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HomeMy WebLinkAbout20191466 Ver 1_2018-01859 NWP 14 Tearsheet_20191121U.S. ARMY CORPS OF ENGINEERS WILMINGTON DISTRICT Action Id. SAW-2018-01859 County: Rockingham U.S.G.S. Quad: NC -Northwest Eden GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION Permittee: NCDOT Environmental Analysis Unit Attn: Michael Turchy Address: 1598 Mail Service Center Raleigh, NC 27699-1598 Size (acres) _7 Nearest Town Eden Nearest Waterway Smith River River Basin Roanoke USGS HUC 03010103 Coordinates 36.528038,-79.767915 Location description: The BR-0044 proiect site is located on NC Highway 14/87 over the Smith River at NCDOT Bridge 168 near Eden, Rockingham County, North Carolina Description of projects area and activity: This verification authorizes the discharge of clean fill material associated with replacing an existing bridge, known as BR-0044. The project includes permanent impacts to 80 linear feet (0.01 acre) of stream channel for a culvert extension, 10 linear feet (0.01 acre) of stream channel for rip rap bank stabilization, and an additional 0.003 acre of stream impacts for bridge piers, as well as temporary impacts to a total of 290 linear feet (0.48 acre) of stream channel for construction access including workpad/causeways and dewatering Applicable Law(s): ® Section 404 (Clean Water Act, 33 USC 1344) ❑ Section 10 (Rivers and Harbors Act, 33 USC 403) Authorization: NWP 14. Linear Transportation Projects SEE ATTACHED NWP GENERAL, REGIONAL, AND/OR SPECIAL CONDITIONS Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the enclosed Conditions, your application signed and dated 10/29/2019, and additional information submitted via email on 11/18/2019, and the enclosed plans Permit Drawing Sheets 1 through 3 and Permit Drawing Sheets 4 through 15 (Revised 11/18/2019). Any violation of the attached conditions or deviation from your submitted plans may subject the permittee to a stop work order, a restoration order, a Class I administrative penalty, and/or appropriate legal action. This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified, suspended or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or modified, this verification will remain valid until the expiration date identified below, provided it complies with all requirements of the modified nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are under construction) or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless discretionary authority has been exercised on a case -by -case basis to modify, suspend or revoke the authorization. Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You should contact the NC Division of Water Resources (telephone 919-807-6300) to determine Section 401 requirements. For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA), prior to beginning work you must contact the N.C. Division of Coastal Management. This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal, State or local approvals/permits. If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory program, please contact David E. Bailey at (919) 554-4884, Ext. 30or David.E.Bailey2(a�,usace.army.mil. Date: 2019.11.19 15:15:52 Corps Regulatory Official:-05-00' Date: 11/19/2019 Expiration Date of Verification: 03/18/2022 SPECIAL CONDITIONS In order to compensate for impacts associated with this permit, mitigation shall be provided in accordance with the provisions outlined on the most recent version of the attached Compensatory Mitigation Responsibility Transfer Form. The requirements of this form, including any special conditions listed on this form, are hereby incorporated as special conditions of this permit authorization. 2. This USACE permit does not authorize you to take a threatened or endangered species, in particular, the Northern Long-eared Bat (NLEB) (Myods septentrionalis). In order to legally take a listed species, you must have separate authorization under the Endangered Species Act (ESA) (e.g., a Biological Opinion (BO) under the ESA, Section 7, with "incidental take" provisions with which you must comply). The U.S. Fish and Wildlife Service's (USFWS's) Programmatic BO titled "Northern Long-eared Bat (NLEB) Programmatic Biological Opinion for North Carolina Department of Transportation (NCDOT) Activities in Eastern North Carolina (Divisions 1-8)," dated March 25, 2015, and adopted on May 4, 2015, contains mandatory terms and conditions to implement the reasonable and prudent measures that are associated with "incidental take" that are specified in the BO. Your authorization under this USACE permit is conditioned upon your compliance with all the mandatory terms and conditions (incorporated by reference into this permit) associated with incidental take of the BO. Failure to comply with the terms and conditions associated with incidental take of the BO, where a take of the listed species occurs, would constitute an unauthorized take, and would also constitute non- compliance with your USACE permit. The USFWS is the appropriate authority to determine compliance with the terms and conditions of its BO and with the ESA. 3. Per the "Conservation Measures" proposed in the "Biological Assessment For Replacement of Bridge No. 168 on NC 14/87 Over the Smith River, Rockingham County, North Carolina", dated 9/27/2019, NCDOT shall adhere to the following conditions: a. Clearing and Grubbing: In areas identified as Environmentally Sensitive Areas, the Contractor may perform clearing operations, but not grubbing operations until immediately prior to beginning grading operations as described in Article 200-1 of the Standard Specifications. Only clearing operations (not grubbing) shall be allowed in this buffer zone until immediately prior to beginning grading operations. Erosion control devices shall be installed immediately following the clearing operation; b. Grading: Once grading operations begin in identified Environmentally Sensitive Areas, work shall progress in a continuous manner until complete. All construction within these areas shall progress in a continuous manner such that each phase is complete and areas are permanently stabilized prior to beginning of next phase. Failure on the part of the contractor to complete any phase of construction in a continuous manner in Environmentally Sensitive Areas will be just cause for the Engineer to direct the suspension of work in accordance with Article 108-7 of the Standard Specifications; c. Seeding and Mulching: Seeding and mulching shall be performed in accordance with Section 1660 of the Standard Specifications and vegetative cover sufficient to restrain erosion shall be installed immediately following grade establishment. Seeding and mulching shall be performed on the areas disturbed by construction immediately following final grade establishment. No appreciable time shall lapse into the contract time without stabilization of slopes, ditches and other areas within the Environmentally Sensitive Areas; d. Stage Seeding: The work covered by this section shall consist of the establishment of a vegetative cover on cut and fill slopes as grading progresses. Seeding and mulching shall be done in stages on cut and fill slopes that are greater than 20 feet in height measured along the slope, or greater than 2 acres in area. Each stage shall not exceed the limits stated above; e. All applicable practices from the following documents will be used during project design and construction: Erosion and Sediment Control Design and Construction Manual (NCDOT 2015); Stormwater Best Management Practices Toolbox (NCDOT 2014); and Best Management Practices for Construction and Maintenance Activities (NCDOT 2003); f. No direct discharge of deck drains over water will be allowed. Discharge from the deck drains will be directed to dissipator pads located between the toe of the rip rap stabilization and the water's edge. Date: 2019.11.19 15:15:35-05'00' Corps Regulatory Official: Expiration Date of Verification: 3/18/2022 Date: 11/19/2019 The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so, please complete the Customer Satisfaction Survey located at http://corpsmapu.usace.g.M.mil/cm apex/f?p=136:4:0. Copy furnished: April Norton, NCDEQ-DWR, 1617 Mail Service Center, Raleigh, NC 27699 Compensatory Mitigation Responsibility Transfer Form Permittee: NCDOT Environmental Analysis Unit (Attn: Michael Turchy) Action ID: SAW-2018-01859 Project Name: NCDOT / BR-0044 / Bridge 168 / NC 14/87 / Eden / Rockingham County / transportation County: Rockingham Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sponsor, either an approved Mitigation Bank or the North Carolina Division of Mitigation Services (NCDMS), who will then sign the form to verify the transfer of the mitigation responsibility. Once the Sponsor has signed this form, it is the Permittee's responsibility to ensure that to the U.S. Army Corps of Engineers (USACE) Project Manager identified on page two is in receipt of a signed copy of this form before conducting authorized impacts, unless otherwise specified below. If more than one mitigation Sponsor will be used to provide the mitigation associated with the permit, or if the impacts and/or the mitigation will occur in more than one 8-digit Hydrologic Unit Code (HUC), multiple forms will be attached to the permit, and the separate forms for each Sponsor and/or HUC must be provided to the appropriate mitigation Sponsors. Instructions to Sponsor: The Sponsor must verify that the mitigation requirements (credits) shown below are available at the identified site. By signing below, the Sponsor is accepting full responsibility for the identified mitigation, regardless of whether or not they have received payment from the Permittee. Once the form is signed, the Sponsor must update the bank ledger and provide a copy of the signed form and the updated bank ledger to the Permittee, the USACE Project Manager, and the Wilmington District Mitigation Office (see contact information on page 2). The Sponsor must also comply with all reporting requirements established in their authorizing instrument. Permitted Impacts and Compensatory Mitigation Requirements: Permitted Impacts Requiring Mitigation* 8-digit HUC and Basin: 03010103, Roanoke River Basin Stream Impacts (linear feet) Wetland Impacts (acres) Warm Cool Cold Riparian Riverine Riparian Non-Riverine Non -Riparian Coastal 80 *If more than one mitigation sponsor will be used for the permit, only include impacts to be mitigated by this sponsor. Compensatory Mitigation Requirements: 8-digit HUC and Basin: 03010103, Roanoke River Basin Stream Mitigation (credits) Wetland Mitigation (credits) Warm Cool Cold Riparian Riverine Riparian Non-Riverine Non -Riparian Coastal 160 Mitigation Site Debited: NCDMS (List the name of the bank to be debited. For umbrella banks, also list the specific site. For NCDMS, list NCDMS. If the NCDMS acceptance letter identifies a specific site, also list the specific site to be debited). Section to be completed by the Mitigation Sponsor Statement of Mitigation Liability Acceptance: I, the undersigned, verify that I am authorized to approve mitigation transactions for the Mitigation Sponsor shown below, and I certify that the Sponsor agrees to accept full responsibility for providing the mitigation identified in this document (see the table above), associated with the USACE Permittee and Action ID number shown. I also verify that released credits (and/or advance credits for NCDMS), as approved by the USACE, are currently available at the mitigation site identified above. Further, I understand that if the Sponsor fails to provide the required compensatory mitigation, the USACE Wilmington District Engineer may pursue measures against the Sponsor to ensure compliance associated with the mitigation requirements. Mitigation Sponsor Name: Name of Sponsor's Authorized Representative: Signature of Sponsor's Authorized Representative Date of Signature Conditions for Transfer of Compensatory Mitigation Credit: • Once this document has been signed by the Mitigation Sponsor and the USACE is in receipt of the signed form, the Permittee is no longer responsible for providing the mitigation identified in this form, though the Permittee remains responsible for any other mitigation requirements stated in the permit conditions. • Construction within jurisdictional areas authorized by the permit identified on page one of this form can begin only after the USACE is in receipt of a copy of this document signed by the Sponsor, confirming that the Sponsor has accepted responsibility for providing the mitigation requirements listed herein. For authorized impacts conducted by the North Carolina Department of Transportation (NCDOT), construction within jurisdictional areas may proceed upon permit issuance; however, a copy of this form signed by the Sponsor must be provided to the USACE within 30 days of permit issuance. NCDOT remains fully responsible for the mitigation until the USACE has received this form, confirming that the Sponsor has accepted responsibility for providing the mitigation requirements listed herein. • Signed copies of this document must be retained by the Permittee, Mitigation Sponsor, and in the USACE administrative records for both the permit and the Bank/ILF Instrument. It is the Permittee's responsibility to ensure that the USACE Project Manager (address below) is provided with a signed copy of this form. • If changes are proposed to the type, amount, or location of mitigation after this form has been signed and returned to the USACE, the Sponsor must obtain case -by -case approval from the USACE Project Manager and/or North Carolina Interagency Review Team (NCIRT). If approved, higher mitigation ratios may be applied, as per current District guidance and a new version of this form must be completed and included in the USACE administrative records for both the permit and the Bank/ILF Instrument. Comments/Additional Conditions: A letter from NCDMS, confirming they are willing and able to accept the applicant's compensatory mitigation responsibility, dated 9/4/2019 was included with the preconstruction notification. This form is not valid unless signed below by the USACE Project Manager and by the Mitigation Sponsor on Page 1. Once signed, the Sponsor should provide copies of this form along with an updated bank ledger to: 1 j the Permittee, 2) the USACE Project Manager at the address below, and 3) the Wilmington District Mitigation Office, Attn: Todd Tugwell, 3331 Heritage Trade Drive, Suite 105, Wake Forest, NC 27587 (email: todd.tugwell@usace.army. mil). Questions regarding this form or any of the permit conditions may be directed to the USACE Project Manager below. USACE Project Manager: David E. Bailey USACE Field Office: Raleigh Regulatory Office US Army Corps of Engineers 3331 Heritage Trade Drive, Suite 105 Wake Forest, North Carolina 27587 Email: David.E.Bailey2@usace.army.mil Date: 2019.11.19 15:15:20-05'00' USACE Project Manager Signature 11/19/2019 Date of Signature Current Wilmington District mitigation guidance, including information on mitigation ratios, functional assessments, and mitigation bank location and availability, and credit classifications (including stream temperature and wetland groupings) is available at http://ribits.usace.army.miI i figh\."a" North Carolina Department of Transportation i( iYl li\vjiIt"r Highway Stormwater Program STORMWATER MANAGEMENT PLAN""'s (Version 2.08; Released April 2018) FOR NCDOT PROJECTS _� � WBS Element: 67044.1.1 TIP No.: BR-0044 Count ies : Rockingham Page 1 of 2 General Project InformatiolL WBS Element: 67044.1.1 ITIP Number: BR-0044 Project Type: Bridge Replacement Date: 6/14/2019 NCDOT Contact: David Stutts, PE Structures M mt Unit Contractor / Desi ner: AECOM/Gregory Cols, PE Address: NCDOT Century Center 1000 Birch Ridge Dr Raleigh NC 27610 Address: 701 Corporate Center Drive Raleigh, NC 27607 Suite 475 Phone: 919-707-6442 Phone: 9198546200 Email: dstutts ncdot. ov Email: re o .cols aecom.com City/Town: Eden County(ies): Rockingham River Basins : Roanoke CAMA County? No Wetlands within Project Limits? Yes Project Descri lion Project Length (lin. miles or feet): 0.427 mi Surrounding Land Use: Wooded, Rural Proposed Project Existing Site Project Built -Upon Area (ac.) 1.7 ac. 1.7 ac. Typical Cross Section Description: 2 lanes of undivided highway with 12' lanes. Shoulder Berm Gutter with storm systems and roadside ditches. 2 lanes of undivided highway with 12' lanes. All shoulder section. Roadside ditches. Annual Avg Daily Traffic (veh/hr/day): Design/Future: 8400 Year: 2040 Existing: 8080 Year: 2020 General Project Narrative: (Description of Minimization of Water Quality Impacts) The existing 7 span (7@75') bridge on N Van Buren rd (NC 14/87) spans Smith River. The existing bridge was constructed in 1966 and consists of a reinforced concrete deck on steel 1-beams. Several of the existing beams have considerable section loss as well as overall deterioration of various components of the bridge. The status of the bridge is observed to be structurally deficient with a sufficiency rating of 69.06/100. The replacement bridge to be constructed slightly more north, is a 5 span (1@106', 3@113', 1 @75') prestressed concrete girder bridge with 4' deep end bent caps. The proposed bridge deck drainage is collected by 6" diameter deck drains @ 12' spacings over the floodplain. No deck drains discharge directly over Smith River. Roadway drainage on the east and west sides of the bridge is collected by a system of TB 2GI's discharging into a riprap pad, which then dissipates into Smith River floodplain. Away from the bridge, surface runoff is collected in grass and rip -rap lined ditches and conveyed to natural outfalls. Construction of the bridge will be accomplished using causeways, as no other practical option exists to minimize disturbance to the river. Causeways will be constructed in phases to minimize the total concurrent impact to the river and limit total blockage of channel to 50% maximum. A shallow rockline precludes the use of temporary work bridges. One unnamed tributary to the Smith River crosses the project to the west of the bridge. This UT is currently piped under the existing roadway. The pipe will be extended to accomodate the relocated roadway with wider shoulders. Maximum steepest slopes are proposed to limit the amount of fill. Wetlands exist within the project limits but are not disturbed by construction activities. Waterbody Information Surface Water Body (1): Smith River NCDWR Stream Index No.: 22-40- 1 NCDWR Surface Water Classification for Water Body Primary Classification: Water Supply IV WS-IV Supplemental Classification: None Other Stream Classification: Impairments: Benthos Aquatic T&E Species? Yes Comments: Roanoke to perch is an endangered freshwater fish found in the Smith River within the study area NRTR Stream ID: Smith River Buffer Rules in Effect: N/A Project Includes Bridge Spanning Water Body? Yes I Deck Drains Discharge Over Buffer? N/A Dissipator Pads Provided in Buffer? N/A Deck Drains Discharge Over Water Body? INo I (If yes, provide justification in the General Project Narrative) I (If yes, describe in the General Project Narrative; if no, justify in the General Project Narrative) (If yes, provide justification in the General Project Narrative) I II (Version 2.08; Released April 2018) North Carolina Department of Transportation Highway Stormwater Program STORMWATER MANAGEMENT PLAN FOR NCDOT PROJECTS WBS Element: 67044.1.1 TIP No.: BR-0044 County(ies): Rockingham Page 2 of 2 Additional Waterbody Information Surface Water Body (2): UT to Smith River NCDWR Stream Index No.: 22-40-(1) NCDWR Surface Water Classification for Water Body Primary Classification: Water Supply IV WS-IV Supplemental Classification: None Other Stream Classification: Impairments: Benthos Aquatic T&E Species? Yes Comments: Roanoke logperch is an endangered freshwater fish found in the Smith River within the study area NRTR Stream ID: SA Buffer Rules in Effect: N/A Project Includes Bridge Spanning Water Body? 1yes I Deck Drains Discharge Over Buffer? N/A Dissipator Pads Provided in Buffer? I N/A Deck Drains Discharge Over Water Body? IYes (If yes, provide justification in the General Project Narrative) (If yes, describe in the General Project Narrative; if no, General Project Narrative) justify in the (If yes, provide justification in the General Project Narrative) 14 c o - 3 E L T v Q 0 m U, c .3 O L 0 c E 0 L c Lu LU i C> m 7 0 oL, Nam', N=- � tr VICINITY MAP See Sheet 1 A For Index of Sheets See Sheet I B For Conventionol Symbols < TO RIDGEWAY SITE 1 BEGIN TIP PROJECT BR-0044 -L- STA,10f75,00 STATE OF NORTH CAROL INA DIVISION OF HIGHWAYS ROCKINGHAM COUNTY LOCATION: BRIDGE NO.168 ON NC 14INC 87 IN. VAN B UREN RD) OVER SMITH RIVER TYPE OF WORK: GRADING, DRAINAGE, PAVING, AND STRUCTURE ' MCP 0 OI- 2 WETLAND AND SURFACE WATER IMPACTS PERMIT JUNE 2019 STATE STATE PROIP,CT REFERENCE NO. ✓3REET NQ TOTAL SI@ET& BR-0044 9TATE PROl.N0. .APROl. NO. OL+9CRIPT[ON 67044.1.1 PE PERMIT DRAWING SHEET Ol OF 15 END TIP PROJECT BR-0044 -L- STA, 33f30,00 BEGIN LSTA. /9 36.29 5 6 NC 14 INC 87 N. VAN BUREN RE )I -_ - ------------------- \III \�� ------ =--- --- END -L- STA.24�-57.7/ THERE IS NO CONTROL OF ACCESS ON THIS PROJECT. CLEARING ON THE PROJECT SHALL BE TO THE LIMITS ESTABLISHED USING METHOD II THIS PROJECT IS NOT WITHIN ANY MUNICIPAL BOUNDARIES -SITE 2 INCOMPL1ETE PLANS DO NOT USE FOR R/W ACQUISITION DOCUMENT NOT CONSIDERED FINAL UNLESS ALL SIGNATURES COMPLETED GRAPHIC SCALES DESIGN DATA PROJECT LENGTH A COM HYDRAULICS ENGINEER NC FIRM LICENSE No: F-0342 50 25 0 50 100 ADT 2020 = 8,080 701Corp 0rate Center Drive, Suite 475 Raleigh, NC 27607 NOI�Ppp ADT 20KO ,400 � LENGTH ROADWAY TIP PROJECT BR-0044= 0.328 MI (919) 854-6200 - (919) 854-6259(FAX) ®� ��� O��® o 1,9111110 2078 STANDARD SPECIPICATIONS PLANS D = 55 % NEIL J. DEAN, P.E. Pz. SIGNATURE: ® a 50 25 0 50 loo T = 12 % * V = 60 MPH * (TTST 10%+DUAL 2%) LENGTH STRUCTURE TIP PRO PROJECT BR-0044= 0.099 MI J TOTAL LENGTH TIP PROJECT BR-0044= 0.427 MI RIGHT OF WAY DATE: JUNE 14 2019 ®� OR PROJECT ENGINEER RADHA ATTALURI, P.E. ROADWAY DESIGN ENGINEER PROFILE HORIZONTAL (HORIZONTAL) PROJECT DESIGN ENGINEER 10 5 0 10 20 FUNC CLASS=PRINCIPAL LETTING DATE: ARTERIAL REGIONAL TIER JANUARY 21, 2020 DAVID STUTTS, P.E. P.E. SIGNATURE, NCDOT PROJECT MANAGER PROFILE (VERTICAL) PROJECT REFERENCE NO. SHEET NO. BR-0044 4 RrW SHEET NO. ROADWAY DESIGN HYDRAULICS ENGINEER ENGINEER —L— P E RM I T D RAW I N G P1 Sto /3+58.66 P/ Sto 16+00.61 A = 9 54' 445" (LT) 0 = 9' 53' 29.9" (RT) SHEET 02 OF 15 DETAIL 1 DETAIL 3 D = 4' 05' 33.2a D = 4° 05' 33.2" SPECIAL CUT DITCH WHINGETOE PROTECTION L = 242.20' L = 241.70' ( N. to swla 1—sale) T = 121.41' T = 12/J5' Np,a,°, R R = 1,400.00' R = 1,400.00' INCOM]I�]�,]EJ' E` PLANS Groaad 1�0((F-R' FILL DPE e = 0.06 FT/FT e = 0.06 FT/FT DO NOT USE FOR /W ACQUISITION NATURAL NC FIRM LICENSE 0 A.� oaourvD d F R.O. = I62.00' R.O. _ 162.00' Prepared in me Tow°"oorare "' ' o�i�e. s2l.e 4Ts 4.l D F\O� Slope GMTE%TIIf Office of: 4.0' I— Min. D= 1 Ff. d= 2 F. �O �� (919)854-62009� 19191285/ 6259(FAXI Type of Liner= 480 SF, PSRM Man. d= 1 Ft. G� 2� Type of Liner= Goss II Rip-Rop NG NP DOCUMENT NOT CONSIDERED FINAL FROM -L- STA. 12+50 LT TO -L- STA. 13+10 LT a'� UNLESS ALL SIGNATURES COMPLETED FROM -L- STA. 13+75 LT TO -L- STA. 15+50 LT 105 TONS CL II RIP RAP, 195 SY GEOTE)TLE CYP FROM -L- STA. 13+10 RT TO -L- STA 13+98 RT 60 TONS CL II RIP RAP, 110 SY GEOTEXTILE O 100, 0' 100, GRAPHIC SCALE F SITE 1 NO WETLAND IMPACTS NO STREAM IMPACTS 0 F- F- DEt L 2 RfPLRAP AT EMBANKMENT NCR to Scale) 10'min. Dikh Grade GEOTEM LE Type of Liner= 12 TONS,CL II Rip -Rap Geatexlile= ]d FROM -L- STA. 13+98 TO -L- STA. 14+19 RT DISTURB WETLANDS 101 NORMLI CE BRADLEY B. & 4 B. NANCE DB 1189 PG 814 PB 74 PG 3 SHEET NO. PERMIT DRAWING SHEET 03 OF 15 m DETAIL 1 SPECIAL CUT DITCH wrHINGE (Notro Smle) N-1 Groeed ,fie Front IT4.J D EXo Slope 4.0' F.— Min. D= 1 R. Type of Line,- 480 SF, PSRM Moz. d= 1 Ft. FROM -L- STA. 12+50 LT TO -L- STA. 13+10 LT DETAIL 3 TOE PROTECTION I Net le Scole) ♦0�0. FILL caUN. Q d d= 2 Ff. GEOTExTILE Type of Liner= Class II Rip -Rap FROM -L- STA. 13+75 LT TO -L- STA. 15+50 LT 105 TONS CL II RIP RAP, 195 SY GEOTEXTILE FROM -L- STA. 13+10 RT TO -L- STA 13+98 RT 60 TONS CL II RIP RAP, 110 SY GEOTEXTILE —L— F/ Sto /3+58,66 P1 Sto 16+00.61 0 = 9' 54' 44.5e (LT) Z� = 9' 53' 29.9" (RT) D = 4' 05' 33.2e D = 4" 05' 33.2' L = 242.20' L = 241.70' T=121.41' T=121.15' R = 1,400.00' R = 1,400.00' e = 0.06 FT/FT e = 0.06 FT/FT R.O. = 162.00' R.O. = 162.00' 19 PROJECT REFERENCE NO. BR-0044 RW SHEET NO. ROADWAY DESIGN ENGINEER HYDRAULICS ENGINEER INCOMPLETE PLANS DO NOT USE FOR / W ACQUISITION -pg,ed in the of - d: iolCa �Oora1 CeniSt rNOrlve Sulte 97s flalelgn, NC 21 G�\O nO\\ f9191854-6200 - 19191854- 9-62991FAX1 �G NP DOCUMENT NOT CONSIDERED FINAL UNLESS ALL SIGNATURES COMPLETED NPO —L— ❑ETAIL 6 P1 Sto 16+00,61 P/ Sto 28+02.44 STANDARD BASE DITCH 0 = 9' 53' 29.9' (RT) 0 = 9' 58 272° (RT) I N°"° 5co16, D = 4' 05' 33.2e L = D = 4' 05' 33.2ne L = 243.72 u d9O 12IJ5' T = l2/J5' T = 122J7' 6„�,�, R = 1x400.00' R = 1x400.00' MMm a 2 F: e = 0A6 FT/FT e = 0.06 FT/FT b < 6.0' B= 4 Ft. R.O. = /62.W RA. = 162A0 b e d U-- 29 TONS, CL B Rip-Rop FROM -L- STA. 23+80 LT TO STA.25+00 LT N (D ECTION XTAIL 3 TS :, ee wall Lld G) �E- FROM -I- STA. 13+75 LT TO -L- STA 15+50 LT PERMIT DRAWING SHEET 04 OF 15 O \ O JONATHAN D.HALL DB 1068 PO 116(PER CIS) [���� THIS DEED DOES NOT DESCRIBE THIS PARCEL I Nq b Swle1 b Slope 060T0[ruE Min. D= 2 F1. Max. d= 2 F. 'When B b < 6.0' B= 4 Ft. Typo of Uner= 96 TONS, CL B Rip -Rap b= 5 Ff. FROM -I- STA. 95+00 IT TO STA.-I- 29+00 LT CONSTRUCTION CAUSEWAY PHASE I *NOTE: CAUSEWAY WILL ONLY BLOCK 1/2 OF THE STREAM PER PHASE 100, 0 100, rrrrI GRAPHIC SCALE N� - PROJECT REFERENCE NO. SHEET NO. BR-0044 5 P,W SHEET NO. ROADWAY DESIGN HYDRAULICS ENGINEER ENGINEER INCOMPLETE PLANS DO NOT USR FOR, tW XC UFSETFON P—p in A x ffdi EKExaT xe: F-e]W oRox oR A_;■ mw n . 17GW/R DOCUMENT NOT CONSIDERED FINAL UNLESS ALL SIGNATURES COMPLETED START TRANSITION FROM SPECIAL-, LATERAL BASE DITCH TO LATERAL BASE DITCH STA: 29+00 ti t 1 1 1 4' LATERAL BASE DITCH I I EST. 2 TONS CL B RIP RAP SEE DET►.fL 7 t _ EST. 7 SY GEOTEXTILE t � FROM STA. 20+07 TO STA. 20+38 -L- LT FROM STA. 20+38 TO STA. 20+79 -L- RT FROM STA.23+35 TO STA. 23+93 -L- LT FROM STA. 24+01 TO STA. 24+25 -L RT QUANTITIES SHOWN FOR EACH PAD EST, 5 SY oXTFJCDLE — 15+71 LT TO -L- STA. 15+76 LT -L- PL Sto 16+00.61 P1 Sto 28+02.44 = 9° 53' 29.9" (RT ) L = 9° 58' 27.2° (RT ) D = 4° 05' 33,2° D = 4° 05' 33,2" L = 241.70' L = 243.72' T = 121J5' T = I22J7' R = 1,400A0' R = 1,400.00' e = 0.06 FT/FT e = 0.06 FT/FT R.O. = 162.0(Y R.O. = 162.00' m DETAIL 6 STANDARD BASE DITCH I No1M 5mlel Na1-1 N-1 Ground 7� �,� Ground d D Geotextlle B Min. D= 2 Ft. Max. d= 2 Ft. 'When B rs < 60' B= 4 Ft. Type of Liner= 29 TONS, CL B Rip -Rap FROM -L- STA. 23+80 LT TO STA. 25+00 LT N 100, '.1 100, GRAPHIC SCALE PERMIT DRAWING SHEET 05 OF 15 G) ATLAND RL-`!ERS, LLC\O\\ DE 1523 'G 2994 .TAIL 7 BASE o E DITCH \ \ .\ s t",Ft. lope lC) oe?eEr ' Min. D= 2 Ft. Ag Ss �Nlyp Maz. d=F 2 H. - 2 0 FROM STA. 20+07 TO STA. 20+38 -L- LT FROM STA. 20+38 TO STA. 20+79 -L- RT FROM STA. 23+35 TO STA. 23+93 -L- LT FROM STA. 24+01 TO STA. 24+25 -L- RT QUANTITIES SHOWN FOR EACH PAD PROJECT REFERENCE NO. SHEET NO, BR-0044 5 RAN SHEET NO. ROADWAY DESIGN HYDRAULICS ENGINEER ENGINEER INCOMPLE PLANS DO NOT USE FOR T W ACQUISITION Prepared in the a at i4ECOM ,o' 9s a 59--6200 N91912854 62591FAX1 DOCUMENT NOT CONSIDERED FINAL UNLESS ALL SIGNATURES COMPLETED C N E C 0 PERMIT DRAWING SHEET Ob OF 15 TOE PROTECTION SEE DETAIL 3 11 TS F. PIPE OUTLET 30' 0' 30' ri-rri GRAPHIC SCALE O ENG �01p Toll 03 Np0 EST. 1 TONS R;T _ 5 SY C /► .fir Y An I PR"CT REFERENCE NO. SHEET NO. BR-0044 5 RW SHEET NO. ROADWAY DESIGN HYDRAULICS ENGINEER ENGINEER INCOMPLElf ]E PLANS DO NOT USE FOR / W ACQUISITION ORfu oF.M K — LMMg . F-QQ i■ *9 CaCW'o�.�Cl]CM145�lc ITS DOCUMENT NOT CONSIDERED FINAL UNLESS ALL SIGNATURES COMPLETED PROJECT REFERENCE NO. SHEET NO. BR-0044 5 / \ V\ 1 � W RAN SHEET NO. ROADWAY DESIGN HYDRAULICS ENGINEER ENGINEER *NOTE: CAUSEWAY IL T ONLY BLOCK 1/2 � OF THE STREAM,SER PHASE w w N F INCOMPLE�PLANS \ ..\ ol`SITE 2 \ o o SITE 2 Y �kx X�l DECK D 'WSIPATOR PAD X�j PROJECT REFERENCE NO. SHEET NO. BR-0044 5 1 \ \ \"S2N),�L RM1V SHEET NO. ROADWAY DESIGN HYDRAULICS ENGINEER ENGINEER G� *NOTE: CAUSEWr ONLY BLOCK VZ OF THE STRE PHASE pR\O 2p\\ N� NP INC®�i[IFDILIE lE l�1LA1� Q` CLu II II ,II ,II I I l I!! II z 0 z II I I I I!! I I I I!! I I I i I I I I I i I I I I i I I I I i I I �II III i II !II II I I qd N y N 3 d U i m ,oE ON Ni✓ .,Q C 0) E C O i C TT \DECK\DRA OR PAD BR D SITE 2 S z 0 V_1 i K PROJECT REFERENCE NO. SHEET NO. BR-0044 5 WW SHEET NO. ROADWAY DESIGN HYDRAULICS ` ENGINEER ENGINEER L W �j *NOTE: CAUSEWAY IL -ONLY BLOCK 1/2OF THE STREAM 4ER PHASE W Np NP TNC®MPl[alE ]E PLANS^\Pp 03 DO NOT USE FOR d W ACQUISITION \V Prepared in the carp raM �Ic[rvs[ rvoi F-o saui+e a Office o / \T@ 101r9191854-62009� 9C91859 6259(FAX) ]5 DOCUMENT NOT CONSIDERED FINAL �/w/ CLASS 11 RIP RAP UNLESS ALL SIGNATURES COMPLETED �\ IT*7 (TYP.) LASS II P RAP YP.) DECK DRAIN DISSIPATOR SEE DETAIL 5 \r S� DENOTES TEMPORARY e\ IMPACTS IN SURFACE WAT DECK DRAW � ✓s DISSIPATOR PAD X SEE DETAIL 5 DEMOLITION & CONSTRUCTION CAUSEWAY PHASE II 30' 0' s I GRAPHIC SCALE `r@ PROJECT REFERENCE NO. SHEET NO. BR-0044 5 L\ *NOTE: CAUSE ONLY BLOCK W RNJ SHEET NO. ROADWAY DESIGN HYDRAULICS ENGINEER ENGINEER a Z O _N 1' m o _ E O N +N' 3 E 2 =1 m m / rn �q NON E N E C 0 C 1/TNCOMPLEPLANS 1�b \ o o SITE 2 -------- --------------- ------------- ------------- ----- --- ------------------------- ---------- 2 E PROJECT REFERENCE NO. SHEET NO. BR-0044 5 If RNJ SHEET NO. ROADWAY DESIGN HYDRAULICS `` C ENGINEER ENGINEER v� W *NOTE: CAUSEWAY IL -ONLY BLOCK 1/2� OF THE STRE ?�ER PHASE w ply\0 Zp\\ I� S �C®M]��L,E IE PLAN ®W � $ DO NOT USE FOR ACQUISITION Prepared in Me �� FaM E�9E F-O Office ol: �� )plCarpor to Center �Orlve. 9ulte 9)5 / �e (9191854-62009�191912859 62991FA%1 DOCUMENT NOT CONSIDERED FINAL CLASS 11 RIP RAP UNLESS ALL SIGNATURES COMPLETED \ Te \ LASS II (TYP.) ra —�L_ P RAP \Ta SITE 2 DECK DRAIN YP.j ✓s � DISSIPATOR PAD DECK DRAIN DISSIPATOR D SEE DETAIL 5 SEE DETAIL 5 Te\ z _o N r�s �S e 1' ,� BRIDGE #168 SEE DETAIL 5 CONC & STD re \ E 0 DEMOLITION CAUSEWAY re PHASE III >�S� 3 E Q =1 m m >e SITE 2 � 30' 0' rn m E TB GRAPHIC SCALE DENOTES TEMPORARY � PERMIT DRAWING �� ° 0 IMPACTS IN SURFACE WATER SHEET 12 OF 15 PROJECT REFERENCE NO. SHEET NO. BR-0044 5 *NOTE: CAUSE ONLY CK lf1 W RM1V SHEEP NO. ROADWAY DESIGN HYDRAULICS ENGINEER ENGINEER OF THE ST PHASE pR\0 ,ZpO INC®�i[ll�]L1E lE ll�]LA1�TS N� NP NP DO NOT USE FOR / W ACQUISITION Prcparod in the NC FIRM LICENSE Np: F-051 Office af: /�_- /��� �a corporare nee, o� Z O N rn M 0 U E XN o N y IU 3 E i I v v m Is m �qE �oN q �yU C N E C O C CD LI . SITE 2 6 JVU 55C Mr..� • • 4 m ©®=' II BE IN BRI -L- I STA.19 L-L-1 17 18 1 E-4-- BEGIN TIP PROJECT BR-00 EL = 633.21' PI - 12+! EL = 63 VC = 18C K - 965 EXISTING GROUND PIPE HYDRA LIC DATA 3 ' -Ll - St .14+79 DESI N FREQUENCY = 50 YRS DESIGN DISCHARGE = 20.0 CFS DESI N HW EL VATION = 583✓ FT I00 AR ELEVATION = 583.2 FT OVE TOPPING REQUENC = 500+ YRS OVEF,TOPPING DISCHARGE 206D CFS tLtV = - I- ST / E EV = 62 .47 �7� 36' PROJECT REFERENCE NO. SHEET NO. BR-0044 7 ROADWAY DESIGN HYDRAULICS ENGINEER ENGINEER INCOMPLE ]E PLANS DO NOT USE FOR / W ACQUISITION r in f e NC FIRM LICENSE No:F-0342 =eoe A —MCI 701 C-P ..+o Co,zt— o,wo. sm+o 475 /'7�♦V/I� emolon. NC I , 19191854-6200 - 191. 854-6259(FA%) DOCUMENT NOT CONSIDERED FINAL UNLESS ALL SIGNATURES COMPLETED FOR -L- I PLAN VIEV SEE S EET 4 10 11 12 13 14 15 E 690 16.29 EN BRIDGE AW I 590 -- Pl 27+70.0 VC = 550' j - -- V 55 MPH 570 0.YR=564.1' p CLASS II R P RAP 00 0 (+l _ — m P) - 560 \ — ------ I— IV Tj E0J.1 DE OE PHM .ITION CAUSEWAY- -4.7396% _ EMOUTION & CONSTRUCTI PHASE I N CAUS Y - — __ — __ — - — ONSTRUCTION ASE II CAUSEWAY _-- '----- — _ _ — _ 550 — C S I RIP RAP TEMPORAR SET TO 5 WORK PAD 2.0', WHICH I OP ELEVATI TWO FEET OVE NW OBSE ERD WSE CIA55 ON T RIP RA P V DEPTP 10 /2 18 =542.3 (TYPO LASS II RIP RAP 540 1.1:1 LOPE (TYP.) 530 FOR -L- PLAN V/F V SEES EET 5 19 20 21 22 23 24 25 26 27 28 29 WETLAND AND SURACE WATER IMPACTS SUMMARY WETLAND IMPACTS URFA E WATER IMPACTS Site No. Station (From/To) Structure Size / Type Permanent Fill In Wetlands (ac) Temp. Fill In Wetlands (ac) Excavation in Wetlands (ac) Mechanized Clearing in Wetlands (ac) Hand Clearing in Wetlands (ac) Permanent SW impacts (ac) Stabilization Channel Impacts (ac) Temp. SW impacts (ac) Existing Channel Impacts Permanent (ft) Existing Channel Impacts Stabilization (ft) Existing Channel Impacts Temp. (ft) Natural Stream Design (ft) 1 -L- 15+24 to 15+73 36" ALT Pipe < 0.01 < 0.01 80 10 1 j -L- 15+73 to 15+80 Bank Stabilization < 0.01 10 2 -L- 20+93 to 24+00 Bridge (all phases) 0.47 280 TOTALS*: < 0.01 < 0.01 0.47 80 10 290 0 *Rounded totals are sum of actual impacts NOTES: Stream Temporary impacts due to causeways are the net total when all 3 phases are considered together. Bridge Pier Permanent Impact Area (Not included in above quantities) = 118sf (Three 60" dia piers x 2 bents) 2018 Feb NC DEPARTMENT OF TRANSPORTATION DIVISION OF HIGHWAYS 6/14/2019 ROCKINGHAM COUNTY BR-0044 67044.1.1 SHEET 15 OF 15 Action ID Number: SAW-2018-01859 County: Rockingham Permittee: NCDOT Environmental Analysis Unit, Attn: Michael Turchy Project Name: NCDOT / BR-0044 / Bridge 168 / NC 14/87 / Eden / Rockingham County / transportation Date Verification Issued: 11/19/2019 Project Manager: David E. Bailey Upon completion of the activity authorized by this permit and any mitigation required by the permit, sign this certification and return it to the following address: US ARMY CORPS OF ENGINEERS WILMINGTON DISTRICT Attn: David E. Bailey Raleigh Regulatory Office U.S Army Corps of Engineers 3331 Heritage Trade Drive, Suite 105 Wake Forest, North Carolina 27587 or David.E.Bailey2@usace.army.mil Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of Engineers representative. Failure to comply with any terms or conditions of this authorization may result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I administrative penalty, or initiating other appropriate legal action. I hereby certify that the work authorized by the above referenced permit has been completed in accordance with the terms and condition of the said permit, and required mitigation was completed in accordance with the permit conditions. Signature of Permittee Date Determination of Jurisdiction: A. ® There are waters, including wetlands on the above described project area that may be subject to Section 404 of the Clean Water Act (CWA) (33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). This preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process (Reference 33 CFR Part 331). However, you may request an approved JD, which is an appealable action, by contacting the Corps district for further instruction. Please note, if work is authorized by either a general or nationwide permit, and you wish to request an appeal of an approved JD, the appeal must be received by the Corps and the appeal process concluded prior to the commencement of any work in waters of the United States and prior to any work that could alter the hydrology of waters of the United States. B. ❑ There are Navigable Waters of the United States within the above described project area subject to the permit requirements of Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification. C. ❑ There are waters, including wetlands within the above described project area that are subject to the permit requirements of Section 404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification. D. ❑ The jurisdictional areas within the above described project area have been identified under a previous action. Please reference jurisdictional determination issued _. Action ID: _. Basis For Determination: See the Preliminary Jurisdictional Determination form dated 11/19/2019. Remarks: None. E. Attention USDA Program Participants This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the particular site identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should request a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work. F. Appeals Information (This information applies only to approved jurisdiction determinations as indicated in B and C above). This correspondence constitutes an approved jurisdiction determination for the above described site. If you object to this determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed you will find a Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this determination you must submit a completed RFA form to the following address: US Army Corps of Engineers South Atlantic Division Attn: Phillip Shannin, Review Officer 60 Forsyth Street SW, Room 1OM15 Atlanta, Georgia 30303-8801 Phone: (404) 562-5137 In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you decide to submit an RFA form, it must be received at the above address by Not applicable. **It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this correspondence.** /:dim Date: 2019.11.1915:14:32 Corps Regulatory Official:-05'00' David E. Bailey Date of JD: 11/19/2019 Expiration Date of JD: Not applicable SAW-2018-01859 NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND REQUEST FOR APPEAL A licant: NCDOT Environmental Analysis Unit (Attn: Michael Turch File Number: SAW-2018-01859 Date: 11/19/2019 Attached is: See Section below PROFFERED PERMIT Standard Permit or Letter of ermission A RED PERMIT Standard Permit or Letter of ermission B DENIAL LAPPROVED C JURISDICTIONAL DETERMINATION D INARY JURISDICTIONAL DETERMINATION E SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision. Additional information may be found at or http://www.usace.q=.mil/Missions/CivilWorks/Re ugulatoryProjzramandPermits.aspx or the Corps regulations at 33 CFR Part 331. A: INITIAL PROFFERED PERMIT: You may accept or object to the permit. • ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit. • OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the permit be modified accordingly. You must complete Section II of this form and return the form to the district engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in Section B below. B: PROFFERED PERMIT: You may accept or appeal the permit • ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit. • APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of this notice. C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of this notice. D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new information. • ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD. • APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the district engineer. This form must be received by the division engineer within 60 days of the date of this notice. SAW-2018-01859 E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed), by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the Corps to reevaluate the JD. SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or objections are addressed in the administrative record.) ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However, you may provide additional information to clarify the location of information that is already in the administrative record. POINT OF CONTACT FOR QUESTIONS OR INFORMATION: If you have questions regarding this decision and/or the If you only have questions regarding the appeal process you may appeal process you may contact: also contact: District Engineer, Wilmington Regulatory Division Mr. Phillip Shannin, Administrative Appeal Review Officer Attn: David E. Bailey CESAD-PDO Raleigh Regulatory Office U.S. Army Corps of Engineers, South Atlantic Division U.S Army Corps of Engineers 60 Forsyth Street, Room 1OM15 3331 Heritage Trade Drive, Suite 105 Atlanta, Georgia 30303-8801 Wake Forest, North Carolina 27587 Phone: (404) 562-5137 RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day notice of any site investigation, and will have the opportuni to participate in all site investi ations. Date: Telephone number: Signature of appellant or agent. For appeals on Initial Proffered Permits send this form to: District Engineer, Wilmington Regulatory Division, Attn: David E. Bailey, 69 Darlington Avenue, Wilmington, North Carolina 28403 For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to: Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Phillip Shannin, Administrative Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 10M15, Atlanta, Georgia 30303-8801 Phone: (404) 562-5137