20201560 Ver 1_2018-00882 NWP 14 Tearsheet_20210111

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2018-00882 County:Rockingham U.S.G.S.Quad:NC-Price
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Permittee: NCDOT Division 7
Attn:Wright Archer III,PE
Address: PO Box 14996
Greensboro,NC 27415
Size(acres) —3 Nearest Town Elon
Nearest Waterway Paw Paw Creek River Basin Dan
USGS HUC 03010103 Coordinates 36.504696,-79.962556
Location description: The project area is located at NCDOT Bridge 199 over Paw Paw Creek on SR 1360(Smith Road),near its
intersection with SR 1382(Quarter Road),near Stoneville,in 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(Bridge 166 on SR 1360)in place.The project includes permanent impacts to 110 linear feet(0.01
acre)of stream channel(bank stabilization and excavation)and 0.14 acre of riparian non-riverine wetlands(road fill,
excavation,and mechanized clearing) and temporary impacts to 18 linear feet(<0.01 acre)of stream channel for construction
access and dewatering.This project will also result in the indirect reduction of aquatic function via partial loss of hydrology to
an additional 0.01 acre of riparian non-riverine wetlands and 20 linear feet(<0.01 acre)of stream channel.
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 12/11/2020,and the enclosed revised plans, Wetland and Surface Water Impacts
Permit,Permit Drawing Sheets 1 through 9,received via email on 1/7/2021.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(919)554-4884 X 30 or [e-mail].
Zg Date:2021.01.08 12:02:49
Corps Regulatory Official: 05'00' Date: 1/8/2021
Expiration Date of Verification: 03/18/2022

SAW-2018-00882
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. The U.S.Fish and Wildlife Service's (USFWS's)Programmatic Biological Opinion (PBO) titled,
"NCDOT Program Effects on the Northern Long-eared Bat in Divisions 1-8", dated November 6,
2020, contains agreed upon conservation measures for the NLEB. Your authorization under this
Department of the Army permit is conditional upon your compliance with all agreed upon
conservation measures in the PBO,which are incorporated by reference in this permit. Failure to
comply with these conservation measures would constitute non-compliance with your Department
of the Army permit. The USFWS is the appropriate authority to determine compliance with the
terms and conditions of its PBO, and with the ESA.
Date: 2021.01 .08
Corps Regulatory Official: 12:02:33 -05'00' Date: 1/8/2021
Expiration Date of Verification: 03/18/2022
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.army.mil/cm_apex/f?p=136:4:0
Copy furnished:
Jerry Parker,NCDOT,P.O. Box 14996,Greensboro,NC.27415-4996
Dave Wanucha,NCDEQ-DWR,450 W.Hanes Mill Rd.,Suite 300,Winston Salem NC 27105

U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Compensatory Mitigation Responsibility Transfer Form
Permittee: NCDOT Division 7(Attn:Wright Archer III, PE) Action ID: SAW-2018-00882
Project Name: NCDOT/Bridge 166/SR 1360/Rockingham County 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
0.15
*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
0.3
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
Page 1 of 2 Form Updated 14 September, 2017

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 1/7/2021 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,3331 Heritage
Trade Drive, Suite 105, Wake Forest, NC 27587(email: [e-mail]). 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: 2021.01.08
12:02:18 -05'00' 1/8/2021
USACE Project Manager Signature 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.mil.l
Page 2 of 2

Highway North Carolina Department of Transportation
�Starmwater
Highway Stormwater Program /
STORMWATER MANAGEMENT PLAN
(Version 2.08; Released April 2018) FOR NCDOT PROJECTS
WBS Element: 17BP.7.R.109 TIP No.: SF-780166 County(ies): Rockingham Page 1 of 1
General Project Information
WBS Element: 17BP.7.R.109 TIP Number: SF-780166 Project Type: Bridge Replacement Date: 1/6/2021
NCDOT Contact: Galen Cail, PE _Contractor/Designer: Kyle Stoffer
Address: NCDOT Hydraulics Unit Address: HDR Engineering, Inc. of the Carolinas
1590 Mail Services Unit 555 Fayetteville Street, Suite 900
Raleigh, NC 27560 Raleigh, NC 27601
Phone: [phone] Phone: [phone]
Email: [e-mail] Email: kyle.stoffer hdrinc.com
City/Town: Stoneville County(ies): Rockingham
River Basin(s): Roanoke CAMA County? No
Wetlands within Project Limits? Yes
Project Description
Project Length (lin. miles or feet): 0.208 miles Surrounding Land Use: Low Residential, Wooded
Proposed Project Existing Site
Project Built-Upon Area (ac.) 0.6 ac. 0.5 ac.
Typical Cross Section Description: Smith Road (SR 1360): 2 paved lanes (total 20'wide), 8'shoulder on left side (11'with Smith Road (SR 1360): 2 paved lanes (total 20'wide), 2' shoulder on each side.
guardrail),4'shoulder on right side (7'with guardrail).
Annual Avg Daily Traffic (veh/hr/day): Design/Future: 560 Year: 2025 Existing: 280 Year: 2009
General Project Narrative: The North Carolina Department of Transportation (NCDOT) has proposed to replace Rockingham County Bridge#166 on Smith Road (SR 1360)over Pawpaw Creek. The
(Description of Minimization of Water existing structure is a single span bridge (1 @40'4")steel plank deck on I-Beams. The end bents are timber caps and piles. The proposed structure is a single span (1 @80'), 33"
Quality Impacts) box beam with 4'deep caps. This structure has been designed to have as little environmental, wetland, and surface water impacts as possible. 2:1 roadway fill slope will be used
in the wetland areas to minimize wetland impacts. Permanent drainage easement(PDE)will be set to have as little wetland impacts as possible.
To avoid direct discharge of bridge storm water into the receiving water, deck drains are not required for the proposed bridge. Storm water impacts to the stream have been
minimized by utilizing grated inlets and pipes to collect bridge storm water and use rip rap outlet protection at 16+29 RT to dissipate energy and discharge into the 3' base ditch
with Class B Rip Rap. In the southwest quadrant a proposed V ditch with Class B Rip Rap transitions at 19+00 RT into the 3' base ditch with Class B Rip Rap. The 3' base ditch
outlets onto rip rap at embankment to dissipate energy to provide a non-erosive outlet velocity to the stream. In the northwest quadrant an existing roadside ditch is transitioned
at 11+50 RT to a V ditch with Class B Rip Rap. The flow is then conveyed to the left side of the road through a storm drain system to rip rap outlet protection at 12+10 LT to
dissipate energy to provide a non-erosive outlet velocity. The sheet flow will flow 75'+/-tributary stream northeast of the project.Also in the northwest quadrant a typical roadside
ditch transitions at 14+30 RT into a V ditch with Class B Rip Rap. The V ditch outlets onto rip rap at embankment to dissipate energy to provide a non-erosive outlet velocity to
the stream. In the northeast quadrant there are no roadside ditches however there is an existing tributary stream will not be impacted from the project. In the southeast quadrant
an existing roadside ditch transitions at 22+00 LT into a V ditch with Class B Rip Rap. The flow is turned out by the existing fill slope at 20+50 LT where it becomes diffused non-
erosive sheet flow into a wooded area and flows 360'+\- before entering the stream. Due to the nature of low impact bridge replacement, the increases in stormwater discharges
(post vs pre condition)are insignificant and the existing ditches do not need to be modified. Therefore, additional stormwater measures are not required.
Waterbody Information
Surface Water Body(1): Pawpaw Creek NCDWR Stream Index No.: 22-30-6-(2)
NCDWR Surface Water Classification for Water Body Primary Classification: Water Supply IV(WS-IV)
Supplemental Classification: None
Other Stream Classification: None
Impairments: None
Aquatic TEE Species? No Comments:
NRTR Stream ID: Buffer Rules in Effect: N/A
Project Includes Bridge Spanning Water Body? Yes Deck Drains Discharge Over Buffer? N/A Dissipator Pads Provided in Buffer? N/A
Deck Drains Discharge Over Water Body? No (If yes, provide justification in the General Project Narrative) (If yes, describe in the General Project Narrative; if no,justify in the
(If yes, provide justification in the General Project Narrative) General Project Narrative)

f ') r 1
O $ /N STATE
`� ersaW OMB PROM'r aIF�v(a NO. Sr Tared,
14 \NI S' 1 ATE OF NORTH CAROLINA N,o, 17E�,7,RAO� 1
1385 arATo eaombr No. P.A.Paol.Na umGJTnON
1359 1377 1376
• 1360 1382
DIVISION OF HIGHWAYS
:4 17BP.7.R.109
1375
• PROJECT is
i ,. 13s5 LIMITS 0
R O CKINGHAM CO UNTY• , 1376 ,
1350 1349 �(
1360
11.11114 ` 1348 1392 PERMIT DRAWING
1361 1397 SHEET 1 OF 9
1352 1351 G`I
1362 1396
LOCATION: BRIDGE NO. 166 OVER PRONG PAW PAW CREEK ON SR 1360 (SMITH ROAD)
4. 1386 1346 1361 ©1363 1397
1391 TYPE OF WORK: GRADING, PAVING, DRAINAGE AND STRUCTURE
Eillilli 1406 1364
1326 1345 1344 C
1348 �
V / 1328 1365 ' 220
LT4
VICINITY MAP
(NOT TO SCALE) WETLAND AND SURFACE WATER IMPACTS PERMIT
O
Th
L:4 BEGIN PROJECT 17BP.7RJ09 ` 16
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MIN. HORIZONTAL CURVE RADIUS
SAG VERTICAL CURVE K \ SITE 1 \* * SITE 3
HORIZONTAL SSD * ,VERTICAL SSD DOCUMENT NOT CONSIDERED FINAL
Oth UNLESS ALL SIGNATURES COMPLETED
co)11
r Prepared In the Office of Mott MacDonald for 1 ROADWAY DESIGN ENGINEER PLANS PREPARED BY:
DESIGN DATA PROJECT LENGTH DIVISION 7
PO Box 700
NORTH CAROL/NA DEPARTMENT OF TRANSPORTATION M'Y' Fu quay-Varina,NC 27526
v0ItTy
p OS Cq ADT 2009 = 280 2018 STANDARD SPECIFICATIONS
IVI (919J 552-2253
VEtivi 4'p — MOTT [phone] (Fax)
LENGTH ROADWAY TIP PROJECT 0.192 MILES MACDONALD ,.,,�.mo„mo�.�o�mari�os
:/.
* ♦ TIM JORDAN, PE
ADT 2025 = 560 LETTING DATE: PROJECT ENGINEER PE
LICENSE NO.F-0669
SIGNATURE
z LENGTH STRUCTURE TIP PROJECT = 0.016 MILES
V = 45 MPH DAVID FUH, PE HYDRAULICS ENGINEER
P�• s z o O J�o O� TOTAL LENGTH TIP PROJECT = 0.208 MILES EN
HDR Engineering,Inc.of the Carolinas
w% N7. or: T lc*N5` HYDRAULICS ENGINEEREN555 Fayetteville St,Suite 900 Raleigh,N.C.27601
SUB REGIONAL TIER N.C.B.E.L.S. License Number:F-0116
—?.1 V NCDOT CONTACT:LOCAL TIM POWERS, PE
oy DIVISION BRIDGE
0= PROGRGRAMM MANAGER
hP.T:.
_ ) ` J SIGNATURE: j

/
DesGN EXCEPTION: '1'''\, _ DETAIL A DETAIL B DETAIL C DETAIL D
SPECIAL CUT DITCH LATERAL'V' DITCH LATERAL BASE DITCH
MIN.HORIZONTAL CURVE RADIUS � y or BASE DIM scale) Norm s<olcl SPECIAL LATERAL'V'DITCH 17BP.7.R.109-ROCKINGHAM 166 4
I Not to Scale) (Not to Scale)SAG VERTICAL CURVE K b ROADWAY DESIGN HYDRAULICS
HORIZONTAL SSD -le- FRI • Fill ENGINEER ENGINEER
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Georexrile Max d= 1 Ft.
-L- POC Sta.II/00.0 / - PCC Sta.I cVAN -L-STA.11+50 TO 11-75 RT Typeer= CL B Rip-Rap R 6= 5 Ft. Type of Liner- CLASS B Rip Rap
o P-°P -L-STA.15+63 TO 19+00 RT
-L-STA.14-30.71 TO 14-50 RT-L-STA.20-155 TO 22-00 LT -L-STA.74+50 TO 15+35 RT -L-STA.19100 TO 20+50 RT
RETAIN 24"RCP END CONSTRUCTION
WOODS PIPE CLEAN OUT
32 LF -Y- POT Sta.II•�oo JO -r- POT Sta.11+75.00 WETLAND AND SURFACE WATER IMPACTS PERMIT MOTT MACDONALD I6 E•LLC HDR ENGINEERING
•
LICENSE NO.F-0669 LICENSE NO.F-0116
CLASS B RIP RAP
EST. TONS y DOCUMENT NOT CONSIDERED FINAL
EST.11 SY GEOTEXTILE /,-
' L I 6' REMOVE 4 LF / -.- _ w UNLESS ALL SIGNATURES COMPLETED
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GOOD COND. Office of: M
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N W . IN WETLAND i� 1 1�\ +.�F,LT& RT '� -a, i iiii� .17 JF G'p\ 'T •'Wpi BANK'NT STABILIZATION
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11 12 13 14 15 16 17 18 19 20 21 22 10 11

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_ .00.0 ■o■� _
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.1 - BEGIN GRADE -± � -- --- -- ■ NNomENNE o 0.0.E -.- --iI -__i END GRADE
_ STA. 11+50.00 ■o■ .o INimmommmENNENNE■.. ....o. 00 I- F i I STA-21+50.00
EL 703.26 Ill.00 .I.o.r■ ■ol.TOo. �iooIIZO.■�ill EL 695.34'
BLEND t 0� �0� .o■.00 oo■■ ■oo■oo. oo.00.o■.. I I
0 710 TO ® ® •uu•u1111111111111111111111I®IIII1111111>1111•11111■IIII■11111111111111111111■III 710 710 - 710
o EXIST �_ _ 11111
i•im iii •••• p �IiiIMIII ..... PI = 20+70.00
o. ■o o it mom
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e.o�o.o...lo.. o■�o. �... VC = 150' 00
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~ I 700 700
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°, PI - 13+60.00 ENE i i BRIDGE S,TA 1'I-60o ■ .o.� ■ ' PI = 18+00.00 .■I■■o..■ END GRADE
3 - �■ I.,' GP.ELEV DEEP 1111
W
cAP15._ I VC - 340' -_-..�Ilou■�uou - , /h b �•-/' EL = 678.7PEND S ITCH RT - 1y IT 1 m ELEV.= 6+98.60' K 27 . E .. ..... .. K 65 m.0000 � + b 690 690 690
o■■■■.. ■■■■■..o ....o... o -- �'I'Y_T' / •� ::::
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a 680 DESIGNDISCHARGE = 1850 CFS ` :LI- ` .IIIIII .J_ -bo BEGIN sP DITCH LT 680 680 /J2 808% EXIISST 680
BRIDGE HYDRAULIC DATA
DESIGN FREQUENCY 25 YRS • C _ :I ••■ .. i // --\... ry• o L STA 2683 4r No/(J3C�.
CD = BEGIN P�,TCH RT \\ .. • I <' 0 ❑a' ELEV. •6667%
DESIGN SC ELEVATION = 67/J FT RETAIN I ✓ - -4 Zi T I
cD -L-STA 14-30.71 F`•. -- r �) -- / 1, l' •i"" a ! - O
E BASE DISCHARGE 2665 CFS ELEV 679,14 ELEV.= 66800 06s `\.q�I1 EXISTING _/I _- -___ °0 � Z-u I 670 670 670
6 \ r.
BASE FREQUENCY = 100 YRS L i. i-3s MUD SILLS .
Q1 BASE Hw ELEVATION 671.9 FT -- PI 10+35 00-
__ __ �.5'KEY DEPTH -
y OVERTOPPING DISCHARGE 8300 CFS - �, .;- � ------- - C 1 _ vc - 679.26'3 _
Li o OVERTOPPING FREQUENCY = 500+ YRS _ -
NELEVATION = - - E c Ar io ,i sop s1 z .TH 43 I - 1 660 660 K 19 660
w 660 OVERTOPPING = 678.6 20(7 g1yA NORMA Rt01C P�11TT� o
O DATE OF SURVEY - -_ E I 6- I {NORMAL
{STRUCTURE PAY 1Ti MJ_ -. _ III III L w W = 662J FT ii�r: v - I BEGIN 1 GRADE
(V E 650 . DATEELEVATIQN -- - TANK STABILIZATION NORMAL WS BEGIN $P DITCH RT - _II j :7 STA. 10+10.01
O J
~z AT OF SURVEY I B C ASS II RIP RAP V. 662 7 STA 1 -63 -J I EL = 679.78'
I.IJ - SLOPE 1115,:1I I I I I I I I I DATE 11 09 2017 ELEV.- 663.30' _-- / / SR1 PA\ rc ' _-- �- - '- I-- -- 650 650 , 650
\_ 11 12 13 14 15 16 17 18 19 20 21 22 10 11

PROJECT REFERENCE SHEET NO.
17BP.7.R.109-ROCKINGHAM 166 4A
ROADWAY DESIGN HYDRAULICS
ENGINEER ENGINEER
Morn MACDONALD 18 F,LLC HOR ENGINEERING
LICENSE NO.F-0669 LICENSE NO.F-0116
DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
Prepared in the
Office of: M
O M PO oDD
OMMAACDONALD w°ww,off accom s26
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J 55fi F3yetleMle 548uM 900 Palelgh,NC 2iWf
N.C.B.E.L.S.License Number:F-0116
N. PERMIT DRAWING
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z (NON-EROSIVE) 4= 0
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Z,
Tz G 20 40
mz-o
>,o= SCALE: 111= 40' HORIZR

PROJECT REFERENCE SHEET NO.
17BP.7.R.109-ROCKINGHAM 166 4A
ROADWAY DESIGN HYDRAULICS
ENGINEER ENGINEER
Morn MACDONALD 18 F,LLC MDR ENGINEERING
LICENSE NO.F-0669 LICENSE NO.F-0116
DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
Prepared in the
Once of: M
O PD 6a erD
OMAACDONM P,,.'•"moboc.com]15]4
EXISTING DITCH X
F1� HOR ES L.D.Llcorr Lrnb Carolinas
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N. PERMIT DRAWING
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Z (NON—EROSIVE) 40 0
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No= SCALE: I"= 40' HORIZe
co,

PROJECT REFERENCE SHEET NO.
17BP.7.R.109-ROCKINGHAM 166 4B
ROADWAY DESIGN HYDRAULICS
ENGINEER ENGINEER
MOTT MACDONALD I&F LLC NOR ENGINEERING
LICENSE NO.F-0669 LICENSE NO.F-0116
DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
Prepared in the
Office of: M
/ i, M PO Box 70
oc qm
Fuquoy-Vorino,NC 27526
MgGoovgtD www momm <
•
1 Wngineerin Eg,1'90 R the Carolinas
N.C.B.E.l.S.License Number:F-0116
SITE `2 PERMIT DRAWING
SHEET 6 OF 9 GLI
WOODS ,
•
EXISTING DITCH �,
OUTFACE STABLE ' q0
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I
4B
ROADWAY DESIGN HYDRAULICS
ENGINEER ENGINEER
MOTT MACDONALD 18 E.LLC HDR ENGINEERING
LICENSE NO.F-0667 LICENSE NO.F-0116
DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
Prepared in the
Office a1: M
// 1 \\ \\ \) \\ \\ \\ \ \\\\\\\\ morn M F q,V-V PO Box,R,e,NC ZJ536
/i/i / / I \ \ \ \ \ \ \\ nmON uo .,..w.monmo<.<om
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// / "// / \ �� \ \ \ \ \ \ \ \ \ \\\\ En ESEFWE LSBtseuaero l mr e F Q11R
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// / \ J \ r I I \\ \\ \ '\\ \ \ \ \ \\
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o I / •
U/�..- \\� '� // \ I \\ \ \\ \
a I I / r,' •1 �/ \ I \ \\ \ \ �,E/// DENOTES FILL IN
.cl I / \� \ \ \ \ �f' WETLAND
I `vv I \ 1 v 1 ,v
c 1 / 1 7 \ ^a,� .l. \1 I \ r. A I / \
—_ I // / EXISTING DI CfI 'I-\�\\� I) �/ I ,! \\ \I \\1 l (\ I * * ** DENOTES
CLEA CLEARING
MECHANIZED
Z
`v I OUTFACE STALE \
SITE 3
49-40
PER COORDINATION WITH US ARMY CORPS
OF ENGINEERS THE SMALL REMNANT OF
DETAIL SHEET FOR WETLAND WC AND JS SD OUTSIDE PROP
S; SITE 2 AND 3 ROW IS TO BE CONSIDERED A LOSS.
::6 L IMPACTS ARE SUMMARIZED UNDER SITE 3 40 0
w
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k 20 40
Z 6 SCALE: 1°= 40' HORIZ.

0 5 10 PROJECT REFERENCE SHEET NO.
I17BP.7.R.109 -ROCKINGHAM 166 X-6
l
PR3LIl►LINARY 'PLANS
DO NOT TARE FOR 6ON9TRUOTION
j SITE- 2 & SI-E 3
PERMIT DRAWING
WETLAND _a 1 SHEET 8 OF 9
6.90
Rijn .
1 678.45� -------- ti ,'- ---- ----
-t
1 -I,.----- 695.1<
670 . -- _ - _ CO
19 +50.00
. -L-
-0 140 130 1 0 110 100 90 810 7'0 60 90 40 30 20 10 0 13 20 30 40 50 60 70 80 90 100 110 120 130 140 150
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0
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0
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150 140 130 110 110 100 90 80 70 60 50 40 30 20 10 0 10 20 30 40 50 60 70 80 90 100 110 120 130 1°0 150
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WETLAND PERMIT IMPACT SUMMARY
WETLAND IMPACTS SURFACE WATER IMPACTS
Hand Existing Existing
Permanent Temp. Excavation Mechanized Clearing Permanent Temp. Channel Channel Natural
Site Station Structure Fill In Fill In in Clearing in SW SW Impacts Impacts Stream
No. (From/To) Size /Type Wetlands Wetlands Wetlands in Wetlands Wetlands impacts impacts Permanent Temp. Design
(ac) _ (ac) _ (ac) (ac) _ (ac) (ac) _ (ac) _ (ft) _ (ft) (ft)
1 -L- 15+43 to 15+46 1 @80'; 33" BOX BEAM < 0.01 < 0.01 68 18
2 -L- 16+37 TO 19+57 0.11 0.01 0.02 < 0.01 42
3 -L- 19+06 TO 19+55 0.01 20
TOTALS*: 0.12 0.01 0.02 < 0.01 < 0.01 130 18
*Rounded totals are sum of actual impacts
NOTES:
Per coodination with David Bailey, US Army Corps of Engineers, due to the majority of the wetland being filled in and a proposed ditch thru wetland WC, NC DEPARTMENT OF TRANSPORTATION
the remnant of wetland WC and JS SD outside ROW will have a significant reduction in functional value and should be considered a loss. The wetland DIVISION OF HIGHWAYS
impacts are included under Site 3.
Jan 6, 2021
ROCKINGHAM COUNTY
BRIDGE #166
17BP.7.R.109
Revised September 2014 SHEET 9 OF 9

Action ID Number: SAW-2018-00882 County: Rockingham
Permittee: NCDOT Division 7 (Attn: Wright Archer III, PE)
Project Name: NCDOT/ Bridge 166 / SR 1360/Rockingham County
Date Verification Issued: 1/8/2021
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

SAW-2018-00882
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). The waters,including wetlands,have been delineated,and the delineation
has been verified by the Corps to be sufficiently accurate and reliable. Therefore,this preliminary
jurisdiction determination may be used in the permit evaluation process,including determining
compensatory mitigation. For purposes of computation of impacts,compensatory mitigation
requirements,and other resource protection measures,a permit decision made on the basis of a
preliminary JD will treat all waters and wetlands that would be affected in any way by the permitted
activity on the site as if they are jurisdictional waters of the U.S. 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.
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 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 1/8/2021.
Remarks:
E.Attention USDA Program Participants
The delineation included herein has been conducted to identify the location and extent of the aquatic resource
boundaries and/or the jurisdictional status of aquatic resources for purposes of the Clean Water Act for the particular
site identified in this request.This delineation and/or jurisdictional determination may not be valid for the Wetland
Conservation Provisions of the Food Security Act of 1985,as amended.If you or your tenant are USDA program
participants,or anticipate participation in USDA programs,you should discuss the applicability of a certified
wetland determination with the local USDA service center,prior to starting work.
F.Appeals Information (This information applies only to approved jurisdiction determinations as
indicated in B and C above).
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: Mr.Philip A.Shannin
Administrative Appeal Review Officer
60 Forsyth Street SW,Floor M9
Atlanta,Georgia 30303-8803
AND
[e-mail]

SAW-2018-00882
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 N/A.
It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in
this correspondence.
/ _ �'� �/_/ Date: 2021.01.08
Corps Regulatory Official: 12:01:29-05'00'
David E.Bailey
Date of JD: 1/8/2021 Expiration Date of JD:N/A

SAW-2018-00882
NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant:NCDOT Division 7(Attn: Wright Archer III,PE) File Number: SAW-2018-00882 Date: 1/8/2021
Attached is: See Section below
INITIAL PROFFERED PERMIT(Standard Permit or Letter of permission) A
El PROFFERED PERMIT(Standard Permit or Letter of permission) B
El PERMIT DENIAL C
APPROVED JURISDICTIONAL DETERMINATION D
l PRELIMINARY 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 http://www.usace.army.mil/Missions/CivilWorks/RegulatoryProgramandPermits.aspx or
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 division engineer. This form must be received by
the division engineer within 60 days of the date of this notice.

SAW-2018-00882
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.PHILIP A. SHANNIN
Attn:David E.Bailey ADMINISTRATIVE APPEAL REVIEW OFFICER
Raleigh Regulatory Office CESAD-PDS-O
U.S Army Corps of Engineers 60 FORSYTH STREET SOUTHWEST,FLOOR M9
3331 Heritage Trade Drive,Suite 105 ATLANTA,GEORGIA 30303-8803
Wake Forest,North Carolina 27587
PHONE: [phone];FAX[phone]
EMAIL:[e-mail]
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 opportunity 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: [phone]