isolated wetlands
Identify (estimate) size of waters of the U S in the review area
Non wetland waters 106 If of Right Prong 104 if of Left Prong linear feet width (ft) an d /or acres
Wetlands 0 acres
c Limits (boundaries) of jurisdiction based on 1 887 Delineation Manual
Elevation of established OHWM (if known)
2 Non regulated waters /wetlands (check if applicable) 3
❑ Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional
Explain
Boxes checked below shall be supported by completing the appropriate sections in Section III below
a For purposes of this form an RPW is defined as a tributary that is not a TNW and that typically flows year round or has continuous flow at least seasonally
(e g typically 3 months)
3 Supporting documentation is presented in Section III F

SECTION III CWA ANALYSIS
A TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs If the aquatic resource is a TNW complete
Section III A 1 and Section III D 1 only if the aquatic resource is a wetland adjacent to a TNW complete Sections III A 1 and 2
and Section III D 1 otherwise see Section III B below
1 TNW
Identify TNW
Summarize rationale supporting determination
2 Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is adjacent
B CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY)
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands if any and it helps
determine whether or not the standards for ,jurisdiction established under Rapanos have been met
The agencies will assert jurisdiction over non navigable tributaries of TNWs where the tributaries are relatively permanent
waters (RPWs) ► e tributaries that typically flow year round or have continuous flow at least seasonally (e g typically 3
months) A wetland that directly abuts an RPW is also jurisdictional If the aquatic resource is not a TNW but has year round
(perennial) flow skip to Section III D 2 If the aquatic resource is a wetland directly abutting a tributary with perennial flow
skip to Section III D 4
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water even
though a significant nexus finding is not required as a matter of law
If the waterbody° is not an RPW or a wetland directly abutting an RPW a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW If the tributary has adjacent wetlands the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands This significant nexus evaluation that combines for
analytical purposes the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary or its adjacent wetlands or both If the JD covers a tributary with adjacent wetlands complete Section III B 1 for
the tributary Section III B 2 for any onsite wetlands and Section III B 3 for all wetlands adjacent to that tributary both ons►te
and offsite The determination whether a significant nexus exists is determined in Section III C below
1 Characteristics of non TNWs that flow directly or indirectly into TNW
(i) General Area Conditions
Watershed size 1102 square miles
Drainage area Piclt List
Average annual rainfall 9 ? ? ?? inches
Average annual snowfall checked Asheville NC 152 inches
(u) Physical Characteristics
(a) Relationship with TNW
® Tributary flows directly into TNW
❑ Tributary flows through Pick-bit tributaries before entering TNW
Project waters are 10 5151 river miles from TNW
Project waters are 31 (oir less) river miles from RPW
Project waters are 5 10 aerial (straight) miles from TNW
Project waters are it (or less) aerial (straight) miles from RPW
Project waters cross or serve as state boundaries Explain
Identify flow route to TNW5 Mud Creek (Right and Left Prong) flows directly to the French Broad River
Tributary stream order if known 3
' Note that the Instructional Guidebook contains additional information regarding swales ditches washes and erosional features generally and in the and
West
5 Flow route can be described by identifying e g tributary a, which flows through the review area to flow into tributary b which then flows into TNW

(b) General Tributary Characteristics (check all that apply)
Tributary is ® Natural
❑ Artificial (man made) Explain
❑ Manipulated (man altered) Explain
Tributary properties with respect to top of bank (estimate)
Average width 15 17 feet
Average depth 3 8 feet
Average side slopes 4 (or greater)
Primary tributary substrate composition (check all that apply)
❑ Silts ❑ Sands ❑ Concrete
® Cobbles ® Gravel ❑ Muck
❑ Bedrock ❑ Vegetation Type /% cover
❑ Other Explam
Tributary condition/stability [e g highly eroding sloughing banks] Explain fairly stable
Presence of run/riffle /pool complexes Explain run/pool sequence present
Tributary geometry Meandermg
Tributary gradient (approximate average slope) %
(c) Flow
Tributary provides for Seasonal flow
Estimate average number of flow events in review area/year 2 5
Describe flow regime
Other information on duration and volume
Surface flow is Confined Characteristics
Subsurface flow Unknown Explain findings
❑ Dye (or other) test performed
Tributary has (check all that apply)
® Bed and banks
® OHWM6 (check all indicators that apply)
® clear natural line impressed on the bank
❑
❑ changes in the character of soil
❑
❑ shelving
❑
❑ vegetation matted down bent or absent
❑
❑ leaf litter disturbed or washed away
❑
® sediment deposition
❑
❑ water staining
❑
❑ other (list)
❑ Discontinuous OHWM 7 Explain
If factors other than the OHWM were used to determ
❑ High Tide Line indicated by Q
❑ oil or scum line along shore objects
❑ fine shell or debris deposits (foreshore)
❑ physical markings/characteristics
❑ tidal gauges
❑ other (list)
the presence of litter and debris
destruction of terrestrial vegetation
the presence of wrack line
sediment sorting
scour
multiple observed or predicted flow events
abrupt change in plant community
me lateral extent of CWA jurisdiction (check all that apply)
Mean High Water Mark indicated by
❑ survey to available datum
❑ physical markings
❑ vegetation lines /changes in vegetation types
(n►) Chemical Characteristics
Characterize tributary (e g water color is clear discolored oily film water quality general watershed characteristics etc )
Explain water clarity is good and velocity is strong
Identify specific pollutants if known
6A natural or man made discontinuity in the OHWM does not necessarily sever jurisdiction (e g where the strean temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices) Where there is a break in the OHWM that is unrelated to the waterbody s flow
regime (e g flow over a rock outcrop or through a culvert) the agencies will look for indicators of flow above and below the break
'Ibid

(1v) Biological Characteristics Channel supports (check all that apply)
® Riparian corridor Characteristics (type average width) less than 40 feet wide
❑ Wetland fringe Characteristics
® Habitat for
® Federally Listed species Explain findings habitat for White irisette and Small whorled pogonia exists within the
project study area however the biological conclusion is No Effect Marginal habitat exists within the psa for the Appalachian elktoe
according to the August 14 2006 Survey Report but no freshwater mussels were found in 2 0 manhours of survey time
❑ Fish/spawn areas Explain findings
❑ Other environmentally sensitive species Explain findings
❑ Aquatic /wildlife diversity Explain findings
2 Characteristics of wetlands adjacent to non TNW that flow directly or indirectly into TNW
(i) Physical Characteristics
(a) General Wetland Characteristics
Properties
Wetland size acres
Wetland type Explain
Wetland quality Explain
Project wetlands cross or serve as state boundaries Explain
(b) General Flow Relationship with Non TNW
Flow is Pick List Explam —
Surface flow is Piickifst
Characteristics
Subsurface flow Pick List Explain findings
❑ Dye (or other) test performed
(c) Wetland Adjacency Determination with Non TNW
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection Explain
❑ Ecological connection Explain
❑ Separated by bemi/barrier Explain
(d) Proximity (Relationship) to TNW
Project wetlands are PickDist river miles from TNW
Project waters are Pick List aerial (straight) miles from TNW
Flow is from Pick List
Estimate approximate location of wetland as within the i«�ck L s1 t floodplam
(u) Chemical Characteristics
Characterize wetland system (e g water color is clear brown oil film on surface water quality general watershed
characteristics etc ) Explain
Identify specific pollutants if known
(in) Biological Characteristics Wetland supports (check all that apply)
❑ Riparian buffer Characteristics (type average width)
❑ Vegetation type /percent cover Explain
❑ Habitat for
❑ Federally Listed species Explain findings
❑ Fish/spawn areas Explain findings
❑ Other environmentally sensitive species Explain findings
❑ Aquatic /wildlife diversity Explain findings
3 Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis Pick List
Approximately ( ) acres in total are being considered in the cumulative analysis

For each wetland specify the following
Directly abuts9 (Y/N) Size (in acres) Directly abuts? (Y/N) Size (in acres)
Summarize overall biological chemical and physical functions being performed
C SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical physical and biological integrity
of a TNW For each of the following situations a significant nexus exists if the tributary in combination with all of its adjacent
wetlands has more than a speculative or insubstantial effect on the chemical physical and /or biological integrity of a TNW
Considerations when evaluating significant nexus include but are not limited to the volume duration and frequency of the flow
of water in the tributary and its proximity to a TNW and the functions performed by the tributary and all its adjacent
wetlands It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e g between a
tributary and its adjacent wetland or between a tributary and the TNW) Similarly the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus
Draw connections between the features documented and the effects on the TNW as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook Factors to consider include for example
Does the tributary in combination with its adjacent wetlands (if any) have the capacity to carry pollutants or flood waters to
TNWs or to reduce the amount of pollutants or flood waters reaching a TNW9
• Does the tributary in combination with its adjacent wetlands (if any) provide habitat and hfecycle support functions for fish and
other species such as feeding nesting spawning or rearing young for species that are present in the TNW9
• Does the tributary in combination with its adjacent wetlands (if any) have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs9
• Does the tributary in combination with its adjacent wetlands (if any) have other relationships to the physical chemical or
biological integrity of the TNW?
Note the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below
1 Significant nexus findings for non RPW that has no adjacent wetlands and flows directly or indirectly into TNWs Explain
findings of presence or absence of significant nexus below based on the tributary itself then go to Section III D
2 Significant nexus findings for non RPW and its adjacent wetlands where the non RPW flows directly or indirectly into
TNWs Explain findings of presence or absence of significant nexus below based cn the tributary in combination with all of its
adjacent wetlands then go to Section III D
3 Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW Explain findings of
presence or absence of significant nexus below based on the tributary in combination with all of its adjacent wetlands then go to
Section III D
D DETERMINATIONS OF JURISDICTIONAL FINDINGS THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY)
TNWs and Adjacent Wetlands Check all that apply and provide size estimates in review area
FAI TNWs li near feet width (ft) Or acres
® Wetlands adjacent to TNWs acres
2 RPWs that flow directly or indirectly into TNWs
® Tributaries of TNWs where tributaries typically flow year round are jurisdictional Provide data and rationale indicating that
tributary is perennial Clear bed and bank flowing water each site visit
El Tributaries of TNW where tributaries have continuous flow seasonally (e g typically three months each year) are
jurisdictional Data supporting this conclusion is provided at Section III B Provide rationale indicating that tributary flows
seasonally

Provide estimates for jurisdictional waters in the review area (check all that apply)
Tributary waters 106 If of Right Prong and 104 if of Left Prong linear feet width (ft)
❑ Other non wetland waters acres
Identify type(s) of waters
3 Non RPWss that flow directly or indirectly into TNWs
❑ Waterbody that is not a TNW or an RPW but flows directly or indirectly into a TNW and it has a significant nexus with a
TNW is jurisdictional Data supporting this conclusion is provided at Section III C
Provide estimates for jurisdictional waters within the review area (check all that apply)
❑ Tributary waters linear feet width (ft)
❑ Other non wetland waters acres
Identify type(s) of waters
4 Wetlands directly abutting an RPW that flow directly or indirectly into TNWs
Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands
❑ Wetlands directly abutting an RPW where tributaries typically flow year round Provide data and rationale
indicating that tributary is perennial in Section III D 2 above Provide rationale indicating that wetland is
directly abutting an RPW
® Wetlands directly abutting an RPW where tributaries typically flow seasonally Provide data indicating that tributary is
seasonal in Section III B and rationale in Section III D 2 above Provide rationale indicating that wetland is directly
abutting an RPW
Provide acreage estimates for jurisdictional wetlands in the review area acres
5 Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs
❑ Wetlands that do not directly abut an RPW but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands have a significant nexus with a TNW are jurtsidictional Data supporting this
conclusion is provided at Section III C
Provide acreage estimates for jurisdictional wetlands in the review area acres
6 Wetlands adjacent to non RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to such waters and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands have a significant nexus with a TNW are jurisdictional Data supporting this
conclusion is provided at Section III C
Provide estimates for jurisdictional wetlands in the review area acres
7 Impoundments of jurisdictional waters 9
As a general rule the impoundment of a jurisdictional tributary remains jurisdictional
Demonstrate that impoundment was created from waters of the U S or
Demonstrate that water meets the criteria for one of the categories presented above (1 6) or
n Demonstrate that water is isolated with a nexus to commerce (see E below)
E ISOLATED [INTERSTATE OR INTRA STATE] WATERS INCLUDING ISOLATED WETLANDS THE USE
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY) 10
❑ which are or could be used by interstate or foreign travelers for recreational or other purposes
❑ from which fish or shellfish are or could be taken and sold in interstate or foreign commerce
F1 which are or could be used for industrial purposes by industries in interstate commerce
Q Interstate isolated waters Explain
❑ Other factors Explain
Identify water body and summarize rationale supporting determination
8See Footnote # 3
9 To complete the analysis refer to the key in Section III D 6 of the Instructional Guidebook
10 Prior to asserting or declining CWA jurisdiction based solely on this category Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos

I
Provide estimates for Jurisdictional waters in the review area (check all that apply)
❑ Tributary waters linear feet widt h (ft)
❑ Other non wetland waters acres
Identify type(s) of waters
® Wetlands acres
F NON JURISDICTIONAL WATERS INCLUDING WETLANDS (CHECK ALL THAT APPLY)
nl If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements
® Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce
❑ Prior to the Jan 2001 Supreme Court decision in SWANCC the review area would have been regulated based solely on the
Migratory Bird Rule (MBR)
® Waters do not meet the Significant Nexus standard where such a finding is required forjurisdiction Explain
Q Other (explain if not covered above)
Provide acreage estimates for non Jurisdictional waters in the review area, where the sole potential basis of Jurisdiction is the MBR
factors (i a presence of migratory birds presence of endangered species use of water for irrigated agriculture) using best professional
Judgment (check all that apply)
❑ Non wetland waters (i a rivers streams) li near feet width (ft)
❑ Lakes /ponds acres
❑ Other non wetland waters acres List type of aquatic resource
❑ Wetlands acres
Provide acreage estimates for non Jurisdictional waters in the review area that do not meet the Significant Nexus standard where such
a finding is required for Jurisdiction (check all that apply)
❑ Non wetland waters (i a rivers streams) h near feet width (ft)
Q Lakes /ponds acres
® Other non wetland waters acres List type of aquatic resource
® Wetlands acres
SECTION IV DATA SOURCES
A SUPPORTING DATA Data reviewed for JD (check all that apply checked items shall be included in case file and where checked
and requested appropriately reference sources below)
❑ Maps plans plots or plat submitted by or on behalf of the applicant/consultant
❑ Data sheets prepared/submitted by or on behalf of the applicant/consultant
❑ Office concurs with data sheets /delineation report
❑ Office does not concur with data sheets /delineation report
® Data sheets prepared by the Corps
❑ Corps navigable waters study
U S Geological Survey Hydrologic Atlas
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
Q U S Geological Survey map(s) Cite scale & quad name
❑ USDA Natural Resources Conservation Service Soil Survey Citation
❑ National wetlands inventory map(s) Cite name
k State/Local wetland inventory map(s)
❑ FEMA/FIRM maps
® 100 year Floodplam Elevation is (National Geodectic Vertical Datum of 1929)
❑ Photographs ❑ Aerial (Name & Date)
or ❑ Other (Name & Date)
❑ Previous determination(s) File no and date of response letter
❑ Applicable /supporting case law
❑ Applicable /supporting scientific literature
❑ Other information (please specify)
B ADDITIONAL COMMENTS TO SUPPORT JD

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