20200628 Ver 1_USACE Permit_20200810

DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
69 DARLINGTON AVENUE
WILMINGTON, NORTH CAROLINA 28403-1343
August 10, 2020
Regulatory Division
Action ID. SAW-2016-01337
Ms. Amy Euliss
North Carolina Department of Transportation (NCDOT),
Division 9
375 Silas Creek Parkway
Winston Salem NC 27127
Dear Ms. Euliss:
In accordance with the written request of May 8, 2020, and the ensuing
administrative record, enclosed is a permit to discharge fill material with 0.11 acre
permanent wetland impacts, 1,372 linear feet of permanent stream impacts, and 266
linear feet of temporary stream impacts. These impacts are associated with the
construction of TIP U-5760, widening and extension of Big Mill Farm Road, and
widening of Hopkins Road, from the north end of Harmon Creek Road, to north of West
Mountain Street, west of downtown Kernersville, in Forsyth County, North Carolina.
Any deviation in the authorized work will likely require modification of this permit.
If any change in the authorized work is necessary, you should promptly submit revised
plans to the Corps showing the proposed changes. You may not undertake the
proposed changes until the Corps notifies you that your permit has been modified.
Carefully read your permit. The general and special conditions are important.
Your failure to comply with these conditions could result in a violation of Federal law.
Certain significant general conditions require that:
a. You must complete construction before December 31, 2025.
b. You must notify this office in advance as to when you intend to commence and
complete work.
c. You must allow representatives from this office to make periodic visits to your
worksite as deemed necessary to assure compliance with permit plans and conditions.

You should address all questions regarding this authorization to Mr. Eric Alsmeyer,
Raleigh Regulatory Field Office, at telephone [phone], extension 23.
FOR THE DISTRICT ENGINEER
/to jI Date: 2020.08.10
�a i. 12:27:07-04'00'
Monte Matthews
Lead Project Manager
Enclosures:
Department of the Army Permit Special Conditions
Permit Drawings
Copies Furnished (with enclosures):
Chief, Source Data Unit
NOAA/National Ocean Service
1315 East -west Highway, Room 7316
Silver Spring, Maryland 20910-3282
Copies Furnished with Special Conditions and Plans:
U. S. Fish and Wildlife
Asheville Ecological Services Field Office
160 Zillicoa St.
Asheville, NC 28801
Mr. Todd Bowers
Wetlands and Marine Regulatory Section
Water Protection Division — Region IV
U. S. Environmental Protection Agency
61 Forsyth St. SW
Atlanta, Georgia 30303-8931
Division of Water Resources
Department of Environmental Quality
1617 Mail Service Center
Raleigh, North Carolina 27699

DEPARTMENT OF THE ARMY PERMIT
Permittee North Carolina Department of Transportation, Division 9, ATTN: Ms. Amy Euliss
Permit No. AID SAW-2016-01337
Issuing Office CESAW-RG
NOTE: The term "you" and its derivatives, as used in this permit, means the permittee or any future transferee. The term "this
office" refers to the appropriate district or division office of the Corps of Engineers having jurisdiction over the permitted activity
or the appropriate official of that office acting under the authority of the commanding officer.
You are authorized to perform work in accordance with the terms and conditions specified below.
Project Description: TIP U-5760; Big Mill Farm Road and Hopkins Road Widening and Extension;
impacting 0.11 acre of wetlands, and 1,638 linear feet of stream.
Project Location: Existing Big Mill Farm Road and Hopkins Road corridors, west of downtown
Kernersville, in Forsyth County, NC. Latitude and Longitude (near center of project at Woodfield
Drive): 36.123 N,-80.110 W.
Permit Conditions:
General Conditions:
1. The time limit for completing the work authorized ends on December 31, 2025. if you find that you need more time to
complete the authorized activity, submit your request for a time extension to this office for consideration at least one month
before the above date is reached.
2. You must maintain the activity authorized by this permit in good condition and in conformance with the terms and conditions
of this permit. You are not relieved of this requirement if you abandon the permitted activity, although you may make a good
faith transfer to a third party in compliance with General Condition 4 below. Should you wish to cease to maintain the authorized
activity or should you desire to abandon it without a good faith transfer, you must obtain a modification of this permit from this
office, which may require restoration of the area.
3. If you discover any previously unknown historic or archeological remains while accomplishing the activity authorized by this
permit, you must immediately notify this office of what you have found. We will initiate the Federal and state coordination
required to determine if the remains warrant a recovery effort or if the site is eligible for listing in the National Register of Historic
Places.
4. If you sell the property associated with this permit, you must obtain the signature of the new owner in the space provided
and forward a copy of the permit to this office to validate the transfer of this authorization.
5. If a conditioned water quality certification has been issued for your project, you must comply with the conditions specified
in the certification as special conditions to this permit. For your convenience, a copy of the certification is attached if it
contains such conditions.
ENG FORM 1721, Nov 86
EDITION OF SEP 82 IS OBSOLETE. (33 CFR 325 (Appendix A))
1

6. You must allow representatives from this office to inspect the authorized activity at any time deemed necessary to ensure
that it is being or has been accomplished in accordance with the terms and conditions of your permit.
Special Conditions:
SEE ATTACHED SPECIAL CONDITIONS
Further Information:
1. Congressional Authorities: You have been authorized to undertake the activity described above pursuant to:
( ) Section 10 of the Rivers and Harbors Act of 1899 (33 U.S.C. 403).
( X) Section 404 of the Clean Water Act (33 U.S.C. 1344).
( ) Section 103 of the Marine Protection, Research and Sanctuaries Act of 1972 (33 U.S.C. 1413).
2. Limits of this authorization.
a. This permit does not obviate the need to obtain other Federal, state, or local authorizations required by law.
b. This permit does not grant any property rights or exclusive privileges.
c. This permit does not authorize any injury to the property or rights of others.
d. This permit does not authorize interference with any existing or proposed Federal project.
3. Limits of Federal Liability. In issuing this permit, the Federal Government does not assume any liability for the following:
a. Damages to the permitted project or uses thereof as a result of other permitted or unpermitted activities or from natural
causes.
b. Damages to the permitted project or uses thereof as a result of current or future activities undertaken by or on behalf
of the United States in the public interest.
c. Damages to persons, property, or to other permitted or unpermitted activities or structures caused by the activity
authorized by this permit.
d. Design or construction deficiencies associated with the permitted work.
e. Damage claims associated with any future modification, suspension, or revocation of this permit.
4. Reliance on Applicant's Data: The determination of this office that issuance of this permit is not contrary to the public interest
was made in reliance on the information you provided.
2 *U.S. GOVERNMENT PRINTING OFFICE: 1986 - 717-425

5. Reevaluation of Permit Decision. This office may reevaluate its decision on this permit at any time the circumstances warrant.
Circumstances that could require a reevaluation include, but are not limited to, the following:
a. You fail to comply with the terns and conditions of this permit.
b. The information provided by you in support of your permit application proves to have been false, incomplete, or
inaccurate (See 4 above).
c. Significant new information surfaces which this office did not consider in reaching the original public interest decision.
Such a reevaluation may result in a determination that it is appropriate to use the suspension, modification, and revocation
procedures contained in 33 CFR 325.7 or enforcement procedures such as those contained in 33 CFR 326.4 and 326.5. The
referenced enforcement procedures provide for the issuance of an administrative order requiring you to comply with the terms
and conditions of your permit and for the initiation of legal action where appropriate. You will be required to pay for any
corrective measures ordered by this office, and if you fail to comply with such directive, this office may in certain situations
(such as those specified in 33 CFR 209.170) accomplish the corrective measures by contract or otherwise and bill you for the
cost.
6. Extensions. General condition 1 establishes a time limit for the completion of the activity authorized by this permit, Unless
there are circumstances requiring either a prompt completion of the authorized activity or a reevaluation of the public interest
decision, the Corps will normally give favorable consideration to a request for an extension of this time limit.
Your signature below, as pennittee, indicates that you accept and agree to comply with the terms and conditions of this permit.
(PER, T1YE) NCDOT, attn: AMY EULISS
August 8, 2020
(DATE)
This permit becomes effective when the Federal official, designated to act for the Secretaiy of the Army, has signed below.
FOR THE DISTRICT ENGINEER:
filo4k-
Date: 2020.08.10 12:44:27
-04'00'
(DISTRICT COMMANDER) BENJAMIN A. BENNETT, COLONEL (DATE)
When the structures or work authorized by this permit are still in existence at the time the property is transferred, the terms and
conditions of this permit will continue to be binding on the new owner(s) of the property. To validate the transfer of this permit
and the associated liabilities associated with compliance with its terms and conditions, have the transferee sign and date below.
(TRANSFEREE) (DATE)
3 *U.S. GOVERNMENT PRINTING OFFICE: 19S6 - 717-425

WILMINGTON DISTRICT REGULATORY DIVISION
PERMIT SPECIAL CONDITIONS
DA# SAW-2016-01337
U-5760 Big Mill Farm Road Widening/Extension,
1. Work Limits: All work authorized by this permit shall be performed in strict
compliance with the attached permit plans (WETLAND AND STREAM DRAFT PERMIT
PACKAGE, dated MAY 4, 2020), which are a part of this permit. The Permittee shall
ensure that the construction design plans for this project do not deviate from the permit
plans attached to this authorization. Any modification to the attached permit plans must
be approved by the US Army Corps of Engineers prior to any active construction in
waters or wetlands.
2. Unauthorized Dredge or Fill: Except as authorized by this permit or any U.S. Army
Corps of Engineers approved modification to this permit, no excavation, fill, or
mechanized land -clearing activities shall take place at any time in the construction or
maintenance of this project, within waters or wetlands, or shall any activities take place
that cause the degradation of waters or wetlands. There shall be no excavation from,
waste disposal into, or degradation of, jurisdictional wetlands or waters associated with
this permit without appropriate modification of this permit, including appropriate
compensatory mitigation. This prohibition applies to all borrow and waste activities
connected with this project. In addition, except as specified in the plans attached to this
permit, no excavation, fill or mechanized land -clearing activities shall take place at any
time in the construction or maintenance of this project, in such a manner as to impair
normal flows and circulation patterns within, into, or out of waters or wetlands or to
reduce the reach of waters or wetlands.
3. Permit Distribution: The Permittee shall require its contractors and/or agents to
comply with the terms and conditions of this permit in the construction and maintenance
of this project, and shall provide each of its contractors and/or agents associated with
the construction or maintenance of this project with a copy of this permit. A copy of this
permit, including all conditions, drawings and attachments shall be available at the
project site during the construction and maintenance of this project.
4. Pre -Construction Meeting: The Permittee shall schedule and attend a
preconstruction meeting between its representatives, the contractors representatives,
and the U.S. Army Corps of Engineers, NCDOT Regulatory Project Manager, prior to
any work within jurisdictional waters and wetlands to ensure that there is a mutual
understanding of all the terms and conditions contained with this Department of Army
Permit. The Permittee shall provide the Corps, NCDOT Project Manager, with a copy of
the final permit plans at least two weeks prior to the preconstruction meeting along with
a description of any changes that have been made to the project's design, construction
methodology or construction timeframe. The Permittee shall schedule the
preconstruction meeting for a time frame when the Corps and NCDWR Project
Managers can attend. The Permittee shall invite the Corps and NCDWR Project
1

Managers a minimum of thirty (30) days in advance of the scheduled meeting in order to
provide those individuals with ample opportunity to schedule and participate in the
required meeting. The thirty (30) day requirement can be waived with the concurrence
of the Corps.
5. Notification of Construction Commencement and Completion: The Permittee
shall notify the U.S. Army Corps of Engineers in writing prior to beginning the work
authorized by this permit and again upon completion of the work authorized by this
permit.
6. Reporting Address: All reports, documentation, and correspondence required by the
conditions of this permit shall be submitted to the following: U.S. Army Corps of
Engineers, Wilmington District Raleigh Regulatory Field Office, Attn: Eric Alsmeyer,
3331 Heritage Trade Drive, Suite 105, Wake Forest, NC 27587 or
[e-mail]. The Permittee shall reference the following permit
number, SAW-2016-01337, on all submittals.
7. Permit Revocation: The Permittee, upon receipt of a notice of revocation of this
permit or upon its expiration before completion of the work will, without expense to the
United States and in such time and manner as the Secretary of the Army or his
authorized representative may direct, restore the water or wetland to its pre -project
condition.
8. Reporting Violations: Violation of these permit conditions or violation of Section 404
of the Clean Water Act or Section 10 of the Rivers and Harbors Act shall be reported to
the Corps in writing and by telephone at: 919-554-4844, ext. 23, within 24 hours of the
Permittee's discovery of the violation.
9. Clean Fill: The Permittee shall use only clean fill material for this project. The fill
material shall be free from items such as trash, construction debris, metal and plastic
products, and concrete block with exposed reinforcement bars. Soils used for fill shall
not be contaminated with any toxic substance in concentrations governed by Section
307 of the Clean Water Act. Unless otherwise authorized by this permit, all fill material
placed in waters or wetlands shall be generated from an upland source.
10. Culverts:
1) Unless otherwise requested in the application and depicted on the approved
permit plans, culverts greater than 48 inches in diameter shall be buried at least one
foot below the bed of the stream. Culverts 48 inches in diameter and less shall be
buried or placed on the stream bed as practicable and appropriate to maintain aquatic
passage, and every effort shall be made to maintain existing channel slope. The bottom
of the culvert shall be placed at a depth below the natural stream bottom to provide for
passage during drought or low flow conditions. Culverts shall be designed and
constructed in a manner that minimizes destabilization and head cutting.
2

2) Measures shall be included in the construction/installation that will promote the
safe passage of fish and other aquatic organisms. The dimension, pattern, and profile of
the stream above and below a pipe or culvert shall not be modified by widening the
stream channel or by reducing the depth of the stream in connection with the
construction activity. The width, height, and gradient of a proposed opening shall be
such as to pass the average historical low flow and spring flow without adversely
altering flow velocity. Spring flow should be determined from gauge data, if available. In
the absence of such data, bankfull flow can be used as a comparable level.
3) The Permittee shall implement all reasonable and practicable measures to
ensure that equipment, structures, fill pads, work, and operations associated with this
project do not adversely affect upstream and/or downstream reaches. Adverse effects
include, but are not limited to, channel instability, flooding, and/or stream bank erosion.
The Permittee shall routinely monitor for these effects, cease all work when detected,
take initial corrective measures to correct actively eroding areas, and notify this office
immediately. Permanent corrective measures may require additional authorization by
the U.S. Army Corps of Engineers.
4) Culverts placed within wetlands must be installed in a manner that does not
restrict the flows and circulation patterns of waters of the United States. Culverts placed
across wetland fills purely for the purposes of equalizing surface water shall not be
buried, but the culverts must be of adequate size and/or number to ensure unrestricted
transmission of water.
11. Sediment and Erosion Control:
1) During the clearing phase of the project, heavy equipment shall not be
operated in surface waters or stream channels. Temporary stream crossings will be
used to access the opposite sides of stream channels. All temporary diversion channels
and stream crossings will be constructed of non -erodible materials. Grubbing of riparian
vegetation will not occur until immediately before construction begins on a given
segment of stream channel.
2) No fill or excavation impacts for the purposes of sedimentation and erosion
control shall occur within jurisdictional waters, including wetlands, unless the impacts
are included on the plan drawings and specifically authorized by this permit. This
includes, but is not limited to, sediment control fences and other barriers intended to
catch sediment losses.
3) The Permittee shall remove all sediment and erosion control measures placed
in waters and/or wetlands, and shall restore natural grades on those areas, prior to
project completion.
4) The Permittee shall use appropriate sediment and erosion control practices
which equal or exceed those outlined in the most recent version of the "North Carolina
Sediment and Erosion Control Planning and Design Manual" to ensure compliance with
3

the appropriate turbidity water quality standard. Erosion and sediment control practices
shall be in full compliance with all specifications governing the proper design,
installation and operation and maintenance of such Best Management Practices in
order to ensure compliance with the appropriate turbidity water quality standards. This
shall include, but is not limited to, the immediate installation of silt fencing or similar
appropriate devices around all areas subject to soil disturbance or the movement of
earthen fill, and the immediate stabilization of all disturbed areas. Additionally, the
project shall remain in full compliance with all aspects of the Sedimentation Pollution
Control Act of 1973 (North Carolina General Statutes Chapter 113A, Article 4).
Adequate sedimentation and erosion control measures shall be implemented prior to
any ground disturbing activities to minimize impacts to downstream aquatic resources.
These measures shall be inspected and maintained regularly, especially following
rainfall events. All fill material shall be adequately stabilized at the earliest practicable
date to prevent sediment from entering into adjacent waters or wetlands.
12. Borrow and Waste: To ensure that all borrow and waste activities occur on high
ground and do not result in the degradation of adjacent waters and wetlands, except as
authorized by this permit, the Permittee shall require its contractors and/or agents to
identify all areas to be used as borrow and/or waste sites associated with this project.
The Permittee shall provide the U.S. Army Corps of Engineers with appropriate maps
indicating the locations of proposed borrow and/or waste sites as soon as such
information is available. The Permittee shall submit to the Corps site -specific
information needed to ensure that borrow and/or waste sites comply with all applicable
Federal requirements, to include compliance with the Endangered Species Act and the
National Historic Preservation Act, such as surveys or correspondence with agencies
(e.g., the USFWS, the NC-HPO, etc.). The required information shall also include the
location of all aquatic features, if any, out to a distance of 400 feet beyond the nearest
boundary of the site. The Permittee shall not approve any borrow and/or waste sites
before receiving written confirmation from the Corps that the proposed site meets all
Federal requirements, whether or not waters of the U.S. , including wetlands, are
located in the proposed borrow and/or waste site. All delineations of aquatic sites on
borrow and/or waste sites shall be verified by the U.S. Army Corps of Engineers and
shown on the approved reclamation plans. The Permittee shall ensure that all borrow
and/or waste sites comply with Special Condition 2. of this permit. Additionally, the
Permittee shall produce and maintain documentation of all borrow and waste sites
associated with this project. This documentation will include data regarding soils,
vegetation, hydrology, any delineation(s) of aquatic sites, and any jurisdictional
determinations made by the Corps to clearly demonstrate compliance with Special
Condition 2. All information will be available to the U.S. Army Corps of Engineers upon
request. The Permittee shall require its contractors to complete and execute
reclamation plans for each borrow and/or waste site and provide written documentation
that the reclamation plans have been implemented and all work is completed. This
documentation will be provided to the U.S. Army Corps of Engineers within 30 days of
the completion of the reclamation work.
4

13. Compensatory Mitigation: 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.
14. Endangered Species Act: The Permittees shall implement all necessary
measures to ensure the authorized activity does not kill, injure, capture, harass, or
otherwise harm any federally -listed threatened or endangered species. While
accomplishing the authorized work, if the Permittees discover or observe an injured or
dead threatened or endangered species, the U.S. Army Corps of Engineers, Wilmington
District Raleigh Field Office, Attn: Eric Alsmeyer at 919-554-4884 Ext. 23 /
[e-mail] will be immediately notified to initiate the required
Federal coordination.
15. Maintain Flows and Circulation Patterns of Waters: Except as specified in the
plans attached to this permit, no excavation, fill or mechanized land -clearing activities
shall take place at any time in the construction or maintenance of this project, in such a
manner as to impair normal flows and circulation patterns within waters or wetlands or
to reduce the reach of waters and/or wetlands.
16. Temporary Fills: Within thirty (30) days of the date of completing the authorized
work, the Permittee shall remove all temporary fills in waters of the United States and
restore the affected areas to pre -construction contours and elevations. The affected
areas shall be re -vegetated with native, non-invasive vegetation as necessary to
minimize erosion and ensure site stability.
17. Water Contamination: All mechanized equipment shall be regularly inspected and
maintained to prevent contamination of waters and wetlands from fuels, lubricants,
hydraulic fluids, or other toxic materials. In the event of a spill of petroleum products or
any other hazardous waste, the Permittees shall immediately report it to the N.C.
Division of Water Resources at [phone] or [phone] and provisions of the
North Carolina Oil Pollution and Hazardous Substances Control Act shall be followed.
18. Aquatic Life Movement: No activity may substantially disrupt the necessary life
cycle movements of those species of aquatic life indigenous to the waterbody, including
those species that normally migrate through the area. All discharges of dredged or fill
material within waters of the United States shall be designed and constructed, except as
authorized as indirect impacts, to maintain low flows to sustain the movement of aquatic
species.
19. Prohibitions on Concrete: The Permittees shall take measures necessary to
prevent live or fresh concrete, including bags of uncured concrete, from coming into
contact with any water in or entering waters of the United States. Water inside coffer
dams or casings that has been in contact with concrete shall only be returned to waters
5

of the United States when it no longer poses a threat to aquatic organisms (concrete is
set and cured).
6

See Sheet /B For Conventional Plan Sizes Symbols
VICINITY MAP
Psi i oFI-G
* TRAFFIC SIGNAL
THIS IS A PARTIAL CONTROLLED -ACCESS PROJECT WITH ACCESS LIMITED TO POINTS AS SHOWN ON THE PLANS
CLEARING ON THIS PROJECT SHALL BE PERFORMED TO THE OMITS ESTABLISHED BY METHOD III
THIS PROJECT IS WITHIN THE MUNICIPAL BOUNDARIES OF THE TOWN OF KERNERSVILLE
STATE OF NORTH CAROLINA
DIVISION OF HIGHWAYS
FORSYTH COUNTY
N.C. U-5760 1
4638111
LOCATION: HOPKINS ROADBIG MILL FARM ROAD IN KERNERSVILLE FROM
SOUTH OF US 421/1-40 BUS/NC 150 TO NC 66 (W MOUNTAIN ST)
TYPE OF WORK. GRADING, DRAINAGE, PAVING, SIGNALS, CULVERTS, RETAINING WALLS, AND STRUCTURES
BEGIN TIP PROJECT U-5760
-L- 57A 1333000
WETLAND AND STREAM
PERMIT PACKAGE
MAY 4, 2020
SITE 5
SITE 1:• ` kit*
SITE 4A YSITER 621
AI
® SITE 2C
7 1 ,0 4„dit ,,,, li
✓ .. �� SITE lA .+"1$'�^A'`'
11,0
'$
SITE 3
SITE 2.4
SITE 2B
a
eG
SITE 6B
SITE 4B 9
Nq\
A zoTl
END TIP PROJECT
U-5760
INCDMPLHTe P
GRAPHIC SCALES
PROFILE (HORIZONTAL)
PROFILE (VERTICAL(
DESIGN DATA
AADT 2023 = 10,700
AADT 2040 - 14,900
10%
= 60%
T = 3%"
V = 50 MPH
(TTST I% + DUAL 2,}
FUNCTIONAL
CLASSIFICATION:
URBAN COLLECTOR
REGIONAL TIER
PROJECT LENGTH
LENGTH ROADWAY 11P PROJECT U-5I60 = 1.998 MILES
LENGTH STRUCTURES 11P PROJECT U-5760 = 0.036 MILES
TOTAL LENGTH 11P PROJECT U-5760 = 2034 MILES
PLANS
POT BY.
FOR Kimley>»Horn
A _
RIGHT' OP (HAY
APRIL 16 AID
ITING DATE:
ARAD. I8 AYH)
HYDRAULICS ENDIATER

DETAIL 1
SPECIAL M T oRA o1eV DITCH
c-.an.Xla min. D= 1.5 F.
FROM STA. 60+10 TO STA. 61+50 -91- (RT)
DETAIL 4
SPECIAL LATERAL BASE DITCH
Max. a— z H.
wp-Rop B= 3.0 Ft.
Type of = Class 1
FROM STA16+15 TO 5TA.17+00-.CRP8- (LT)
DETAIL 8
SPECIAL LATERAL 'V' DITCH
FROM STA. 88 100 TO STA. 89 150 -V1- (FT)
DETAIL 12
SPECIAL CUT DITCH
11
D= 1.5 Ft
FROM STA.4J-25 TO STA. 48+25 FIEF j89)
FROM STA. 49+00 TO STA. 51-50 FIEF RRT))
M55-J5 TO STA. SB+00 -L-
FROM 5111+65 TO TA +90
FROM STA. 111+65 TO STA. 114+00 -L- (Ri)
DETAIL 2
LATERAL' DITCH
IN'tlo solo)
FROM STA. 58+90 TO STA.59+50 -Y1- (LT:
DETAIL 5
SPECIAL LATERAL 'V' DITCH
FROM STA. 29+50 TO STA. 32+00 FIEF (LT)
M TA. 46+00 TO+25 FIEF (RF]
FROM ROM STA. 51+50 TO STA
. 52+10 FIEF (RT
FROM STA.103STA 0+30 i0 STA806+00 1.1-:( T)
FROM STA. BO 50 TO STA.80180 FIEF (LTI
FROM STA. 80 50 TO STA 80 80 FYI- 57
FROM STA. 94+00 FF STA. 9J+00 FYI- (L(T
FROM STA.13+35 TO STA.15+00 --MY, (LTI
DETAIL 3
LATERAL BASE DITCH
FROM STA. 58 130 TO STA_ 58 180 -)(1- (Li
DETAIL 6
SPECIAL LATERAL 'V' DITCH
DETAIL 9
SPECIAL LATERAL 'V' DITCH
FROM STA. 80 180 TO STA. 82 100 -V1- (LT,
FROM STA. 89+50 TO STA 90+00 -V1- (LT)
FROM STA. 10+31.24 TO STA. 11+00-1,111PD- (LT)
FROM $TA. 29+00 TO $TA. 25+55 FIEF (LPI
FROM STA. 54+d0 TO STA. 5 -J FIEF )RT
DETAIL 13
SPECIAL CUT DITCH
I NO to So,
FROM STA. 43+00 TO STA. 44+50 FIEF (RT)
OM STA.44+00 TO STFA. V+7r FIEF (R
FROM TA Id+1 TO A 15-JS
FROM STA. 15+75 TO STA. 17+00 -V2- (LT}
DETAIL 10
SPECIAL LATERAL BASE DITCH
(Norio imH
Type of Liner= floss 'e'1lip-Rap e- 2 2'.
FROM STAR 66+55 TO STAR. 69+50 -V1- LTI
OM 90+OOTO _91+00-YF 15
DETAIL 14
TOE PROTECTION
(Not. Salo)
Natural
6=2 t
6=2 Ft. Geotexnle
Type of D'ner- Class 'B' Rip-Rop
FROM S A 109+00 TO STA. 6)+ODO FILL 'RTi
FROM STA. 101+50 TO STA.101+98 FIEF (LTI
FRO+1 M STA.14+00 TO STA.155 -V8- TI
FROM STA. 15+50 TO STA.15-95 -V8- (LT)
FROM STA. 19+00 TO STA. 21-00-Y1RPB- (LT
Kimley>»Horn
HEEToF I .TAPV�UNs
DETAIL 7
LATERAL N DITCH
FROM STA. 28 35 TO STA.29 00 -L- (LT)
DETAIL 11
LATE ML Bt AHERDITCH
min D= Ft
FROM STA 91+00 TO STA. 91+50 -V1- (IX
DETAIL 15
SPECIAL LATERAL 'V' DITCH
FROM STA 35 i 00 TO STA. 38 50 1- kTI
FROM STA. 58+00 TO STA. 60+20 -L- (RT)
FROM STA. 96-00 -L- TO STA 98+00 -L- (RT)
FROM STA. 13+00 TO STA. 14+00 -14- (LT)
FROM STA: 190+80 TO SFA 10-00 -Y4- IRT)
FRFROM I + O +50 -1 - (RT)
FROM STA. 12+35 TO STA. 13+50 -V7- RT
OM STA, la i BJ TO STA. 16 i JO -YJ- �RTj

DETAIL 16
SPECIAL LATERAL BASE DITCH
. 3 z Ft.
Type of Liner- Class R',Rap
FROM STA. 63+50 TO STA. 85+25 -If (RT)
FROM STA. 90+00 TO STA. 90+75 -L- (RT)
S=0.1212 Slope
DETEIL119
(Nmm sr
STA. 19+15-Y1RFD- (LT)
STA.18+00-VIRPD- (RT)
STA 16+65-Y1RPD- (LT)
Natural
DETAIL 23
STANDARD 'V' DITCH
Notorel
3,� 3.� cooaaa
Type of liner= Class 'B' Rip -Rap Max. d=
STA. 22+00-Y1RPB- {LT)
DETAIL 17
RETAINING WALL LATERAL ^Y DITCH
201
FROM STA, 22+25 TO STA. 26+50 -L- ( LT)
S=Ditch Slope
EXIST
GROUND
KEYEINN ON
BANKS ONLY
DETAIL 20
OUTLET
LZZOVEMENTS
No1m 6'X7 RCec (BURIED V'
GEOTEXBLE
COUNTERSUNK GLASS I RIP RAP
W/CLASS B RIP R4P TO FILL VOIDS
CLASS 11RIP RAP
1, TO THE GREATER
OF THE EXISTING
TOP OF BANK
STA. 22+20 -L- (LT)
DETAIL 24
SPECIAL LATERAL 'V' DITCH
DETAIL 25
SPECIAL BACK OF CURB CUT DITCH
(NOT To SCALE)
OuuO
FROM STA. 82+30 TO STA. 85+90 -L- )LT)
FROM STA. 80+50 TO STA. 82+30 -L- (LT)
TOL INLINLETDETAIL 26 OVEMENTS
T [Nor roN Seele)
EXIST
GROUND
KETE,IN ON
BANKS ONLY
GEOTEXTILE
ILL
13' WIDE CHANNEL MEASURED
UPSTREATADOWNSTREAM
I!111�1�_ _ _
OF THE EXISTING TOP OF
BANK
FLOODPLAIN BENCH COMPRISED OF
CLASS IIRIP RAP FILL VOIDS WITH
CLASS 1RIP RAP AS NEEDED
91-00 -L-
DETAIL 18
STA. 42+70 -Y1- (11)
STA 51BO 11 jEn
STAA12750BYIRPIE(L Ti
STA. Id+65 —TI RPM ILr
STA. 15+85 —VI RPB- (RT
Kimley>»Horn 77 7-7
CHIC ,r51,
of I TA PV T6 LLoLAZ9
EXIST
GROUND
KEVED-IN ON
BANKS ONLY
DETAIL 21
INLET CHANa110 S ae1 ENn
pro, 9 RCBT, [BURIED 1.58
OF THE EASING TOP OF
BANK
STA. 58+15 -68- (LT)
DSETAIL22
< Norm B�Ie)OE
FROM STA 98+00 TO STA 98-65 -6- (RN
DETAIL 27
SPECIAL rION

LEGEND
CHANNEL /
IMPROVEMENES
CASE II RIP RAP
o a zi,
TRUC uni ss•PA
ITEM)
Kiniey4Ho

LEGEND
s av
5L%TER , 40.Brt',
ivs'obbb
SITE '1A"
LMIRAL
9as[. oiryµ?{z
`:hEE. _ of

LEGEND
Kimley>»Horn
U-SISO SA
SITE IMPACT ZOOM: 1 "= 20'
DETAIL SHEET FOR SITE 1A

LEGEND
Kimley>»Horn
SITE IMPACT ZOOM: 1 "= 20'
DETAIL SHEET FOR SITE 1A
ig

Kimler*Horn
U-5760 53
SITE IMPACT ZOOM: 1"=20'
DETAIL SHEET FOR SITE 1B
I TTI'LF
71-7g
4=Inlfg7.71TgaPt.

Kimler*Horn
U-5760 53
SITE IMPACT ZOOM: 1" 20'
DETAIL SHEET FOR SITE 1B
I TTI'LF
71-7g
4=Inlfg7.71TgaPt.

Kimley>»Horn
-5760
SITE 1A /1B - CULVERT EXTENSION
HEEilOF I INCO �P�e
■=IlllleMl EEM1=='==lE !EEEMINEM3MEIMl ItMEEM1
PLAN V EW
FLOW
CROSS SECTION UPSTREAM CROSS SECTION DOWNSTREAM
OF CULVERT EXTENSIONS OF CULVERT EXTENSIONS
6.0'
STREAM BEDI I
ELEVATION
TYP
2.0' SILL
FLOW
SILLS DETAIL
60
NOTE: NATIVE BED MATERIAL SHALL BE PLACED IN THE PROPOSED CULVERT
EXTENSIONS BETWEEN SILLS. NATIVE MATERIALS CONSISTS OF MATERIAL THAT
IS EXCAVATED FROM THE STREAM BED OR FLOODPLAIN AT THE PROJECT SITE
DURING CULVERT CONSTRUCTION. RIP RAP MAY BE USED TO SUPPLEMENT THE
NATIVE MATERIAL. IF RIP RAP IS USED, THE NATIVE MATERIAL SHOULD BE PLACED
ON TOP TO FACILITATE ANIMAL PASSAGE. THE TOP SURFACE OF THE NATURAL
STREAM BED MATERIAL SHALL BE PLACED AND LEVELED TO A FLAT SURFACE TO
ALLOW FOR ANIMAL PASSAGE. NATIVE MATERIAL AND RIP RAP ARE SUBJECT TO
APPROVAL BY THE ENGINEER AND MAY BE SUBJECT TO PERMIT CONDITIONS.

LEGEND
wo�
DETAIL 16
SPECIAL LATERAL BASE DITCH
Naturci
Ground
Max.
Ft.
B3.0 Ft.
Type of Liner= Class I Rip—Rnp
FROM 8 0 TO
FROM STA. 90-00 TO STA. 90+15 —L— (RTC
DETAIL 24
SPECIAL LATERAL 'V' DITCH
FROM STA. 80+50 TO STA. 82+30 —L— (LT)
Kimley>»Horn
-EETuoF I TTI'L
DETAIL 25
SPECIAL BACK OF CURB CUT DITCH
IuOT TO SCALE)
Min. G=1.0 Ft.
FROM STA. 82+30 TO STA. 85+90 —L— (LT)

WAAMT/Er,Ef'.hriT'
.E ENME'IlVaN'ZE.
V6,MA P,=76
w -NsTmva-
Kimler*Horn
4
,,Z=Inlfg°,7=1,1g.T44-.
-'''S........ ..../e...,,,
---- ' — \
SITE' 2A
K
SITE 3
DETAIL 16
SPECIAL LATERAL BASE DITCH
7.„
Max. cl= 2.5 Ft.
Type of Liner= Class I Ri,Rap
FF2',", T;:212 srrg tjEl
r, tar°
Gr"fl,
DETAIL 24
SPECIAL LATERAL 'VDITCH
Min. 0= 1.0 Ft.
FROM STA. 80 + 50 TO STA 82 + 30 -L- (LTI
VIEMEt°.
DETAIL 25
SPECIAL BACK OF CURB CUT DITCH
NOT TO SCALE
Min. D=1.0 H.
FROM STA. 82 +30 TO STA. 85+90 —L— (LT)
8 lingAlla
MD PROFILES

rcz,z ZT.2g=t''" mwrnm
Kimler*Horn
U-5760 9A
SITE IMPACT ZOOM: 1"= 30'
I TTI'LF
71-7g
DETAIL SHEET FOR SITES 2A, 2B, 3
„t I
Inlfg°,7 gaPtn

rcz,z ZT.2g=t''" mwrnm
Kimler*Horn
U-5760 9A
SITE IMPACT ZOOM: 1"= 30'
I TTI'LF
71-7g
DETAIL SHEET FOR SITES 2A, 2B, 3
4=Inlfg7.71TgaPt.

STEP, DETAIL 16 iron
FROM n,.w NNTS sra
Mg:
/
srEc DET/6L 15 iTcn
Kimley>»Horn
co
w
lt
PON
pn..w u. w- ewg.
1.
SEE SHEET 88-8 FOR INTERSECTION DETAIL
SEE SHEET RO FOR -L- PROFILE
SEE SHEET 28 FOR -27- PROFILE
SEE SHEETS C-I THRU C-XX FOR CULVERT PLANS

LEGEND
SHOAL DETAIL 16 iron
s`ii€ain
FROM na w NN TS sra eo ns IFT
/
srEc DETAIL 15 iTcn
ill Creek Lasr d.
65
Kimley»Horn
NO
l
©r.rA u. r' urnu ewg.
'.wYY�W3r'9..i.�:.
1.
SEE SHEET 80 FOR -L- PROFILE
SEE SHEET 28 FOR RR- PROFILE
SEE SHEETS C-I THRU C-XX FOR CULVERT PLANS

rcz,A ZT.2g=“'
v/A
WfA mwrnr, -„„
SITE IMPACT ZOOM: 1"= 20'
Kimler*Horn
-5760 /0.9
DETAIL SHEET FOR SITES 2C, 4B
I TTI'LF
71-7g 7A0"
4=Inlfg7.71TgaPt.

rcz,A ZT.2g=“'
v/A
WfA mwrnr, -„„
SITE IMPACT ZOOM: 1" 20'
Kimler*Horn
-5760 /0.9
DETAIL SHEET FOR SITES 2C, 4B
I TTALPV
71-7g °,RAor'z'
4=Inlfg7.71TgaPt.

rcz,A rog=tT“'
v/A
SITE IMPACT ZOOM: 1"=20'
,p, /
"-) /
,‘_,
iv
Are
;el
An',
411,11111/4pi
',At
',ii
"4
111
(-,
,
r
.0)
I
m
2
*
anat.
*aro
Aro
,outliA7
/411?Of
110
rall i
Ir
' '-''' --- "
ilwrill
,..„.., _ _
_
_
Fin
"•
-,
-.4k,,Affik
, 2
4,2
• s
20' SEWER E4
DE 1692 PG
III ,,,
EXIST ilsU
a.9 ,_,...
Kimler*Horn
U-5760 /03
DETAIL SHEET FOR SITES 4A, 5
I TTI'LF
71-7g°'0"
4=Inl'ig7.7tr:g.T4t.

rcz,A 2=72g=“'
v/A
SITE IMPACT ZOOM: 1"=20'
- „
-‘ - z,-i-j------
•
7
,
,
,.4
Are
Arjr.w.AARie
fogo
oilifi'
474
*Afore
*../
- -
'
,
-
'',
/I,
1.—r.r. i s,
witiptwir ., 1-) - x ,' - ,
Tillaiii I ',',
" ‘- ' ' v;
ci. ,__ • -
20',SOWER 00
,-nB_J692--PG
, ct‘
'
-.MI; 'ZmilkWAIIiiiAMFAMIEMIENIIM
119
Kimler*Horn
U-5760 /03
DETAIL SHEET FOR SITES 4A, 5
I TT•-•,.?
71-7g
,,Z=Inlfg°,7g1Tg.T4t.

LEGEND
E r 1 —
rcz,A zug=t-n' WIA rx'<°wnnl--
Kimley*Florp
'EAM n"
I TTI'LF
t rc.1/4.'J I
SITE IMPACT ZOOM: 1"=.30'
RCP-IV,A
),. ElpF22',//j1
,_
6,'
--, c, -----
7.
sr
--• • osimanximinmaisoulami
V,Manni
""'-'"---47•0-...-
,..010011
-....t
-4-:m..---7----. --
..................A.„„.____ ___-_-.
•.. _
mPP2r'llINSASOMMAIIIIII
c„„„„1,1-00200."` yof ...4111A.N.,--. ,
rp.-- ......41:___
------,vop-
-----:----- f‘ii,"
__,,,k-......w.vart.v.is,-ammemirandmi _,aglir_411.--'-',Am...,..-alr--41*-05_2:_..z.,,Air-u.
Wild'r---- Ii4.,------.• _--
...., _isial
111-11-"---'-'r'-rillirAlvaurAwAn-amvar mm
.011
.00111.001°-
6-"IIIIIIIIIIIIIIIIIIIIIIIIII LIL-----...00-----
iiW
iiir - .0440,iimm %Ammonium ,
'1''. 111Wri5r'..niasiosoimol g
Ir.........earwl's •1114,
'04101-
...
DETAIL SHEET SHEET FOR SITES 6A, 6B

LEGEND
rcz,A zug=t— WIA Rzwnnl—
Kimler*Horn
- -
1 mmpLE
r PLANS I
,e,
4=Int=gaPt.
SITE IMPACT ZOOM: I" .30'
fir
,6 '
fri
,
' \\ ,
' ' El P ,' /
Dal
09, ', ' IniiiiintainigEnini
2 -----='-'19—'
- •
T H ----- 244-1-611-
..---.:2-0....011.-1..
- .
-;0.---r--,---:
_,•., sigersE.------4 ...,1/4---4wAtik
-"IISSESEMMIMP-. s
---..
•
......----....,----t---- I.
.ow- :...:4......,-....1., _ Arg-e_.. _ ....,_.
Al AliffAtFAW
OtiW-.--.... simm
.ri•
Td.rlifiiiiiiralSra:44rAMFAIri
''''---'-=—"Eivialot,mowannor
"ralf:4-1-1‘Vriiissi -- 1 - Y
, -
------) _ _ - , _ _ ,_ -_,, ,:. - , - - - .:!...1,0-s.,„
- ,--,_
_ ..
.11•11..•
,,
DETAIL SHEET FOR SITES 6A, 6B

SITE 4A /4B - CULVERT REPLACEMENT
1.0'
(TYP)
PLAN VIEW
FLOW
CROSS SECTION
10.0' 10.0'
STREAM BED
ELEVATION
2.0' SILL } -1.0' SILL
2.0' FLOW
TYP
SILLS DETAIL
Kimley>»Horn
„zc OF INNMPLTC PLANS I
HEEi
NOTE: FOR CUT CONDITION, USE CLASS II RIP RAP FLOODPLAIN BENCH BORDER
WITH NATURAL GROUND COVERED WITH COIR FIBER MAT INSIDE BORDER. IN
FILL CONDITION, USE CLASS II RIP RAP FILL THROUGHOUT WITH NATIVE BED
MATERIAL FILLING THE VOIDS ON TOP.
NOTE: NATVE BED MATERIAL SHALL BE PLACED BETWEEN THE SILLS IN THE LOW FLOW CULVERT.
NATIVE MATERIALS CONSISTS OF MATERIAL THAT IS EXCAVATED FROM THE STREAM BED OR
FLOODPLAIN AT THE PROJECT SITE DURING CULVERT CONSTRUCTION. RIP RAP MAY BE USED TO
SUPPLEMENT THE NATIVE MATERIAL. IF RIP RAP IS USED, THE NATIVE MATERIAL SHOULD BE PLACED
ON TOP TO FACILITATE ANIMAL PASSAGE. THE TOP SURFACE OF THE NATURAL STREAM BED
MATERIAL SHALL BE PLACED AND LEVELED TO A FLAT SURFACE TO ALLOW FOR ANIMAL PASSAGE.
THE HIGH FLOW BARRELS SHALL BE BACK FILLED WITH NATIVE MATERIAL AND/OR RIP RAP. NATIVE
MATERIAL AND RIP RAP ARE SUBJECT TO APPROVAL BY THE ENGINEER AND MAY BE SUBJECT TO
PERMIT CONDITIONS.

WETLAND AND SURACE WATER IMPACTS SUMMARY
WETLAND IMPACTS
SURFACE WATER IMPACTS
Site
No.
Station
(From/To)
Structure
Size / Type
Permanent
Fill In
Wetlands
(ac)
Temp.
Fil In
Wetlands
lac)
Excavation
in
Wetlands
(ac)
Mechanized
Clearing
In Wetlands
(ac)
Hand
Clearing
in
Wetlands
(ac)
Permanent
SW
impacts
(ac)
Temp.
SW
impacts
(ac)
Existing
Channel
Impacts
Permanent
(ft)
Existing
Channel
Impacts
Temp.
(ft)
Natural
Stream
Design
(ft)
1A
58+66/59+59-VI- (LT)
1 ®6' x 9' RCBC Extension
<0.01
25
58+66/59+59-V1- (LT)
Channel Improvements
<0.01
0.02
31
82
16
21+97/25+90 -L- (RT)
1 ®6' x 7' RCBC Extension
0.09
522
21+97/25+90 -L- (RT)
Channel Improvements
<0.01
< 0.01
20
20
2A
83+40/85+80 -L- (RT)
Roadway Fill
<0.01
<0.01
0.02
<0.01
233
10
28
86+38/86+60 -L- (RT)
66'RCP
<0.01
24
Channel Improvements
<0.01
<0.01
25
10
2C
89+96/90+79 -L- (RT)
Roadway Fill
<0.01
< 0.01
82
10
3
83+6084+62-L- (RT)
Roadway Fill
<0.01
< 0.01
4A
90+74/91+16 -L- (LT)
2Qlg. 10' RCBC
0.02
61
Channel Improvements
< 0.01
0.01
30
28
48
90+59/91+00 -L- (RT)
Channel Improvements
0.01
<0.01
35
19
5
91+60/92+06 -L- (LT)
Roadway Fill
<0.01
0.01
6A
96+98/98+87 -L- (RT)
48" RCP
0.01
122
Channel Change
<0.01
< 0.01
70
22
Roadway Fill
0.09
6B
95+22/96+53 -L- (LT)
54"RCP
< 0.01
82
Channel Improvements
<0.01
<0.01
10
65
TOTALS"
0.09
< 0.01
0.01
9.21
0.04
1372
266
0
"Rounded totals are sum of actual impacts
NOTES:
NC DEPARTMENT OF TRANSPORTATION
DIVISION F 115
% fi/ p20

U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Compensatory Mitigation Responsibility Transfer Form
Permittee: NCDOT, Div. 9 Action ID: SAW 2016-01337
Project Name: TIP U-5760_Big Mill Farm Rd wid.ext_ Hopkins Rd wid._new interch. County: Forsyth
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: 03040101, Yadkin River Basin
Stream Impacts (linear feet)
Wetland Impacts (acres)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
1,372
0.11
*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: Choose the 8-digit HUC
Stream Mitigation (credits)
Wetland Mitigation (credits)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
2,744
0.22
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
Page 1 of 2
Form Date July 7, 2020

USACE Wilmington District
Compensatory Mitigation Responsibility Transfer Form, Page 2
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 may be 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:
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 Wilmington District
Mitigation Office, 3331 Heritage Trade Drive, Suite 105, Wake Forest, NC 27587 (or by email to SAWMIT(usace.armv.mil).
Questions regarding this form or any of the permit conditions may be directed to the District Mitigation Office.
USACE Project Manager:
USACE Field Office:
Email:
Eric Alsmeyer
Raleigh Regulatory Field Office
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
[e-mail]
2020.07.29 12:47:34
Eric C. Alsmeyer _04,00,
July 29, 2020
Wilmington District 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.armv.mil.
Page 2 of 2

DocuSign Envelope ID: A5C5C2B5-7922-4F6B-897F-2BFO8BE79B8E
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
Mr. Philip S. Harris, III, P.E., CPM
Natural Environment Section Head
Project Development and Environmental Analysis
North Carolina Department of Transportation
1598 Mail Service Center
Raleigh, North Carolina, 27699-1598
NORTH CAROI INA
Environmental Quality
July 13, 2020
Subject: 401 Water Quality Certification Pursuant to Section 401 of the Federal Clean Water Act for the proposed
widening and extension of Big Mill Farm Road and widening of Hopkins Road From I-40 Business/US 421 to
West Mountain Street with a new partial cloverleaf interchange at I-40 Business/US 421 in Forsyth County; STIP
No. U-5760; WBS Element NO. 46381.1.1. NCDWR Project No. 20200628.
Dear Mr. Harris:
Attached hereto is a copy of Certification No. WQ004231 issued to The North Carolina Department of Transportation
(NCDOT) dated July 13, 2020.
If we can be of further assistance, do not hesitate to contact us.
Sincerely,
rpocuSigned by:
0
S. DaigniiMbirector
Division of Water Resources
Attachments
Electronic copy only distribution:
Eric Alsmeyer, US Army Corps of Engineers, Raleigh Field Office
Amy Euliss, Division 9 Environmental Officer
Claire Ellwanger, US Fish and Wildlife Service
Marla Chambers, NC Wildlife Resources Commission
Beth Harmon, Division of Mitigation Services
File Copy
DEC)"?.;
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

DocuSign Envelope ID: A5C5C2B5-7922-4F6B-897F-2BFO8BE79B8E
401 Water Quality Certification Pursuant to Section 401 of the Federal Clean Water Act
with ADDITIONAL CONDITIONS
THIS CERTIFICATION is issued in conformity with the requirements of Section 401 Public Laws 92-500 and 95-217 of
the United States and subject to the North Carolina Division of Water Resources (NCDWR) Regulations in 15 NCAC
2H .0500. This certification authorizes the NCDOT to impact 0.110 acres of jurisdictional wetlands and 1,638 linear feet of
jurisdictional streams in Forsyth County. The project shall be constructed pursuant to the application dated received May 7,
2020. The authorized impacts are as described below:
Stream Imuacts in the Yadkin Pee Dee River Basin (U-5760
Site
Permanent Fill in Perennial Stream
(linear ft)
Temporary
Fill in
Perennial
Stream (linear
ft)
Total
Stream
Impact
(linear ft)
Stream
Impacts
Requiring
Mitigation
(linear ft)
Fill
Culvert
Channel
New
Extension
Change
Improvements
IA
-
-
25
-
31
82
138
-
1B
-
-
522
-
20
20
562
542
2A
233
-
-
-
-
10
243
233
2B
-
24
-
-
25
10
59
49
2C
82
-
-
-
-
10
92
82
4A
-
-
61
-
30
28
119
-
4B
-
-
-
-
35
19
54
-
6A
-
122
-
70
-
22
214
-
6B
-
82
-
-
10
65
157
-
Totals
315
228
608
70
151
266
1,638
906
Total Stream Impacts for this Section 1,638 linear feet
Wetland (Riverinel Imuacts in the Yadkin Pee Dee River Basin (U-5760
Site
Fill
(ac)
Excavation
(ac)
Mechanized
Clearing
(ac)
Total Wetland
Impact (ac)
Impacts
Requiring
Mitigation (ac)
2A
-
0.001
0.001
0.002
-
3
-
0.001
0.001
0.002
-
5
0.001
-
0.012
0.013
-
6A
0.093
-
-
0.093
-
Total
0.094
0.002
0.014
0.110
-
Total Wetland Impacts: 0.110 acres.

DocuSign Envelope ID: A5C5C2B5-7922-4F6B-897F-2BFO8BE79B8E
The application provides adequate assurance that the discharge of fill material into the waters of the Yadkin River Basin in
conjunction with the proposed development will not result in a violation of applicable Water Quality Standards and
discharge guidelines. Therefore, the State of North Carolina certifies that this activity will not violate the applicable
portions of Sections 301, 302, 303, 306, 307 of PL 92-500 and PL 95-217 if conducted in accordance with the application
and conditions hereinafter set forth.
This approval is only valid for the purpose and design that you submitted in your application dated received May 7, 2020.
Should your project change, you are required to notify the NCDWR and submit a new application. If the property is sold,
the new owner must be given a copy of this Certification and approval letter and is thereby responsible for complying with
all the conditions. If any additional wetland impacts, or stream impacts, for this project (now or in the future) exceed one
acre or 300 linear feet, respectively, additional compensatory mitigation may be required as described in 15A NCAC
2H .0506 (h) (6) and (7). For this approval to remain valid, you are required to comply with all the conditions listed below.
In addition, you should obtain all other federal, state or local permits before proceeding with your project including (but not
limited to) Sediment and Erosion control, Coastal Stormwater, Non -discharge and Water Supply watershed regulations.
This Certification shall expire on the same day as the expiration date of the corresponding Corps of Engineers Permit.
Condition(s) of Certification:
Mitigation Requirements
Compensatory mitigation for 906 linear feet of impact to streams is required. We understand that you have chosen to
perform compensatory mitigation for impacts to streams through the North Carolina Division of Mitigation Service (DMS)
(formerly NCEEP), and that the DMS has agreed to implement the mitigation for the project. The DMS has indicated in a
letter dated April 13, 2020 that they will assume responsibility for satisfying the federal Clean Water Act compensatory
mitigation requirements for the above -referenced project, in accordance with the DMS Mitigation Banking Instrument
signed July 28, 2010.
1. Placement of culverts and other structures in open waters and streams shall be placed below the elevation of the
streambed by one foot for all culverts with a diameter greater than 48 inches, and 20 percent of the culvert diameter for
culverts having a diameter less than 48 inches, to allow low flow passage of water and aquatic life. However, the pipe
system at Site 6 is exempt from this condition as was explained in the application. Design and placement of culverts and
other structures including temporary erosion control measures shall not be conducted in a manner that may result in dis-
equilibrium of wetlands or streambeds or banks, adjacent to or upstream and downstream of the above structures. The
applicant is required to provide evidence that the equilibrium is being maintained if requested in writing by NCDWR. If
this condition is unable to be met due to bedrock or other limiting features encountered during construction, please
contact NCDWR for guidance on how to proceed and to determine whether a permit modification will be required. [15A
NCAC 02H.0506(b)(2)]
2. If concrete is used during construction, a dry work area shall be maintained to prevent direct contact between curing
concrete and stream water. Water that inadvertently contacts uncured concrete shall not be discharged to surface
waters due to the potential for elevated pH and possible aquatic life and fish kills. [15A NCAC 02B.0200]
3. During the construction of the project, no staging of equipment of any kind is permitted in waters of the U.S. [15A
NCAC 02H.0506(b)(2)]
4. The dimension, pattern and profile of the stream above and below the crossing shall not be modified. Disturbed
floodplains and streams shall be restored to natural geomorphic conditions. [15A NCAC 02H.0506(b)(2)]
5. The use of rip -rap above the Normal High Water Mark shall be minimized Any rip -rap placed for stream stabilization
shall be placed in stream channels in such a manner that it does not impede aquatic life passage. [15A NCAC
02H.0506(b)(2)]
6. The Permittee shall ensure that the final design drawings adhere to the permit and to the permit drawings submitted for
approval. [15A NCAC 02H .0507(c) and 15A NCAC 02H .0506 (b)(2) and (c)(2)]
7. All work in or adjacent to stream waters shall be conducted in a dry work area. Approved BMP measures from the
most current version of NCDOT Construction and Maintenance Activities manual such as sandbags, rock berms,
cofferdams and other diversion structures shall be used to prevent excavation in flowing water. [15A NCAC
02H.0506(b)(3) and (c)(3)]

DocuSign Envelope ID: A5C5C2B5-7922-4F6B-897F-2BF08BE79B8E
8. Heavy equipment shall be operated from the banks rather than in the stream channel to minimize sedimentation and
reduce the introduction of other pollutants into the stream. [15A NCAC 02H.0506(b)(3)]
9. All mechanized equipment operated near surface waters must be regularly inspected and maintained to prevent
contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic materials. [15A NCAC
02H.0506(b)(3)]
10. No rock, sand or other materials shall be dredged from the stream channel except where authorized by this certification.
[15A NCAC 02H.0506(b)(3)]
11. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface waters is
prohibited. [15A NCAC 02H.0506(b)(3)]
12. The permittee and its authorized agents shall conduct its activities in a manner consistent with State water quality standards
(including any requirements resulting from compliance with §303(d) of the Clean Water Act) and any other appropriate
requirements of State and Federal law. If the NCDWR determines that such standards or laws are not being met (including
the failure to sustain a designated or achieved use) or that State or federal law is being violated, or that further conditions
are necessary to assure compliance, the NCDWR may reevaluate and modify this certification. [15A NCAC 02B.0200]
13. All fill slopes located in jurisdictional wetlands shall be placed at slopes no flatter than 3:1, unless otherwise authorized
by this certification. [15A NCAC 02H.0506(b)(2)]
14. A copy of this Water Quality Certification shall be maintained on the construction site at all times. In addition, the Water
Quality Certification and all subsequent modifications, if any, shall be maintained with the Division Engineer and the on -
site project manager. [15A NCAC 02H .0507(c) and 15A NCAC 02H .0506 (b)(2) and (c)(2)]
15. The outside buffer, wetland or water boundary located within the construction corridor approved by this authorization shall
be clearly marked by highly visible fencing or flagging prior to any land disturbing activities. Impacts to areas within the
fencing are prohibited unless otherwise authorized by this certification. [15A NCAC 02H.0501 and .0502]
16. The issuance of this certification does not exempt the Permittee from complying with any and all statutes, rules, regulations,
or ordinances that may be imposed by other government agencies (i.e. local, state, and federal) having jurisdiction,
including but not limited to applicable buffer rules, stormwater management rules, soil erosion and sedimentation control
requirements, etc.
17. The Permittee shall report any violations of this certification to the Division of Water Resources within 24 hours of
discovery. [15A NCAC 02B.0506(b)(2)]
18. Upon completion of the project (including any impacts at associated borrow or waste sites), the NCDOT Division Engineer
(or appointee) shall complete and return the enclosed "Certification of Completion Form" to notify the NCDWR when all
work included in the 401 Certification has been completed. [15A NCAC 02H.0502(f)]
19. Native riparian vegetation must be reestablished in the riparian areas within the construction limits of the project by
the end of the growing season following completion of construction. [15A NCAC 02H.0506(b)(2)]
20. There shall be no excavation from, or waste disposal into, jurisdictional wetlands or waters associated with this permit
without appropriate modification. Should waste or borrow sites, or access roads to waste or borrow sites, be located in
wetlands or streams, compensatory mitigation will be required since that is a direct impact from road construction
activities.[15A NCAC 02H.0506(b)(3) and (c)(3)]
21. Erosion and sediment control practices must be in full compliance with all specifications governing the proper design,
installation and operation and maintenance of such Best Management Practices in order to protect surface waters standards
[15A NCAC 02H.0506(b)(3) and (c)(3]):
a. The erosion and sediment control measures for the project must be designed, installed, operated, and maintained in
accordance with the most recent version of the North Carolina Sediment and Erosion Control Planning and Design
Manual.

DocuSign Envelope ID: A5C5C2B5-7922-4F6B-897F-2BFO8BE79B8E
b. The design, installation, operation, and maintenance of the sediment and erosion control measures must be such that
they equal, or exceed, the requirements specified in the most recent version of the North Carolina Sediment and
Erosion Control Manual. The devices shall be maintained on all construction sites, borrow sites, and waste pile
(spoil) projects, including contractor -owned or leased borrow pits associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be designed, installed, operated, and maintained
in accordance with the most recent version of the North Carolina Surface Mining Manual.
d. The reclamation measures and implementation must comply with the reclamation in accordance with the
requirements of the Sedimentation Pollution Control Act.
22. Sediment and erosion control measures shall not be placed in wetlands or waters unless otherwise approved by this
Certification. [15A NCAC 02H.0506(b)(3) and (c)(3)]
Violations of any condition herein set forth may result in revocation of this Certification and may result in criminal and/or
civil penalties. This Certification shall become null and void unless the above conditions are made conditions of the
Federal 404 and/or Coastal Area Management Act Permit. This Certification shall expire upon the expiration of the 404 or
CAMA permit.
If you wish to contest any statement in the attached Certification you must file a petition for an administrative hearing. You
may obtain the petition form from the office of Administrative hearings. You must file the petition with the office of
Administrative Hearings within sixty (60) days of receipt of this notice. A petition is considered filed when it is received in
the office of Administrative Hearings during normal office hours. The Office of Administrative Hearings accepts filings
Monday through Friday between the hours of 8:00am and 5:00pm, except for official state holidays. The original and one
(1) copy of the petition must be filed with the Office of Administrative Hearings.
The petition may be faxed -provided the original and one copy of the document is received by the Office of Administrative
Hearings within five (5) business days following the faxed transmission.
The mailing address for the Office of Administrative Hearings is:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Telephone: [phone], Facsimile: [phone]
A copy of the petition must also be served on DEQ as follows:
Mr. Bill F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
This the 13th day of July in 2020
DIVISION OF WATER RESOURCES
ocu igned y:
Q 4141. 9Cp tpftelA,
S9 uaniel JmiE Director
WQC No. WQC004231

DocuSign Envelope ID: A5C5C2B5-7922-4F6B-897F-2BFO8BE79B8E
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NCDWR Project No.:
Applicant:
NORTH CAROLINA
Environmental Quality
County:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617. This form
may be returned to NCDWR by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: Date:
Agent's Certification
I, , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: Date:
Engineer's Certification
Partial
Final
I, as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Date
NO.. CAROLINA
o...m.r el ...mental ou.u\
Registration No.
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000