20150347 Ver 1_Application_20150409

Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name: Re��lace Bridgc No. 326 on SR 1318 (Hem�hill Road) over Hemphill Creek
2. Naine of Property O��mer/Applicaiit_North Carolina Departinent of Transportation (NCDOT,�
3. Name of Consnitant/Agent: N/A
"Agcnt nuthorization needs l0 6e auached.
4. RelatecVPrevious Action ID uumber(s):
Site Address: N/A
5. Subdi��ision N�me: N/A
6. City: Mag�ie Valle��
7. County: Hav�vood
8. Lat: 35.566299 N Long: -83.084384_W (Decimal Degrees Plense)
9. Quadraugle Name: Dell�vood (35083-E1-TF-024)
10. Water�vay: _Hempl�ill Creek (DWR Class: C, Tr)
11. Wlterslied: Frencli Broad River (HCU: 06010106)
12. Requested Action:
X Nltiouwicle Pennit # 3
General Permit #
_ Jurisdictional Determination Request
Pre-Applicatio�i Request
'1'he Yollo�ving information will be completed by Corps office:
AID:
Prepare File Foldei' Assign number i�i ORM Begifi Date
Authorization: Sectiou 10 Section 404
Project Descriptia�/ Nature of Activit}�/ Project Pi�rpose:
Site/Waters Name:
Key���ords:

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S'fATE OF NOR"CH CAROLINA
DEPARTMENT OF TRANSPORTATION
PnT McCaoav
GOVERNOk
Apl'll 8, 2015
Ms. Lori Becktivith
NCDOT Regulatoiy Project Manager
U. S. Army Corps oY �iigi�iecrs
I51 Patton Avenue, Room 208
Asheville, NC 28801-2714
AN n io�s� J. T�r�
SECRGL\RY
Subject Nationwide 3 Pecmit Application
Rcplace Bridge No. 326 on SR 1318 (Ilentphill Road) over Hemphill Creek
Ha}�vood Counry
WBS Element No. 17BP.14.R.129 (DB14B-430326)
Dear Ms. Beck�a�ith:
The North Carolina Depaitmeut of Transportation (NCDOT) is proposiiig to replace a
Yunctionally obsolete 21' W a 35' L single span timber deck bridge with steel beams and
concrete abutntents �vitl� a single spau 27' W x 47.25' L AASHTO Type 1 Girdei• Bridge. The
new bridge ��vill be located just do��vnsh'eam of tlie esisting bridge, therefore, a detour will not be
required during construction. The project will also include some minor approach work on tlie
existing roadway.
I am enclosiug a PCN application foi�u, Rap�nos Jurisdictional Determivation form, SHPO
forms, plan sheets sho�ving the proposed ���ork, stormwater management plan, a marked vicinity
map, a USGS topographical map aud photographs.
Tlii•eatened and Endaugered Species
The North Caroliva Natural Heritage (NCNHP) Database was ehecked (or records of tlueatened
and endaiigered species. Tlie database lists 47 species for Ha}n��ood Couury that have federal
status. Bog hirtle (Gl��teiir��s nttJ�lerrbergri) is listed as threatened diie to similarity of
appearance to tlie listed northern bog hirtle. Bald eagle (Hrdiaeehrs /etrcocepltaltrs) is listed
under the Bald and Golden Eagle Protectiou Act (BGPA). Eight species, Carolina northern
flying squirrel (Glaiicom��.r snbri»tcs colornhrs), gray bat (�1L��o/rs grisesce�ts), Iudiana bat
(�ll��otis socl�dis), iiorthern loug-eared bat (�1lyotis sel�lertlrio�rnlis), Appalacliian elktoe
(,�losmirlo�rtn rm�enelrm�n), spruce-fir moss spider (�l�/icrolresara nto��tii�ngn), small wliorled
pogonia (Isoh�ic� me�leolordes), spreading avens (Geiun rntlin/tnn), aud rock guome lichen
(Gynmoclerma linenre) are listed �s either threatened or endangered.
�ourteen�h Division O(lice
Telephone: (82S) SS6-3141 253 VV'ebster Rond. Syh•a, North Carolin� 23779 F�: (�ZS) 586-40d3

Bridge No. 326 — Ha}�vood County Page 2 April 8, 2015
Appalachiau elktoc are found in �vell-oxygenated sh�eams ��vith moderate to fast flowing �vater
�vith stable, mised substrates of silt, sa�id, gravel, and/or cobble. Appalacl�ian elktoe records i�i
die area are fi•om relatively large streams; the French Broad River, Pigeon River, Little River, and
Mills River. There are no records of occurrence in the smaller tributaries of these streams. No
Appalachian elktoe were obserned duruig the field scoping process and records indic�te the
nearest kiiown occurrence is located more thau 12-ruiles upstream of the project u� the Pigeon
River ne�r Canton.
With rare exception, gray bats roost in caves year-round. Siuce this project is limited to the
replacement of an eaisting bridge, there sltould be minunal impacts beyond tlie limits of the
bridge. Therefore, gray bats will uot be iuipacted by the replacement of the bridge.
Northern Iong-eared bats winter i�i caves or mines with stable, but not freezing, cold
temperatures. lu simuner tliey geuerally roost iii the loose bark of trees, either dead trecs with
peeling bark or cavities, or live Uees wiUi shaggy b1rk, sucli as white oak, maples, sycamore and
hickoi•ies. These tree species were not present at tl�e site; ho��vever, cleariug of h�ees will take
place behveen August 15`�' and May IS°i (winter clearing) to avoid potential impact to roosting
iioithern lonb eared bats. Althotigh the Tndiana bat is listed in the dalabase due to au isolated
wiuter record, the U.S. Pish aud Wildlife Service does not consider Ha��vood Coi�nt}� to be a�i
Indiana batcouuty.
Spruce-fir moss spider onlp lives on the highest ntountaiu peaks in the Southern Appalachian
Moimt�ius of western North Caroliva and eastern Tennessee. The higli elevation forests where
this spider is lound are dominated by Frascr fir with scattered red spruce. This forest type is
commonly referred to as spruce-fir forests. The typical habitat of tliis spider is damp, but well-
draiued moss mTts gro���ing on rocks and botilders itt �vell-sliaded areas within tliese forests. Tlie
moss mats camiot be too dry (the species is veiy sensitive to desiccation) or too wet (large drops
ofwater can also pose a du•eat to tlie spider). The elevation at the site is approsimately 3,900
feet and does not liave tlie required tree species for spruce-fir moss spider to persist. Therefore,
tliis project ���ill uot impact spruce-fir moss spider.
Carolina northern flying squirrel, rock guome liclien, and spreading avens are species that require
habitaC fouud at relatively high elevation. Although most rock guome lichen populations occur
near or above 5,000 feet elevation, it does occur at lower clevations within deep river gorges.
The elevation at the site is appro�unately 3,900 Yeet and vertical rock substrate required by tlie
irock gnome licliev is lacking near the bridge. Therefore, there is uo suitable habitat for these
specics ne�r the project.
Small �vhorled pogonil generally occurs in open, dr}�, deciduous woods with acid soil, accordiug
to tlie U.S. Fish and Wildlife Service. However, it is also known to occur in a variery of habitats
in North Caroliva; iucluding aloug strelms. 'I'he project site is mauitained road rigl�t of way,
with some forest area consisting of deciduous trees and rhododendron. The bridge site appears to
have a veiy low potential to support small whorled pogonia. Records indicate the neTrest known
occurrence of small whorled pogonia is approsimately 13 miles east of the project area.

Bridge No. 326 — Ha}�vood Couiity Page 3 April 8, 2015
In the July 9, 2007 Pederal Register (72:37346-37372), the bald eagle �vas declared recovered,
and removed (de-listed) from the Feder�l List of Tlu�eatened 1nd Endaugered wildlife. This
dclisting took effect August 8, 2007. After delisting, the Bald and Golden Eagle Protectiou Act
(Eagle Act) (16 U.S.C. 668-668d) becomes tlte primary law proteeting bald eagles. Tlie Eagle
Aet prol�ibits take of bald and golden eagles aud provides a staturory detinition of "take" tliat
includes "disturb". The USFWS has developed National Bald Eagle Maiiagement Gaidelines to
provide guidauce to land managers, landowuers, and others as to how to avoid disturbiug bald
eagles.
Tlie project is limited iu scope to t�e replacement of a�� e�istiug spamung structure with auother
spatming shuctare. Erosion and sedimentation control measures will be implemented ro furdier
�uiuiuiize potential to adversely affect aquatic habitat. Habitat foi tlie listed species and for the
bald eagle is lacking at tlie project site. No tlueatened or eudangered species were obseived
during the tield scopiug process. For these reasons and those discussed above, �ve reconnnend a
"no cffecN' determivation lor threatened ai�d endangered species.
This project was reviewed by NCDOT's Human Euvirorunent Unit iu 2013 for potential effects
to liistoric architectw•e and archaeolog}�. It �a�as determiiied that no survey ��vas required Yor
historic Trcl�itecture or arcl�aeology (see attached foims).
NCDOT best management practices ���ill Ue used to miniinize and control sedimentation and
erosion on this project. The construction foreman will revie�v a�l erosion and seclimentation
control mcasures daily to ensure erosion and sedimentation is being effectively controlled. lf the
devices 1re not fimctioning as intended; tliey �vill be replaced inunediatcly w�ith better devices.
Lupacts ta Waters of tlie United States
IIemphill Creek (DWQ Cl�ss: C, Tr) is shown on the USGS topographic map as a peremiiTl
slream. The channel is �vell defiued w�ith a substrate prim�rily composed of large rocks, gravel
aud sand/sil( and is appro�imately 5-6 feet in width. From Bridge No. 326, Hemphill Creek
flow�s approsimately 3.8 miles to Jouathans Creek, which then tlows 6.1 miles before joiniug tlie
Pigeon River. The Pigeon River flows 20.4 miles before ci•ossiiig the Temiessee state line. Tlie
Pigeon River meets tlie detinition of a Traditional Nlvigable W�ter. For these reasons, we
believe Hemphill Creek is a Relatively Perinaueut Water and is under the jurisdiction of the U.S.
Army Corps ofEngineers. In order to construct the project, it will be necessary to impact �vaters
of the United States in tlie French Broad Rivei• Basui (HUC 06010106). Specifically, NCDOT is
requesting to replace Bridge No. 326 with a new spanning structure. The impacts are listed in Uie
table below.
Site No. - Statiou Eiistiu Cmiditions Pro �osed Condition Net Im �ncts
Site 1 20' �Y s 3S L 2T W s 47.25' L 0'
12+95 — L Timber Bridge Type I Girder Bridge wNertical Abutments
Site IA Old Bridge Remo��e Old Bridge Abutments 50'
Abutmeuts Impervious Dike and Flow Diversion
Total Permanent Stream Impact fm• Bridge Replacement 0'
Total Tempm•ai�� Sh•ea�u Impact for Impei��ious Dilce and Flow llivcrsion 50'

Bridge No. 326 — I Ia}�vood Couuty Page 4 April 8, 2015
Permits Requested
NCDOT is hereby requesting authorization under Section 40A of the Clean Water Act to proceed
��vith the constil�ction project outlu�ed above. By copy of this letter, T am asking Ms. M�rla
Chambers, Western NCDOT Revie�v Coordivator, of the North Carolina Wildlife Resources
Commission (NCWRC) to comment directly to pou coneerning the 404 Nationwide Permit
request.
Li addition, i am asking Ms. Chambers and Mr. Ben DeWit, Roadside Efrvironmental Field
Operations Engineer (NCDOT), to commeut directly to me coucerning this permit request.
If you have any questions or need additional information, please contact me at� (828) 586-21 �41 or
Mr. Josl� De}�ton, PE, at [phone]. Your early review a��d consideration ��vill be greatly
appreciated.
Sincerely,
,���
Mark S. D�vis
izi/� �/
Division 14 Environmental Program Supervisor
L;nclosures
cc: Ms. Amy Cltaputau, Division of Water Resources, DENR, Raleigh (Courtesy Copy)
Mr. Keviti Barnett, Division of Water Resoiirces, DENR; Aslieville (Courtes}� Copy)
Mr. Jason Ma}�s, Biologist, US Fish aud Wildlife Servicc, Asheville
Ms. M1rla Chambers, Western NCDOT Review Coordinator, NCWRC, Ablemarle
Mr. Joshua I3. Deyton, PE, Division 14 Bricige Management Gngineer, NCDOT
Mr. Ben DeWit, EI, Roadside Environmental Field Operations Engineer, NCDOT

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OFfce Use Only:
Corps action ID no.
DWQ project no.
Fonn 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: � Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ❑ Yes � No
1d. Type(s) of approval sought from the DWQ (check all that apply):
❑ 401 Water Quality Certification - Regular ❑ Non-404 Jurisdiclional General Permit
❑ 401 Water Quality Certificalion - Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record For lhe record only for DWQ 401 For the record only for Corps Permit:
because wrilten approval is nol required? Certification:
� Yes ❑ No ❑ Yes � No
1f. Is payment inlo a mitigation bank or in-lieu fee program proposed for mitigation � Yes � No
of impacts? If so, altach the acceptance letter from mitigation bank or in-lieu
fee program.
1 g. Is the project located in any of NC's tweniy coastal counties. If yes, answer 1 h ❑ Yes � No
below.
1 h. Is lhe project located within a NC DCM Area of Environmental Concem (AEC)? ❑ Yes ❑ No
2. Project Information
2a. Name of project: Replace Bridge No. 326 on SR 1318 (Hemphill Road) over Hemphill Creek
2b. Counry: Haywood
2c. Nearest municipality / town: Maggie Valley
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or State ��BP �4.R.129 (DB146-430326)
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 Mark S. Davis, Division 14 Environmental Supervisor
applicable):
3d. Slreet address: 253 Webster Road
3e. City, state, zip: Sylva, NC 28779
3f. Telephone no.: 828-586-2141
3g. Fax no.: 828-586-4043
3h. Email address: markdavisCa�ncdot.qov
Page 1 of 10
PCN Form - Version 1.3 Decernber 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Narne: N/A
4c. Business name N/A
(if applicable):
4d. Street address: N!A
4e. Ciry, state, zip: N/A
4f. Telephone no.: N/A
4g. Fax no.: N/A
4h. Email address: N/A
5. Agent/Consuitant Information (if applicable)
5a. Name: N/A
5b. Business name N/A
(if applicable):
5c. SUeet address: N/A
5d. Cily, state, zip: N/A
5e. Telephone no.: N/A
5f. Fax no.: N/A
5g. Email address: N/A
Page 2 of 10
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information anci Prior Project History
1. Property Identification
1a. Property identi(ication no. (tax PIN or parcel ID): N/A
1b. Site coordinates (in decimal degrees): Latitude: 35.566299 Longitucle: -83.084384
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Hemphill Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: DWR Class: C; Tr
2c. River basin: French Broad (HUC 06010106)
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the viciniry of the project at lhe lime of this
applica�ion:
The general landscape is forested, with residential structures located in the surrounding areas of the bridge.
3b. List the total estimated acreage of all existing wellands on lhe property:
N/A
3c. List lhe total estimated linear feet of all exisling streams (intermittent and perennial) on the property:
420
3d. Explain the purpose of the proposed project:
The purpose of the project is to replace a functionally obsolele 21' W x 36' L single span timber deck with steel beams
and concrete abutments bridge wilh a single span 27' W x 47.25' L Type 1 Girder bridge wilh vertical abutments.
3e. Describe the overall project in detail, including the type of equipment lo be used:
Erosion and sedimentalion control measures will be installed. The new bridge will be constructed slightly downstream of
the exisling bridge, so a detour will not be required during construction. Track hoes, dump trucks, bulldozers, cranes,
paving equipment, and various hand tools will be used lo accomplish lhe work.
4. Jurisdictional Determinations
4a. Have jurisdictional wellanci or strearn deterininations by lhe
Corps or State been requested or obtained f� lhis property / � yes � No ❑ Unknown
project (including all prior phases) in lhe past.
Comments: N/A
4b. If the Corps made lhe jurisdictional determination, what type
of determinalion was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated lhe jurisdictional areas? Agency/Consullant Company: N/A
Name (if known): N/A Other: N/A
4d. If yes, list lhe dates of the Corps jurisdictional determinations or State determinations and attach documenlalion.
N/A
5. Project History
5a. Have permits or certi(icalions been requested or obtained for � Yes � No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help fle" instructions.
N/A
6. Future Project Plans
6a. Is lhis a phased project? ❑ Yes � No
6b. If yes, explain.
N/A
Page 3 of 10
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Weilands � Streams - tribularies ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, lhen complete this question for each welland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
WeAand impact Type of jurisdiction
number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ — non-404, other) (acres)
Tem ora T
W1 ❑ P❑ T N/A N/A ❑ Yes ❑ Corps N/A
❑ No ❑ DWQ
W2 ❑ 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. Tofal wetland impacts N/A
2h. Comments: N/A
3. Stream Impacts
If there are perennial or intermiltent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3 a. 3 b. 3 c. 3 d. 3 e. 3 f. 3 g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermiltent DWQ — non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 � P � T Bridge Hemphill Creek � PER � Corps 10 0
Replacement ❑ INT ❑ DWQ
S1A ❑ P� T Impervious Dike Hemphill Creek � PER � Corps 10 50
and Flow Diversion ❑ INT ❑ DWQ
S2 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S3 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S4 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S5 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total Permnnenf Stream and Tributnry Impacts for Bridge Repl�icement 0'
To�al Temporar}' Sh�enm Impncts for intpervious Dike and Flow Di��ersion 50'
3i. Comments: N/A
Page 4 of 10
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Irnpacts
If there are proposed impacls to lakes, ponds, esluaries, tributaries, sounds, the Allantic Ocean, or any other open water of
the U.S. then individually list all open water impacts 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 N/A N/A N/A N/A
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4G Tot�lopen waterimpacts N/A
4g. Comments: N/A
5. Pond or Lake Construction
If ond or lake consUuction ro osed, lhen com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacls (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose of (acres)
number pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1 N/A N/A N/A N/A N/A N/A N/A N/A
P2
Sf. Totnl N/A N/A N/A N/A N/A N/A N/A
5g. Comments: N/A
5h. Is a dam high hazard permil required?
❑ Yes ❑ No If yes, permit ID no: N/A
5i. Expected pond surface area (acres): N/A
5j. Size of pond walershed (acres): N/A
5k. Method of construclion: N/A
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require rnitigation, then you MUST fill out Section D of lhis 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 SUeam name mitigation (square feet) (square feet)
Tem ora T im act re uired?
61 ❑ P❑ T N/A N/A ❑ Nos N/A N/A
62 ❑P❑T ❑Yes
❑ No
B3 ❑P❑T ❑Yes
❑ No
6h. Totnl buffer impncts N/A N/A
6i. Comments: N/A
Page 5 of 10
PCN Form — Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize lhe proposed impacts in designing project.
The bridge is being replaced wilh another single span sUucture lhat is wider, which increases the hydraulic capacity through
the bridge opening. There will be no permanent impacts to Hemphill Creek..
1b. Specifically describe measures taken to avoid or minimize lhe proposed impacts lhrough consUuction techniques.
Erosion and sedimentation BMPs will be installeQ prior lo ground disturbance. The stream will be diverted away from the old
bridge abutments as needed during removal to prevent sedimentation of downstream aquatic habitats.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ Yes � No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigelio�� is required by (check all that npply): ❑ DWQ ❑ Corps
❑ Miligation bank
2c. If yes, which mitigation oplion will be used for lhis � payment to in-lieu fee program
projecl?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Miligation Bank: N/A
3b. Credits Purchased (attach receipt and letter) Type N/A Quantity N/A
3a Comments: N/A
4. Complete if Makiny a Payment to In-lieu Fee Program
4a. Approval lelter from in-lieu fee program is altached. ❑ Yes
4b. SUeam mitigation requested: N/A
4a If using stream mitigation, sUeam temperature: ❑ warm ❑ cool ❑cold
4d. Buffer mitigalion requested (DWQ only): N/A square feet
4e. Riparian wetland mitigafion requested: N/A acres
4f. Non-riparian welland mitigation requested: N/A acres
4g. Coastal (tidal) wetland mitigation requested: N/A acres
4h. Comments: N/A
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permiltee responsible mitigation plan, provide a description of the proposed mitigation plan.
N/A
Page 6 of 10
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Mitic�ation (State Re�ulated Riparian Buffer RiUes) — required by DWQ
6a. Will lhe project result in an impact within a prolec[ed riparian buffer that requires ❑ Yes � No
buffer mitigation?
6b. If yes, then idenlify the square feet of impact to each zone of lhe riparian buffer lhat requires mitigation. Calculate lhe
amount of miligalion reyuired.
6c. 6d. 6e.
Zoue Reason for impacl Total impact Mulliplier Required mitigation
(square feet) (square feet)
Zone 1 N/A N/A 3(2 for Catawba) N/A
Zone 2 1.5
6f. Total buffer mitigation required: N/A
6g. If buffer mitigation is required, discuss what lype of miligation is proposed (e.y., paymenl to private miligation bank,
permiltee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
N/A
6h. Comments: N/A
Page 7 of 10
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Manac�ement and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project inGude or is it adjacent to protected riparian buffers identified � Yes � 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: N/A ❑ Yes ❑ No
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? N/A %
2b. Does lhis project require a Stormwater Management Plan? � Yes ❑ No
2c. If this project DOES NOT require a Stormwater Manayement Plan, explain why: N/A
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative descripfion of the plan:
The project is covered under the NCDOT General Stormwater Permit No. NCS000250.
❑ Certified Local Government
2e. Who will be responsible for the review of the Slonnwater Managemenl Plan? ❑ DWQ Stormwater Program
� DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local governrnenYs 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
❑ Ofher:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
altached?
4. DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a. Which of the following state-implemented stormwater management programs apply � ORW
(check all lhat apply): ❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ❑ Yes ❑ No
5b. Have all of lhe 401 Unit submiltal requirements been met? ❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirernent)
1a. Does the project involve an expenditure of public (federal/state/local) ftnids or the � Yes ❑ No
use of public (federal/stale) land?
1 b. If you answereci "yes" to the above, does the project require preparation of an
environmental docwnent pursuant to the requirements of lhe National or Slate ❑ Yes � No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the doaiment review been finalized by the
Slate Clearing House? (If so, altach a copy of the NEPA or SEPA fnal approval
lelter.) ❑ Yes � No
Comments: N/A
2. Violatiais (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolaled
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Slandards, ❑ Yes � No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fac( pennit application? ❑ Yes � No
2c. If you answeretl "yes" to one or boih of lhe above questions, provide an explanation of the violation(s): N/A
3. Cumulative Impacts (DWQ Requirement)
3a. Will lhis project (based on past and reasonably anticipated future impacts) resull in � yes � No
addilional 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.
This project is limisted in scope and involves the replacement of an obsolete bridge. The project will neither influence
nearby land uses nor stimulate growth. Therefore, a detailed indirect or cumulative effecls study will not be necessary.
4. Sewage Disposal (DWQ Requirement)
4a. Cleariy detail the ultimate treatment methods and disposilion (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacily of lhe subject facility.
N!A
Page 9 of 10
PCN Form — Version 1.3 December 10, 2008 Version

5. Endanyered Species and Desic�nated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or � Yes � No
habilat?
5b. Have you checked with the USFWS concerning Endangered Species Act � yes ❑ No
impacts?
❑ Raleigh
5c. If yes, inQicate the USFWS Field Office you have contacted.
� Asheville
5d. Whal dala sources did you use lo determine whether your site would impact Endangered Species or Designated Crilical
Habitat?
North Carolina Natural Heritage Database Prograrn and a site visit during the field scoping process.
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 Essenlial Fish Habitat?
N/A--There are no marine or esturaine habitat within the Blue Ridge Physiographic Province
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area fhat lhe state, federal or tribal
governrnents have <iesignated as having historic or cullural preservation � Yes � No
status (e.g., National Historic Trust designation or properlies 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?
The project was submitted to NCDOT's Human Environment Unit for review in 2013. It was determined lhat no survey
was required for historic architecture or archaeology (see attached documents).
8. Flood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMA-designated 100-year floodplain? ❑ Yes � No
8b. If yes, explain how project meets FEMA requirements: N/A
Sc. What source(s) did you use to make the floodplain determination? North Carolina Floodplain Mapping Program
Mark S. Davis �
Division Enviromuental Supen�isor /�,�� �/ G� �.-� j
ApplicanUAgent's Signature Date
ApplicanVAg@f1t'S P�inted Nafll@ (AgenCs signature is valid only if an aulhorization letter from the applicant
is provided.)
Page 10 of 10
PCN Form - Version 1.3 December 10, 2008 Version

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V1BS Number 176P.14 R.129
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Bridgc No. 326 m� 5121318 ovcr Hemphill Creek
Hay�vood Com�h,
Looking Southeast

Bridge No. 326 ou SR 1318 over Hemphill Creelc
Haywood Cow�h'
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Bridge No. 326 m� SR 1318 over Hempl�ill Creelc
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Prnjrd Trnrkivx No. (Gilrinnf Ui<J
13-OS-0038
HISTOR[C ARCHITGCI'UI2L AND LANllSCAP�S
NO SURVCY RI?QUIR�D PORM
'I'his form only pertains to Historic Architec[ure and Landscapes for this project It
is not valid fm� Archaeological Resowces. You must consult separately with the
Archaeology Group.
PRO,TI�:CT IN�nRMAT�nN
Pi•oject No: Conu[y: Haywood
WBSNo.: 17BP.14.R99 Docrrmeiit PCG or MCC
Ty e:
Pe�L Aid No: N/A TrnlJisg: � State ❑ Federll
Tede��n! � Yes ❑ No Pei���rrl NWP3, NWP 14, aiid TVA
Permrt s : Ty �e s :
Projecl Desci•iulio�t:
Repllce Bridge NO. 326 on SR 1318 (Hemphi(1 Rd) over IIempl�ill Creek.
SUMMARY OT HISTORIC ARCHIT�CTURC ANll LANDSCAP�S RGVI�W
Uescrip(ion olrevie�v nctivilies, resrrlls, mtr! caitclnsioiis:
Review oFFIPO qund m�ps, HPO GIS information, historic desiguations roster, and indexes wns
undert�ken on August 19, 2013. Dnsed on this review, thcre �re no existing NR, SL, LD, DL;, or SS
properties in the Aren of Potential Effects, which is 75' from the centerline ench way and 300' from each
end of the bridge. Therc nre sever�l propertics over fiCly years of age �vithin the APE, howevcr Google
Mnps SU�cet Vie�v confirms that there nrc no N�tionnl Rcgister cligible properties. A smnll, one-stay
fiame building directly south of the bridge is unremnrknble, as is a hvo-story frame house southeast af ihe
bridge location (3995 Hemphill Rd.). A oue-slory manufactured home is locnled nor(li of Ihe bridge, it is
unremarknble nncl not NR eligible. Bridge NO. 326 is not eligible for Nn�ionnl Register Iisting bnsed on
the NCDOT Ilistoric I3ridge luventory. ff design plans chnngc, addition�l revie�v will be required.
1�llV Ilre nvnilrrGle i�tfor�urdiou urovides « relinGle Gnsis !a� reasa�nGlv uredic(i�te 16�d thei•e
ru•e �to rrnir(e�itiTed sip�tiTcartt Iristm�ic nrcliitectru•a! a� (nndscnue resmu•ces i�r 1lte uroiect
ru�err.
HPO qu�d maps v�d GIS iuformatiou recording NR, SL, LD, DE, mid SS properties for dte
Haywood Couuty survey �nd Google Maps �re considere<I valid for the purposes of determining
tl�e likelihood of historic resources being present. Tl�ere are no National Register listec! or
eligible properties within the APE �nd no survey is required.
�Map(s)
5UPP012T DOCUM�NTATION
❑Previous Survey I��fo. ❑Photos ❑Correspondence
RINDING BY NCDOT ARCHI'I'rCTURAL HISTORIAN
�nd L�ndscapes -- �70 SURVGY RGQUIRED
NCDOT Architectural Historian
❑Design Pl�ns
}/ieroric ArtAilealinc mul Lamkmpus h'O SUHI%iY RGC)Ulft/iU Jonri/o� Afinor Trmuym(nriai Prujrns nr Qun6firJ in Ihr 100J Pmgmuinmiic Agrzanirnl.
P�ge 1 of3

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���� G�S.
«
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n
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; � 'Y
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h1nnuf�clin•ed housc norlh of bridgc.
Hielo�ic i6d�irrronu onALmiAsmpzs A'O SURI%iY REQUIl1/iD jorm farAlinur 7nme�wilnliun Yroje�tr nr Q�mlifird in IAe 100J Piog�nnnnnlie Ag�zemenl.
Yage 2 of 3

Onc-stm�y (r,�mc sU•uclurc direcfly soulh of tiridgc.
3995 Hemphilf Road, soutLeast oP bridy,c.
fliero�ie Arthircaure nnd Landrnprr NO SUIiV/iY RfiQU/!tlill/onn/�rAfinar7i�roi �paimion Yrojrrtr m QuaLl<<��i� Uie d007 ProgranunNir.lgrmm�tl.
Page 3 of 3

� i; ii ;
j;� 1��y� NO ARCHA�OLOGICAL SURVEY REQUIR�D TORM ,fiqt��
v��i ��' i.�`, 7'his fonn only per�nius to ARCHAEOLOG[CAL RESOURCES for Ihis projecl. Il is no( �y�; l� � ��
� � p.p'�9 � valid for IIistoric Architecture �nd [.nndscapes. Yoii must consult separately wilh Ihe .,� �,�.;�.�� �
����� -�.;C4/ Historic Archilecture and L�ndscapes Group. ���J,q, �1.�
PRO.I�CT INrORMATION
Project No.• 430326 Cotmry: Ilaywood
iVBSNa• 17BP.14.R99 Doaanenl: MCS
1{d. No: u/1 Fi+nding: � State ❑ Pcderal
Ferleral Perinit Required? � Yes ❑ No Perini( Type: N�VP3, NWP14, TVA
Projec! Descrrp(iac This�rojecl proposes to replrrce 73rirlge No. 326, ivhic6 enrries SR1318 (Heniphi!l
Rd) overHewphill Creek iri Ilnyivood Con�Uy, Narlh Cm•o/iiin. �lccordiug m t/re enviimm�eulnl inpnt
requesl, t/ie �u�dei7nking invo/ves �lie in N/nce rep/nce�neut of Ihe slrnclnre «long Nie e.�•isli�ig
�dign�iient, U7ereby »iii�i�nizing pnlenlinl sinfnce nnrlsirGsrrrface rlislru•Gances n( this locnlinn, A�+ off-
sife deta�u• ror�fe is nulicrpnted. The erchneologicrtl i1 rere of Polenlinl Lffecls (APL) is cenlered upon
B�idge 326 med nrens�rres 600f1 iu leag!!i (300fi fi•ou� enc6 brirlge end yoint) mid ISOft i�� ivirldi (75ft
fi•oue encl� srde of the SRI,i18 ceuter-li�ic).
SUMMARY OT CUI:PURAL R�SOURCES R�VICW
6riefrlescriptiou ofrevre�vnc(ivities, resnlls ofrevieiv, ruid co�iclusions:
The project area is located in the west-central portion of the counry, directly south of the Cataloochee Divide,
several miles north of Maggie Valley, and a shor[ dis[ance from the Swain county border. Hemphill Creek, included
within the French Broad River Drainage Basin, constitutes a second order stream Oowing wes[ to eas[ through the
project area. It emptyies into lonathan Creek near the U5276/SR1318 junction. A strongly sloping topography.
characterizes the majority of the APE and surrounding area.
A map review and site file search was conducted at the Office of State Archaeology (OSA) on Tuesday, August 20,
2013. This tvork disclosed the location of four prehistoric archaeological sites (31HW198, 31HW202 — 31HW204)
si[uated along Hemphill Road to the east of the proposed bridge replacement. Rewrded by Bass (1975) during his
survey of the Great Smoky Mountains, the sites contained surface debris representa[ive of mul[i-componen[
occupations spanning the Archaic and Woodland periods. Midden deposits were noted at three of the
archaeological sites. Clearly, prehistoric setUement was focused along level, well-drained terraces in the less
restrictive sheam valleys. These areas would have been highly prized and returned to often, offering respite from
the un(orbidding and sloping terrain surrounding. Based on this information, the small Hemphill Creek stream
valley was occupied throughout much of prehistory. Therefore, the potential of documenting additional
archaeological sites or isolated artifact finds in the vicinity of the Bridge 326 APE is wnsidered moderate.
An inspection of National Register of Historic Places (NRHP�, State Study Listed (SL), Locally Designated (LD),
Determined Eligible (DE), and Surveyed Site (SS) properties employing resources available on the NCSHPO website
concluded that none of the above designated property types were located within or adjacent to the project area.
Historic maps of Haywood County were also appraised for evidence of former sVUCture locations, land use pattems,
oi other confinnation of historic occupation at this bcale. In general, this work established that no existing NRHP
listed proper[ies, archaeological sites, or cemeteries will be impacted by the proposed consVUCtion project.
Further, topographic, geologic, environmen[ai, and NRCS soil survey maps (WoD, SoF) were referenced to evaluate
ecological, geomorphological, hydrological, and other elements that may have resulted in past occupation at this
location. Construction design data was examined for determination of the potential impacts to the ground
"h'o dRC//.IEOLOGYSURVEY REQU/RFD"fani for M1linor Tra�uya�/nliou Piojran ns Qunl frAiu Ihe d007 Mag�nn�ninlic Agirrmenl.
I o(2

siufaces. Aerial photographs (NCDOT Spatial Data Viewer) and the Google Street View map application (when
amenable) were also examined/utilized for additional assessment of hydrological, agricultural, modern earth-
moving, and other erosive disturbances that may typi(y the APE.
I3rief E.�pinnnliou of �vl�y !l�e nvrdlnGle iiifo��n�nliai provir(es n relinGle bnsis for reasounbly predicling
Nint Uiere m•e nn unrdeidified hisforic��royerlres iu �he APE:
The project APE con[ains no NRHP listed historic properties, previously documented archaeological sites, or
cemeteries. Predicated on soil and topographic data, together with aerial imagery and images viewed via the
Google shee[ view map application, the 6ridge No. 326 APE contalns no potential for lhe documentation of
significant NRHP eligible archaeological resources. The projec[ ground surfaces that constitute the APE, as well as
those adjacent lands, are characterized by a cut hillside to the west of SR1318 and extreme slope to ihe easL No
habitable, well-drained landforms are situated within the project limits.
Since the bridge replacement is diminutive in swpe and proposes no alteration of undisturbed ground areas,
meaningful archaeological sites/deposits wlll no[ be affected by the project. No further archaeological input or
work will be necessary for this state-(imded NCDOT bridge replacemen[ project.
Bass, Q.R.
1975 Prehistorlc5eltlement and 5ubslstence Pntterns in the Great Smoky Mountalns.
SUPPORT DOCUMlNTA'PION
See attached: � Map(s) � Previous Sw vey Info
❑ Yl�otocopy of Couuty Survey Notes
rINDING BY NCDOT ARCIIACOLOGIST
�NO ARCIIAEOLOGY SURVGY R1iQ UIRBD�
� Pl�otos ❑Coirespondence
Othe�:
NC:llU l
"NO ARC//.IEOLOGY.SURYEI' REQU/RED "/onn for M1finor Trm�syoilnlion Projerls ns QmliJitd iu lAe 1007 Pioginnininlic AgieenienG
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WoD—Whiteoak cobbly loam, 15 to 30 percent slopes, stony
Map Unit Setting
• Elevofion: 2,000 to 3,500 feet .
• Mean annual predpltation: 40 to 60 inches
• Mean onnuol nir tempeinfure: 46 to 57 degrees F
• Fros!-Jiee period: 100 to 150 days
Map Unit Composition
• Whiteonk, stony, nnd similnrsoils: 85 percent
Description of Whiteoak, Stony
Selting
• Landform: Fans on mountain slopes, drainagev+ays on mountaln slopes, coves on mountaln slopes
• Land/orm position (fvio-dimensionnlJ: Footslope, toeslope
• LondJoim posit(on �tbree-dimensionnlJ: Lower third of mountainflank, base slope
• Do�in-slopeshope: Concave
• Across-slopeshope:COncave
• Pnrent moteiiol: Colluvium derived from arkose and/or graywacke and/or metamnglomerate and/or metaquartzite
Properties and qualities
• Slope: 15 to 30 percent
• Sur/nce niea mvered with mbGles, s[ones oi boulders: 0.1 percent
• Depth to restiictive Jeafure: More than 80 inches
• Diainogedoss:Welldrained
• Copocity o/ the most limiting loyer to trnnsmi[ woter (KSotJ: Moderately high to high (0.57 to 1.98 in/hr)
• Depth ro woter table: More than 80 inches
• frequencyo/Jloading:NOne
• Frequencyo(pondinq:None
• Avoilo6le watercapocity: Moderate (about 81 inches)

Interp�etive groups
• Farmlond dnssi/icotion: Farmland of local impor[ance
• Landcopability(noninign[ed):Ae
• Hyd�olagicS011Group:D
Typical prof ile
• 0 to 9lnches: Cobbly loam
• 9 to 23 inches: Loam
• 23 to 34 inc8es: Channery loam
• 34to80inches:Vervflazzvloam
SoF—Soco-Stecoah complex, 50 to 95 percent slopes
Map Unit Setting
• Elevation: 1,390 to 4,560 (eet
• Mean annual precipifation: 54 to 681nches
• Mean annunl oi� tempeiature: A6 to 57 degrees F
• FiosF/iee period: 100 to 176 days
Map Unit Composition
• Sam, stony, and similorsoils: 45 percent
• Stemah, stony, ondsimilarsoils. 35 percent
• Minormmponents:20percent
DescripUon of Soco, Stony
Selting
• LandJorm: Mountain slopes
• lond/orm position (two-dimensionnlJ: �ackslope
• Londfonn position (three-JimensionnlJ: Mountainflank, side slope
• Down-slopeshope:COnvex
• Across-slopeshnpe:Linear
• Parent nmfe�iol: Residuum weathered from metaconglomerate and/or meta graywacke and/or me[a sands[one that
is a(fected by soil creep in the upper solum
Proper[ies and qualitles
• Slope: 50 to 95 percent
• Sur/ace orea cavered with cobbles, stones orboulde�s: 0.1 percent
• DepthtoresVicfiveJeoture:20to40inchestoparalilhicbedrock
• Orainage doss: Well dreined
• CopocityoJthemos[linritinglayertotronsmi[water(KsofJ:Moderatelyhigh(0.201o0.57inlhr)
• Depth fo wofer foGle: More than 80 inches
• Frequenryaf/IoodingrNone
• Fiequencyo/ponding.�None
• AvoilnGle wnter copncity: Low (about 5.1 inches)
Interpret(ve groups
• Familand dassi/ication: Not prime farmland
• Lnndmpnbility(nonini9nted):7e
• Hydrologic Soil Grovp: B
Typical profile
• OtoSincherChanneryfinesandyloam
• 5 to 14 inches: Fine sandy loam
• 24 [0 35 inches: Channery (ine sandy loam
• 35 to 80 inches: Weathered bedrock

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APPRO\'ED JURISDICTIOYAL DF,TCRDI INATION PORDI
U.S. Army Corps of Cnginccrs
This form should be completeA by follo�ving the instructions provided in Seclion IV of the JD Conn lnstruetionnl Guidebnak.
SI:CTION I: RACI<GROUND INF02VIATION
A. REPORT CO�IPLC7'ION DATC TOR APPROVED JURISDICTIONAL DF.9'EIi�IINATIOY (JD):
B. DISTRIC'I' OFFICE, CIL� NADI E, AYD NU111BER:
C. PROJGCT LOCATION AND BACI<GROUND INTOR�IATION: Iteplace Bridge No. 326 on SR 1318 Q lemphill Road)
Stnle: NC County/pnrish/boroueh: Hny�cood Ciq�: Maggie Valicy
Ceirier coordina�es ofsite QnUlong in degrec dccimfll format): Lat. 35.566299° N. Long. -83.0843R4° �R'.
Univers�l Trnnsverse �4ercator.
Name ol nwecst wntcrbody: Flemphill Crcck (D1A'Q Class: C, Tr)
Nnnre of neares[ Traditionnl Navigable \Va�cr ("ITJ\V) Inlo �rhich lhe aqualic resource flows: Pigeon River
Nnme oCwatershcd or Hydrologic lJnii Codc (HUC): 06010106020030
� Check if map/Aiagrnm oCrevie�c arcn nnd/or potential jurisdictional nrens is/are uv�ilable upon request.
❑ Cheek if olher sites (e.g.. otFsite mitiga�ion sites, disposel sites, etc...) are associated �vilh this netion nnd are recorded un a
diftcrcnt JU form.
D. REVIG�VPBRfO1tDIGDPORSITEE�'ALUATIOY(CIICCI<ALLTHA"CAPPLI'):
� Office (Desk) Determina�ion. Date: April 8. 2015
� Cicld Determina�ion. Datc(s): September IQ 20I4
SECTIONIL• SUi�1�lARS'OI'PIYDINGS
A. RHA SECTION 10 DGTf R�I IN�YfION Or JURISDIC'1'IOY.
Therz Are no "�mrignble irai�rs q((l+e US." �cithin Rivers and Harbors Aet (2HA) I��risdiction (.�c defined by 33 CP'R part 329) in the
re��iew arca [Reqr�ire�IJ
❑ lVaters subject to thc ebb nnd Flo�v ot thc tidc.
❑ 1Va�er ace prescntly used, or have becn used in the past, or may be susecp�ible for use to transpod interstate or foreien commerce.
Gapinin:
B. C1VA SECTION A04 DETERDIINATION OT JURISDICTION.
Therc Are "�rn[ers oJ'rhe U.S" �ri�hin Clean 1Vater Act (C\VA) I������ic�ion (as delined by 33 CFR pnrt 328) in the revie�v area. �Require<l�
I. �5'nters of the U.S.
n. Indicnfe presence oSwaters of U.S. in revie�v nren (checlt nll [hn[ npply): �
❑ 7NWs, including ten-imrial scns
❑ VA�eUtmdsadjacentlo'N1Vs
� Relatieely permnnen� �caters' (RP\Vs) [hnt [lo�r directly or indircetly into "IN1Vs
❑ Non-RPAVs that (lo�c dircctly or indirec�ly into TNNs
❑ AA'etlands direc�ty abutling RPAA's that Ilo�s dircctly or �indirectly inlo 7TVVs
❑ 1Ve�lands adjaccn� to but not directly abutting RPIVs Ihat flo��� direc�ly or indirectly into'I'NVVs
❑ 1Vc�lands ndj�cent lo non-2PNs thnl flo�v directly or indircctly into'I'NVA's
❑ Impoundmznts of jurisdictional �raters
❑ Isolnted (inlerstate or intrnstnte) �vaters, including isoln�ed �ve�lnnds
b. Identify (estimnte) size oC wnters of the U.S. in H�e review nren:
Non-�cetlnnd �enters: I50 linear tcet: 10 �cidth (LQ and/or ncres.
Netlands: ncres.
c Limits (boundnries) ofjw�isdiction based on: Esfablished by OHR'M.
Elevation of es�nblished OH�A'V4 (if kno�m): .
2. Non-regulnted wntershvetlnnds (cheele if npplicnble):'
❑ Potentiallyjurisdie[ionnl waters and/or «°etl�nds �cere assessed �cithin the revie�a nrea nntl determined lo be no[jurisdictional.
8�plain:
� Boses ehecked below shall be suppotleA by compleling the nppmpriate sec�ions in Seetion I116elo�r.
' For purposes ol' Ihis form, nn RPN is detined ns n tri6u�nq• tliat is nol a TN\V and �hnt t��picnlly Flo��s year-round or has continuous Oow N least "seasonally"
(e.e., t}Pically 3 monlhs).
' Supporting docunun�a�ian is przsented in Sec�ion III.P.

SL.CTION III: C�VA ANALlSIS
A. TN\Vs AND \VETLANDS ADJACENT TO TMVs
Thc ngcncies will nsscrf jw�isdiction ovcr T\\Vs and wetlands ndjncent to TN�1's. IPthc nquntic resource is n TMY, complete
Section III.A.I nnd Section IILD.1. onl9; �f the aquntic resource is a�retland ndjncent to n'I'NR', wmpletc Sections III.A.1 and 2
nnd Secfion llLD.I.; otherwise, see Secfion III.B belo�r.
L TN�1'
Identitj°'INVA':
Summnrize rationale supporting delerminntion:
2. �Vetlnnd ndjacent to TNVV
Summarizc rationale suppoding conclusion tha� �vctland is "aQl�cenl":
B. CIIARACTERISTICS O� "PIiI6UTARY (THAT IS NOT A TN�V) .WD ITS ADJACh:NT �VC'fLAnDS (IP ANl'):
This section swmm�rizes informntion rcgarding chnrncferisfics of fhe tributnry and its ndjacent wetlnnds, iPnny, nnd it lielps
determine �rhetl�er or not the stnndnrds forjw�isdiction established under Rapsnos have been met.
The ngencies will nsscrtjurisdiction ovcr non-nnvignblc h�ibufnries of TN\Vs wherc thc h�ibutaries are "relntivcly permnnent
�vaters" (RP�1's), i.e. tributnries fhnt t}•picnll}� Oo�v �•enr-irowid m� hm•e continuous ilo�r nt lenst sensonnlly (e.g., typicnlly 3
months). A wetland thnt directly abuts nn RP\V is also jurisdictionnl. If the aquntic resom�ce is not n'fY\\', but hns yem�-rounA
(perenninl) ilow, skip to Section IILD1. If the nquatic resom�ce is n���etland Airectl}� abu�fing n tributnry �vith perenninl Oow,
skip to Section III.D.4.
A wetland that is ndjncenf to but thnt docs not direcHy nbu[ nn RP\V requires n significnnt ne�us evaluntion. Cm�ps dish'icts and
EPA regions ���ill include in lhe record a�q� :�vailnblc in(ormation thnt docwnents the e�istence of n significnnt nexus behreen n
relatirely permnnent tributnry ihnt is not perenninl (nnd ifs adjacent ��•etlmids if any) and n trnditionnl nnvigable wnter, even
though n significant nesus finding is not required as a mntfcr of Imv.
If the wnfcrbod�'' is not nn RPAA', or a wefimid directly nbutling mi RPAV, n JD will requirc ndditioiml dnta to determinc if the
wnterbody has a significnnt nesus with n TNVV. I(the tributm}• hns ndjncent �retlnnds, the significnnt nexus evniuntimi must
cousider the tributnry in combinntion ���itli all of its ndjacent weHands. This signi�c�nt ne�us evalu�tion th�t combines, Por
nnnlylicnl pm�poses, the tributnry nnd all of its ndjacent wetlands is usecl whether the re��ie��� nren identified in the JD request is
❑re tributary, or its ndjncent wetlnnds, m� botli. If the JD covers a tributary wilh adjncent wetlands, complefe Section III.B.I for
tl�e tributnry, Section III.B1 for mry onsite weNnnds, and Sectia� III.[t.3 for nll weHands ndjncent to thnt tribufnry, both onsite
nnd o(fsite. The determinntion wheHier n significant nesus esists is determined in Section IILC below.
L Cl�arncteristics of na�-TN�Vs �hnt ilo�r directly or indirectly into TN�S'
(i) Cenernl Aren Conditions:
Natershed size: Pick List
Drainagcnrea: Picl<List
Avernge annual rnintnll: inches
Avera�e annunl sno���Call: inches
(ii) Physical Ch:irneteristics:
(a) liela�ionshiu��°ith'INVV:
❑ Tributnry flo�vs directly into �I-NIV.
❑ Tributnq� flo���s through Pick List tributaries before entering TN W.
Prolect waters nre Pick List river miles from TNl1'.
Project «•n[crs nrt Pick List river miles Itom RP\\'.
Project o•nters are Piele I.ist trerial (s�raight) miles Gom "['i��Y.
Proleet �caters are Piel< l.ist trerial (s�rnight) mil�c from RPAV.
Prolect �raters cross or sen�e as state boundaries. Esplain:
Ldaitify flon° route lo TN�V':
Tribut�ry strenm order, i} known:
' No�e �hat Ihc h�slruc�ionnl Gui�zbook conlnins additional infonnation rega�dines�cnhs, ditches, washes, anJ crosionnl feNUres �enerally nnd in Ilre nrid
VVtsl.
' I'lo�r route ean br described by idenlilyiug, e.e., lribulaq� a. �chich Ilo�cs Ihrou:h thz revie�s area, to �lo�c into tributnp� b, �vhich �hen Flo�r> into TN\V.

(b) Gcner�l Tributan� Characleristics (check till Ilmt auulvl:
Tributory is: ❑ Naturnl
❑ Arti�icial (man-made). G�plain:
❑ n4nnipuln�e� (man-nitered). Esplain:
Tribufnry� propertics �vith respect to top of hank (estimnte):
Arcrngz �cidth: feet
Average depth: leet
A��erage side sbpes' Pick Lisf.
Primary tributary substra�e wmposi�ion (check all thnt npply):
❑ Silts ❑ Sands ❑ Concrete
❑ Cobbles ❑ Gravcl ❑ Muck
❑ 13edrock ❑ Vegetn�ion. Type/%coaer:
❑ Other. Esplain: .
'1'ributaq� condition/s�abiliiy �e.g., highly eroding sloughing banks]. 8xpinin:
Presenee of run/rillldpool comple�es. Bsplain: .
Tributary geometry: Pick l,isf
Tributap� gradient (npproximate arcrngz slope): %
(c) Flo�s:
Tributap� provides' lor: Pick List
Gs�imate everaee number of Ilo�v ovents in revie�v area�penr: Pick List
Describe flo�c regime: .
O�her infonnatimi on durntion and ��olume: .
Surfnce flua� is: Pick LisL Charneteristics:
Subsurface flo�v: Pick List. Explain tindings:
❑ Dye (or olher) test perlormcd: .
Tributnry has- (check nll that apply):
❑ Bed nnd bnnks
❑ OI IAVNI6 (chcck all indicators thatapply):
❑ elear, naturnl line impresscd on Ihe bank
❑ chanees in the charncter of soil
❑ shelvin�
❑ vegetntion malted do�cn, bent, or absent
❑ leat litter disturbed or �rnshzd a�vay
❑ sedimznt deposition
❑ �vater staining
❑ otlier (list):
❑ Uiscontinuous OII\Vn1.' Gsplain:
■
■
■
■
■
■
■
the przsencz oCliuer and debris
destruc�ion oftcrrestrinl vegeta�ion
�hc preszncz of �crack linc
sedinreni sorting
scour
nud�iplc observed or predictcd tlo��� events
nbrupt change in plant communiq,
If factors other Ihan �he OHVVM �cere used lo de�ermine laleml e�tent ofCAVA lunsdiction (eheek nll thnt nppl��):
❑ High Tidz Line indicnted b�e ❑ Mean Hieh �Vntzr Mnrk indicated by:
❑ oil or scum line along shore olilects ❑ survey to availablz datum;
❑ fine shell or debris dcposits (foreshore) ❑ ph}'sical mnrkings;
❑ physical markings/ch�rac�eeis�ics ❑ vege�n�ion lines/chnnges in regeta�ion types.
❑ tidnl gauges
❑ o�her Qist):
(iii) Chemicnl Chm�ncteristics:
Charncterize tribulnry (e.g., �vater eolor is clear, diseobreci, oily lilm; �enter qunlity general �eatershed characteristies, eteJ.
Ezplain:
Identify specific pullu�ants, if known: .
`A nmuml or man-mndz discoNinuih� in the011\Vhl does nat nrcessnrily se��eejueisdic�ion (e.g, wheee lhe s�eznm lemporarily �lo��s underground, or �chere
the OI IAVM has bcen remored bp devclopment or ae�iculniral pr,icticcs). A1'here there is n break in �he OH\5'V4 that is unrelnted �o �he �vaterbody's Oo�s
regime (e.e., Oow over a rock outcrop or lhroueh n culeert), tlre necncizs �cill luok for indicNOrs of Flow a6ove and belo�r Ihe bre, k.
'lbiA.

(iv) Biologicnl Chnractcristics. Ciiannel supporfs (checl<all tli�t npply):
❑ Riparian corridoc Characteristics (tppc, nrerage �rid�h): .
❑ Wetland fringe. Churacleristics: .
❑ Habi�at for:
❑ C'edcrnlly I.isied species. Hxpinin findings: .
❑ Pish/spa�vn areas. Hxplain tindings: .
❑ Olher environmcnlnlly-sensitiee species. C�plain findings:
❑ AquaticAr�ildli(e Aircrsitr. H�plain findings: .
2. Charac�eristics of wetlands adj�cent to non-TN�V tliat ilo�r directly m� indirectly info TNVV
(i) Physicnl Chnracteristics:
(a) Gcnernl AVetland Characteris�ics:
Propenies:
VVetland sizr. ncres
\l'etlmid q�pc. Gspinin: .
lVetland qu�lity. F.�plain: .
Project wetlnnds cross or serre as state boundaries. Esplain:
(b) Genernl Flo�c 2elationship �cith Non=1NVA':
Flo�v is: Pick List. 8spinin: .
Surfnce Flo�r is-: Yick Lisf
Charnc�eristics:
Subsi�rfncc flo�v: Picic List. E�plain tindings:
❑ Dye (or o�her) test performed: .
(c) AVetland Adiaecne�• Determination �vith Non-9TN:
❑ Directlti� nbuuing
❑ t�bt directlp abWting
❑ Discre�e �cctlnnd hydrologic connection. 8�pinin:
❑ Gcological connection. �xpinin: .
❑ Separated by bcrm/bnrrier. Ezplain: .
(d) Pro�imih'(Relationshiul�o'1T'VV
Prolecl �reUands are Pick Lisl ri��er miles from TTJ�Y.
Projec� �caters are Pick List aerial (straight) miles froin'I�N W.
Plow is from: Picl: Lisf.
Fstimate approsimnte loc�tion of �vetland as �ei�hin the Pick List Floodplain.
(ii) Chemicnl Characteristics:
Chnrnc�erize wetland sys�em (e.g., �cnter color is clear, bro�vn. oil film on surfnte; ���a�er quality; general �catenc�A
cha�acteristics; ctc.). Hxplain: .
Identify specific pollutnn�s. if known: .
(iii) Uiologicnl Chnrnctrristics. \Yetland suppm�ts (checic nll that apply):
❑ 2ipnrian buffzc Characteristics (iypc, nvernge �cidth): .
❑ Vegeta�ion [ppe/pereent covec Esplain: .
❑ Habitat for:
❑ Federally Listed species. Explain tindings: .
❑ PisWspmvn nreas. E�plain �indines: .
❑ Othcr cnvironmentally-sensiiivc spccies. E�pluin f ndings:
❑ Aquntichcildli@ di��ersity. E�plain findings: .
3. Charneteristics of nll wetlands ndjncent to the tributary (if aiq•)
All ���e�land(s) bcing considered in the cumulntirc nnnlvsis: Pick List
Approximntcly ( ) acres in total nre being considered in Ihe cunmlative nnnlysis.

I'or each �vctland, specify the (ollo�r-ing:
Dircc�h� ubuts? (Y/N) Size (in acresl DirecLh� abuts'? (YN) Size (in acresl
Sunmmrizc overell biological, chemical and physiwl fiinctions beii�g perfonned: .
C. SIGNI�ICANT NE,I'US DETCRVIINATION
A significnnf nesus nnnlysis �rill nssess the (low charncferistics nnd funetions oPthe tributnry itself nnd the funetions prr(m�med
by any wetlnnds ndjacent to the tributary to determine if they signifienntly ntfecf the chemical, physicnl, nnd biological integrity
of a T\�V. For ench of tlie following situntions, n significnnt nezus ezists if the tribufm�y, in combination with nll of ifs ndjncent
n�etlnnds, hns more thnn n speculntive or iusubstnntinl effecton the chemicnl, plp�sicnl and/or biologicnl in�egrity of a TNR'.
Considerntions �rhen evnlimting signilicnnt necus include, bul nre nof limited to the rolume, dm�nfion, nnd 0'equency of the ilo���
of water in the iributmy and its prazimih� to a TY�V, nnd the ftmefions performed by tlie tributary �nd nll ils ndjncent
o�etlends. It is nof nppropriate to determine significnnt nesus bnsed solely on nip� specific tlu�eshald of distnnce (e.g. bet�veen a
tributary nnd its ndjacent wetlnnd m� behveen n h�ibufnry nnd the TN�V). Similnrly, the fact an ndjacent wetlnnd lies within or
outside of n floodpiniu is not solcly determinntivc of significant nesus.
Drmv connections between tl�e feniw�es documented nnd the efPects on the TN\\', ns identified in Uie 2npauos Guidance nnd
discussed in the Insh'uctionn� Guidebook. Fnetors to consider inciude, Por esample:
• Does the iribulaq�, in combinaiion �eith i�s nci,l��ent �setlands (ifnny). hnve �he capncity lo carp� pollutnnts or Ilood waters ro
"IT\Vs. or to reduce the nmount o(pollu�nnts or Ilood �vaters rcaching a'IN\V'?
• Docs the tributaq�, in combinn�ion �cith its adjncent �ceUands (it any). provide hnbitat and litecycle support fiinctions for fish and
other species-, sueh as [eeding. nesting, spmening, or renring young tor speeies that arz present in �he'I`NP"?
• Does the �ributaq•. in combinntion �vith its adjnecn� �cetlnnds (if any), hare the capnei�y to �ransCer nutrients and oreanic enrbon that
support do�r'nslrenm food�vebs?
• Does ihe tributary, in combination «�i�h its ndacent ���c�lnnds (if anv), ha��e other relationships to tlie physical. chcmicnl, or
biologicnl in�egrily ol thc TNVV?
Note: Mie nbovc lisf oSconsiderntions is not inclusire nnd other funetimis observed or Imown to occur sho�dd be documented
beloo:
I. Significnnt necus findings for non-RP�V thnt hns no ndjacent wetlnnds nnd Ilo���s directly or indirectly into TN�Vs. E�plain
lindings of presence or abscnce of significant nexus belo�v, liased on Ihe tribut�ry ilself, ihen go to Section IILD: .
2. Signifcnnt neius findings fm� nan-RP�\' and its ndjncent �retlands, where the non-l2P�V (lows directly m� indirectly inlo
TnV1's. E�plain findines of presence or abscnce of significant nexus bclo�v, based on the tributaq• in combin�tion �eith all o( its
ndjncent �veilands. then go to Section III.D: .
3. Significnn� necus findiugs Por wetlnnds sdjncent to nn RPR' but thnt do not directly abut N�e RP�V. 8splain findines uf
presence or absenee ofsienificant nexus belo���, based on the tributnry in combina�ion ���i�h all of its acijncent wetlands, ihen go to
Section IILD: .
D. DCTLRDiINATlO\S O� JURISDICTIONAL FINDINGS. THE SU13dGCT R'ATERSAVETLANUS ARE (CHECI( ALL
TI IA'I' APPLI'):
L Tn9Ps mid Adjncent R'etinnds. Check all that apply and provide size es�inmtcs in revie�v area:
❑"ITJ Ws: linenr fcct �sidih (It), Or, acres.
❑ Wetlands adjacent to'I'�AVs: acres.
2. RP\\'s thnt ilo�r directly or indirectly into TN�\'s.
� Tribulnries ot TT]lVs where Iribumries typic�lly Flo��� year-round nre jurisdictional. Provide dnta anA rntionnle indicating tlmt
[ributnry is perennial: I lemphill Creek is sho�cn on ihe USCS [opogrnphic mup us a perennial strcnm..
❑'Pributaries of'I'vVV �vhere tributarics hnve continuous Flo�v "seasonally" (e.g., typicnlly ihree mon�hs each year) arc
jurisdictionnl. Data supporting �his conclusion is provicled at Section III.E3. Provide rntionale indicatine tha� tributap� ilo�vs
scnsonally: .

Provide es�imales for lurisdictional �vaters in the revie�v a�ren (check nll thnt �pplp):
� Tribulary waters: 150 linear feel 10 u�idth (li).
❑ Othcr non-���c�lnnd watcrs: acres.
Identitj° tyPe(s) o( �saters: .
3. Non-RPR'se thnt ilo�r directly or indirectly into TN1A's.
❑�1'nterbody thnt is no� n TNV1' or an RPW, bu� Flo��°s directlp or indirectly inm a TNVl', and il has n significnn� ne�us with n
'fN\V is I��risdictional. Dntn suppor�ing �his conclusion is proridcd nt Scction III.C.
Pruvide eslimales Cor jurisdictional �raters �cithin �he review aren (check nll �hat nppl}'):
❑ Tribulary �vaters: linear �eet n�idtl� (Il).
❑ Othcr non-�ve�lnnd �va�ers: acros.
Idcntity trpc(s) of �vntcrs: .
4. R'etlnndsdireclly:ibutting nn RPR' ihat (low directly or indirecti,y into'I'N�1's.
❑ Netlands directly abut RPIV mid Oms arejurisdictional as a�jacent weUnnds.
❑ lVetlands directlp nbulting an RPN �vhere tributaries typicnlly Flo�c yenrvround. Provide da�a and rationale
indiea�ing tlmt tributary is perennial in Sec�ion IIID.2, above. Provide rr�lionale indicating thn� �cetlnnd is
directly nbutling nn RP\V: . .
❑ Netlands directly abul�ine an I2P1V �chere �ributaries typicnlly Flo��"'sensonally." Pro��ide data indicating that tributary is
seasonnl in Section IILB and rntionale in Seclion I[I.D2. abuve. Provide rationnle indicating tlmt wetland is directly
abutting nn RP�V: .
Pro��ide acmage estima�es for jurisdic�ional �ti�eUands in ihe revie�r area: neres.
5. �1'etlmids ndjncent to buf not directiy nbutting mi RP\\' thnt ito�v directly or indireetlp into TNR's.
❑AYetimids tha� do not direetlp abut an RPV1', but �chen cunsidemd in combination �vith the tributaq° lo which Ihey are adjacen�
and ���i�h similarly sihinted nAjneent wetlnnds, hnve n signifieant nexus �riih a"I�N are jurisidictional. Dntn supporting this
conclusion is provided at Sec�ion IILC.
Proeidc nercnec cs�inmtes forjurisdic�ionnl �cc[lands in thc revie��� nrea: acres.
6. �Petlands adjncent to non-ILP\\'s that Oow directly or indirectly into TN\Vs.
❑ 11'e�lands n�lucent to such �caters, and hflve �rhen considered in eombinntion �vitli the lributaq� to which Ihey nre adlACent and
�cith similndy situa�ed adacen( �vetlands, have a significant ne�us with n"IN\V arz jurisdic[ionnl. Data supporiine lhis
conclusion is provided at Scction IILC.
Provide estinmtes forjurisdictional ���etlands in ihe revie�v area: acres.
Z Impoundmenfsofjw�isdictional�vnters.'
r1s n general nde, the impowidment oCajurisdictional Iributary remainsjurisdictional.
❑ Deinons�rnte thnt impoundmcnt �vns crented from `wntcrs of the U.S.," or
❑ Demonstrnte thnt �cnter mee�s the critcrin for one of �he ca�cgorics prescnted above ( I-6), or
❑ Demonstrnte that water is isolated wi�h a nesus �o commerce (see F, belo�v).
E. ISOLATED [INTERS7'ATE OR IN'IRA-S'PA'1'E� AVATERS, INCLUDING ISOLATED �1'ETLANDS, THE USE,
D�CRADATION OR DGSTRUCTIOY O� \VHICH COULD AF�ECT INTERSTATE COi�I\iCRCB, INCLUDIYG AN]'
SUCH \1'ATCRS (CHCCI<ALL TIIAT APPLY);�o
❑�vhich nrz or could be used by inters�nte or foreign �rnvelers for reerentional or otlier purposes.
❑ from which fish or shellfish nre or could be tnken nnd sold in inters�n�c or toreign commerce.
❑ which arz or could be us'ed for industrial purposes by in�ustries in interstnte commeme.
❑ Inters�ate isolated waters. 8�plain: .
❑ Otlierfnctors. F;splain: .
Idenfif}' wnter body and summarize rntionele suppm�ting determinntion:
'See Pootnote q 3.
° To complctc tlic annlysis ccCcr to Ihckcy in Scclion III.D.6 of lhc Instruclional Guidebook.
�0 Prinr lo asserling or declining C\YA juristlictiun based solely on O�is rnlegory, Corps Districfs �vill cicrn�e Ihr action �o Cm�ps:md EPA HQ for
re��ie�s consistent �vilh Ihr pracrss describeA in ihe Corpa/lP.\ Jfeu�ornudnu� RegmAi�ig CI(il ArlJurisdlc(!nn Fol/oiring Nnpnnos.

Proeide estinm�es for jurisdic�ionnl �enters in Ihe rz�°ie�c aren (check all thal apply):
❑ Tributaq� �vnten: linear feel �eid�h (fl).
❑ Othcr non-�re�land �va�ers: acres.
Iden�ifc typc(s) of wa�c�s: .
❑ 1VeUnnds: ncres.
NON-JURISDICTIONAL V1'ATERS, 1NCLUDING WETLANDS (Ct1EC1< ALL THAT APPLY):
❑[I potentinl �vetlands n-erc essessed u°ithin �he re��ie��� nren, thcse areas did not nreet the criterin in �hc I987 Corps of Engineers
\Ve�land Delineation nlanual and/or approprinte Regional Supplcmcn�s.
❑ Recie�v aaa included isolated �vaters �cilh no subslantial ne�us to inters[ntc (or foreigii) commerce.
❑ Prior to the Jnn 2001 Supreme Court dccision in "SIli{NCC," the rzvie�r arcn �vould have been regultlled bnsed solciv on thc
"Migrntory Bird Ridc" (n46R).
❑ Naten do nol meet Ihe "Significnnt Nexus" standard, �ehero such a findine is requircA forjurisdic�ion. 8aplain: .
❑ Othec (e.eplain,ifno�covered nbove): .
Proridc nereaec es�inmtes for ��on-jurisdictional �caters in ihe recie�v nren. whcre the sole po�ential bnsis of I��risdiction is the n1BR
fliclors (i.e., presence of migrntory birAs, presenee ol endangered species, use of wnter for irrigaied agricul�ure), using best protissional
judgmen� (check all tha� apply):
❑ Non-�vctland �rnters (i.e., river;, s�reams): linenr feet �cidth (ft).
❑ Lakcs/ponds: acrzs.
❑ Other non-�cetl�nd �vnters: neres. List type ofaquatic resource: .
❑ lVe(lands: acres.
Provide nerenge estimales lor non-jurisdictional �caiers in �he recie��� arz� thnt do not meet ihe "Significamt Ne�us" standard, �ehere such
a finding is required forjurisAiction (chcck nll �hnt applp):
❑ Non-«�etlm�d �raters (i.e., rivers, streams): linear feet. �vid�h (tt).
❑ Lakes/ponds: ncres.
❑ O�her non-���etlnnd water: acres. List type oCaqimtic resource: .
❑ VVetlands: acres.
SCC'I�IOi�' IV: DATA SOURCES.
A. SUPPOR'I'ING DATA. Dntn revie�ved fm� JD (checl< nll ihat npply - checked items shnll be included in case file nnd, �t�here checked
and requested, appropriately reCerence sources- belo�r):
��4nps: pinns, plots or pint submitted bp or on 6ehall of the applicanVconsultnnt .
� Datn sheets prep�rcd/submittcd by or on behall ol the npplicanUconsullunt.
� 011ice wncurs �ci(h da�n sheets/delinention report.
❑ Oftice does no[ concur �ri�h data sheets/delinea�ion report.
❑ Data sheets prepered by �he Corps: .
❑ Corps navigable waters'study: .
❑ U.S. Gcological Sun�ey Hydrologic Atlas: .
❑ USGS NI-ID dnin.
❑ OSGS 8 and I2 digit I IUC mnps.
� U.S. Geologicnl Survey mnp(s). Cite scale �@ qu�d nnmr. Del�vood, L24,000.
❑ USDA NNUmI 2esources Conservatiun Sen�ice Soil Sun�ey. Citn[ion: .
❑ �ntionnl �cetlnnds invcn[ory map(s). Cite mm�e: .
❑ State/Local �vetland im•entory mnp(s): .
❑ FEnd�VFIR\4 mnps: .
❑ I00-year Cloodplain Elevotion is: (Nntional Geodectic Vertical Dntum ot 1929)
� Photogrnphs: � Acrinl (Nnmc �C Date): .
or � Other (Name �� Dnte): Sep�ember 10, 20I4.
❑ Previous �elerminntion(s). Pile no. and date of response Icttee .
❑ Applicable/supporiing c.ise la�v: .
❑ Applic�blc/supporting scientitic litemlure: .
❑ Olher infonnation (plense specif}�): .
I3. ADDITIONAL CO\IDIENTS TO SUPPORT JD: