20210553 Ver 1_2018-00578 RGP 50 Tearsheet_20211101

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2018-00578 County: Guilford U.S.G.S. Quad:NC-High Point East
GENERAL PERMIT (REGIONAL AND NATIONWIDE)VERIFICATION
Permittee: NC Department of Transportation
Attn: Philip S.Harris III,P.E.,C.P.M.
Address: 1598 Mail Service Center
Raleigh,NC 27699-1598
Size(acres) —154 Nearest Town High Point
Nearest Waterway Richland Creek River Basin Cape Fear
USGS HUC 03030003 Coordinates 35.935304,-79.991109
Location description: The proiect area for NCDOT TIP U-5896 is located at the existing interchange of US 29-70/I-85
Business and SR 1009(S.Main Street)in High Point,Guilford County,North Carolina.
Description of projects area and activity: This verification authorizes the permanent discharge of fill material into 458 linear feet
(0.09 acre)of stream channel(170 linear feet 10.02 acre] of which is considered a permanent loss of waters)and 0.05 acre of
riparian non-riverine wetlands,and the temporary discharge of fill material into 238 linear feet(0.04 acre)of stream channel,
necessary to reconstruct the U.S.29-70/I-85 Business and S.R.1009(South Main Street)Interchange.Authorized impacts are
the result of a culvert extension,fill,scour hole stabilization,toe protection,and bank stabilization.
Applicable Law(s): ®Section 404(Clean Water Act,33 USC 1344)
❑Section 10(Rivers and Harbors Act,33 USC 403)
Authorization: Regional General Permit 50-NCDOT-Bridges,Road Widenings,and Interchanges
SEE ATTACHED NWP GENERAL, REGIONAL, AND/OR SPECIAL CONDITIONS
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
Conditions, your application signed and dated 10/11/2021, and the enclosed plans Permit Drawing Sheets 1 through 11. Any
violation of the attached conditions or deviation from your submitted plans may subject the permittee to a stop work order, a
restoration order,a Class I administrative penalty,and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide and/or regional general permit
authorization is modified,suspended or revoked. If,prior to the expiration date identified below,the nationwide and/or regional general
permit authorization is reissued and/or modified,this verification will remain valid until the expiration date identified below,provided
it complies with all requirements of the modified nationwide permit. If the nationwide and/or regional general permit authorization
expires or is suspended, revoked, or is modified, such that the activity would no longer comply with the terms and conditions of the
nationwide permit,activities which have commenced(i.e.,are under construction)or are under contract to commence in reliance upon
the nationwide and/or regional general permit,will remain authorized provided the activity is completed within twelve months of the
date of the nationwide and/or regional general permit's expiration,modification or revocation,unless discretionary authority has been
exercised on a case-by-case basis to modify,suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Resources(telephone [phone])to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act(LAMA),prior
to beginning work you must contact the N.C.Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,State
or local approvals/permits. If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of
Engineers regulatory program,please contact David E.Bailey at(919)554-4884 X 30 or David.E.Bailey2nn usace.army.mil.
Corps Regulatory Official: 7/�"L��" Date:2021.11.01 13:33:12-04'00' Date: 11/01/2021
Expiration Date of Verification: 5/25/2025

SAW-2018-00578
SPECIAL CONDITIONS
1. In order to compensate for impacts associated with this permit, mitigation shall be provided in
accordance with the provisions outlined on the most recent version of the attached Compensatory
Mitigation Responsibility Transfer Form. The requirements of this form,including any special
conditions listed on this form, are hereby incorporated as special conditions of this permit
authorization.
2. The U.S. Fish and Wildlife Service's (USFWS's) Programmatic Biological Opinion (PBO) titled,
"NCDOT Program Effects on the Northern Long-eared Bat in Divisions 1-8", dated November 6,
2020, contains agreed upon conservation measures for the NLEB. As noted in the PBO,
applicability of these conservation measures varies depending on the location of the project. Your
authorization under this Department of the Army permit is conditional upon your compliance
with all applicable agreed upon conservation measures in the PBO,which are incorporated by
reference in this permit. Failure to comply with the applicable these conservation measures would
constitute non-compliance with your Department of the Army permit. The USFWS is the
appropriate authority to determine compliance with the terms and conditions of its PBO, and with
the ESA.
Date: 2021 .11 .01
Corps Regulatory Official: 13:32:49 -04'00' Date: 11/01/2021
� � rY
Expiration Date of Verification: 5/25/2025
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so,
please complete the Customer Satisfaction Survey located at https://re ugulatory.ops.usace.aM.mil/customer-service-survey.
Copy furnished:
Jeff Hemphill,NC Department of Transportation, 1598 Mail Service Center,Raleigh,NC 27699-1598
Jerry Parker,NCDOT,P.O.Box 14996,Greensboro,NC.27415-4996
Ryan Conchilla,NCDEQ-DWR, 1617 Mail Service Center,Raleigh,NC 27699-1617

U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Compensatory Mitigation Responsibility Transfer Form
Permittee: NC Department of Transportation (Attn: Philip S. Harris III, P.E.,C.P.M.) Action ID: SAW-2018-00578
Project Name: NCDOT/U5896/185 Business interchange with SR 1009/High Point/Guilford County County:Guilford
Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sponsor, either an approved
Mitigation Bank or the North Carolina Division of Mitigation Services (NCDMS), who will then sign the form to verify the
transfer of the mitigation responsibility. Once the Sponsor has signed this form, it is the Permittee's responsibility to ensure
that Wilmington District Project Manager identified on page two is in receipt of a signed copy of this form before conducting
authorized impacts, unless otherwise specified below. If more than one Mitigation Sponsor will be used to provide the
mitigation associated with the permit,or if the impacts and/or the mitigation will occur in more than one 8-digit Hydrologic
Unit Code (HUC), multiple forms will be attached to the permit, and the separate forms for each Sponsor and/or HUC must
be provided to the appropriate Mitigation Sponsors.
Instructions to Sponsor: The Sponsor verifies that the mitigation requirements (credits) shown below have been released
and are available at the identified site. By signing below, the Sponsor is accepting full responsibility for the identified
mitigation, regardless of whether they have received payment from the Permittee. Once the form is signed, the Sponsor
must update the bank ledger and provide a copy of the signed form and the updated ledger to the Permittee, the Project
Manager who issued the permit, the Bank Project Manager, and the District Mitigation Office (see contact information on
page 2). The Sponsor must also comply with all reporting requirements established in their authorizing instrument.
Permitted Impacts and Compensatory Mitigation Requirements:
Permitted Impacts Requiring Mitigation* 8-digit HUC and Basin:03030003, Cape Fear River Basin
Stream Impacts(linear feet) Wetland Impacts(acres)
Warm Cool Cold Riparian Riverine Riparian Non-Riverine Non-Riparian Coastal
210 0.05
*If more than one mitigation sponsor will be used for the permit,only include impacts to be mitigated by this sponsor.
Compensatory Mitigation Requirements: 8-digit HUC and Basin:03030003, Cape Fear River Basin
Stream Mitigation (credits) Wetland Mitigation (credits)
Warm Cool Cold Riparian Riverine Riparian Non-Riverine Non-Riparian Coastal
231 0.06
Mitigation Site Debited: NCDMS
(List the name of the bank to be debited. For umbrella banks,also list the specific site. For NCDMS,list NCDMS. If the NCDMS
acceptance letter identifies a specific site,also list the specific site to be debited).
Section to be completed by the Mitigation Sponsor
Statement of Mitigation Liability Acceptance: I, the undersigned, verify that I am authorized to approve mitigation
transactions for the Mitigation Sponsor shown below, and I certify that the Sponsor agrees to accept full responsibility for
providing the mitigation identified in this document (see the table above), associated with the USACE Permittee and Action
ID number shown. I also verify that released credits (and/or advance credits for NCDMS), as approved by the Wilmington
District,are currently available at the mitigation site identified above. Further,I understand that if the Sponsor fails to provide
the required compensatory mitigation,the USACE Wilmington District Engineer may pursue measures against the Sponsor to
ensure compliance associated with the mitigation requirements.
Mitigation Sponsor Name:
Name of Sponsor's Authorized Representative:
Signature of Sponsor's Authorized Representative Date of Signature
Pagel of 2 Form Version 10 June 2020 updated

CESAW-RG (File Number, SAW-2018-00578)
Conditions for Transfer of Compensatory Mitigation Credit:
• Once this document has been signed by the Mitigation Sponsor and the District is in receipt of the signed form, the
Permittee is no longer responsible for providing the mitigation identified in this form, though the Permittee remains
responsible for any other mitigation requirements stated in the permit conditions.
• Construction within jurisdictional areas authorized by the permit identified on page one of this form can begin only after
the District is in receipt of a copy of this document signed by the Sponsor, confirming that the Sponsor has accepted
responsibility for providing the mitigation requirements listed herein. When NCDMS provides mitigation for authorized
impacts conducted by the North Carolina Department of Transportation(NCDOT),construction within jurisdictional areas
may proceed upon permit issuance; however, a copy of this form signed by NCDMS must be provided to the District
within 30 days of permit issuance. NCDOT remains fully responsible for the mitigation until the District has received this
form,confirming that the Sponsor has accepted responsibility for providing the mitigation requirements listed herein.
• Signed copies of this document must be retained by the Permittee, Mitigation Sponsor,and in the USACE administrative
records for both the permit and the Bank/ILF Instrument. It is the Permittee's responsibility to ensure that the District
Project Manager(address below) is provided with a signed copy of this form.
• If changes are proposed to the type, amount, or location of mitigation after this form has been signed and returned to
the District, the Sponsor must obtain case-by-case approval from the District Project Manager and/or North Carolina
Interagency Review Team(NCIRT). If approved, higher mitigation ratios maybe applied,as per current District guidance
and a new version of this form must be completed and included in the District administrative records for both the permit
and the Bank/ILF Instrument.
Comments/Additional Conditions:A letter from NCDMS,confirming they are willing and able to accept the applicant's
compensatory mitigation responsibility,dated 10/4/2021 was included with the preconstruction notification.
• Compensatory mitigation requirements for streams corresponds to 21 If at 2:1 and 169 If at 1:1.
• Compensatory mitigation requirements for wetlands corresponds to 0.01 ac at 2:1 and 0.04 ac at 1:1.
This form is not valid unless signed below by the District Project Manager and by the Mitigation Sponsor on Page 1. Once
signed, the Sponsor should provide copies of this form along with an updated bank ledger to: 1) the Permittee, 2) the
District Project Manager at the address below, 3) the Bank Manager listed in RIBITS, and 4 the Wilmin ton District
Mitigation Office,3331 Heritage Trade Drive,Suite 105, Wake Forest,NC 27587(or by email t
Questions regarding this form or any of the permit conditions may be directed to the District i iga ion Office.
USACE Project Manager: David E. Bailey
USACE Field Office: Raleigh Regulatory Office
US Army Corps of Engineers
3331 Heritage Trade Drive,Suite 105
Wake Forest, North Carolina 27587
Email: [e-mail]
Date: 2021 .11 .01
13:32:25 -04'00' 11/01/2021
USACE Project Manager Signature Date of Signature
Current Wilmington District mitigation guidance, including information on mitigation ratios,functional assessments,and
mitigation bank location and availability, and credit classifications(including stream temperature and wetland groupings) is
available at http://ribits.usace.army.mil.

E Ij�;l t.t North Carolina Department of Transportation
Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 2.08;Released April 2018) FOR NCDOT PROJECTS
WBS Element: 44674.1.2 TIP No.: U-5896 County(ies): Guilford Page 1 of 2
General Project Information
WBS Element: 44674.1.2 TIP Number: U-5896 Project Type: Bridge Replacement Date: 12/11/2019
NCDOT Contact: Bryan Key Contractor/Desi ner: VHB/Reid Robol,PE
Address: 1000 Birch Ridge Dr Address: 940 Main Campus Dr
Raleigh,NC 27610 Suite 500
Raleigh,NC 27606
Phone: [phone] Phone: [phone]
Email: bcke ncdot. ov Email: rrobol vhb.com
City/Town: High Point Count Ees: Guilford
River Basin(s): Cape Fear ICAMA County? I No
Wetlands within Project Limits? Yes
Project Description
Project Length(lin.miles or feet): 0.72 F Surrounding Land Use: I Forest,grassy median,residential
Proposed Project Existing Site
Project Built-Upon Area ac. 13.6 ac. 11.5 ac.
Typical Cross Section Description: -L-line:4x12'lanes,10'paved median w/2'barrier,18'paved shoulders -L-line:4x1 1-12'lanes w/grassy median
-Y-line:4x12'lanes,10'paved median w/2'barrier,12'paved shoulders -Y-line:4x1 1-12'lanes w/grassy median
Annual Avg Daily Traffic(veh/hr/day): Design/Future: 42700 Year:2040 Existing: 38070 Year: 2020
General Project Narrative: Project U-5896 involves the reconstruction of an interchange at 1-85BUS/US 29/US 70 and S Main Street/BUS 311 near High Point.This project is located in the Randleman
(Description of Minimization of Water Lake watershed and is buffered according to the rules of that watershed.A retaining wall has been used to limit erosion and disturbance to Richland Creek.Existing erosion was
Quality Impacts) noted and rock plating was used to minimize further erosion of the stream banks and to aid in the stability of the proposed retaining wall in areas from 10+50 to 14+00-L-LT.
Typical sections at the start of the-Y-line were adjusted to minimize impacts to Richland Creek.2:1 side slopes were used where possible to limit permanent fill impacts to
jurisdictional features.Erosion Control devices such as preformed scour holes,stilling basins,special stilling basins,silt fence,special sediment control fence,rock inlet
sediment traps,pipe inlet sediment traps,and slope drains will be utilized to contain and minimize sedimentation. Additional avoidance and minimization efforts are attached.
Waterbody Information
Surface Water Body(1): Richland Creek NCDWR Stream Index No.: 17-7-(0.5)
NCDWR Surface Water Classification for Water Body Primary Classification: Water Supply IV(WS-IV
Supplemental Classification: Critical Supply Watershed
Other Stream Classification:
Impairments:
Aquatic T&E Species? No Comments:
NRTR Stream ID: Buffer Rules in Effect: Randleman Lake
Project Includes Bridge Spanning Water Body? INo I Deck Drains Discharge Over Buffer? N/A Dissipator Pads Provided in Buffer? N/A
Deck Drains Discharge Over Water Body? N/A (If yes,provide justification in the General Project Narrative) (If yes,describe in the General Project Narrative;if no,justify in the
(If yes,provide justification in the General Project Narrative) I General Project Narrative)

�"
I Il,til n�d n North Carolina Department of Transportation �
tilt art 11�ti kLK'Y Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 2.08;Released April 2018) FOR NCDOT PROJECTS
WBS Element: 44674.1.2 TIP No.: U-5896 County(ies): Guilford Page 2 of 2
Preformed Scour Holes and Energy Dissipators
Station&Coordinates Drainage Pipe/Structure BMP
Sheet (Road and Non Road Surface Energy Dissipator Area Conveyance Dimensions Q10 V10 Associated w/
No. Projects) Type Riprap Type (ac) Structure (in) (cfs) (fps) Buffer Rules?
4 -L-9+25 Rt. (1)Richland pSH Class'B' 0.7 Pipe 15 3.4 7.3 Yes
Creek
5 -L-21+00 Rt. (1)Richland pSH Class'B' 0.4 Pipe 15 1.8 10.5 Yes
Creek
Additional Comments
*Refer to the NCDOT Best Management Practices Toolbox(2014),NCDOT Standards,the Federal Highway Administration(FHWA)Hydraulic Engineering Circular No.14(HEC-14),Third Edition,Hydraulic Design of Energy
Dissipators for Culverts and Channels(July 2006),as applicable,for design guidance and criteria.

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3i� END
PROJECT GUILFORD COUNTY
BEGIN 1961 3668
00 i3oo PROJECT 1962 85S
;o LOCATION: INTERCHANGE AT US 29, US 70 AND S MAIN STREET
1961 y 1232
(SR 1009 & US 311 BUSINESS), NEAR HIGH POINT
4a53 J 1193
C►� sii -} TYPE OF WORK: GRADING,PAVING, DRAINAGE, STRUCTURE,
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See Sheet 1A For Index of Sheets, ftEE�RP
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WETLAND AND SURFACE WATER IMPACTS PERMIT
PROPOSED SIGNAL
THIS PROJECT IS WITHIN HIGH POINT MUNICIPAL BOUNDARIES.
3
° CLEARING ON THIS PROJECT SHALL BE PERFORMED TO THE LIMITS ESTABLISHED BY METHOD _ DOCUMENT NOT CONSIDERED MAL
p UNLESS ALL SIGNATURES COMPLETED
o THIS IS A CONTROLLED-ACCESS PROJECT WITH ACCESS BEING LIMITED TO INTERCHANGES.
PLANS PREPARED FOR THE NCDOT BY: BYDRAULICS ENGINEER
E V GRAPHIC SCALES DESIGN DATA PROJECT LENGTH M PO �,Do
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p 2018 STANDARD SPECIFICATIONS
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PLANS K = 10 LENGTH OF ROADWAY TIP PROJECT U-5896 = 0.683 MI TIM JORDAN, PE
RIGHT OF WAY DATE: P� r$
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w � T - 9 /o ■
ROADWAY DESIGN
� V = 60 MPH TOTAL LENGTH TIP PROJECTS U-5896 & B-5353 = 0.717 MI MAY 31 2019 JORDAN WOODARD PE ENGINEER ~
PROFILE (HORIZONTAL) * TTST =4% DUAL =5°/D r °
PROJECT DESIGN ENGINEER b
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END GRADE U-5896 -"STA.44+25
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-L- PX Sta.39+43.4 END OVERLAY & WIDENING FIT
2739 OFFSET AT -L- Sta.44+25.00
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MODEL FARM PROPERTIES,LLC
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T PROJECT REFERENCE NO. SHEET NO.
U-5896 6
ca PERMIT D RAW I N G ROADWAY POW
SIGN SHEET NO. HYDRAULICS
SHEET10 OF 11 ENGINEER ENGINEER
CITY OF HIGH POINT
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qp}{ Fuyooy-Vorina,NC 3J5]b
ACOONRID wnri monmac comfimerimc
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_ 9C0 Main Campus Drrve,Sure 540
70
aaleigh.NC 27606
24 i SITE 7 FOR—L— PROFILE SEE SHEET 8 & 9
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END OVERLAY & WIDENING LT �- (BANK STABILIZATION)
REE DETAIL EMBANKMENT
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EST.5 SY S RIP AP
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SEEE AIL 112 aITCH f 'w tM Ta rF "; W
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WETLAND AND SURACE WATER IMPACTS SUMMARY
WETLAND IMPACTS WATER IMPACTS
Hand Existing Existing
Permanent Temp. Excavation Mechanized Clearing Permanent Temp. Channel Channel Natural
Site Station Structure Fill In Fill In in Clearing in SW SW Impacts Impacts Stream
No. (From/To) Size/Type Wetlands Wetlands Wetlands in Wetlands Wetlands impacts impacts Permanent Temp. Design
(ac) (ac) (ac) (ac) (ac) (ac) (ac) (ft) (ft) (ft)
1 10+45 to 11+50-L-LT Bank Stabilization 0.01 0.01 101 111
2 12+60 to 14+05-L-LT Bank Stabilization 0.03 0.01 103 73
2 12+60 to 14+05-L-LT Scour Hole Stabilization 0.02 <0.01 40 23
3 10+91 to 11+44-L-RT Toe Protection <0.01 <0.01
4 12+73 to 13+18-L-RT Bank Stabilization <0.01 <0.01 40 16
4 13+13 to 13+23-L-RT Culvert <0.01 21
5 13+19 to 14+47-L-RT Rip-rap Ditch 0.02 149
6 15+41 to 16+58-RPB-LT 18"RCP, Roadway Fill 0.03 0.01
7 47+23 to 47+40-L-LT Bank Stabilization <0.01 <0.01 4 15
TOTALS: 0.03 0.02 0.09 0.04 458 238 0
*Rounded totals are sum of actual impacts
NOTES:
Site 1 and Site 2 impacts are to Richland Creek NC DEPARTMENT OF TRANSPORTATION
Site 4 impacts are to feature SA DIVISION OF HIGHWAYS
Site 5 impacts are to feature SW 8/20/2021
Site 6-Total take of wetland GUILFORD
U-5896
44674.1.2
Revised 2018 Feb SHEET 11 OF 11

Action ID Number: SAW-2018-00578 County: Guilford
Permittee: NC Department of Transportation (Attn: Philip S. Harris III, P.E., C.P.M.)
Project Name: NCDOT/U5896/I85 Business interchange with SR 1009 /High Point/ Guilford County
Date Verification Issued: 11/01/2021
Project Manager: David E. Bailey
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn: David E. Bailey
Raleigh Regulatory Office
U.S Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest,North Carolina 27587
or
[e-mail]
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee Date