HB-0011 General Columbus September 1 2022

Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right-click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs.deq.nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30.pdf
Pre-Filing Meeting Date Request was submitted on:*
If this is a courtesy copy, please fill in this with the submission date.
County (or Counties) where the project is located:*
Is this a NCDMS Project *
Is this project a public transportation project?*
Is this a NCDOT Project?*
(NCDOT only) T.I.P. or state project number:
WBS #*
1a. Type(s) of approval sought from the Corps:*
Has this PCN previously been submitted?*
1b. What type(s) of permit(s) do you wish to seek authorization?*
1c. Has the NWP or GP number been verified by the Corps?*
Regional General Permit (RGP) Number:
RGP Numbers (for multiple RGPS):
1d. Type(s) of approval sought from the DWR:*
A. Processing Information
8/1/2022
Columbus
Yes No
Click Yes, only if NCDMS is the applicant or co-applicant.
Yes No
This is any publicly funded by municipal,state or federal funds road, rail, airport transportation project.
Yes No
HB-0011
49870.1.1
(for NCDOT use only)
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Yes
No
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
Yes No
201902350 - Work associated with bridge construction, widening, replacement, and
interchanges
List all RGP numbers you are applying for not on the drop down list.
check all that apply
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual 401 Water Quality Certification
1e. Is this notification solely for the record because written approval is not required?
*
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after-the-fact permit application?*
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?*
1j. Is the project located in a designated trout watershed?*
Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
1a. Who is the Primary Contact?*
1b. Primary Contact Email:*
1c. Primary Contact Phone:*
1d. Who is applying for the permit?*
1e. Is there an Agent/Consultant for this project?*
2. Owner Information
3. Applicant Information (if different from owner)
Yes No
Yes No
Yes No
If so, attach the acceptance letter from mitigation bank or in-lieu fee program.
Yes No
Click the upload button or drag and drop files here to attach document
Accept_HB-0011.pdf 277.89KB
FILE TYPE MUST BE PDF
Yes No
Yes No
B. Applicant Information
Jason Dilday
[e-mail]
(xxx)xxx-xxxx
[phone]
Owner Applicant (other than owner)
(Check all that apply)
Yes No
2a. Name(s) on recorded deed:*
2b. Deed book and page no.:
2c. Contact Person:
2d. Address *
2e. Telephone Number:*
2f. Fax Number:
2g. Email Address:*
n/a
(for Corporations)
City
n/a
State / Province / Region
n/a
Postal / Zip Code
n/a
Country
n/a
Street Address
n/a
Address Line 2
(xxx)xxx-xxxx
[phone]
(xxx)xxx-xxxx
[e-mail]
3a. Name:*
NCDOT
1a. Name of project:*
1b. Subdivision name:
1c. Nearest municipality / town:*
2a. Property Identification Number:2b. Property size:
2c. Project Address
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey-grade GPS device) after the decimal place as appropriate, based on how the location was
determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude:*Longitude:*
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
3b. Water Resources Classification of nearest receiving water:*
Surface Water Lookup
3c. What river basin(s) is your project located in?*
3d. Please provide the 12-digit HUC in which the project is located.*
River Basin Lookup
4. Project Description and History
3b. Business Name:
3c. Address *
3d. Telephone Number:*
3e. Fax Number:
3f. Email Address:*
(if applicable)
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27699-1598
Country
US
Street Address
1598 Mail Service Center
Address Line 2
[phone]
(xxx)xxx-xxxx (xxx)xxx-xxxx
[e-mail]
C. Project Information and Prior Project History
1. Project Information
Bridge 26 over Gum Swamp Run on SR 1928 (HB-0011-Central)
(if appropriate)
Old Dock
2. Project Identification
(tax PIN or parcel ID)(in acres)
City State / Province / Region
Postal / Zip Code Country
Street Address
Address Line 2
34.160774
ex: 34.208504
-78.580887
-77.796371
Gum Swamp Run
C;Sw
Lumber
030402060601
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
4f. List the total estimated acreage of all existing wetlands on the property:
4g. List the total estimated linear feet of all existing streams on the property:
4h. Explain the purpose of the proposed project:*
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
6. Future Project Plans
6a. Is this a phased project?*
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity? This includes other
separate and distant crossing for linear projects that require Department of the Army authorization but don’t require pre-construction notification.
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
"W." will be used in the table below to represent the word "wetland".
2a. Site #*(?)2a1 Reason *(?)2b. Impact type *(?)2c. Type of W.*2d. W. name *2e. Forested *2f. Type of Jurisdicition *
(?)
2g. Impact
area *
2g. Total Temporary Wetland Impact
Land use in the project vicinity consists primarily of swamp and minor residential development.
Yes No Unknown
2.0
(intermittent and perennial)
250
Bridge inspections have been performed and it has been determined that due to hydraulic issues the bridge needs to be replaced.
This project involves replacing the 87.5-foot, 5 span bridge with a 110-foot, two span bridge on the existing alignment using an on-site detour. Standard road building equipment, such as
trucks, bulldozers and cranes will be used.
Yes No Unknown
PJD package included with application
Preliminary Approved Not Verified Unknown N/A
Example: SAW-2017-99999
Greg Price and Chris Underwood
NCDOT
Yes No
D. Proposed Impacts Inventory
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
1 Roadway fill P Riverine Swamp Forest WA/WC Yes Both 0.029
(acres)
1 Mech. Clearing P Riverine Swamp Forest WA/WC Yes Both 0.045
(acres)
2-Detour Temp. Fill T Riverine Swamp Forest WB/WD Yes Both 0.062
(acres)
0.062
2g. Total Permanent Wetland Impact
2g. Total Wetland Impact
2i. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites impacted.
"S." will be used in the table below to represent the word "stream".
3a. Reason for impact *(?)3b.Impact type *3c. Type of impact *3d. S. name *3e. Stream Type *
(?)
3f. Type of
Jurisdiction *
3g. S. width *3h. Impact
length *
S1
S2
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
3i. Total permanent stream impacts:
3i. Total temporary stream impacts:
3i. Total stream and ditch impacts:
3j. Comments:
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
2c. If yes, mitigation is required by (check all that apply):
2d. If yes, which mitigation option(s) will be used for this project?
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached.
4b. Stream mitigation requested:
4c. If using stream mitigation, what is the stream temperature:
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website.
0.074
0.136
An additional 0.049 ac of hand clearing will occur in the area of the on-site detour. There will be 0.01 acre of temporary fill in the hand clearing area for
erosion control measures
Bank stabilization Permanent Bank Stabilization Gum Swamp Run Perennial Both 50
Average (feet)
61
(linear feet)
Bank stabilization Temporary Bank Stabilization Gum Swamp Run Perennial Both 50
Average (feet)
86
(linear feet)
0
61
86
147
E. Impact Justification and Mitigation
The bridge will be replaced on the existing alignment. The new bridge will have less bents in the water than the existing structure. There will be no deck
drains on the new structure. See stormwater management plan for additional minimization measures.
NCDOT's Best Management Practices for Construction and Maintenance Activities will be employed in all facets of construction and demolition.
Yes No
DWR Corps
Mitigation bank Payment to in-lieu fee program Permittee Responsible Mitigation
Yes No
(linear feet)
0
4d. Buffer mitigation requested (DWR only):4e. Riparian wetland mitigation requested:
4f. Non-riparian wetland mitigation requested:4g. Coastal (tidal) wetland mitigation requested:
4h. Comments
*** Recent changes to the stormwater rules have required updates to this section .***
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT’s Individual NPDES permit NCS000250?*
Comments:
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
1b. If you answered “yes” to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
1c. If you answered “yes” to the above, has the document review been finalized by the State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.)*
Comments:*
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality?*
3b. If you answered “no,” provide a short narrative description.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
(square feet)
0
(acres)
0.08
(acres)
0
(acres)
0
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
Yes No
There are no protected riparian buffers in the project area.
Yes No
G. Supplementary Information
Yes No
Yes No
Yes No
Type I Categorical Exclusions do not require submittal to the State Clearing House
Yes No
Yes No
Due to minimal transportation impact resulting from this bridge replacement, this project will neither influence nearby land uses nor stimulate growth.
Therefore, a detailed indirect or cumulative effects study will not be necessary.
Yes No N/A
5a. Will this project occur in or near an area with federally protected species or habitat?*
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
5c. If yes, indicate the USFWS Field Office you have contacted.
5d. Is another Federal agency involved?*
5e. Is this a DOT project located within Division's 1-8?*
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status (e.g., National Historic Trust
designation or properties significant in North Carolina history and archaeology)?*
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?*
Comments
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
*
· The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief’; and
· The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
· I have given true, accurate, and complete information on this form;
· I agree that submission of this PCN form is a “transaction” subject to Chapter 66, Article 40 of the NC General Statutes (the “Uniform Electronic Transactions Act”);
· I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the “Uniform Electronic Transactions Act”);
Yes No
Yes No
Raleigh
Yes No Unknown
Yes No
N.C. Natural Heritage Program database; USFWS-IPaC query; biological surveys for protected species identified for the project area, which include
American alligator, Waccamaw silverside, wood stork, Northern long-eared bat, red-cockaded woodpecker and Cooley's meadowrue. The American
alligator does not require surveys. The Northern long-eared bat is covered under the programmatic biological opinion for the species and received a
biological conclusion of "May Affect, Likely to Adversely Affect". Habitat for Cooley's meadowrue exists, but no specimens were observed in a survey
conducted on June 2, 2022. Habitat for red-cockaded woodpecker does not exist in the study area. Informal concurrence for Waccamaw silverside and
wood stork from USFWS is included with this application.
Yes No
NMFS county index
Yes No
NEPA documentation
Yes No
NCDOT hydraulics unit coordination with FEMA.
FEMA floodplain mapping
Miscellaneous
Click the upload button or drag and drop files here to attach document
HB-0011 General Columbus September 1 2022.pdf 7.99MB
File must be PDF or KMZ
Signature
By checking the box and signing below, I certify that:
· I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
· I intend to electronically sign and submit the PCN form.
Full Name:*
Signature *
Date
Mack Christopher Rivenbark, III
9/1/2022
August 22, 2022
Mr. Philip S. Harris, III, P.E.
Environmental Analysis Unit
North Carolina Department of Transportation
1598 Mail Service Center
Raleigh, North Carolina 27699-1598
Dear Mr. Harris:
Subject: Mitigation Acceptance Letter:
HB-0011, Replace Bridge 26 over Gum Swamp on SR 1928 (Dock Road), Columbus County
The purpose of this letter is to notify you that the North Carolina Department of Environmental Quality – Division
of Mitigation Services (NCDEQ-DMS) will provide the mitigation for the subject project. Based on the information
received from you on August 22, 2022, the impacts are located in CU 03040206 of the Lumber River basin in the Southern
Inner Coastal Plain (SICP) Eco-Region, and are as follows:
Lumber
03040206
Stream Wetlands Buffer (Sq. Ft.)
Cold Cool Warm Riparian Non-
Riparian
Coastal
Marsh Zone 1 Zone 2
Impacts (feet/acres/square feet) 0 0 0 0.080 0 0 0 0
The impacts and associated mitigation needs were not projected by the NCDOT in the 2022 impact data. NCDEQ
–DMS commits to implementing sufficient compensatory mitigation credits to offset the impacts associated with this
project as determined by the regulatory agencies using the delivery timeline listed in Section F.3.c.iii of the In-Lieu Fee
Instrument dated July 28, 2010. If the above referenced impact amounts are revised, then this mitigation acceptance letter
will no longer be valid and a new mitigation acceptance letter will be required from NCDEQ-DMS.
If you have any questions or need additional information, please contact Ms. Beth Harmon at 919-707-8420.
Sincerely,
James B. Stanfill
DMS Deputy Director
cc: Mr. Monte Matthews, USACE – Raleigh
Ms. Amy Chapman, NCDWR
Mr. Brad Chilton, NCDOT – EAU
File: HB-0011
for
United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh ES Field Office
Post Office Box 33726
Raleigh, North Carolina 27636-3726
August 25, 2022
Gregory W. Price
NC Department of Transportation
431 Transportation Drive
Fayetteville, NC 28302

Dear Mr. Price:

This letter is in response to your letters of August 18, 2022 which provided the U.S. Fish and
Wildlife Service (Service) with the biological conclusions of the North Carolina Department of
Transportation (NCDOT) that the following three bridge/culvert replacements may affect, but are
not likely to adversely affect the federally threatened Waccamaw Silverside (Menidia extensa)
and wood stork (Mycteria americana). In addition, NCDOT has determined that the action will
have no effect on the federally endangered red-cockaded woodpecker (Picoides borealis) and
Cooley’s meadowrue (Thalictrum cooleyii). The federally threatened northern long-eared bat
(Myotis septentrionalis) has been previously addressed through a programmatic biological
opinion. The following response is provided in accordance with Section 7 of the Endangered
Species Act (ESA) of 1973, as amended (16 U.S.C. 1531-1543).

HB-0011 - replace Bridge No. 230026 over Gum Swamp Run on SR 1928 in Columbus
County
HB-0012 - replace Bridge No. 230032 over Waccamaw River Overflow on SR 1928 in
Columbus County
HB-0013 - replace Culvert No. 24-2270 over Waccamaw River Overflow on SR 1928 in
Columbus County

According to information provided, wood stork surveys were conducted on June 2, 2022. No
storks or stork nests were observed. Although there is a known occurrence of Waccamaw
Silverside near the action areas, no surveys for Waccamaw Silverside were warranted due to
likelihood of the anomalous specimens being washed over Lake Waccamaw’s dam and not
representing a reproducing population. Based on available information, the Service concurs with
your conclusion that the actions may affect, but are not likely to adversely affect the wood stork
and Waccamaw Silverside. The Service also concurs with your conclusion that the actions will
have no effect on the red-cockaded woodpecker and Cooley’s meadowrue.

We believe that the requirements of Section 7(a)(2) of the ESA have been satisfied. We remind
you that obligations under Section 7 consultation must be reconsidered if: (1) new information
reveals impacts of these identified actions that may affect listed species or critical habitat in a
manner not previously considered in this review; (2) these actions are subsequently modified in a
manner that was not considered in this review; or (3) a new species is listed or critical habitat
2

determined that may be affected by these identified actions. If you have any questions regarding
our response, please contact Mr. Gary Jordan at [e-mail].
Sincerely,
for Pete Benjamin
Field Supervisor
Electronic copy:
Liz Hair, USACE, Wilmington, NC
Travis Wilson, NCWRC, Creedmoor, NC
(Version 3.00; Released August 2021)
49870.3.1 TIP/Proj No:HB-0011 County(ies):Columbus Page 1 of 2
TIP Number:Date:
Phone:Phone:
Email:Email:
County(ies):
CAMA County?
Yes
Design/Future:Year:2022 Existing:Year:
The North Carolina Department of Transportation (NCDOT) has proposed to replace Columbus County Bridge #230026 on Dock Road (SR 1928) over Gum Swamp Run. The
project is located east of NC 130 and west of Crusoe Island Road (SR 1930). The existing structure is a 1@18', 3@17', 1@18' reinforced concrete deck with timber joists on
timber piles and vertical timber abutments. The existing structure will be removed and replaced with a 2@55' 21" Prestressed Concrete Cored Slab with 4.0' end bent caps and
spill through abutments. Existing interior bents for 5-span bridge will be removed and replaced with a single row of interior bents for proposed 2-span bridge. Excavation beneath
the proposed bridge was kept to a minimum to produce as little impact as possible. To avoid direct discharge of bridge stormwater in Gum Swamp Run, deck drains are not
required for the the proposed bridge. The run off from the bridge will be picked up by 2GI's contained within shoulder berm gutter and will outlet outside of the existing top of bank.
Any stormwater discharge entering the jurisdictional stream will be at non-erosive velocities.
General Project Narrative:
(Description of Minimization of Water
Quality Impacts)
10' wide lanes, sloped at 0.017 ft/ft
880
Wooded and Agricultural
North Carolina Department of Transportation
Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
FOR NCDOT PROJECTS
Project Type:
1582 MSC, Raleigh, NC 27699-1582 (Mail)Address:
General Project Information
HB-001149872.3.1
Address:
8/8/2022
[phone]
Raleigh, NC 27606
Contractor / Designer:
[phone]
905 Jones Franklin Road
[e-mail]
ColumbusWhiteville
Project Built-Upon Area (ac.)
880
Two 10' wide travel lanes on a 0.025 ft/ft cross-slope and 3' grassed shoulder. Rail
gaurds on both sides.
2022
[e-mail]
Annual Avg Daily Traffic (veh/hr/day):
Existing Site
Project Length (lin. miles or feet):
ac.ac.
City/Town:
0.3
Typical Cross Section Description:
Surrounding Land Use:
No
Wetlands within Project Limits?
0.2
500'
Project Description
Proposed Project
LumberRiver Basin(s):
Eileen Fuchs
1000 Birch Ridge Drive, Raleigh, NC 27610
WBS Element:
Bridge ReplacementWBS Element:
Sungate Design Group, P.A.NCDOT Contact:
Submitted 9/1/2022
(Version 3.00; Released August 2021)
49870.3.1 TIP/Proj No.:HB-0011 County(ies):Columbus Page 2 of 2
Aquatic T&E Species?Comments:
Yes No
No
Aquatic T&E Species?Comments:
No N/A
N/A
Aquatic T&E Species?Comments:
None
Buffer Rules in Effect:N/A
Project Includes Bridge Spanning Water Body?Deck Drains Discharge Over Buffer?Dissipator Pads Provided in Buffer?
Waccamaw River NCDWR Stream Index No.:15-(1)
NCDWR Surface Water Classification for Water Body Primary Classification:
None
(If yes, provide justification in the General Project Narrative) (If yes, describe in the General Project Narrative; if no, justify in the
General Project Narrative)(If yes, provide justification in the General Project Narrative)
Deck Drains Discharge Over Water Body?
Other Stream Classification: None
Supplemental Classification: NCDWR Surface Water Classification for Water Body Primary Classification:
Other Stream Classification:
Surface Water Body (3): NCDWR Stream Index No.:
Primary Classification: Class C
Class C
(If yes, describe in the General Project Narrative; if no, justify in the
General Project Narrative)(If yes, provide justification in the General Project Narrative)
Buffer Rules in Effect:
Project Includes Bridge Spanning Water Body?Deck Drains Discharge Over Buffer?Dissipator Pads Provided in Buffer?No
Impairments:None
NRTR Stream ID:Buffer Rules in Effect:
N/A
NRTR Stream ID:
Other Stream Classification:
Impairments:
Project Includes Bridge Spanning Water Body?Deck Drains Discharge Over Buffer?Dissipator Pads Provided in Buffer?
Deck Drains Discharge Over Water Body?(If yes, provide justification in the General Project Narrative) (If yes, describe in the General Project Narrative; if no, justify in the
General Project Narrative)(If yes, provide justification in the General Project Narrative)
Impairments:
North Carolina Department of Transportation
Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
FOR NCDOT PROJECTS
WBS Element:
Supplemental Classification: Swamp Waters (Sw)
Surface Water Body (2):
Deck Drains Discharge Over Water Body?(If yes, provide justification in the General Project Narrative)
NRTR Stream ID:N/A
Surface Water Body (1): Gum Swamp Run NCDWR Stream Index No.:15-6
General Project Information
Supplemental Classification: Swamp Waters (Sw)
Waterbody Information
NCDWR Surface Water Classification for Water Body
Submitted 9/1/2022
7
/
2
/
9
9
CLEARING ON THIS PROJECT SHALL BE PERFORMED TO THE LIMITS ESTABLISHED BY METHOD II MODIFIED.
T
V
=
=
=MPH
ADT

% *

FUNC CLASS =
0
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PROFILE (HORIZONTAL)

PROJECT LENGTH
STATE STATE PROJECT REFERENCE NO.
STATE PROJ. NO.F. A. PROJ. NO.DESCRIPTION
NO.
TOTAL
SHEETS
N.C.
SHEET
1
DESIGN DATA
SIGNATURE:
SIGNATURE:
P.E.
P.E.
GRAPHIC SCALES
PLANS
PROFILE (VERTICAL)
HYDRAULICS ENGINEER
LOCATION:
TYPE OF WORK:
0
9
/
0
8
/
9
9
DIVISION OF HIGHWAYS
STATE OF NORTH CAROLINA
0
00
See Sheet 1-A For Index of Sheets
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$
$
$
A
R
T
MEN
N
A
S
O
H
D
E
P
T
O
F TRA SPORT
T
IO
N
T
A TEOFN RT
CAR
O
LI
N
A
PROJECT ENGINEER
PROJECT DESIGN ENGINEER
4
GREG S. PURVIS, PE
BRIDGE# 230026
ENGINEER
ROADWAY DESIGN
SUBMITTAL DATE:
SUBMITTAL #:
BRIDGE #:
LETTING DATE:
6
30 15 30 60
30 15 30 60
6 3 6 12
GRADING, DRAINAGE, PAVING & STRUCTURE
EDWARD G. WETHERILL, PE
ADT FY =N/A
=DHV
D =
0.094 MILES
0.021 MILES
0.073 MILES
55

2022
* (TTST =3% +DUAL =3%)
ENGINEERING
ETHERILLW Raleigh, N.C. 27606
Bus: 919 851 8077
Fax: [phone]
CIVIL/SITE DESIGN - GIS/GPS - CONSTRUCTION OBSERVATION
TRANSPORTATION PLANNING/DESIGN - BRIDGE/STRUCTURE DESIGN
1223 Jones Franklin Rd.
License No. F-0377
DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
WILIMINGTON, NC 28412
3600 S. COLLEGE RD. STE. E-375
880

CONST.

UTIL., R/W
PE

THIS PROJECT IS NOT WITHIN ANY MUNICIPAL BOUNDARIES

N/A
N/A

REGIONAL TIER
NCDOT CONTACT:
2018 STANDARD SPECIFICATIONS
RIGHT OF WAY DATE:
DIVISION OF HIGHWAYS
Prepared for:
Riv
e
r
Waccamaw
RiverWacc
a
ma
w
33
Juniper
Juniper
Cree
k
Creek
Bear
Bear
Branch
Oscar
Ezzel
Rd.
Manley
Smith
Rd.
Snake
Island
Long Corner Rd.
Lon
g
Corner
Rd.
Juniper
Creek
Rd.
JuniperCreek
Rd.
Juniper
Creek
Rd.
Juniper Creek Rd.
Juniper
Cr
e
e
k
Rd.
Creek Rd.Crusoe
Island
Rd.
Richards
Rd.
1929
1929
1928
1928
1928
1928
1928
1928
1930
1930
1006
1006 1931
1931
1927
1928
1934
1.5
1.1
1.0
.6
2.7
.
7
1.0
1.0
1
.2
.5
4.7
.
8
1.2
W ACCAMAW
RIVER
Simmons
Bay
Simmons
Bay
Simmons
Bay
GreenSwamp
GreenSwamp
LittleSwamp
LittleSwamp
LittleSwamp
LittleSwamp
LittleSwamp
BoggySwamp
W
hite
Marsh
Old Dock
Ba
bso
n
Rd.
AlligatorRd.
Cox
Rd.
Big
Ne
c
k
Ne
c
k
Parke
r
Rd.
Myrtlehead
Rd.
Myrtle
h
e
a
d
R
d.
Little Prong
Rd.
R d.
Exum
Rd.
Prong
Little
Old
King
Rd.
New
Britton LoopNew
Britt
on
Lo
o
p Project
Rd.
Project
Kingtown
Rd.
Rd.
Rd.
Marlow
Rd.
Cox
Rd.
Evans
1333
1335
1334
1335
1333
1336
1326
1327
1333
1328
1337
1337
1338
1336 1335
1339
1338
1335
.58
2.50
2.01
.4
6
.
6
6
1.48
.10
.86
1.80
.1
6 .81
3.34
.46
1.13
.
9
5
4.17
.80
.72
1.52
2.55
.3
3
1.28
Mill
Branch
Ready Cam
p
Branch
Freeland
Branch
Bear
Branch
Bay
Inman
Cemetery
FAS
Prong
Little
Exum
New Britton
Millpond
Bay
Clayton
Bay
Clayton
Bay
Horse Pen
Ridge
Myrtle Head
Millpond Field
New Britton
Church
Alligator
Swamp
Bay
Swamp
Horse
Pen
Swamp
Alligator
Horse Pen
GAME LAND
WACCAMAW RIVER
NC WILDLIFE RES. COMM.
1333
1333 1337
1327
1327
New
Britton
Loop
Freeland
Chapel
Myrtle Head
Cem.
Myrtle Head
Church
St. Matthews
9
Swamp
Little
1335
Rd.
1339 Big
1333
1335
Irvin
Branch
130
130
130
130
130
COLUMBUS CO.
C
O
L
U
M
B
U
S
C
O.
B
R
U
N
S
WI
C
K
C
O.
C
O
L
U
M
B
U
S CO
.
B
R
U
N
S
W
I
C
K

C
O
.
VICINITY MAP
C
O
N
T
R
A
C
T
:

C
2
0
4
7
1
3
49872.3.1
49872.3.1
49872.3.1
COLUMBUS COUNTY
P
R
O
J
E
C
T
:

H
B
-
0
0
1
1
HB-0011
TOTAL LENGTH PROJECT HB-0011 =
LENGTH STRUCTURE PROJECT HB-0011 =
LENGTH ROADWAY PROJECT HB-0011 =
REPLACEMENT: DIVISION 6
EXPRESS DESIGN BRIDGE

ON SR 1928 (DOCK ROAD)
EILEEN FUCHS
PRIORITY PROJECTS UNIT
1000 BIRCH RIDGE DRIVE, RALEIGH, NC 27610
LOCAL
PRELIMINARY PLANS
MARCH 15, 2022
MARCH 15, 2022
SITE
PROJECT
230026
024-2270
BRIDGE# 230026 OVER GUM SWAMP RUN
TO NC 130
NC GRID
NAD 83 NA 2011
BEGIN NCDOT PROJECT HB-0011
-L- POT STA. 10+97.00
PROJECT HB-0011
END NCDOT
-L- POT STA. 15+95.00
(SR 1930)
ISLAND ROAD
CRUSOE
(SR 1928)
DOCK ROAD
S
W
A
M
P

RU
N
G
U
M

STA. 10+00.00
=-L- POT
Sta. 10+00.00
-DET- PC
=-L- POT Sta. 10+58.15
-DET- POC Sta. 10+58.80
BEGIN DETOUR
=-L- POT Sta. 11+15.54
-DET- POC Sta. 11+16.05
BEGIN CONSTRUCTION
STA. 12+97.00
BEGIN BRIDGE
STA. 14+07.00
END BRIDGE
STA. 13+02.81
BEGIN BRIDGE
STA. 14+02.81
END BRIDGE
-DET-
=-L- POT Sta. 15+85.05
-DET- POC Sta. 15+90.20
END DETOUR
=-L- POT Sta. 16+41.40
-DET- POC Sta. 16+46.41
END CONSTRUCTION
=-L- POT Sta. 17+00.00
-DET- PT Sta. 17+05.65
6 /24 / 22
A-001
230026
32
Brunswick EMC (3)
WETLAND AND SURFACE WATER IMPACTS PERMIT
SITE 1 SITE 3 SITE 1
SITE 2
SITE 2
SHEET 1 OF 10
PERMIT DRAWING
DATE: 08-08-2022
Submitted 9/1/2022
0 30'15'30'
SCALE: 1"=60'
60'
SHEET 2 OF 10
PERMIT DRAWING
DATE: 08-08-2022
RE
VIS
IO
N
S
8
/
1
7
/
9
9
4
SHEET NO.PROJECT REFERENCE NO.
R/W SHEET NO.
HYDRAULICSROADWAY DESIGN
ENGINEER ENGINEER

DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
Fax: [phone]
Bus: 919 851 8077
License No. F-0377
Raleigh, N.C. 27606
1223 Jones Franklin Rd.
CIVIL/SITE DESIGN - GIS/GPS - CONSTRUCTION OBSERVATION
TRANSPORTATION PLANNING/DESIGN - BRIDGE/STRUCTURE DESIGN
ENGINEERING
ETHERILL
BRIDGE# 230026
WILIMINGTON, NC 28412
3600 S. COLLEGE RD. STE. E-375
RFC PLANS
HB-0011
11 12 13 14 15 16
0
30
6
12
18
24
36
42
48 48
42
36
30
24
18
12
6
0
T T
EXISTING R/W
EXISTING R/W
EXISTING R/W
EXISTING R/W
6
0
.
0
0
'
6
0
.
0
0
'
DOCK ROAD (SR 1928)
19' BST
DOCK ROAD (SR 1928)19' BST
WOOD WW
WOOD WW
WOOD WW
WOOD WW
CONC BRIDGE #26
NORTH CAROLINA COASTAL LAND TRUST
TERRY ALLEN REGISTER (ETAL)
EIP
EIP
TO NC 130 (SR 1930)
CRUSOE ISLAND ROAD
11
' S
OIL
WOODS
WOODS
WOODS
WOODSWOODS
WOODS
WOODS
T
Atlantic Telephone Membership Corporation, D.A.T.U.R.
Century Link
GATE
G
U
M

S
WA
M
P

R
U
N
NC GRID
NAD 83 NA 2011
WANDA REGISTER
JAMES G &
EASEMENT AS PER PB 104 PG 33
ELECTRIC COOPERATION
BRUNSWICK MEMBERSHIP
50' MAINTAINED
EASEMENT AS PER PB 104 PG 33
ELECTRIC COOPERATION
BRUNSWICK MEMBERSHIP
50' MAINTAINED
1
2
3
-L- POT STA. 10+97.00
BEGIN NCDOT PROJECT HB-0011
-L- POT STA. 15+95.00
PROJECT HB-0011
END NCDOT
-L-
PI = 11+63.11
EL = 35.85'
(-)0.2000%(+)0.7521%
VC = 125'
K = 131
PI = 13+55.00
EL = 37.29'
(-)0.3000%
VC = 200'
K = 190
E
L
.
3
5
.9
8
S
T
A
.
10
+
9
7
.0
0

B
E
G
I
N

G
R
A
D
E
E
L
.
3
6
.5
7
S
T
A
.
15
+
9
5
.0
0
E
N
D

G
R
A
D
E
-0.2558%
EX. GRADE
DS = 55MPH DS = 60MPH+
-0.2727%
EX. GRADE
-L-
GP ELEV = 37.02
SKEW = 90 DEG
W/ 4' EB CAPS
2 @ 55' - 21" CORED SLAB
CL STA. 13+52 -L-
EST. 5 SY GF
EST. 1 TON
CL 'B' RIPRAP
15
"
15
"
EST. 5 SY GF
EST. 1 TON
CL 'B' RIPRAP
15
"
EST. 5 SY GF
EST. 1 TON
CL 'B' RIPRAP
EST. 5 SY GF
EST. 1 TON
CL 'B' RIPRAP
15
"
TO SP
CL 'II' RIPRAP
TO SP
CL 'II' RIPRAP TO SP
CL 'II' RIPRAP
TO SP
CL 'II' RIPRAP
TB 2GI
TB 2GI
TB 2GI
TB 2GI
FROM STA. 12+73 -L- LT TO BEGIN BRIDGE
SHOULDER BERM GUTTER
FROM END BRIDGE TO STA. 14+31 -L- LT
SHOULDER BERM GUTTER
FROM END BRIDGE TO STA. 14+31 -L- RT
SHOULDER BERM GUTTER
FROM STA. 12+73 -L- RT TO BEGIN BRIDGE
SHOULDER BERM GUTTER
LOW CHORD
LOW SIDE
CL 'II' RIPRAP
1.
5
:
1
EXCAVATE TO ELEV. 31.0
1.5
:1
EXCAVATE TO ELEV. 28.0
CL 'II' RIPRAP
NORTHEAST OF GUM SWAMP RUN
OVERTOPS ROADWAY APPROX. 7300'
DESIGN DISCHARGE
DESIGN FREQUENCY
BASE DISCHARGE
CFS
YRS
YRS
BASE FREQUENCY
OVERTOPPING ELEVATION
OVERTOPPING FREQUENCY
OVERTOPPING DISCHARGE CFS
CFS
YRS
FT
FT
FT
DESIGN HW ELEVATION
BASE HW ELEVATION
BRIDGE HYDRAULIC DATA
DATE OF SURVEY
W.S. ELEVATION
AT DATE OF SURVEY FT
= 490
= 25
= 31.6
= 750
= 100
= 32.0
= 11500
= FEMA 25
= 35.2
= 03-29-2022
= 29.4
TO BE REMOVED
EXISTING BRIDGE
(MEASURED 03-29-2022)
NWS=29.4
F F FILL IN WETLAND
S S SURFACE WATER IMPACTS
TS TS TEMPORARY SURFACE WATER IMPACTS
MECHANIZED CLEARING*
*
*
SITE 1
SITE 3
SITE 1
DETOUR IMPACTS
FOR IN PROPOSED
IMPACTS ARE ACCOUNTED
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F F
Submitted 9/1/2022
0 30'15'30'
SCALE: 1"=60'
60'
SHEET 3 OF 10
PERMIT DRAWING
DATE: 08-08-2022
RE
VIS
IO
N
S
8
/
1
7
/
9
9
4
SHEET NO.PROJECT REFERENCE NO.
R/W SHEET NO.
HYDRAULICSROADWAY DESIGN
ENGINEER ENGINEER

DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
Fax: [phone]
Bus: 919 851 8077
License No. F-0377
Raleigh, N.C. 27606
1223 Jones Franklin Rd.
CIVIL/SITE DESIGN - GIS/GPS - CONSTRUCTION OBSERVATION
TRANSPORTATION PLANNING/DESIGN - BRIDGE/STRUCTURE DESIGN
ENGINEERING
ETHERILL
BRIDGE# 230026
WILIMINGTON, NC 28412
3600 S. COLLEGE RD. STE. E-375
RFC PLANS
HB-0011
11 12 13 14 15 16
0
30
6
12
18
24
36
42
48 48
42
36
30
24
18
12
6
0
27
28
29
2
9
29
30
30
30
30
3
0
3
0
30
31
31
31
31
31
31
31
31
32
32
32
32
32
32
32
32
32
33
33
33
33
3
3
33
33
33
33
34
34
34
34
34
34
34
3
4
3
5
3
5
36
36
36
36
36 T T
EXISTING R/W
EXISTING R/W
EXISTING R/W
EXISTING R/W
6
0
.
0
0
'
6
0
.
0
0
'
DOCK ROAD (SR 1928)
19' BST
DOCK ROAD (SR 1928)19' BST
WOOD WW
WOOD WW
WOOD WW
WOOD WW
CONC BRIDGE #26
NORTH CAROLINA COASTAL LAND TRUST
TERRY ALLEN REGISTER (ETAL)
EIP
EIP
TO NC 130 (SR 1930)
CRUSOE ISLAND ROAD
11
' S
OIL
WOODS
WOODS
WOODS
WOODSWOODS
WOODS
WOODS
T
Atlantic Telephone Membership Corporation, D.A.T.U.R.
Century Link
GATE
G
U
M

S
WA
M
P

R
U
N
NC GRID
NAD 83 NA 2011
WANDA REGISTER
JAMES G &
EASEMENT AS PER PB 104 PG 33
ELECTRIC COOPERATION
BRUNSWICK MEMBERSHIP
50' MAINTAINED
EASEMENT AS PER PB 104 PG 33
ELECTRIC COOPERATION
BRUNSWICK MEMBERSHIP
50' MAINTAINED
1
2
3
-L- POT STA. 10+97.00
BEGIN NCDOT PROJECT HB-0011
-L- POT STA. 15+95.00
PROJECT HB-0011
END NCDOT
-L-
PI = 11+63.11
EL = 35.85'
(-)0.2000%(+)0.7521%
VC = 125'
K = 131
PI = 13+55.00
EL = 37.29'
(-)0.3000%
VC = 200'
K = 190
E
L
.
3
5
.9
8
S
T
A
.
10
+
9
7
.0
0

B
E
G
I
N

G
R
A
D
E
E
L
.
3
6
.5
7
S
T
A
.
15
+
9
5
.0
0
E
N
D

G
R
A
D
E
-0.2558%
EX. GRADE
DS = 55MPH DS = 60MPH+
-0.2727%
EX. GRADE
-L-
GP ELEV = 37.02
SKEW = 90 DEG
W/ 4' EB CAPS
2 @ 55' - 21" CORED SLAB
CL STA. 13+52 -L-
EST. 5 SY GF
EST. 1 TON
CL 'B' RIPRAP
15
"
15
"
EST. 5 SY GF
EST. 1 TON
CL 'B' RIPRAP
15
"
EST. 5 SY GF
EST. 1 TON
CL 'B' RIPRAP
EST. 5 SY GF
EST. 1 TON
CL 'B' RIPRAP
15
"
TO SP
CL 'II' RIPRAP
TO SP
CL 'II' RIPRAP TO SP
CL 'II' RIPRAP
TO SP
CL 'II' RIPRAP
TB 2GI
TB 2GI
TB 2GI
TB 2GI
FROM STA. 12+73 -L- LT TO BEGIN BRIDGE
SHOULDER BERM GUTTER
FROM END BRIDGE TO STA. 14+31 -L- LT
SHOULDER BERM GUTTER
FROM END BRIDGE TO STA. 14+31 -L- RT
SHOULDER BERM GUTTER
FROM STA. 12+73 -L- RT TO BEGIN BRIDGE
SHOULDER BERM GUTTER
LOW CHORD
LOW SIDE
CL 'II' RIPRAP
1.
5
:
1
EXCAVATE TO ELEV. 31.0
1.5
:1
EXCAVATE TO ELEV. 28.0
CL 'II' RIPRAP
NORTHEAST OF GUM SWAMP RUN
OVERTOPS ROADWAY APPROX. 7300'
DESIGN DISCHARGE
DESIGN FREQUENCY
BASE DISCHARGE
CFS
YRS
YRS
BASE FREQUENCY
OVERTOPPING ELEVATION
OVERTOPPING FREQUENCY
OVERTOPPING DISCHARGE CFS
CFS
YRS
FT
FT
FT
DESIGN HW ELEVATION
BASE HW ELEVATION
BRIDGE HYDRAULIC DATA
DATE OF SURVEY
W.S. ELEVATION
AT DATE OF SURVEY FT
= 490
= 25
= 31.6
= 750
= 100
= 32.0
= 11500
= FEMA 25
= 35.2
= 03-29-2022
= 29.4
TO BE REMOVED
EXISTING BRIDGE
(MEASURED 03-29-2022)
NWS=29.4
F F FILL IN WETLAND
S S SURFACE WATER IMPACTS
TS TS TEMPORARY SURFACE WATER IMPACTS
MECHANIZED CLEARING*
*
*
SITE 1
SITE 3
SITE 1
DETOUR IMPACTS
FOR IN PROPOSED
IMPACTS ARE ACCOUNTED
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F F
Submitted 9/1/2022
00
00
55
55
1010
1010
1515
1515
2020
2020
2525
2525
3030
3030
3535
3535
4040
4040
4545
4545
5050
5050
5555
5555
6060
6060
6565
6565
7070
7070
7575
7575
0
$
$
$
$
$
$
S
Y
S
T
IM
E
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
D
G
N
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
U
S
E
R
N
A
M
E
$
$
$
$
8
/
2
3
/
9
9
PROJ. REFERENCE NO.SHEET NO.
30 30
35 35
12+30.00
30 30
35 35
12+50.00
30 30
35 35
12+75.00
30 30
35 35
12+96.98
30 30
35 35
40 40
12+97.00
30 30
35 35
13+00.00
X-2HB-0011
-L-
2.5 5
36.203:1
4
:1
0.0250.025
36.343:1
4
:1
0.0250.025
36.503:1
4
:1
0.0250.025
36.583:1
4
:1
0.0250.025
36.58
0.0250.025 STA. 12+97.00
BEGIN BRIDGE
36.59
0.0250.025
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
SITE 1
SITE 1
W
E
T
L
A
N
D
SITE 1
SITE 1
SITE 1
SITE 1
SHEET 4 OF 10
PERMIT DRAWING
DATE: 08-08-2022
Submitted 9/1/2022
00
00
55
55
1010
1010
1515
1515
2020
2020
2525
2525
3030
3030
3535
3535
4040
4040
4545
4545
5050
5050
5555
5555
6060
6060
6565
6565
7070
7070
7575
7575
0
$
$
$
$
$
$
S
Y
S
T
IM
E
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
D
G
N
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
U
S
E
R
N
A
M
E
$
$
$
$
8
/
2
3
/
9
9
PROJ. REFERENCE NO.SHEET NO.
25 25
30 30
35 35
40 40
13+50.00
30 30
35 35
40 40
14+00.00
30 30
35 35
40 40
14+07.00
30 30
35 35
14+07.02
30 30
35 35
14+25.00
X-3HB-0011
-L-
2.5 5
28.03
0.0250.025
36.64
0.0250.025
36.63
0.0250.025 STA. 14+07.00
END BRIDGE
36.633:1
0.0250.025
4
:1
36.613:1
4
:1
0.0250.025
W
E
T
L
A
N
D
W
E
T
L
A
N
D
SITE 1
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
SITE 1
SITE 1
SITE 1
SHEET 5 OF 10
PERMIT DRAWING
DATE: 08-08-2022
Submitted 9/1/2022
7
/
2
/
9
9
DO NOT USE FOR CONSTRUCTION
PRELIMINARY PLANS
INCOMPLETE PLANS
DO NOT USE FOR R/W ACQUISITION
RE
VIS
IO
N
S
8
/
1
7
/
9
9 SHEET NO.PROJECT REFERENCE NO.
R/W SHEET NO.
HYDRAULICSROADWAY DESIGN
ENGINEER ENGINEER

DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
Fax: [phone]
Bus: 919 851 8077
License No. F-0377
Raleigh, N.C. 27606
1223 Jones Franklin Rd.
CIVIL/SITE DESIGN - GIS/GPS - CONSTRUCTION OBSERVATION
TRANSPORTATION PLANNING/DESIGN - BRIDGE/STRUCTURE DESIGN
ENGINEERING
ETHERILL
WILIMINGTON, NC 28412
3600 S. COLLEGE RD. STE. E-375
HB-0011
BRIDGE# 230026 - ONSITE DETOUR
5
11 12 13 14 15 16
30
0
6
12
18
24
36
42
48
30
0
6
12
18
24
36
42
48
PRELIM PLANS
T T
EXISTING R/W
EXISTING R/W
EXISTING R/W
EXISTING R/W
6
0
.
0
0
'
6
0
.
0
0
'
DOCK ROAD (SR 1928)
19' BST
DOCK ROAD (SR 1928)19' BST
WOOD WW
WOOD WW
WOOD WW
WOOD WW
CONC BRIDGE #26
NORTH CAROLINA COASTAL LAND TRUST
TERRY ALLEN REGISTER (ETAL)
EIP
EIP
TO NC 130 (SR 1930)
CRUSOE ISLAND ROAD
11
' S
O
IL
WOODS
WOODS
WOODS
WOODSWOODS
WOODS
WOODS
T
Atlantic Telephone Membership Corporation, D.A.T.U.R.
Century Link
GATE
G
U
M

S
WA
M
P

R
U
N
NC GRID
NAD 83 NA 2011
WANDA REGISTER
JAMES G &
EASEMENT AS PER PB 104 PG 33
ELECTRIC COOPERATION
BRUNSWICK MEMBERSHIP
50' MAINTAINED
EASEMENT AS PER PB 104 PG 33
ELECTRIC COOPERATION
BRUNSWICK MEMBERSHIP
50' MAINTAINED
1
2
3
-L- POT STA. 10+97.00
BEGIN NCDOT PROJECT HB-0011
-L- POT STA. 15+95.00
PROJECT HB-0011
END NCDOT
GRADE TO DRAIN
CL 'II' RIPRAP
CL 'II' RIPRAP
TO BEGIN BRIDGE
FROM STA. 12+79 -DET- LT
SHOULDER BERM GUTTER
MCF
EST. 7 SY GF
EST. 2 TONS
CL 'B' RIPRAP
E
L
.
3
5
.8
5
S
T
A
.
11
+
16
.0
5
B
E
G
I
N

D
E
T
O
U
R
E
L
.
3
6
.4
1
S
T
A
.
15
+
9
0
.2
0
E
N
D

D
E
T
O
U
R
DS = 35MPH
DS=35 MPH
-DET-
PI = 11+94.28
EL = 35.70'
(-)0.2000%(+)0.3711%
VC = 75'
K = 131
PI = 14+77.82
EL = 36.75'
(+)0.3711%(-)0.3061%
VC = 75'
K = 111
1.5
:1
CL 'II' RIPRAP
1.
5
:
1
CL 'II' RIPRAP
(MEASURED 03-29-2022)
NWS=29.4
LOW CHORD
LOW SIDE
DESIGN DISCHARGE
DESIGN FREQUENCY
BASE DISCHARGE
CFS
YRS
YRS
BASE FREQUENCY
OVERTOPPING ELEVATION
OVERTOPPING FREQUENCY
OVERTOPPING DISCHARGE CFS
CFS
YRS
FT
FT
FT
DESIGN HW ELEVATION
BASE HW ELEVATION
BRIDGE HYDRAULIC DATA
DATE OF SURVEY
W.S. ELEVATION
AT DATE OF SURVEY FT
= 350
= 10
= 31.3
= 15290
= FEMA 100
= 36.1
= N/A
= N/A
= N/A
= 03-29-2022
= 29.4
(TYP.)
3.5'
0 30'15'30'
SCALE: 1"=60'
60'
SHEET 6 OF 10
PERMIT DRAWING
DATE: 08-08-2022
T T TEMPORARY FILL IN WETLAND
SITE 2 SITE 2
HC HC HAND CLEARING
IN PROPOSED ROADWAY IMPACTS
IMPACTS ARE ACCOUNTED FOR
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
Submitted 9/1/2022
7
/
2
/
9
9
DO NOT USE FOR CONSTRUCTION
PRELIMINARY PLANS
INCOMPLETE PLANS
DO NOT USE FOR R/W ACQUISITION
RE
VIS
IO
N
S
8
/
1
7
/
9
9 SHEET NO.PROJECT REFERENCE NO.
R/W SHEET NO.
HYDRAULICSROADWAY DESIGN
ENGINEER ENGINEER

DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
Fax: [phone]
Bus: 919 851 8077
License No. F-0377
Raleigh, N.C. 27606
1223 Jones Franklin Rd.
CIVIL/SITE DESIGN - GIS/GPS - CONSTRUCTION OBSERVATION
TRANSPORTATION PLANNING/DESIGN - BRIDGE/STRUCTURE DESIGN
ENGINEERING
ETHERILL
WILIMINGTON, NC 28412
3600 S. COLLEGE RD. STE. E-375
HB-0011
BRIDGE# 230026 - ONSITE DETOUR
5
11 12 13 14 15 16
30
0
6
12
18
24
36
42
48
30
0
6
12
18
24
36
42
48
PRELIM PLANS
2
7
28
29
2
9
29
30
30
30
30
3
0
3
0
30
31
31
31
31
31
31
31
31
32
32
32
32
32
3
2
32
32
32
33
33
33
33
3
3
33
33
33
33
34
34
34
34
34
34
34
3
4
3
5
3
5
36
36
36
36
36 T T
EXISTING R/W
EXISTING R/W
EXISTING R/W
EXISTING R/W
6
0
.
0
0
'
6
0
.
0
0
'
DOCK ROAD (SR 1928)
19' BST
DOCK ROAD (SR 1928)19' BST
WOOD WW
WOOD WW
WOOD WW
WOOD WW
CONC BRIDGE #26
NORTH CAROLINA COASTAL LAND TRUST
TERRY ALLEN REGISTER (ETAL)
EIP
EIP
TO NC 130 (SR 1930)
CRUSOE ISLAND ROAD
11
' S
O
IL
WOODS
WOODS
WOODS
WOODSWOODS
WOODS
WOODS
T
Atlantic Telephone Membership Corporation, D.A.T.U.R.
Century Link
GATE
G
U
M

S
WA
M
P

R
U
N
NC GRID
NAD 83 NA 2011
WANDA REGISTER
JAMES G &
EASEMENT AS PER PB 104 PG 33
ELECTRIC COOPERATION
BRUNSWICK MEMBERSHIP
50' MAINTAINED
EASEMENT AS PER PB 104 PG 33
ELECTRIC COOPERATION
BRUNSWICK MEMBERSHIP
50' MAINTAINED
1
2
3
-L- POT STA. 10+97.00
BEGIN NCDOT PROJECT HB-0011
-L- POT STA. 15+95.00
PROJECT HB-0011
END NCDOT
GRADE TO DRAIN
CL 'II' RIPRAP
CL 'II' RIPRAP
TO BEGIN BRIDGE
FROM STA. 12+79 -DET- LT
SHOULDER BERM GUTTER
MCF
EST. 7 SY GF
EST. 2 TONS
CL 'B' RIPRAP
E
L
.
3
5
.8
5
S
T
A
.
11
+
16
.0
5
B
E
G
I
N

D
E
T
O
U
R
E
L
.
3
6
.4
1
S
T
A
.
15
+
9
0
.2
0
E
N
D

D
E
T
O
U
R
DS = 35MPH
DS=35 MPH
-DET-
PI = 11+94.28
EL = 35.70'
(-)0.2000%(+)0.3711%
VC = 75'
K = 131
PI = 14+77.82
EL = 36.75'
(+)0.3711%(-)0.3061%
VC = 75'
K = 111
1.5
:1
CL 'II' RIPRAP
1.
5
:
1
CL 'II' RIPRAP
(MEASURED 03-29-2022)
NWS=29.4
LOW CHORD
LOW SIDE
DESIGN DISCHARGE
DESIGN FREQUENCY
BASE DISCHARGE
CFS
YRS
YRS
BASE FREQUENCY
OVERTOPPING ELEVATION
OVERTOPPING FREQUENCY
OVERTOPPING DISCHARGE CFS
CFS
YRS
FT
FT
FT
DESIGN HW ELEVATION
BASE HW ELEVATION
BRIDGE HYDRAULIC DATA
DATE OF SURVEY
W.S. ELEVATION
AT DATE OF SURVEY FT
= 350
= 10
= 31.3
= 15290
= FEMA 100
= 36.1
= N/A
= N/A
= N/A
= 03-29-2022
= 29.4
(TYP.)
3.5'
0 30'15'30'
SCALE: 1"=60'
60'
SHEET 6 OF 10
PERMIT DRAWING
DATE: 08-08-2022
T T TEMPORARY FILL IN WETLAND
SITE 2 SITE 2
HC HC HAND CLEARING
IN PROPOSED ROADWAY IMPACTS
IMPACTS ARE ACCOUNTED FOR
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
Submitted 9/1/2022
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
00
00
55
55
1010
1010
1515
1515
2020
2020
2525
2525
3030
3030
3535
3535
4040
4040
4545
4545
5050
5050
5555
5555
6060
6060
6565
6565
7070
7070
7575
7575
0
$
$
$
$
$
$
S
Y
S
T
IM
E
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
D
G
N
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
U
S
E
R
N
A
M
E
$
$
$
$
8
/
2
3
/
9
9
PROJ. REFERENCE NO.SHEET NO.
30 30
35 35
11+16.05
30 30
35 35
11+50.00
30 30
35 35
12+00.00
30 30
35 35
12+50.00
30 30
35 35
13+00.00
30 30
35 35
13+02.79
X-6HB-0011
-DET-
2.5 5
35.85
3:
1
0.020
35.07
3:
1
0.0200.020
33.63
3:
1
4:1 0.0070.007
32.67
3:
1
4:1 0.0400.040
32.16
3:
1
4:1
0.0400.040
31.73
3:
1
4:1
0.0400.040
SITE 2
SITE 2
SITE 2
SITE 2
SITE 2
SITE 2
SHEET 8 OF 10
PERMIT DRAWING
DATE: 08-08-2022
Submitted 9/1/2022
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
W
E
T
L
A
N
D
00
00
55
55
1010
1010
1515
1515
2020
2020
2525
2525
3030
3030
3535
3535
4040
4040
4545
4545
5050
5050
5555
5555
6060
6060
6565
6565
7070
7070
7575
7575
0
$
$
$
$
$
$
S
Y
S
T
IM
E
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
D
G
N
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
U
S
E
R
N
A
M
E
$
$
$
$
8
/
2
3
/
9
9
PROJ. REFERENCE NO.SHEET NO.
30 30
35 35
13+02.81
30 30
35 35
40 40
13+50.00
30 30
35 35
40 40
14+02.81
30 30
35 35
14+02.83
30 30
35 35
14+50.00
X-7HB-0011
-DET-
2.5 5
31.73
0.0400.040
30.73
0.0400.040
31.33
0.0400.040
31.34
3:
1
4:1
0.0400.040
34.84 3:
1
0.0400.040 SITE 2
SITE 2
SITE 2
SHEET 9 OF 10
PERMIT DRAWING
DATE: 08-08-2022
Submitted 9/1/2022
Hand Existing Existing
Permanent Temp. Excavation Mechanized Clearing Permanent Temp. Channel Channel Natural
Site Station Structure Fill In Fill In in Clearing in SW SW Impacts Impacts Stream
No. (From/To)Size / Type Wetlands Wetlands Wetlands in Wetlands Wetlands impacts impacts Permanent Temp. Design
(ac) (ac) (ac) (ac) (ac) (ac) (ac) (ft) (ft) (ft)
1 10+98 to 13+11 -L-LT ROADWAY FILL 0.03 0.03
13+89 to 14+96-L-LT ROADWAY FILL < 0.01 0.02
2 11+04 to 11+35-DET-RT ROADWAY FILL < 0.01
11+47 to 12+62-DET-RT ROADWAY FILL 0.04 0.02
12+68 to 13+18-DET-RT ROADWAY FILL < 0.01 0.02
13+86 to 14+65-DET-RT ROADWAY FILL 0.02 < 0.01
3 13+14 to 13+27-L-BANK STABILIZATION 86
13+75 to 14+22-L-BANK STABILIZATION 61
TOTALS*:0.03 0.06 0.05 0.05 61 86 0
*Rounded totals are sum of actual impacts
NOTES:
Revised 2018 Feb SHEET 10 OF 10
WETLAND AND SURACE WATER IMPACTS SUMMARY
WETLAND IMPACTS SURFACE WATER IMPACTS
COLUMBUS COUNTY
HB-0011
BRG 230026
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
08-17-2022
Interior pile impacts: 1.48 sf x 8=11.84 sf (0.0003 ac)
Submitted 9/1/2022
There will be 0.01 acre of temporary fill in the hand clearing area for erosion control measures
Jurisdictional Determination Request
Version: May 2017 Page 1

This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.army.mil/Missions/RegulatoryPermitProgram/Contact/CountyLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.

ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]

RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]

WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]

INSTRUCTIONS:
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D – PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
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 also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Jurisdictional Determination Request
Version: May 2017 Page 2
A. PARCEL INFORMATION
Street Address: _______________________________________________
City, State: _______________________________________________
County:
Parcel Index Number(s) (PIN):
B. REQUESTOR INFORMATION
Name:
Mailing Address:
_________________________________________
Telephone Number: _________________________________________
Electronic Mail Address: ________________________________________
Select one:
I am the current property owner.
I am an Authorized Agent or Environmental Consultant1
Interested Buyer or Under Contract to Purchase
Other, please explain. ________________________________________
__________________________________________________________
C. PROPERTY OWNER INFORMATION2
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address:
_______________________________________________________________________________________________________________________
1 Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Jurisdictional Determination Request
Version: May 2017 Page 3

D. PROPERTY ACCESS CERTIFICATION3,4

By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.

Print Name
Capacity: Owner Authorized Agent5
Date

Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)

I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
A Corps JD is required in order obtain my local/state authorization.
I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
I believe that the site may be comprised entirely of dry land.
Other:___________________________________________________________________
_______________________________________________________________________
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
4 If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5 Must provide agent authorization form/letter signed by owner(s).
Jurisdictional Determination Request
Version: May 2017 Page 4

F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)

I am requesting that the Corps provide a preliminary JD for the property identified herein.

A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be “waters of the United States” or “navigable waters of the United States”on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional “waters of
the United States”. PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
“preliminary” in the sense that an approved JD can be requested at any time. PJDs do
not expire.

I am requesting that the Corps provide an approved JD for the property identified herein.

An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional “waters of the United States” or “navigable waters of the United
States” are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other “affected
party” (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).

I am unclear as to which JD I would like to request and require additional information
to inform my decision.

G. ALL REQUESTS

Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.

Size of Property or Review Area acres.

The property boundary (or review area boundary) is clearly physically marked on the site.

Jurisdictional Determination Request
Version: May 2017 Page 5

H. REQUESTS FROM CONSULTANTS

Project Coordinates (Decimal Degrees): Latitude: ______________________
Longitude: ______________________

A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
 North Arrow
 Graphical Scale
 Boundary of Review Area
 Date
 Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
 Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
 Jurisdictional non-wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non-Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
 Isolated waters, waters that lack a significant nexus to navigable waters, or non-
jurisdictional upland features should be identified as Non-Jurisdictional. Please
include a justification in the label regarding why the feature is non-jurisdictional (i.e.
“Isolated”, “No Significant Nexus”, or “Upland Feature”). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
 Wetland and non-wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non-wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.

Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)

____________________________________________________________________________
6 Please refer to the guidance document titled “Survey Standards for Jurisdictional Determinations” to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.army.mil/Missions/Regulatory-Permit-
Program/Jurisdiction/
Jurisdictional Determination Request
Version: May 2017 Page 6

Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form7 and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form8

Vicinity Map

Aerial Photograph

USGS Topographic Map

Soil Survey Map

Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)

Landscape Photos (if taken)

NCSAM and/or NCWAM Assessment Forms and Rating Sheets

NC Division of Water Resources Stream Identification Forms

Other Assessment Forms

_____________________________________________________________________________
7 www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/JD/RGL_08-02_App_A_Prelim_JD_Form_fillable.pdf
8 Please see http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Jurisdiction/

Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A.REPORT COMPLETION DATE FOR PJD:
B.NAME AND ADDRESS OF PERSON REQUESTING PJD:
C.DISTRICT OFFICE, FILE NAME, AND NUMBER:
D.PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: County/parish/borough: City:
Center coordinates of site (lat/long in degree decimal format):
Lat.: Long.:
Universal Transverse Mercator:
Name of nearest waterbody:
E.REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date:
Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH “MAY BE” SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non-wetland
waters)
Geographic authority
to which the aquatic
resource “may be”
subject (i.e., Section
404 or Section 10/404)
1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in
the review area, and the requestor of this PJD is hereby advised of his or her option
to request and obtain an approved JD (AJD) for that review area based on an
informed decision after having discussed the various types of JDs and their
characteristics and circumstances when they may be appropriate.
2)In any circumstance where a permit applicant obtains an individual permit, or a
Nationwide General Permit (NWP) or other general permit verification requiring “pre-
construction notification” (PCN), or requests verification for a non-reporting NWP or
other general permit, and the permit applicant has not requested an AJD for the
activity, the permit applicant is hereby made aware that: (1) the permit applicant has
elected to seek a permit authorization based on a PJD, which does not make an
official determination of jurisdictional aquatic resources; (2) the applicant has the
option to request an AJD before accepting the terms and conditions of the permit
authorization, and that basing a permit authorization on an AJD could possibly result
in less compensatory mitigation being required or different special conditions; (3) the
applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can
accept a permit authorization and thereby agree to comply with all the terms and
conditions of that permit, including whatever mitigation requirements the Corps has
determined to be necessary; (5) undertaking any activity in reliance upon the subject
permit authorization without requesting an AJD constitutes the applicant’s acceptance
of the use of the PJD; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps permit
authorization based on a PJD constitutes agreement that all aquatic resources in the
review area affected in any way by that activity will be treated as jurisdictional, and
waives any challenge to such jurisdiction in any administrative or judicial compliance
or enforcement action, or in any administrative appeal or in any Federal court; and (7)
whether the applicant elects to use either an AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AJD, a proffered individual permit (and all terms
and conditions contained therein), or individual permit denial can be administratively
appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic
jurisdiction exists over aquatic resources in the review area, or to provide an official
delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds
that there “may be” waters of the U.S. and/or that there “may be” navigable waters of
the U.S. on the subject review area, and identifies all aquatic features in the review
area that could be affected by the proposed activity, based on the following
information:
SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: ___________________________________________________.
Data sheets prepared/submitted by or on behalf of the PJD requestor.
Office concurs with data sheets/delineation report.
Office does not concur with data sheets/delineation report. Rationale: ___________________.
Data sheets prepared by the Corps: _______________________________________________.
Corps navigable waters’ study: ____________________________________________________.
U.S. Geological Survey Hydrologic Atlas: ___________________________________________.
USGS NHD data.
USGS 8 and 12 digit HUC maps.
U.S. Geological Survey map(s). Cite scale & quad name: _______________________________.
Natural Resources Conservation Service Soil Survey. Citation: ___________________________.
National wetlands inventory map(s). Cite name: ______________________________________.
State/local wetland inventory map(s): _______________________________________________.
FEMA/FIRM maps: ____________________________________________________________.
100-year Floodplain Elevation is: ________________.(National Geodetic Vertical Datum of 1929)
Photographs: Aerial (Name & Date): ___________________________________________.
or Other (Name & Date): ____________________________________________.
Previous determination(s). File no. and date of response letter: __________________________.
Other information (please specify): _________________________________________________.
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of Signature and date of
Regulatory staff member person requesting PJD
completing PJD (REQUIRED, unless obtaining
the signature is impracticable)1
1 Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.
8-24-2022
Copyright:© 2013 National Geographic Society, i-cubedProject Study Area
μ
Project Study Area
00.510.25
Miles
Figure 1. Vicinity Map
WBS No. 49870.1.1
Replace Bridge 26 on SR 1928 over Gum Swamp Run
Columbus County
NC OneMap, NC Center for Geographic Information and Analysis, NC 911
Board
Project Study Area
Surface Waters
Wetlands
WA
WB
WC
WD
Gum Swamp Run
μ 05010015020025
Feet
Figure 2. Jurisdictional Features Map
WBS No. 49870.1.1
Replace Bridge 26 on SR 1928 over Gum Swamp Run
Columbus County
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region – Version 2.0
WETLAND DETERMINATION DATA FORM – Atlantic and Gulf Coastal Plain Region
Project/Site: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section, Township, Range:
Landform (hillslope, terrace, etc.): Local relief (concave, convex, none): Slope (%):
Subregion (LRR or MLRA): Lat: Long: Datum:
Soil Map Unit Name: NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are “Normal Circumstances” present? Yes No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Hydric Soil Present? Yes No
Wetland Hydrology Present? Yes No
Is the Sampled Area
within a Wetland? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Surface Water (A1) Aquatic Fauna (B13) Sparsely Vegetated Concave Surface (B8)
High Water Table (A2) Marl Deposits (B15) (LRR U) Drainage Patterns (B10)
Saturation (A3) Hydrogen Sulfide Odor (C1) Moss Trim Lines (B16)
Water Marks (B1) Oxidized Rhizospheres along Living Roots (C3) Dry-Season Water Table (C2)
Sediment Deposits (B2) Presence of Reduced Iron (C4) Crayfish Burrows (C8)
Drift Deposits (B3) Recent Iron Reduction in Tilled Soils (C6) Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Thin Muck Surface (C7) Geomorphic Position (D2)
Iron Deposits (B5) Other (Explain in Remarks) Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery (B7) FAC-Neutral Test (D5)
Water-Stained Leaves (B9) Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes No Depth (inches):
Water Table Present? Yes No Depth (inches):
Saturation Present? Yes No Depth (inches):
(includes capillary fringe)
Wetland Hydrology Present? Yes No
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region – Version 2.0
VEGETATION (Four Strata) – Use scientific names of plants. Sampling Point:
Absolute Dominant Indicator
Tree Stratum (Plot size: ) % Cover Species? Status
1.
2.
3.
4.
5.
6.
7.
8.
= Total Cover
50% of total cover: 20% of total cover:
Sapling/Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
= Total Cover
50% of total cover: 20% of total cover:
Herb Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
= Total Cover
50% of total cover: 20% of total cover:
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
= Total Cover
50% of total cover: 20% of total cover:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)

Total Number of Dominant
Species Across All Strata: (B)

Percent of Dominant Species
That Are OBL, FACW, or FAC: (A/B)

Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
3 - Prevalence Index is 3.01
Problematic Hydrophytic Vegetation1 (Explain)

1Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:

Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.

Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.

Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.

Woody vine – All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No
Remarks: (If observed, list morphological adaptations below).
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region – Version 2.0
SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type1 Loc2 Texture Remarks

1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.) Indicators for Problematic Hydric Soils3:
Histosol (A1) Polyvalue Below Surface (S8) (LRR S, T, U) 1 cm Muck (A9) (LRR O)
Histic Epipedon (A2) Thin Dark Surface (S9) (LRR S, T, U) 2 cm Muck (A10) (LRR S)
Black Histic (A3) Loamy Mucky Mineral (F1) (LRR O) Reduced Vertic (F18) (outside MLRA 150A,B)
Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) Piedmont Floodplain Soils (F19) (LRR P, S, T)
Stratified Layers (A5) Depleted Matrix (F3) Anomalous Bright Loamy Soils (F20)
Organic Bodies (A6) (LRR P, T, U) Redox Dark Surface (F6) (MLRA 153B)
5 cm Mucky Mineral (A7) (LRR P, T, U) Depleted Dark Surface (F7) Red Parent Material (TF2)
Muck Presence (A8) (LRR U) Redox Depressions (F8) Very Shallow Dark Surface (TF12)
1 cm Muck (A9) (LRR P, T) Marl (F10) (LRR U) Other (Explain in Remarks)
Depleted Below Dark Surface (A11) Depleted Ochric (F11) (MLRA 151)
Thick Dark Surface (A12) Iron-Manganese Masses (F12) (LRR O, P, T) 3Indicators of hydrophytic vegetation and
Coast Prairie Redox (A16) (MLRA 150A) Umbric Surface (F13) (LRR P, T, U) wetland hydrology must be present,
Sandy Mucky Mineral (S1) (LRR O, S) Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
Sandy Gleyed Matrix (S4) Reduced Vertic (F18) (MLRA 150A, 150B)
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):

Hydric Soil Present? Yes No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region – Version 2.0
WETLAND DETERMINATION DATA FORM – Atlantic and Gulf Coastal Plain Region
Project/Site: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section, Township, Range:
Landform (hillslope, terrace, etc.): Local relief (concave, convex, none): Slope (%):
Subregion (LRR or MLRA): Lat: Long: Datum:
Soil Map Unit Name: NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are “Normal Circumstances” present? Yes No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Hydric Soil Present? Yes No
Wetland Hydrology Present? Yes No
Is the Sampled Area
within a Wetland? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Surface Water (A1) Aquatic Fauna (B13) Sparsely Vegetated Concave Surface (B8)
High Water Table (A2) Marl Deposits (B15) (LRR U) Drainage Patterns (B10)
Saturation (A3) Hydrogen Sulfide Odor (C1) Moss Trim Lines (B16)
Water Marks (B1) Oxidized Rhizospheres along Living Roots (C3) Dry-Season Water Table (C2)
Sediment Deposits (B2) Presence of Reduced Iron (C4) Crayfish Burrows (C8)
Drift Deposits (B3) Recent Iron Reduction in Tilled Soils (C6) Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Thin Muck Surface (C7) Geomorphic Position (D2)
Iron Deposits (B5) Other (Explain in Remarks) Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery (B7) FAC-Neutral Test (D5)
Water-Stained Leaves (B9) Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes No Depth (inches):
Water Table Present? Yes No Depth (inches):
Saturation Present? Yes No Depth (inches):
(includes capillary fringe)
Wetland Hydrology Present? Yes No
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region – Version 2.0
VEGETATION (Four Strata) – Use scientific names of plants. Sampling Point:
Absolute Dominant Indicator
Tree Stratum (Plot size: ) % Cover Species? Status
1.
2.
3.
4.
5.
6.
7.
8.
= Total Cover
50% of total cover: 20% of total cover:
Sapling/Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
= Total Cover
50% of total cover: 20% of total cover:
Herb Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
= Total Cover
50% of total cover: 20% of total cover:
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
= Total Cover
50% of total cover: 20% of total cover:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)

Total Number of Dominant
Species Across All Strata: (B)

Percent of Dominant Species
That Are OBL, FACW, or FAC: (A/B)

Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
3 - Prevalence Index is 3.01
Problematic Hydrophytic Vegetation1 (Explain)

1Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:

Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.

Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.

Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.

Woody vine – All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No
Remarks: (If observed, list morphological adaptations below).
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region – Version 2.0
SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type1 Loc2 Texture Remarks

1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.) Indicators for Problematic Hydric Soils3:
Histosol (A1) Polyvalue Below Surface (S8) (LRR S, T, U) 1 cm Muck (A9) (LRR O)
Histic Epipedon (A2) Thin Dark Surface (S9) (LRR S, T, U) 2 cm Muck (A10) (LRR S)
Black Histic (A3) Loamy Mucky Mineral (F1) (LRR O) Reduced Vertic (F18) (outside MLRA 150A,B)
Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) Piedmont Floodplain Soils (F19) (LRR P, S, T)
Stratified Layers (A5) Depleted Matrix (F3) Anomalous Bright Loamy Soils (F20)
Organic Bodies (A6) (LRR P, T, U) Redox Dark Surface (F6) (MLRA 153B)
5 cm Mucky Mineral (A7) (LRR P, T, U) Depleted Dark Surface (F7) Red Parent Material (TF2)
Muck Presence (A8) (LRR U) Redox Depressions (F8) Very Shallow Dark Surface (TF12)
1 cm Muck (A9) (LRR P, T) Marl (F10) (LRR U) Other (Explain in Remarks)
Depleted Below Dark Surface (A11) Depleted Ochric (F11) (MLRA 151)
Thick Dark Surface (A12) Iron-Manganese Masses (F12) (LRR O, P, T) 3Indicators of hydrophytic vegetation and
Coast Prairie Redox (A16) (MLRA 150A) Umbric Surface (F13) (LRR P, T, U) wetland hydrology must be present,
Sandy Mucky Mineral (S1) (LRR O, S) Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
Sandy Gleyed Matrix (S4) Reduced Vertic (F18) (MLRA 150A, 150B)
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):

Hydric Soil Present? Yes No
Remarks: