20210195 Ver 2_U-5841 W. Friendly Ave Intersection Improvements Package_20230427

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VICINITY MAP
N.T.S.
GRAPHIC SCALES
20 10 0 20
PLANS
20 10 0 20
PROFILE (HORIZONTAL)
4 2 0 4
PROFILE (VERTICAL)
THESE EROSION AND SEDIMENT
CONTROL PLANS COMPLY WITH
THE REGULATIONS SET FORTH
BY THE NCG-010000 GENERAL
CONSTRUCTION PERMIT EFFECTIVE
APRIL 1, 2019 AND ISSUED BY
THE NORTH CAROLINA DEPARTMENT
OF ENVIRONMENT AND NATURAL
RESOURCES DIVISION OF WATER
RESOURCES.
11101 Wov WE I I
[IrmilMR, O �
GUILFORD
COUNTY
LOCATION. SR 2147 WEST FRIENDLY AVENUE FROM EAST OF
GREEN VALLEY RD TO NORTH LINDELL RD IN GREENSB OR O
7'V D 17 !1 V 1r17l1 D TI. !~ D A T %TAT!~ D A T7T AT!~ n D A T AT A !~ 17 f.) C rD T Td" FrT T D 77
Prepared In the Office of:
SSTVKT
� T Engineers, Inc.
��� 900 West Trade St , Suite 715
Charlotte, NC 28202
�/
NC License Number F0991
Designed by.
DA VIN MORRISON, PE 3126
NAME LEVEL III CERTIFICATION NO.
Reviewed In the Office of:
ROADSIDE ENVIRONMENTAL UNIT
1 South Wilmington St.
Raleigh, NC 27611
2018 STANDARD SPECIFICATIONS
Reviewed by:
AARON HARPER, PE
STATE
STATE PROJECT REFERENCE NO.
SHEET
NO.
71OTA➢,
SHEETS
N.C.
U-,5841
EC-1
EC-,5-
STATE PROD. NO.
F. A. PROD. NO.
DESCRIPTION
EROSION AND SEDIMENT CONTROL MEASURES
sta. Description Sxmbol
1630.03 Temporary Silt Di1 c Il TO
1630.05 TeMPOTaTy DiyersioIlv TD
1605.01 TeMpDOraTy Silf Fence
1606.01 Special Sediment Control Fence
1622.01 Temporary Berms and Slope Dman]D,9
1630.02 Sillf Basin Type B �
1633.01 TeMpOraTy Rock Silt Check Type -A
Temporary Rock Silt Check Tg pe-A with
Matting and Polyacr larnide (PAM)
1633.02
Temporary Ronk Salt Check Type-B
Waffje/ Coir Fiber Waffle-
EW-
- - -
- - - �
CFW -
Waftje/ Coir Fiber Watfle
1634.01
Temporary Rock Sediment Dam Type -A
1634.02
Temporary Rock Sediment Dam Type-B
1635.01
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Rock
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0�0
1635.02
Ronk Pipe Inlet Sediment Trapp Type-B
0 0°
8 °o °°°000
1630.04
Sfifli.g Basin
1630.06
Special Sfi lling Basin
Rock Inlet Sediment Trap
1632.01
Type A
-A E3
1632.02
Type B
P.
- B LL jig
1632.03
Type C
cE3
Skimmer Basin
TIlemed SkIlmCIlmY➢C]C° Basin ------------------------------FE���
Infiltration Basin - - - - - - -
-
THIS PROJECT CONTAINS
EROSION CONTROL PLANS
FOR CLEARING AND
GRUBBING PHASE OF
CONSTRUCTION.
THIS PROJECT HAS
BEEN DESIGNED TO
SENSITIVE WATERSHED
STANDARDS.
ENVIRONMENTALLY
SENSITIVE AREA(S) EXIST
ON THIS PROJECT
Refer To E. C. Special Provisions
for Special Considerations.
Roadway Standard Drawings
The following roadway english standards as appear in "Roadway Standard Drawings"- Roadway Design
Unit - N. C. Department of Transportation - Raleigh, N. C., dated January 2018 and the latest
revison thereto are applicable to this project and by reference hereby are considered a part of
these plans.
1605.01
Temporary Silt Fence
1606.01
Special Sediment Control Fence
1607.01
Gravel Construction Entrance
1622.01
Temporary Berms and Slope Drains
1630.02
Silt Basin Type B
1630.03
Temporary Silt Ditch
1630.04
Stilling Basin
1630.05
Temporary Diversion
1630.06
Special Stilling Basin
1631.01
Matting Installation
1632.01
Rock Inlet Sediment Trap Type A
1632.02
Rock Inlet Sediment Trap Type B
1632.03
Rock Inlet Sediment Trap Type C
1633.01
Temporary Rock Silt Check Type A
1633.02
Temporary Rock Silt Check Type B
1634.01
Temporary Rock Sediment Dam Type A
1634.02
Temporary Rock Sediment Dam Type B
1635.01
Rock Pipe Inlet Sediment Trap Type A
1635.02
Rock Pipe Inlet Sediment Trap Type B

OF HIGHWAYS
NORTH CAROLINA
SOIL STABILIZATION
MATTING FOR EROSION CONTROL
CONST
SHEET NO.
LINE
FROM
STATION
TO
STATION
SIDE
ESTIMATE (SY)
C +85
17+52
LT
550
17+91-
18+50
LT
NCO
17+05
17+68
KT
520
18+06
18+50
ITT
360
5U 6
TOTAL
1890
M I SG��I.AN�
U5 MATTING TO b� I NSTA
CEO A5 DIKE
Tti0 OY THti
MbWEK
6 250
TOTAL
811-0
5AY
8200
SUMMARY SHEET
PERMANENT SOIL REINFORCEMENT MAT
CONST
SHEET NO.
LINE
FROM
STATION
TO
STATION
SIDE
ESTIMATE (SY)
5U b
T0TA1,-
M166��
AN�OUS P6KM TO b� INSf&
H A5 0146fH
OY THE
ANbWI K
T0TA1,-
5AY

OF HIGHWAYS
NORTH CAROLINA
SOIL STABILIZATION
TIM.EFRAMES
SITE
DESCRIPTION
STABILIZATION TIME
TIMEFRAME EXCEPTIONS
PERIMETER DIKES9
SWALES9 DITCHES AND SLOPES
7
DAYS
NONE
HIGH QUALITY WATER (HQW) ZONES
7
DAYS
NONE
SLOPES STEEPER
THAN 301
7
DAYS
IF SLOPES ARE 10' OR LESS IN LENGTH AND ARE
NOT STEEPER THAN 2e1914 DAYS ARE ALLOWED.
SLOPES 3e1 OR FLATTER
14
DAYS
7 DAYS FOR SLOPES GREATER THAN 50' IN
LENGTH.
ALL OTHER AREAS
WITH SCOPES FATTER THAN 401
14
DAYS
NONE, EXCEPT FOR PERIMETERS AND HOW ZONES.

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PROJECT REFERENCE NO. SHEET NO.
V h A A / / ✓ ✓ A
STV Engineers Inc.
USTM) 100 900 West Trade St- Suite 715 �-584� EC-4/CONST 4
\ CLEARING AND GRUBBING V ' ' ea/U� Charlotte, NC 28202 F-0991 PvW SHEET NO.
v v I , /
`v EROSION CONTROL FOR
NC License Number
ROADWAY DERSIGN ENGINEERS
CONSTRUCTION SHEET 4 `� V i I ; ;,- \ �v EN IRONMENTALLY SENSITI E AREA
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v INSTALLED DURING CLEARING AND GRUBBING PHASE. X v �® NOT ���®� iw ACQUISITI®w
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PROJECT REFERENCE NO. SHEET NO.
U-5841
EC-4A/CONST 4
STD T STV Engineers, Inc.
1 �/ ��� 1600 Perimeter Park Dr,
CULVERT CONSTRUCTION
SEQUENCE STA 17+87 L
B�� Suite 225
Morrisville, NC 27560
NC License Number F-0991
PHASE I
PHASE 11
1. UTILIZE SPECIAL STILLING BASIN(S) AS NEEDED THROUGHOUT CULVERT CONSTRUCTION.
4. CONSTRUCT BOTH FOOTINGS AND WINGWALLS.
2. INSTALL IMPERVIOUS DIKES A AND B TO MAINTAIN FLOW THROUGH PORTION OF EXISTING
CULVERT. BUILD
5. COMPLETE CHANNEL EXCAVATION AND RIP RAP EMBANKMENTS WITHIN CONSTRUCTION AREA.
DIKES UP TO AN ELEVATION OF 766.5' TO CONTAIN THE 10-YEAR STORM EVENT.
3. EXCAVATE ANY ACCUMULATED SILT AND DEWATER PROPOSED CULVERT CONSTRUCTION AREA.
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PROJECT REFERENCE NO. SHEET NO.
U-5841 EC-4B/CONST 4
STD T STV Engineers, Inc.
1 �/ ��� 1600 Perimeter Park Dr,
CULVERT CONSTRUCTION
SEQUENCE STA 17+87
L
B�� Suite 225
Morrisville, NC 27560
NC License Number F-0991
PHASE III
PHASE IV
6. INSTALL TEMPORARY ELEVATED WORK PLATFORM ABOVE STREAM AND IMPERVIOUS DIKES.
9. REMOVE IMPERVIOUS DIKES A AND B.
MOVE TEMPORARY ELEVATED WORK PLATFORM AS NECESSARY AS FORMWORK INSTALLATION
PROGRESSES.
10. REMOVE ANY REMAINING SPECIAL STILLING BASINS AND STABILIZE DISTURBED
AREA.
7. POUR CONCRETE WITHIN FORMWORK FOR CULVERT ARCH; DO NOT ALLOW CONCRETE TO ENTER STREAM
11. COMPLETE PROPOSED ROADWAY WIDENING
AND STABILIZE SLOPES WITH SEEDING AND MATTING.
8. REMOVE FORMWORK AND TEMPORARY ELEVATED PLATFORM.
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PROJECT REFERENCE NO. SHEET NO.
STV
100 STV Engineers, Inc. U-5841 EC-5/CONST 4
900 West Trade st., suite 715
FINAL PHASE e Charlotte, NC 28202 PvW SHEET NO.
EROSION CONTROL FOR NC License Number F-0991
ROADWAY DESIGN HYDRAULICS
CONSTRUCTION SHEET 4 ENGINEER ENGINEER
Place Matting for Erosion Control RO O
on Slope as Work Allows. \ MOSES H CONE MEMORIAL HOSPITAL \ ���®��� rE �����
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-L- 17 + 94 LT to -L- 18 + 50 LT DO NOT USE FOR W ACQUISITION
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O \ N 2 \ DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
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NOTE:
ADD J—HOOK AT END OF EACH SILT FENCE
SECTIONS TO PREVENT RUNOFF BYPASS
NOTE:
USE SPECIAL STILLING BASIN (SILT BAG)
FOR ALL TRENCH DEWATERING ACTIVITIES
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\ e TOWNHOMES ASSOCIATION
\
NOTE: /O \V \ \ �, DB 3391 PG 382
UTILIZE FABRIC INSERT INLET PROTECTION IN LIEU /// �� \ \ O \ PB 74 PG 40
OF ROCK INLET SEDIMENT TRAP TYPE C IN AREAS
WHERE WATER MAY POND ON ROADS OPEN TO
TRAFFIC OR AS DIRECTED.
NOTE:
ANY DEVIATION FROM OPTIONS GIVEN WILL // / END R RFAC G
REQUIRE PRIOR APPROVAL BY ENGINEER. \\ \
� -Y- STA. 1 + 96.
ADDITIONAL EROSION CONTROL DEVICES MAY \ \
NEED TO BE INSTALLED AS DIRECTED BY THE
ENGINEER.

Project Tracking No. (Internal Use
18-01-0037
t HISTORIC ARCHICTECTURE AND LANDSCAPES
7 "EFFECTS ASSESSMENT REQUIRED FORM"
This form only pertains to Historic Architecture and Landscapes for this project. It
11411111 is not valid for Archaeological Resources. You must consult separately with the
Archaeology Group.
PROJECT INFORMATION
Project No:
U-5841
County:
Guilford
WBS No.:
50232.1.1
Document Type:
CE
Fed. Aid No:
Funding:
❑ State ® Federal
Federal
Permits :
® Yes ❑ No
Permit Type(s):
USACE
Proiect Description:
Widen SR 2254 (Lindell Ave) and add a second turn lane and improve intersection.
SUMMARY OF HISTORIC ARCHICTECTURE AND LANDSCAPES REVIEW
Description of review activities, results, and conclusions:
On February 14, 2018 a search of NC HPOWEB GIS Service map reveal that the Area of
Potential Effects intersects with the National Register Listed Sunset Hills Historic District. An
Effects Meeting will need to be conducted for this project.
SUPPORT DOCUMENTATION
®Map(s) ❑Previous Survey Info. ❑Photos ❑Correspondence ❑Design Plans
FINDING BY NCDOT ARCHITECTURAL HISTORIAN
Historic Architecture and Landscapes -- "EFFECTS ASSESSMENT REQUIRED"
Shelby Reap
NCDOT Architectural Historian
Date
February 14, 2018
Historic Architecture and Landscapes SURVEYREQUIRED form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
Pagel of 2

Historic Architecture and Landscapes SUR VEYPEQUIPEDform for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
Page 2 of 2

Project Tracking No. (Internal Use)
18-01-0037
�► update
t HISTORIC ARCHICTECTURE AND LANDSCAPES
NO HISTORIC PROPERTIES PRESENT OR AFFECTED FORM
This form only pertains to Historic Architecture and Landscapes for this project. It
is not valid for Archaeological Resources. You must consult separately with the
Archaeology Group.
PROJECT INFORMATION
Project No:
U-5841
County:
Guilford
WBS No.:
50232.1.1
Document
Type:
CE
Fed. Aid No:
Funding:
❑ State ® Federal
Federal
Permits :
® Yes ❑ No
Permit
T e s :
USACE
Proiect Description:
Widen SR 2254 (Lindell Ave) and add a second turn lane and improve intersection.
SUMMARY OF HISTORIC ARCHICTECTURE AND LANDSCAPES REVIEW
® There are no National Register -listed or Study Listed properties within the project's area of
potential effects.
® There are no properties less than fifty years old which are considered to meet Criteria
Consideration G within the project's area of potential effects.
❑ There are no properties within the project's area of potential effects.
® There are properties over fifty years old within the area of potential effects, but they do not
meet the criteria for listing on the National Register.
® There are no historic properties present or affected by this project. (Attach any notes or
documents as needed.)
Date of field visit: n/a
Description of review activities, results, and conclusions:
Review of HPO quad maps, relevant background reports, historic designations roster, and indexes was
undertaken on February 14, 2018 at which time the project intersected with the National Register listed
Sunset Hills Historic District (GF8233). The design plans for this project have changed since the Effects
Required form was submitted. There are no properties in the current study area that are 50 years old
which warrant further investigation. West of the north end of the study area is the Daniel E. Albright
House (GF6167); however, it does not retain architectural integrity. No historic properties will be affected
by this project.
SUPPORT DOCUMENTATION
®Map(s) ❑Previous Survey Info. ®Photos ❑Correspondence ®Design Plans
Historic Architecture and Landscapes NO HISTORIC PROPER7IES PRFANT OR AFFFCTED form for Minor Transportation Projects as Qualified in the 2007
Progrannnalic Agreement.
Page 1 of 3

FINDING BY NCDOT ARCHITECTURAL HISTORIAN
Historic Architecture and Landscapes - NO HISTORIC PROPERTIES PRESENT OF AFFECTED
Igo✓ I + , 7,16
NCDOT Architectbral Historilan Date
Survey Site Daniel E. Albright House (GF6167)
Historic Architecture and Landscapes NO HISTORIC PROPERTIES PRESENT OR AFFECTED form for Minor Transportation Projects as Qualified in the 2007
Programmatic Agreement.
Page 2 of 3

Historic Architecture and Landscapes NO HISTORIC PROPERTIES PRESENT OR AFFECTED form for Minor Transportation Projects as Qualified in the 2007
Programmatic Agreement.
Page 3 of 3

11 i4 F
,r i - [ ; _ Y /!-i_ rd`i1``{t `j QO .� � �`�lt� �_�, .. Sr ��tP�\✓"9..
' `^, r._, �► y��� r .l`? tl'�. ,, rJ -;/I ♦ "J,�„4".,h[u-a'?'Th,ta��, .k• f ;; .�a 1� ��� �. ,+' �G �
+✓{a ��'GRANDVIEWtAU yob :�A - ` � t.
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x
UO
tv
F cE BEGIN PROJECT
J !`j
OWN
Legend
Project Study Area
OF-M
STV, 100
911RU
a
0 250 500 1,000
Feet
Guilford County, NC NCDOT Division 7
STIP Project U-5841
W. Friendly Ave
Widening and
220 29
Intersection Improvements
* Guilford County, NC
July 2018
PROJECTSTUDY
Sources: Guilford County GIS AREA MAP
Department, NC One Map, &
NCDOT

Project Tracking No.:
18-01-0037
oa NO ARCHAEOLOGICAL SURVEY REQUIRED FORM
This form only pertains to ARCHAEOLOGICAL RESOURCES for this project. It is note
ti-9 'a valid for Historic Architecture and Landscapes. You must consult separately with the6
Historic Architecture and Landscapes Group.
PROJECT INFORMATION
Project No: U-5841 County: Guilford
WBSNo: 50232.1.1 Document: Federal CE
F.A. No: UNK (Will be Updated) Funding: ❑ State ® Federal
Federal Permit Required? ® Yes ❑ No Permit Type: USACE (not specified)
Project Description: NCDOT's Division 7 proposes to make intersection improvements to a 0.3-mile
section of SR 2147 (West Friendly Avenue), from just west of SR 2175 (Green Valley Road) to just east
of SR 2254 (North Lindell Road) in the City of Greensboro, Guilford County. The purpose of the project
is to improve pedestrian safety and relieve congestion. The existing and proposed cross -sections consist
of a five -lane curb -and -gutter section with a center turn lane. Existing ROW is listed as 80 feet whereas
Proposed ROW is to be the same 80 feet. Project length is approximately 0.3 mile (1,584 feet). Since
Preliminary Design Plans have not been developed yet, a Study Area for the project has been generated in
order to facilitate environmental planning purposes at this stage. The Study Area will be centered along
the roadway corridor, incorporating extensions along major Y-lines (i.e. intersecting roads). Overall, the
Study Area will encompass about 6.4 acres, inclusive of the existing roadways and any modern
development.
SUMMARY OF CULTURAL RESOURCES REVIEW
Brief description of review activities, results of review, and conclusions.
This project was accepted on Monday, February 12, 2018. A map review and site file search was
conducted at the Office of State Archaeology (OSA) on Tuesday, February 13, 2018. A comprehensive
archaeological survey has never been conducted along this particular stretch of SR 2147 (West Friendly
Avenue), and no archaeological sites have been recorded within one (1) mile of the proposed project.
Digital copies of HPO's maps (Greensboro Quadrangle) as well as the HPOWEB GIS Service
(http://gis.ncdcr.gov/hpoweb/) were last reviewed on Friday, February 23, 2018. There are two (2)
known historic architectural resources (the mid-19t" century Daniel E. Albright House [GF6167] and the
1925-1965 residential Sunset Hills Historic District [GF8233]) located within or adjacent to the Study
Area; however, intact archaeological deposits associated with these resources would not be anticipated
within the footprint of the proposed project. In addition, topographic maps, historic maps (NCMaps
website), USDA soil survey maps, and aerial photographs were utilized and inspected to gauge
environmental factors that may have contributed to historic or prehistoric settlement within the project
limits, and to assess the level of modern, slope, agricultural, hydrological, and other erosive -type
disturbances within and surrounding the Study Area.
`7Vo ARCHAEOLOGYSURVEYREQUIRED"form forMinor Transportation Projects as Qualified in the 200712015 Programmatic Agreement.
1 of 3

Project Tracking No.:
18-01-0037
Brief Explanation of why the available information provides a reliable basis for reasonably predicting
that there are no unidentified historic properties in the APE.
This is a Federally funded project for which a Federal permit may be necessary. Permanent/temporary
easements will not be necessary nor will additional ROW be needed. The size and shape of the Study
Area have been drawn in a way to capture any possible impacts beyond the NCDOT's existing ROW
along SR 2147 (West Friendly Avenue) though all work is to be contained within the existing ROW. At
this time, we are in compliance with NC GS 121-12a, since there are no eligible (i.e. National Register -
listed) archaeological resources located within the project's Study Area that would require our attention.
Based on the description of the proposed project, activities should not take place beyond the NCDOT's
existing ROW. From an environmental perspective, the Study Area falls within a heavily urbanized
setting in the Piedmont physiographic region of North Carolina. The Study Area consists of three (3) soil
types, all of which have been heavily disturbed by modern development (Urban land [Ur], Cecil -Urban
land complex, 2-10% slopes [CfB], and Enon-Urban land complex, 2-10% slopes [EuB]). Based on the
poor soil conditions and the level of development, the preservation of intact archaeological resources
would not be anticipated. The Office of State Archaeology (OSA) has reviewed several projects within
the vicinity of the Study Area for environmental compliance, including residential development (ERS 84-
0143 and 13-0731), transportation improvements (ERs 97-8310 and 02-10612), a stream mitigation
project (ER 02-8641), and a cell tower (CT 08-2164). Stating a low probability for intact and significant
archaeological sites to be present, OSA did not require an archaeological survey for any of these projects.
In fact, the construction of Sunset Woods Townhomes along Lindell Road was reviewed in by OSA in
1984 and subsequently cleared since the area was previously an in -fill project. Within five (5) miles of
the Study Area, NCDOT's Archaeology Group has reviewed at least five (5) transportation -related
projects for environmental compliance under the Programmatic Agreement (PA) with the State Historic
Preservation Office (NC-HPO), none of which is located within one (1) mile of the proposed project. An
archaeological survey was not recommended for any of these projects, based on the presence of heavily
modified soils and/or poorly drained or eroded soil conditions. Given the poor soil conditions and
developed nature within the Study Area and the results of previously reviewed projects in the vicinity,
there is a low probability for significant prehistoric and/or historic archaeological materials to be present.
Therefore, it is believed that the current Study Area, as depicted, is unlikely to contain intact and
significant archaeological resources. No archaeological survey is required for this project. If design
plans change or are made available prior to construction, then additional consultation regarding
archaeology will be required. At this time, no further archaeological work is recommended. If
archaeological materials are uncovered during project activities, then such resources will be dealt with
according to the procedures set forth for "unanticipated discoveries," to include notification of NCDOT's
Archaeology Group.
SUPPORT DOCUMENTATION
See attached: ® Map(s) ® Previous Survey Info
❑ Photocopy of County Survey Notes
FINDING BY NCDOT ARCHAEOLOGIST
NO ARCHAEOLOGY SURVEY REQUIRED
��Lu,Q � itil
NCDOT
❑ Photos ❑Correspondence
Other:
February 23, 2018
Date
`7Vo ARCHAEOLOGYSURVEYREQUIRED"form forMinor Transportation Projects as Qualified in the 200712015 Programmatic Agreement.
2 of 3

Project Tracking No.:
18-01-0037
�rryryT
S r t :ri �
�,•Y
Figure 1: Greensboro, NC (USGS 1951 [PR68]).
`7Vo ARCHAEOLOGY SUR VEY REQUIRED "formforMinor Transportation Projects as Qualified in the 200712015 Programmatic Agreement.
3 of 3

DocuSign Envelope ID: FF97C033-19F1-40E5-A53A-3CCD4DDC29BC
ROY COOPER
Governor
DIONNE DELLI-GATT[
Secretary
S. DANIEL SMITH
Director
Mr. Jerry Parker
NCDOT Division 7 DEO
1584 Yanceyville Street
Greensboro, NC 27415
NORTH CAROLINA
Environmental Quality
June 3, 2021
DWR # 20210195
Guilford County
APPROVAL of Jordan Lake Water Supply Riparian Buffer Impacts with Additional Conditions
for:
NCDOT TIP Project U-5841 Culvert Extension at West Friendly Ave in Guilford County.
North Buffalo Creek in the Cape Fear (CPF02); Index No. 16-11-14-1; Water Supply V (WS-V)
Dear Mr. Parker:
You have our approval for the impacts listed below for the purpose described in your application dated
April 23, 2021, received by the Division of Water Resources. These impacts are covered by Jordan Lake
Water Supply Watershed Riparian Buffer Protection Rules and the Conditions listed below. Please note
that you should get any other federal, state or local permits before proceeding with your project,
including those required by (but not limited to) Sediment and Erosion Control, Non -Discharge, and
Water Supply Watershed regulations.
The following impacts are hereby approved, provided that, all the conditions listed below, and all the
conditions of the Jordan Lake Water Supply Watershed Riparian Buffer Rules are met. No other impacts
are approved, including incidental impacts. (15A NCAC 02B .0267)
Jordan Lake Water Supply Watershed Riparian Buffer Impacts
Site
Zone 1
Impact
(sq ft)
Minus
Wetlands
in Zone 1
(sq ft)
Zone 1
Buffer
Impacts
(sq ft)
Zone 1
Buffer
Mitigation
Required
(3:1 ratio)
Zone 2
Impact
(sq ft)
Minus
Wetlands
1n Zone 2
(sq ft)
Zone 2
Buffer
Impacts
(sq ft)
Zone 2
Buffer
Mitigation
Required
(1.5:1 ratio)
1- Culvert
1,110
1,110
313
-
313
-
Totals
1,110
-
1,110
-
313
-
313
-
Total Buffer Impact for Project: 1,423 square feet.
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
NORTH CARQUNA
nena�rm -ro„_1 a '\ � 919.707.9000

DocuSign Envelope ID: FF97C033-19F1-40E5-A53A-3CCD4DDC29BC
This approval is for the purpose and design described in your application. The plans and specifications
for this project are incorporated by reference as part of this Authorization Certificate. If you change
your project, you must notify the Division and you may be required to submit a new application
package. If the property is sold, the new owner must be given a copy of this Authorization Certificate
and is responsible for complying with all conditions. 15A NCAC 02B .0611(b)(2). The permittee shall
report any noncompliance with the conditions of this Authorization Certificate and/or any violation of
state regulated riparian buffer rules (15A NCAC 02B .0267).
If you are unable to comply with any of the conditions below, you must notify Ryan Conchilla with the
Transportation Permitting Branch at [e-mail] or at [phone] within 24 hours
(or the next business day if a weekend or holiday) from the time the permittee becomes aware of the
circumstances.
Additional Conditions:
1. All stormwater runoff shall be directed as sheetflow through stream buffers at non -erosive
velocities, unless otherwise approved by this Certification. (15A NCAC 02B .0267)
2. All riparian buffers impacted by the placement of temporary fill or clearing activities shall be
restored to the preconstruction contours and revegetated. Maintained buffers shall be
permanently revegetated with non -woody species by the end of the growing season following
completion of construction. For this condition, maintained buffer areas are defined as areas
within the transportation corridor that will be subject to regular NCDOT maintenance activities
including mowing. The area with non -maintained buffers shall be permanently revegetated with
native woody species before the next growing season following completion of construction.
(15A NCAC 02B .0267)
3. Pursuant to 15A NCAC 2B .0267, sediment and erosion control devices shall not be placed in
Zone 1 of any Jordan Lake Water Supply Watershed Riparian Buffer without prior approval by
NCDWR. At this time, NCDWR has approved no sediment and erosion control devices in Zone 1,
outside of the approved project impacts, anywhere on this project. Moreover, sediment and
erosion control devices shall be allowed in Zone 2 of the buffers provided that Zone 1 is not
compromised, and that discharge is released as diffuse flow.
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Authorization Certificate can be contested as provided in Chapter 150B of the North Carolina General
Statutes by filing a Petition for a Contested Case Hearing (Petition) with the North Carolina Office of
Administrative Hearings (OAH) within sixty (60) calendar days. Requirements for filing a Petition are set
forth in Chapter 150B of the North Carolina General Statutes and Title 26 of the North Carolina
Administrative Code. Additional information regarding requirements for filing a Petition and Petition
forms may be accessed at http://www.ncoah.com/ or by calling the OAH Clerk's Office at [phone].
One (1) copy of the Petition must also be served to the North Carolina Department of Environmental
Quality:
William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
D ��� North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
NORTH CAROHNA
�epartmBM of Emlmnmmrcel OUaUh� /'� 919.707.9000

DocuSign Envelope ID: FF97C033-19F1-40E5-A53A-3CCD4DDC29BC
This Authorization shall expire five (5) years from the date of this letter.
This letter completes the review of the Division under the Jordan Lake Water Supply Watershed Riparian
Buffer Protection Rules as described in 15A NCAC 02B. 0267. Please contact Ryan Conchilla at 919-707-
9111 or [e-mail] if you have any questions or concerns.
Sincerely,
DocuSigned by:
9C9886312DCD474...
S. Daniel Smith, Director
Division of Water Resources
Cc: David Bailey, US Army Corps of Engineers, Raleigh Field Office
Gary Jordan, US Fish and Wildlife Service
Travis Wilson, NC Wildlife Resources Commission
File Copy
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
NORTHCAROLINA
C+ 0 919.707.9000

DocuSign Envelope ID: BDF47887-7D01-4CD6-84D8-A7C68DE46063
ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
S. DANIEL SMITH
Director
NOI27H CAROLINA
E.nIr+r0r1m#rrr&1 Quallry
June 3, 2021
Guilford County
NCDWR Project No. 20210195
NCDOT TIP Project U-5841
West Friendly Ave Culvert Extension
APPROVAL of 401 WATER QUALITY CERTIFICATION with ADDITIONAL CONDITIONS
Mr. Jerry Parker, Environmental Officer
NCDOT, Division 7
1584 Yanceyville Street
Greensboro, NC 27415
Dear Mr. Parker:
You have our approval, in accordance with the conditions listed below, for the following impacts to extend existing
culvert in North Buffalo Creek as part of a widening project along West Friendly Ave (SR 2147) in Guilford
County.
Stream Impacts in the Cape Fear River Basin
Permanent Fill in
Temporary Fill in in
Stream
Perennial Stream
Perennial Stream
Total Stream
Impacts
Site
(linear ft)
(linear ft)
Impact
Requiring
(linear ft)
Mitigation
Culvert
Dewater
(linear ft)
1
24
52
76
-
Totals
24
52
76
-
Total Stream Impacts: 76 linear feet
The project shall be constructed in accordance with your application dated received April 23, 2021. After reviewing
your application, we have decided that these impacts are covered by General Water Quality Certification Number
4135. This certification corresponds to the Corps Nationwide Permit 14. In addition, you should acquire any other
federal, state or local permits before you proceed with your project including (but not limited to) Sediment and
Erosion Control, Non -Discharge and Water Supply Watershed regulations. This approval will expire with the
accompanying 404 permit.
This approval is valid solely for the purpose and design described in your application (unless modified below).
Should your project change, you must notify the NCDWR and submit a new application. If the property is sold, the
new owner must be given a copy of this Certification and approval letter and is thereby responsible for complying
with all the conditions. If total wetland fills for this project (now or in the future) exceed one acre, or of total
impacts to perennial streams (now or in the future) exceed 300 linear feet, compensatory mitigation may be required
as described in 15A NCAC 2H .0506 (h) (6) and (7). For this approval to remain valid, you must adhere to the
conditions listed in the attached certification(s) and any additional conditions listed below.
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

DocuSign Envelope ID: BDF47887-7D01-4CD6-84D8-A7C68DE46063
Condition(s) of Certification:
Project Specific Conditions
1. For the portion of stream being impacted due to site dewatering activities, the stream banks and riparian area
shall be graded to its preconstruction contours and revegetated with appropriate native species. [I 5A NCAC
02H.0506(b)(2)]
2. The stream channel shall be excavated no deeper than the natural bed material of the stream, to the maximum
extent practicable. Efforts must be made to minimize impacts to the stream banks, as well as to vegetation
responsible for maintaining the stream bank stability. Any applicable riparian buffer impact for access to
stream channel shall be temporary and be revegetated with native riparian species. [15A NCAC
02H.0506(b)(2)]
3. Design and placement of culverts and other structures including temporary erosion control measures shall not be
conducted in a manner that may result in dis-equilibrium of wetlands or streambeds or banks, adjacent to or
upstream and downstream of the above structures. If this condition is unable to be met due to bedrock or other
limiting features encountered during construction, please contact NCDWR for guidance on how to proceed and to
determine whether a permit modification will be required. [15A NCAC 02H.0506(b)(2)]
General Conditions
1. If concrete is used during construction, a dry work area shall be maintained to prevent direct contact between curing
concrete and stream water. Water that inadvertently contacts uncured concrete shall not be discharged to surface
waters due to the potential for elevated pH and possible aquatic life and fish kills. [15A NCAC 0213.0200]
2. During the construction of the project, no staging of equipment of any kind is permitted in waters of the U.S., or
protected riparian buffers. [15A NCAC 02H.0506(b)(2)]
3. The dimension, pattern and profile of the stream above and below the crossing shall not be modified. Disturbed
floodplains and streams shall be restored to natural geomorphic conditions. [15A NCAC 02H.0506(b)(2)]
4. The use of rip -rap above the Normal High Water Mark shall be minimized. Any rip -rap placed for stream
stabilization shall be placed in stream channels in such a manner that it does not impede aquatic life passage. [I 5A
NCAC 02H.0506(b)(2)]
5. The Permittee shall ensure that the final design drawings adhere to the permit and to the permit drawings submitted
for approval. [15A NCAC 02H .0507(c) and 15A NCAC 02H .0506 (b)(2) and (c)(2)]
6. All work in or adjacent to stream waters shall be conducted in a dry work area. Approved BMP measures from the
most current version of NCDOT Construction and Maintenance Activities manual such as sandbags, rock berms,
cofferdams and other diversion structures shall be used to prevent excavation in flowing water. [15A NCAC
02H.0506(b)(3) and (c)(3)]
7. Heavy equipment shall be operated from the banks rather than in the stream channel in order to minimize
sedimentation and reduce the introduction of other pollutants into the stream. [I 5A NCAC 02H.0506(b)(3)]
8. All mechanized equipment operated near surface waters must be regularly inspected and maintained to prevent
contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic materials. [15A NCAC
02H.0506(b)(3)]
9. No rock, sand or other materials shall be dredged from the stream channel except where authorized by this certification.
[I 5A NCAC 02H.0506(b)(3)]
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

DocuSign Envelope ID: BDF47887-7D01-4CD6-84D8-A7C68DE46063
10. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface waters is
prohibited. [I 5A NCAC 02H.0506(b)(3)]
11. The permittee and its authorized agents shall conduct its activities in a manner consistent with State water quality
standards (including any requirements resulting from compliance with §303(d) of the Clean Water Act) and any other
appropriate requirements of State and Federal law. If the NCDWR determines that such standards or laws are not being
met (including the failure to sustain a designated or achieved use) or that State or federal law is being violated, or that
further conditions are necessary to assure compliance, the NCDWR may reevaluate and modify this certification. [15A
NCAC 0213.0200]
12. All fill slopes located in jurisdictional wetlands shall be placed at slopes no flatter than 3:1, unless otherwise authorized
by this certification. [I5ANCAC 02H.0506(b)(2)]
13. A copy of this Water Quality Certification shall be maintained on the construction site at all times. In addition, the
Water Quality Certification and all subsequent modifications, if any, shall be maintained with the Division Engineer and
the on -site project manager. [15A NCAC 02H .0507(c) and 15A NCAC 02H .0506 (b)(2) and (c)(2)]
14. The outside buffer, wetland or water boundary located within the construction corridor approved by this authorization
shall be clearly marked by highly visible fencing prior to any land disturbing activities. Impacts to areas within the
fencing are prohibited unless otherwise authorized by this certification. [15A NCAC 02H.0501 and .0502]
15. The issuance of this certification does not exempt the Permittee from complying with any and all statutes, rules,
regulations, or ordinances that may be imposed by other government agencies (i.e. local, state, and federal) having
jurisdiction, including but not limited to applicable buffer rules, stormwater management rules, soil erosion and
sedimentation control requirements, etc.
16. The Permittee shall report any violations of this certification to the Division of Water Resources within 24 hours of
discovery. [I 5A NCAC 02B.0506(b)(2)]
17. Upon completion of the project (including any impacts at associated borrow or waste sites), NCDOT project engineer
(or appointee) shall complete and return the enclosed "Certification of Completion Form" to notify the NCDWR when
all work included in the 401 Certification has been completed. [15A NCAC 02H.0502(f)]
18. There shall be no excavation from, or waste disposal into, jurisdictional wetlands or waters associated with this permit
without appropriate modification. Should waste or borrow sites, or access roads to waste or borrow sites, be located in
wetlands or streams, compensatory mitigation will be required since that is a direct impact from road construction
activities. [15A NCAC 02H.0506(b)(3) and (c)(3)]
19. Erosion and sediment control practices must be in full compliance with all specifications governing the proper design,
installation and operation and maintenance of such Best Management Practices in order to protect surface waters
standards [15A NCAC 02H.0506(b)(3) and (c)(3]):
a. The erosion and sediment control measures for the project must be designed, installed, operated, and
maintained in accordance with the most recent version of the North Carolina Sediment and Erosion
Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control measures must
be such that they equal, or exceed, the requirements specified in the most recent version of the North
Carolina Sediment and Erosion Control Manual. The devices shall be maintained on all construction
sites, borrow sites, and waste pile (spoil) projects, including contractor -owned or leased borrow pits
associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be designed, installed, operated,
and maintained in accordance with the most recent version of the North Carolina Surface Mining
Manual.
d. The reclamation measures and implementation must comply with the reclamation in accordance with the
requirements of the Sedimentation Pollution Control Act.
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

DocuSign Envelope ID: BDF47887-7D01-4CD6-84D8-A7C68DE46063
20. Sediment and erosion control measures shall not be placed in wetlands or waters unless otherwise approved by this
Certification. [15A NCAC 02H.0506(b)(3) and (c)(3)]
If you wish to contest any statement in the attached Certification you must file a petition for an administrative
hearing. You may obtain the petition form from the office of Administrative hearings. You must file the petition
with the office of Administrative Hearings within sixty (60) days of receipt of this notice. A petition is considered
filed when it is received in the office of Administrative Hearings during normal office hours. The Office of
Administrative Hearings accepts filings Monday through Friday between the hours of 8:00am and 5:00pm, except
for official state holidays. The original and one (1) copy of the petition must be filed with the Office of
Administrative Hearings.
The petition may be faxed -provided the original and one copy of the document is received by the Office of
Administrative Hearings within five (5) business days following the faxed transmission.
The mailing address for the Office of Administrative Hearings is:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Telephone: [phone], Facsimile: [phone]
A copy of the petition must also be served on DEQ as follows:
Mr. Bill F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
This letter completes the review of the Division of Water Resources under Section 401 of the Clean Water Act. If you
have any questions, please contact Ryan Conchilla at [phone] or rvan.conchilla&cdenr.gov.
Sincerely,
DOCUSigned by:
9C9886312DCD474...
S.1;�..,.Jllllul, 11,,LV1
Division of Water Resources
Electronic copy only distribution:
David Bailey, US Army Corps of Engineers, Raleigh Field Office
Gary Jordan, US Fish and Wildlife Service
Travis Wilson, NC Wildlife Resources Commission
File Copy
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

DocuSign Envelope ID: BDF47887-7D01-4CD6-84D8-A7C68DE46063
ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
S. DANIEL SMITH
Director
NbI27H CAROLINA
E.nIr+r0r1m#rrr&1 Quallry
NCDWR Project No.:
Applicant:
Project Name:
County:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617. This form
may be returned to NCDWR by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Agent's Certification
Date:
I, , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Engineer's Certification
Partial Final
Date:
I, as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Date
Registration No.
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- Begin Date (Date Received):
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: W.Friendly Ave. Widening and Intersection Improvements-STIP U-581d
2. Work Type: ❑Private ❑Institutional ❑✓ Government ❑Commercial
3. Project Description / Purpose [PCN Form 133d and 133e]:
The North Carolina Department of Transportation (NCDOT) proposes to make improvements to West Friendly Avenue between
Pembroke Road and North Elam Avenue for 0.2 mile (STIP U-5841) in Guilford County (Attachment B, Figures 1 and 2). NCDOT
anticipates widening the roadway for improving pedestrian safety and relieving congestion. This state -funded project will include
improvements at the West Friendly Avenue intersections with North Lindell Road and Green Valley Road.
4. Property Owner / Applicant [PCN Form A3 or A41: NCDOT Division 7
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Brandon Phillips, CHMM
6. Related Action ID Number(s) [PCN Form 135b]:
7. Project Location— Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
The proposed PSA is located west of Greensboro between Friendly Center Road and North Elam
Road in the City of Greensboro, North Carolina (Attachment B — Figure 1).
8. Project Location —Tax Parcel ID [PCN Form Bla]:
9. Project Location — County [PCN Form A2b]: Guilford
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Greensboro
11. Project Information Nearest Waterbody [PCN Form 132a]: North Buffalo Creek
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form B2c]: Cape Fear 03030002
Authorization: Section 10 ❑ Section 404 ❑
Regulatory Action Type:
❑ Standard Permit
Nationwide Permit #
Regional General Permit #
Jurisdictional Determination Request
Section 10 and 404 ❑
❑ Pre -Application Request
❑ Unauthorized Activity
❑ Compliance
❑ No Permit Required
Revised 20150602

MSTV4booM "
Mr. David Bailey
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
September 20, 2018
SUBJECT: Request for a Preliminary Jurisdictional Determination — STIP U-5841
West Friendly Avenue Widening and Intersection Improvements
Greensboro, Guilford County, North Carolina
STV Project No. 4019518
Dear Mr. Bailey:
On behalf of the North Carolina Department of Transportation (NCDOT) Division 7, STV
Engineers, Inc. (STV) is requesting written verification from the U.S. Army Corps of Engineers
(USACE) of the location and extent of jurisdictional waters of the U.S. in the project study area
(PSA). Jurisdictional Determination Request and Preliminary Jurisdictional Determination
Request forms are enclosed in Attachment A. Figures are enclosed in Attachment B. North
Carolina Division of Water Resources (NCDWR) Stream Identification Forms and North
Carolina Stream Assessment Method (NCSAM) Forms are enclosed in Attachment C. A
Wetland Determination Data form is enclosed in Attachment D. Representative photographs are
enclosed in Attachment E. The waters upload spreadsheet is included in Attachment F. The
proposed PSA, referred to as the West Friendly Avenue Widening and Intersection
Improvements Project, is located west of Greensboro between Friendly Center Road and North
Elam Avenue in the City of Greensboro, North Carolina (Attachment B — Figure 1). The NCDOT
proposes to widen the existing section of West Friendly Avenue with intersection improvements
with North Lindell Road and Green Valley Road for improving pedestrian safety and relieving
congestion. The proposed project length is approximately 0.2 mile.
Based on the NC OneMap aerial imagery and verified by field review, the PSA encompasses
approximately 6.4 acres and consists primarily of the West Friendly Avenue right-of-way and
side streets, with maintained/disturbed roadsides and lawn areas and mesic mixed hardwood
forest. Two potential jurisdictional streams were identified and delineated. No potential wetlands
were identified within the PSA. Adjacent to the PSA are residential and commercial properties
along the roadways, and undeveloped forest.
Background and Methodolo
STV Senior Environmental Scientist Brandon J. Phillips, C.H.M.M. and Environmental Scientist
Joshua Kotheimer, W.P.I.T. conducted a review of the PSA on July 3, 2018. Prior to the PSA
visits, STV reviewed various resources, including U.S. Geological Survey (USGS) topographic
quadrangle maps (Attachment B — Figure 2), National Wetlands Inventory (NWI) mapping,
Google Earth aerial photography, and the U.S. Department of Agriculture (USDA) Natural
Resources Conservation Service (NRCS) Digital Soil Survey of Guilford County, North Carolina
to help identify potential jurisdictional waters of the U.S.

Request for Jurisdictional Determination — STIP U-5841 September 20, 2018
West Friendly Avenue Widening and Intersection Improvements
Jurisdictional waters of the U.S. are defined by 33 CFR 328.3(b) and protected by Section 404
of the Clean Water Act (33 U.S.C. 1344), which is administered and enforced in North Carolina
by the U.S. Army Corps of Engineers (USACE), Wilmington District. Potential wetland areas
were defined using the USACE Routine On -Site Determination method as described in the 1987
"Corps of Engineers Wetlands Delineation Manual."' This technique uses a multi -parameter
approach, which requires positive evidence of hydrophytic vegetation, wetland hydrology, and
hydric soils. In addition, the USACE "Regional Supplement to the Corps of Engineers Wetland
Delineation Manual: Eastern Mountains and Piedmont Region (Version 2.0)"2 was utilized for
further procedural and technical guidance. Potential jurisdictional stream channels were
classified according to the most recent North Carolina Division of Water Resources (NCDWR)3
methodology. The streams within the PSA were delineated and the boundaries were
approximated with a Trimble Geo7X hand-held Global Positioning System (GPS) unit capable of
subfoot accuracy and mapped using ArcGIS 10.5 software.
Prior to fieldwork, the following references were reviewed to identify possible waters of the U.S.,
including wetland areas
• U.S. Geological Service (USGS) 7.5-minute quadrangle maps (Greensboro, NC)
• U.S. Fish & Wildlife Service (USFWS) National Wetlands Inventory (NWI) Map (Greensboro,
NC)
• U.S. Department of Agriculture (USDA) Soil Conservation Service (SCS) {now known as
Natural Resources Conservation Service (NRCS)) Soil Survey of Guilford County, NC
(1977)
• NRCS Historic Soil Series Data, Guilford County, NC (1977)
• NC OneMap, Aerial photography
The USGS map depicts two water resources or 'blue line' features in the vicinity of the
delineated North Buffalo Creek and the unnamed tributary (UT) to North Buffalo Creek. The
NRCS Historic Soil Series Data also depicts two streams in the PSA in the vicinity of North
Buffalo Creek and the UT to North Buffalo Creek. The USFWS NWI map identifies the same two
streams (UT to North Buffalo Creek and North Buffalo Creek) in the PSA.
The West Friendly Avenue Widening and Intersection Improvements project site in Greensboro
is located entirely within the Southern Outer Piedmont Physiographic Province of North
Carolina, which is characterized by broad, gently rolling interstream areas and by steeper
slopes along drainageways. Based on topographic mapping (Attachment B — Figure 2),
elevations in the PSA range from approximately 790 feet above National Geodetic Vertical
Datum (NGVD) to 760 feet NGVD. The highest elevation in the PSA is located in the eastern
end of the PSA on West Friendly Avenue. The lowest elevation in the PSA is located in the
north central portion where North Buffalo Creek exits the site.
Environmental Laboratory, 1987, "Corps of Engineers Wetlands Delineation Manual," Technical Report Y-87-1, US Army
Engineer Waterways Experiment Station, Vicksburg, Mississippi.
2 U.S. Army Corps of Engineers. 2012. Regional Supplement to the Corps of Engineers Wetland Delineation Manual: Eastern
Mountains and Piedmont Region. Vicksburg MS: U.S. Army Engineer Research and Development Center.
3 North Carolina Division of Water Quality. 2010. Methodology for Identification of Intermittent and Perennial Streams and their
Origins. Version 4.11. North Carolina Department of Environment and Natural Resources, Division of Water Quality. Raleigh,
NC.
Page 2

Request for Jurisdictional Determination — STIP U-5841 September 20, 2018
West Friendly Avenue Widening and Intersection Improvements
According to the USDA SCS, the PSA contains three soil types: Cecil -Urban land complex, 2 to
10 percent slopes (CfB); Enon-Urban land complex, 2 to 10 percent slopes (EuB); and, Urban
land (Ur) (Attachment B — Figure 3). None of the PSA soils are considered to be hydric.
The PSA is located in the Cape Fear (HUC8 03030002) drainage basin. The major stream in
the PSA (North Buffalo Creek) generally flows in a northern direction to the Haw River and
Jordan Lake. The Haw River drains into the Caper Fear River (Traditional Navigable Water).
Findings of Field Review
The majority of the PSA is dominated by maintained/disturbed right-of-way, residential and
commercial development, and some mesic mixed hardwood forest that includes loblolly pine
(Pinus taeda), tuliptree (Liriodendron tulipifera), red maple (Acer rubrum), and box elder (A.
negundo) in the overstory and Chinese privet (Ligustrum sinense), and saplings of the
aforementioned species in the understory. The herbaceous species that dominate the forested
area include poison ivy (Toxicodendron radicans) and Japanese honeysuckle (Lonicera
japonica).
Jurisdictional Waters of the U.S.
Potential jurisdictional waters of the U.S. located within the PSA include two streams: relatively
permanent water (RPW) Stream B (SB), an unnamed tributary to North Buffalo Creek, that was
determined to be an RPW with perennial flow; and RPW North Buffalo Creek with perennial
flow. No potential wetland areas were identified within the PSA; see Attachment B — Figure 4 for
the approximate location of these potentially jurisdictional waters of the U.S. Representative
photographs of the potentially jurisdictional features are included in Attachment E. A brief
description of these potentially jurisdictional waters of the U.S. follows.
Streams
Table 1. Streams in the study area
Stream
Name
Map ID
NCDWR
Index
Number
Best Usage
Classification
Bank
Height
(ft
Bankfull
width (ft)
Depth
(in)
North
North
16-11-14-1
WS-V; NSW
5
20
12
Buffalo
Buffalo
Creek
Creek
SB
10
U.T. to
16-11-14-1
WS-V; NSW
4
4
North
Buffalo
Creek
Page 3

Request for Jurisdictional Determination — STIP U-5841 September 20, 2018
West Friendly Avenue Widening and Intersection Improvements
Table 2. Characteristics of jurisdictional streams in the study area
Map ID Length Classification Compensatory River Basin
(ft.) Mitigation Required Buffer
North Buffalo 310 Perennial Y Y
Creek
SB* 26 Perennial Undetermined Y
*NCSAM forms are available in Attachment C
RPW Stream B (UT to North Buffalo Creek) is located in the southwestern portion of the PSA
(Attachment E — Photographs 1 and 2). RPW Stream B (SB) begins off site to the west, and
flows east through the PSA as a perennial stream (Attachment B — Figure 4). SB is depicted on
the USGS mapping and the Guilford County Soils Survey. SB drains into North Buffalo Creek,
which in turn drains to drains to the Haw River (RPW), which in turn drains to the Cape Fear
River (Traditional Navigable Water). The most downstream reach of RPW SB, prior to draining
into North Buffalo Creek, is approximately 10 feet wide with four foot bank heights and was
concluded to have perennial hydrology. RPW SB was concluded to be jurisdictional, aquatically
important, and subject to potential regulation by the USACE.
North Buffalo Creek is located in the central portion of the PSA (Attachment E — Photographs 3
and 4). North Buffalo Creek begins off site to the south, and flows north through the PSA as a
perennial stream (Attachment B — Figure 4). North Buffalo Creek is depicted on the USGS
mapping and the Guilford County Soils Survey. North Buffalo drains to the Haw River (RPW),
which in turn drains to the Cape Fear River (Traditional Navigable Water). The most
downstream reach of North Buffalo Creek, prior to exiting the PSA, is approximately 20 feet
wide with five foot bank heights and was concluded to have perennial hydrology. North Buffalo
Creek was concluded to be jurisdictional, aquatically important, and subject to potential
regulation by the USACE.
More information on the individual stream characteristics can be found on the NCDWR Stream
Identification and NCSAM Forms included in Attachment C. All totaled, approximately 336 If of
RPW's were delineated and mapped in the PSA
Wetlands
No potential wetlands were delineated or mapped in the PSA. More information on the upland
characteristics can be found on the Wetland Determination Data Form included in Attachment
D.
Closina
We are hereby requesting verification of the delineated jurisdictional boundaries and a written,
preliminary jurisdictional determination from the USACE. We would welcome the opportunity to
Page 4

Request for Jurisdictional Determination — STIP U-5841 September 20, 2018
West Friendly Avenue Widening and Intersection Improvements
conduct a field verification with you. Please contact the below signed at [phone] should
you have any questions or concerns regarding this request.
Sincerely,
STYFngineers, Inc.
Y
Brandon J. P fillips, C.H.M.M.
Senior Environmental Specialist
BJP/MAI.bp
Michael A. lagn P.W.S.
Senior Scientist/ r. roject Manager
Attachment A — Jurisdictional Determination Request Form and Preliminary
Jurisdictional Determination Form
Attachment B — Figures
Attachment C — NCDWR Stream Identification Form and NCSAM Form
Attachment D — USACE Wetland Determination Data Form
Attachment E — Representative Photographs
Attachment F — Waters Upload Spreadsheet
cc: Jerry Parker — NCDOT Division 7 DEO
Sean Stephens, P.E.
Page 5

Request for Jurisdictional Determination - STIP U-5841 September 20, 2018
West Friendly Avenue Widening and Intersection Improvements
Attachment A
Jurisdictional Determination Request Form and Preliminary
Jurisdictional Determination Form

Jurisdictional Determination Request
US Army Corps
of Engineers.
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw. usace. ariny. in i i/Missions/R ep-ulatoUPerrn itProgratn/Contact/CountyLocator.asl2x,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
US Army Corps of Engineers
69 Darlington Avenue
3331 Heritage Trade Drive, Suite 105
Wilmington, North Carolina 28403
Wake Forest, North Carolina 27587
General Number: 910-251-4633
General Number: [phone]
Fax Number: [phone]
Fax Number: [phone]
INSTRUCTIONS:
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: West Friendlv Avenue
City, State:
County:
Greensboro, NC
Guilford
Parcel Index Number(s) (PIN): N/A
B. REQUESTOR INFORMATION
Name: NCDOT Division 7 - Jerry Parker
Mailing Address: 1584 Yanceyville St., PO Box 14996
Greensboro, NC 27415-4996
Telephone Number: [phone]
Electronic Mail Address: fparkergncdot.gov
Select one:
I am the current property owner.
I am an Authorized Agent or Environmental Consultant'
Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: NCDOT Division 7
Mailing Address: 1584 Yanceyville St., PO Box 14996
Telephone Number:
Electronic Mail Address:
Greensboro, NC 27415-4996
[phone]
[e-mail]
' Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION',4
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
NCDOT Division 7 - Jerry Parker
Print Name
Capacity: ❑✓ Owner ❑ Authorized Agent'
Date
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
I intend to construct/develop a project or perform activities on this parcel which would be
(icsigned to avoid all aquatic resources.
I intend to construct/develop a projector perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
QI intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
piOGC55.
nI intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
I intend to construct/develop a projector perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
A Corps JD is required in order obtain my local/state authorization.
I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
I believe that the site may be comprised entirely of dry land.
Other:
For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
s Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
FI am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓❑ Size of Property or Review Area 6.4 acres.
❑ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
z
Project Coordinates (Decimal Degrees): Latitude: 36.081900
Longitude: -79•829262
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
It Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
zCompleted Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. litt i:l � v.saw.tLace.arin .inii/Mis i n /Re r ilat E-Permit-
gram uri-dicti n/
Version: May 2017 Page 5

Jurisdictional Determination Request
21 Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
■ AJDs, please complete an Approved Jurisdictional Determination Form'
❑ Vicinity Map
Aerial Photograph
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
❑ Landscape Photos (if taken)
❑ NCWAM and/or NCWAM Assessment Forms and Rating Sheets
NC Division of Water Resources Stream Identification Forms
Other Assessment Forms
wtivw aw '1 P r 1 9/ c iator /re does/JD/RCxL 4$-02 App A Prelim JD Form fillable.pdf
' Please see ltittp://www.siw.stsace.army.mil/Missions/Reg ilt atoiy-Permit-Program/.ltirisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: DATE
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: NCDOT Division 7,1584 Yanceyville St., PO Box
14996, Greensboro, NC 27415-4996
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, PROJECT NAME, FILE
NUMBER
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: The proposed West Friendly Avenue
Widening and Intersection Improvements project is located on the west side of the City of Greensboro. The
NCDOT Division 7 proposes to make improvements to an approximate 0.2 mile section of West Friendly Avenue
from Green Valley Road to North Lindell Road. The purpose of the project is to improve pedestrian safety and
relieve congestion at intersections within the project study area. This includes road widening to allow the
extension of turn lane storage lengths at the West Friendly intersections with North Lindell Road and Green
Valley Road.
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County: Guilford City: Greensboro
Center coordinates of site (lat/long in degree decimal format): Latitude: 36.081900 Longitude:-79.829262
Universal Transverse Mercator: 605408.89
Easting; 3993666.72 Northing
Name of nearest waterbody: North Buffalo Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
® Office (Desk) Determination. Date: January 16, 2018
® Field Determination. Date(s): July 3, 2018
TABLE OF AQUATIC RESOURCES INREVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site Number Latitude (decimal
degrees)
SA 36.081888
SB 36.081708
Longitude (decimal
degrees)
-79.828803
-79.829865
Estimated amount of
aquatic resources in
review area (acreage
and linear feet, if
applicable
310 If
Type of aquatic
resources (i.e.,
wetland vs. non -
wetland waters)
Geographic authority to
which the aquatic resource
"may be" subject (i.e.,
Section 404 or Section
10/404)
Non -wetland
waters Section 404
Non -wetland
Section 404
waters

1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in the review
area, and the requestor of this PJD is hereby advised of his or her option to request and obtain an
approved JD (AJD) for that review area based on an informed decision after having discussed the
various types of JDs and their characteristics and circumstances when they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a Nationwide General
Permit (NWP) or other general permit verification requiring "pre- construction notification" (PCN), or
requests verification for a non -reporting NWP or other general permit, and the permit applicant has
not requested an AJD for the activity, the permit applicant is hereby made aware that: (1) the permit
applicant has elected to seek a permit authorization based on a PJD, which does not make an official
determination of jurisdictional aquatic resources; (2) the applicant has the option to request an AJD
before accepting the terms and conditions of the permit authorization, and that basing a permit
authorization on an AJD could possibly result in less compensatory mitigation being required or
different special conditions; (3) the applicant has the right to request an individual permit rather than
accepting the terms and conditions of the NWP or other general permit authorization; (4) the applicant
can accept a permit authorization and thereby agree to comply with all the terms and conditions of that
permit, including whatever mitigation requirements the Corps has determined to be necessary; (5)
undertaking any activity in reliance upon the subject permit authorization without requesting an AJD
constitutes the applicant's acceptance of the use of the PJD; (6) accepting a permit authorization (e.g.,
signing a proffered individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a PJD constitutes agreement that all aquatic resources in the review area
affected in any way by that activity will be treated as jurisdictional, and waives any challenge to such
jurisdiction in any administrative or judicial compliance or enforcement action, or in any
administrative appeal or in any Federal court; and (7) whether the applicant elects to use either an AJD
or a PJD, the JD will be processed as soon as practicable. Further, an AJD, a proffered individual
permit (and all terms and conditions contained therein), or individual permit denial can be
administratively appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic jurisdiction exists over
aquatic resources in the review area, or to provide an official delineation of jurisdictional aquatic
resources in the review area, the Corps will provide an AJD to accomplish that result, as soon as is
practicable. This PJD finds that there "may be" waters of the U.S. and/or that there "may be"
navigable waters of the U.S. on the subject review area, and identifies all aquatic features in the
review area that could be affected by the proposed activity, based on the following information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources below where
indicated for all checked items:
® Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:
® Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ 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:1:24,000; Greensboro, NC
® Natural Resources Conservation Service Soil Survey. Citation: Guilford County Soil Survey
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
® Photographs: ®Aerial (Name & Date): NC OneMap, 2018
or ®Other (Name & Date): Site photos 7-3-18
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily been
verified by the Corns and should not be relied anon for later iurisdictional determinations.
Signature and date of Regulatory
staff member completing PJD
DATE
Signature and date of person requesting PJD
(REQUIRED, unless obtaining the signature is
impracticable)1
1 Districts may establish timeframes for requester to return signed PJD forms. If the requester does not respond within the
established time frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing an
action.

Request for Jurisdictional Determination - STIP U-5841 September 20, 2018
West Friendly Avenue Widening and Intersection Improvements
Attachment B
Figures

Bo
.West Cone
Cone eoukward iPya`v
yob 0 VAOiden Rcad � YyeStCOne
s
oroD 4�0 9�7 r
A
o a'
2
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0
z
01`S�
-.1-''"' Irving Park Elementary
c'
West WendoverAvenue -
„ b - US 223
w �
st� a
b 'ea
� rren
Hobbs Road P N� Green Nil!
'lam o
� Cemetery
C k�ar d�
North Lindell Rd P � � X
.N I � •- .. ... /� � ' III �._
tyet Street -West Markel Street ° %� Z
*� West Market Street West Friendly 1
�V v d yAvenue = tiYe�-tFriendl
c°e X. � I �`P,e ,. Greensboro College G r
et Street ---/o -^ � University
of North-
a
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Greensboro
n
spring
�
ptStf %Ck
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ea` �
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Or NORTH C
0
' A4
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STv ioo
STV Engineers, Inc. Project No.
4019518
Drawn By: Checked By; Approved By:
JLK BJP MAI
t p
� Garden Street �
Spnn9
Garden Street Sue er.,, i., ,7r,tr '- eouievard
et
"ell Sprang Garden y/est Gate f`ty
t paDville Orstrict _
r=- v x patterS°n Street
a o
pattefsOnStreet n P a a4
Nn
la Vest Florida Street 'V
Qo csr Flonda Street
Legend
J Study Area (-6.4 acres)
0 0.25 0.5 1
West Flonda Street I
Guilford County, NC
Sources: Guilford County GIS
Department, NC One Map &
NCDOT
NCDOT Division 7
STIP U-5841
West Friendly Ave.
Widening and
Intersection Improvements
Guilford County, NC
(Monday, September 24, 20181
FIGURE 1
Vicinity Map

421
Legend
Project Study Area (- 6.4 acres)
Delineated Stream
0 200 400
+ � ST loo
Client:
800 O4 OR
Feet
M
a
9 �C
OF TMS
Project:
NCDOT Division 7
STIP U-5841
West Friendly Ave.
Widening and
Intersection Improvements
Guilford County, NC
Title:
t
TOPOGRAPHIC MAP
r Ref. USGS 7.5 Minute
Topography Quadrangle Map
[Greensboro, NC] (2016)
Greensboro
Drawn By:
JLK
Approved By:
MAI
Checked By:
BJP
Date:
9/24/2018
STV Inc. Project No.
4019518
11 FIGURE 2

721
�E
S
_T
■
f
Z
`
r
ti
■
i
0 250 500
1,000
Feet
NOH7H CEO
PROF
q
Legend
M� �€
A4
OF
Project Study Area (-6.4 Acres)
7AP�
STv ioo
STV Engineers, Inc. Project No.
4019518
Drawn By:
Checked By:
Approved By:
JLK
I BJP
MAI
r
T W
Mapped Soil Units Within the PSA
rUrEuB
Cecil-Urban land complex, 2 to 10 percent slopes
Enon-Urban land complex, 2 to 10 percent slopes
Urban land
Guilford County, NC NCDOT Division 7
STIP Project U-5841
W. Friendly Ave.
sso zs Widening and
Gre sboro Intersection Improvements
Guilford County, NC
® Monday, September 24, 2018
FIGURE 3
Sources: NC OneMap, NC Center for
Geographic Information and Analysis, NRC S SOILS MAP
NC 911 Board;
Guilford County Soil Survey, NC (1977)

Request for Jurisdictional Determination - STIP U-5841 September 20, 2018
West Friendly Avenue Widening and Intersection Improvements
Attachment C
NCDWR Stream Identification Form
And
NCSAM Form

SB - UT to North Buffalo Creek
NC [) "'Q Stream Identification Form Version 4.11
Date: 7/3/2018 Project/Site: West Friendly Avenue Latitude: 36.081670
U-5841
Evaluator: Brandon Phillips
Total Points:
Stream is at least intermittent
if Z 19 or perennial if z 30*
County: Guilford County Longitude:-79.830066
32.25 Stream Determination (circl ne Other Greensboro, NC Quad
Ephemeral Intermitte Perennial e.g. Quad Name:
A. Geomorphology Subtotal = 14.5
Absent
Weak
Moderate
Strong
1'* Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
C1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
Q1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
es
- artificial ditches are not rated; see discussions in manual
B. Hvdrolociv (Subtotal = 8.5 1
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
es = 3
C_ Rinlnnv fSuhtntal = a 9r% 1
18. Fibrous roots in streambed
3
2
1
1
0
19. Rooted upland plants in streambed
3
2
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
<EACW = 0.7
OBL = 1.5 Other = 0
*perennial ctrenmc m_u olcn he i.dantifieri i icinn nth- mcthnric. qmn n 'AR of mn- ­1
Notes: SB .T. to N h Buff I reek was determined to be an RPW with perennial
hydrology wi bin r '
_limits.
Sketch.

NC SAM FIELD ASSESSMENT RESULTS
nies user manuai version e.i
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
U-5841 - SB (UT to North Buffalo
1. Project name (if any): Creek) 2. Date of evaluation: 7/3/18
3. Applicant/owner name: NCDOT Division 7 4. Assessor name/organization: B. Phillips
5. County: Guilford 6. Nearest named water body
7. River basin: Cape Fear on USGS 7.5-minute quad: North Buffalo Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 36.081670 N;-79.830066 W
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): SB 10. Length of assessment reach evaluated (feet): 26
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 4 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 10 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ®Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) ® Piedmont (P) ❑ Inner Coastal Plain (1) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic EAR L�J ❑B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip ❑Size 1 (< 0.1 mil) ®Size 2 (0.1 to < 0.5 miz) ❑Size 3 (0.5 to < 5 miz) ❑Size 4 (Z 5 miz)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ®Water Supply Watershed (❑l ❑11 ❑III ❑IV ®V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ®NCDWR Riparian buffer rule in effect ®Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species.
❑Designated Critical Habitat (list species)
measurements included in "Notes/Sketch" section or attached? ❑Yes ®No
1. Channel Water- assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
❑A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
®A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
❑B Not A
3. Feature Pattern - assessment reach metric
®A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
❑B Not A
4. Feature Longitudinal Profile - assessment reach metric
®A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
❑B Not
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
®A < 10% of channel unstable
❑B 10 to 25% of channel unstable
❑C > 25% of channel unstable

6. Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
❑B ❑B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
®C ®C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
7. Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
®C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
❑I Other: (explain in "Notes/Sketch" section)
❑J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes ®No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. ❑Yes ®No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach)
(skip for Size 4 Coastal Plain streams)
❑A
Multiple aquatic macrophytes and aquatic mosses
F, y
❑F
5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats)
a �
~`o
❑G
Submerged aquatic vegetation
❑B
Multiple sticks and/or leaf packs and/or emergent
❑H
Low -tide refugia (pools)
vegetation
Y L
❑I
Sand bottom
❑C
Multiple snags and logs (including lap trees)
L
❑J
5% vertical bank along the marsh
❑D
5% undercut banks and/or root mats and/or roots
0 2
❑K
Little or no habitat
in banks extend to the normal wetted perimeter
®E
Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate —assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11 a. ❑Yes ®No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
®A Riffle -run section (evaluate 11c)
❑B Pool -glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11 c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
® ❑ ❑ ❑ ❑ Bedrock/saprolite
❑ ® ❑ ❑ ❑ Boulder (256 — 4096 mm)
❑ ❑ ® ❑ ❑ Cobble (64 — 256 mm)
❑ ® ❑ ❑ ❑ Gravel (2 — 64 mm)
❑ ❑ ® ❑ ❑ Sand (.062 — 2 mm)
❑ ❑ ® ❑ ❑ Silt/clay (< 0.062 mm)
❑ ® ❑ ❑ ❑ Detritus
❑ ❑ ® ❑ ❑ Artificial (rip -rap, concrete, etc.)
11 d. ❑Yes ❑No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ®Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian Clam (Corbicula)
❑ ❑Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ®Midges/mosquito larvae
❑ ®Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ®Other fish
❑ ❑Salamanders/tadpoles
❑ ®Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ®Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
®C ®C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water z 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
®C ®C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
ON ON
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
❑A Streams and/or springs Qurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low -flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
❑E Stream bed or bank soil reduced (dig through deposited sediment if present)
OF None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low -flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
®C Urban stream (>_ 24% impervious surface for watershed)
®D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
❑A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
®B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
®A ®A ❑A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B ❑B ❑B ❑B From 50 to < 100 feet wide
❑C ❑C ❑C ❑C From 30 to < 50 feet wide
❑D ❑D ❑D ❑D From 10 to < 30 feet wide
❑E ❑E ®E ®E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
❑A ❑A Mature forest
❑B ❑B Non -mature woody vegetation or modified vegetation structure
®C ®C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22:
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ❑B ❑B ❑B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
❑A ❑A Medium to high stem density
❑B ❑B Low stem density
®C ®C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
®A ®A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse
❑B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
®C ®C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity — assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑B 46 to < 67 ❑C 67 to < 79 ❑D 79 to < 230 ❑E >_ 230
Notes/Sketch:

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name U-5841 - SB (UT to North Date of Assessment
7/3/18
Buffalo Creek)
Stream Category Pat Assessor Name/Organization B. Phillips
Notes of Field Assessment Form (Y/N)
NO
Presence of regulatory considerations (Y/N)
YES
Additional stream information/supplementary measurements included (Y/N)
NO
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Perennial
USACE/ NCDWR
Function Class Rating Summary
All Streams Intermittent
(1) Hydrology
LOW
(2) Baseflow
HIGH
(2) Flood Flow
LOW
(3) Streamside Area Attenuation
LOW
(4) Floodplain Access
LOW
(4) Wooded Riparian Buffer
LOW
(4) Microtopography
LOW
(3) Stream Stability
MEDIUM
(4) Channel Stability
HIGH
(4) Sediment Transport
MEDIUM
(4) Stream Geomorphology
LOW
(2) Stream/Intertidal Zone Interaction
NA
(2) Longitudinal Tidal Flow
NA
(2) Tidal Marsh Stream Stability
NA
(3) Tidal Marsh Channel Stability
NA
(3) Tidal Marsh Stream Geomorphotogy
NA
(1) Water Quality
LOW
(2) Baseflow
HIGH
(2) Streamside Area Vegetation
MEDIUM
(3) Upland Pollutant Filtration
MEDIUM
(3) Thermoregulation
MEDIUM
(2) Indicators of Stressors
YES
(2) Aquatic Life Tolerance
LOW
(2) Intertidal Zone Filtration
NA
(1) Habitat
LOW
(2) In -stream Habitat
LOW
(3) Baseflow
HIGH
(3) Substrate
MEDIUM
(3) Stream Stability
MEDIUM
(3) In -stream Habitat
LOW
(2) Stream -side Habitat
LOW
(3) Stream -side Habitat
LOW
(3) Thermoregulation
LOW
(2) Tidal Marsh In -stream Habitat
NA
(3) Flow Restriction
NA
(3) Tidal Marsh Stream Stability
NA
(4) Tidal Marsh Channel Stability
NA
(4) Tidal Marsh Stream Geomorphology
NA
(3) Tidal Marsh In -stream Habitat
NA
(2) Intertidal Zone
NA
Overall
LOW

Request for Jurisdictional Determination - STIP U-5841 September 20, 2018
West Friendly Avenue Widening and Intersection Improvements
Attachment D
USACE Wetland Determination Data Form

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: U-5841 West Friendly Avenue Improvements City/County: Greensboro/Guilford Sampling Date: 07-03-18
Applicant/Owner: NCDOT Division 7 State: NC Sampling Point: DP#1
Investigator(s) Brandon Phillips Section, Township, Range:
Landform (hillside, terrace, etc.): Terrace Local relief (concave, convex, none): convex Slope
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.081394 Long:-79.829017 Datum: NAD 83
Soil Map Unit Name: Enon-Urban land complex NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances' present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
DP#1 is representative of the forested uplands of the study area and is located east of North Buffalo Creek and south of West Friendly Avenue
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
_ Surface Soil Cracks (66)
_ Surface Water (All) —True
Aquatic Plants (1314)
_ Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
Drainage Patterns (1310)
_ Saturation (A3) _
Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (1316)
_ Water Marks (131) _
Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_ Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (C6)
Crayfish Burrows (C8)
_ Drift Deposits (133) _
Thin Muck Surface (C7)
_
Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134) _
Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
Iron Deposits (135)
_ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (D3)
_ Water -Stained Leaves (139)
Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland
Hydrology Present? Yes No X
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Wetland hydrology indicators are not present.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP#1
Tree Stratum (Plot size: ) % Cover Species? Status
1. Liquidambar styraclf/ua 10 Yes FAC
2. Fraxinus pennsvlvanica 10 Yes FACW
3.
~
4.
5.
6.
7.
20
=Total Cover
50% of total cover:
10
20% of total cover:
4
Sapling/Shrub Stratum (Plot size:
)
1. Ailanthus altissima
25
Yes
FACU
2.
3.
4.
5.
6.
7.
8.
9.
25
=Total Cover
50% of total cover:
13
20% of total cover:
5
Herb Stratum (Plot size: )
1. Lonicera japonica
50
Yes
FACU
2. Asc/epias syriaca
10
No
FACU
3.
4.
5.
6.
7.
8.
9.
10.
11.
60
=Total Cover
50% of total cover:
30
20% of total cover:
12
Woody Vine Stratum (Plot size:
)
1. Vitis aestivalis
10
Yes
FACU
2.
3.
4.
5
10
=Total Cover
50% of total cover:
5
20% of total cover:
2
Remarks: (Include photo numbers here or on a separate sheet.)
Hydrophytic vegetation is not present.
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 2 (A)
Total Number of Dominant
Species Across All Strata: 5 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 40 0% (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species 0 x 1 = 0
FACW species 10 x 2 = 20
FAC species 10 x 3 = 30
FACU species 95 x 4 = 380
UPL species 0 x 5 = 0
Column Totals: 115 (A) 430 (B)
Prevalence Index = B/A = 3.74
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index is 153.0'
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
(1 m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No X
US Army Corps of Engineers
Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP#1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Locz Texture Remarks
0-20 10YR 4/3 100
'Type: C=Concentration, D=Depletion,
Hydric Soil Indicators:
_ Histosol (All)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
—Thick Dark Surface (All 2)
_ Sandy Mucky Mineral (S1)
_ Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (S6)
Dark Surface (S7)
Loamv/Clavev
RM=Reduced Matrix, MS=Masked Sand Grains.
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Thin Dark Surface (S9) (MLRA 147, 148)
_ Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
_ Depleted Matrix (173)
_ Redox Dark Surface (F6)
Depleted Dark Surface (F7)
_ Redox Depressions (F8)
Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
Umbric Surface (F13) (MLRA 122, 136)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soils':
_ 2 cm Muck (A10) (MLRA 147)
Coast Prairie Redox (A16)
(MLRA 147, 148)
_ Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
Red Parent Material (F21)
(outside MLRA 127, 147, 148)
_ Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes No X
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016. Hydric soil indicators were not present.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

Request for Jurisdictional Determination - STIP U-5841 September 20, 2018
West Friendly Avenue Widening and Intersection Improvements
Attachment E
Representative Photographs

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Request for Jurisdictional Determination - STIP U-5841 September 20, 2018
West Friendly Avenue Widening and Intersection Improvements
Photograph 3 — A view of North Buffalo Creek flowing under the arch culvert of West Friendly
Avenue looking downstream to the northeast.
Photograph 4 — Another view of North Buffalo Creek looking downstream to the northeast.

Request for Jurisdictional Determination - STIP U-5841 September 20, 2018
West Friendly Avenue Widening and Intersection Improvements
Attachment F
Waters Upload Spreadsheet

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