20191604 Ver 1_USACE Permit_20200108

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2019-02250 County: Guilford U.S.G.S. Quad: NC -Guilford
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Permittee: City of High Point
Attn: Trevor Spencer, P.E.
Address: 816 East Green Drive
High Point, NC 27260
Size (acres) —17.16 Nearest Town Greensboro
Nearest Waterway UT to East Fork Deep River River Basin Cape Fear
USGS HUC 03030003 Coordinates 36.058044 N,-79.945961 W
Location description: The proiect area is located approximately 0.1 mile north of Piedmont Parkway, and approximately 0.1
mile west of Beechwood Drive, in High Point, Guilford County, North Carolina.
Description of projects area and activity: This verification authorizes the permanent discharge of dredged material (not a loss of
waters of the US) into 1.03 acre of open waters, as well as the temporary discharge of fill material into a total of 0.04 acre of
open waters, necessary to remove accumulated sediment from a City of High Point -maintained impoundment.
Applicable Law(s): ® Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: NWP 39. Commercial and Institutional Developments
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 11/19/2019, and the enclosed plans entitled "High Point Piedmont Parkway
Stormwater Ponds -- Impacts to Waters of the US and Randleman Riparian Buffers". "YDper Piedmont Lake Dredging and
Dam Maintenance" Sheets 1 through 6, as well as the letter and attachment from Mogenson Mitigation. Inc. dated 12/17/2019.
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 [phone]) 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 [phone] X 30or David.E.Bailey2(&usace.army.mil.
Corps Regulatory Official:
Date: 2020.01.0815:55:09
-05-00-
Date: 01/08/2020
Expiration Date of Verification: 03/18/2022

SAW-2019-02250
SPECIAL CONDITIONS
1. Per the letter and attachment from Mogenson Mitigation, Inc. dated 12/17/2019, sediment disposal
for the High Point Upper Piedmont Lake (Piedmont Parkway) dredging project will occur outside
of waters of the US at the City of High Point Kersey Valley Landfill (Solid Waste Management
Facility Permit No. 4104-MSWLF-1991).
Date: 2020.01.08
15:54:55-05'00'
Corps Regulatory Official:
Expiration Date of Verification: 03/18/2022
Date: 01/08/2020
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 hltp:Hcorpsmapu.usace.army.mil/cm_apex/Pp=136:4:0
Copy furnished:
Gerald Pottern, Mogensen Mitigation, Inc., 104 East Chestnut Ave, Wake Forest, NC 27587
Sue Homewood, NCDEQ-DWR, 450 W. Hanes Mill Rd, Suite 300, Winston-Salem, NC 27105

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No impacts to wetlands or streams. B-3 Randleman buffers: 2950 SF zone-1, 0 SF zone-2, temporary, cleared for construction access and replanted

UPPER PIEDMONT LAKE
DREDGING & DAM MAINTENANCE
PREPARED FOR
CITY OF HIGH POINT
HIGH POINT, NORTH CAROLINA
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PROJECT NO. 19C21002.00
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1. SURVEY DATA PROVIDED BY ALLIED ASSOCIATES, P.A. DATED APRIL 22, 2019,
THE HORIZONTAL DATUM IS NAD 83 (2011). THE VERTICAL DATUM IS AN
ADJUSTED NAVD 88. SEE SEALED SURVEY FOR INFORMATION.
2. CONCRETE MONUMENT FOUND ONSITE TO SET ELEVATIONS FOR PROJECT.
SEE SEALED SURVEY FOR DETAILED INFORMATION.
3. WETLAND AND JURISDICTIONAL WATERS DELINEATION PERFORMED BY
MOGENSEN MITIGATION, INC. ALL DELINEATIONS RECORDED BY ALLIED
ASSOCIATES_
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WATETZI.I;A)!' PROPERTY MANAGEMENT I.LC
TAX PIN 7824-01-9609
+ 1 \ DB_ 4609 PG. 1255
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EROSION CONTROL NARRATIVE
7. PLACE DREDGED MATERIAL DIRECTLY INTO HAUL TRUCKS AND DISPOSE OF THE
MATERIAL OFF -SITE IN ACCORDANCE WITH APPLICABLE LOCAL, STATE, AND FEDERAL
THE E&SC NARRATIVE INCLUDED BELOW IS BASED ON AN ASSUMED SEQUENCE OF
REGULATIONS. LOCATION OF OFF -SITE DISPOSAL AREA TO BE APPROVED BY THE
DREDGING PREPARED FOR PERMITTING PURPOSES. THE CONTRACTOR WILL BE
OWNER AND ENGINEER.
RESPONSIBLE FOR DETERMINING THE ACTUAL SEQUENCE OF DREDGING AND
SUBMITTING THEIR PLAN TO THE ENGINEER FOR APPROVAL PRIOR TO DREDGING. THE
8- PERFORM A MINIMUM OF TWO SURVEYS DURING DREDGING ACTIVITIES TO
CONTRACTOR WILL ALSO BE SOLELY RESPONSIBLE FOR CONTROL OF WATER AND
DETERMINE THE VOLUME OF MATERIAL REMOVAL.
STREAM DIVERSION DURING CONSTRUCTION,
9, ONCE DREDGING IS COMPLETE, REMOVE EQUIPMENT AND TEMPORARY CONTROL
1. VERIFY FIELD CONDITIONS AND OBTAIN REQUIRED EROSION AND SEDIMENT
OF WATER AND STREAM DIVERSION FEATURES FROM THE LAKE AND PERFORM A FINAL
CONTROL PERMIT BEFORE BEGINNING WORK.
SURVEY FOR APPROVAL BY THE ENGINEER-
2. FLAG LIMITS OF DISTURBANCE FOR APPROVAL BY ENGINEER BEFORE MOBILIZING
10. UPON APPROVAL BY THE ENGINEER, COORDINATE WITH THE CITY TO CLOSE THE
TO THE SITE.
16-INCH VALVE TO ALLOW PIEDMONT LAKE AND UPPER PIEDMONT LAKE TO RE -FILL IN A
CONTROLLED MANNER NOT EXCEEDING ONE FOOT PER DAY,
3. INSTALL ACCESS ROAD, AS NEEDED, TEMPORARY LAYDOWN AREA, AND
PERIMETER EROSION AND SEDIMENT CONTROL MEASURES. THIS INCLUDES A CHECK
11- REMOVE THE DOWNSTREAM TURBIDITY CURTAIN AFTER THE LAKES HAVE
DAM AT THE OUTLET OF THE SLUICE GATE SPILLWAY, AND A TURBIDITY CURTAIN THAT
REFILLED AND ANY TURBIDITY HAS SUBSIDED.
WOULD BLOCK TURBID WATER FROM FLOWING DOWNSTREAM TO PIEDMONT LAKE.
12 REMOVE AREA OF TEMPORARY ACCESS ROAD AS INDICATED ON PLAN-
4. CLEAR AND GRUB TREES AND BRUSH AND GRUB WITHIN 15-FT SETBACK OF DAM
AND APPURTENANT FEATURES AS SHOWN ON THE DRAWINGS.
13- PERMANENTLY PLANT AREAS AS SHOWN ON PLANS PER SPECIFICATION 32 9300
PLANTS.
5. COORDINATE WITH THE CITY TO LOWER PIEDMONT LAKE TO EL 800 THROUGH
THE PRINCIPAL INTAKE USING THE 16-INCH VALVE. THE DRAWDOWN MUST BE
14. PERMANENTLY SEED ANY DISTURBED AREAS ABOVE THE NORMAL LAKE WATER
PERFORMED IN A CONTROLLED MANNER NOT EXCEEDING A RATE OF ONE FOOT PER
SURFACE ELEVATION.
DAY. MAINTAIN THE SLUICE GATE AT UPPER PIEDMONT LAKE IN THE OPEN POSITION.
15 REMOVE REMAINING PERIMETER EROSION CONTROL EQUIPMENT AND SEDIMENT
6. REMOVE EXISTING SEDIMENT TO EXPOSE NATURAL SOILS IN THE LAKE AND TO
CONTROL BMPS TO BE REMOVED AFTER SITE HAS BEEN REESTABLISHED HEALTHY
THE TOP OF CONCRETE AT THE ENTRANCE TO AND WITHIN THE SLUICE GATE
GRASS VEGETATIVE COVER HAS BEEN RE-ESTABLISHED ON CLEARED AND GRUBBED
SPILLWAY. EXCAVATE DIVERSION DITCHES OFF INSTALL SIMILAR MEASURES, AS
DISTURBED AREAS.
NEEDED, TO PASS BASE FLOWS, MAINTAIN THE LAKE IN A DEWATERED CONDITION,
AND PROMOTE DEWATERING OF THE SEDIMENT.
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PROJECT:19C21002.00
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DRAWING NO.
C-03
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CITY OF HIGH POINT ISSM 2-17-08 SILTFENCEDUT.Q
NORTH CARD NA R"SMS STANDARD DRAWINC FOR
ENGD?TEERING SERVICES DEPARTMENT
APPROVED.. TEMPORARY TEMPORARY SILT FENCE WITH STONE OUTLET 600.01
FOR EROSION CONTROL �-
DfRECTOR ` SHEET 1 OF i
1 TEMPORARY SILT FENCE WITH STONE OUTLET DETAIL
NTS
DRIP L
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(FENCE
1. PLACE TREE PROTECTION ZONE (TPZ) BARRIERS TO PREVENT THE APPROACH OF EQUIPMENT WITHIN THE DRIP LINE OF TREES
TO BE RETAINED. TEMPORARY TREE PROTECTION FENCING SHOULD BE ERECTED BEFORE CLEARING, DELIVERIES AND OTHER
CONSTRUCTION ACTIVITIES BEGIN ON THE SITE.
2. PROHIBIT OR RESTRICT ACCESS TO TPZs. POST "KEEP OUT' SIGNS ON ALL SIDES OF FENCING. DO NOT PLACE EQUIPMENT,
CONSTRUCTION MATERIALS, TOPSOIL, OR FILL DIRT WITHIN THE TPZs.
3. DO NOT NAIL BOARDS TO TREES DURING BUILDING OPERATIONS.
4. MONITOR TPZs DURING ALL PHASES OF CONSTRUCTION.
5- DO NOT CUT TREE ROOTS INSIDE THE TREE DRIP LINE. IF A TREE MARKED FOR PRESERVATION IS DAMAGED, REMOVE IT AND
REPLACE IT WITH A TREE OF THE SAME OR SIMILAR SPECIES, 2-IN CALIPER OR LARGER, FROM BALLED AND BURLAPED NURSERY
STOCK WHEN ACTIVITY IN THE AREA IS COMPLETE.
6. OPTIMIZE TREE HEALTH FOR ALL TREE WITHIN TPZs. ASSIGN A TRAINED CREWMEMBER OR HIRE A PROFESSIONAL TO COMPLETE
REGULAR TREE MAINTENANCE TASKS, INCLUDING WATERING, FERTILIZATION, AND MULCHING TO PROTECT TREE ROOTS.
CONSULT A TREE PROFESSIONAL FOR ADVICE ON THESE PRACTICES IF NEEDED. DO NOT CHANGE THE SOIL, GRADE, DRAINAGE,
OR ACTION WITHOUT PROTECTING TREES THAT ARE TO BE KEPT.
7- ONCE PROJECT IS COMPLETED, TREE PROTECTION FENCING SHOULD BE LEFT UNTIL EROSION & SEDIMENT CONTROLS ARE
REMOVED- WHEN TPZ FENCING IS BEING REMOVED, PRUNE ANY DAMAGED -FREES AND REPAIR ANY ROOTS THAT MIGHT HAVE
BEEN HARMED.
TREE PROTECTION FENCING
NTS
CONSTRUCTION:
1. CLEAR THE ENTRANCE AND EXIT AREA OF ALL VEGETATION, ROOTS, AND OTHER OBJECTIONABLE MATERIAL AND GRADE
PROPERLY.
2. PLACE FILTER FABRIC OVER CLEARED AREA.
3. PLACE WASH STONE TO THE SPECIFIC GRADE AND DIMENSIONS SHOWN ON THE PLANS AND SMOOTH IT,
4, PROVIDE DRAINAGE TO CARRY WATER TO A SUITABLE OUTLET.
MAINTENANCE:
1 MAINTAIN THE STONE PAD IN A CONDITION TO PREVENT MUD OR SEDIMENT FROM LEAVING THE CONSTRUCTION SITE.
THIS MAY REQUIRE PERIODIC TOPDRESSING WITH 2-INCH STONE.
2. AFTER EACH RAINFALL, INSPECT ANY STRUCTURE USED TO TRAP SEDIMENT AND CLEAN IT OUT AS NECESSARY.
3. IMMEDIATELY REMOVE ALL OBJECTIONABLE MATERIALS SPILLED, WASHED, OR TRACKED ONTO PUBLIC ROADWAYS.
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FILTER FABRIC
CROSS SECTION
CLASS B RIPRAP
CONSTRUCTION:
1, PLACE STONE TO THE LINES AND DIMENSIONS SHOWN IN THE PLAN ON A FILTER FABRIC FOUNDATION.
2. KEEP THE CENTER STONE SECTION AT LEAST 9 INCHES BELOW NATURAL GROUND LEVEL WHERE THE DAM ABUTS THE CHANNEL BANKS.
3. KEY THE STONE INTO THE DITCH BANKS AND EXTEND STONE AT LEAST 1.5 FEET BEYOND THE DITCH BANK TO KEEP WATER FROM CUTTING
THE ENDS
F THE CHECK DAM.
4. SET AROUND SPACING BETTWOEN DAMS TO ASSURE THAT THE ELEVATION AT THE TOP OF THE LOWER DAM IS THE SAME AS THE TOE ELEVATION OF
THE UPPER DAM. eP
5. VERIFY THAT THE CHANNEL REACH ABOVE THE MOST UPSTREAM DAM IS STABLE. A��G
6. ENSURE THAT OTHER AREAS OF THE CHANNEL, SUCH AS CULVERT ENTRANCES BELOW THE CHECK DAMS, ARE NOT SUBJECT TO DAMAGE
OR BLOCKAGE FROM DISPLACED STONES,
MAINTENANCE:
1. INSPECT CHECK DAMS AND CHANNELS WEEKLY AND AFTER EACH SIGNIFICANT (112 INCH OR GREATER) RAINFALL EVENT AND REPAIR
IMMEDIATELY.
2. CLEAN OUT SEDIMENT, STRAW, LIMBS OR OTHER DEBRIS THAT COULD CLOG THE CHANNEL AS REQUIRED.
3. ANTICIPATE SUBMERGENCE AND DEPOSITION ABOVE THE CHECK DAM AND EROSION FROM HIGH FLOWS AROUND THE EDGES OF THE DAM_
CORRECT ALL DAMAGES IMMEDIATELY.
4. REMOVE SEDIMENT ACCUMULATED BEHIND THE DAMS AS NEEDED TO PREVENT DAMAGE TO CHANNEL VEGETATION, ALLOW THE CHANNEL
TO DRAIN THROUGH THE STONE CHECK DAM, AND PREVENT LARGE FLOWS FROM CARRYING SEDIMENT OVER THE DAM- ADD STONES TO
THE DAM AS NEEDED TO MAINTAIN DESIGN HEIGHT AND CROSS SECTION.
3 CHECK DAM
NTS
REQUIREMENTS:
COARSE AGGREGATE: 2-3 INCH WASHED STONE
MINIMUM THICKNESS: 6 INCHES
MINIMUM LENGTH: 50 FEET
MINIMUM WIDTH: 25 FEET
GEOTEXTILE- REQUIRED TO SEPARATE COARSE
AGGREGATE FROM SUBGRADE
50' MIN.
6" MIN.
THICKNESS
2-3"
WASHED STONE
CONSTRUCTION ENTRANCE DETAIL
NTS
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1. BARRIERS SHOULD BE A BRIGHT COLOR (YELLOW OR "INTERNATIONAL" ORANGE ARE RECOMMENDED) THAT
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6. EXTERNAL ANCHORS MAY CONSIST OF WOOD OR METAL STAKES (2-X4-INCH OR 2 Y2-INCH MINIMUM
DIAMETER WOOD OR 1.33 POUNDS/ LINEAR FOOT STEEL).
MAINTENANCE.
1. THE CONTRACTOR SHALL BE RESPONSIBLE FOR MAINTENANCE OF THE TURBIDITY CURTAIN FOR THE
DURATION OF THE PROJECT IN ORDER TO ENSURE THE CONTINUOUS PROTECTION OF THE WATERCOURSE.
2. SHOULD REPAIRS TO GEOTEXTILE FABRIC BE NECESSARY, REPAIR KITS ARE NORMALLY AVAILABLE FROM
THE MANUFACTURER. MANUFACTURER'S INSTRUCTIONS MUST BE FOLLOWED TO ENSURE THE ADEQUACY
OF THE REPAIR.
3- WHEN THE CURTAIN IS NO LONGER REQUIRED AS DETERMINED BY THE ENGINEER OR OWNER, THE CURTAIN
AND RELATED COMPONENTS SHALL BE REMOVED IN SUCH A MANNER AS TO MINIMIZE TURBIDITY.
REMAINING SEDIMENT SHALL BE SUFFICIENTLY SETTLED BEFORE REMOVING THE CURTAIN. SEDIMENT MAY
BE REMOVED AND THE ORIGINAL DEPTH (OR PLAN ELEVATION) RESTORED. ANY SI�OILS MUST BE DISPOSED
OF IN THE PERMANENT DISPOSAL AREA.
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NTS
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a PROJECT:19C21002.00
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DATE: OCTOBER 2019
DRAWING NO.
C-04
v
SHEET
50F6

GENERAL SEEDING NOTES:
1. IF WORK IN DISTURBED AREAS STOPS FOR MORE THAN 21 WORKING DAYS, TEMPORARY
SEEDING SHALL BE APPLIED TO STABILIZE THE AREA.
2. COMPLETE GRADING BEFORE PREPARING SEEDBEDS, AND INSTALL ALL NECESSARY
EROSION CONTROL PRACTICES SUCH AS, DIKES, WATERWAYS, AND BASINS. MINIMIZE STEEP
SLOPES BECAUSE THEY MAKE SEEDBED PREPARATION DIFFICULT AND INCREASE THE
EROSION HAZARD. IF SOILS BECOME COMPACTED DURING GRADING, LOOSEN THEM TO A
DEPTH OF 6-8 INCHES USING A RIPPER, HARROW OR CHISEL PLOW.
3. TILL OR DISC THE PREPARED AREAS TO BE SEEDED TO A MINIMUM DEPTH OF FOUR (4)
INCHES. REMOVE ALL STONES LARGER THAN THREE (3) INCHES ON ANY SIDE, STICKS,
ROOTS, AND OTHER EXTRANEOUS MATERIALS AT THE SURFACE DURING THE BED
PREPARATION.
4. RECOMPACT THE AREA USING A CULTIPACKER ROLLER. THE FINISHED GRADE SHALL BE A
SMOOTH, EVEN SOIL SURFACE WITH A LOOSE, UNIFORMLY FINE TEXTURE. ALL RIDGES AND
DEPRESSIONS SHALL BE REMOVED AND FILLED TO PROVIDE THE APPROVED SURFACE
DRAINAGE. SEEDING OF GRADED AREAS IS TO BE DONE IMMEDIATELY AFTER FINISHED
GRADES ARE OBTAINED AND SEEDBED PREPARATION IS COMPLETED
5. REFERTILIZE IF GROWTH IS NOT FULLY ADEQUATE. RESEED, REFERTILIZE AND MULCH
IMMEDIATELY FOLLOWING EROSION CONTROL DAMAGE.
TEMPORARY SEEDING:
LIME: BASED ON SOIL TEST OR 1 TO 1.5 TONS/ACRE ON COARSE TEXTURED SOILS OR 2-3 TONS ON
FINE -TEXTURED SOILS. APPLY LIMESTONE UNIFORMLY AND INCORPORATE INTO THE TOP 4-6
INCHES OF SOIL. SOILS WITH A PH OF 6 OR HIGHER NEED NOT BE LIMED.
FERTILIZER: BASED ON SOIL TESTS. APPLY 10-10-10 GRADE FERTILIZER AT 700-1000 LBS/ACRE AND
INCORPORATE INTO THE TOP 4-6 INCHES OF SOIL. IF A HYDRAULIC SEEDER IS USED, DO NOT MIX
SEED AND FERTILIZER MORE THAN 30 MINUTES BEFORE APPLICATION.
MULCH: MULCH SHALL BE CLEAN STRAW AT 4000LBS/ACRE STRAW. ANCHORED WITH TACKING
AGENT APPROVED BY CONTRACTOR. APPROVED METHODS ARE ASPHALT, NETTING, OR A MULCH
ANCHORING TOOL. A DISK WITH BLADES SET NEARLY STRAIGHT CAN BE USED AS AN ANCHORING
TOOL.
LATE WINTER AND EARLY SPRING DATES: SEED TYPES: SEEDING
RATE:
MOUNTAINS (> 2500 FT) FEB 15-MAY 15 RYE GRAIN 120 LBS/AC
MOUNTAINS (< 2500 FT) FEB 1-MAY 1 ANNUAL LESPEDEZA 50 LBSIAC
PIEDMONT JAN 1 -MAY 1
COASTAL PLAIN DEC 1-APR 15
SUMMER
DATES:
SEED TYPES:
SEEDING
RATE:
MOUNTAINS
MAY 15-AUG 15
GERMAN MILLET
40 LBSIAC
PIEDMONT
MAY 1-AUG 15
COASTAL PLAIN
APR 15-AUG 15
FALL
DATES:
SEED TYPES:
SEEDING
RATE:
MOUNTAINS
AUG 15 - DEC 15
RYE (GRAIN)
120 LBSIAC
PIEDMONT
AUG 15 - DEC 30
COASTAL PLAIN
AUG 15 - DEC 30
MAINTENANCE
RESEED AND MULCH AREAS WHERE SEEDLING EMERGENCE IS POOR, OR WHERE EROSION
OCCURS, AS SOON AS POSSIBLE. DO NOT MOW. PROTECT FROM TRAFFIC AS MUCH AS POSSIBLE.
PERMANENT SEEDING:
PREPARATION FOR PRIMARY/PERMANENT STABILIZATION SHALL NOT BEGIN UNTIL ALL
CONSTRUCTION AND UTILITY WORK WITHIN THE PREPARATION AREA IS COMPLETE.
NORTH CAROLINA DEPARTMENT OF AGRICULTURE SOILS TEST (OR EQUAL SEE ENGINEER)
SHALL BE OBTAINED FOR ALL AREAS TO BE SEEDED, SPRIGGED, SODDED OR PLANTED.
TILL OR DISC THE PREPARED AREAS TO BE SEEDED TO A MINIMUM DEPTH OF 4 INCHES.
REMOVE ALL STONES LARGER THAN THREE INCHES ON ANY SIDE, STICKS, ROOTS AND
OTHER EXTRANEOUS MATERIALS THAT SURFACE. IF NOT INCORPORATED DURING THE SOIL
PREPARATION PROCESS, ADD pH MODIFIER AND FERITLIZERS AT THE RATE SPECIF
LIME: BASED ON SOIL TEST OR 1 TO 1.5 TONS/ACRE ON COARSE TEXTURED SOILS OR 2-3
TONS ON FINE -TEXTURED SOILS. APPLY LIMESTONE UNIFORMLY AND INCORPORATE INTO
THE TOP 4-6 INCHES OF SOIL. SOILS WITH A pH OF 6 OR HIGHER NEED NOT BE LIMED.
FERTILIZER: BASED ON SOIL TESTS. APPLY 10-10-10 GRADE FERTILIZER AT 700-1000
LBS/ACRE AND INCORPORATE INTO THE TOP 4-6 INCHES OF SOIL IF A HYDRAULIC SEEDER
1S USED, DO NOT MIX SEED AND FERTILIZER MORE THAN 30 MINUTES BEFORE APPLICATION.
SEEDING MIXTURE:
SEED TYPES: SEEDING RATES:
TALL FESCUE 100 LBSIAC
RYE GRAIN 40 LBSIAC
MULCH AND MATTING:
TYPE AND RATE OF MULCH: CLEAN STRAW AT 4000 LBS/ACRE STRAW.
METHOD OF ANCHORING:
ANCHORED WITH TACKING AGENT APPROVED BY CONTRACTOR. APPROVED METHODS
ARE ASPHALT, NETTING, OR A MULCH ANCHORING TOOL. A DISK WITH BLADES SET
NEARLY STRAIGHT CAN BE USED AS AN ANCHORING TOOL.
SEEDING REQUIREMENTS
1
14-FT (MIN)
6-IN MIN I
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TENCATE MIRAFI HP370
OR APPROVED EQUAL
MAINTENANCE:
1. SEED AND MULCH DIVERSICN BERM IMMEDIATELY AFTER CONSTRUCTION.
2. INSPECT DIVERSION BERM AND OUTLETS ONCE A WEEK AND AFTER EVERY RAINFALL. REPAIR AS NEEDED.
3. WHEN THE AREA PROTECTED IS PERMANENTLY STABILIZED, REMOVE THE BERM TO BLEND WITH THE
NATURAL GROUND LEVEL AND APPROPRIATELY STABILIZE IT.
NOTES: COMPACTED EARTH
1. GRUBBING AND STRIPPING OF TOPSOIL IS NOT REQUIRED. EXISTING GRADE
2. PLACE GEOTEXTILE AS SEPARATION LAYER BETWEEN NCDOT ABC STONE AND SOIL _
SUB -GRADE.
3. PLACE AND COMPACT NCDOT ABC STONE AND MAINTAIN THROUGHOUT CLEARING
OPERATIONS.
2 ACCESS ROAD SECTION TYPICAL
NTS
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LAKE f
SOIL CLASSIFICATIONS
n a° LOD_UPDATED
�Jk GuilfordSoilComponenf
Compname
- pre`,n'anfA Appling
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Cecil
Chewacla
I Enon
L �' ft Madison
a � -
ar
Mecklenburg
l Vance
Water
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r � Wilkes
o Source: Guilford County GIS
g 300 150 0 300
Projection: NAD 1983 StatePlane North Carolina FIPS 3200 Feet Feet
Scale: 1:3,600
u SEDIMENT SAMPLING
Schnabel UPPER PIEDMONT LAKE, HIGH POINT SOIL MAP
_ N G I N E E R ING GUILFORD COUNTY, NORTH CAROLINA
v PROJECT NO. 19C21002.00 FIGURE 11
n
3 NRCS SOILS MAP
AS SHOWN
© Schnabel Engineering, 2019 All Rights Reserved
�1.00'�
I
EXISTING GRADE
SLOPE
r—
NOTE
2' MIN. DIVERSION BERM TO BE
USED WITHIN THE LAKE TO
DIRECT BASEFLOW FROM
CREEKS AS NECESSARY.
� DIVERSION BERM
NTS
GROUND STABILIZATION TIMELINE REQUIREMENTS
SITE AREA DESCRIPTION
STABILIZATION
STABILIZATION TIME FRAME EXCEPTIONS
TIME FRAME
PERIMETER DIKES, SWALES, DITCHES
7 DAYS
NONE
AND SLOPES
HIGH QUALITY WATER (HQW) ZONES
7 DAYS
NONE
SLOPES STEEPER THAN 3:1
7 DAYS
IF SLOPES ARE 10-FT OR LESS IN LENGTH AND ARE NOT STEEPER THAN 2:1,
14 DAYS IS ALLOWED.
SLOPES 3:1 OR FLATTER
14 DAYS
7-DAYS FOR SLOPES GREATER THAN 50 FEET IN LENGTH
ALL OTHER AREAS WITH SLOPES
14 DAYS
NONE (EXCEPT FOR PERIMETERS AND HQW ZONES)
FLATTER THAN 4:1
THIS CHART WAS INTERPRETED FROM STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND
NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT- NCG 010000. PERSON(S) RESPONSIBLE
FOR EROSION CONTROL WILL REFER TO GENERAL PERMIT- NCG 01000.
PROJECT EXTENTS TOTAL AREA 2.28 AC
SUMMARY OF DISTURBED AREAS
AREA
AREA (AC)
CLEARING &GRUBBING
0.10
DREDGING AREAS
1.03
ACCESS ROADS
0.33
TOTAL
1.46
NOTIFICATION OF LAND RESOURCES SEDIMENT
AND EROSION CONTROL SELF -INSPECTION PROGRAM:
THE SEDIMENTATION POLLUTION CONTROL ACT WAS AMENDED IN 2006 TO REQUIRE THAT PERSONS RESPONSIBLE FOR
LAND -DISTURBING ACTIVITIES INSPECT A PROJECT AFTER EACH PHASE OF THE PROJECT TO MAKE SURE THAT THE
APPROVED EROSION AND SEDIMENTATION CONTROL PLAN IS BEING FOLLOWED. RULES DETAILING THE DOCUMENTATION
OF THESE INSPECTIONS TOOK EFFECT OCTOBER 1, 2010. THE SELF -INSPECTION PROGRAM IS SEPARATE FROM THE
WEEKLY SELF -MONITORING PROGRAM OF THE NPDES STORMWATER PERMIT FOR CONSTRUCTION ACTIVITIES. THE
FOCUS OF THE SELF -INSPECTION REPORT IS THE INSTALLATION AND MAINTENANCE OF EROSION AND SEDIMENTATION
CONTROL MEASURES ACCORDING TO THE APPROVED PLAN. THE CONTRACTOR SHALL CONDUCT THE INSPECTIONS
AFTER EACH PHASE OF THE PROJECT, AND THE CONTRACTOR SHALL CONTINUE TO CONDUCT THE INSPECTIONS UNTIL
PERMANENT GROUND COVER IS ESTABLISHED IN ACCORDANCE WITH NCGS 113A-54.1 AND 15A NCAC 4B.0131, THE
SELF -INSPECTION REPORT FORM IS AVAILABLE FROM
HTTPS://DEQ. NC.GOV/ABOUT/DIVISIONS,fENERGY-MINERAL-LAND-RESOURCES/EROSION-SEDIMENT-CONTROL/FORMS
IF YOU HAVE QUESTIONS OR CANNOT ACCESS THE FORM, PLEASE CONTACT THIS OFFICE AT [phone]
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PROJECT:19C21002.00
DATE: OCTOBER 2019
d
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DRAWING NO.
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C-05
SHEET
60F6

MOGENSEN MITIGATION, INC.
ENVIRONMENTAL CONSULTING
MMI RALEIGH OFFICE (was Robert J. Goldstein & Associates)
104 East Chestnut Avenue
Wake Forest, NC 27587
Tel: [phone] [e-mail]
17 December 2019
David E. Bailey, PWS
Regulatory Project Manager
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Subject: High Point Upper Piedmont Lake, Guilford Co -- JD Request
Dear Dave:
NM
MOGENSEN MITIGATION. INC
MMI MAIN OFFICE -- CHARLOTTE
P.O. Box 690429, Charlotte, NC 28227
Tel: [phone] [e-mail]
On December 11 you requested that we provide further information on a sediment disposal site
for the High Point Upper Piedmont Lake (Piedmont Parkway) dredging project, for which we
submitted a JD Request and PCN on November 19, 2019.
The City of High Point (applicant) plans to use their Kersey Valley Landfill as the disposal site. The
site is located at 3940 Kivett Dr, Jamestown, in Guilford County approximately four miles east of
downtown High Point and seven miles SSE of the dredging site. A Google Earth image of the site is
provided below (35.9553,-79.9280), and the City's landfill permit is attached as a separate pdf.
Let me know if you need any further information.
Sincerely,
Gerald Pottern, M.S.
Senior Biologist
MOGENSEN MITIGATION, INC.
Richard K. Mogensen, President
PO Box 690429, Charlotte, NC 28227
[e-mail] [phone]
MMI-RJGA Raleigh
104 East Chestnut Avenue
Wake Forest, NC 27587 Tel: [phone]
[e-mail]
NEPA & SEPA Environmental Impact Reports ■ Jurisdictional Wetland & Stream Buffer Delineations ■ Section 404-401 Permitting ■ Endangered & Threatened Species
Surveys ■ Federal & State Environmental Agency Consultation ■ Stream & Wetland Restoration & Mitigation Planning ■ Mitigation Banking & Monitoring ■ GPS &
GIS Mapping ■ Water Quality & Stream Flow Studies ■ Phase 1 Risk Assessments ■ Lake & Watershed Management ■ Conservation Planning ■ Parks & Greenways
■ Water Supply, Wastewater & Stormwater Utilities ■ Electric & Gas Transmission Lines ■ Ponds, Lakes & Dams ■ Residential & Commercial Site Development

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SAW-2019-02250
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 DATE. Action ID: FILE NUMBER.
Basis For Determination: See the preliminary jurisdictional determination form dated 01/08/2020.
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 10M15
Atlanta, Georgia 30303-8801
Phone: [phone]
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.**
Corps Regulatory Official
Date:2020.01.08 15:54:06
-05'00'
David E. Bailey
Date of JD: 01/08/2020 Expiration Date of JD: Not applicable

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: City of Hi h Point, Attn: Trevor S encer P.E. File Number: SAW-2019-02250 Date: 01/08/2020
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 ugulatoryProgramandPermits.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.
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 10M15
3331 Heritage Trade Drive, Suite 105
Atlanta, Georgia 30303-8801
Wake Forest, North Carolina 27587
Phone: [phone]
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 1OM15, Atlanta, Georgia 30303-8801
Phone: [phone]

Action ID Number: SAW-2019-02250 County: Guilford
Permittee: City of High Point, Attn: Trevor Spencer, P.E.
Project Name: Upper Piedmont Lake Dredging and Dam Maintenance / City of High Point / 4239
Piedmont Parkway / Guilford County / institutional
Date Verification Issued: 01/08/2020
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
[e-mail]
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

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 1/8/2020
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Gerald Pottern, 104 E.Chestnut Ave, Wake Forest NC 27587
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
SAW-2019-02250 (Upper Piedmont Lake Dredging and Dam Maintenance / City of High Point / 4239 Piedmont
Parkway / Greensboro / Guilford County / institutional)
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Guilford City: High Point
Center coordinates of site (lat/long in degree decimal format):
Lat.:36.0578 Long.:-79.9461
Universal Transverse Mercator:
Name of nearest waterbody: UT East Fork Deep Rover
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
x❑ Office (Desk) Determination. Date: 12/11/2019
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 10/404)
WG
36.05791000
-79.94581000
0.66 ACRE
Wetland
Section 404
WC
36.05859000
-79.94566000
0.04 ACRE
Wetland
Section 404
WB
36.05866000
-79.94529000
0.29 ACRE
Wetland
Section 404
WA
36.05813000
-79.94510000
0.06 ACRE
Wetland
Section 404
WD
36.05793000
-79.94584000
0.01 ACRE
Wetland
Section 404
WF
36.05747000
-79.94608000
0.16 ACRE
Wetland
Section 404
WE
36.05755000
-79.94643000
0.03 ACRE
Wetland
Section 404
OA
36.05815000
-79.94576000
1.2 ACRE
Wetland
Section 404
OB
36.05757000
-79.94626000
0.27 ACRE
Wetland
Section 404
SA 36.05808000-79.94463000 370 FOOT Non wetland Section 404

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

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
❑■ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: Prelim JD features from July 2019 delineation
❑■ Data sheets prepared/submitted by or on behalf of the PJD requestor.
x❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas: HUC # 03030003-0102
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
❑■ U.S. Geological Survey map(s). Cite scale & quad name:
Guilford Quad
❑■ Natural Resources Conservation Service Soil Survey. Citation: Guilford Co. 1977, Sheet 26
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
❑■ FEMA/FIRM maps: FEMA FIRM Panel
❑ 100-year Floodplain Elevation is: 811.4 ft
❑■ Photographs: ❑■ Aerial (Name & Date): _
or ❑ Other (Name & Date):
# 7824
.(National Geodetic Vertical Datum of 1929)
Google Earth Date: Oct 2016
❑ Previous determination(s). File no. and date of response letter:
❑x Other information (please specify): LiDAR (NC Floodmaps)
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
v Date: 2020.01.08
15:52:03-05'00'
Signature and date of
Regulatory staff member
completing PJD
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
' Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

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