HomeMy WebLinkAbout20150591 Ver 1_Application_20150616n���� ��"Y
STATE OF NORTH CAROLINA
DEPARTMEN'T OF TRANSPORTATION
PAT L. MCCRORY
GOVERNOR
JUllB 1$, 2�15
Mr. Steve Kichefski
Asheville Regulatory Field Office
US Army Corp of Engineers
151 Patton Avenue
Asheville, NC 28801-5006
AtsrxorrY J. TaTw
SECRETARY
SUBJECT: Bridge #79 Replacement on SR 1328 (Kirby Lackey Road), Alexander County
Dear Mr. Kichefski:
The North Cuolina Deparhnent of Transportation requests authorization to replace a
deteriorating bridge on SR 1328 (Kirby Lackey Road) in Alexander County. NCDOT proposes
to replace the existing bridge with a 130-foot long, 28 foot wide three span bridge. Riprap will be
urilized under the bridge; however, none is proposed below average high water. No impacts to
the main tributary of Grassy Creek aze anticipated. Due to the new bridge construction and new
roadway fill, a total of 122 feet of an adjacent roadside jwisdictional ditch must be relocated
approximately 15 feet east of the e�sting channel. NCDOT proposes to construct the new
channel in the dry, mimicking the "dimension, pattern, and profile" of the euisting channel. The
relocated channel length will be 130 feet and will be stabilized with coir fiber matting; therefore
is considered on-site mitigation for the fill of the 122 feet of existing jurisdictional roadside ditch.
There will be minor temporary impacts when reconnecting the upstream section of channel, to the
newly constructed channel. The total scope of the project work will result in 130 feet of stream
relocation impacts to an unnamed tributary to Grassy Creek, which is classified as Class C waters
by the N.C. Division of Water Resources.
The project is not located within'/� mile of any criticai watershed azea nor is SR 1328 a rural or
urban arterial; therefore, hazardous spill basins are not required. Enclosed is the hazardous spill
basin checklist. This office has conducted a GIS and field survey for the project for historical
sites and threatened/endangered specias sites. No sites listed on the Nafional Register of Aistoric
Places are located in the vicinity of the project nor did thera appear to be any eligible structures
The federally listed species for Iredell County (USFWS listed dated Apxil 2, 2015) include the
Dwazf-flowered Heartleaf (Hexastylis nan�ora)- Threatened, Northern Long Eared Bat (Myotis
septentrionadis)-Threatened, and the Bog Turtle (Clemmys muhlenbergie)- T/SA, Threatened due
to Similazity of Appeazance. Natural Heritage Program records document the nearest Dwarf-
flowered Heartleaf location appro�cimately 17.2 east of the proposed project azea. The heartleaf is
usually found in acidic soils along bluffs and adjacent slopes, in boggy areas next to streams and
creek heads, and along the slopes of neazby hillsides and ravines. The project azea is a roadway
and powerline ROW and adjacent wooded and pasture areas. There is little potential habitat
within the proposed project area and no species were obseroed during the site visit. No impact on
this species is anticipated.
SR 1328, Kirby Lackey Road
Page 2
June 15, 2015
Natural Heritage Program records document the nearest Northern Long Eued Bat locafion
appro�dmately 20 miles northwest of the proposed project area. During summer, northern long-
eared bats roost singly ar in colonies underneath bazk, in cavifies, or in crevices of both live and
dead trees. They may also roost in cooler places, like caves and mines. Tree species may be used
based on suitability to retain bazk or provide cavities or crevices. It has also been found, rarely,
roosting in siruchves like barns and sheds. Northem long-eared bats spend winter hibernating in
humid caves and mines. Bridge #79 was assessed for suitable bat habitat and the assessment
form was submitted to the U.S. Fish and Wildlife Service, Asheville Field Office. The bridge did
not contain suitable habitat nor was any bat evidence found. No suitable roosting trees will be
impacted by the proposed project and the closest known underground mine location — Dagenhart
mine (per NHP database) is 6.5 miles southeast of the project area. Natural Heritage program
records document the nearest bog turtle location approximately 7.4 miles east of the proposed
project area. Bog turtles are Typically found in bogs, mazshes, and wet pastures. There is no
suitable habitat located within the project footprint. T/SA species are not subject to Section 7
consultation; however, no impact on this species is anticipated.
I have enclosed a pre-construc6on norificarion for a NW#14, sketches of planned activities and
location maps relative to the project.
Project information for the 401 Automated Payment Procedure is as follows:
• Work order number: 150465-55120005-17BP12.R.103-3372
• TIP#: NA
• Project Category: $240.00 Fee
If you have any questions or concerns please feel free to contact me at (704) 480-9044. Thank you for
your time and consideration on this matter.
Respectfizlly yours,
Reuben D. Chandler, P.E.
Division Engineer
Twelfth Division
BY: -`�f� ��
d -�,fw-�--�-�__..
Trish Beam
Division 12 Envuonmental Supervisor
Enclosures
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Office Use Only: ,
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction 1�1oti�icatian PC1�I Foran
Ei. A lican4Informa4aon
1. Processing
1a. Type(s) of approval sought from the
Corps: � Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ❑ Yes � No
1d. Type(s) of approval sought from the DWQ (check all that apply):
� 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notifcation solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certificatiorr
❑ Yes � No ❑ Yes � No
1f. Is payment iMo a mitigation bank or in-lieu fee program proposed for mitigation � yes � No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes � No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: SR 1328 (Klrby Lackey Road)
2b. County: Alexander
2c. Nearest municipality / town: Taylorsville
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state ��BP �2 R.103
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: NC DOT Right of Way
3b. Deed Book and Page No.
3c. Responsible Party (for LLC i f
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version
4. Applican4 Information (if differen4 from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name: Reuben Chandler
4c. Busines s name N.C. Department of Transportation, Division 12
(if applicable):
4d. Street address: 1710 East Marion Street
4e. City, state, zip: Shelby, NC 28151
4f. Telephone no.: 704-480-9020
4g. Fax no.: 704-480-5401
4h. Email address: rchandler@ncdot.gov
5. Agent/Consultant Information (if applicable)
Sa. Name: Trish Beam
5b. Business name N.C. Department of Transpo�tation, Division 12
(if applicable):
Sc. Street address: 1710 East Marion Street
5d. City, state, zip: Shelby, NC 28151
Se. Telephone na.: 704-480-9044
5f. Fax no.: 704-480-5401
Sg. Email address: pdbeam@ncdot.gov
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version
B. Project Information and Peior Project History
1. Properly Identification
1a. Property identification no. (tax PIN or parcel ID): NA
1b. Site coordinates (in decimal degrees): Latitude: 35.953812 Longitude: - 81.22702
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 0.40 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Grassy Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C
2c. River basin: Catawba
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Existing 121-foot 3 span bridge; landuse is Agriculture. Bridge is on paved secondary road.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
200 feet
3d. Explain the purpose of the proposed project:
The purpose of the proposed work is to replace the deteriorating bridge for the safety of the travelling public.
3e. Describe the overall project in detail, including the type of equipment to be used:
The North Carolina Department of Transportation proposes to replace a deteriorating 3-spa� bridge with a 130-foot long x
30-foot wide 3-span bridge on SR 1328 (Kirby Lackey Road) in Alexander County. Due to the increase in road fill for the
new bridge and close vicinity of the small unnamed tributary to Grassy Creek in the SE quadrant, new construction will
require a minor shift in alignment of an unnamed tributary to Grassy Creek (see attached cross-sections, Permit XPL file,
of the minor alignment shift). There will be - 122-feet of fill and -130-feet of new channel will be constructed using
natural stream design and be coir-f ber matted for stabiliza[ion. A temporary cofferdam pumping system will be used to
diveA the stream around the construction site as needed. Area affected by temporary cofferdam system will be restored
to pre-project conditions. All Best Management Practices will be utilized during the course of the project. The Project will
be constructed using typical heavy equipment (trackhoe, backhoe, etc.)
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ❑ Yes � No ❑ Unknown
Comments: Jurisdictional stream determination made by
Division 12 DEO.
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Project History
Sa. Have permits or certifications been requested or obtained for � Yes � No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
Page 4 of 11
PCN Form — Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
❑ Wetlands � Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type ofjurisdiction
number— Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ — non-404, other) (acres)
Tem ora T
W1 ❑ P � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
WZ � P� T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W5 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type ofjurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ — non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 � P � T Fill (stream UT to Grassy � PER � Corps 1 122
relocation) Creek ❑ INT ❑ DWQ
S2 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S3 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S4 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S5 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S6 ❑ P � T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total stream and tributary impacts 122
3i. Comments:
Page 5 of 11
PCN Form — Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Tem ora T
01 ❑P�T
02 ❑P�T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
5a. 5b. Sc. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
Si. Expected pond surface area (acres):
Sj. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require miti ation, then ou MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Tem orar T im act re uired?
B1 ❑P❑T ❑Yes
❑ No
B2 ❑ P ❑ T ❑ Yes
❑ No
B3 ❑ P ❑ T ❑ Yes
❑ No
6h. Total buffer impacts
6i. Comments:
Page 6 of 11
PCN Form — Version 1.3 December 10, 2008 Version
D. ImpactJustification and MitigaYion
1. Avoidanee and Minimiza4ion
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Minimization of impacts by mimicking the'dimension, pattern, and profle' of the old channel in the design of the new channel.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Minimization of impacts by proposing the use of coir fiber matting to stabilize the new constructed channel.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ Yes � No
impacts to Waters of the U.S. or Waters of the State?
26. Ifyes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigat ion option will be used for this
project? ❑ Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ❑ Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
Sa. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires ❑ Yes � No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form — Version 1.3 December 10, 2008 Version
E. Stormwater Managemen4 and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identifed � Yes � No
within one of the NC Riparia� Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: ❑ Yes ❑ No
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? 0%
2b. Does this project require a Stormwater Management Plan? � Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative descriptio� of the plan:
Complies with NCDOT's individual NPDES permit NCS000250.
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? NA
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwater Pro ram Review
❑ Coastal counties
❑ HQW
4a. Which of the following state-implemented stormwater management programs apply � ORW
(check all that apply): ❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? � yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met? ❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version
F. Supplementary Information
7. Environmen4al Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the � yes ❑ No
use of public (federal/state) land?
1 b. If you answered "yes° to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ❑ Yes � No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA fnal approval
letter.) ❑ Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ❑ Yes � No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ❑ Yes � No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in � Yes � No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
The project is a minimum criteria project which has low potential for cumulative/indirect impacts and will not result in
additional development which could impact water quality.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
No wastewater is generated from project.
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
Sa. Will this project occur in or near an area with federally protected species or � Yes � No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act � yes ❑ No
impacts?
❑ Raleigh
Sc. If yes, ind icate the USFWS Field Offce you have contacted.
� Asheville
Sd. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural Heritage Program database and onsite surveys.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ❑ Yes � No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
No salt marshes, oyster reefs, or seagrass beds located in vicinity of project.
7. Historic or Prehistoric Culturel Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation � yes � No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Cultural Resources review tracking number (13-08-0009) Historic Architecture (8-22-13); Archaeological (12-12-13).
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ❑ Yes � No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM panal number: FM3710384000J
`' ,/� C.-G�v�.''D�,- � � l� C����— _/=�' Cc�-�S�'lS/
Applicant/AgenYs Printed Name ApplicanUAgenYs Signature Date
(AgenYs signature is valid only if an authorization letterfrom the applicant
is rovided.
Page 11 of 11
PCN Form — Version 1.3 December 10, 2008 Version
Bridge #79
Kirby Lackey Road (SR 1328)
Alexander County
Vicinity Map
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0 0.25 0.5 1 Miles
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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 1 � County: AleXanrlPr Project ID:17BP12.R.103
River Basin: Yadkin Bridge No: '79
Route: SR 1358
Water Quality Criteria:
Stream: Grassy Creek
Stream Crossing Blue Line On USGS
ORW
WSI
WS II,III OR IV, Crossing Within O.Smi of W.S. Critical Area
Roadway Criteria:
Route Designation-
Additional Site Information:
Yes No
Arterial Urban �" �
Arterial Rural � �
Is a Hazardous Spill Basin Required?
Yes No
r- i�
Criteria Based Upon NCDOT `Best Management Practices for the
Protection of Surface Waters" (March, 1997).
Yes No
iW �
� �
_ . �4
� �
Permanent
Impact
Temporary
Impact
GRASSY CREEK STREAM IMPACTS
Length Type Description
0 ft � N/A
0 ft � N/A
None
►f�C.7T
UT TO GRASSY CREEK STREAM IMPACTS
Length Type Description
Permanent Natural Stream Relocated stream in SE quadrant
130 ft
Restored Stream Design using natural stream design.
Permanent Relocated stream in SE quadrant
Impact �22 ft Fill using natural stream design.
Temporary
Impact 0 ft N/A None
10
GREGORY �ARTiNEiCERHOUR
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RESTORED FLOODPLAIN AREA
(TYP.)
PROPOSED DECK DRAIN �
CL. B RIP RAP
W/GEOiEXTILE
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-----_ F �
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NOTES:
1. GRASSY CREEK IS IN THE
CATAWBA RIVER BASIN.
2. CLEARING SHALL BE PERFORMED PER
NCDOT METHOD II PLUS 5' BEYOND
TOE OF FILL SLOPES.
GRAPHIC SCALE
20 10 0 20 40
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EXISTING BRIDGE DIMENSIONS - 121'X25' (THREE-SPAN), 90 DEG. SKEW
PROPOSED BRIDGE DIMENSIONS - 130'X30' (THREE-SPAN), 75 DEG. SKEW
TOTAL PROJECT LENGTH - 610'
PROPOSED DECK DRAINS�
-L- STA. 12 + 95 LT
-L- STA. 13 + 03 RT
8"X6° (8"X4" EFFECTIVE AREA) DECK DRAINS
@ MAX 3' O.C. HORIZ. THROUGH RAILS.
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CLASS 11 RIP RAP
PROPOSED
DECK DRAIN
STREAM RELOCATION USING
NATURAL STREAM DESIGN
(SEE DETAIL A)
PERMIT DRAWING
FOR BRIDGE #010079
ALEXANDER COUNTY
STREAM IMPACTS
DETAIL A
STREAM RELOCATION USING NATURAL STREAM DESIGN
( Not to Scale)
b Na}ural
Proposed Ground
%lafura� �.� .� �-- Fill Slope
Groun p 1'iFt.
d
COIR Min. D= 2 Ff. ExisT. Channel
FIBER Min. d= 2 Ft.
6= 2 Ft.
Type of Liner= COIR FIBER
FROM -L- STA. 12+05 TO STA. 13+27 RT
(SEE DITCH GRADE THIS SHEET)
11
RO%A�NE �iKE ICE�HOUR 8
GREGO Y ARTiry i ENHOUR
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CULTIVATEO FIELD
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— F ----- n—_�
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EXISTING DITCN
---------- F ----------F�'�
SR 1328 KIRBY CACKEI' ROAD SR 1328
B5T
PROIECT REFERENCE NO.
178P.12.R.103 (SF-0/00791
T�T� TGS E/VG//�EERS
eN��ive=es 706 H/LLSBOROUGH ST
r� SU/TE 2ao
RALE/GH. NC 27603
PH (9/91773-8887
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-L- STA. 17 + 45.00
/ /
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—X X—X—X- -X—X—X—X
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� 2- - � � TIE INTO
j /S� � EXISTING DITCH
�/ —DU� exisriuc aiw
DUE
�—�DUE
—DUE —""` � % /
CLASS II RIP RAP � X�
(STRUCTURES ITEM� �
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W/GEOTE%TILE i I �/�F
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LATERAL 'V' DITCH
13
GLEryDA�FHCHAPM�AN�
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PERMIT DRAWING SHEET 1 OF 3
Permanent
Impact
Temporary
Impact
GRASSY CREEK STREAM IMPACTS
Length Type Description
0 ft N/A None
0 ft � N/A � None
UT TO GRASSY CREEK STREAM IMPACTS
Length Type Description
Permanent Natural Stream Relocated stream in SE quadrant
130 ft
Restored Stream Design using natural stream design.
Permanent Relocated stream in SE quadrant
Impact �22 ft Fill using natural stream design.
Temporary
Impact 0 ft N/A None
10
GREGORY �ARTi�jE�CENNOUR
vuic — vivvi �
-L- STA. 11 +35.00
RESTORED FLOODPLAIN AREA
(TYP.)
PROPOSED DECK DRAIN �
! ' ,
CL. B RIP RAP
W/GEOiEXTILE
�� -_---- F _-
/�
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JS -- ��-35 \ � ��@� — Ic � _
�5 ��� UT TO GRA� 5SY CREEK
R „NTERMIrrENT,
B6� � -----�
NOTES:
1. GRASSY CREEK IS IN THE
CATAWBA RIVER BASIN.
2. CLEARING SHALL BE PERFORMED PER
NCDOT METHOD II PLUS 5' BEYOND
TOE OF FILL SLOPES.
GRAPHIC SCALE
20 10 0 20 40
SF-010079 Permit DrawinC psh.dkn 6/1/2015 11:1228 AM TGS
12
pAyIDN LYNNR��:HOj�E
EXISTING BRIDGE DIMENSIONS - 121'X25' (THREE-SPAN), 90 DEG. SKEW
PROPOSED BRIDGE DIMENSIONS - 130'X30' (THREE-SPAN), 75 DEG. SKEW
TOTAL PROJECT LENGTH - 610'
PROPOSED DECK DRAINS�
-L- STA. 12 + 95 LT
-L- STA. 13 + 03 RT
8"X6° (8"X4" EFFECTIVE AREA) DECK DRAINS
@ MAX 3' O.C. HORIZ. THROUGH RAILS.
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CLASS II RIP RAP
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PERMIT DRAWING
FOR BRIDGE #010079
ALEXANDER COUNTY
STREAM IMPACTS
DETAIL A
STREAM RELOCATION USING NATURAL STREAM DESIGN
( Not to Scale)
b Na}ural
Proposed Ground
%lafura� �.� .� �-- Fill Slope
Groun p 1'iFt.
d
COIR Min. D= 2 Ff. ExisT. Channel
FIBER Min. d= 2 Ft.
6= 2 Ft.
Type of Liner= COIR FIBER
FROM -L- STA. 12 + 05 TO STA. 13 + 27 RT
(SEE DITCH GRADE THIS SHEET)
11
RO%A�NE �iKE ICE�HOUR 8
GREGO Y ARTiry i ENHOUR
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PROPOSED � � �
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STREAM RELOCATION USING 1
NATURAL STREAM DESIGN \
(SEE DETAIL A) � �
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CLASS II RIP RAP I ,'
(STRUCTURES ITEM� �
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W/GEOTE%TILE I I /
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PROIECT REFERENCE NO.
178P.12.R.103 (SF-0/00791
T�T� TGS E/VG//�EERS
eN��ive=es 706 H/LLSBOROUGH ST
r� SU/TE 2ao
RALE/GH. NC 27603
PH (9/91773-8887
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-L- STA. 17 + 45.00
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B5T
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GLEryDA�FHCHAPM�AN�
�m
PERMIT DRAWING SHEET 2 OF 3
1120
1110
11 ��
1090
� i �
LOW SIDE LOW CHORD
EXISTING BRIDGE TO BE REMOVED
Pl = I2+62.00
EL = 1,098b1'
VC` = 56'
K = l56
OS = 6� MPH
GL -L- STA. 13 + 60.00
PROP. 1@40', 7@50', 1@40'
21" CORED SLABS W/4'-0" DEEP CAPS
PROP. GRADE=1099.22'
SKEW=75°
100 YR. W.S. ELEV. = 1094.97'
— 25 YR. W.S. ELEV. = 1093.6'
E D BRIOGE
� - - .�
RESTORED FLOODPLAIN '
----------
FLOW AREA AT � ; = ;
�
ABUTMENT 1 - 28 SF �
CLASS II RIP RAP �
� KEY-IN 3.5' (TYP.) �� ��
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PROP. EXCAVATION TO ELEV.I7093.0'
--------------- � =1/A5%-------------- �-1222%
T RT "-----------
-L- I +
ELEV.I08630
GRADE RT
-L- ST 12+g1
ELEV.1085.40
�
L— :
LEV.
12 +00
ST RUCT URE HYDRAULIC DAT A
13+00
DESIGN DISCHARGE = 2400 CFS
DESIGN FREQUENCY = 25 YRS
DESIGN HW ELEVATION = 1093.6 FT
BASE DISCHARGE = 3300 CFS
BASE FREQUENCY = l00 YRS
BASE HW ELEVAl/ON = /094.9/ FT
OVERTOPPING DISCHARGE = 4500+ CFS
OVERTOPPING FREQUENCY= 500+ YRS
OVERTOPPING ELEVATION = 1098.2== FT
==OVERTOPPING ELEVATION REPRESENrS LOWEST
HIGH POINT ON DECK/ROADVyAY, W HICH OCCURS ALONG
CENT ERLINE OF Ga -L - ST A. 11+00
SF-010079_Permit Urawing_pfl.dgn 5/27/2015 2:4824 PM TGS
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PROP. E
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, I W/CLASS II
��
�/ APPROX. W.S. ELEV. =1083'
ON DATE OF SURVEY (7/3V2014)
GRADE RT
14+00
P� _ 16+47.00
EL = �✓0/AO'
VC = l90'
K=49
�x= 34
DS = 35 MPH
I"�I'�(�>I���I 1.;I��:'
15+00
16+00
PERMIT DRAWING
FOR BRIDGE #010079
ALEXANDER COUNTY
17+00
PERMIT DRAWING SHEET 3 OF 3
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END BRIDGE -L- 14 + 26.29
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TO TAYLO RSVI LLE
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BEGI N PROJ ECT
DB12 - 010079
GRAPHIC SCALE
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PLANS
THESE EROSIOIV AND SEDIMENT
CONTROL PLA11lS COMPLY WITH
THE REGULATIOIVS SET FORTH
BY THE 111CG-010000 GENERAL
CONSTRUCTION PERMIT EFFECTIVE
AUGUST 3, 2011 AND ISSUED BY
THE NORTH CAROLINA DEPARTMENT
OF ENVIR011lME1VT AND 11rATURAL
RESOURCES DIVISION OF WATER
RESOURCES.
����� �� ������ ���������
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LOCATI01�: BRIDGE 11t4. 010079 OVER GRASSY CREEK
01� SR 1328 (I�IRBY I1ACI�EY ROAD) Nqp 8� �
NA 2011
TYPE OF WORK: GRADII�G, DRAII�A GE, PA T�I1�G, A1�D STR UCT URE
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Prepared In th�e Offlce of:
TGS E11tGI1�EERS
706 HILLSBOROUGH ST.
RALEIGH, NC 27603
2012 S TA11 tDARD SPECIFICA TI01�S
Deslgned by:
A11tDREW H. COCHRA11tE, PE 301�
NAME LEVEL III CERTIFICATION NO.
EN D BRI DGE
-L- STA. 14 � 26.29
°o
+
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E N D P ROJ E CT
D B12 - 0100 79
% j
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TO
LITTLE RIVER
CHURCH RD
-VI\1- J 1/1 1 V T I✓.VV
END CONSTRUCTION
Revlewed ln th�e Off/ce of:
R OADSIDE E1�1 VIR 41�ME1�TAL U1�IT
1 South Wilmington St.
Raleigh, 11rC 2761I
2012 STA11lDARD SPECIFICATI0I�S
Revlewed by:
JEREMY GOODWII�, PE
STATE STATE PROJECT REFERENCE NO. SHEET TOTAL
NO. SHEETS
� � � � IiBP.12.R.103 ECpI
STATE PROJ. NO. F. A. PROJ. NO. DESCRIPTION
17BP.12.R.103 N/A PE
17 BP.12 . R.103 N/A R1W & UTI L.
17BP.12.R.103 N/A CONST.
ER��I�N �ND �EDIMENT C�NTR�L MEA�URE�
SEd• � DescripEion Symbol
1630.03 �������,�� �a�� �����------------------- �o
1630.05 7C������,�� �Ila�]PSIl�IIIl------------------------- TD �
1605.01 �e�np���,�� �i�� lFe�nce------------------.
1606.01 ���Cn�.� �������� ������� lF���e - - - - - - -
1622.01 �������,�� l�e��� �.�� ��m�� ���,g�s - - - - - - - - - - - - - - - - �� .-
1630.02 ���� l��sn� ���� ]�---------------------------- �
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163�.01
163�.02
1635.01
1635.02
1630.0�4
1630.06
1632.01
1632.02
1632.03
Roadway Standard Drawings
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0
THIS PROJECT CONTAINS
EROSION CONTROL PLANS
FOR CLF.ARING AND
GRUBBING PHASE OF
CONSTRUCTION.
The following roadway english standards as appear in "Roadway Standard Drawings"- Roadway Design
Unit - N. C. Department of Transportation - Raleigh, N. C., dated January 2012 and the latest
revison thereto are applicable to this project and by reference hereby are considered a part of
these plans.
1604.01 Railroad Erosion Control Detail 1632.01 Rock Inlet Sediment Trap Type A
1605.01 Temporary Silt Fence 1632.02 Rock Inlet Sediment Trap Type B
1606.01 Special Sediment Control Fence 1632.03 Rock Inlet Sediment Trap Type C
1607.01 Gravel Construction Entrance 1633.01 Temporary Rock Silt Check Type A
1622.01 Temporary Berms and Slope Drains 1633.02 Temporary Rock Silt Check Type B
1630.01 Riser Basin 1634.01 Temporary Rock Sediment Dam Type A
1630.02 Silt Basin Type B 1634.02 Temporary Rock Sediment Dam Type B
1630.03 Temporary Silt Ditch 1635.01 Rock Pipe Inlet Sediment Trap Type A
1630.04 Stilling Basin 1635.02 Rock Pipe Inlet Sediment Trap Type B
1630.05 Temporary Diversion 1640.01 Coir Fiber Baffle
1630.06 Special Stilling Basin 1645.01 Temporary Stream Crossing
1631.01 Matting Installation
SEDIMENT CONTROL STONE
STRUCTURAL STONE
EXCELSIOR
MATTING
1' MIN � ° °o° o�
EXCELSIOR
MATTING
' '1�
2/3 CHANNEL
WIDTH
� ^ �°O <
o�oo
�, � o �, �
SECTION A-A
0
A
See Inset A
I I
NOTES:
INSTALL TEMPORARY ROCK SILT CHECK TYPE A IN
ACCORDANCE WITH ROADWAY STANDARD DRAWING N0. 1633.01.
USE EXCELSIOR FOR MATTING MATERIAL AND ANCHOR
MATTING SECTION AT TOP AND BOTTOM WITH CLASS B STONE.
PRIOR TO POLYACRYLAMIDE
A SOIL SAMPLE
MATERIAL, AND
TO BE APPLIED
FROM PROJECT
ANALYZE FOR
TO EACH ROCK
INITIALLY APPLY
TO TOP OF MATTING
EVENT THAT EQUALS
(PAM) APPLICATION, OBTAIN
LOCATION, AND FROM OFFSITE
APPROPRIATE PAM FLOCCULANT
SI LT CHECK .
4 OUNCES OF
SECTION AND
OR EXCEEDS
POLYACRYLAMIDE (PAM)
AFTER EVERY RAINFALL
0.50 INCHES.
INSET A
CLASS B STONE
1' MIN
0
� O�°O�
H = 2 MIN � °�°°�°°�
o �O o �O o �O o �
I D O D D
� O � °O � °O � °O � °O <
SECTION B-B
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♦ •�:�'
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EXCELSIOR
MATTING
CLASS B STONE
�IOT TO SCA�E
��������
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C/� I I I I� 1 I I\,� �� � ~
.� C�> I'� " I� I I ��� I'� C�� I. I.�.�
SITE DESCRIPTlO�I STqBI�IZqTlOIU TIME
TIME�RqME EXCE�TlOIUS
PERIMETER DIKES, SWALES, DITCHES AND SLOPES 7 DAYS NONE
HIGH QUALITY WATER (HQW) ZONES 7 DAYS NONE
SLOPES STEEPER THAN 30l 7 DAYS
IF SLOPES ARE 10' OR LESS IN LENGTH AND ARE
NOT STEEPER THAN 201, 14 DAYS ARE ALLOWEDo
SLOPES 30l OR FLATTER 14 DAYS
7 DAYS FOR SLOPES GREATER THAN 50'IN
LENGTHo
ALL OTHER AREAS WITH SLOPES FLATTER THAN 40l 14 DAYS NONE, EXCEPT FOR PERIMETERS AND HQW ZONESo
Q
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&
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(STRUCTURES ITEM) EST. 1 TON _
GEOTEXTI LE
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DETAIL A
CHANNEL CHANGE
( Not to Scale)
�Natural �--- _
Groun�c ?•� p �,'� 1"�Ft.
d
Co�R B Min. D= 3 Ft.
FIBER Min. d= 2 Ft.
B = 2 Ft.
_ ... --•- -•--- b= 5 Ft.
Alexander County
Bridge #010079
Proposed Natural
Fill Slope Ground �
� ,
� Exist. Channel
EST. DDE = 410 CY
EST. COIR FIBER MATTING = 150 SY
(SEE DITCH GRADE THIS SHEET)
) FIELD � ,
� r�
ROXANNE WIK�
GREGORY MAR�� i�V ECtl��i�:,
; E DB 485 PG 952
—I— 2 6 .2 9 —L—POT p � o �. ,�s.� �
—DRI—POT 1�±.�-�
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�ETAIL B. �E
�;�U �� -
+ 88.0
;�Rl- STA. 10 + 53.07
.�ID FDPS
_� �� �.�W��ISTRUCTION
—DRI— STA. 10 + 75.00 79 00°
LATERAL 'V' DITCH
( Not to Scale)
� ��
'••I `L'1 1'YFt.
D
Min. D = 1 Ft.
b = 2 Ft.
EST. DDE = 80 CY
(SEE DITCH GRADE THIS SHEET)
� v�.iiv
� Pp� Ex. ww
TIE INTO
EXISTING DITCH
�— � SEE DETAIL C � j �
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Y OTHERS)
DAVID W. C
GLENDA F,
DB 521
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,��
I �'
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06
NAD 8� q 2011
� �.i.�', � � ar r���,
�l Sta 17+0/.29
� = 3' 02' 4�3.4" (L�
;:� = 3' /6' ��
' = 93.0�
� — 46,5�°�
� _ /,75G�
�E = 0.0�
��S = 60 �.�. � �e
�DRI— CURVE ��r �
�� Sf� ��f �c
� — 54' 57.4° (RTJ
� = 57' l7' 44.8"'
= 27.78'
� _ /3.98'
' _ 1��.��'
� /
� / END
� , D612
FROM -L- STA. 15 + 25 TO STA. 16 + 00 RT
EST. DDE = 10 CY
EST. PSRM = 40 SY
(SEE DITCH GRADE THIS SHEET)
I � PRC�P
FROM -L- STA. 13 + 79 LT
EST. CL I: 10 TONS
CLEARING AND GRUBBING
EROSION CONTROL FOR
CONSTRUCTION SHEET 4
��OTE:
" UTILIZE SPECIAL STILLING BASIN(Sl
Q
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N N
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�lace Matting for Erosion Control
on Slope as Work Allows.
—L— Sta. 12 + 50 to 12 + 94 LT
� 15" CL B RIP RA
j'� 0 CULTIVATED FIE WiELBOWS EST. 1 TON
& GEOTEXTILE
��IKE ICENHOUR & +62�' GASKETS EST.S SY
,' MARTIN ICENHOUR 43. � � /
' 418 PG 2355 E�� �� �
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rr, _
��
�BIN W. CROWE & � � � � � ;
""� LYNN CROWE +aa.00 � � `
' 4�� PG s73i� ?n n�– -
Place Matting for Erosion Control
on Slope as Work Allows.
-L- Sta. 12 + 50 to 12 + 94 RT
2 �����
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CULTIVATED FIELD
CLASS II RIP RAP `
(STRUCTURC:� iTEM)
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+39 '
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i
STREAMBANK AT LOCATIONS EXPOSED
BY REMOVAL OF END BENTS.
INSTALL MATTiNG IN THE
PROPOSED DITCH LINE
—L— STA 13 + 79 TO 15 + 50 LT
EST. 85 SY
Place Matting for Erosion Control
on Slope as Work Allows.
—L— Sta. 14 + 50 to 15 + 50 LT
CULTIVA�ED FIELD
�-� �� -
SEE DETAIL D
+45.00 END BRI
48.°0 _L- STA.
---�___ _ ...
� ppE �
—; _
, -
� _ �/
DETAIL A
CHANNEL CHANGE
( Not to Scale)
�Natural �--- _
Groun�c ?•� p �,'� 1"�Ft.
d
Co�R B Min. D= 3 Ft.
FIBER Min. d= 2 Ft.
B = 2 Ft.
Type of Liner= COIR FIBER b= 5 Ft.
Alexander County
Bridge #010079
NAD 8� q 2011
Proposed Natural
Fill Slope Ground �
� ,
� Exist. Channel
FROM -L- STA. 12 + 00 TO STA. 13 + 45 RT
EST. DDE = 410 CY
EST. COIR FIBER MATTING = 150 SY
(SEE DITCH GRADE THIS SHEET)
�
� ~r �
ROXANNE WIK�
GREGORY MAR�� i�V ECtl��i�:,
DB 485 PG 952
� —L—POT p � o �. ,�s.� �
-� A,��-P�T ,�F.9+��-�
- `' _� DETAIL B
1 _ ��
GRAU 350 TL-3
DETAIL B
LATERAL 'V' DITCH
( Not to Scale)
� ��
��% `L'� ��%Ff.
D
Min. D = 1 Ft.
b = 2 Ft.
EST. DDE = 80 CY
(SEE DITCH GRADE THIS SHEET)
r tii�.UU
Pp� Ex. ww
_� _ _ _
� ;- � TIE INTO P
�/ , � EXISTING DITCH
":�� � � � \_
; ��_ �
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'0 AT ., � n REM•
J GRADE T� � „ . , ��
DRAIN � 24
CLASS II RIP RAP CESB. RITONP �_>� _',' 1
(STRUCTURES ITEM) GEOTEXTILE
EST. 5 SY .DAR� �O�LINA ERF � .� +4 F +31� 9
� �� + 88^00 , � � 39. 8
�
\
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.
�
�
;�Rl— STA. 10 + 53.07
.�ID FDPS
�� �� �.�W��ISTRUCTION
-DRI- STA. 10 + 75.00 79 00°
�v
- RELOCATE FENCE
(BY OTHERS)
F�u
Slope
i leCi'i i� dr Y��ir
�l Sta 17+0/.29
� = 3' 02' 4�3.4" (L�
;:� = 3' /6' ��
' = 93.0�
� — 46,5�°�
� _ /,75G�
�E = 0.0�
��S = 60 �.�. � �e
�DRI— CURVE ��r �
'l Sto 10+42.25
' � _ l5' 54' 57.4° (RT .
.� = 57' l7' 44.8"'
= 27.78'
� _ /3/�./9�8/�'/�/
� � �4/l,Ae4JlA
'� T / �/— � TIE INTC
�-- ' " — EXISTINV :,�CH
—SEE DETAIL C �j�y�
�3
1�
DAVID W. CHAPMAN ��
GLENDA F. CHAPI�� �
DB 521PG 6Q
—�— �tc� � i � + � �a �c� � c� � �+�a � �
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END PR.. � CT
� � D612 - 10075
� -L- STA. � . 4 �
I � PRC�P A�PHAI T
FROM -L- STA. 15 + 25 TO STA. 16 + 00 RT
EST. DDE = 10 CY
EST. PSRM = 40 SY
(SEE DITCH GRADE THIS SHEET)
FROM -L- STA. 13 + 79 LT
EST. CL I: 10 TONS
6�,'a�:� � t�
" UTILIZE SPECIAL STILLING BASIN(Sl
APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.
SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD):
B. DISTRICT OFFICE, FILE NAME, AND NUMBER: NCDOT, Division 12, SR 1358 (Kirby Lackey Road)
C. PROJECT LOCATION AND BACKGROUND INFORMATION:
State: North Carolina County/parish/borough: Alexander City: Taylorsville
Center coordinates of site (lat/long in degree decimal format): -81.227090 35.953838
Latitude & Longitude in Decimal Degrees:
Universal Transverse Mercator: 17S
Name of nearest waterbody: Grassy Creek
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows: Lower Little River
Name of watershed or Hydrologic Unit Code (HUC): Catawba
❑ Check if map/diagrain of review area and/or potential jurisdictional areas is/are available upon reyuest.
❑ Check if other sites (e.g., offsite mitigation sites, disposal sites, etc...) are associated with this action and are recorded
on a different JD form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
� Field Determination. Date(s): 03-18-15
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There Appear to be no "navigable waters of the U.S." within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR
part 329) in the review area. [Required]
❑ Waters subject to the ebb and flow of the tide.
❑ Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or fareign
commerce. Explain: .
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There are and are not "waters of the U.S." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review
area. [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): 1
❑ TNWs, including territoria] seas
❑ Wetlands adjacent to TNWs
� Relatively permanent waters� (RPWs) that flow directly or indirecdy into TNWs
� Non-RPWs that flow directly or indirectly into TNWs
❑ Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to but not directly abutting RPWs that flow directly or indirecfly into TNWs
❑ Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
❑ Impoundments of jurisdictional waters
❑ Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non-wetland waters: 2001inear feet: -1 width (ft).
Wetlands: 0 acres.
c. Limits (boundaries) of jurisdiction based on: Established by OHWM.
Elevation of established OHWM (if known): .
2. Non-regulated waters/wetlands (check if applicable):3
❑ Potentially jurisdictional waters and/or wedands were assessed within the review area and determined to be not
jurisdictional. Explain: .
A. TNWs AND WETLANDS ADJACENT TO TNWs
� Boxes checked below shall be supported by completing the appropriate sections in Section III below.
� For purposes of this form, an RPW is defined as a tributary that is not a TNW and that �ypically tlows year-round or has continuous flow at least
"seasonally" (e.g., typically 3 months).
3 Supporting documentation is presented in Section III.F.
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW,
complete Section III.A.1 and Section III.D1. only; if the aquatic resource is a wetland adjacent to a TNW, complete
Sections IILA.1 and 2 and Section III.D1.; otherwise, see Section III.B below.
1. TNW
Identify TNW:
Summarize rationale supporting determination:
2. Wetland adjacent to TNW
Summarize rationale supporUng conclusion that wetland is "adjacenY':
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and
it helps determine whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non-navigable tributaries of TNWs where the tributaries are "relatively
permanent waters" (RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally
(e.g., typically 3 months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a
TNW, but has year-round (perennial) flow, skip to Section IILD.2. If the aquatic resource is a wetland directly
abutting a tributary with perennial flow, skip to Section III.D.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps
districts and EPA regions will include in the record any available information that documents the existence of a
significant nexus between a relatively permanent tributary that is not perennial (and its adjacent wetlands if any)
and a traditional navigable water, even though a significant nexus finding is not required as a matter of law.
If the waterbody4 is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to
determine if the waterbody has a signi�cant nexus with a TNW. If the tributary has adjacent wetlands, the
signi�cant nexus evaluation must consider the tributary in combination with all of its adjacent wetlands. This
signi�cant nexus evaluation that combines, for analytical purposes, the tributary and all of its adjacent wetlands is
used whether the review area identi�ed in the JD request is the tributary, or its adjacent wetlands, or both. If the JD
covers a tributary with adjacent wetlands, complete Section III.B1 for the tributary, Section III.B.2 for any onsite
wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite and offsite. The determination
whether a signi�cant nexus exists is determined in Section IILC below.
1. Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: 48 acres
Drainage area: 48 acres
Averabe annual rainfall: 47 inches
Average annual snowfalL• 25 inches
(ii) Physical Characteristics:
(a) Relationship with TNW:
❑ Tributary flows directly into TNW.
� Tributary flows through 1 tributaries before entering TNW.
Project waters are 1(or less) river miles from TNW.
Project waters are 1(or less) river miles from RPW.
Project waters are 1(or less) aerial (straight) miles from TNW.
Project waters are 1(or less) aerial (straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain: N/A.
identify flow route to TNWs: UT to Grassy Creek into Grassy Creek into Lower Little River.
Tributary stream order, if known: .
° Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in
the arid West.
5 Flow route can be described by identifying, e.g., h-ibutary a, which flows through the review area, to t7ow into tributary b, which then flows into
TNW.
(b) General Tributary Characteristics (check all that applv):
Tributary is: � Natural
❑ Artificial (man-made). Explain:.
� Manipulated (man-altered). Explain: Channe] has been move and ditched for
agricultural purposes and has been altered for road work.
aPP�Y)�
Tributary properties with respect to top of bank (estimate):
Average width: 1 feet
Average depth: <1 foot
Average side slopes: Vertical (1:1 or less).
Primary tributary substrate composition (check all that apply):
� Silts � Sands ❑ Concrete
❑ Cobbles � Gravel ❑ Muck
❑ Bedrock ❑ Vegetation. Type/% cover:
❑ Other. Explain: .
Tributary condition/stability [Mostly Stable]. Explain: Some erosion
Presence of run/riffle/poo] complexes. none Explain: no evidence of riftles observed on site.
Tributary geometry: Relatively straight
Tributary gradient (approximate average slope): 1%
(c) Flow:
Tributaiy provides for: Seasonal flow
Estimate average number of flow events in review area/year: 20 (or greater)
Describe flow regime: .
Other information on duration and volume: Continuous year round flow.
Surface flow is: Discrete and confined. Characteristics:
Subsurface flow: Unknown. Explain findings:
❑ Dye (or other) test performed: .
Tributary has (check all that apply):
� Bed and banks
� OHWM� (check all indicators that apply):
❑ clear, natural line impressed on the bank
� changes in the character of soil
❑ shelving
� vegetation matted down, bent, or absent
� leaf litter disturbed or washed away
� sediment deposition
❑ water staining
❑ other (list):
❑ Discontinuous OHWM.� Explain: .
�►1
►1
�
■
I �/
I �/
■
the presence of litter and debris
destruction of terrestrial vegetation
the presence of wrack line
sediment sorting
scour
multiple observed or predicted tlow events
abrupt change in plant communiry
If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that
❑ High Tide Line indicated by: ❑
❑ oil or scum line along shore objects
❑ fine shell or debris deposits (foreshore)
❑ physical markings/characteristics
❑ tidal gauges
❑ other (list):
Mean High Water Mark indicated by:
❑ survey to available datum;
❑ physical markings;
❑ vegetation lines/changes in vegetation types.
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed
characteristics, etc.). Explain: water color is clear and clean.
identify specitic pollutants, if known: .
(iv) Biological Characteristics. Channel supports (cbeck all that apply):
❑ Riparian corridor. Characteristics (type, average width):
❑ Wetland fringe. Characteristics: .
eA natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g., where the stream temporarily flows
underground, or where the OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is
unrelated to the waterbody's flow regime (e.g., 11ow over a rock outcrop or through a culvert), the agencies will look far indicators oP flow above
and below the break.
'Ibid.
❑ Habitat for:
❑ Federally Listed species. Explain findings: .
❑ Fish/spawn areas. Explain findings: .
❑ Other environmentally-sensitive species. Explain findings:
❑ Aquatic/wildlife diversity. Explain findings: .
2. Characteristics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW
(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size: acres
Wedand type. Explain: .
Wetland quality. Explain: .
Project wetlands cross or serve as state boundaries. Explain:
(b) General Flow Relationshi� with Non-TNW:
Flow is: Pick List. Explain: .
Surface flow is: Pick List
Characteristics:
Subsurface flow: Pick List. Explain findings:
❑ Dye (or other) test performed: .
(c) Wetland Adjacency Determination with Non-TNW:
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wefland hydrologic connection. Explain:
❑ Ecological connection. Explain: .
❑ Separated by berm/barrier. Explain: .
(d) Proximity, (Relationship) to TNW
Project wetlands are Pick List river miles from TNW.
Project waters are Pick List aerial (straight) miles from TNW.
Flow is from: Pick List.
Estimate approximate location of wetland as within the Pick List floodplain.
(ii) Chemical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general
watershed characteristics; etc.). Explain: .
Identify specific pollutants, if lrnown: .
(iii) Biological Characteristics. Wetland supports (check all that apply):
❑ Riparian buffer. Characteristics (type, average width): .
❑ Vegetation type/percent cover. Explain: .
❑ Habitat for:
❑ Federally Listed species. Explain findings: .
❑ Fish/spawn areas. Explain findings: .
❑ Other environmentally-sensitive species. Explain findings:
❑ Aquatic/wildlife diversity. Explain findings: .
3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis: Pick List
Approximately ( ) acres in total are being considered in the cumulative analysis.
Far each wetland, specify the following:
Directly abuts? (Y/N) Size (in acres) Directly abuts? (Y/N) Size (in acres)
Summarize overall biological, chemical and physical funcrions being performed: .
C. SIGNIFICANT NEXUS DETERMINATION
A signi�cant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions
performed by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical,
and biological integrity of a TNW. For each of the following situations, a signi�cant nexus exists if tbe tributary, in
combination with all of its adjacent wetlands, has more than a speculative or insubstantial effect on the chemical,
physical and/or biological integrity of a TNW. Considerations when evaluating significant nexus include, but are not
limited to the volume, duration, and frequency of the flow of water in the tributary and its proximity to a TNW, and
the functions performed by the tributary and all its adjacent wetlands. It is not appropriate to determine signiticant
nexus based solely on any specific threshold of distance (e.g. between a tributary and its adjacent wetland or between
a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or outside of a floodplain is not solely
determinative of signi�cant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos
Guidance and discussed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wedands (if any), have the capacity to carry pollutants or flood
waters to TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions
for fish and other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and
organic carbon that support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical,
chemical, or biological integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be
documented below:
1. Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into
TNWs. Explain findings of presence ar absence of significant nexus below, based on the tributary itself, then go to
Section IILD: .
2. Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or
indirectly into TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in
combination with all of its adjacent wetlands, then go to Section IILD: .
3. Signi�cant nexus tindings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain
findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section IILD: .
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK
ALL THAT APPLY):
TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
❑ TNWs: lineaz feet width (ft), Or, acres.
❑ Wetlands adjacent to TNWs: acres.
2. RPWs that flow directly or indirectly into TNWs.
❑ Tributaries of TNWs where tributaries typically flow year-round are jurisdictional. Provide data and rationale
indica�ing that tributary is perennial:
� Tributaries of TNW where tributaries have conrinuous flow "seasonally" (e.g., typically three months each year)
are jurisdictional. Data supporting this conclusion is provided at Section IILB. Provide rationale indicating that
tributary flows seasonally: Multiple observed flow events.
Provide estimates for jurisdictional waters in the review area (check all that apply):
� Tributary waters: 200 linear feet 1 width (ft).
❑ Other non-wetland waters: acres.
Identify type(s) of waters: .
3. Non-RPWsR that flow directly or indirectly into TNWs.
❑ Waterbody that is not a TNW or an RPW, but flows directly ar indirectly into a TNW, and it has a significant
nexus with a TNW is jurisdictional. Data supporting this conclusion is provided at Section III.C.
Provide estimates for jurisdictional waters within the review area (check all that apply):
❑ Tributary waters: linear feet width (ft).
❑ Other non-wetland waters: acres.
�See Foomote # 3.
Identify type(s) of waters:
4. Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
❑ Wetlands direcdy abut RPW and thus are jurisdictional as adjacent wedands.
❑ Wetlands directly abutting an RPW where tributaries typically flow year-round. Provide data and rationale
indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is
directly abutting an RPW: .
❑ Wetlands directly abutting an RPW where tributaries typically flow "seasonally." Provide data indicating that
tributary is seasonal in Section III.B and rationale in Section III.D.2, above. Provide rationale indicating that
wetland is directly abutting an RPW: .
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
5. Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
❑ Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they
are adjacent and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional.
Data supporting this conclusion is provided at Section IILC.
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
6. Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs.
❑ Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are
adjacent and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional.
Data supporting this conclusion is provided at Section IILC.
Provide estimates for jurisdictional wetlands in the review area: acres.
7. Impoundments of jurisdictional waters.9
As a genera] rule, the impoundment of a jurisdictional tributary remains jurisdictional.
❑ Demonstrate that impoundment was created from "waters of the U.S.," or
❑ Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
❑ Demonstrate that water is isolated with a nexus to commerce (see E below).
E. ISOLATED [INTERSTATE OR INTRA-STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE,
INCLUDING ANY SUCH WATERS (CHECK ALL THAT APPLY):10
❑ which are or could be used by interstate or foreign travelers for recreational or other purposes.
❑ from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
❑ which are or could be used for industria] purposes by industries in interstate commerce.
❑ Interstate isolated waters. Explain: .
❑ Other factors. Explain: .
Identify water body and summarize rationale supporting determination:
Provide estimates for jurisdictional waters in the review area (check all that apply):
❑ Tributary waters: linear feet width (ft).
❑ Other non-wetland waters: acres.
identify type(s) of waters: .
❑ Wetlands: acres.
F. NON-JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
❑ If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of
Engineers Wetland Delineation Manual and/or appropriate Regional Supplements.
❑ Review area included isolated waters with no substantial nexus to interstate (ar foreign) commerce.
❑ Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based
solelv on the "Migratory Bird Rule" (MBR).
❑ Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:
❑ Other: (explain, if not covered above): .
9 To complete the analysis refer to the key in Section IILD.6 of the Instructional Guidebook.
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA
HQ for review consistent with the process described in the Corps/EPA Merreorandum Regarding C4VA Act Jurisdiction Following
Rapanos.
Provide acreage esrimates for non-jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the
MBR factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using
best professional judgment (check all that apply):
❑ Non-wetland waters (i.e., rivers, streams): linear feet width (ft).
❑ Lakes/ponds: acres.
❑ Other non-wetland waters: acres. List type of aquatic resource: .
❑ Wetlands: acres.
Provide acreage estimates for non-jurisdictional waters in the review area that do not meet the "Significant Nexus" standard,
where such a finding is required for jurisdiction (check all that apply):
❑ Non-wetland waters (i.e., rivers, streams): linear feet, width (ft).
❑ Lakes/ponds: acres.
❑ Other non-wetland waters: acres. List type of aquatic resource: .
❑ Wetlands: acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and,
where checked and requested, appropriately reference sources below):
� Maps, plans, plots or plat submitted by or on behalf of the applicanticonsultant: .
� Data sheets prepared/submitted by or on behalf of the applicant/consultant.
� Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation repart.
❑ Data sheets prepared by the Corps: .
❑ Corps navigable waters' study: .
❑ U.S. Geological Survey Hydrologic Atlas: .
❑ USGS NHD data.
❑ USGS S and 12 digit HUC maps.
❑ U.S. Geological Survey map(s). Cite scale & quad name:« Quad».
❑ USDA Natural Resources Conservation Service Soil Survey. Citation: .
❑ Narional wetlands inventory map(s). Cite name: .
❑ State/Local wetland inventory map(s): .
❑ FEMA/FIRM maps: .
❑ 100-year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
❑ Photographs: ❑ Aerial (Name & Date): .
or � Other (Name & Date): .
❑ Previous determination(s). File no. and date of response letter: .
❑ Applicable/supporting case law: .
❑ Applicable/supporting scientific literature: .
❑ Other information (please specify): .
B. ADDITIONAL COMMENTS TO SUPPORT JD:
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