20191652 Ver 1_USACE Permit_20200224

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2018-02095 County: Guilford U.S.G.S. Quad: NC-Kernersville
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Permittee: Clayton Properties Group, Inc.
Attn: Brian Shugart
Address: 221 Jonestown Road
Winston-Salem, NC 27104
Size (acres) —45 Nearest Town High Point
Nearest Waterway UT to West fork Deep River River Basin Cape Fear
USGS HUC 03030003 Coordinates 36.038129,-80.032263
Location description: The project area is located on the north side of the existing Meadow Valley residential subdivision, just
north of the intersection of Basswood Avenue and Saint Johns Street, in High Point, Guilford County, North Carolina.
Description of projects area and activity: This verification authorizes the permanent discharge of fill material into 175 linear feet
of stream channel (145 linear feet are a loss of waters of the US from culvert fill. 30 linear feet are associated with rip rap
dissipater pads) and 0.241 acre of riparian non-riverine wetlands, and the temporary discharge of fill material into 51 linear
feet of stream channel and 0.026 acre of riparian non-riverine wetlands, necessary for the installation of two road crossings.
This verification also authorizes the temporary discharge of dredged material into 34 linear feet of stream channel, for sewer
construction access and installation. These impacts are necessary for installation of access and infrastructure for additional
bases of the Meadow Valley subdivision.
Applicable Law(s): ® Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: NWP 29. Residential 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 1/8/2020, and additional information submitted via email on 1/9/2020, 1/28/2020,
and 2/21/2020, and the enclosed plans Figures 1 through 7. 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 (LAMA), 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(a,usace.army.mil.
Corps Regulatory Official:
Date: 2020.02.24 09:38:43-05'00'
Date: 02/24/2020
Expiration Date of Verification: 03/18/2022

SAW-2018-02095
SPECIAL CONDITIONS
1. 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. Following installation of the culverts, areas of temporary stream and wetland impact will be
restored to pre -construction grade and contour. Stream banks in authorized temporary stream
impact areas must be matted and seeded/live staked with native species. Wetlands in authorized
temporary wetland impact areas must be planted with a native herbaceous seed mix.
3. Please note that future impacts and/or phases of the Meadow Valley development project and
related activities associated with Corps Action ID: SAW-2018/-02095 will be considered part of a
single and complete project; these impacts will be considered cumulative with impacts permitted
during earlier phases regarding compensatory mitigation and Nationwide Permit thresholds.
Current cumulative impacts to aquatic resources for this single and complete project include
permanent impacts to 175 linear feet of stream channel (145 linear feet [0.024 acre] of which are
considered a loss) and 0.241 acre of wetlands. This amounts to a total loss of potential waters of
the US of 145 linear feet of stream channel and 0.241 acre of wetlands, or 0.265 acre of total
waters of the US.
/ Date: 2020.02.24
09:38:26-05'00'
Corps Regulatory Official:
Expiration Date of Verification: 3/18/2022
Date: 02/24/2020
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 http:Hcolpsmapu.usace.g.M.mil/cm_apex/Vp=136:4:0.
Copy furnished:
Brad Luckey, Pilot Environmental, Inc. P.O. Box 128, Kernersville, NC 27285
Sue Homewood, NCDEQ-DWR, 450 W. Hanes Mill Rd, Suite 300, Winston-Salem, NC 27105

Compensatory Mitigation Responsibility Transfer Form
Permittee: Clayton Properties Group, Inc. (Attn: Brian Shugart) Action ID: SAW-2018-02095
Project Name: Meadow Valley additional phases / Basswood Avenue / High Point / Guilford County County: Guilford
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: 03030003, Cape Fear River Basin
Stream Impacts (linear feet)
Wetland Impacts (acres)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
0.241
*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: 03030003, Cape Fear River Basin
Stream Mitigation (credits)
Wetland Mitigation (credits)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
0.482
Mitigation Site Debited: NCDMS
(List the name of the bank to be debited. For umbrella banks, also list the specific site.
acceptance letter identifies a specific site, also list the specific site to be debited).
For NCDMS, list NCDMS. If the NCDMS
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 11/25/2019 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) the Permittee, 2) the USACE
Project Manager at the address below, and 3) the Wilmington District Mitigation Office, Attn: Todd Tugwell, 11405 Falls
of Neuse Road, Wake Forest, NC 27587 (email: [e-mail]. 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: [e-mail]
Date: 2020.02.24
09:38:13-05'00'
USACE Project Manager Signature
02/24/2020
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.mi

NOTE
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Figure 1.
1. WETLANDS AND STREAM VERIFIED BY PILOT
ENVIRONMENTAL INC. WITH USACE AND NCDEQ-DWR ON
JULY 10, 2019. GREEN MOUNTIAN ENGINEERING, PLLC.
FIELD LOCATED THE VERIFIED WETLAND AND STREAM
FLAGS PLACED BY PILOT ENVIRONMENTAL INC.
2.
115 LF CULVERT IMPACT
30 LF RIP RAP IMPACT, TO BE 3
KEYED INTO BED AND BANK.
30 LF STORM PIPE CROSSING
TEMPORARY IMPACTS
85 LF COFFER DAM IMPACTS
� Ave
Rom)
LIFT STATION FORCEMAIN
CONNECTS TO EXISTING
SEWER IN BASSWOOD
AVE AND FLOWS NORTH
THIS DEVELOPMENT HAS BEEN ACCEPTED BY THE CITY
OF HIGH POINT AS A HIGH DENSITY STORMWATER
PROJECT, WITH WET DETENTION PONDS AS STORMWATER
MANAGEMENT DEVICES FOR RANDLEMAN LAKE BUFFER
RULES.
STORMWATER PONDS "A" & "B" PERMITTED AND
CONSTRUCTED IN 2007.
og �tD
0' 100' 200' 400'
SCALE- 1' = 200'
DEVELOPER:
CLAYTON PROPERTIES GROUP, INC
[dba:SHUGART HOMES]
221 JONESTOWN ROAD
WINSTON—SALEM, NC 27104
CONTACT: GREG GARRETf
PH: 336.765.9661
GREEN MOUNTAIN
ENGINEERING, PLLC
7A WENDY CT
GREENSBORO, NC 27409
Tel. [phone]
CERTIFICATE NO. P-0826
www.greenmountainengineers.com
STREAM 1 WETLAND
IMPACT MAP
MEADOW VALLEY
SUBDIVISION

L.
FEN\AROMMENTAL
PERENNIAL STREAM/ WETLAND IMPACT MAP
TLANDS AND STREAM VERIFIED BY PILOT MEADOW VALLEY SUBDIVISION
INC. WITH USACE AND NCDEQ—DWR ON
Y 1p, 2d1s. GREEN MDUNTIAN ENGINEERING, PLLc.CRQSS[NG "A"LD LOCATED THE VERIFIED WETLAND AND STREAM p
FLAGS PLACED BY PILOT ENVIRONMENTAL INC.
2. THIS DEVELOPMENT HAS BEEN ACCEPTED BY THE CITY
OF HIGH POINT AS A HIGH DENSITY STORMWATER
PROJECT, WITH WET DETENTION PONDS AS STORMWATER
MANAGEMENT DEVICES FOR RANDLEMAN LAKE BUFFER
RULES. RIP —RAP
KEYED INTO
BANK
I hTEMPORARYIMPACT
35 LF STREAM COFFER DAM
I I / CENTERLINE
/ STREAM
LINEAR
STREAM
IMPACT _
a za 4U $o
CENTERLINE
STIR SCALE- 4' = 40'
IMPACT
EXISTING PERENNIAL
STREAM INVERT: 956.95
PIPE INVERT: 956.45
ZONE
IMPACT
LINEAR STREAM
WETLAND
f
DEVELOPER:
CLAYTON PROPERTIES GROUP. INC
(dbn:SHUGART HOMES)
221 JONESTOWN ROAD
VANSTON—SALEM, NC 27104
OONTACT MEG GARRETT
PH: tM.765.9661
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GREENSBORO, NC 27409
Tel: [phone]
CERTIFICATE N.O. P-0826
www. greenmountainengi neer5.com

SCALE
Figure 3.
HORIZ. SCALE: 1" =
40'
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80'
II
6'
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w 2'
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KEYED INTO
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GREEN MOUNTAIN
T143 STREAM/ WETLAND PERENNIALS
ENGINEERING, PLLC
DEVELOPER:
IMPACT M A P
7A WENDY CT
CLAYTON PROPERTIES GROUP, INC
[dba:SHUCART HOMES]
GREEN5B0R0, NC 21404
221 JONESTOYM ROAD
MEADOW VALLEY
Tef: 336.294.9394
VANSTON—SALEM. NC 27104
CERTIFICATE NO. P•0826
CONTACT: GREGGARRErr
PH: 338.765.965.9881
SUBDIVISION www.greenmauntainengineers.cam

NOTE INTERMITTENT STREAM/ WETLAND IMPACT MAP Figure 4.
1. WETLANDS AND STREAM VERIFIED BY PILOT MEADOW VALLEY SUBDIVISION
ENVIRONMENTAL INC. WITH USAGE AND NCDEQ—DWR ON i �-+
JULY 10, 2019. GREEN MOUNTIAN ENGINEERING, PLLC. CROSSI N� ��B��
FIELD LOCATED THE VERIFlED WETLAND AND STREAM
FLAGS PLACED BY PILOT ENVIRONMENTAL INC.
2. THIS DEVELOPMENT HAS BEEN ACCEPTED BY THE CITY
OF HIGH POINT AS A HIGH DENSITY STORMWATER
PROJECT, WITH WET DETENTION PONDS AS STORMWATER
MANAGEMENT DEVICES FOR RANDLEMAN LAKE BUFFER
RULES.\n _
P "I C- 111 2n J
CENTERLINE _
STREAM
A A
cojv
0 R.
IMPACT
LINEAR STREAM
WETLAND IMPACT
LOCATION
TYPE
IMPACT
ZONE
ID
(FEET)
(SQUARE FEET)
1
STORM CROSSING
30
0
2
TEMP. PUMP
i fi
O
AROUND IMPACT
-- ¢n�0 M
alAl
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IL
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30 LF ROADWAY IMPACT
! 16 LF TEMPORARY OFFER DAM
CENTERLINE _ IMPACT
STREAM r
0' 10' 20' 40'
SCALE: 1' = 20'
DEVELOPER:
CLAYTON PROPERTIES GROUP, INC
(&a: SHUGART HOMES)
221 JONESTOWN ROAD
VANSTON-SALEM. NC 27104
CONTACT: GREG GARRETT
Plf: 336.755.9661
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55� ,r
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n - -
IIflf,fli 111111111;0 1 �J
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GREEN MOUNTAIN
ENGINEERING, PLLC
7A WENDY CT
GREENSBORO, NC 27409
Tel: [phone]
CERTIFICATE NO. P-0826
www. greenmountainengineers. cam

SCALE Figure 5.
HOR1Z. SCALE: 1" = 20'
0' 10' 20' 30' 40'
8'
CV
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J �
4
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r�
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FLARED END SECTION
SECTION
INV ❑UT:859.7❑ 86 a 60
4
INV IN:8fi0.00
E)aSIING INTERMITTEN1
s7P—LS2 STREAM INVERT.•
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GREEN MOUNTAIN
INTERMITTENT STREAM/ ENGINEERING, PLLC
DEVa.pYT PROPERTIES GROUP, INC WETLAND IMPACT MAP 7A WENDY CT
LmSHUGART HOMES) GREENSBORO, NC 27409
'10HESMVIN ROAD MEADOW VALLEY Tel: [phone]
NNSTON-SALEM, NC 27104
CONTACT GREG GARRETT SUBDIVISION CERTIFICATE N0. P a82h
PH: 336.765.96fi1www.greenmountainengineers.com

F
PERENNIAL STREAM/ WETLAND IMPACT MAP Figure6.
NDS AND STREAM VERIFIED BY PILOT MEADOW VALLEY S UBDIVISION
NMENTAL INC. WITH USAGE AHQ NCflEQ—QWR OH�+ n�-+ �+JUL'LOCATEQ THEil
EVERIFIEDEN HWETLA DTIAN AND STREAM C CROSSING ��C
FLAGS PLACED BY PILOT ENVIRONMENTAL INC.
2. THIS DEVELOPMENT HAS BEEN ACCEPTED BY THE CITY
OF HIGH POINT AS A HIGH DENSITY STORMWATER CENTERLINE
PROJECT, WITH WET DETENTION PONDS AS STORMWATER STREAM
MANAGEMENT DEVICES FOR RANDLEMAN LAKE BUFFER
RULES. �I
9
0' 15' 30' 60'
SCALE: 1' = 30'
1 1
I
I
1
20jOOOO'
jr
w 1
IMPACT
FMH-09 Z' SSMH-120
_ w
a
SSn-1?0'
IMPACT
f
SSIAH-11
I EMPORARY IMPACT
34 LF STREAM COFFER DAM
1 '
1
�l
CENTERLINE
STREAM 1
DEVELOPER:
CLAYTON PROPERTIES GROUP. INC
(dba SHUGART HOMES)
221 JONES70M ROAD
J41
OF' YNNSTON-SALEM. NC 27104
, CONTACT- GREG GARRETT
rw PH: M765.96Bi
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GREEN MOUNTAIN
ENGINEERING, ReLLC
7A WENDY CT
GREENSBORO, NC 27409
TeL [phone]
CERTIFICATE NO. P-0826
www.greenmountainengineers.com

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DEVELOPER:
CLAYTON PROPERTIES GROUP. INC
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JONESMM ROAD
WNSTON-SALEtwr, NC 27104
CONTACT: GREG GARRETT
PH- 338.765.9661
OTUV
_RENNIAL STREAM/ WETLAND
IMPACT MAP
MEADOW VALLEY
SUBDIVISION
I-rvv
IN
IN
40
35
GREEN MOUNTAIN
ENGINEERING, PLLC
7A WENDY CT
GREENSBORO, NC 27409
TeL: [phone]
CERTIFICATE NO. P-0826
www.greenmountainengineers.com

Action ID Number: SAW-2018-02095 County: Guilford
Permittee: Clayton Properties Group, Inc. (Attn: Brian Shugart)
Project Name: Meadow Valley additional phases / Basswood Avenue / High Point / Guilford County
Date Verification Issued: 02/24/2020
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

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 11/7/2018. Action ID: SAW-2018-02095.
ii�" Date: 2020.02.24 09:37:24
Corps Regulatory Official:-05-00'
David E. Baile
Date of JD: 11/7/2018 Expiration Date of JD: Not applicable