20110571 Ver 1_Application_20110614

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BEVERLY EAVES PERDUE
GOVERNOR
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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION ~oSI~~~R
EUGENE A. CONT1, JR.
SECRETARY
June 6, 2011
U S. Army Corps of Engineers
~J Regulatory Field Office
~ 151 Patton Avenue, Room 208
J Asheville, NC 28801-5006
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ATTN: Ms. Elizabeth Hair
NCDOT Coordinator
Subtect: Application for Section 404 Nationwide Permit 23 for the proposed
replacement of Bndge No. 100 over Gaz Creek on SR 2120 (McCoy Road) rn
Mecklenburg County, Federal ?.id Protect No. BRSTP-2120(2); Division 10;
CJ TIP No. B-4200
Deaz Madam:
The North Cazolina Department of Transportation (NCDOT) proposes to replace Bndge No.
100 over Gar Creek on SR 2120. There will be 0.09 acre of permanent impacts to wetlands
due to the installation of a single-span structure 58 feet long.
Please see enclosed copies of the Pre-Construction Notification (PCN), EEP acceptance
letter, Stormwater Management Plan, permit drawings, design plans and Rapanos forms. The
Programmatic Categoncal Exclusion (PCE) was completed m December 2010 and
distributed shortly thereafter. Additional copies aze available upon request.
This protect calls for a letting date of February 21, 2012 and a review date of January 3,
2012; however, the let date may advance as additional funding becomes available.
MAILING ADDRESS:
NC DEPARTMEM OF TPANSPORTATION
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS
1596 MAIL SERVICE CENTER
RALEIGH NC 27699-1$99
TELEPHONE: 919-707E700
FAX: [phone]
WEBSITE: YW~N/.NCDOT.ORG
LOCATION:
1020 DIRCN RIDGE ORNE
RALEIGH NC 27610-4328

A copy of this permit application and its distribution list will be posted on the NCDOT
Websrte at: http://www.ncdot.org/doh/preconstnxct/pe/neu/permit.html. If you have any
questions or need additional mfonnation, please call Enn Cheely at [phone].
Sincerely,
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~{~/ Gregory J Thorpe, Ph.D., Manager
Project Development and Environmental Analysis Branch
cc:
NCDOT Permit Application Standazd Distribution List
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02 FwarE9oG
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Office Use Only:
Corps action ID no.
DWQ protect no.
Fonn Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the
Corps:
®Section 404 Permi[ ^ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 23 or General Permit (GP) number
1c. Has the NWP or GP number been verified by the Corpse ^Yes ®No
1d. Type(s) of approval sought from the DWO (check all that apply):
^ 401 Water Quality Certification -Regular ^ Non-404 Junsdictional General Permit
^ 401 Water Quality Certification -Express ^ Ripanan Buffer Authonzation
1e. Is this notification solely for the record
because written approval is not required For the record only for DWQ 401
Certification:
® Yes ^ No For the record only for Corps Permit:

^Yes ®No
1f. Is payment mto a mitigation bank or m-lieu fee program proposed for mitigation
of impacts If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ®Yes ^ No
1g. Is the protect located in any of NC's twenty coastal counties. If yes, answer 1h
below. ^Yes ®No
1 h. Is the protect located within a NC DCM Area of Environmental Concern (AEC) ^Yes ®No
2. Project Information
2a. Name of protect: Replacement of Bndge 100 over Gar Creek on SR 2120
2b. County: Mecklenburg
2c. Nearest municipality /town: Huntersville
2d. Subdivision name: not applicable
2e. NCDOT only, T.I.P or state
protect no: 8-4200
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. not applicable
3c. Responsible Party (for LLC if
applicable): not applicable
3d. Street address: 1598 Mail Service Center
3e. City, state, zip: Raleigh, NC 27699-1598
3f. Telephone no.. [phone]
3g . Fax no.. [phone]
3h . Email address: [e-mail]

4. Applicant Information (if different from owner)
4a. Applicant is: ^ Agent ^ Other, specify:
4b. Name: not applicable
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no..
4g. Fax no..
4h. Email address:
5. AgenUConsultant Information (if applicable)
5a. Name: not applicable
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
Se. Telephone no..
Sf. Fax no..
5g. Email address:
2

B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no, (tax PIN or parcel ID): not applicable
1 b. Site coordinates (in deamal degrees): Latitude: 35.36512 Longitude: - 80.88614
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: 5.4 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Gar Creek
proposed protect:
2b. Water Quality Classification of nearest receiving water WS IV
2c. River basin: Catawba
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the viGnity of the protect at the time of this
application:
Land use in the protect vicinity is approximately 65% disturbed land (agricultural and residential), 20% forest land (mixed
hardwood) and 15% herbaceous cover and shrubland. The historic Albert McCoy Farm is located within the protect area.
3b. List the total estimated acreage of all existing wetlands on the property
0.14 acre
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
340 linear feet
3d. Explain the purpose of the proposed protect:
The purpose is to replace a structurally deficient (suffiaency rating 19.7 of 100) and functionally obsolete budge.
3e. Describe the overall protect in detail, incuding the type of equpment to be used:
The protect involves replaang a 31-foot bridge with a 58-foot, single-span, cored slab bodge on the existing alignment
with an off-site detour. Standard road building equipment, such as trucks, dozers, and cranes will be used.
4. Jurisdictional Determinations
4a. Have tunsdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
protect (including all prior phases) in the past?
Comments: Consultant (EcoSaence) sent JD package to ^ Yes ®No ^ Unknown
Amanda Jones of USACE in 2005, but no JD issued.
Rapanos forms are attached to this application. We are
requesting a final approved JD.
4b. If the Corps made the tunsdictional determination, what type
^ Preliminary ^ Final
of determination was made
4c. If yes, who delineated the tunsdictional areas Agency/Consultant Company
Name (if known): Other
4d. If yes, list the dates of the Corps tunsdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for ^ Yes ®No ^ Unknown
this protect (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file° instructions.

6. Future Project Plans
6a. Is this a phased project? ^ Yes ®No
6b. If yes, explain.
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C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your protect (check all that apply):
j ®Wetlands ^ Streams - tributanes ^ Buffers
^ Open Waters ^ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWO -non-404, other) (acres)
Tem ora
Fill,

Site 1 ®P ^ T excavation, Non-tidal ^ Yes ®Corps
0.09
mechanized freshwater marsh ®No ^ DWO
cleanng
Site 2 ^ P ^ T ^ Yes ^ Corps
^ No ^ DWO
Site 3 ^ P ^ T ^ Yes ^ Corps
^ No ^ DWO
Site 4 ^ P ^ T ^ Yes ^ Corps
^ No ^ DWO
Site 5 ^ P ^ T ^ Yes ^ Corps
^ No ^DWQ
Site 6 ^ P ^ T ^ Yes ^ Corps
^ No ^ DWO
2g. Total wetland impacts 0.09 Penmanent
0 Temporary
2h. Comments: 0.02 acre permanent fill, 0.05 acre excavation and 0.02 acre mechanized cleanng
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3 a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of Average Impact length
number - (PER) or junsdiction stream (linear feet)
Permanent (P) or intermittent (Corps - 404, 10 width
Temporary m (INT)O DWQ -non-404, (feet)
other)
Site 1 ^ P ^ T ^ PER ^ Corps
^ INT ^ DWO
Site 2 ^ P ^ T ^ PER ^ Corps
^ INT ^ DWO
Site 3 ^ P ^ T ^ PER ^ Corps
^ INT ^ DWO
Site 4 ^ P ^ T ^ PER ^ Corps
^ INT ^ DWO
^ PER ^ Corps
Site 5 ^ P ^ T ^ INT ^DWQ
^ PER ^ Corps
Site 6 ^ P ^ T ^ INT ^ DWO
3h. Total stream and tributary impacts X Perm
X Temp

3i. Comments: there are no stream impacts for this protect
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indiwduall list all o en water im ads below.
4a. 4b. 4c. 4d. 4e.
Open water Name of
impact number - waterbody Type of impact Waterbody type Area of impact (acres)
Permanent (P) or (if applicable)
Tem ora
01 ^P^T
02 ^P^T
03 ^P^T
04 ^P^T
4f. Total open water impacts X Permanent
X Temporary
4g. Comments: no open water impacts
5. Pond or Lake Construction
If and or lake construction ro osed, then com lete the chart below.
5a. Sb. Sc. Sd. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or (acres)
number purpose of pond Excavat
Flooded Filled ed Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit regwred~
^ Yes ^ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
Sk. Method of construction:

6. Buffer Impacts (for DWQ)
If protect will impact a protected ripanan buffer, then complete the chart below. If yes, then individually list all buffer
im acts below. If an ~m acts re uire miti anon, then ou MUST fill out Section D of this form.
6a.
^ Neuse
^Tar-Pamlico ^ Other
Protect is in which protected basing ®Catawba ^ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason for impact Buffer Zane 1 impact Zone 2 impact
Permanent (P) or Stream name mitigation (square feet) (square feet)
Tem ora re uired~
B1 ^P^T ^Yes
^ No
62 ^P^T ^Yes
^ No
B3 ^P^T ^Yes
^ No
6h. Total buffer impacts
6i. Comments: Not on mam-stem Catawba

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing protect.
The existing structure will be replaced with a single spanning structure. 2:1 fill slopes will be utilized where practicable.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Surficial bridge runoff will not be directed into Gar Creek via deck drams.No temporary access is needed to remove
existing structure.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does [he protect require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State ®Yes ^ No

If no, ex lain:
2b. If yes, mitigation is required by (check all that apply): ^DWQ ®Corps

2c. If yes, which mitigation option will be used for this
protect? ^ Mitigation bank

®Payment to in-lieu fee program
^ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: not applicable
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ®Yes
4b. Stream mitigation requested: NA linear feet
4c. If using stream mitigation, stream temperature: ^ warm ^ cool ^cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Ripanan wetland mitigation requested: 0.18 acres
4f. Non-ripanan wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a descnption of the proposed mitigation plan.

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) -required by DWQ
6a. Will the protect result in an impact within a protected riparian buffer that requires
buffer mitigation ^ Yes ®No
6b. If yes, then identity the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation requred.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Requued mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is requued, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the protect include or is it adjacent to protected riparian buffers identified ^Yes ®No
within one of the NC Riparian Buffer Protection Rules
1 b. If yes, then is a diffuse flow plan mcluded~ If no, explain why.
^Yes ^ No
Comments:
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this protect? N/A
2b. Does this protect regwre a Stormwater Management Plans ®Yes ^ No
2c. If this protect DOES NOT regwre a Stormwater Management Plan, explain why:
2d. If this protect DOES regwre a Stormwater Management Plan, then provide a bnef, na rrative descnption of the plan:
See attached permit drawings.
^ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plant ^ DWO Stormwater Program
® DWO401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's tunsdiction is this protect? not applicable
^ Phase II
3b. Which of the following locally-implemented Stormwater management programs ^ NSW
^ USMP
apply (check all that apply): ^ Water Supply Watershed
^ Other
3c. Has the approved Stormwater Management Plan with proof of approval been ^Yes ^ No
attached
4. DWQ Stormwater Pro ram Review
^ Coastal counties
4a. Which of the following state-implemented Stormwater management programs apply ^ HOW
(check all that apply): ^ ORW
^ Session Law 2006-246
^ Other
4b. Has the approved Stormwater Management Plan with proof of approval been
attached ^Yes ^ No NA
5. DWQ 401 Unit Stormwater Review
Sa. Does the Stormwater Management Plan meet the appropriate regwrements~ ^Yes ^ No NA
Sb. Have all of the 401 Unit submittal regwrements been met? ^Yes ^ No NA
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F. Supplementary Information
1. Environmental Documentation (DWQ Requrrement)
1 a. Does the protect involve an expenditure of public (federal/state/local) funds or the ®Yes ^ No
use of public (federal/state) land
1 b. If you answered "yes" to the above, does the protect requne preparation of an
environmental document pursuant to the regwrements of the National or State ®Yes ^ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)~
1 c. If you answered "yes" to ih a above, has the document review been finalized by the
State Cleanng Houses (If so, attach a copy of the NEPA or SEPA final approval
®Yes ^ No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site m violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards, ^Yes ®No
or Ripanan Buffer Rules (15A NCAC 2B .0200)
2b. Is this an after-the-fact permit applicatioM ^Yes ®No
2c. If you answered "yes° to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this protect (based on past and reasonably antiapated future impacts) result in ^Yes
additional development, which could impact nearby downstream water quality ®No
3b. If you answered "yes° to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered "no," provide a short narrative descnption.
Due to the mm~mal transportation impact resulting from this bodge replacement, this protect will neither influence nearby
land uses nor stimulate growth. Therefore, a detailed indirect or cumulative effects study will not be necessary
4. Sewage Disposal (DWQ Requirement)
aa. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed protect, or available capacity of the subtect facility
not applicable
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5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this protect occur In or near an area with federally protected species or ®Yes ^ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ®Yes ^ No
impacts
^ Raleigh
5c. If yes, Indicate the USFWS Field Office you have contacted.
® Asheville
5d. What data sources did you use to determine whether your site would Impact Endangered Specles or Designated Critical
Habitat?
Habitat assessment and surveys by NCDOT biologists In 2008 and 2009. In addition, correspondence with J. Mays
(USFWS) on March 28, 2011 determined that a "NO EFFECT" call Is fine as long as no work will be done in the vicinity of
Schweinitz's sunflower and this area Is to be surrounded with orange protection fencing. The following two special
conditions will be added to the permit greensheet to ensure this pro/ect will have no effect on the nearby Schweintiz's
sunflower population:
Orange fencing will be Installed along the penmeter of the Schweinitz's sunflower population boundary that Is closest to
the roadway so that the contractor does not inadvertantly Impact the plants dunng construction. The fencing will be
Installed by the contractor pnor to breaking ground on the protect and only after having an on-site meeting with the
Division and /or NEU staff to ensure it Is Installed in the proper location.
No construction activities of any sort (including, but not limited to truck turnarounds, storing of construction matenals or
any other types of construction staging activities or disturbance) will occur within the Schweinitz's sunflower population
boundary.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this protect occur In or near an area designated as essential fish habitat? ^Yes ®No
6b. What data sources did you use to determine whether your site would Impact Essential Fish Habitat?
NMFS County Index
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this protect occur in or near an area that the state, federal or tribal
governments have designated as havng histonc or cultural preservation ^ yes ®No
status (e.g., National Histonc Trust designation or properties significant in
North Carolina history and archaeology)
7b. What data sources did you use to determine whether your site would Impact histonc or archeological resources
NEPA Documentation
8. Flood Zone Designation (Corps Requirement)
Sa. Will this pro/ect occur In a FEMA-designated 100-year Floodplain~ ®Yes ^ No
Sb. If yes, explain how pro/ect meets FEMA requirements: NCDOT Hydraulics Unit coordination with FEMA
8c. What source(s) did you use to make the floodplaln determinations FEMA Maps
Dr. GreQOry J Thorpe, PhD ~
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ApplicanUAgent
s Printed Name ppl ant/Agenl's Signature
(Agent's signature is valid only if an authonzation letter from the applicant Date
is rovided.
12

~~
April 21, 2011
Mr. Gregory J. Thorpe, Ph.D.
Manager, Prgect Development and Environmental Analysis Branch
North Cazolina Departrnent of Transportation
1548 Mail Service Center
Raleigh, North Carolina 27699-1548
Deaz Dr. Thorpe:
Subject: EEP Mitigation Acceptance Letter:
B-4200, Replace Bridge Number 100 over Gar Creek on SR 2120 (McCoy Road),
Mecklenburg County
The purpose of this letter is [o notify you that the Ecosystem Enhancement Program (EEP) will provide the
compensatory riparian wetland mitigation for the subject project. Based on the mformation supplied by you on
April 19, 2011, the impacts are located m CU 03050101 of the Catawba River Basm m the Southern Piedmont (SP)
Eco-Region, and are as follows:
Catawba Stream Wetlands Buffer (Sq. Ft.)
03050101 Non- Coastal
Sp Cold Cool Warm Riparian Zone 1 Zone 2
~ anan Marsh
Impacts 0 0 0 0.09 0 0 0 0
feeUacres
Mitigation Units

(Credits-up to 2:1) 0 0 0 0.18 0 0 0 0
EEP commits to implementing sufficient compensatory riparian wetland mitigation credits to offset the
impacts associated with this protect m accordance with the N.C. Departrnent of Entnronment and Natural Resources'
Ecosystem Enhancement Program In-Lieu Fee Instrument dated Iuly 28, 2010. If the above referenced impact
amounts aze revised, then this mitigation acceptance letter will no longer be valid and a new mitigation acceptance
letter will be required from EEP
1929.
If you have any questions or need additional mfonnation, please contact Ms. Beth Harmon at 919-715-
Sinc <~J~ -„ //
Willi . Gilmore, p•E. """t1~11 vv//
EEP Director
cc: Ms. Ltz Hair, USACE -Asheville Regulatory Field Office
Mr. Brian Wrenn, Division of Water Quality, Wetlands/401 Unit
File: B-0200
Res~toYftc9... Psti~i~... Pvot~ctir/t9 OGU' Jtatr,
~CDENR
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-16521919-715-0476 / www.nceep.nel

STORMWATER MANAGEMENT PLAN
Project: 33547.1.1
TIP: B-4200
County: Mecklenburg
Hydraulics Project Engineers: W. Henry Wells, Jr., P.E. (Sunga[e Design Group);
Dan Duffield, P.E. (NCDOT Hydraulics Unit)
ROADWAY DESCRIPTION
The project involves the replacement of Bridge No. 100 on SR 2120 over Gaz Creek.
The overall length of the project with approach work is approximately 575 feet. The
proposed bridge will consist of 1 @ 58' cored slab bridge (21") with vertical abutments.
The project drainage systems consist of the bridge, an associated bridge end drain, and
side ditches.
ENVIRONMENTAL DESCRIPTION
The project is located in the Catawba River Basin. Buffer rules aze not in effect for Gaz
Creek in this river basin. The project will have one (1) crossing of a jurisdictional stream
that will impact Gar Creek. Gaz Creek is classified as WS-IV. Gaz Creek is not listed on
NCDWQ's 303d list. Wetlands will be impacted by the proposed project.
BEST MANAGEMENT PRACTICES AND MAJOR STRUCTURES
The primary goal of Best Management Practices (BMPs) is to prevent degradation of the
states surface waters as a result of the location, construction and operation of the highway
system. BMPs aze activities, practices and procedures taken to prevent or reduce
stormwater pollution. Grassed swales have been utilized on this project to provide
stormwater treatment where practicable.
MINIMIZATION OF IMPACTS
The most significant rmnimization measure on this project was the utilization of vertical
abutments and maintaining the existing roadway grade. Providing freeboazd above the
100 yeaz event would require raising the grade and thus increase the amount of wetland
impacted.

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps o(Engineers
This forth should be completed by following the mstmchons provided m Section IV of the ]D Fonn Instructional Gmdebook.
SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD):
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:
C. PROJECT LOCATION AND BACKGROUND INFORMATION:
State: NC County/parish/borough: Mecklenburg City Huntersville
Center coordinates of site (IaUlong in degree decimal format): Lat. 35.36512° [.-V, Long. -80.88614° ~.
Universal Transverse Mercator:
Name of nearest waterbody: Gar Creek
Name of nearest Traditional Navigable Water (TN W) Into which the aquatic resource flows: Gar Creek
Name of watershed or Hydrologic Umt Code (HUC): 03050101
Check if map/diagram of review area and/or potential Jurisdictional azeas is/are available upon request.
Check if other sites (e.g., offsi[e mrtigahon sites, disposal sites, etc...) are associated with this action and are recorded on a
different JD form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
® Office (Desk) Determination. Date:
Field Determination. Date(s): June 2004
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There A~-+r "navigable waters oj[he US" within Rrvers and Harbors Act (RHA) Junsdiction (as defined by 33 CFR part 329) m the review
area. [RequtredJ
Waters sub3ect to the ebb and flow of the tide.
n Waters are presently used, or have been used m the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain:
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There "waters ojthe (13" within Clean Water Act (CWA) Junsdiction (as defined by 33 CFR part 328) m the review area [RegviredJ
1. Waters of the U.S.
a. Indicate presence of waters o(U.S. in review area (check all that apply): i
TNWs, including tem[onal seas
Wetlands adjacent to TNWs
Relatively permanent watersr (RPWs) that flow directly or indirectly into TNWs
Non-RPWs that flow directly or indirectly into TNWs
Q Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to but not directly abutting RPWs that flow directly or mdirecUy into TNws
r- Wetlands adjacent [o non-RPWs that Flow directly or indirectly into TNWs
at Impoundments ofjunsdictional waters
!ts Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. to the review area:
Non-wetland waters: linear feet: width (ft) and/or acres. -
Wetlands: 0.05 acres.
c. Limits (boundaries) of Junsdiction based on: Not~Applr~~ Ic81i e
Elevation of established OH WM (if known):
2. Non-regulated waters/wetlands (check if applicable):'
Potentially Jurisdictional waters and/or wetlands were assessed within the review area and determined to be not Junsdichonal.
Explain:
' Boxes checked below shall be supported by completing the appropriate sections in Section III below.
' For purposes of the (onn, an RPW is defined as a Vibutary that is no[ a TNW and that typwally flows year-round or has continuous Oow at leas["seasonally'
(e.g., typically 3 monhs).
' Suppomng documeniauon is presented m Secuon IILF

SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over T1YWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2
and Section IILD.1.; otherwise, see Section IILB below.
1. TNW
Identify TN W
Summarize rationale supporting determmahon:
2. Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent"~
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF APiY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for lunsdiction established under Rapanos have been met
The agencies will assert lunsdiction over non-navigable tributaries of TNWs where [he tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically Bow year-round or have continuous Bow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a T1VW, but has year-round
(perennial) Bow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial Bow,
skip to Section III.D.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III;B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section 111.6.3 for all wetlands adjacent to that tributary, both onsite
and oftsite. The determination whether a significant nexus exists is determined m Section HLC below.
1. Characteristics of non-TNWs that Bow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: : tklf
Drainage area: Pick ''is.
Average annual rainfall: inches
Average annual snowfall: inches
(ii) Physical Characteristics:
(a) Relationshm with TNW'
^ Tributary Bows directly into TNW
^ Tributary flows through .ic~'~k%L ~ tributaries before entering TNW
Protect waters are PiBkgtlist over miles from TNW
Protect waters are ,ickZ Vii" over miles from RPW
Protect waters are Piek~L'` aerial (straight) miles from TNW
Protect waters are PiekrLis aerial (straight) miles from RPW
Protect waters cross or serve as state boundaries. Explain:
Identify flow route to TNWs'
Tributary stream order, if known:
'Note Ilia[ the Instructional Gmdebook contains additional mfonnauon regarding swales, ditches, washes, and erosional features generalty and m the and
West.
Flow route can be described by identifying, e.g., tributary a, which Flows iNough the review area, to Flow into Vibutary b, which then Flows into TNW.

(b) General Tributary Characteristics (check all that ap~ly~
Tributary is: ^ Natural
^ Artificial (man-made). Explain:
^ Manipulated (man-altered). Explain:
Tributary properties with respect to top of bank (estimate):
Average width: feet
Average depth: feet
Average side slopes: P ciP k.L~'ts .
Primary tributary substrate composition (check all that apply):
^ Silts ^ Sands ^ Concrete
^ Cobbles ^ Gravel ^ Muck
^ Bedrock ^ Vegetation. Type/%cover:
^ Other. Explain:
Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain:
Presence ofrun/riffle/ ool complexes. Explain:
Tributary geometry- .'ck ''
Tributary gradient (approximate average slope):
(c) Flow:
Tributary provides for: acktLi
Estimate average number of flow events m review area/year: kick? is
Describe Bow regime:
Other mfortna[ion on duration and volume:
Surface Bow is: cl" 'is Characteristics:
Subsurface Bow: 'ekcLts . Explain findings:
^ Dye (or other) test performed:
Tributary has (check all that apply):
^ Bed and banks
^ OHWM6 (check all indicators that apply):
^ clear, natural line impressed on the bank ^
^ changes in the character of soil ^
^ shelving ^
^ vegetation matted down, bent, or absent ^
^ leaf litter dismfied or washed away ^
^ sediment deposition ^
^ water staining ^
^ other (list): ,
the presence of litter and debns
destruction of terteslnal vegetation
the presence of wrack line
sediment sorting
Scour
multiple observed or predicted flow events
abrupt change m plant community
^ Discontinuous OHWM.r Explain:
If factors other than the OHWM were used to determ
Q High Tide Lme indicated by' ^s"
^ oil or scum line along shore objects
^ fine shell or debns deposits (foreshore)
^ physical markmgs/chamctenshcs
^ tidal gauges
^ other (list):
tie lateral extent of CWAiunsdiction (check all that apply)
Mean High Water Mark indicated by~
^ survey to available datum;
^ physical markings;
^ vegetation lines/changes m vegetation types.
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.).
Explain:
Identify specific pollutants, if known:
`A natural or man-made discontinwry m the OHWM does not necessarily severlunsdicuon (e.g., where [he sueam temporarily Flows underground, or where
the OHWM has been removed by derelopment or agnculWral pmcuces). When; there ~s a break m the OHWM that is unrelated [o the waterbody's fbw
regime (e.g., flow over a rock outcrop or through a culvert), [he agercies will look for indicators of Flow above and below the break
'Ibid.

(iv) Biological Charactenstics. Channel supports (check all that apply):
^ Rtpartan condor. Charactenstics (type, average width):
^ Wetland fnnge. Charactensncs:
^ Habitat for:
^ Federally Listed spectes. Explatn findings:
^ Fish/spawn areas. Explatn findings:
^ Other envuonmentally-sensitive spectes. Explatn findings:
^ Aquatic/wildlife diverstty Explatn findings:
2. Charactenstics of wetlands adjacent to non-TNW that Bow directly or indirectly into TNW
(i) Physical Charactenstics:
(a) General Wetland Charactenstics:
Propertws:
Wetland stu: acres
Wetland type. Explatn:
Wetland quality Explatn:
Project wetlands cross or serve as state boundanes. Explain:
(b) General FlowRelationshtowithNon-TNW~
Flow ts: •ick .Explain:
Surface flow ts: ~ ck '
Chazactenstics:
Subsurface flow: Explatn findings:
^ Dye (or other) test performed:
(c) Wetland Adjacency Determination with Non-TNW~
^ Directly abutting
^ Not directly abutting
^ Discrete wetland hydrologic connection. Explain:
^ Ecological connection. Explatn:
^ Separated by berm/tamer. Explatn:
(d) Proximity (Relationsht~~ to TNW
Proied wetlands are~'ick'~.i over miles from TNW
Protect waters are t'ck ``` aenal (straight) miles from TNW
Flow is from: mkL~ .
Estimate approximate location of wetland as within the PickL'"IS floodplain.
(ii) Chemical Characteristics:
Chamctenze wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
Charactenstics; etc.). Explain:
Identify speck pollutants, if known:
(iii) Biological Charactenstics. Wetland supports (check all that apply):
^ Rtpanan buffer. Charactenstics (typq average width):
^ Vegetation type/percent cover. Explain:
^ Habitat for:
^ Federally Ltsted spectes. Explatn findings:
^ Fish/spawn areas. Explatn findings:
^ Other envvonmrntally-sensurve spectes. Explatn findings:
^ Aquahc/wildlife diverstty Explatn findings:
3. Charactenstics of all wetlands adjacent to the tributary (if any)
All wetland(s) being constdered m the cumulative analyvs: Pick r
Approximately ( ) acres m total are being constdered m the cumulative analysts.

For each wetland, specify the following:
Directly abuu? (YMl Size tin acresl Directly abuts? tYM) Size (in acresl
Summanze overall btologtcal, chem¢al and physical functions being performed:
C. SIGNIFICANT NEXUS DETERMINATION
A significant news analysts will assess the flow charactenstics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemtcal, physical, and btologtcal integrity
of a TNW. For each of the following situations, a signifinnt nexus exists if the tributary, in combination with all of fts adjacent
wetlands, has more than a speculative or insubstantial effect on the chemtcal, phystcal and/or btologtcal integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all ifs adjacent
wetlands. It is not appropriate to determine stgnificant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjaceot wetland lies within or
outside of a floodplain is not solely determinative of significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, m combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW~
• Does the tributary, m combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW~
• Does the tributary, m combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic cazbon that
support downstream foodwebs7
• Does the tributary, m combination with its adjacent wetlands (if any), have othec relationships to the phystcal, chemical, or
btologtcal integrity of the TNW~
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below:
1. Significant nexus findings Cor non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D:
2. Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary m combination with all of its
adjacent wetlands, then go to Section III.D:
3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of stgnificant nexus below, based on [he tributary m combination with alt of its adjacent wetlands, then go to
Section IILD:
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
1. TNWs and Adjacent Wetlands. Check all that apply and provide s¢e estimates m review area:
Q TNWs: li near feetl7width (ft), Or, acres.
Wetlands adjacent to TNWs: acres.
2. RPWs that flow directly or indirectly into TNWs.
® Tributaries of TNWs where tributaries typically Flow year-round are,7unsdichonal. Pronde data and rationale indicating that
tributary is perennial: Field work indicated year-round flow.
® Tributaries ofTNW where tributaries have contrnuous flow "seasonally" (e.g., typically three months each year) are
lunsdictional. Data supporting this conclusion is provided at Section IILB. Provide rationale indicating that tributary flows
seasonally

Provide estimates forlunsdichonal waters m the review area (check all that apply):
Q Tributary waters: linear feet width (ft).
® Other non-wetland waters: acres.
Identify type(s) of waters:
3. Non-RPWs° that Bow directly or indirectly into TNWs.
tr Waterbody that is not a TNW or an RPW, but Bows directly or indirectly into a TNW, and n has a significant nexus with a
TNW islunsdichonal. Data supporting this conclusion is provided at Sechon ^LC.
Provide estimates for Iunsdictional waters within the review area (check all that apply):
Tributary waters: linear feet width (ft).
>z Other non-wetland waters: acres.
Identify type(s) of waters:
4. Wetlands directly abutting an RPW that Bow directly or indirectly into TNWs.
Wetlands directly abut RPW and thus arelunsdictional as adjacent wetlands.
QQ Wetlands directly abutting an RPW where vibutaries typically Bow year-round. Provide data and mtionale
mdicahng that tributary is perennial m Sechon IILD.2, above. Provide rationale indicating that wetland is
directly abutting an RPW
Q Wetlands directly abutting an RPW where tributaries typwally flow "seasonally " Provide data indicating that tributary is
seasonal m Section IILB and rationale m Sechon IILD.2, above. Provide mtionale mdicahng that wetland is directly
abuttingan RPW~
Provide acreage estimates forlurisdictional wetlands m the review area: O.OSacres.
5. Wetlands adjacent to but not directly abutting an RPW that Bow directly or indirectly into TNWs.
Wetlands that do not directly abut an RPW, but when considered m combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW arelunvdictional. Data supporting this
conclusion is provided at Section IILC.
Provide acreage estimates for7unsdictional wetlands m the review area: acres.
6. Wetlands adjacent to non-RPWs that Bow directly or indirectly into TNWs.
® Wetlands adjacent to such waters, and have when considered m combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are~urisdichonal. Data supporting this
conclusion is provided at Section BLC.
Provide estimates forlunsdictional wetlands m the review area: acres.
7. Impoundments of jurisdictional waters.s
As a general rule, the impoundment of ajunsdic[ional tributary remains junsdichonal.
Demonstrate that impoundment was created from "waters of the U.S.," or
~Q Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
^~ Demonstrate that water is isolated with a nexus to commerce (see E below).
E. ISOLATED INTERSTATE OR INTRA-STATEJ WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY):10
which are or could be used by interstate or foreign vavelers for recreational or other purposes.
from which fish or shellfish are or could be taken and sold m interstate or foreign commerce.
at which are or could be used for industrial purposes by industries in interstate commerce.
is Interstate isolated waters. Explain:
h* Other factors. Explain:
Identify water body and summarize rationale supporting determination:
'See Footnote N 3.
' To complete the aialysis refer to the key m Section IILD.6 of the [nstmaional Gwdebook
10 Prior to asserting or declining CWA junsdicfion based solely on This category, Corps Distncb will elevate the action to Corps and EPA HQ for
review consistent with the process described m [he Corps/EPA Memorwdum Regarding CWA AM Jansdicdon Fo!lowmg Rapanos.

Provide estimates for Junsdictional waters m the review area (check all that apply):
® Tributary waters: linear feet widt h (ft).
8 Other non-wetland waters: acres.
Identity type(s) of waters:
Wetlands: acres.
NON-JURISDICTIONAL WATERS, INCLUDING W ETLANDS (CHECK ALL THAT APPL]~:
'^ If potential wetlands were assessed within the review area, these areas did not meet the cn[ena m the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropnate Regional Supplements.
Q Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
^ Pnor to the Jan 2001 Supreme Court decision m "SWANCC;' the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
Waters do not meet the "Significant Nexus" standard, where such a finding is requved for Junsdiction. Explain:
Other: (explain, if not covered above):
Provide acreage estimates for non-7unsdictional waters m the review area, where the sole potential basis of junsdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for imgated agriculture), using best professional
( vers, streams): linear feet width (ft).
® Lakes/ponds: acres.
Other non-wetland waters: acres. List type of aquatic resource:
® Wetlands: acres.
Provide acreage estimates for non ~unsdictional waters in the review azea that do not meet the "Significant Nexus" standard, where such
a finding is regmred for Jurisdiction (check all that apply):
S(~, Non-wetland waters (i.e., nvers, streams): linear feet, width (ft).
G Lakes/ponds: acres.
Other non-wetland waters: acres. List type of aquatic resource:
Wetlands: acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply -checked items shall be included in case file and, where checked
and requested, appropnately reference sources below):
Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant:
Data sheets prepared/submitted by or on behalf of the applicanUconsultant.
^ Office concurs with data sheets delineation report.
^ Office does not concur with data sheets/delineation report.
Data sheets prepared by the Corps:
y'i Corps navigable waters' study
~ U.S. Geological Survey Hydrologic Atlas:
^ USGS NHD data
^ USGS 8 and 12 digit HUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name:
USDA Natural Resources Conservation Service Soil Survey Citation:
$ National wetlands inventory map(s). Cite name:
2 State/Local wetland mvenWry map(s):
FEMA/FIRM maps:
Q 100.year Floodplam Elevation is: (National Geodectic Vertical Datum of 1929)
Q Photographs: ^ Aenal (Name & Date):
or ^ Other (Name & Date):
Q Previous detenninauon(s). File no, and date of response letter:
Applicable/supporting case law:
Applicable/supporting scientific ]iteralure:
~ Other information (please specify):
Judgment (check all that apply)
^~' Non-wetland waters i.e., n
B. ADDITIONAL COMMENTS TO SUPPORT JD:

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