20211410 Ver 1_2019-01206 NWP 14 Tearsheet_20220128

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2019-01206 County:Rockingham U.S.G.S.Quad:NC-Reidsville
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Permittee: NCDOT Division 7
Attn:Wright Archer III,PE
Address: PO Box 14996
Greensboro,NC 27415
Size(acres) —2 Nearest Town Reidsville
Nearest Waterway Little Troublesome Creek River Basin Cape Fear
USGS HUC 03030002 Coordinates 36.331113,-79.665496
Location description: The proiect area is located at NCDOT Bridge 280 on SR 2670(South Scales Street)over Little
Troublesome Creek in Reidsville,Guilford County,North Carolina.
Description of projects area and activity: This verification authorizes the discharge of clean fill material associated with
replacing an existing bridge with two 13 x 12 foot reinforced concrete box culverts with 1-and 2-foot sills.The proiect includes
permanent impacts to 65 linear feet(0.03 acre)of stream channel for culvert installation(permanent loss of waters),54 linear
feet(<0.01 acre)of stream channel for roadway fill(permanent loss of waters),34 linear feet(0.01 acre)of stream channel for
channel realignment with bank stabilization(loss of function),and 35 linear feet(0.01 acre)of stream channel for bank
stabilization,and temporary impacts to 40 linear feet(0.01 acre)of stream channel for temporary construction access and
dewatering.
Applicable Law(s): ®Section 404(Clean Water Act,33 USC 1344)
❑Section 10(Rivers and Harbors Act,33 USC 403)
Authorization: NWP 14.Linear Transportation Projects
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 11/5/2021, and additional information received 1/25 and 1/27/2022, and the
enclosed plans Wetland and Surface Water Impacts Permit,Permit Drawing Sheets 1 through 7,and Plan for Proposed Highway
Erosion Control Sheet Nos.EC-1 through EC-3,EC-04/CONST.04, EC-05/CONST.04,EC-SA/CONST.04,EC-5B/CONST.04,
and RF-1.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(CAMA),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.Bailey2(ausace.army.mil.
Corps Regulatory Official: T� Date:2022.01.28 12:23:22-05'00' Date: 01/28/2022
Expiration Date of Verification: 3/18/2022

SAW-2019-01206
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.
/i �%O� Date: 2022.01.28
Corps Regulatory Official. 12:22:57 -05'00' Date: 01/28/2022
Expiration Date of Verification: 3/18/2022
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 hqps://regulatoKy.ops.usace.4M.mil/customer-service-surve
Copy furnished:
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: NCDOT Division 7,Attn:Wright Archer III, PE Action ID: SAW-2019-01206
Project Name: NCDOT/Bridge 280 on SR 2670/Little Troublesome Creek/Rockingham County County: Rockingham
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:03030002, Cape Fear River Basin
Stream Impacts(linear feet) Wetland Impacts(acres)
Warm Cool Cold Riparian Riverine Riparian Non-Riverine Non-Riparian Coastal
153
*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:03030002, Cape Fear River Basin
Stream Mitigation (credits) Wetland Mitigation (credits)
Warm Cool Cold Riparian Riverine Riparian Non-Riverine Non-Riparian Coastal
306
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 Sponsorfails 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 Version 10 June 2020 updated

CESAW-RG (File Number, SAW-2019-01206)
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:A letter from NCDMS,confirming they are willing and able to accept the applicant's
compensatory mitigation responsibility,dated was included with the preconstruction notification.
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 [e-mail]).
Questions regarding this form or any of the permit conditions may be directed to the District Mitigation 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: 2022.01 .28
12:22:38 -05'00' 01/28/2022
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.

North Carolina Department of Transportation
Sum)1 ier.
Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 2.08;Released April 2018) It FOR NCDOT PROJECTS
WBS Element: 17BP.7.R.141 TIP No.: 17BP.7.R.141 County(ies): Rockingham Page 1 of 3
General Project Information
WBS Element: 17BP.7.R.141 TIP Number: 17BP.7.R.141 Project Type: Bridge Replacement Date: 6/22/2021
NCDOT Contact: Galen Call,PE Contractor/Desi ner: Reid Robol,PE
Address: 1000 Birch Ridge Dr Address: 940 Main Campus Dr
Raleigh,NC 27610 #500
Raleigh,NC 27606
Phone: [phone] Phone: [phone]
Email: cail ncdot. ov Email: rrobol vhb.com
City/Town: Reidsville Count ies: Rockingham
River Basin(s): Cape Fear ICAMA County? I No
Wetlands within Project Limits? No
Project Description
Project Length(lin.miles or feet): 0.18 Miles Surrounding Land Use: I Residential Lots
Proposed Project Existing Site Elm
Project Built-Upon Area ac. 2.0 ac. 1.3 ac.
Typical Cross Section Description: 2 @ 12'lanes with 4'paved shoulders and guardrail.The proposed culvert is 65'in 2 @ 12'lanes with 1'paved shoulders.The existing bridge is 43'in length and 23'in
length and 26'in width. width.
Annual Avg Daily Traffic(veh/hr/day): Design/Future: 8400 Year:2025 Existing: 4200 Year: 2015
General Project Narrative: State Project 17BP.7.R.141(SF-780280)involves the replacement of the existing NCDOT Bridge#780280 on SR 2670 over Little Troublesome Creek.Bridge#780280 consists
(Description of Minimization of Water of 1 @ 23'-0"reinforced concrete slab with mass concrete abutments.The proposed culvert will be 2 @ 13'-0"x 12'-0"RCBC with beveled headwall with 1.0'sill in the north
Quality Impacts) barrel and 2.0'sill in the south barrel.The crossing is located in Zone AE of FIRM Map number 3710890400J and was studied by Redelineated(Pre-Preliminary)methods.The
proposed culvert will provide more hydraulic opening than the exising bridge.No deck drains are proposed.The proposed culvert was sized to accommodate a detour alignment
to maintain traffic during construction of the proposed structure and demolition of the existing bridge.
Waterbody Information
Surface Water Body(1): Little Troublesome Creek NCDWR Stream Index No.: 16-7-(1)
NCDWR Surface Water Classification for Water Body Primary Classification: Water Supply V(WS-V)
Supplemental Classification: Nutrient Sensitive Waters(NSW)
Other Stream Classification: None
Impairments: None
Aquatic T&E Species? No Comments:
NRTR Stream ID: N/A Buffer Rules in Effect: Jordan Lake
Project Includes Bridge Spanning Water Body? Yes Deck Drains Discharge Over Buffer? INo Dissipator Pads Provided in Buffer? N/A
Deck Drains Discharge Over Water Body? No (If yes,provide justification in the General Project Narrative) (If yes,describe in the General Project Narrative;if no,justify in the
L. (If yes,provide justification in the General Project Narrative) General Project Narrative)

i IjF1y�' North Carolina Department of Transportation
Highway Stormwater Program
STORMWATER MANAGEMENT PLAN 'y
(Version 2.08;Released April 2018) FOR NCDOT PROJECTS
WBS Element: 17BP.7.R.141 TIP No.: 17BP.7.R.141 County(ies): Rockingham Page 2 of 3
Additional Waterbody Information
Surface Water Body 2: UT to Little Troublesome Creek NCDWR Stream Index No.: 16-7-1
NCDWR Surface Water Classification for Water Body Primary Classification: Water Supply V WS-V
Supplemental Classification: Nutrient Sensitive Waters NSW
Other Stream Classification: None
Impairments: None
Aquatic T&E Species? No Comments:
NRTR Stream ID: N/A Buffer Rules in Effect: N/A
Project Includes Bridge Spanning Water Body? Yes Deck Drains Discharge Over Buffer? N/A Dissi ator Pads Provided in Buffer? N/A
Deck Drains Discharge Over Water Body? I No (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) General Project Narrative) OEM—

1 Il )]ll'al' North Carolina Department of Transportation
5I[rriinvdtfar ``
Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 2.08;Released April 2018) FOR NCDOT PROJECTS
WBS Element: 17BP.7.R.14' TIP No.: 1713P.7.R.14County(ies): Rockingham Page 3 of 3
Bridge to Culvert Avoidance and Minimization
Proposed Structure Summary
Sheet No.&Station ISheet No.: 4 Station: 15+08.00-L- I Number of Barrels: 2
Drainage Area(ac or sq mi): 3.7 Sq.Miles Barrel Width/Diameter(ft): 1 13
Surface Water Body: (1)Little Troublesome Creek Barrel Height(ft): 12
Culvert T e: Reinforced Concrete Box Culvert JCulvert Length ft 65
Avoidance and Minimization Efforts: Culvert Burial Minimization-Native material will be utilized as backfill to a Sill height of 2.0'in the high flow barrel and there will be a 1.0'sill in the low flow barrel.Natural channel
(Bridge to Culvert) dimensions were observed up and downstream of the crossing and was considered during sizing of the proposed culvert.A floodplain bench was also provided up and downstream of
the proposed culvert in the high flow barrel.Erosion control-Bank stabilization with class II rip rap will be utilized up and downstream to avoid bank erosion.Impervious dikes will be used
during the construction of the culvert.Silt fence will be applied along the fill slopes and upstream of all wetlands and streams.Minimize clearing-There shall be minimal clearing of
vegetation on the existing shoulders/side slopes during the construction of the proposed culvert and roadway.
Stream Slope Fish and/or Aquatic Life Passage
Existing Average Stream Slope % : 0.46 % Existing Low Flow Channel Dimensions 12'Base,2:1 side slopes,4'deep
Proposed Culvert Slope(%): 1 0.46 % in the Stream:
Culvert Burial
Proposed Culvert Burial Depth(ft): 1
Existing Streambed Material: Sand,Silt,Gravel Proposed Low Flow Dimensions The north barrel is the low flow barrel-1'burial
Through the Culvert: across the north barrel with a 1'sill of the
Proposed Sills/Baffles: A 1'sill is located inside the north barrel of the culvert. 2@13'12'.
A 2'sill is located 2'inside the south barrel of the Existing Low Flow Velocities in the
culvert.Native material will be backfilled to each Sills Stream ft/s : 5.4
height.Native material consist of material that is being lyroposed LOW Flow Velocities roug
excavated from the stream bed at the project site 5.4
p 1 the Culvert ft/s
during culvert construction. Native material is subject Alternating Low Flow Sills/Baffles: N/A
to approval by the engineer and may be subject to
permit conditions.
Culvert/Stream Alignment
Stream Patterns Upstream and Downstream The existing stream has minor sinuosity upsteam and downstream of the proposed culvert that is not likely to adversely impact fish passage and
of the Culvert that Could Affect Fish bank stability.
Passage and Bank Stability:
Bed Forms Impacted by Culvert(riffles, As shown on Permit Sheet 6 of 7 there is minimal bedform diversity in this location. The profile of the stream bed is consistent and is not likely to
pools,glides,etc.): be adversely impacted by the proposed culvert.
Low Flow Floodplain Bench Required? Yes A floodplain bench was provided to maintain the natural channel base width dimensions up and downstream of the proposed
(provide justification) crossing to maintain natural stream velocities and water depths. It also allows appropriate conveyance for the design year storm
Bends at Inlet/Outlet? Yes The existing stream bends to go perpendicular to the road and the proposed culvert was set to help maintain the direction of the
(describe culvert alignment with stream) stream.The approaching channel work was also designed to match the existing stream pattern.
Stream Realignment Necessary?(provide No
justification)
Bank Stabilization: Class II Rip Rap is proposed as bank stabilization approximately 33'upstream and 38'downstream.
Outlet Velocities
Natural Stream Channel 2-yr Velocity(ft/s): 5.3 Natural Stream Channel 10-yr Velocity(ft/s): 7.6
Proposed Culvert 2-yr Outlet Velocity(ft/s): 5.3 Proposed Culvert 10-yr Outlet Velocity(ft/s): 7.4
Roadway Geometric Considerations
Evaluate/Describe Roadway Geometric Constraints:
Due to the required onsite detour,in combination with the adjacent properties,the existing roadway was extended to the West and additional culvert length was provided in order to stage
construct the proposed culvert to maintain traffic.

- - - - - - - - - - - - - - - - - - - - -
SPATE STATE PRO1R(,T RRPBRRNCR NQ 5®aT S�R'1'S
2413 525 =�5 670 2817 ® STATIC OF NORTH CAROI ILA N,Co 17BP.7.R0141 I
bTAT6 PROIRCP N0. P.APROl.N0. D66CR1PTION
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• PROJECT LIMITS ROCKINGHAM COUNTY
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2p' 4 2�' 5p,
2437 �/ 2670
L`J
LOCATION: BRIDGE NO. 280 OVER LITTLE TROUBLESOME CREEK ON SR 2670 (SOUTH SCALES STREET) PERMIT DRAWING
TYPE OF WORK: GRADING, PAVING, DRAINAGE AND STRUCTURE SHEET 1 OF 7
2438
2905
2942
V 2437 v WETLAND AND SURFACE WATER IMPACTS PERMIT
VICINITY MAP
(NOT TO SCALE)
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NAD�8' 20`
BEGIN CULVERT °J0 j/ END CULVERT
—L— Sta.I4*94.78 /< ,// —L— Sto.I5-f2t.18
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SR 2670 (SCABS 5T) I
TO US 29
fREIDS ILY HWY) 10
BEGIN PROJECT 17BP.7.RJ4/ Qo END PROJECT I7BP.7.RJ4/
-L- PC Sta.10+00.00 -L- POC Sta.I9+50A0 e�
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DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
Prepared in the Office of Simpson Engineers& Assoclates for ROADWAY DESIGN ENGINEER PLANS PREPARED BY:
DESIGN DATA PROJECT LENGTH DIVISION 7
O
NORTH CAROLINA DEPARTMENT OF TRANSPORTATION IMPSON Suite 5640 D200d Drive
I ,0R`rn Ty'V NGINEERS Cary.NC 27518
2018 STANDARD SPECIFICATIONS I�.� $$OCIATES (9191 852-0468
of ��o ADT 2015 = 4,200 (9191,55mpsonengrc'om
� LENGTH ROADWAY TIP PROJECT — 0.175 MILES wNw
DAVID SIMPSON PE
ADT 2025 = 8,400 LETTING DATE: PROJECT ENGINEER P.E.
SIGNATURE. LICENSE NO.C-2521
W {} Y}
o z LENGTH STRUCTURE TIP PROJECT = 0.005 MILES
c HYDRAULICS ENGINEER
REID B. ROBOL PE
�� V = 45 MPH
0 HYDRAULICS ENGINEER TOTAL LENGTH TIP PROJECT = 0.180 MILES
OF
TIX S SUB REGIONAL TIER VHB Engineering INC,P.C.(C-3705)
—Q MINOR ARTERIAL NCDOT CONTACT: TIM POWERS, PE 940 main Campus Drive,Suite 500
oO L DIVISION BRIDGE Raleigh,NC 27606
VA T�O PROGRAM MANAGER PR
MO SIGNATURE.
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/
HYDRAULICS
ENGINEER
LICENSE NO.­05
• co ©/ UNLESS ALL SIGNATURES COMPLETED
DOCUMENT NOT CONSIDERED FINAL
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-------- --------------
PROJECT REFERENCE SHEET NO.
17BP.7.R.141—ROCKING HAM 280
ROADWAY DESIGN HYDRAULICS
ENGINEER ENGINEER
DENOTES IMPACTS IN TS
SURFACE WATER
DENOTES TEMPORARY Mon NACDONALD I s E,LLC V ENNNG
LICENSE NO.F 0669 LICENSHB GI
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IMPACTS IN SURFACE WATER / „III DOCUMENT NOT CONSIDERED FINAL
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PROJECT REFERENCE SHEET NO.
17BP.7.R.141—ROCKINGHAM 280
ROADWAY DESIGN HYDRAULICS
ENGINEER ENGINEER
111 111101—1&E LLC
LICENSE NO.E 066,
DOCUMENT NOT CONSIDERED FINAL
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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 14+77/15+46-L- Bank Stabilization 0.02 0.01 69 40
1 14+77/15+46-L- 13'x12'RCBC 0.03 65
2 14+59/15+00-L-LT Roadway Fill <0.01 54
TOTALS*: 0.05 0.01 188 40 0
*Rounded totals are sum of actual impacts
NOTES:
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
9/16/2021
ROCKINGHAM
1713P.7.R.141
SF-780280
Revised 2018 Feb SHEET 7 OF 7

B 9S o STATE STATE PROJECT REFERENCE NO.
SHEET A
�] NO. 3 HEETS
2539 N.C. 1B7,R,141/ R EC-4
2414 �58 2686
2537 TIEFNRTH STA O R 1 LL �/ I STATE PROJ.NO. F.A.PROJ.NO. DESCRIPTION
0 2536
c
2535
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2638 DIVISION O Hl "' HWAYS
7 17BP.7.R.141
PROJECT EROSION AND SEDIMENT CONTROL MEASURES
s 2516 LIMITS �`
• PL N FOR PROPOSES SEd.
Description Symbol
2817 ¶
1630.03 Temporary Silt Ditch TSD
Vd --' ONTROL**' c 10 N
s
• 1630.05 Temporary Diversion - TD
' HWAY T" R
B 9s 2670 H 1 1605.01 Temporary orgy Silt Fe nce
-P 1006.01 Special Sediment 2437 ¶
Fence
ROCI<INGHAM COUNTY 1622.01 TemporaTy Berms and Slope Drains
�L 1630.02 Silt Basin Type B.................................. e9�
1633.01 Temporary Rock Silt Check Type-A
2438 Temporary Rock Silt Check Type-A with
2905 LOCATION: BRIDGE NO. 280 OVER LITTLE TROUBLESOME CREEK Matting and POIYACTylammide (PAM)
2597 ON SR 2670 (SOUTH SCALES STREET) 1633.02 TemmpD®rfry Rock Silt Check Type-B..........
Waffle/ Coir FiheTr Waffle Ew
CFW
VICINITY MAP Wattle/ C®ir F'iher Waffle
NOT TO SCALE TYPE OF WORK. GRADING, PAVING, DRAINAGE AND STRUCTURE with IP®jyacryjammi& (PAM)
1634.01 Temporary Rock Sediment Dam Type-A °ono
•
1634.02 TemmpD®raTy Rock Sediment Dam Type-B
1635.01 Rock Pipe Inlet Sediment Trapp Type-A %W V0
1635.02 Rock Pipe Inlet Sediment Trapp Type-B------
1630.04 Stilling Basin
1630.06 Special Stilling Basin
NABRock Inlet Sediment Trap.
1�I 1632.01 Type A----------------------------------------------------- A
I A U2011
1632.02 TypeBLJ
BEGIN CULVERT ��� ` END CULVERT
-L- StG. 14*94.78 '� / -L- StG. 15+2.18 1632.03 Type C C
S.� Skimmer Basing..................................................
° Tiered Sknmmimer Basin
CC
InfillfTatio l BKsinIl------------------- ---------
✓s. I �O
CL
✓� ��' THIS PROJECT CONTAINS
``v EROSION CONTROL PLANS
� _ ,, o FOR CLEARING AND
GRUBBING PHASE OF
CONSTRUCTION
SR 26�0
TO US 29 l / /, �� \� �
IL (REIDSVILLE HWY) �� � �� / // / To THIS PROJECT HAS
oo BEEN DESIGNED TO
�4p SENSITIVE WATERSHED
l
z<e STANDARDS.
BEGIN PROJECT I7BP.7.R.141 o END PROJECT 17BP.7.R.14/ o�
-L- PC StG. 10+00.00 -L- POC Sto. 19+50.00 ENVIRONMENTALLY
�o �o SENSITIVE AREA(S) EXIST
ON THIS PROJECT
Refer To E. C. Special Provisions
for Special Considerations.
THIS PROJECT CONTAINS 303(d) IMPAIRED WATER(S) IMPAIRED FOR GRAPHIC SCALE Roadway Standard Drawings
TURBIDITY FROM STORMWATER RELATED IMPACTS, OR THE PROJECT IS Prepored in the Office of:
WITHIN ONE MILE AND DRAINS TO WATER(S) LISTED ON THE 303(d) LIST 50 25 0 50 100 The following roadway english standards as appear in "Roadway Standard Drawings"- Roadway Design
FOR TURBIDITY IMPAIRMENT. THE CONTRACTOR SHALL ADHERE TO ALL VHB ENGINEERING Unit - N. C. Department of Transportation - Raleigh, N. C., dated January 2018 and the latest
i I i " 9940 MAIN CAMPUS DRIVE SUITE 500 revison thereto are applicable to this project and by reference hereby are considered a part of
CONDITIONS AND REGULATIONS REQUIRED FOR IMPACTS TO THESE WATERS. PLANS these plans.
RALEIGH, 111C 27606
1604.01 Railroad Erosion Control Detail 1632.01 Rock Inlet Sediment Trap Type A
1605.01 Temporary Silt Fence 1632.02 Rock Inlet Sediment Trap Type B
1606.01 Special Sediment Control Fence 1632.03 Rock Inlet Sediment Trap Type C
Li 1607.01 Gravel Construction Entrance 1633.01 Temporary Rock Silt Check Type A
w 1622.01 Temporary Berms and Slope Drains 1633.02 Temporary Rock Silt Check Type B
THESE EROSION AND SEDIMENT CONTROL PLANS COMPLY WITH ��V-%� Designed by, 1630.01 Riser Basin 1634.01 Temporary Rock Sediment Dam Type A
co THE APPLICABLE REGULATIONS SET FORTH BY THE NCG-010000vlib
1630.02 Silt Basin Type B 1634.02 Temporary Rock Sediment Dam Type B
GENERAL CONSTRUCTION PERMIT EFFECTIVE APRIL 1, 2019 1630.03 Temporary Silt Ditch 1635.01 Rock Pipe Inlet Sediment Trap Type A
REID ROBOL 3409 1630.04 Stilling Basin 1635.02 Rock Pipe Inlet Sediment Trap Type B
AND ISSUED BY THE NORTH CAROLINA DEPARTMENT OF V H B E n i n ee ri n N C P.C. C-370 5
g g NAME LEVEL III CERTIFICATION NO. 1630.05 Temporary Diversion 1640.01 Coir Fiber Baffle
Noy ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES. 940 Main Campus Drive, Suite 500 1630.06 Special Stilling Basin 1645.01 Temporary Stream Crossing
Raleigh, NC 27606 1631.01 Matting Installation

PROJECT REFERENCE NO. SHEET NO.
R/W SHEET NO.
ROADWAY DESIGN HYDRAULICS
TEMPORARY ROCK SI LT CHECK TYP E ' A ' WITH `""""' `""""`
EXCELSIOR MATTING AND POLYACRYLAMIDE ( PAM )
EXCELSIOR NOTES :
MATTING
FLOW INSTALL TEMPORARY ROCK SILT CHECK TYPE A IN
B ~ � 11 ccORDANCE WITH ROADWAY STANDARD DRAWING NO . 1633 - 01 .
SEDIMENT CONTROL STONE
USE EXCELSIOR FOR MATTING MATERIAL AND ANCHOR
f� a MATTING SECTION AT TOP AND BOTTOM WITH CLASS B STONE .
A A PRIOR TO POLYACRYLAMIDE ( PAM ) APPLICATION , OBTAIN
L � A SOIL SAMPLE FROM PROJECT LOCATION , AND FROM OFFSITE
/_71D 0 ��Dop<a '� 0 Do
MATERIAL , AND ANALYZE FOR APPROPRIATE PAM FLOCCULANT
p<1 4
TO BE APPLIED TO EACH ROCK SILT CHECK .
��Do 0 p
INITIALLY APPLY 4 OUNCES OF POLYACRYLAMIDE ( PAM )
TO TOP OF MATTING SECTION AND AFTER EVERY RAINFALL
�
STRUCTURAL STONE f? 0 EVENT THAT EQUALS OR EXCEEDS 0 . 50 INCHES .
S
PAM
( a oz . �
PLAN
INSET A
See Inset A
CLASS B STONE —�
2 / 3 CHANNEL � ='r \ EXCELSIOR
WIDTH } � M� \\ MATTING
1 ' MIN � �� 1p „ /
H 2' MIN � ZZ
EXCELSIOR � ITI-�-�JI L=�J�-�JI JIL=�-�-�-fll-1 IJ II J 1-1
rII-III-
MATTING SECTION A - A SECTION B - B '— CLASS B STONE

PROJECT REFERENCE NO. SHEET NO.
173P.7.R.14/ EC-3
DIVISION OF HIGHWAYS ROADWAY DESIGN HYDRAULICS
ENGINEER ENGINEER
STATE OF NOjllDkTH CAJ11ROLINA
SOIL STABILIZATION TIMEFRAMES
SITE DESCRIPTION STABILIZATION TIME TIMEFRAME EXCEPTIONS
PERIMETER DIKES , SWALES9 DITCHES AND SLOPES 7 DAYS NONE
HIGH QUALITY WATER ( HOW ) ZONES 7 DAYS NONE
SLOPES STEEPER THAN 301 7 DAYS IF SLOPES ARE 10 ' OR LESS IN LENGTH AND ARE
NOT STEEPER THAN 201 , 14 DAYS ARE ALLOWED .
SLOPES 3a1OR FLATTER 14 DAYS 7 DAYS FOR SLOPES GREATER THAN 50 ' IN
LENGTH ,
ALL OTHER AREAS WITH SLOPES FLATTER THAN 401 14 DAYS NONE , EXCEPT FOR PERIMETERS AND HOW ZONES .

----------------
------ ---------------------------------------
DETAIL 1 DETAIL 2 D INLET DETAIL OUTLET DETAIL PROJECT REFERENCE SHEET NO.
LATERAL BASE DITCH SPECIAL LATERAL 'V' DITCH i Sl CLEARING AND GRUBBING NTS NTS 17BP.7.R.141 - ROCKINGHAM 280 EC-04/CONST.04
("otto Scale) Not to Scale) NAD EROSION CONTROL FOR
b 8. 2@13'X12' RCBC EXCAVATION — 21 13'X12' EXCAVATION ROADWAY DESIGN HYDRAULICS
A 20�� CONSTRUCTION SHEET 04 = 80 CY RCBC = 190 CY ENGINEER ENGINEER
Natural t Fill
Ground ?'I D 1"Ft. Slope Natural �'� �gt Slope m�
d Ground D.j D Flo D �.,; J NG
GEOTEXTILE B d
� NGvMMin. D- 1.5 Ft. *1:1
ax. d= 1.5 Ft. Geotextile �Min. D= 1.5 FT.
*When B is < 6.0' B= 3.0 Ft.
b= 5.0 Ft. Type of Liner= CLASS BRIP-RAPMax. d= 1.5 FT. �Type of Liner- CLASS I RIP-RAP - NCLASS II RIP CLASS II RIP-RAP CLASS II RIP-RAP CLASS II RIP-RAP
- TO 15+02 LT -L- STA. 15+37 TO 17+00 LT Q + z W/ GEOTEXTILE W/ GEOTEXTILE W/ GEOTEXTILE W/ GEOTEXTILE
L- STA. 14+70
IN Y OF SVILL
/ / / MOTT MACDONALD I& E,LLC VHB ENGINEERING
NO REF
FOIJ D ^/ LICENSE NO.F-0669 LICENSE NO.C-3705
E D V LLE � �, m DOCUMENT NOT CONSIDERED FINAL
OUND Q ° / / UNLESS ALL SIGNATURES COMPLETED
5 Q
m Prepared in the
- //+5 .
s END ROJ C /7B .7.R.1� o X office of: M PO Box 700
4 +, t / + MOTT M Fuquay—Varina,NC 27526
BST L OC S a 9 50.
MACDONALD www.mottmac.com/americas
_ FOOTBRIDC� W/LT —L— �T Sf 17+6 .26 �_•''t LS't"' VHB Engineering NC, P.C.(C-3705)
^o N 600 1 W 940 Main Campus Drive,Suite 500
C * Raleigh,NC 27606
N - PC Sto. 14+03.87 —
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I 18 2" W � L �,
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N� o SEE PROJECT SPECIAL PROVISIONS
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DETAIL 1 DETAIL 2 INLET DETAIL OUTLET DETAIL PROJECT REFERENCE SHEET NO.
LATERAL BASE DITCH SPECIAL LATERAL 'V' DITCH NTS NTS 17BP.7.R.141 - ROCKINGHAM 280 EC-05/CONST.04
(Not to Scale) (Not to Scale) NAp
b 8 i 2@13'XI2' RCBC EXCAVATION —CY RCBCX41E"A' EXCAVA 190 TION ROADWAY DESIGN HYDRAULICS
Natural t Fill 20,I , ENGINEER ENGINEER
Ground d ?'J D 1"Ft. Sloope Natural ? Slope /
Ground J D F o sNG
GEOTEXTILE
B Min. D- 1.5 Ft d �NG Max. d- 1.5 Ft. Geotextile Min. D= 1.5 FT.
*When B is < 6.0' B= 3.0 Ft. Max. d= 1.5 FT. CLASS II RIP RAPl 5.0 Ft. Type ofLiner= CLASS B RIP-RAPType of Liner= CLASS I RIP-RAP EST. 90 TONSCLASS II RIP-RAP CLASS II RIP-RAP CLASS IIRIP-RAP II RIP-RAP
-L- STA. 14+70 TO 15+02 LT -L- STA. 15+37 TO 17+00 LT EST. 100 SY GEOTEXTILE W/ GEOTEXTILE W/ GEOTEXTILE W/ GEOTEXTILE W/ GEOTEXTILE
LATERAL BASE DITCH
SEE DETAIL 1
EST. ?? TONS RIP RAP M �, o� CITY OF SVI�LE MOTT MACDONALD I& E,LLC VHB ENGINEERING
EST. ?? SY GEOTEXTILE 0�� oo . END CULVERT NO REF RE,IVC FOUND LICENSE NO.F-0669 LICENSE NO.C-3705
EST. ?? CY DDE ��"� � � 1 DOCUMENT NOT CONSIDERED FINAL
CITY OF REIDSVILLE �,, —L— St0° 15+2I°I8
NO REFER FOUND BEGIN CULVERT C) a �`� O UNLESS ALL SIGNATURES COMPLETED
LAT-L- Sta° 14+94°78 O+ + �� SEEEDET IL RAL V DITCH O Prepared in the �/�
-L- PT Sto. 11+58.58 2 Ln / X Office of: M
EST. ?? TONS RIP RAP END PROJECT 17BP°7.R°14/ PO� EST. ?? SY GEOTEXTILE _ C� Mori 'v' F quayXVa��a,NC 27526
IBST —L POC Sto. 19+50.00 MACDONALD www.mottmac.com/americas
°- MTL
U '_
Cr FOOTBRIDGE y T I W/LT —L PT Sto. 17+68.26 �••� VHB Engineering NC, P.C.(C-3705)
�( , 940 Main Campus Drive,Suite 500
— + 6G'Cy VI1V Raleigh NC 27606
W -L PC Sto. 14+03.87 �� B J�
N 19°IS I8 EI z CLASS B RIP RAP VERTICAL SCALE HORIZONTAL SCALE
CLA§§- RIP RAP c� N EST. 8 TONS " Tc— TS T ET — O� 19' 2 2 ' 50'
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BMI D SEE CULVERT ONSTRUCTION J� / DI �;��,° / W
ISF SEQUENCE S A. 15 + 08 -L- � S°°° �� Co /��d END
UNKNOWN
ON EC-5 & E C-5 B ��
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PB 19 PG 55 ��Q O DB 823 PG 1482 DB 1198 PG 1968 ,�•
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BEGIN PROJECT 17BP°7°R.141 w Q co ° N 06° _� o� a -L- PT Sta. 20+50°00
-L- PC Sta. /0+00.00 M �`` EIP 8'S8
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N PARTNERSHIP a 4 Q EIP / S0
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PROJECT REFERENCE NO. SHEET NO. •
17BPo7.Ro14/ IEC-5AICONST.04
R/W SHEET NO.
ROADWAY DESIGN HYDRAULICS
ENGINEER ENGINEER
CULVERT CONSTRUCTION SEQUENCE STA . 15 08 � L
PHASE I PHASE 11
1. INSTALL IMPERVIOUS DIKE A. 6. REMOVE IMPERVIOUS DIKE A.
2. DEWATER SITE USING SPECIAL STILLING BASIN. 7. INSTALL IMPERVIOUS DIKES B AND C AND DIVERT FLOW THROUGH BARREL 1.
3. REMOVE 10' +/— OF EXISTING BRIDGE ON UPSTREAM SIDE. 8. DEWATER SITE USING SPECIAL STILLING BASIN.
4. INSTALL 43' +/— OF PROPOSED RCBC BARREL 1 AND BANK STABILIZATION ON THE WEST SIDE. 9. INSTALL 43' +/— OF PROPOSED RCBC BARREL 2 AND BANK STABILIZATION ON THE WEST SIDE.
5. BEGIN PHASE II. 10. REMOVE IMPERVIOUS DIKE C. RETAIN IMPERVIOUS DIKE B.
11. REMOVE SPECIAL STILLING BASIN.
12. BUILD PROPOSED WEST ROADWAY EMBANKMENT AND SHIFT TRAFFIC OVER NEWLY CONSTRUCTED RCBC.
13. BEGIN PHASE III.
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J0 BASIN NO REF E�VC FOU D BASIN J0`' DIKE B NO REF F.�VC FOU D
EDV LE --� L EDV LE
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\� ^ -BL- S 780280- W / A� s „ �,� � -BL- S 780280- iw
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PROJECT REFERENCE NO. SHEET NO. •
17BP.7.R.14/ IEC-5BICONST.04
R/W SHEET NO.
ROADWAY DESIGN HYDRAULICS
ENGINEER ENGINEER
CULVERT CONSTRUCTION SEQUENCE STA . 15 08 � L
PHASE III PHASE IV
14. REMOVE REMAINDER OF EXISTING BRIDGE. 20. INSTALL IMPERVIOUS DIKE E AT INLET TO RCBC BARREL 1 .
15. INSTALL IMPERVIOUS DIKE D. 21. INSTALL IMPERVIOUS DIKE F AT OUTLET TO RCBC BARREL 1.
16. DEWATER SITE USING SPECIAL STILLING BASIN. 22. DIVERT FLOW INTO RCBC BARREL 2.
17. INSTALL PROPOSED RCBC BARREL 2 AND BANK STABILIZATION ON THE EAST SIDE. 23. DEWATER SITE USING SPECIAL STILLING BASIN.
18. REMOVE IMPERVIOUS DIKES B AND D. 24. INSTALL PROPOSED RCBC BARREL 1 AND BANK STABILIZATION ON THE EAST SIDE.
19. BEGIN PHASE IV. 25. REMOVE IMPERVIOUS DIKES E AND F.
26. CONSTRUCT NEW ROADWAY.
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STATE STATE PROJECT REFERENCE NO. SHEET TOTAL
NO. SHEETS
• 17.BP.7.R.141 RF-1
STATE PROJ,NO. F.A.PR Of.NO. DESCRIPTION
PjUNTING DETAILS
SEEDLING / LINER BAREROOT PLANTING DETAIL
REFORESTATION
HEALING IN DIBBLE PLANTING METHOD
USING THE KB C PLANTING BAR
1. Locate a healing—in site in a shady, well ❑ TREE REFORESTATION SHALL BE PLANTED 6 FT. TO 10 FT. ON CENTER, RANDOM SPACING,
protected area.
2. Excavate a flat bottom trench AVERAGING 8 FT. ON CENTER, APPROXIMATELY 680 PLANTS PER ACRE.
12 inches deep and provide drainage.
I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I
11 El 11-111-111=1 11—I 1 1_1 I I ~
1-11 I-1 I I-1 I E I El 11=1 -1 2 inch
11
III-1 1— j 11 I-111-11 I 11 —I 11— 11-11 I-111 111 11 I— 11-111-111
/��// —III—III � III—III—II —III—III III—III—II I—I I—III III—III—II
,/ III—III—I III—III—III 1 I FI I —11 �I—III—III III III=11 11=1 1-1 1
—I�I—I�1— DIDIE -111-111-11 1-1 1—I 11— —111-111-1 I
1J1' III—III—III—III—III—III III=1 =1 I—III=1 I=1 I I_I I_I_I Ell —111-111-111I
/� —III—III—III—III—III=11 III—III—III_III_III—II —III-111—III—III=III=11
111=_IIII-III-III=111=111 111=_I_I 1=-1_I I-1 I I_I I I-1 I
1. Insert planting bar 2. Remove planting bar 3. Insert planting bar
as shown and pull handle and place seedling at 2 inches toward planter
toward planter. correct depth. from seedling.
3. Backfill the trench with 2 inches well
rotted sawdust. Place a 2 inch layer of
well rotted sawdust at a sloping angle
at one end of the trench.
/
REFORESTATION
MIXTURE, TYPE, SIZE, AND FURNISH SHALL CONFORM TO THE FOLLOWING:
111 E III 1I1=1I1 11 111=1 111=111 11=1_II 111=111-111
=1 111 111-11 I-11 I 1 11-111 11-111=11 I 11 111-1 111=111 25% LIRIODEII tDR 01� T ULIPIFERA TULIP POPLAR 12 in - 18 in BR
111 —11 111=111—III 11 111=11 111=III II II=III 11=11�=111
Ell 11— =/11—/11-11 Ell IBII 11=111=11 I I I —III=11 III=I I I
4. Place a single layer of plants II I—�=III=I I I=I =1 1 _I I—I I I=III=II I 1 I �=1 1 I
25/ PLATANUS OCCIDENTALIS AMERICAN SYCAMORE 12 in 18 in BR
against the sloping end so that - III-1 -1 I -1 I =1 I=1 I I 1-1 I I-1 I I-1 I I=1 -1 I- III=111=111=111=111-1
the root collar is at ground level. 6. Leave compaction
4.Pull handle of bar 5. Push handle forward hole open. Water 25% FRAXI11tUS PENNSYLVANICA GREEN ASH IZ in - 18 in BR
toward planter,firming firming soil at top.soil at bottom. thoroughly.
25% BETULA NIGRA RIVER BIRCH 12 in - 18 in BR
/
PLANTING NOTES:
PLANTING BAG
During planting, seedlings
shall be kept in a moist
canvas bag or similar I F
5. Place a 2 inch layer of well rotted y ' , Y ' i i container to prevent the
sawdust over the roots maintaining ' root systems from drying.
a sloping angle.
/
KBC PLANTING BAR
Planting bar shall have a
blade with a triangular
cross section, and shall
be 12 inches long,
4 inches wide and
1 inch thick at center.
6. Repeat layers of plants and sawdust
as necessary and water thoroughly. ROOT PRUNING REFORESTATION DETAIL SHEET
All seedlings shall be root
pruned, if necessary, so that
no roots extend more than N.C.D.O.T. — ROADSIDE ENVIRONMENTAL UNIT
10 inches below the
root collar.

Action ID Number: SAW-2019-01206 County: Rockingham
Permittee: NCDOT Division 7 (Attn: Wright Archer 111, PE)
Project Name: NCDOT/Bridge 280 on SR 2670/Little Troublesome Creek/Rockingham County
Date Verification Issued: 01/28/2022
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

SAW-2019-01206
A. Determination of Jurisdiction:
1. ® There are waters,including wetlands on the above-described project area that may be subject to Section 404 of the
Clean Water Act(CWA)(33 USC§ 1344)and/or Section 10 of the Rivers and Harbors Act(RHA)(33 USC§403).This
preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
(Reference 33 CFR Part 331). However,you may request an approved JD,which is an appealable action,by contacting
the Corps district for further instruction. Please note,if work is authorized by either a general or nationwide permit,and
you wish to request an appeal of an approved JD,the appeal must be received by the Corps and the appeal process
concluded prior to the commencement of any work in waters of the United States and prior to any work that could alter
the hydrology of waters of the United States.
2. ❑ There are Navigable Waters of the United States within the above described project area subject to the permit requirements of
Section 10 of the Rivers and Harbors Act(RHA)(33 USC §403)and Section 404 of the Clean Water Act(CWA)(33 USC §
1344). This determination may be relied upon for a period not to exceed five years from the date of this notification,provided
there is no change in law or our published regulations or new information that warrants revision of this determination.
3. ❑ There are waters,including wetlands within the above described project area that are subject to the permit requirements of
Section 404 of the Clean Water Act(CWA)(33 USC § 1344). This determination may be relied upon for a period not to exceed
five years from the date of this notification,provided there is no change in law or our published regulations or new information
that warrants revision of this determination.
4. A jurisdiction determination was not completed with this request. Therefore,this is not an appealable action. However,you may
request an approved JD,which is an appealable action,by contacting the Corps for further instruction.
5. ❑ The jurisdictional areas within the above described project area have been identified under a previous action.Please reference
jurisdictional determination issued_. Action ID:_.
B. Basis for Determination: See the Preliminary Jurisdictional Determination form dated 01/28/2022.
C. Remarks:
D.Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants,or anticipate participation in USDA programs,you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service,prior to starting work.
E. Appeals Information for Approved Jurisdiction Determinations (as indicated in A2 and A3 above).
If you object to this determination,you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed
you will find a Notification of Appeal Process(NAP)fact sheet and Request for Appeal(RFA)form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Philip Shannin,Appeal Review Officer
60 Forsyth Street SW,Room 10M15
Atlanta,Georgia 30303-8801
Phone: [phone]
AND
PHILIP.A.SHANNIN(a)USACE.ARMY.MIL
In order for an RFA to be accepted by the Corps,the Corps must determine that it is complete,that it meets the criteria for appeal
under 33 CFR part 331.5,and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form,it must be received at the above address by Not applicable.
It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence. .:���/�%. Date:2022.01.28 12:21:24
Corps Regulatory Official: -05'00'
David E.Bailey
Date of JD:01/28/2022 Expiration Date of JD:Not applicable

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant:NCDOT Division 7 Attn: Wright Archer IIl PE File Number: SAW-2019-01206 Date: 01/28/2022
Attached is: See Section below
❑ INITIAL PROFFERED PERMIT(Standard Permit or Letter of permission) A
PROFFERED PERMIT(Standard Permit or Letter of permission) B
PERMIT DENIAL C
❑ APPROVED JURISDICTIONAL DETERMINATION D
❑X PRELIMINARY JURISDICTIONAL DETERMINATION E
SECTION I-The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or http://www.usace.g.M.mil/Missions/CivilWorks/Re ugulatoryProgramandPennits.aspx
or the Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit,you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission(LOP),you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety,and waive all
rights to appeal the permit,including its terms and conditions,and approved jurisdictional determinations associated with the
permit.
• OBJECT: If you object to the permit(Standard or LOP)because of certain terms and conditions therein,you may request
that the permit be modified accordingly.You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice,or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter,the district engineer will evaluate your
objections and may: (a)modify the permit to address all of your concerns,(b)modify the permit to address some of your
objections,or(c)not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections,the district engineer will send you a proffered permit for your reconsideration,as indicated in
Section B below.
B: PROFFERED PERMIT:You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit,you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission(LOP),you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety,and waive all
rights to appeal the permit,including its terms and conditions,and approved jurisdictional determinations associated with the
permit.
• APPEAL: If you choose to decline the proffered permit(Standard or LOP)because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice,means that you accept the approved JD in its entirety,and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD,you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section II of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish,you may request an approved JD(which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.
SECTION II-REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record,the Corps memorandum for the
record of the appeal conference or meeting,and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However,you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the If you only have questions regarding the appeal process you may
appeal process you may contact: also contact:
District Engineer,Wilmington Regulatory Division MR.PHILIP A. SHANNIN
Attn:David E.Bailey ADMINISTRATIVE APPEAL REVIEW OFFICER
Raleigh Regulatory Office CESAD-PDS-O
U.S Army Corps of Engineers 60 FORSYTH STREET SOUTHWEST,FLOOR M9
3331 Heritage Trade Drive,Suite 105 ATLANTA,GEORGIA 30303-8803
Wake Forest,North Carolina 27587
PHONE: [phone];FAX[phone]
EMAIL:PHILIP.A.SHANNIN(&USACE.ARMY.MIL
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants,to conduct investigations of the project site during the course of the appeal process. You will be provided a 15-day
notice of any site investigation,and will have the opportuni to participate in all site investi ations.
Date: Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer,Wilmington Regulatory Division,Attn:David E.Bailey,69 Darlington Avenue,Wilmington,North Carolina
28403
For Permit denials,Proffered Permits and Approved Jurisdictional Determinations send this form to:
Division Engineer,Commander,U.S.Army Engineer Division,South Atlantic,Attn:Mr.Philip Shannin,Administrative
Appeal Officer,CESAD-PDO,60 Forsyth Street,Room 1OM15,Atlanta,Georgia 30303-8801
Phone: [phone]