20140911 Ver 1_Application_20140825

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STATE OF NORTH CAROLINA
DEPAR'I'MEN"I' OF T'RANSPORTATION
PAT MCCRORY
GOVERNOR
August 21, 2014
Ms. Lori Beckwith
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
Subject: Nationwide Permit #14
Bridge 167 SR 1539 Rolands Chapel Road/Hendley Road
State Project No. 17BP.13.R.55
McDowell County, NC
Dear Ms. Beckwith:
ANTHONY J. TATA
SECRETARY
I have enclosed a set of plans, a PCN application for NWP #14, and a vicinity map
relative to the proposed bridge replacement project on SR 1539 Rolands Chapel
Road/Hendley Road in McDowell County, NC.
We propose to replace the existing 18 feet long x 20 feet wide timber bridge with a 20
feet 4 inches wide x 4 feet 6 inches high x 36 feet long aluminum box culvert on existing
alignment. The culvert will have floodplain benches and Class 1 rip rap at the inlet and
outlet to help maintain the existing channel dimensions. A temparary impact to SO linear
feet of Thompsons Fork will be necessary for dewatering during construction. The creek
is an approximately 7 feet wide stream with a predominately sand substrate; it has a 0.5%
grade. The creek is classified as Class C.
Existing channel morphology will be maintained upstream and downstream of the bridge.
Riparian vegetation will be reestablished along disturbed azeas associated with the
project. Stormwater will be diverted through grass-lined ditches or vegetated buffers
whenever possible prior to entering streams.
No effect on federally listed species (threatened or endangered) or their habitats will
occur.
As a part of the 401 Certification process, the project was processed through the DOT
Programuiatic Agreement for Minor Project as required by Section 106 of the National
Division Thirteen Of6ce Post Office Box 3279 Asheville, NC 28802
Phone: 82S/251-6171 Office of the Division Engineer Fax: [phone]
www.ncdot.gov/doh/operations/divisionl3

Ms. Lori Beckwith
Page —2 Bridge 167, McDowell County
August 21, 2014
Historic Preservation Act of 1966 and GS 121-12(a). No Historic Resources will be
affected.
By copy of this letter, we request Marla Chambers, North Carolina Wildlife Resources
Commission Western Region Coordinator, to comment directly to the Corps concerning
the permit request.
By copy of this letter, we aze asking the Area Roadside Field Operations Engineer, to
comment on the above project. Thompsons Fork is classified as Class C. The project
will not require a trout buffer vaziance.
By copy of this letter, I am forwarding one copy of the application package to Sonia
Carillo, NC Division of Water QualiTy, Transportation Permitting Unit and an additional
copy to Kevin Bamett, NC DWQ Asheville Regional Office for review and comment.
Please charge the application fee of $240.00 to WBS element # 17BP.13.R.55. Please
forward comments directly to the Corps with copy to Division 13 Environmental Officer.
Your eazliest consideration for this request would be greaUy appreciated. If you have any
questions or information needs, please contact me at [phone].
Sincerely,
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Roger D. Bryan
Division 13 Environmental Officer
Enclosures
cc: J.J. Swain, Jr., P.E.
Paul L. Sprouse, P.E.
Ben DeWit, CPESC
Marla Chambers
Sonia Carillo
Kevin Barnett

Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name: Bridge 167, SR 1539
2. Name of Property Owner/Applicant: NC DOT
3. Name of ConsultanUAgent:
*Agent authori�ation needs to be attached.
4. Related/Previous Action ID number(s):
5. Site Address: N/A
6. Subdivision Name:
7. City: Nebo
8. County: McDowell
9. Lat: 35.70841 Long: -81.94307 (Decimal Degrees Please )
10. Quadrangle Name: Marion East
11. Waterway: Thom�sons Fork
12. Watershed: Catawba
13. Requested Action:
X Nationwide Permit # 14
General Permit #
_ Jurisdictional Determination Request
Pre-Application Request
The following information will be completed by Corps office:
AID:
Prepare File Folder Assign number in ORM Begin Date
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Name:
Keywords:

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O�ce 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
1a. Type(s) of approval sought from the X Section 404 Permit ❑ Section 10 Permit
Corps:
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? X Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
X 401 Water Quality Cehification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
❑ Yes X No ❑ Yes X No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation X Yes ❑ No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h ❑ Yes X No
below.
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes X No
2. Project Information
2a. Name of project: Bridge 167, SR 1539
2b. County: McDowell
2c. Nearest municipality / town: Nebo
2d. Subdivision �ame: N/A
2e. NCDOT only, T.I.P. or state 17BP.13.R.55
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. N!A
3c. Responsible Party (for LLC if N�A
applicable):
3d. Streetaddress: N/A
3e. City, state, zip: N/A
3f. Telephone no.: N/A
3g. Fax no.: N/A
3h. Email address: N/A
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4. Applicant Information (if different from owner)
4a. Applicant is: North Carolina Department of Transportation
4b. Name: J.J. Swain, Jr., P.E., Division Engineer
4c. Business name N.C. Department of Transportation
(if applicable):
4d. Street address: 55 Orange Street, P.O. Box 3279
4e. City, state, zip: Asheville, NC 28802
4f. Telephone no.: 828-251-6171
4g. Fax no.: 828-251-6394
4h. Email address: rdbrvan(c�ncdot.qov
5. AgentlConsultant Information (if applicable)
5a. Name: N/A
5b. Business name N/A
(if appiicabie):
5c. Street address: N/A
5d. City, state, zip: N/A
5e. Telephone no.: N/A
5f. Fax no.: N!A
5g. Emai� address: N/A
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B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
1 b. Site coordinates (in decima� degrees): Latitude: 35.70841 ° N Longitude: - 81.94307° W
1c. Propertysize: O.tacre
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Thompsons Fork
proposed project:
2b. Water Quality Classification of nearest receiving water: C
2c. River basin: Catawba
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:
Existing bridge on SR 1539 surrounded by low density residential areas and forestland.
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:
60
3d. Explain the purpose of the proposed project:
Replace the existing small, substandard bridge.
3e. Describe the overall project in detail, including the type of equipment to be used:
Approximately 50 linear feet of Thompsons Fork will be temporarily impacted for dewatering during bridge
replacement. The stream will be piped through the construction site. The existing 18' x 20' timber bridge will be
replaced by an aluminum box culver t measuring 20'4" wide x 4'6" high x 36' long. Equipment used will include hand
tools, trackhoe, backhoe, trucks.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / � yes X No ❑ Unknown
project (including all prior phases) in the past?
Comments:
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): N/A Other: N/A
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 X 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 X No
6b. If yes, explain.
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Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands X 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 wetiand Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ — non-404, other) (acres)
Tem ora
W� � P� T ❑ Yes ❑ Corps
❑ No ❑ DWQ
WZ � P � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W5 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for ail stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perenniai Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ — non-004, W�dth (linear
Temporary(T) (INn? other) (feet) feet)
S1 ❑ P X T Impervious Thompsons Fork X PER X Corps � 50
Dike/Dewatering ❑ INT X DWQ
S2 ❑ P � T Box culvert Thompsons Fork X PER X Corps � 36
❑ INT X DWQ
S3 ❑ P � T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S4 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S5 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total stream and tributary impacts 86
3i. Comments: 50 LF of temporary impacts and 36 LF of permanent impacts occur in same location and overlap
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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 individuall list all o en water im acts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Tem ora T
01 ❑P�T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
Sf. Total
Sg. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
Si. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
Sk. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then compiete the chart below. If yes, then individually list all buffer impacts
below. If an im acts re uire miti ation, then ou MUST fill out Section D of this form.
6a.
❑ Neuse ❑ TarvPamlico ❑ Other:
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Tem ora T im act re uired?
61 ❑P❑T ❑Yes
❑ No
B2 ❑POT ❑Yes
❑ No
B3 ❑P❑T ❑Yes
❑ No
6h. Total buffer impacfs
6i. Comments:
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D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Minimum culvert length used to obtain needed typical section, alignment, and shoulder width for safety.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
N/A
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for X Yes ❑ No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ X Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this X Payment to in-lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. X Yes
4b. Stream mitigation requested: 36 linear feet
4c. If using stream mitigation, stream temperature: ❑ warm X 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 (tidai) 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.
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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 ❑ Yes X No
buffer mitigation?
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.
6c. 6d. 6e.
Zone Reason for impact Total impact Muitiplier Required mitigation
(square feet) (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:
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E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified � yes X No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments:
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? N/A
2b. Does this project require a Stormwater Management Plan? X 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:
The project will use BMP's to the Maximum Eutent Practicable (MEP) in compliance with NCDOT's NPDES Permit No.
000250 Post Construction Stormwater Program
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? X DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local governmenYs jurisdiction is this project? N/A
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
X Other: N/A
3c. Has the approved Stormwater Management Plan with proof of approval been N/A
attached?
4. DWQ Stormwater Pro ram Review
❑ Coastal counties
❑ HQW
4a. Which of the following state-implemented stormwater management programs apply � ORW
(check all that apply): ❑ Session Law 2006-246
X Other: N/A
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? N/A
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the �ppropriate requirements? N/A
5b. Have all of the 401 Unit submittal requirements been met? N�q
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F. Supplementary Information
1. Environmental Documentatfon (DWQ Requirement)
1 a. Does the project invoive an expenditure of public (federal/state/local) funds or the � Yes ❑ No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ❑ Yes � No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ❑ Yes ❑ No
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 26 .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 � No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
N/A
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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
Sc. If yes, indicate 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?
Reviewed USFWS county list (http:/lwww.fws.gov/raleigh/species/cntylisUmcdowell.html), field survey of the project area
evaluation of current distribution data, and comparison of habitat requirements versus habitat present at the site.
6. Essential Fish Habitat (Corps Requirement)
6a. Wiil 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?
Current Maps/Database
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
govemments 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?
Current Maps/Database website: http://gis.ncdcr.gov/hpoweb/
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:
8c. What source(s) did you use to make the floodplain determination? NCDOT Stormwater Environmental Sensitivity Map
website: http://ncdotesm.ursokr.com/default.html
Roger D. Bryan � 8/18/2014
�C�i.�
ApplicanUAgenYs Printed Name ApplicanUAg t's Signature Date
(AgenCs signature is valid only'rf an uthorization letter from the applicant
is rovided.
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APPROVED JURISDICTIONAL DETERMINATION FORM
O.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Sec[ion N of the JD Form Ins[ruc[ional 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 INFORMAT[ON:
S[ate: NC County/parish/borough: McDowell City: Nebo
Cen[er coordinates of site (IaUlong in degree decimal format): Lal. 35.70841° N, Long. -81.94307° W.
Universal Transverse Mercator:
Name of nearest waterbody: Thompsons Fork
Name of nearest Traditional Navigable Water (7NW) lnto which the aquatic resource flows: Thompsons Fork--North Muddy Creek--
Muddy Creek—Catawba 2iver
Name of watershed or Hydrologic Unit Code (HUC): 03050101
� Check if map/diagram of review area and/or potential jurisdictional areas is/aze available upon request.
❑ Check if o[her sites (e.g., offsite mitigation sites, disposal sites, etc...) are associa[ed with this action and are rewrded on a
diffcrent ID form.
D. REVIEW PERFORMED FOR SITE EVALOATION (CHECK ALL THAT APPLY):
❑ O�ce (Desk) Determination. Date:
� Field Detertnination. Date(s): 8/13/2014
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There Are no "navigable waters ofthe U.S" within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review azea. [RequiredJ
❑ Waters subject to the ebb and flow of the tide. .
❑ Waters are presently used, or have been used in the past, or may be susceptible for use to lransport interstate or foreign commerce.
Explain: .
B. CWA SECTION 404 DETERMINATION OF JUR[SDICTION.
There Are "waters ofthe U.S." within Clean Water Act (C WA) jurisdiction (as defined by 33 CFR par[ 328) in the review area [ReqviredJ
l. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): �
❑ TNWs,includingterritorialseas
❑ WetlandsadjacenttoTNWs
� Rela[ively permanent waters� (RPWs) that flow directly or indirecUy in[o TN Ws
❑ Non-RPWs [hat flow diree[ly or indirectly into TNWs
❑ Wetlands direc[ly abutting RPWs that flow directly or indirectly in[o 1'NWs
❑ Wetlands adjacent to but not direc[ly abutting RPWs that Flow directty or indirectly into 7'NWs
❑ We[lands adjacent to non-RPWs that flow direc8y or indirectly into 7'NWs
❑ Impoundments ofjurisdictional waters
❑ Isolated (interstate or intrastate) waters, including isola[ed wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non-wetland waters: 60 linear feet: 7 width (ft) and/or acres.
Wetlands: acres.
c. Limits (boundaries) of jurisdiction based on: Established by OHWM.
Elevation of established OHWM (if known): .
2. Non-regulated waters/wetlands (check if applicable):'
❑ Votentiallyjurisdic[ional waters and/or wetlands were assessed wi[hin the review area and determined to be not jurisdictional.
Explain:
' Boxes checked below sM1all be supported by compieting ihe appropriate secfions in Section III below.
' For numoses nf this fnrm. an RPW is defined ac a tributarv that is not a TNW and �ha[ [vnicallv tlnws vear-round nr hac con�inuous flow a[ leaat "seaeonalld'

SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wedands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section III.A1 and Section Ill.D.I. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections IR.A.1 and 2
and Section IILD.1.; otherwise, see Section III.B below.
1. T1VW
Identify TNW:
Summarize rationale supporting determination:
2. Wetland adjacent to TNW
Summarize rationale supporting wnclusion that wetland is "adjacenY':
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 tor jurisdiction established under Rspanos have been met.
The agencies will assert jurisdiction over non-navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically Oow year-round or have continuous Oow at least seasonally (e.g., typically 3
months). A wetland that direcdy abuts an RPW is aiso jurisdictional. If the aquatic resource is not a TNW, but has year-round
(perennial) ilow, skip to Section Ill.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section IILD.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 sigoificant oeaus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable wateq even
though a significant nexus finding is not required as a matter of law.
Itthe 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 neaus with a TNW. If [he tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This signifcant 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.B1 for
the tributary, Section IR.B.2 for any onsite wetlands, and Section IILB.3 (or all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a signiiicant nexus exists is determined in Section III.0 below.
1. Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Wa[ershed size: Pick List
Drainage area: Pick List
Average annual rainfall: inches
Average anwal snowfall: inches
(ii) Physical Characteristics:
(a) Relationship with 1'NW:
❑ Tributary flows directly into TNW.
❑ Tributary flows through Pick List tributaries before en[ering TN W.
Project wa[ers are Pick List river miles from TNW.
Project waters are Pick List river miles from RPW.
Project waters are Pick List aerial (straight) miles from 7'NW.
Project waters are Pick List aerial (shaight) miles from RPW.
Project waters cross or serve as state boundaries. Explain:
Identify flow route to TNWs:
Tributary stream order, if known:
° Note that the Instructional Guidebook contains additional infolmation regarding swales, di[ches, waches, and erosional feaNres generally and in the arid
West.
' Flow route can be described by identifying, e.g., tributary a, which flows throu� the review area, to Flow into tributary b, which ihen flows into TNW.

(b) General Tributary Characteris[ics (check all that apply):
Tributary is: ❑ Natural
❑ Artificial (man-made). Explain:
❑ Manipulated (man-altered). Explain:
Tributary properties wi[h respect to top of bank (es[imate):
Average wid[h: feet
Average depth: feet
Average side slopes: Pick List.
Primary tributary substrate composition (check all that apply):
❑ Silts ❑ Sands ❑ Concre[e
❑ Cobbles ❑ Grnvel ❑ Muck
❑ Bedrock ❑ Vegetation. Type/%cover:
❑ Other. Explain: .
Tributary condition/stability [e.g., highty eroding sloughing banks]. Explain:
Presence of run/riftle/pool complexes. Explain: .
Tributary geome[ry: Pick List
Tributary gradient (approximate average slope): %
(c) Flow:
Tributary provides for. Pick List
Estima[e average number of flow events in review area/year: Pick List
Describe flow regime: .
Othcr information on duration and volume: .
Surface flow is: Pick List Chazacteristics:
Subsurface flow: Pick List. Explain findings:
❑ Dye (or other) test performed: .
Tributary has (check ail that apply):
❑ Bed and banks
❑ OHWM6 (check all indicators that apply):
❑ clear, natural line impressed on the bank
❑ changes in [he character of soil
❑ shelving
❑ vegetation matted dowq bent, or absent
❑ leaf litter disturbed or washed away
❑ sedimen[ deposi[ion
❑ water staining
❑ other(list):
❑ Discontinuous OHWM.� Explain:
■
■
■
�
■
■
■
the presence of li[ter and debris
destruction of [ertestrial vegeta[ion
the presencc of wrack line
sediment sorting
scour
multiple observed or predicted flow even[s
abrupt change in planl community
If factors other than the OHWM were used to determine lateral extent of CWAjurisdic[ion (check all that apply):
❑ High Tide Line indicated by: ❑ Mean High Water Mark indica[ed by:
❑ oil or scum line along shore objec[s ❑ survey to available da[um;
❑ fine shell or debris deposits (foreshore) ❑ physical markings;
❑ physical markings/characteristics ❑ vegefa[ion lines/changes in vegetation types.
❑ tidal gauges
❑ other (lis[):
(iii) Chemical Characteristics:
Characterize lributary (e.g., water color is clear, discobred, oily film; water quality; general watershed characteristics, etc.).
Explain:
Identify specific pollutants, if known: .
`A natural or man-made discontinuity in ihe OHWM dces not necessazily severjurisdiction (e.g., where the stream temporarily flows underground, or where
[he OHWM has been removed by developmen[ or agriwlNral practices). Where there is a break in Ihe OHWM [ha[ is unrela[ed to the wa[erbody's tlow
regime (e.g., flow over a rock outcrop or ihrough a culverl), the agencies will look for indicators of ttow above and below ihe break.
'Ibid.

(iv) Biological Characteristics. Channel supports (check all that apply):
❑ Riparian corridoc Characteristics (type, average width): .
❑ Wetland fringe. Characteristics: .
❑ Habitat for:
❑ Federally Lis[ed species. Explain findings: .
❑ Fish/spawn areas. Explain findi�gs: .
❑ Other environmentally-sensitive species. Explain findings:
❑ Aquatic/wildlife diversity. Explain findings: .
2. Characteristics of wetlands adjacent to non-TNW that tlow directiy or indirectly into TNW
(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size: acres
Wetland type. �xplain: .
Wetland quality. Explain: .
Project wetlands cross or serve as state boundaries. Explain:
(b) General Ftow Relationshio with Non-TNW:
Flow is: Pick List. Explain: .
Surface flow is: Pick List
Characteristics:
SubsurFace flow: Pick List. Explain findings:
❑ Dye (or other) test performed: .
(c) Wetland Adiacencv Determination with Non-TN W:
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connec[ion. Explain:
❑ Gcological connectioa Gxplain: .
❑ Separated by berm/barziec Explain: .
(d) Proximity (Relationship) to 7'NW
Project weUands are Pick List river miles from 7'NW.
Project waters are Pick List aerial (straigh[) miles from TTIW.
Flow is from: Pick List.
Es[imate approximate location of wetland as within [he Pick List floodplain.
(ii) Chemical Charecteristics:
Characterize weUand sys[em (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
characteristics; etcJ. Explain: .
Identify specific pollutants, if known: .
(iii) Biological Characteristics. Wetland supports (check all that apply):
❑ Ripazian buffec Characteristics (type, average width): .
❑ Vegetation Type/percent covec Explain: .
❑ Habitat for:
❑ Federally Listed species. Explain findings: .
❑ Fish/spawn areas. Explain findings: .
❑ Other emironmen[ally-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:
Directiv abuts? (Y/N) Size (in acresl Direc[ly abuts? (YMl Size (in acresl
Summarize overall biological, chemical and physical func[ions being perfortned: .
C. SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis wiil assess the ilow 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 signi5caot nexus include, but are not limited to the volume, duretion, and frequency of the ilow
of water in the tributary and its proximity to a TNW, and the functions pertormed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any speci5c 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 tloodplain is not solely determinative of significant nexus.
Draw connections between the teatures dacumented and the effects on the TNW, as identified in the Rapanos Guidance and
diswssed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent we[lands (if any), have the capacily to carry pollutan[s or flood wa[ers to
TN Ws, or to reduce [he amoun[ of pollutants or flood waters reaching a 7'N W?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nes[ing, spawning, or reazing young for species that are present in the 1'NW?
• Does the fibutary, in combina[ion with its adjacen[ wetlands (if any), have the capacity to transfer nutrien[s and orgaoic carbon that
support downstream foodwebs?
• Does the tributary, in wmbina[ion with its adjacen[ wetlands (if any), have other relationships to the physical, chemical, or
biological integriTy of the TNW?
Note: the a6ove list of considerations is not inclusive and other functions observed or known to occur should be documented
below:
1. SigniTicant nexus findings for non-RPW that has no adjacent wetlands and ilows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section IfLD: .
2. Significant nexus findings for non-RPW and its adjacent wetiands, where the non-RPW Flows directly or indirectly into
TNWs. Explain findings of presence or absence of significan[ nexus below, based on the tributary in combination wi[h 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 direcUy abut the RPW. Explain findings of
presence or absence of significan[ nexus below, based on the hibutary in combination with all of i[s adjacent wetlands, then go to
Section IILD: .
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
l. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
❑ 7'NWs: linear feet wid[h (Il), Or, acres.
❑ Wetlandsadjacen[toTNWs: acres.
2. RPWs that tlow directly or indirectly into TNWs.
� Tributaries of TTIWs where tributaries typically flow year-round arejurisdictional. Provide data and rationale indica[ing that
tributary is perennial: Stream is shown as blue line on [opo and has pronounced bed/bank features. Fish present.
❑ Tributaries of TTIW where tdbutaries have continuous flow "seasonalty" (e.g., typically three months each year) are
jurisdictional. Data supporting this conclusion is provided at Section IILB. Provide rationale indicating that tributary flows
seasonally: .

Provide estimates forjurisdictional waters in the review area (check all that apply):
� Tributary waters: 60 ]inear feet 7 width (ft).
❑ Other non-wetland wa[ers: acres.
Identity Type(s) of waters: .
3. Non-RPWs° that tlow directly or indirectly into TNWs.
❑ Waterbody tha[ is not a TN W or an RPW, but flows directty or indirectly in[o a TNW, and it has a significant nexus with a
7'NW isjurisdictional. Data supporting [his conclusion is provided at Section III.C.
Provide estima[es forjurisdictional waters within the review azea (check all that apply):
❑ Tribulary 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 arejurisdictional as adjacen[ wetlands.
❑ Wetlands directly abutting an RPW where tributaries Typically flow year-round. Provide dala and rationale
indicating that tributary is perennial in Section III.D2, above. Provide rationale indicating that wetland is
directly abutting an RPW: .
❑ Wetlands directly abutting an RPW where tributaries Typically flow "seasonally." Provide da[a indicating that tributary is
seasonal in Section III.B and rationale in Section IILD2, above. Provide rationale indicating that wetland is direcNy
abut[ing an RPW: .
Provide acreage es[ima[es forjurisdictional wetlands in the review area: acres.
5. Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
❑ WeUands that do not directty abut an RPW, but when considered in combination with the tributary ro which they are adjacen[
and wi[h similarly siNated adjacent wetlands, have a significan[ nexus with a 7'NW arejurisidictional. Data supporting this
conclusion is provided at Section IILC.
Provide acreage estimates forjurisdictional wetlands in the review area: acres.
6. Wedands adjacent to non-RPWs that tlow directly or indirectly into TNWs.
❑ Wetlands adjacent to such waters, and have when considered in combina[ion wi[h the tribu[ary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TN W are jurisdictional. Data supporting [his
conclusion is provided at Section III.C.
Provide es[imates for jurisdictional wetlands in the review area: acres.
7. Impoundments of jurisdictional waters.9
As a general rule, the impoundment of ajurisdictional Gibutary remains jurisdictional.
❑ Demonstrate that impoundment was created from "waters of the U.S.," or
❑ Demonstrate [ha[ wa[er mee[s the criteria for one of the categories presented above (1-6), or
❑ Demonstrate [hat water is isolated with a nexus to commerce (see E below).
& ISOLATED �INTERSTATE OR INTRA-STATE� WATERS, INCLUDING ISOLATED WETLANDS, TRE 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 Vavelers for recreational or other purposes.
❑ from which fish or shellfish are or wuld be taken and sold in interstate or foreign commerce.
❑ which are or could be used for industrial purposes by industries in interstate commerce.
❑ Interstale isolated waters. F.xplain: .
❑ Other factors. Explain: .
Identify water body and summarize rationale supporting determination:
aSee Foa�note N 3.
' To complete the analysis refer to the key in Section III.D.6 of the InsW etional Guidebook.
1° Prior to assertiug or declining CWA jurisdicfion based solely on Ihis category, Corps Districts will elevate the actioo to Corps and EPA NQ for
review wnsistent with the process described in Ihe Corp�EPAMemorattdum Regatding CWA Ac! ✓urisdicdan Follawing Rapanos.

Provide estimates forjurisdictional waters in the review area (check all that apply):
❑ Tributary waters: linear feet width (ft).
❑ Other non-wetland wa[ers: acres.
[den[ify type(s) of wa[ers: .
❑ Wetlands: acres.
F. NONJURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLl�:
❑ 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 wi[h no substantial nexus to interstate (or foreign) wmmerce.
❑ Prior [o the 7an 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solelv on the
"Migrarory Bird Rule" (MBR).
❑ Waters do not meet the "Significant Nexus° standard, where such a finding is required forjurisdiction Explain: .
❑ Other. (explain, if not covered above): .
Provide acreage estimates for nonyurisdictional waters in [he review area, where the sole potential basis ofjurisdiction is the M13R
facrors (i.e, presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using bes[ professional
judgment (check all that apply):
❑ Non-wetland waters (i.e., rivers, streams): lineaz feet width (ft).
❑ Lakes/ponds: acres.
❑ O[her non-wetland waters: acres. List type of aquatic resource: .
❑ Wetlands: acres.
Provide acreage estimates for nonyurisdic[ional waters in the review area that do not meet lhe "Significan[ Nexus" standard, where such
a finding is required forjurisdiction (check all that apply):
❑ Non-wetland waters (i.e., mers, sVeams): ]inear feet, width (ft).
❑ Lakes/ponds: acres.
❑ Other non-wetland wa[ers: acres. List rype of aquatic resource: .
❑ We[lands: 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, pbts or plat submitted by or on behalf of the applicanUconsultant: .
❑ Data sheets prepared/submitted by or on behalf of the applicanUconsultant.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by [he Corps: .
❑ Corps navigable waters' study: .
❑ U.S. Geological Survey Hydrologic Atlas: .
❑ USGS NHD data.
❑ USGS 8 and l2 digit HUC maps.
� U.S. Geological Survey map(s). Cite scale & quad name:1.2400Q Eas[ Marion topo.
❑ USDA Natural Resources Conservation Service Soil Survey. Citation: .
❑ National wetlands imentory map(s). Cite narne: .
❑ State/[.ocal wetland inventory map(s): .
❑ FEMA/FIRM maps: .
❑ t00-year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
� Photographs: � Aerial (Name & Date): .
o� � Other (Name & Date): Stream photos da[ed 8/13/2014 in PCN.
❑ Previous determination(s). File no. and da[e of response letter: .
❑ Applicable/supporting case law: .
❑ Applicable/supporting scienti6c literature: .
❑ Other infortnation (please specify): .
B. ADDITIONAL COMMENT5 TO SUPPORT JD: Fish are present.

P!�� r�i r;��:ro�i��a Depailnu,i�t ��i �,, �� ���ii� � ,� ���; ��� ,i !��,.,,., �
I f':Irt;nrV F:�liii�n,;ll.!ii at.l;li��.,:lu;
.iViP.�ilql . � "ii!��_�I i'.�..ii._� i 'l.;;Ui
Augus[ 14, 2014
�1r. 1'ates Allen
NCDOT Division 13 Environmental Speciulist
Norih Carol in.i Departmenl of "Cransporlation
PostOftice 13oa J279
Ashcvillc, Norlh Carolinz 28502
Dear Mr. Allen:
Subjzct EEP Mitigation Accepl�nce Leuer:
'�i,.., ,.�i �. i��:�
Division 17 Project, Replace Rridge Number 58p l67 over Thompson Fork on SR 1539
(Hcndlcy 2oad), McDou�ell County: WBS [lement 17BP.13.R.55
The purpose of Ihis letler is to notify you that the Ecosystem Enhancement Program (EEP) �vil( providc die
compensa�ery stream miiiga�ion for �he subjecl project. Based on the infonnalion received tlnm you on Augu;t li,
2014, the impac�s are located in CU 03050/01 of die Catawba River ba+in in Ihe Nmiheru �4owvains (�tiI) �eo-
Region, and are ;u fulluws:
Catawba
03050101
N �1
Impacts (feedncres)
S[reTm
Cold Cool �Vann
0 36.0 0
\Netlands
Noo- Consra
Riparian Riparian Marsh
0 0 0
6uffcr(Sq.Ft.) ���
Zone 1 Lone 2 �,
0 I o
�Chis impaet and associaled mi[igation nezd were under projected by the NCDO'1' iu the 2014 impnct dnta. FF.P
will commi[ ro impleuteut sufGciem eompensatory sh'eam ��ii[iga�iou eredits [o offset the impae[s associated widi this
project as detemiined by Ihe regulatory agencies usii�g [he delivery timelinc listed in Seclion F3.c.iii ot the N.C.
Department of Enviromne��t and Natural Resources' Ecosystem 6nhancement Program I�rLieu Fce Instrumen� dated
July 23, 2010. If the above refereuced impact amounts are revised, then this miCigation acceptance letter will no longer
be vrlid aud a t�ew mitign[ion acceptance le�[er u•ill be required from EEP.
cc:
ff you have any questions or need addiiiunal infurnuuiou, please cunlac� Ms. Beth Harmon at 919-707-3420.
Sinccroly,
� CY �;, �.1-tit
Ja� s . t n� �
[ - ssei Management Supervisor
NIs. Lori Beckwith. USACF — Asheville Regul� toiy I'ield Oflice
blr. Poul L. Sp�rouse, P.L-., NCll07� — Division 13 6ridge Prograin Lngineer
Ms. Linda h'itzpatrick, NCDOT — PDEA
File: SR 1539 — Bridge 580167 Uivision 13
�r, � .�n�n.. , .. � � .. _ ..�..

NCDOT Erosian Symbols
Temporary Sllt Dttch
Temporery Dive►slon
Tamporary Sllt Fence
Temporary Slope Dnin wlth Eprth Berm
Silt Basin Type A
Silt Bnsin Type 8
Temporary Rock Silt Check Type A
Temponry Rock Sii! Check Type B
Tetnpotwry Rock Sedlment Dam Type A
Temporary Rack Sediment Dam Type B
Rock Pipe Inlet Protaction
I2ock.8ilt 8creen
Stilling`L�asin
Spaclal Se�i(ment CoMrol Fence
Rip Rap
Ditch Liner �
Envlronmentally Sel�idve Area
Pipe Outlst Energy Dissapator
Erosion Control Maltlng
Fiber Glass Roving
Sllt Check Dam 7ype A
Silt Check Dem Type e
TSD
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N.C. DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
SECONDARY ROAD SURVEY
SUBJECT: McDowell Bridge # 167 Replacement
LOCATION: .3 Miles North of Intersection of US 70
WORK TYPE: Replace Bridge with Aluminum Box Culvert,
20'-4"x4'-6"
WORK ORDER:I7BP.13.R.55
COUNTY: McDowell
DATE: 5-15-14 Long.81° 56' 37.4'� Latt. 35° 42� 32.8"
TOWNSHIP: Nebo
NOTES: 60' R/W
STREAM: Thompsons Fork, Class C
PREPARED BY: JPR Cert. # 3318
MAX SLOPG
FILL 1 u�:l
GUT� t :�

NC Department ofTransportation
Division of Highways
Highway I3uilding
1 S. Wilmingrou Strcet
Raleigh, NC 27601
SUBJECT�RIIiiG:� N,��iIIC��IJ��PP��� PROIECT I IFii�� Ii. ��. ���>
�
PREPARED BY
❑I�UOWCL-I-�• COUNTY
CHECKED BY DAiE_STR NO SHEET—OF

NC Depacuucut of Transportation
Division of Highways
Highway Building
I S. Wilmingron Street
Raleigh, NC 27601
SUBJECT
��s�':;,f: ��F�ClI!`t'iif�i°I�rRaecr 1'7(SP. �3. R. SS
COUNIY
•��R�CTR/117
PREPARED BY
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MFORMAiION TO BE SN
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