20210869 Ver 1__TIP_B5501_PreliminaryJD_Request_28JUL2016_20210426

Jurisdictional Determination Request
Version: December 2013 Page 1
ASHEVILLE REGULATORY FIELD OFFICE
RALEIGH REGULATORY FIELD OFFICE
WASHINGTON REGULATORY FIELD OFFICE
WILMINGTON REGULATORY FIELD OFFICE
Jurisdictional Determination Request
Version: December 2013 Page 2
All requestors must complete Parts A, B, C, D, E and F
Part G
Jurisdictional Determination Request
Version: December 2013 Page 3
A.PARCEL INFORMATION
B. REQUESTOR INFORMATION
C. PROPERTY OWNER INFORMATION
1 If available
2 Must attach completed Agent Authorization Form
3 If available
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Jurisdictional Determination Request
Version: December 2013 Page 4
D.PROPERTY OWNER CERTIFICATION 4
E. JURISDICTIONAL DETERMINATION TYPE
4 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
5 Waters of the United States
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Jurisdictional Determination Request
Version: December 2013 Page 5
F.ALL REQUESTS
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
6 See Appendix A of this Form. From Regulatory Guidance Letter No. 08-02, dated June 26, 2008
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Jurisdictional Determination Request
Version: December 2013 Page 6
7 1987 Manual Regional Supplements and Data forms can be found at:
http://www.usace.army.mil/Missions/CivilWorks/RegulatoryProgramandPermits/reg_supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
http://portal.ncdenr.org/c/document_library/get_file?uuid=76f3c58b-dab8-4960-ba43-45b7faf06f4c&groupId=38364 and,
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/publicnotices/2013/NCSAM_Draft_User_Manual_130318.pdf
8 Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.
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Jurisdictional Determination Request
Version: December 2013 Page 7
9 Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.
Jurisdictional Determination Request
Version: December 2013 Page 8
I.REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
(1) PLATS SUBMITTED FOR APPROVAL
Jurisdictional Determination Request
Version: December 2013 Page 9
Jurisdictional Determination Request
Version: December 2013 Page 10
(2) CERTIFICATION LANGUAGE
“This certifies that this copy of this plat accurately depicts the boundary of the jurisdiction
of Section 404 of the Clean Water Act as determined by the undersigned on this date.
Unless there is a change in the law or our published regulations, the determination of
Section 404 jurisdiction may be relied upon for a period not to exceed five (5) years from
this date. The undersigned completed this determination utilizing the appropriate Regional
Supplement to the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual.”
Regulatory Official: _____________________________________
Title:_____________________________________
Date:_____________________________________
USACE Action ID No.: _____________________________________
"This certifies that this copy of this plat identifies all areas of waters of the United States
regulated pursuant to Section 404 of the Clean Water Act as determined by the
undersigned on this date. Unless there is change in the law or our published regulations,
this determination of Section 404 jurisdiction may be relied upon for a period not to exceed
five years from this date. The undersigned completed this determination utilizing the
appropriate Regional Supplement to the 1987 U.S. Army Corps of Engineers Wetlands
Delineation Manual.”
Regulatory Official: _____________________________________
Title:_____________________________________
Date:_____________________________________
USACE Action ID No.: _____________________________________
Jurisdictional Determination Request
Version: December 2013 Page 11
(3) GPS SURVEYS
1
ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):____________________________________
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
___________________________________________________________
___________________________________________________________
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
___________________________________________________________
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
___________________________________________________________
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: _____________ City: ______________
Center coordinates of site (lat/long in degree decimal format):
Lat. ___________________ °N; Long. ____________________ °W.
Universal Transverse Mercator: ____________________________________
Name of nearest waterbody: ______________________________________
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
____________linear feet: __________ width (ft) and/or _________ acres.
Cowardin Class: _____________________________________________
Stream Flow: ________________________________________________
Wetlands: ___________acres.
Cowardin Class: _____________________________________________
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: ______________________________________________________
Non-Tidal: __________________________________________________
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E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
Office (Desk) Determination. Date: ______________________________
Field Determination. Date(s): ___________________________________
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately 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
applicant/consultant.
Office concurs with data sheets/delineation report.
Office does not concur with data sheets/delineation report.
Data sheets prepared by the Corps:______________________________
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:_____________________
State/Local wetland inventory map(s):_____________________________
FEMA/FIRM maps:____________________________________________
100-year Floodplain Elevation is:_________________________________
(National Geodectic Vertical Datum of 1929)
Photographs:Aerial (Name & Date): ______________________or
Other (Name & Date):_________________________
Previous determination(s). File no. and date of response letter:_________
Other information (please specify):_______________________________
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3
1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
“pre-construction notification” (PCN), or requests verification for a non-reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant’s acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.
4
This preliminary JD finds that there “may be”waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarily been verified by the Corps and should not be relied upon for
later jurisdictional determinations.
_________________________ __________________________
Signature and date of Signature and date of
Regulatory Project Manager person requesting preliminary JD
(REQUIRED)(REQUIRED, unless obtaining
the signature is impracticable)
1
Site
number Latitude Longitude Cowardin
Class
Estimated
amount of
aquatic
resource
in review
area
Class of
aquatic
resource
Pembroke
Swamp
36.070729 -76.648524 Riverine 262 linear
feet
Non-section
10 – tidal
WA 36.070953 -76.649430 Palustrine 2.9 acres Non-section
10 – wetland

")
C h o w a n R i v e r
E d e n t o nBay
B-5501
UV1157
UV1150
UV1242
UV1265
UV1331
UV1327UV1332
UV1135
UV1130
UV1239
UV1391
UV1209
UV1136
UV1207
UV1316
UV1127
UV1325
UV1288
UV1203 UV1132
UV1321
UV1202
UV1206
UV1205
UV1234
UV1319
UV1204
UV1208
UV1200
""94
""32
£¤17
Sources: Esri, HERE, DeLorme, USGS, Intermap, increment P Corp., NRCAN, Esri Japan, METI, Esri China (Hong Kong), Esri (Thailand), TomTom,MapmyIndia, © OpenStreetMap contributors, and the GIS User Community
NORTH CAROLINA DEPARTMENTOF TRANSPORTATIONDIVISION OF HIGHWAYSPROJECT DEVELOPMENT ANDENVIRONMENTAL ANALYSIS UNIT
Div:TIP#
Date:
1 B-5501 1Figure
TIP Project B-5501
VICINITY MAPReplace Bridge No. 3 on SR 1200 over Pembrook Creek in Chowan County 0 0.5
Miles
p
DECEMBER 2015
Figure 2: Project Study Area MapTIP B-5501Replace Bridge No. 3 on SR 1200 over Pembroke CreekChowan County, NC
F
0 600 1,200Feet
Legend
Proje ct Study Area
Figure 3: Jurisdictional Features MapTIP B-5501Replace Bridge No. 3 on SR 1200 over Pembroke CreekChowan County, NC
F
0 150 300Feet
Legend
Streams
Wetland
Project Study Area
WA WA
WA
WA
Pembroke Creek
Figure 4: NRCS Soil Survey MapChowan County, 1986TIP B-5501Replace Bridge No. 3 on SR 1200 over Pembroke CreekChowan County, NC
F
0 300 600Feet
Legend
Proje ct Study Area
Map Unit Symbol Map Unit Name HydricAaAAltavista fi ne sandy l oam, 0 to 2 pe rce nt sl ope s N oDODorovan muck Ye s
Hydric Soil Table
Date:Project/Site:Latitude:
Pembroke
Creek
B-5501
Evaluator:County:Longitude:
Total Points:35.75
Stream is at least intermittent
if ≥ 19 or perennial if ≥ 30
A. Geomorphology Subtotal = Absent Weak Strong Score
0 1 3 2
0 1 3 3
0 1 3 1
0 1 3 2
0 1 3 2
0 1 3 2
0 1 3 2
0 1 3 0
0 0.5 1.5 0
0 0.5 1.5 2
3a artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = 9.5
0 1 3 3
0 1 3 0
1.5 1 0 1
0 0.5 1.5 1
0 0.5 1.5 1.5
3
C. Biology Subtotal = 7.25
3 2 0 1
3 2 0 3
0 1 3 0
0 1 3 0
0 0.5 1.5 1
0 0.5 1.5 0
0 0.5 1.5 0
0 0.5 1.5 0.5
1.75
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Pembroke Creek is a coastal plain perennial stream within the study corridor. The
bankful width is roughly 100' with a height of 6'. The water is slightly turbid and
roughly 5' deep. Pembroke Creek has low flows and a sandy substrate. Wetland
plants, including lily pads and cattails, are growing along the stream edges. Fish
were observed jumping and feeding on the surface of Pembroke Creek.
2
22. Fish 1
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5; Other = 0
23. Crayfish 1
24. Amphibians 1
25. Algae 1
21. Aquatic Mollusks 2
20. Macrobenthos (note diversity and abundance)
19. Rooted upland plants in streambed 1
14. Leaf litter 0.5
15. Sediment on plants or debris 1
16. Organic debris lines or piles 1
17. Soil-based evidence of high water table?No = 0 Yes = 3
18. Fibrous roots in streambed 1
6. Depositional bars or benches 2
7. Recent alluvial deposits 2
10. Natural valley 1
13. Iron oxidizing bacteria 2
8. Headcuts 2
9. Grade control 1
12. Presence of Baseflow 2
11. Second or greater order channel No = 0 Yes = 3
3. In-channel structure: ex. riffle-pool, step-pool, ripple-
pool sequence 2
4. Particle size of stream substrate 2
5. Active/relic floodplain 2
Other
e.g. Quad Name:Edenhouse
19 Moderate
2. Sinuosity of channel along thalweg 2
1a. Continuity of channel bed and bank 2
Stream Determination (circle one)
Ephemeral Intermittent Perennial
North Carolina Division of Water Quality - Stream Identification Form, Version 4.11
6/8/2016 Pembroke Creek
TIP #B-5501 36.070698
R. Sullivan (Kimley-Horn)
W. Sullivan (Kimley-Horn)Chowan -76.648675
TIP# B-5501 Chowan 6/8/2016
NCDOT NC WA-UP
R. Sullivan & W. Sullivan (Kimley-Horn)Edenton
Terrace None 2%
LRR T 36.070819 -76.647265 NAD83
AaA - Altavista fine sandy loam
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Data point WA-UP was taken in an old agricultural field containing beds and rows. The field is ~3'
higher in elevation than WA-WET and ~60' upslope.
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ì >24"
ì >24"ì
No hydrology indicators were observed.
WA-UP
30'
Ò±²»0
3
0%
30'
0%
15%45
40%160ß´¾·¦·¿¶«´·¾®·­­·²5%Y NI
55%205
3.73
5%
3%1%
30'
ݱ²§¦¿½¿²¿¼»²­·­25%Y NI
Ϋ³»¨¿½»¬±­»´´¿25%Y FACU
Ì®·º±´·«³®»°»²­15%N FACU
Ú»­¬«½¿­°ò 15%N FAC
80%
40%16%
30'
Ò±²»
0%ì0%0%
WA-UP
0-22"2.5Y 3/3 100%Loamy sand
22-24"2.5Y 6/4 100%Loamy sand
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No hydric soil indicators were observed.
TIP# B-5501 Chowan 6/8/16
NCDOT NC WA-WET
R. Sullivan & W. Sullivan (Kimley-Horn)Edenton
Floodplain Concave <1%
LRR T 36.070786 -76.647495 NAD83
DO - Dorovan muck
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WA is a large depressional wetland within the floodplain of Pembroke Creek. WA is inundated
throughout the floodplain. Point WA-WET was taken on the margins of wetland WA.
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ì >8"
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Surface
ì>8"
Wetland WA is sustained by overbank flooding from Pembroke Creek and heavy rain events.
Surface water was observed throughout the wetland.
WA-WET
30'
ß½»®®«¾®«³45%Y FAC 5
Ô·¯«·¼¿³¾¿®­¬§®¿½·º´«¿25%Y FAC
Ô·®·±¼»²¼®±²¬«´·°·º»®¿25%Y FACU 6
83%
30'
95%
48%19%
Ó¿¹²±´·¿ª·®¹·²·¿²¿5%Y FACW
Ô·¹«­¬®«³­·²»²­»5%Y FAC
X
10%
5%2%
30'
Ò±²»
0%
30'
É·­¬»®·¿º®«¬»­½»²­35%Y FACW
40%
ͳ·´¿¨®±¬«²¼·º±´·¿5%N FAC
ì20%8%
WA-WET
0-7"10YR 3/2 100%Clay loam
7-20"10YR 7/2 90%10YR 6/5 10%C M Sand
20-24"10YR 6/6 100%Sand
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Soils were saturated and the water table was present below 8".