2019-01257 NWP 14 Tearsheet

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2019-01257 County: Guilford U.S.G.S. Quad: NC-Ossipee
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Permittee: NC Department of Transportation
Attn: Jerry Parker
Address: P.O. Box 14996
Greensboro, NC 27415-4996
Size (acres) —0.6 Nearest Town Gibsonville
Nearest Waterway UT to Haw River River Basin Cape Fear
USGS HUC 03030002 Coordinates 36.233308,-79.561085
Location description: The project area is located at NCDOT Bridge 183 on SR2710 (Running Creek Road) near Gibsonville in
Guilford County, North Carolina.
Description of projects area and activity: This verification authorizes the discharge of clean fill material associated with
replacing an existing bridge in place with two 12 X 10 foot reinforced concrete box culverts (RCBCs) with 1- and 2-foot sills.
The proiect includes permanent impacts to 71 linear feet (0.03 acre) of stream channel for culvert installation (permanent loss
of waters). 71 linear feet (0.03 acre) of stream channel for bank stabilization. and temporary impacts to 31 linear feet (0.01
acre) of stream channel for temporary construction access and dewatering.
Applicable Law(s): © Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Nationwide Permit 14. Linear Transportation Projects
SEE ATTACHED NWP GENERAL, REGIONAL, AND/OR SPECIAL CONDITIONS
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
Conditions, your application signed and dated 6/23/2022, additional information submitted via email on 8/2 and 8/11/2022, and
the enclosed plans "Wetland and Surface Water Impacts Permit", Permit Drawing Sheets 1 through 7. Any violation of the
attached conditions or deviation from your submitted plans may subject the permittee to a stop work order, a restoration order,
a Class I administrative penalty, and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide and/or regional general permit
authorization is modified, suspended or revoked. If, prior to the expiration date identified below, the nationwide and/or regional general
permit authorization is reissued and/or modified, this verification will remain valid until the expiration date identified below, provided
it complies with all requirements of the modified nationwide permit. If the nationwide and/or regional general permit authorization
expires or is suspended, revoked, or is modified, such that the activity would no longer comply with the terms and conditions of the
nationwide permit, activities which have commenced (i.e., are under construction) or are under contract to commence in reliance upon
the nationwide and/or regional general permit, will remain authorized provided the activity is completed within twelve months of the
date of the nationwide and/or regional general permit's expiration, modification or revocation, unless discretionary authority has been
exercised on a case -by -case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Resources (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA), prior
to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal, State
or local approvals/permits. If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of
Engineers regulatory program, please contact David E. Bailey at [phone] or David.E.Bailev2(&usace.armv.mil.
Corps Regulatory Official: Date: 2022.08.24 14:05:45-04'00' Date: 08/24/2022
Expiration Date of Verification: 3/14/2026

SAW-2019-01257
SPECIAL CONDITIONS
1. In order to compensate for impacts associated with this permit, mitigation shall be provided in
accordance with the provisions outlined on the most recent version of the attached Compensatory
Mitigation Responsibility Transfer Form. The requirements of this form, including any special
conditions listed on this form, are hereby incorporated as special conditions of this permit
authorization.
2. The U.S. Fish and Wildlife Service's (USFWS's) Programmatic Biological Opinion (PBO) titled,
"NCDOT Program Effects on the Northern Long-eared Bat in Divisions 1-8", dated November 6,
2020, contains agreed upon conservation measures for the NLEB. As noted in the PBO,
applicability of these conservation measures varies depending on the location of the project. Your
authorization under this Department of the Army permit is conditional upon your compliance
with all applicable agreed upon conservation measures in the PBO, which are incorporated by
reference in this permit. Failure to comply with the applicable these conservation measures would
constitute non-compliance with your Department of the Army permit. The USFWS is the
appropriate authority to determine compliance with the terms and conditions of its PBO, and with
the ESA.
3. Floodplain benches shall be constructed using Class II riprap, backfilled to proposed grade with
native bed material excavated from the stream bed at the project site during culvert construction.
Vegetative stabilization will be established by using a riparian/wetland seed mix overlayed with
coir fiber matting.
/:�'" Date: 2022.08.24
Corps Regulatory Official. 14:05:30-04'00' Date: 08/24/2022
Expiration Date of Verification: 3/14/2026
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so,
please complete the Customer Satisfaction Survey located at https://re ug latory.ops.usace.g my.mil/customer-service-survey.
Copy furnished:
Ryan Conchilla, NCDEQ-DWR, 1617 Mail Service Center, Raleigh, NC 27699-1617

U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Compensatory Mitigation Responsibility Transfer Form
Permittee: NC Department of Transportation, Attn: Jerry Parker Action ID: SAW-2019-01257
Project Name: NCDOT Division 7 / Bridge 183 / SR 2710 / Running Creek Road County: Guilford
Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sponsor, either an approved
Mitigation Bank or the North Carolina Division of Mitigation Services (NCDMS), who will then sign the form to verify the
transfer of the mitigation responsibility. Once the Sponsor has signed this form, it is the Permittee's responsibility to ensure
that Wilmington District Project Manager identified on page two is in receipt of a signed copy of this form before conducting
authorized impacts, unless otherwise specified below. If more than one Mitigation Sponsor will be used to provide the
mitigation associated with the permit, or if the impacts and/or the mitigation will occur in more than one 8-digit Hydrologic
Unit Code (HUC), multiple forms will be attached to the permit, and the separate forms for each Sponsor and/or HUC must
be provided to the appropriate Mitigation Sponsors.
Instructions to Sponsor: The Sponsor verifies that the mitigation requirements (credits) shown below have been released
and are available at the identified site. By signing below, the Sponsor is accepting full responsibility for the identified
mitigation, regardless of whether they have received payment from the Permittee. Once the form is signed, the Sponsor
must update the bank ledger and provide a copy of the signed form and the updated ledger to the Permittee, the Project
Manager who issued the permit, the Bank Project Manager, and the District Mitigation Office (see contact information on
page 2). The Sponsor must also comply with all reporting requirements established in their authorizing instrument.
Permitted Impacts and Compensatory Mitigation Requirements:
Permitted Impacts Requiring Mitigation* 8-digit HUC and Basin: 03030002, Cape Fear River Basin
Stream Impacts (linear feet)
Wetland Impacts (acres)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
71
*If more than one mitigation sponsor will be used for the permit, only include impacts to be mitigated by this sponsor.
Compensatory Mitigation Requirements: 8-digit HUC and Basin: 03030002, Cape Fear River Basin
Stream Mitigation (credits)
Wetland Mitigation (credits)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
142
Mitigation Site Debited: NCDMS
(List the name of the bank to be debited. For umbrella banks, also list the specific site. For NCDMS, list NCDMS. If the NCDMS
acceptance letter identifies a specific site, also list the specific site to be debited).
Section to be completed by the Mitigation Sponsor
Statement of Mitigation Liability Acceptance: I, the undersigned, verify that I am authorized to approve mitigation
transactions for the Mitigation Sponsor shown below, and I certify that the Sponsor agrees to accept full responsibility for
providing the mitigation identified in this document (see the table above), associated with the USACE Permittee and Action
ID number shown. I also verify that released credits (and/or advance credits for NCDMS), as approved by the Wilmington
District, are currently available at the mitigation site identified above. Further, I understand that if the Sponsorfails to provide
the required compensatory mitigation, the USACE Wilmington District Engineer may pursue measures against the Sponsor to
ensure compliance associated with the mitigation requirements.
Mitigation Sponsor Name:
Name of Sponsor's Authorized Representative:
Signature of Sponsor's Authorized Representative Date of Signature
Page 1 of 2 Form Version 10 June 2020 updated

CESAW-RG (File Number, SAW-2019-01257)
Conditions for Transfer of Compensatory Mitigation Credit:
• Once this document has been signed by the Mitigation Sponsor and the District is in receipt of the signed form, the
Permittee is no longer responsible for providing the mitigation identified in this form, though the Permittee remains
responsible for any other mitigation requirements stated in the permit conditions.
• Construction within jurisdictional areas authorized by the permit identified on page one of this form can begin only after
the District is in receipt of a copy of this document signed by the Sponsor, confirming that the Sponsor has accepted
responsibility for providing the mitigation requirements listed herein. When NCDMS provides mitigation for authorized
impacts conducted by the North Carolina Department of Transportation (NCDOT), construction within jurisdictional areas
may proceed upon permit issuance; however, a copy of this form signed by NCDMS must be provided to the District
within 30 days of permit issuance. NCDOT remains fully responsible for the mitigation until the District has received this
form, confirming that the Sponsor has accepted responsibility for providing the mitigation requirements listed herein.
• Signed copies of this document must be retained by the Permittee, Mitigation Sponsor, and in the USACE administrative
records for both the permit and the Bank/ILF Instrument. It is the Permittee's responsibility to ensure that the District
Project Manager (address below) is provided with a signed copy of this form.
• If changes are proposed to the type, amount, or location of mitigation after this form has been signed and returned to
the District, the Sponsor must obtain case -by -case approval from the District Project Manager and/or North Carolina
Interagency Review Team (NCIRT). If approved, higher mitigation ratios may be applied, as per current District guidance
and a new version of this form must be completed and included in the District administrative records for both the permit
and the Bank/ILF Instrument.
Comments/Additional Conditions: A letter from NCDMS, confirming they are willing and able to accept the applicant's
compensatory mitigation responsibility, dated 8/1/2022 was included with the preconstruction notification.
This form is not valid unless signed below by the District Project Manager and by the Mitigation Sponsor on Page 1. Once
signed, the Sponsor should provide copies of this form along with an updated bank ledger to: 1) the Permittee, 2) the
District Project Manager at the address below, 3) the Bank Manager listed in RIBITS, and 4 the Wilmington District
Mitigation Office, 3331 Heritage Trade Drive, Suite 105, Wake Forest, NC 27587 (or by email to [e-mail]. mil).
Questions regarding this form or any of the permit conditions may be directed to the District Mitigation Office.
USACE Project Manager: David E. Bailey
USACE Field Office: Raleigh Regulatory Office
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Email: [e-mail]
g 4�Date: 2022.08.24
14:05:12-04'00' 08/24/2022
USACE Project Manager Signature Date of Signature
Current Wilmington District mitigation guidance, including information on mitigation ratios, functional assessments, and
mitigation bank location and availability, and credit classifications (including stream temperature and wetland groupings) is
available at http://ribits.usace.army.mil.

North Carolina Department of Transportation =
Highway Highway Stormwater Program
Storrnwater STORMWATER MANAGEMENT PLAN
(Version 2.08; Released April 2018) FOR NCDOT PROJECTS
WBS Element: 17BP.7.R.134 TIP No.: 400183 County(ies): Guilford Page 1 of 2
General Project Information
WBS Element:
17BP.7.R.134
ITIP Number: 400183
Project Type: Bridge Replacement
Date: 1/14/2021
NCDOT Contact:
Tim Powers, PE
Contractor / Designer:
Eleni M. Riggs, PE
Address:
Highway Division 7
Address:
Mott MacDonald
1584 Yanceyville Street, PO Box 14996
7621 Purfoy Road, Suite 115
Greensboro, NC 27415
Fuquay Varina, NC 27526
Phone:
[phone]
Phone:
[phone]
Email:
tpowers(@ncdot.gov
iottmac.com
City/Town:
Gibsonville
County(ies):
Guilford
River Basin(s):
Cape Fear
CAMA County?
No
Wetlands within Project Limits?
No
Project Description
Project Length (lin. miles or feet):
0.142 miles
Surrounding Land Use:
lWooded, agricultural
Proposed Project
Existing Site
Project Built -Upon Area (ac.)
0.6 ac.
0.4 ac.
Typical Cross Section Description:
Running Creek Rd (SR 2710): 2 paved lanes (total 22' wide), 6' shoulder on each side (9'
Running Creek Rd (SR 2710): 2 paved lanes (total 20' wide), 10' unpaved shoulder on
with guardrail). The first 4' of shoulder are paved.
each side
Annual Avg Daily Traffic (veh/hr/day):
Design/Future: 120 Year: 2025
Existing: 60 Year: 2000
General Project Narrative:
The North Carolina Department of Transportation (NCDOT) has proposed to replace Guilford County Bridge #183 on Running Creek Rd (SR 2710) over UT to Haw River. The
(Description of Minimization of Water
existing structure is a one span bridge (1 @33'-4") and is a timber deck on I -Beams with a 14' bed to crown. The proposed structure is a 2 @ 12' x 10' Reinforced Concrete Box
Quality Impacts)
Culvert (RCBC). This structure has been designed to have as little environmental and surface water impacts as possible. This structure meets the hydrological requirements of
the drainage area and matches or reduces upstream backwater in all events analyzed. The proposed culvert will function similarly to that of the existing bridge, which consists of
timber vertical abutments and wingwalls. The existing stream also approaches the upstream side of the bridge at a sharp skew with some locations of bank erosion. The
proposed culvert provides a better alignment with the stream and bank stabilization in the vicinity of the crossing. There are no wetlands present in this project. Channel
improvements were made for the proposed RCBC design. Excavation is kept to a minimum to produce as little impact as possible. Where excavation is necessary, geotextile
and rip -rap are utilized for bank stabilization in order reduce stream bank erosion. A low flow barrel on the west side of the culvert was designed to match the stream width to
maintain the normal flow width, depth, and velocity of the stream. This will maintain sediment transport to provide a stable stream during bankfull discharge. The barrel invert will
be a minimum of 1' below the stream bed to consider fish passage. A high flow barrel on the east side of the culvert will provide flood conveyance during the high flow storm
events. This will reduce shear stress on the stream bottom. There are existing ditches located in all four quadrants of the project. The existing ditches will be retained and
modified. In the NE quadrant, there is a lateral V ditch that is initially grass lined and then transitions into being lined with Class B rip -rap and discharges into the UT to Haw
River. In the SE quadrant, there is a lateral V ditch that ties into an existing roadside V ditch and is discharged into the adjacent wooded area within the buffer to remove
pollutants via infiltration. In the SW quadrant, there is another lateral V ditch that ties into an existing ditch and is discharged along the toe into the adjacent wooded area within
the buffer to remove pollutants via infiltration. In the NW quadrant, there is an existing ditch that ties into a PSRM lined ditch that transitions into a Class B rip -rap lined lateral V
ditch and discharges into a rip -rap outlet pad to dissipate energy to provide a non erosive flow into the stream. The water flows through the ditch before being discharged into the
UT to Haw River. Due to the nature of low impact bridge replacement, the increases in stormwater discharges (post v. pre condition) are negligible. Therefore additional
Waterbody Information
Surface Water Body (1):
UT to Haw River
NCDWR Stream Index No.:
NCDWR Surface Water Classification for Water Body
Primary Classification:
Water Supply IV (WS-IV)
None
Supplemental Classification:
Nutrient Sensitive Waters (NSW)
None
Other Stream Classification:
None
Impairments:
None
Aquatic T&E Species?
No Comments:
NRTR Stream ID:
Buffer Rules in Effect:
Jordan Lake
Project Includes Bridge Spanning Water Body?
INo
Deck Drains Discharge Over Buffer?
I N/A Dissipator Pads Provided in Buffer?
I N/A
Deck Drains Discharge Over Water Body?
I N/A
(If yes, provide justification in the General Project Narrative) (If yes, describe in the General Project Narrative; if no, justify in the
General Project Narrative)
(If yes, provide justification in the General Project Narrative)

�' 17Wc� North Carolina Department of Transportation
y
} Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 2.08; Released April 2018) FOR NCDOT PROJECTS
WBS Element: 17BP.7.R.134 TIP No.: 400183 County(ies): Guilford Page 2 of 2
Bridge to Culvert Avoidance and Minimization
Proposed Structure Summary
Sheet No. & Station ISheet No.:
4 Station:
14+77 -L-
Number of Barrels:
2
Drainage Area (ac or sq mi):
2.74
Sq. Miles
Barrel Width/Diameter (ft):
12
Surface Water Body:
(1)UT to Haw River
Barrel Height (ft):
10
Culvert Type:
RCBC
Culvert Length (ft)
65
Avoidance and Minimization Efforts:
Channel improvements were made for the proposed RCBC design. Excavation is kept to a minimum to produce as little impact as possible.
(Bridge to Culvert)
Where excavation is necessary, geotextile and rip -rap are utilized for bank stabilization in order reduce stream bank erosion. A low flow barrel on
the west side of the culvert was designed to match the stream width to maintain the normal flow width, depth, and velocity of the stream. This will
maintain sediment transport to provide a stable stream during bankfull discharge. The barrel invert will be a minimum of 1' below the stream bed to
consider fish passage. A high flow barrel on the east side of the culvert will provide flood conveyance during the high flow storm events. This will
reduce shear stress on the stream bottom. Further justification of this change are as follows. The basin drainage area and estimated discharges
are compatible with a culvert structure. Secondly, culvert option is typically preferred due to it longer service life and reduced maintenance vs a
bridge. The proposed culvert and existing bridge (with vertical timber abutments) have similar hydraulic type openings and properties. Hydraulic
function including backwater, outlet velocities, etc will remain similar. The downstream, outlet channel has some erosion on the west (LT) bank.
The upstream, inlet channel has some erosion on the east (RT) bank. The proposed bank stabilization will improve bank stability the vicinity of the
Stream Slope
Fish and/or Aquatic
Life Passage
Existing Average Stream Slope
1 0.19
%
Existing Low Flow Channel Dimensions
in the Stream:
12'-14' minimum width
Proposed Culvert Slope (%):
1 0.17
%
Culvert Burial
Proposed Culvert Burial Depth (ft):
1
Existing Streambed Material:
Sandy Clay
Proposed Low Flow Dimensions
12' low flow channel to match existing
Through the Culvert:
conditions
Proposed Sills/Baffles:
Sills at inlet and outlet (1' high in west barrel, 2' high in
Existing Low Flow Velocities in the
1.6
east barrel)
Stream (ft/s):
Proposed ow ow Velocities Through
1.8
the Culvert (ft/s):
Alternating Low Flow Sills/Baffles:
None
Culvert/Stream Alignment
Stream Patterns Upstream and Downstream of
There are no concerns upstream or downstream for either culvert at the project location
the Culvert that Could Affect Fish Passage and
Bank Stability:
Bed Forms Impacted by Culvert (riffles, pools,
The channel bed forms will return to a more natural condition over time with the elimination of the existing bridge. The existing bridge geometry
glides, etc.):
allowed the stream to widen to almost double the natural state.
Low Flow Floodplain Bench Required?
Yes
A 2' sill will be constructed in the east barrel in the floodplain to account for flood events
(provide justification)
Bends at Inlet/Outlet?
No
describe culvert alignment with stream
Stream Realignment Necessary? (provide
No
justification)
Bank Stabilization:
Class II rip -rap
Outlet Velocities
Natural Stream Channel 2-yr Velocity (ft/s):
3.2
Natural Stream Channel 10-yr Velocity (ft/s):
4.3
Proposed Culvert 2-yr Outlet Velocity (ft/s):
3.5
Proposed Culvert 10-yr Outlet Velocity (ft/s):
5.1
Roadway Geometric Considerations
Evaluate/Describe Roadway Geometric Constraints:
None

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4799 2708 GUILFORD COUNTY —
2710 4732
2711
2706
2719
2707
270
17BP.7.R.134
2708 2711 PROJECT
2705 LIMITS
2712
2733
2705
2720 2718
2719
VICINITY MAP
(NOT TO SCALE)
0-4 OFF -SITE DETOUR
S'1["A"1[°lE OF NORTH CAROd,INA
DIVISION OF HIGHWAYS
G UILFORD CO UNTY
LOCATION: BRIDGE NO. 183 OVER UT TO HAW RIVER ON SR 2710 (RUNNING CREEK ROAD)
TYPE OF WORK: GRADING, PAVING, DRAINAGE AND CULVERT
WETLAND AND SURFACE WATER IMPACTS PERMIT
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PERMIT DRAWING
SHEET 1 OF 7
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BEGIAf PROJECT-
-L- POT Sta.10+50.00 �� / l ( END CULVERT
-L- Sta. 14+90.26
BEGIN CULVERT��� Roq�
-L- Sta. 14+63.61
\END PROJECT /7BP7RJ34
-L- POT Stu.18+00.00
DESIGN DATA
ADT 2000 = 60
ADT 2025 = 120
V = 45 MPH
SUB REGIONAL TIER
LOCAL
PROJECT LENGTH
LENGTH ROADWAY TIP PROJECT = 0.137 MILES
LENGTH STRUCTURE TIP PROJECT = 0.005 MILES
TOTAL LENGTH TIP PROJECT = 0.142 MILES
Prepared in the Office of Mott MacDonald for
DIVISION 7
NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
2018 STANDARD SPECIFICATIONS
TIMRDJORDAN, PE
LETTING DATE:
ELENI M. RIGGS PE
HYDRAL'L/CS ENGINEER
NCDOT CONTACT. • TIM POWERS, PE
DIVISION BRIDGE
PROGRAM MANAGER
ROADWAY DESIGN ENGINEER
HYDRA ULICS ENGINEER
PLANS PREPARED BY.
M 7621 Purfoy Road, Suite 115
Fuq—y-Vari-, NC 27526
M(919)512-2253
MOTT 1919) 552-2254 (Fax)
MACDONALD—mottmac.com
LICENSE NO. F-0669

EXISTING D'T"' '
AT TOP OF
Q10 = 5.2 d
V10 = 3.3 fp!
r►1mr.
30 0
15 30
SCALE: I"= 30' HORIZ.
ENLARGED
PLAN VIEW
SITE I
EXISTING DITCH ENDS AND
BECOMES DIFFUSE FLOW
Q10 = 0.95 cfs
V10 = 2.4 fps
LEGEND
DENOTES TEMPORARY
IMPACTS IN SURFACE WATER
DENOTES PERMANENT
IMPACTS IN SURFACE WATER

013
0
Z c
ou
QQQ M
C � O
�0
-------------------------
EXISTING D'T'''
AT TOP OF
Q10 = 5.2 d
V10 = 3.3 fp<
rk 1r r+
30 0
15 30
SCALE: I"= 30' HORIZ.
ENLARGED
PLAN VIEW
V V
SITE I
EXISTING DITCH ENDS AND
BECOMES DIFFUSE FLOW
Q10 = 0.95 cfs
V10 = 2.4 fps
LEGEND
DENOTES TEMPORARY
IMPACTS IN SURFACE WATER
S S DENOTES PERMANENT
IMPACTS IN SURFACE WATER

PROJECT REFERENCE
SHEET NO.
17BP.7.R.134 — GUILFORD 183
PLAN VIEW CROSS SECTION
12.0' 12.0'
1.0STREAM BED
ELEVATION
1' SILL 2' SILL
1.0'
(TYP.) FLOW
FLOW
SILLS DETAIL
ROADWAY DESIGN
ENGINEER
MOTT -CDONALD 18 E, LLC
LICENSE NO. -669
HYDRAULICS
ENGINEER
DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
repave n r e
Offs- aril M
MATT M Fupua Varin NC S 27526O. 5
ANONa1D www.menmac.cem
PERMIT DRAWING
SHEET 6 OF 7
J�SLGLISA
PR
DP.
ULVERT
rL
STA.
14
77.0
L-
SKEW
=
64'
DEGREES
1
0 YR
Vft
640
E
IST
NG
BR
DGE
640
FEXIS
IN
RIGHT
O60
ELEV.
=
631
8
EXI
TI
G-EFT25
EL
YR
WS
630
1
1630
-
-
620
620
EXI
TIN
NO
L
S E
-EV.
= 6
3.4
STREAMBEID
-
-
ELEV.
=
21.
6
FLOW
BARREL
o
NOTE: FOR CUT CONDITION, USE CLASS II RIP RAP FLOOD
BENCH BORDER WITH NATURAL GROUND COVERED WITH COIR
FIBER MAT INSIDE BORDER. IN FILL CONDITION, USE CLASS II
RIP RAP FILL THROUGHOUT WITH NATIVE BED MATERIAL
FILLING THE VOIDS ON TOP.
200 150 100 50 0 50 100 150 200

WETLAND AND SURACE WATER IMPACTS SUMMARY
WETLAND IMPACTS SURFACE WATER IMPACTS
Site
No.
Station
(From/To)
Structure
Size / Type
Permanent
Fill In
Wetlands
(ac)
Temp.
Fill In
Wetlands
(ac)
Excavation
in
Wetlands
(ac)
Mechanized
Clearing
in Wetlands
(ac)
Hand
Clearing
in
Wetlands
(ac)
Permanent
SW
impacts
(ac)
Temp.
SW
impacts
(ac)
Existing
Channel
Impacts
Permanent
(ft)
Existing
Channel
Impacts
Temp.
(ft)
Natural
Stream
Design
(ft)
1
-L- 14+19 TO 15+31
2 @ 12'x10' RCBC
0.03
0.01
71
31
BANK STABILIZATION
0.03
71
TOTALS*:
0.06
0.01
142
31
0
*Rounded totals are sum of actual impacts
NOTES:
2018 Feb

Action ID Number: SAW-2019-01257 County: Guilford
Permittee: NC Department of Transportation, Attn: Jerry Parker
Project Name: NCDOT Division 7 / Bridge 183 / SR 2710 / Running Creek Road
Date Verification Issued: 08/24/2022
Project Manager: David E. Bailey
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn: David E. Bailey
Raleigh Regulatory Office
U.S Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
or
[e-mail]
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee
Date

SAW-2019-01257
A. Determination of Jurisdiction:
1. ® There are waters on the above described project area that may be subject to Section 404 of the Clean Water Act (CWA)
(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). This preliminary determination
is not an appealable action under the Regulatory Program Administrative Appeal Process (Reference 33 CFR Part 331).
However, you may request an approved JD, which is an appealable action, by contacting the Corps district for further
instruction. Please note, if work is authorized by either a general or nationwide permit, and you wish to request an appeal
of an approved JD, the appeal must be received by the Corps and the appeal process concluded prior to the
commencement of any work in waters of the United States and prior to any work that could alter the hydrology of waters
of the United States.
2. ❑ There are Navigable Waters of the United States within the above described project area subject to the permit requirements of
Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act (CWA) (33 USC §
1344). This determination may be relied upon for a period not to exceed five years from the date of this notification, provided
there is no change in law or our published regulations or new information that warrants revision of this determination.
3. ❑ There are waters within the above described project area that are subject to the permit requirements of Section 404 of the Clean
Water Act (CWA) (33 USC § 1344). This determination may be relied upon for a period not to exceed five years from the date of
this notification, provided there is no change in law or our published regulations or new information that warrants revision of this
determination.
4. A jurisdiction determination was not completed with this request. Therefore, this is not an appealable action. However, you may
request an approved JD, which is an appealable action, by contacting the Corps for further instruction.
5. ❑ The jurisdictional areas within the above described project area have been identified under a previous action. Please reference
jurisdictional determination issued _. Action ID: _.
B. Basis For Determination: See the Preliminary Jurisdictional Determination form dated 08/24/2022.
C. Remarks:
D. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.
E. Appeals Information for Approved Jurisdiction Determinations (as indicated in A2 and A3 above).
If you object to this determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed
you will find a Notification of Appeal Process (NAP) fact sheet and Request for Appeal (RFA) form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Philip Shannin, Appeal Review Officer
60 Forsyth Street SW, Room 10M15
Atlanta, Georgia 30303-8801
Phone: [phone]
AND
PHILIP.A. [e-mail]
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by Not applicable.
It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence. Date: 2022.08.2414:04:14
Corps Regulatory Official:
-04'00'
David E. Bailey
Date of JD: 08/24/2022 Expiration Date of JD: Not applicable

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: NC Department of Trans ortation (Attu: JerryParker File Number: SAW-2019-01257 Date: 08/24/2022
Attached is:
See Section below
❑
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission)
A
PROFFERED PERMIT (Standard Permit or Letter of permission)
B
PERMIT DENIAL
C
❑
APPROVED JURISDICTIONAL DETERMINATION
D
❑X
PRELIMINARY JURISDICTIONAL DETERMINATION
E
SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or http://www.usace.g.M.mil/Missions/CivilWorks/Re ugulatoryProgramandPennits.aspx
or the Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section II of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.
SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However, you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
If you only have questions regarding the appeal process you may
appeal process you may contact:
also contact:
District Engineer, Wilmington Regulatory Division
MR. PHILIP A. SHANNIN
Attn: David E. Bailey
ADMINISTRATIVE APPEAL REVIEW OFFICER
Raleigh Regulatory Office
CESAD-PDS-O
U.S Army Corps of Engineers
60 FORSYTH STREET SOUTHWEST, FLOOR M9
3331 Heritage Trade Drive, Suite 105
ATLANTA, GEORGIA 30303-8803
Wake Forest, North Carolina 27587
PHONE: [phone]; FAX [phone]
EMAIL: PHILIP.A.SHANNIN(&USACE.ARMY.MIL
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15-day
notice of any site investigation, and will have the opportuni to participate in all site investi ations.
Date:
Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: David E. Bailey, 69 Darlington Avenue, Wilmington, North Carolina
28403
For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Philip Shannin, Administrative
Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 1OM15, Atlanta, Georgia 30303-8801
Phone: [phone]