20150198 Ver 1_Application_20150217

Corps Submittal Cover Sheet
Please provide tl�e following info:
1. Project Name: Bridge 990231, SR 1333 Upper Pigpen Road
2. Name of Property Owner/Applicant: NC DOT
3. Name of ConsultandAgent:
*Agcnt authorizalion nceds to be atlached.
4. Related/Previous Action ID number(s):
5. Site Address: N/A
6. Subdivision Name:
7. City: _Burnsville
8. County: Yance�
9. Lat: 35.97166 Long: -82.26527 (Decimal Degrees Pleuse )
10. Quadrangle Name: _Burnsville
ll. Waterway: Pigpen Creek
12. Watershed: French Broad River
13. Requested Action:
X Nationwide Permit # 14
General PenniC #
_ 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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STATE OF NORTH CAROLINA
DEPAR'TMENT OF TRANSPORTATION
PAT MCCRORY
GOVERNOR
Februaty 18, 2015
Ms. Lori Beckwith
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
ANTHONY J. TATA
SECRETARY
Subject: Nationwide Permit #14
Bridge 231, SR 1333 Upper Pigpen Road
State Project No. 17BP.13.R.110 (DWQ Minor Permit Fee $240)
Yancey County, NC
Dear Ms. Beckwith:
I have enclosed a set oF plans including an erosion control plan, a PCN application for
NWP #14, and a vicinity map relative to the proposed bridge replacement project on SR
1333 Upper Pigpen Road, Yancey County, NC.
We propose to replace the existing bridge with a precast box culvert with low flow sills
and baffles. The sills and baffles will maintain stream dimension and pattern similar to
existing conditions. The culvert slope will be 2.7%. Stream slope at the site is also 2.7%
with high gradient section below the bridge. Total culvert impact will be 55 linear feet
with rip rap at the inlet and outlet for bank stabilization. A temporary impervious dike
will be installed for dewatexing during installation. Pigpen Creek is an approximately 6
foot wide stream with a predominately gravel, cobble, and bedrock substrate. The stream
is stable near the project site with bedrock controls above and below the culvert site.
Pigpen Creek is classified as Class C, Trout.
Existing channel morphology will be maintained upstream and downstream of the
culvert. The culvert will be placed below existing streambed elevation whenever
possible. Pigpen Creek flows through a 72" private culvert approximately 100 yards
upstream of the site. A waterfalVvertical bedrock face located downstream likely serves
as a barrier to fish passage. Riparian vegetation will be reestablished along disturbed
areas associated with the culvert construction. Stormwater will be diverted through grass-
lined ditches or buffers prior to entering streams.
Division Thirteen Office Post Office Box 3279 Asheville, NC 25802
Phone:S28/251-6171 Office ofthe Division Engineer Fax:[phone]
www.ncdot.gov/doh/operations/d ivisionl3

Ms. Lori Beckwith
Page —2 Bridge 990231, Yancey County
February 18, 2015
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
Programmatic Agreement for Minor Project as required by Section 106 of the National
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 are asking Ben DeWit, Area Roadside Field Operations
Engineer, to comment on the above project. Pigpen Creek is classified as Class C, Trout.
No trout buffer variance will be required.
By copy of this letter, I am forwarding one electronic copy of the application package to
Amy Chapman, NC Division of Water Quality, Transportation Permitting Unit with cc to
Kevin Barnett, NC DWQ Asheville Regional Office for review and comment. Please
charge the application fee of $240.00 to WBS element # 17BP.13.R.110. Please forward
comments directly to the Corps with copy to Division 13 Environmental Officer.
Your earliest consideration for this request would be greatly appreciated. If you have any
questions or information needs, please contact me at [phone].
Sincerely,
O �
Rog� er D. Brya �
Division 13 EnvironmenYal Officer
Enclosures
cc: J.J. Swain, Jr., P.E.
Paul L. Sprouse, P.E.
Ben DeVJit, CPESC
Marla Chambers
Kevin Barnett
Amy Chapman

O�pF W ATFqOG
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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
1 a. Type(s) of approval sought from the
Corps: X Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number:14 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? X Yes ❑ No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
X 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 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 � Yes X No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes X No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes X No
2. Project Information
2a. Name of project: Bridge 231, SR 1333
2b. County: Yancey
2c. Nearest municipality / town: Burnsville
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state 176P.13.R.110
praject 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. Street address: N/A
3e. City, state, zip: N/A
3f. Telephone no.: N/A
3g. Fax no.: N/A
3h. Email address: N/A
Page 1 of 10
PCN Form — Version 1.3 December 10, 2008 Version

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: rdbryan(cDncdot.qov
5. Agent/Consultant Information (if applicable)
5a. Name: N/A
5b. Business name N/A
(if applicable):
5c. Streetaddress: N/A
5d. City, state, zip: N/A
5e. Telephone no.: N/A
5f. Fax no.: N/A
5g. Email address: N/A
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
1b. Site coordinates (in decimal degrees): Latitude: 35.97166° N Longitude: - 82.26527° W
1c. Propertysize: 0.1 acres
2. Surtace Waters
2a. Name of nearest body of water (stream, river, etc.) to pigpen Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C, Trout
2c. River basin: French 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:
Existing bridge on SR 1333 surrounded by low density residential area and forested land.
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:
100
3d. Explain the purpose of the proposed project:
Replace existing 14' bridge with a 14"x4'3"'precast box culvert with sills and baffles.
3e. Describe the overall project in detail, including the type of equipment to be used:
A permanent impact to 57 linear feet of Pigpen Creek will be necessary for culvert construction with 90' of rip rap
bank stabilization. A temporary impact of 65 linear feet will be necessary for an impervious dike to dewater the
work area. Equipment used will include excavator, crane, and 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.
Page 3 of 10
PCN Form — Version 1.3 December 10, 2008 Version

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 ofjurisdiction
number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ — non-404, other) (acres)
Tem ora T
W1 ❑ 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 all stream sites impacted.
3a. 3b. 3 c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type ofjurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ — non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ❑ P X T Impervious Dike Pigpen Creek OPNR ❑ DWQ 6 65
S1 X P � T Rip Rap Pigpen Creek X PER X Corps 6 90
❑ INT ❑ DWQ
S1 X P❑ T Culvert Pigpen Creek X PER X Corps 6 55
❑ INT ❑ DWQ
S2 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S3 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S5 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total stream and tributary impacts 210
3i. Comments:55 feet of permanent culvert impact, 90 feet of permanent impacts for rip rap, 65 feet of temporary impacts for
dike.
Page 4 of 10

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 orar 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
5g. Comments:
Sh. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method 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 an im acts re uire miti ation, then ou MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ 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 ❑P❑T ❑Yes
❑ No
B3 ❑P❑T ❑Yes
❑ No
6h. Total buffer impacts
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Replacement of bridge with bottomless culvert to maintain natural stream channel under the structure.
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: 55 linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool X 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.
Page 6 of 10
PCN Form — Version 1.3 December 10, 2008 Version

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 Multiplier 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,
permiltee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 7 of 10

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.
Comments: ❑ Yes ❑ No
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 Extent 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 government's 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
altached? N/A
5. DWQ 407 Unit Stormwater Review
Sa. Does the Stormwater Management Plan meet the appropriate requirements? N/A
Sb. Have all of the 401 Unit submittal requirements been met? N�q
Page 8 of 10
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve 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)?
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
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 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 � 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
Page 9 of 10
PCN Form — Version 1.3 December 10, 2008 Version

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, indicate the USFWS Field O�ce you have contacted.
� Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Field survey of the project area and evaluation of current distribution data.
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?
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
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?
Current Maps/Database
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: Project will not impact water passage or flood zone beyond existing
conditions
8c. What source(s) did you use to make the floodplain determination? Current FEMA Maps
Roger D. Bryan 2/18/2015
� ��
ApplicanUAgenYs Printed Name � ApplicanUAge, Ps Signature Date
(AgenPs signature is valid only if an � thorization letler from the applicant
is rovided.
Page 10 of 10

CULVERT AVOIDANCE AND MINIMIZATION DESIGN SUMMARY
Bridge # 990231
SR 1333 over Pigpen Creek
Proposed Structure Summary
Draii�age Area: 1.6 sq mi
DWQ Stream Classification: C, TR
Culvert Size and T�ype�.. 14' 4'3" Type I precast RCBC with sills and baffles
Culvert Length. ,� L �
Minimization Efforts: Che proposed CulverC will be buried 1' and will use alternating 6" baffles
to maiutain a 6' wide low flow channel and retain natural bed materiaL The culvert maintains
the existing stream slope and low flow dimensions. Low tlow velocities are similar to the
existing condition. A low flow tloodplain bench will be provided. The bend at the inlet is
controlled by the upstream headwall to prevent bank erosion. The outlet end is near an existing
bend in the stream. The baffle near the ouUet end is angled to assist in turning flow. The outer
bank in the potentially affected bend will be protected with rip rap to prevent erosion.
Slope
Culvert slope: 2.7%
Adjaceut stream slope: �2.7%
Aquatic Life Passage
Passage through Uie culvert will be maintained by the low flow path as described above. Up to
the 2 YR event, proposed culvert velocities are equivalent to the existing condition.
Culvert Alignment
The culvert is aligned with the existing stream. No channel relocation was necessary. The
current bridge opening is not causing bank erosion. As an added precaution, rip rap will be
added to tlie inlet and outlet of the culvert.
Outlet Veloeities
Proposed Culvert 2YR outlet velocity- 7.9 ft/s
Existing Bridge Opening 2YR velocity- 6.5 ft/s
Proposed Culvert lOYR outlet velocity- 11.2 ft/s
Existing Bridge Opening lOYR velocity- l0A ft/s
Stream velocities are increased from the 2 YR event and greater due to the iucreased capacity oF
the new structure. "I'he existing bridge results in a blockage due to limited conveyance capacity
as overtopping occurs from the 2 YR event and greater.
Roadway Geometric Considerations
N/A

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Figure 1. Bridge 990231, SR 1333, Pigpen Creek (above and below site�, Yancey County, NC.

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Figure 2. Bridge 990231, 72' Culvert upstream upper) and naturel barrier downstream(lower) of the site, Yancey County, NC.

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I�CDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Ecosystem Enhancement Program
Govemor
Febtuary 16, 2015
Mr. Roger Bryan
NCDOT Division 13 Environmental Supervisor
Norih Carolina Department of Transporlation
Past Office Box 3279
Asheville, North Carolina 28802
Dear Mr. Bryan:
Subjech EEP Mitigation Acceptance L.et[er:
Donald R. van der Vaart
Secretary
Division 13 Project, Replace Bridge Number 990231 over Pigpen Creek on SR 1333
(Upper Pigpen Road), Yancey County; WBS Element (7BP.13.R.110
The pmpose of Uus letter is to notify you tha[ the Ecosystem Enhancement Program (EEP) will provide the
compensatory stream mitigation for fhe subject project. Based on [he infoimation received Gom you on Febmary
13, 2015, the impacts are located in CU 06010108 of tLe French Broad River basin in [he Northem Mountains (NM)
Eco-Region, and are as follows:
French Broad Stream We4ands Buffer(Sq.Ft)
06010108 Non-� Coastal �
NM Cold Cool Wazm Riparian Zone I Zone 2
Ri arian Marsh
Lnpacts 55.0 0 0 0 0 0 0 0
(feeUacres)
This impact and associated mitigation need were under projected by [he NCDOT in the 2015 impact data.
EEP will commit to implement sufficient compensa[ory sUeam mitigadon credits tn ofl'set the impacts associated
with this project as detemilned by [he regulatory agencies using the delivery timeline listed in Section F3.c.iii of the
N.C. Department of Environmen[ and Natural Resources' Ecosystem Enhancement Progam In-Lieu Fee Instiument
dated July 28, 2010. If the above reFerenced impact amounts are revised, then Uils mitigetion accep[aace letter will
no longer be valid and a new mitigation acceptance letter wili be required from EEP.
8420.
If you have any questions or need additional information, please contac[ Ms. Beth Hannon at 919-707-
.7r°.l �^y�u
s B. Stanfill
Asset Managemen[ Supervisor
cc: Ms. Lori Beckwith, USACE — Asheville�Itegulatory Field Office
Mr. Paul L. Sprouse, P.E., NCDOT —Division 13 Bridge Prograzn Engineer
Ms. Linda Fitzpatrick, NCDOT — PDEA
File: SR 1333 — Bridge 990231— Division 13
1652 Mail Service Cenler, Raleigh, Nath Carolina 27699-1652
Phone: [phone] Intemet: hpp://portal.ncdenr.org/web/eep
An E9ual Opporluniry IAffirmatNe Aclim EmdM&—Made in D� by recycleA paper

�_����,�,�,�1,�, North Carolina Department of Transportation
5ic)i't17tiv�1��'' Highway Stormwater Program
,,;...�,,,�
STORMWATER MANAGEMENT PLAN _
(Version 1.2; Released July 2012) FOR LINEAR ROADWAY PROJECTS
Project/TIP No.: 17BP.13.R.110 Bridge 990231 County(ies): Yancey Page 1 of 1
General Project Information
Project No.: 17BP.13.R.110 Bridge 990231 Project Type: Bridge Replacement Date: 8/14/2014
NCDOT Contact: Roger Bryan Contractor / Designer: Michael Clark
Address: 55 Orange St. Address: Vaughn & Melton Consulting Engineers and Surveyors
Asheville, NC 28801 1318-F Patton Avenue
Asheville, NC 28806
Phone: [phone] ext.221 Phone: [phone]
Email: [e-mail] Email: [e-mail]
City/Town: County(ies): Yancey
River Basin(s): French Broad CAMA County? No
Primary Receiving Water: Pigpen Creek NCDWQ Stream Index No.: 7-2-62
NCDWQ Surface Water Classification for Primary Receiving Water Primary: Class C
Supplemental: Trout Waters (Tr) None
Other Stream Classification: None
303(d) Impairments: None
Buffer Rules in Effect N/A
Project Description
Project Length (lin. Miles or feet): 325.00 Surrounding Land Use: Rural
Proposed Project Existing Site
Project Built-Upon Area ac. 0.16 ac. 0.13 ac.
Typical Cross Section Description: Two 9' travel lanes with 3' shoulders. Existing cross-sections vary within project limits. Average lane width 8.5'.
Average Daily Traffic (veh/hr/day): Design/Future: Existing: 320
General Project Narrative: This project consists of replacing existing 14' timber floor bridge with a proposed 14'x4'3" type 1 precast culvert with 6" baffles and 1' sills.Shoulder cross section draining to
grass ditches. Proposed roadway drainage maintains existing drainage patterns. Existing bridge is 14' wide with direct drainage to stream over edge of pavement below rails.
The proposed roadway above the culvert will drain in sheet flow across grass shoulders. A drop inlet located at sta 13+00 It will drain directly into pigpin creek through the
culvert walls.
References

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LOCA TI01�: BRIDGE 1�0. 990231 O T�ER PIGPEI� CREEI�
01� SR 1333 ( UPPER PIGPEI� R OAD)
TYPE OF WORK: GRADII�G, DRAII�A GE, PA T�I1�G, A1�D STR UCT URE
PE RMIT D RAWI N G
SH EET 1 OF 4
BEGIN PROJECT 17BP.13.R.110 / ; I
CLEARING ON THIS PROJECT SHALL BE PERFORMED TO THE LIMITS ESTABLISHED BY MODIFIED METHOD II.
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�� N�°7[° �T�]E l��lEB ��N�7[`lEB�T�°l[°d�N
raughn & Melfon
Consulting Engineers
Asheville9
. I��orth caro�ina
828�253�2796
� ri-Citi�s, f�N
423�q67�8401
Knoxvllle, TN
865 546 5800
❑ Sparianburg,SC
864�574�4775
❑ Charleston, SC
843 974 5650
❑ Middlesboro, KY
606�248�6600
❑ Charlot � e9 NC ❑ Boone, NC ❑ Atlanta, GA
704�357�0488 828�355�9933 770�627�3509
Copyrighl- OO 2005 Vaughn &,Uelton, Ince All Rights Res2rved
Prepared in the Office ofo HYDRAULICS E11tGI1VEER DIVISI011t OF HIGHWAYS
GRAPHIC SCALES DESIG11t DATA PROJECT LEI�GTH VA UGH1� � MELT01� STATE OF 1VORTH CAROLI11lA
1318-F PATTON AVE.
20 10 0 20 40 LENGTH ROADWAY PROJECT 17BP.13.R.110 = 0.059 MI ASHEVILLE Nc, asso6
FOR Tf��� IVORTIf CAROLIIVA DIVISIOIV 0� lflGflWA1'S o� �oa��
ADT 2013 = 330 LENGTH STRUCTURE PROJECT 17BP.13.R.110 = 0.003 MI Q`�� ���Q
�
2012 STA11iDARD SPECIFICATIONS �
PLANS � °
T= 6% * TOTAL LENGTH OF PROJECT 176P.13.R.110 = 0.062 MI MICHAEL CALHOUN, PE P�E� � a
20 10 0 20 40 V — 35 MPH RIGHT OF WAY DATE. SIGNATURE: - � �
a �
. PROJECT ENGINEER � o
* o o MAY 21 2013 ROADWAY DESIG11t ���� o�,��
a
PROFILE (HORIZONTAL) �ST = 3/o DUAL = 3/o ' REECE SCHULER, PE E1VGI1�lEER �� ��p��� s
PROJECT DESIGN ENGINEER
4 2 0 4 8 LETTIIIIG DATE:
FUNCT. CLASS = RURAL LOCAL NCDOT CONTACT.•
SUB-REGIONAL TIER MAY 21, 2013 VIRGINIA MABRY
PRO F I LE (VE RTI CAL) MANAGER - PRIORITY PROJECTS OFFICE P.E.
SIGNATURE:

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Figure 1. Bridge 990231, SR 1333, Pigpen Creek (above and below site), Yancey County, NC.

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Figure 2. Bridge 990231, 72' Culvert upstream upper) and natural barrier downstream(lower) of the site, Yancey County, NC.

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Secrion IV of the JD Farm 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:
State: NC County/parish/borough: Yancey City: Burnsville
Center coordinates of site (lat/long in degee decimal format): Lat. 35.97166° N, Long. -82.26527° W.
Universal Transverse Mercator:
Name of nearest waterbody: Pigpen Creek
Name of nearest Traditional Navigable Water (TNW) lnto which the aquatic resource flows: French Broad River
Name of watershed or Hydrologic Unit Code (HUC): 06010108
� Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon reyuest.
❑ 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 Determinarion. Date(s): 12/30/2014
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There Are no "navigable waters of the U.S." 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.
❑ 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 Are "waters of the U.S." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): 1
❑ TNWs, including territorial seas
❑ Wetlands adjacent to TNWs
� Relatively permanent waters� (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 direcdy abutting RPWs that flow direcfly or indirecdy into T'NWs
❑ Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
❑ Impoundments of jurisdictional waters
❑ isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non-wetland waters: 100 ]inear feet: 6 width (ft) and/ar 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):3
❑ Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdicrional.
Explain: .
' Boxes checked below shall be supported by completing the appropriate sections in Section III below.
' For purposes of Chis form, an RPW is defined as a tributary Chat is not a TNW and that typically flows year-round or has conYinuous t7ow at least "seasonally"
(e.g., rypically 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 IILD.1.; otherwise, see Section IILB below.
1. TNW
Identify TNW:
Summarize rationale supporting determination:
2. Wetland adjacent to TNW
Summarize rationale supporting conclusion 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 for jurisdiction established under Rapanoshave 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 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, sl�p to Section III.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 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 signi�cant 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 signi�cant nexus with a TNW. If the tributary has adjacent wetlands, the signi�cant 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 witb adjacent wetlands, comPlete Section III.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section IILB.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section IILC below.
1. Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: Pick List
Drainage area: Pick List
Average annual rainfall: inches
Average annual snowfall: inches
(ii) Physical Characteristics:
(a) Relationshi� with TNW:
❑ Tributary flows directly into TNW.
❑ Tributary flows through Pick List tributaries before entering TNW.
Project waters 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 TNW.
Project waters are Pick List aerial (straight) 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 Instractional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the arid
West.
5 Flow route can be described by idenCifying, e.g., tributary a, which flows through the review area, to flow into tribuCary b, which then flows into TNW.

(b) General Tributary Characteristics (check all that ap�lv):
Tributary is: ❑ Natural
❑ Artificial (man-made). Explain:
❑ Manipulated (man-altered). Explain:
Tributary properties with respect to top of bank (esrimate):
Average width: feet
Average depth: feet
Average side slopes: Pick List.
Primary tributary substrate composition (check all that apply):
❑ Silts ❑ Sands ❑ Concrete
❑ Cobbles ❑ Gravel ❑ Muck
❑ Bedrock ❑ Vegetation. Type/% cover:
❑ Other. Explain: .
Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain:
Presence of run/riffle/pool complexes. Explain: .
Tributary geometry: Pick List
Tributary gradient (approximate average slope): %
(c) Flow:
Tributary provides for: Pick List
Estimate average number of flow events in review area/year: Pick List
Describe flow regime: .
Other information on duration and volume: .
Surface tlow is: Pick List. Characterisrics:
Subsurface flow: Pick List. Explain findings:
❑ Dye (or other) test performed: .
Tributary has (check all that apply):
❑ Bed and banks
❑ OHWMe (check all indicators that apply):
❑ clear, natural line impressed on the bank
❑ changes in the character of soil
❑ shelving
❑ vegetarion matted down, bent, or absent
❑ leaf litter disturbed or washed away
❑ sediment deposition
❑ water staining
❑ other (list):
❑ Discontinuous OHWM � Explain:
■
■
■
■
�
�
�
the presence of litter and debris
destruction of terresMal vegetation
the presence of wrack line
sediment sorring
scour
multiple observed or predicted flow events
abrupt change in plant community
If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
❑ High Tide Line indicated by: ❑ Mean High Water Mark indicated by:
❑ oil ar scum line along shore objects ❑ survey to available datum;
❑ fine shell or debris deposits (foreshore) ❑ physical markings;
❑ physica] markings/characteristics ❑ vegetarion lines/changes in vegetarion types.
❑ tidal gauges
❑ other (list):
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.).
Explain: .
Identify specific pollutants, if known: .
�A na�ural or man-made discontinuity in the OHWM does not necessarily severjurisdiction (e.g., where the stream temporarily tlows underground, or where
the OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is anrelated to the waterbody's flow
regime (e.g., flow over a rock outcrop or throuah a culvert), the agencies will look for indicators oi tlow above and below Che break.
'Ibid.

(iv) Biological Characteristics. Channel supports (check all that apply):
❑ Riparian corridor. Characteristics (type, average width): .
❑ Wetland fringe. Characteristics: .
❑ Habitat far:
❑ Federally Listed species. Explain findings: .
❑ 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 wedands cross or serve as state boundaries. Explain:
(b) General Flow Relationship 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 Adjacency Determination with Non-TNW:
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection. Explain:
❑ Ecological connection. Explain: .
❑ Separated by berm/barrier. Explain: .
(d) Proximity (Relationship) to TNW
Project wetlands are Pick List river miles from TNW.
Project waters are Pick List aerial (straight) iniles from TNW.
Flow is from: Pick List.
Estimate approximate location of wetland as within the Pick List floodplain.
(ii) Chemical Characteristics:
Characterize wedand system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
characteristics; etc.). Explain: .
identify specific pollutants, if known: .
(iii) Biological Characteristics. Wetland supports (check all tbat 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 abuts? (Y/N) Size (in acres) Direcdy 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 signi�cant nexus include, but are not limited to the volume, duration, and frequency of the fiow
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 signi�cant nexus based solely on any speci�c 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 Mbutary, 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 TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for tish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biologica] 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. Signi�cant nexus findings for non-RPW that bas 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. Signi�cant nexus �ndings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of signiticant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section IILD: .
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 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:
❑ TNWs: linear 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 jurisdicrional. Provide data and rationale indicating that
tributary is perennial: Pigpen Creek has prominent bed/bank features, fish, and aquatic insects.
❑ 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 IILB. Provide rationale indicating that tributary flows
seasonally: .

Provide estimates for jurisdictional waters in the review area (check all that apply):
� Tributary waters: 100 linear feet 6 width (ft).
❑ Other non-wefland waters: acres.
Identify type(s) of waters: .
3. Non-RPWsg 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 supparting this conclusion is provided at Section III.C.
Provide estimates for jurisdicUonal waters within the review area (check all that apply):
❑ Tributary waters: linear feet width (ft).
❑ Other non-wefland 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 jurisidictional. 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.y
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 far one of the categories presented above (1-6), or
❑ 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 ar 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.
❑ which are or could be used for industrial purposes by industries in interstate commerce.
❑ interstate isolated waters. Explain: .
❑ Other factors. Explain: .
Identify water body and summarize rationale supporting determination:
�See Foomote # 3.
y To complete the analysis refer to the key in Section III.D.6 of the Instr�ictional 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.

Provide estimates far jurisdictional waters in the review area (check all that apply):
❑ Tributary waters: linear feet width (ft).
❑ Other non-wetland waters: acres.
Identify type(s) of waters: .
❑ Wetlands: acres.
F. NON-JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
❑ Tf potentia] 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 200 ] Supreine Court decision in "SWANCC," the review area would have been regulated based solelv on the
"Migratory Bird Rule" (MBR).
❑ Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdic�ion. Explain: .
❑ Other: (explain, if not covered above): .
Provide acreage estimates for non-jurisdicrional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
j��dgment (check all that apply):
❑ Non-wetland waters (i.e., rivers, streams): linear feet width (ft).
❑ Lakes/ponds: acres.
❑ Other non-wedand waters: acres. List type of aquatic resource: .
❑ Wetlands: acres.
Provide acreage esrimates for non-jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a tinding is required for jurisdiction (check all that apply):
❑ Non-wetland waters (i.e., rivers, streams): linear feet, width (ft).
❑ Lakes/ponds: acres.
❑ Other non-wedand 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 tile and, where checked
and requested, appropriately reference sources below):
� Maps, plans, plots or plat submitted by or on behalf of the applicandconsultant: .
❑ 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.
� U.S. Geological Survey map(s). Cite scale & quad name:1:24000, Burnsville Quadrangle.
❑ USDA Natural Resources Conservation Service Soil Survey. Citation: .
❑ National wetlands inventory map(s). Cite name: .
❑ State/Local wetland inventory map(s): .
❑ FEMA/FiRM maps:NC Floodplain Mapping Program.
❑]00-year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
� Photographs: � Aerial (Name & Date): .
or � Other (Name & Date):Stream photos in NWP Application, February 18, 2015.
❑ 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: