20121014 Ver 1_Application_20121105

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Coips Submittal Covet Sheet ��!/ %%41.,0
"44(06,1qz,9:?°/e
Please prop tde the following info 1 4eve��y
1 Project Name Budge No 216 on SR 1380 (Turkey Creek Road) O) � 4 ey
2 Name of P►opett) Owner/Applicant Noith Carolina Department of Tins ortztron
I p
3 Name of Consultant/Agent N/A
*Agent authonzlhon needs to be attached
4 Related/Pievious Action ID numbei(s) N/A
5 Site Address N/A
6 Subdivision Name N/A
7 City Clyde
8 Count) HayIN ood
9 Lat 35 6896°N Long 82 9260 W (Appiox Pioject Centel)
10 Quadrangle Name Fines Creek(35082 F8 TF 0241
11 Waterway Turkey Creel. (DWQ Class C)
12 Watershed Ftench Broad Rivet (IIUC 06010106)
13 Requested Action
X Nationwide Permit# 3
Genet al Permit#
Jutisdicttonal Determination Request
Pie Application Request
The following infoimation will be completed by Cotps office
AID
Piepate File Folder Assign number in ORM Begin Date
Authorization Section 10 Section 404
Pioject Description/Nature of Activity/Project Put pose
Site/Watets Name
Keywords

4Ypto�T ,ry
FR
STATE OF NORTH CAROLINA eba,
DEPARTMENT OF TRANSPORTATION it
BEVFRI Y EAVES PERDUE EUGENE A CONTI JR
Go Ett OR SECRETARI
October 30 2012
Ms Lou Beckwith,NCDOT Regulator) Project Manager
U S Auny Coups of Engmeets
151 Patton Avenue Room 208
Asheville, NC 28801 2714 2 0 1 2 1 0 1 4
Subject Nationwide 3 Permit Application
Replace Bridge No 216 on SR 1380 (Tuike) Cieek Road) oven 'Nike) Creek
Haywood Count)
State Ptoject No 17BP 14 R 10
Dear Mu Beckwith
The North Carolina Depttment of Tianspoitation (NCDOT) proposes to ueplace the subject
bridge under the Division Budge Replacement Piogiam The purpose of this project is to ieplace
a function-illy obsolete 17 L \ 18 W timber budge with a 32 L x 30 W single span cooed slab
stiuctute NN1th et heal abutments The budge will be relocated slight!) north of the existing
budge The puoject will also include some minor approach \\oik on the existing Turke) Cieek
Road (SR 1380)
I am enclosing a PCN application Rapanos Jul isdiction'ul torm plan sheets showing the
proposed work a marked county map a USGS quad map and photographs
The North Carolina Natural Heruta6e D1t-ibase w'rs checked tot records of threatened and
endangered species The database lists 41 species that haN e federal status Additionally the bald
eagle (Hulracetus leucocepha/us) iethuns special protection under the Bald and Golden Eagle
Protection Act Eight species Carolina northern flying squruie! (Glaucomys sabi Marrs color alus)
gia) bat (Alyolis gi tsescens), Indiana bat(Moils soda/rs) Appalachian elktoe (Alasnudoitla
►aw.neluana) sp1 ice tit moss spider (lllrco ohel ru a nuonilvaga) small whot led pogonta(Isoh to
nuedcolocdes) spueadung avens (Gcum r ac/ralum)and lock gnome lichen(Gymnodei ma linear e)
ate listed as either threatened or endangered Howe el the small whorl pogoma is known onl)
from Iustoucal iecoicls Although the Indiana bat is listed in the database the U S Fish and
Wildlife Set vice does not consider Haywood County to be an Indiana bat count)
The North Carolina Natural Heritage Database does not list any element occ,uuences lot the
above protected species within the entue Fines Creek watershed There are no iecoids listed
within a five mile iaduus of the puoject
- - Fairtecnth DIN isIon Office
Telephone [phone] 253 Webster Ro►d S)l l North Carotin 1 28779 ['1r [phone]

Budge No 216 Haywood Count) 2 Octobei 30 2012
Habitat in the vicinity of the culvert site has been affected by agiicultu►al fields the existing
load private di►Nmays the budge and the scorning process associated with the stieam No
thieatened o► endangered species were obseiNed dui mg the field scoping process therefore, Nye
recommend a no effect call on thieatened and endangered species
This protect was reviewed by NCDOT s Hunvin Envuonment Unit in 2012 It was determined
that no histoiic structures or auchaeological resources ould be impacted by the project
NCDOT best management practices will be used to minimize and control sedimentation and
erosion on this pioject The construction foreman will ieview all erosion control measures daily
to ensure sedimentation and erosion controls are being controlled effectively If the devices are
not functioning as intended they will be replaced immediately with better devices
Impacts to Waters of the United States
'Nike) Cieek (DWQ Class C) is shoNNn on the USGS topographic map as a perennial stieam
The channel is well defined with a substrate primarily of sand, graNel and small cobble and is
approximately 5 6 feet in width I Luke) Creek has sufficient floe to support fish and other
aquatic organisms Turkey Creek flows approximately 0 4 miles to Fines Cieek Fines Cieek
then flows appioximatcl) 5 4 miles to the Pigeon River The Pigeon River meets the definition
of a Tviditional Navigable Water For these seasons we believe Twice) Cieek is Relatively
Permanent Water and is under the jurisdiction of the U S Aimy Corps of Engineers In order to
construct the pioject it will be necessary to impact waters of the United States in the French
Bioad Rives Basin (IIUC 06010106) Specific'll), NCDOT is requesting to replace Bridge No
216 with a single span cored slab bridge Listed below is a summai) of the proposed impacts
Site No Existing Condition Proposed Condition Net
Station Impacts
Site 1 Timber Bridge 32 L x 30 W Single Span Cored 0
11+99 Slab Budge
FloNN Diversion to Allow for
1A Flee Flowing Stream Removal of Old Budge Structures 120
and Placement of Ripiap Along
Each Bank
Natuial and Excavated Ripiap Bank Stabilization Under
1B Earthen Streambanks Each End of Bridge 53
Total Pei in neat Sti elm Impact for Ripi ap 53'
Total Tempos ark Stn cam Impacts for Flow DIN ei lion 120'

Badge No 216 HayNNood Count) 3 October 30 2012
Pet nuts Requested
NCDOT is hereby requesting authorization under Section 404 of the Clean Watet Act to proceed
with the construction project outlined above B) cop) of this letter I am asking Ms Marla
Chambeis Western DOT Review Cooidinatoi of the Notth Carolina Wildlife Resources
Commission (NCWRC) to comment dncctly to)ou concerning the 404 Nationwide Permit
request
I aim also requesting authorization under Section 401 of the Clean Water Act horn the North
Carolina Department of Environment and Natural Resources (DENR) Division of Watet
Qualit) (DWQ) In addition I am asking Ms Chambeis and Mt Reid Whitehead, Roadside
Envnonmental Field Opetations Engineer (NCDOT) to comment directly to me concei ning this
permit request
If)ou have an questions of need additional into'matron, please contact Mi Josh Deyton at
[phone] of me at [phone] Yout call) ieN iew and consideiation will be greatl)
app'eciated
Sincetel
fiA. ,-/:-_," „,,,w,---2.--/-
Mark S Davis
Division 14 Environmental Program Supervisor
Enclosures
cc Mt Mike Packet DWQ DENR Asheville Regional Office
Mi Jason Mays Biologist USFWS Asheville
Ms Marla Chambers Western NCDOT Revie\\ Cooidinatoi NCWRC
Mr Josh De)ton PE Division 14 Bridge Management Engineer NCDOT Bryson City
Mi Reid Whitehead PE Roadside Envnonmental Field Opetations Engineer, NCDOT

Office Use Only
. Corps action ID no
101 i o . w v .Y DWQ project no
Form 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 (E)Section 404 Permit ❑ Section 10 Permit
1b Specify Nationwide Permit(NWP) number 3 or General Permit(GP) number
1c Has the NWP or GP number been verified by the Corps? ®Yes ❑No
1d Type(s)of approval sought from the DWQ(check all that apply)
❑401 Water Quality Certification—Regular ❑ Non 404 Jurisdictional General Permit
❑401 Water Quality Certification—Express ❑ Riparian Buffer Authorization
le Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit
because written approval is not required? Certification
®Yes ❑ No ❑Yes ® No
If Is payment into a mitigation bank or in lieu fee program proposed for mitigation ❑Yes El No
of impacts? If so attach the acceptance letter from mitigation bank or in lieu
fee program
1 g Is the project located in any of NC s twenty coastal counties If yes answer 1 h ❑Yes ® No
below
1h Is the project located within a NC DCM Area of Environmental Concern(AEC)? ❑Yes ® No
2 Project Information
2a Name of project Replace Bridge No 216 on SR 1380 (Turkey Creek Road)over Turkey Creek
2b County Haywood
2c Nearest municipality/town Clyde
2d Subdivision name N/A
2e NCDOT only T I P or state 17BP 14 R 10
project no
3 Owner Information
3a Name(s)on Recorded Deed North Carolina Department of Transportation
3b Deed Book and Page No N/A
3c Responsible Party(for LLC if N/A
applicable)
3d Street address N/A
3e City state zip N/A
3f Telephone no N/A
3g Fax no N/A
3h Email address N/A
Page 1 of 11
PCN Form—Version 1 3 December 10 2008 Version

4 Applicant Information (if different from owner)
4a Applicant is ❑Agent ® Other specify Division 14 Environmental Program Supervisor
4b Name Mark S Davis
4c Business name North Carolina Department of Transportation
(if applicable)
4d Street address 253 Webster Road
4e City state zip Sylva NC 28779
4f Telephone no 828 586 2141
4g Fax no 828 586 4043
4h Email address markdavis @ncdot gov
5 Agent/Consultant Information (if applicable)
5a Name N/A
5b Business name N/A
(if applicable) _
5c Street address N/A
5d City state zip N/A
5e Telephone no N/A
5f Fax no N/A
5g Email address N/A
Page 2 of 11

B Project Information and Prior Project History
1 Property Identification
1a Property identification no (tax PIN or parcel ID) N/A
lb Site coordinates(in decimal degrees) Latitude 35 6896 Longitude 82 9260
1c Property size N/A acres
2 Surface Waters
2a Name of nearest body of water(stream river etc)to Turkey Creek
proposed project
2b Water Quality Classification of nearest receiving water C
2c River basin French Broad River Basin
3 Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
The general landscape is primarily deciduous forest but the landscape in the stream valley is a mosaic of forest and open
fields with some single family residences
3b List the total estimated acreage of all existing wetlands on the property
N/A
3c List the total estimated linear feet of all existing streams(intermittent and perennial)on the property
N/A
3d Explain the purpose of the proposed project
To replace the existing 17 foot long x 18 1 foot wide timber bridge with a 32 foot long x 30 foot wide x 21 inch thick cored
slab bridge
3e Describe the overall project in detail including the type of equipment to be used
Erosion and sedimentation control measures will be installed and part of the old bridge structure will be removed One half of
the new bridge will be constructed slightly upstream Traffic will be put on the new bridge section and the remainder of the old
bridge will be removed and the new bridge completed Track hoes dump trucks bulldozers paving equipment water pumps
sandbags diversion pipe and various hand tools will be used to accomplish the work
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property/
project(including all prior phases) in the pasty
0 ® No ❑ Unknown
Comments N/A
4b If the Corps made the jurisdictional determination what type ❑ preliminary ❑ Final
of determination was made?
4c If yes who delineated the jurisdictional areas? Agency/Consultant Company N/A
Name (if known) N/A Other N/A
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5 Project History
5a Have permits or certifications been requested or obtained for ❑ Yes ® No ❑ Unknown
this project(including all prior phases) in the past?
5b If yes explain in detail according to help file instructions
Page 3 of 11
PCN Form—Version 1 3 December 10 2008 Version

B Project Information and Prior Project History
6 Future Project Plans
6a Is this a phased project? ❑Yes ® No
6b If yes explain
Page 4 of 11

C Proposed Impacts Inventory
1 Impacts Summary
1a Which sections were completed below for your project(check all that apply)
❑Wetlands ® Streams tributaries ❑ 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) DWQ—non 404 other) (acres)
Temporary(T)
W1 ❑P❑T N/A N/A ❑Yes ❑ Corps N/A
❑ No ❑ DWQ
W2 0 P 0 T ❑Yes 0 Corps
❑ No ❑ DWQ
W3 ❑ P❑T 0 Yes 0 Corps
❑ No ❑ DWQ
W4 ❑ P❑T 0 Yes 0 Corps
❑ No ❑ DWQ
W5 ❑ P ❑T ❑Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P❑T 0 Yes 0 Corps
❑ No ❑ DWQ
2g Total wetland impacts N/A
2h Comments N/A
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
3a 3b 3c 3d 3e 3f 3g
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number (PER)or (Corps 404 10 stream length
Permanent(P)or intermittent DWQ—non 404 width (linear
Temporary(T) (INT)? other) (feet) feet)
S1 ® P❑T Spanning Cored Turkey Creek ® PER ®Corps 6 0
Slab Bridge ❑ INT ❑ DWQ
Flow Diversion to ® PER 0 Corps
S1A ❑ P®T Remove Old Turkey Creek 6 120
Bridge Structure ❑ INT ❑ DWQ
Riprapped ® PER ® Corps
S2 ® P❑T Stabilized Turkey Creek 6 53
Streambanks ❑ INT ❑ DWQ
S2A ❑ P
S3 ❑ P❑T
S3A [' POT
S4 ❑ P❑T
3h Total Permanent Stream Impacts for Riprapped Streambanks 53
3i Comments Total Temporary Stream Impacts for Impervious Dikes and Flow Diversions 120
Page 5 of 11
PCN Form-Version 1 3 December 10 2008 Version

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 individually list all open water impacts 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)
Temporary(T)
01 ❑ P❑T N/A N/A N/A N/A
02 ['POT
03 ❑P❑T
04 ❑ P❑T
4f Total open water impacts N/A
4g Comments N/A
5 Pond or Lake Construction
If pond or lake construction proposed then complete the chart below
5a 5b 5c 5d 5e
Wetland Impacts(acres) Stream Impacts(feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1 N/A N/A N/A N/A N/A N/A N/A N/A
P2
5f Total N/A N/A N/A N/A N/A N/A N/A
5g Comments N/A
5h Is a dam high hazard permit required?
❑Yes ® No If yes permit ID no N/A
5i Expected pond surface area(acres) N/A
5j Size of pond watershed(acres) N/A
5k Method of construction N/A
6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any impacts require mitigation then you MUST fill out Section D of this form
6a
❑ Neuse ❑Tar Pamlico ❑ Other
Project is in which protected basin? N/A ❑ Catawba ❑ Randleman
6b 6c 6d 6e 6f 6g
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent(P)or for Stream name mitigation (square feet) (square feet)
Temporary(T) impact required?
B1 ❑ P❑T N/A N/A ❑❑Nos N/A N/A
B2 ❑ P ❑T ❑Yes
❑ No
B3 ❑ P ❑T ❑Yes
❑ No
6h Total buffer impacts N/A N/A
6i Comments N/A
Page 6 of 11

I
D Impact Justification and Mitigation
1 Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The old bridge will be replaced with a new spanning structure that will be longer and increase the hydraulic capacity
through the bridge opening
lb Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
In stream work will be performed in the dry using sandbags to divert the water away from the work area Appropriate
BMPs according to the approved erosion and sedimentation control plan will be installed on the project prior to soil
disturbance
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for ❑Yes ❑ No
impacts to Waters of the U S or Waters of the State?
2b If yes mitigation is required by(check all that apply) ❑DWQ ❑Corps
❑ Mitigation bank
2c If yes which mitigation option will be used for this
project? ❑ Payment to in lieu fee program(EEP)
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank N/A
3b Credits Purchased (attach receipt and letter) Type N/A Quantity N/A
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 linear feet
4c If using stream mitigation stream temperature ❑warm ❑ cool ®cold
4d Buffer mitigation requested (DWQ only) N/A square feet
4e Riparian wetland mitigation requested N/A acres
4f Non riparian wetland mitigation requested N/A acres
4g Coastal(tidal)wetland mitigation requested N/A acres
4h Comments
Complete If Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
N/A
Page 7 of 11
PCN Form—Version 1 3 December 10 2008 Version

6 Buffer Mitigation (State Regulated Riparian Buffer Rules)—required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires ❑ Yes ® No
buffer mitigation?
6b If yes then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
6c 6d 6e
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 N/A N/A 3 (2 for Catawba) N/A
Zone 2 1 5
6f Total buffer mitigation required N/A
6g If buffer mitigation is required 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)
N/A
6h Comments N/A
Page 8 of 11

E Stormwater Management and Diffuse Flow Plan (required by DWQ)
1 Diffuse Flow Plan
la Does the project include or is it adjacent to protected riparian buffers identified ❑Yes El No
within one of the NC Riparian Buffer Protection Rules?
lb If yes then is a diffuse flow plan included? If no explain why
❑Yes ❑ No
Comments N/A
2 Stormwater Management Plan
2a What is the overall percent imperviousness of this project') N/A
2b Does this project require a Stormwater Management Plan? ®Yes ❑ No
2c If this project DOES NOT require a Stormwater Management Plan explain why
2d If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
Project is Covered by Individual NPDES Permit NCS000250
❑ Certified Local Government
2e Who will be responsible for the review of the Stormwater Management Plan'? ® DWQ Stormwater Program
❑ DWQ 401 Unit
3 Certified Local Government Stormwater Review
3a In which local government s jurisdiction is this project'? N/A
❑ Phase II
3b Which of the following locally implemented stormwater management programs R NSW
apply(check all that apply) USMP
❑Water Supply Watershed
❑ Other
3c Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4 DWQ Stormwater Program Review
❑ Coastal counties
❑ HOW
4a Which of the following state implemented stormwater management programs apply ❑ ORW
(check all that apply) ❑ Session Law 2006 246
❑ Other
4b Has the approved Stormwater Management Plan with proof of approval been
attached? ❑Yes ❑ No
5 DWQ 401 Unit Stormwater Review
5a Does the Stormwater Management Plan meet the appropriate requirements? ❑ Yes ❑ No
5b Have all of the 401 Unit submittal requirements been met? ❑ Yes ❑ No
Page 9 of 11
PCN Form—Version 1 3 December 10 2008 Version

F Supplementary Information
1 Environmental Documentation (DWQ Requirement)
la Does the project involve an expenditure of public(federal/state/local)funds or the ® Yes ❑ No
use of public(federal/state)land?
lb If you answered yes to the above does the project require preparation of an
environmental document pursuant to the requirements of the National or State ❑Yes ® No
(North Carolina)Environmental Policy Act(NEPA/SEPA)?
1c If you answered yes to the above has the document review been finalized by the
State Clearing House? (If so attach a copy of the NEPA or SEPA final approval
letter) ❑ Yes ❑ No
Comments
2 Violations (DWQ Requirement)
2a Is the site in 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 Riparian Buffer Rules(15A NCAC 2B 0200)9
2b Is this an after the fact permit application? ❑ Yes ® No
2c If you answered yes to one or both of the above questions provide an explanation of the violation(s) N/A
3 Cumulative Impacts(DWQ Requirement)
3a Will this project(based on past and reasonably anticipated future impacts)result in ❑ Yes El No
additional development which could impact nearby downstream water quality?
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 description
This is a rural secondary road The bridge is being upgraded to standard load limits and width The bridge upgrade is not
anticipated to have any significant impact on development
4 Sewage Disposal(DWQ Requirement)
4a Clearly detail the ultimate treatment methods and disposition(non discharge or discharge)of wastewater generated from
the proposed project or available capacity of the subject facility
N/A
5 Endangered Species and Designated Critical Habitat(Corps Requirement)
5a Will this project occur in or near an area with federally protected species or ❑Yes El 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 Species or Designated Critical
Habitat?
North Carolina Natural Heritage Database
Page 10 of 11

6 Essential Fish Habitat(Corps Requirement)
6a Will this project 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?
N/A—There are no marine or estuarine communities within the Blue Ridge Province
7 Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state federal or tribal
governments have designated as having historic or cultural preservation Yes 0 N
status(e g National Historic 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 historic or archeological resources?
This bridge project has been screened by archaeologists with the NC Department of Transportation s Human
Environment Unit and it was determined that no surveys were required for archaeology or historic structures
8 Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA designated 100 year floodplain? 0 Yes ® No
8b If yes explain how project meets FEMA requirements
8c What source(s)did you use to make the floodplain determination? NC Floodplain Mapping Program
Milk S Dax is
Division 14 Environmental
Ptogtam Sive'visoi l /d =gel /02
Applicant/Agent s Signature Date
Applicant/Agent s Printed Name (Agents signature is valid only if an authorization letter from the applicant
is provided)
Page 11 of 11

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I

APPROVED JURISDICTIONAL DETERMINATION FORM
U S Army Cot ps of Engineers
I his form should be completed by folios%ins the instructions pros ided in Section iV of the JD Form instructional Guidebook
SECTION I BACKGROUND INFORMAL ION
A REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION(JD)
B DISTRICT OFFICE FILE NAME AND NUMBER
C PROJECT LOCATION AND BACKGROUND INFORM VI ION Bridge No 216 on SR 1380(1 urkey Creek Road)
State NC County/parish/borough Haywood City Clyde
Center coordinates of site(lat/long in degree decimal tonnit) Lat 35 6896 I ong 82 9260
Unis ersal Transverse Mercator
Name of nearest w aterbody Furkey Creek(DWQ Class C)
Name of nearest Traditional Nas fig ible Whiter(TN\\')Into which the aquatic resource floss Pigeon Riser
Name of witershed or Hydrologic Unit Code(1-IUC) 06010106020040
® Check tf map/diagr tin of res less area and/or potential jurisdictional ire is is/areas atlable upon request
❑ Check it other sites(e g ofisite mitigation sites disposal sites etc )arc associated ss ith this fiction and are recorded on a
different JD form
D REVIEW PERFORMED FOR SITE FVALUATION(CHECK ALL THAT APPLI)
® Office(Desk)Determination Date Oct 24 2012
❑ Field Determination D ac(s)
SECTION II SUMMAR1 OF FINDINGS
A RI IA SEC I(ON l0 DETERMINATION Of JURISDICTION
That.Are nd nan[gable uatets o/the U 5 within Ris ers and Harbors Act(RHA)jurisdiction(as defined by 33 CFR part 329)m the
reviess are i [Requo ed j
❑
Waters subject to the ebb and floss of the tide
❑ Waters are presently used or has c been used in the past or m my be susceptibtc for use to transport interstate or foreign commerce
F\plvn
B C\1 A SECTION 404 DETERMINATION OF JURISDICTION
There Arc ii ate[s of the US ss ithin Clean\\titer Act(CWA)jurisdiction(is defined by 33 CI R p in 328)in the res less area [Requu ed]
1 11 atei s of the U S
a Indicate presence of waters of U S in re%tew area(check all that apph)
❑ TN Ws including territorial seas
❑ Wetlands adjacent to FN\Vs
❑ Relatisely permanent ssaters2(RPWs)that floss directly or indirectly into TNWs
❑ Non RPWs that floss directly or indirectly into TNWs
❑ \Vetlinds directly abutting RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to but not directly abutting RPWs that Clow directly or indirectly into TN\\s
❑ Wetlands adjacent to non RP\Vs that floss directly or indirectly into TN\Vs
® Impoundments of jurisdictional slaters
❑ Isolated(interstate or intrastate)sisters including isol lied wetlands
b identify (estunite)size of sitters of the U S in the I evicw n ea
Non wetland waters 150 line it feet 5 6 ssidth(ft)and/or acres
Wetlands acres
c Limits(boundaries)of jurisdiction based on Established by OHWM1
Lies anon of established 01 IWM(if knossn)
2 Non i egulated iiatershvetlands(check if applicable)3
❑ Potenti illy lurisdictionil waters and/or wetlands ssere issesscd suthtn the rci less area and determined to be not jurisdictional
E�plvn
i Boses checked below shall be supported by completing the appropriate sections in Section III below
11 or purposes of this form an RPW is defined is t tributary that is not a [NW and that typically flows year round or has continuous flow at least seasonally
(e g typically 3 months)
3 Supporting documentation is presumed in Section IIi F

SECTION III C\VA ANALISIS
1 TNWs AND W ETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over 1 N\\s and is etlauls adjacent to TN\\s If the aquatic resource is a TN\\ complete
Section III A I and Section III D 1 onh if the aquatic i esoui cc is a wetland adjacent to a TN\' complete Sections III A i aid 2
and Section III D 1 othervv ise see Section iII B below
I TN\\
ldcntii) TNW
Summarize ration ile supporting determin ition
2 WetI'tnd adjacent to TN\\
Summarize rationale supporting conclusion th at wetland is adjacent
B CHARACTERISTICS OF fRIBUTARI (THAT iS NOT A TN\\)AND ITS ADJACENT\\ETLAI\DS(If ANN)
This section summarizes information rega ding character istics of the tributai y anti its adjacent wetlands if an and it helps
deter mine whether or not the standards for jurisdiction established under Rapanos have been met
The agencies will asset t jurisdiction over non navigable tributaries of TNWs whet e the tributai ies a e relate ely permanent
waters (RP\Vs) I e tributaries that typically floss year round 01 have continuous floss at least seasonal!) (e g t\picall) 3
months) A wetland that du ecth abuts an RP\\ is also Jul tsdictional If the aquatic i esource is not a TNW but has)ear ►ound
(perennial)flow skip to Section III D 2 If the aquatic resource is a wetland duectl) abutting a tributary with perennial flow
skip to Section III D 4
A wetland that is adjacent to but that does not direct!) abut an RPW requires a significant nexus es attrition Corps distr acts and
EPA regions w ill include in the i ecord ant available infor oration that documents the existence of a significant nexus between a
relatively permanent htbutars that is not pet ennial(and its adjacent wetlands if any)and a traditional navigable water es en
though a significant nexus finding is not r equired as a matter of law
If the water body°is not an RPW or a wetland du ectl) abutting an RPW a JD w ill requii a additional data to determine if the
waterbody has a significant nexus with a TN\\ If the ti ibutar) has adjacent wetlands the significant nexus evaluation must
consider the ti ibutai) in combination with all of its adjacent wetlands 1 his 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 i equest is
the tributary or its adjacent wetlands o1 both If the JD corers a tributary with adjacent wetlands complete Section III B I for
the tributary Section IiI B 2 for an) onsite wetlands and Section III B 3 for all wetlands adjacent to that tributary both onsite
and offsite The determination whether a significant nexus exists is determined in Section Ill C below
I Characteristics of non TN\\s that floss du ectl) or indirectly into TN\\
(i) Cenci al Ai ea Conditions
Watershed size Pick List
Drainage are t rPtck-List
Average annual rainfall inches
Avenge annual snowfall inches
(u) Ph)steal Character istics
(a) Relationship with TN\\'
❑Tributary flows directl) into TN\V
❑Tribut 1r) flows through Pick List tributaries before entering INW
Protect waters are Pick List riser miles from TNW
Project waters are Pick List river miles from RP\V
Project waters are Pick List aerial(straight)miles from TN\V
Project waters are Pick List atrial(straight)miles from RPW
Project waters cross or see e as state boundaries Explain
Identif) flow route W TN\VS
Tr ibutar) stream order if know n
'Note that the Instructional Guidt,book Lontams additional information rsgardin,mules ditches w ash s and erosional features general!)and in ilk and
\\est
3 flow mutt,can bN dl cribed b) idenuf)mg e, tributar) a which flows throu,h the rev iew area to floss into tribular)b which then flows into TN\\

(b) General Tributan Characteristics(check ill that apply)
Ti ibutat y is ❑N mural
❑Artificial(in in made) 1-whin
❑\llnipuhtcd (min altered) Explvn
Ti ibutii y properties w ith respect to top of bank(estmi ite)
Ai erage NI width feet
A\erigedepth feel
AN crage side slopes Pick List
Prinniry tributary substrate composition(check all that apply)
❑Silts ❑Suds ❑Concrete
❑Cobbles ❑Gra\e) ❑Muck
❑Bedrock ❑Vegetation Typc/°/ corer
❑Other Cxplum
1 ributary condition/st ibtlit) [e g highly eroding sloughing[rinks] Explain
Presence of run/riffle/pool complexes Exphin
tributary geometry Pick List
Tributiry gradient(approvnnte a1crigc slope) %
(c) Flow
i ribuhry pros ides for Pick List
Estimate ai erage number of floss ci cots in roles,. area./year Pick List
Describe floss regime
Other informition on duration and solume
Surface floss is Pick List Characteristics
Subsurface floss Pick List Explain findings
❑Dy e(or other)test performed
Tributiry has(check ill that apply)
❑Bed Ind banks
❑01 WM6(check-ill mdicitors that apply)
❑ cleir natural line impressed on the bvik ❑ the presence of litter and debris
❑ changes in the character of soil ❑ destruction of terrestrial segehtion
❑ shelf tog ❑ the presence of w r ick line
❑ seget-ttion mated down bent or ibscnt ❑ sediment sorting
❑ 'Whiter disturbed or ss ished away ❑ scour
❑ sediment deposition ❑ multiple observed or predicted flow esents
❑ water shining ❑ abrupt eh inge in plant community
❑ other(list)
❑Discontinuous OI IW1s1 7 f.whin
It t actors other thin the OHW\1 were used to determine I iteral extent of CWA jurisdiction(check all that apply)
❑ High I ide I me indicated by ❑ Me in High\\iter Mark indicated by
❑ oil or scum line ilong shore objects ❑sun ey to is ulable datum
❑ fine shell or debris deposits(toreshore) ❑physical markings
❑ physical markings/characteristics ❑icgetltion lines/changes in segetation types
❑ tidal gauges
❑ other(list)
(in) Chemical Cli iracteristics
Characterize tributary (c g water color is cleir discolored oily film mater quality general watershed characteristics etc)
Explvn
Identify specific pollutants if known
6A natural or nivi made discontinuity in the OHW\1 does not necessarily scicr jurisdiction(e g Where the stremn temporarily flows underground or where
the OHWM has been rims id by dci clopnunt or agricultural practices) Where there is a break in the 011W\i that is unrelated to the is aterbody s flow
rigunc(c g Clow os cr a rock outcrop or through a cub ert) the agencies w ill look for indicators of floss-those and below the break
7lbid
1
I

(ii) Biological Chaiactet!sties Chvinel suppoi is(check all that appl))
❑ Riparri n corridor Characteristics(type ascrage width)
❑ Wetland fringe Characteristics
❑ I hbitat for
❑Federally Listed species Cxphin findings
❑Fish/spawn areas Esphin findings
❑Other ens ironmentail) sensitise species Fxplvn findings
❑Aquatichwildlife dii ersity F\plain findings
2 Characteristics of wetlands adjacent to non TN\V that floss direct!, or inch!ectl) into TN\\
(i) Physical Chat acteristics
(a) General Wetland Characteristics
Properties
Wethnd size acres
Wetivtd t)pe Explain
Wetland quality Expanin
Protect wethnds cross or serse is state boundaries Fxplam
(b) General Flow Rel ttionship with Non TN\V
Flow is Pick List Explain
Surf ice flow is Pick List
Char tcteristics
Subsurface flow Pick List Lxphln findings
❑D)e(or other)test performed
(c) Wetland Adjacency Determination with Non TNW
❑Direct!) abutting
❑Not directly abutting
❑ Discrete wetland hydrologic connection F\plain
❑ Ecologic il connection Explain
❑ Separated by berm/barrier Expanin
(d) Prosimity (Rehtionship)to TNW
Protect wethnds ire PickaList iiser miles from TN\\'
Project waters arm Pick List aerial(straight)miles from TNW
i low is from Pick List
Estimate approvmate location of wetland as within the PickiList Iloodpl inn
(n) Chemical Chaiactei!sties
Characterize wetland system(e g water color is vicar brown oil film on surface water quality general watershed
eharicteristics etc) Explain
Identify specific pollutants if known
(m)Biological Cha!actei!sties \\etiand suppoiis(check all that app!))
❑ Riparian buflei Characteristics(type aserage width)
❑ Vegetation type/percent corer b'phin
❑ Ihbitat for
❑Federally Listed species Explain findings
❑Fish/spawn areas Cxplvn findings
❑Other ens ironmentally sensitise species Cxphin findings
❑Aquatichsildlife diersit) F\plain findings
3 Clwiacteristics of all wetlands adjacent to the tributary(if in))
All isethnd(s)being considered in the cumul anise mai)sis Pick List
Approximately ( )acres in total me being considered in the cumulatis a analy sis

for each wetland specify the following
Directly abuts)(Y/N) Size(in acres) Directly abuts?(1/N) Size(in acres)
Summarize overall biological chemical and physical functions being performed
C SIGNIFICANT NEXUS DETERMIIfATIO\
A significant nexus analysis will assess the flow characteristics and functions of the ti ibutan itself and the functions performed
by any wetlands adjacent to the ti ibutai■ to dote►mine if they significantly affect the chemical physical and biological integrity
of a 1 NW Foi each of the following situations a significant nexus exists if the tributai y ►n combination with all of its adjacent
wetlands his moi a than a speculatis.e of insubstantial effect on the chemical physical and/or biological integrity of a TNW
Considerations when esaluatmg significant nexus include but a'a not limited to the volume duration and frequency of the flow
of water in the ti►butai 1 and its pt oxrmity to a TN\' and the functions pet for med bt the ti ibutary and ill its adjacent
wetlands It is not appropi late to determine significant nexus bisect solely on any specific tin eshold of distance(e g between a
ti ibutary and its adjacent wetland 01 between a ti ibutary and the TN\V) Simdat ly the fact an adjacent wetland lies within or
outside of a floodplain is not solely Bete►nunatn e of significant nexus
Draw connections between the features documented and the effects on the TNW as identified in the Rapweos Guidance and
discussed in the Insti uct►onai Guidebook Facto's to consider include for example
• Does the tributary in combination ss ith its adjacent w etivnds(it an)) has e the capacit) to carry pollutants or flood w aters to
TNWs or to reduce the amount of pollutants or flood waters reaching a TN\V9
• Does the tributary in combination with its adjacent wetlands(if in)) pros ide habitat and lifecycic support functions for fish and
other species such as deeding nesting spawning or rearing young for species that are present in the TN\\'?
• Does the tributary in combination with its adj scent wetlands(it any) has c the capacity to transfer nutrients and org mac carbon that
support doss nstream foodssebs?
Does the tributary in combun ration with its adjacent wetlands(it any) has e other relationships to the physical chemical or
biological integrity of the TNW?
Note the abose list of considerations is not inclusne and other functions obset a ed of known to occur should be documented
below
Significant nexus findings foi non RIM that his no adjacent wetlands and flows du ectly or mdn ectIN into TN\\s Explain
findings of presence or absence of signilic mt news below b ised on the tributary itself then go to Section III D
2 Significant nexus findings for non RIM and its adjacent wetlands w het e the non RP\\ flows directly or indirectly into
TN\\s Explain findings of presence or absence of si€nificant news helms based on the tributary in combination with all of its
adjacent wetlands then go to Section III D
3 Significant nexus findings for wetlands adjacent to an RIM but that do not du ectly abut the RPM (-\plan findings of
presence or absence at significant news below based on the tributary in combination with all of its adjacent ssettands then go to
Section III D
D DETERNIINATIO\S OF JURISDICTIONAL FINDINGS THE SUBJECT\\ATERS/\\ETLANDS ARE(CHECK ALL
THAT APPLI)
I TNWs and Adjacent\\etlands Check ill that apply and pros ide size estimates in res icw area
❑TN\Vs linear feet width(ft) Or acres
❑Wetlands adjacent to TNWs acres
2 RP\\'s that flow duectly o' indirectly into TNWs
® I ributaries of TN\Vs where tributaries ty wally floss ye sr round are jurisdictional Pros ide data and rationale indicating that
tributary is perennial Turkey Creek is shims n on the i1SGS topographic map as a perennial stream
Ile Tributaries at [NW where tributaries has c continuous flow seasonally (e g t)picall) three months each year)arc
jurisdictional Data supporting this conclusion is pros ided at Section III B Pros ide ration ale indicating that tributary tloss s
seasonally

Pros ide estimates for jurisdictional waters in the res tew area(check all that apply)
▪ Tnbutary waters 150 linear feet 5 6 width(It)
❑ Other non wetland waters aces
Identity ty pc(s)of waters
3 Non RPMs8 that flow directly of nidhi ectly into I NM s
❑ Waterbed) th it is not u TNW or an RI 1V but flows directly or indirectly into a TNW and it Ins a significant nesus with a
TNW is_jurisdictional Data supporting this conclusion is provided at Section IiI C
Pros ide estimates for jurisdictional waters within the res iew area(check all that apply)
❑ Tributary waters linear feet width(ft)
❑ Other non wetland water, acres
identify ty pc(s)of waters
4 11 etlandsd erectly abutting an RPW that flow, directly or mdu ectly Into TNWs
❑ Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands
❑ Wetlands directly abutting an RPW where tributaries typically flow year round Pros ide data and rationale
indicating that tributary is perennial in Section III D 2 above Pros ide rationale indicating that wetland is
directly abutting an RPW
Wetl Inds directly abutting in RPW where tributaries typically flow seasonally Pros ide data indicating that tnbutaiy is
seasonal in Section iiI B and rationale in Section III D 2 arose Pros ide rationale indicating that wetland is directly
abutting an RPW
Pros ide icreage estimates for jurisdictional wetlands in the res icw area acres
S Wetlands adjacent to but not directls abutting an RP11 that flow direct!) of indirectil into T1 Ws
❑ Wetlands that do not directly abut an RPW but when considered in combination with the tributary to which they are adjacent
and with smut irly situ iced adjacent ssetl Inds Ii is e a significant nexus with a TNW are_jurisidicttonal Data supporting this
conclusion is pros ided at Section III C
Pros ide acreage estimates for jurisdictional wetlands in the res less area acres
6 1etlands adjacent to non RPM s that flow directly or indirectly into TNWs
❑ Wetlands adjacent to such waters and base when considered in combination with the trihut iry to which they are adjacent and
with similarly situated adjacent wetlands h we 1 significant nexus with a TNW are jurisdictional Data supporting this
conclusion is pros ided at Section III C
Pros ide estimates for jurisdictional wetlands in the res less area acres
7 Impoundments of Jurisdictional waters 9
As a general rule the impoundment of a_jurisdictional tributary remains jurisdiction 11
❑ Demonstrate that impoundment was cre ited from waters of the U S or
❑ Demonstrate that water meets the criteria for one of the categories presented-those(I 6) or
❑ Demonstrate that water is isol sled ss ith i nexus to commerce(see 1 below)
E ISOL 1TED!IN fERST 1TE OR INTRA STATES WATERS INCLUDING ISOLATED WETLANDS THE USE
DEGRADATION OR DESTRUCTION OE W HICH COULD 1FFECT INTERSTATE COMMERCE INCLUDING AN
SUCH WATERS(CHECK ALL THAT APPL1) 10
❑ w Inch are or could be used by interstate or foreign trns elers for recre Mona!or other purposes
® from which tisli or shellfish are or could be taken and sold in interst ate or foreign commerce
❑ which are or could be used for industrial purposes by industries in interstate commerce
❑ Inters(ate isolated ss sters Espl tin
❑ Other factors Evplain
Identify water body and summa►ize m ationale suppor ting deter mination
"See I ootnote N 3
To complete the an ilysu reter to the key in Section III D 6 of the Instructional Guidebook
10 Pi ins to asserting ai declining 0%A Jul isdiction based solels on this category Cot ps Districts will ekes ate the action to Col ps and FPA HQ for
loam consistent with the process described in the Cot ps/EPA itlemormu uni Rigarr ng CII 1 id Jurisdiction Fallon mg Ruprwos

Provide estimates for Jurisdictional%s-tiers in the iesless area(check all that apply)
❑ Tributary sslters linear feet ssidth(ft)
❑ Other non ssetland slaters acres
Identify type(s)of eaters
❑ Wetlands acres
T NON JURISDICTIONAL ll ATERS INCLUDING WETLANDS(CHECK ALL THAT APPLi)
❑ It potential Wetlands were assessed ssithin the res less area these areas did not meet the criteria un the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropri ite Regional Supplements
❑ Res Less area included isolated ss acres ss nth no substantial nexus to interstate(or foreign)commerce
❑ Prior to the Jan 2001 Supreme Court decision in Sif/INCC the res less are t could hale been regulated based solely on the
Migratory Bird Rule (MBR)
❑ Waters do not meet the Signific i nt Nexus standard is here such a finding is required for jurisdiction Explain
I■ Other (explain if not cos eyed abos e)
Pros ide acreage estimates for non_jurisdictional ss iters in the res less area %%here the sole potential basis of Jurisdiction is the MBR
factors(i c presence of migratory birds presence of endangered species use of is tier for irrigated agriculture) using best professional
judgment(check all that apply)
❑ Non is etland eaters(i c risers strums) linear feet ssidth(ft)
❑ Lakes/ponds acres
❑ Other non s%etl and eaters acres List type of aquatic.resource
❑
Wetlands acres
Provide acreage estimates for non Jurisdictional slaters in the res less area that do not meet the Sigmfic int Nexus standard IN here such
a finding is required for jurisdiction(check all that apply)
❑ Non ssetland slaters(i e risers streams) linear feet ssidth(ft)
❑ Lakes/ponds acres
❑ Other non ssetland slaters acres List type of aquatic resource
❑
Wetlands acres
SECTION IV DATA SOURCES
A SUPPORTING DATA Data i es iessed foe JD(check all that apply checked items sh ill be included in case tilt,and s%here checked
and requested appropriately rctcrence sources beloss)
® Maps plans plots or plat submitted by or on behalf of the applicant/consultant
❑ Data sheets prepared/submitted by or on behalf of the applicant/consultant
❑
Office concurs isith data sheets/delineation report
❑Office does not concur is ith d its sheet /delineation report
❑
Dail sheets prepared by the Corps
❑ Corps nas Table ss aters study
❑ U S Geological Stirs ey I lydrologic Atlas
❑USGS NHD data
❑USGS 8 and 12 digit HUC maps
❑ U S Geological Surrey niap(s) Cite scale&quad name
❑ USDA Natural Resources Conseil Ilion Sers ice Soil Surrey Citation
❑ National ssetlands uisentor) map(s) Cite name
❑ State/Local sietland inventory map(s)
I I'CMA/f IRM maps
❑ 100 year f loodplam Ciesation is (Nation it Geodectic Vertical Datum of 1929)
❑ Photographs ❑Aerial(Name,R Date)
or®Other(Nance& Date)Project site Spring 2012
❑ Pres ions determination(s) hie no and date of response letter
❑ Applicable/supporting c ise I is%
❑ Applicable/supporting scientific literature
❑ Other inform Mon(ple ise specify)
B ADDITIONAL COMMENTS TO SUPPORT JD

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