20141111 Ver 1_Application_20141021

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
PAT MCCRORY
GOVERNOR
October 9, 2014
Wilmington Regulatory Field Office
US Army Corps of Engineers
69 Dazlington Avenue
Wilmington, NC 28403
ATTN:
Deaz Madam:
Subject:
Liz Aair
NCDOT Coordinator
ANTHONYJ.TATA
SECRETARY
Pre-Construction Notification for proposed replacement of Bridge No. 230217 over Troy
Mill Branch on SR 1700 in Columbus Counry
The North Carolina Department of Transportation (NCDOT) proposes to replace the 18-foot 0-inch,
single span Bridge No. 230217 with a 21-foot 6-inch by 7-foot 8-inch Alutninum Box Culvert on the
existing alignment. Traffic will follow an offsite detour during construction. Permanent impacts to
jurisdictional resources wver approximately 0.01 acres resulting from placement of the Aluminum Box
Culvert.
Please see enclosed copies of the Pre-Construction Notification (PCN), Preliminary Jurisdictional
Determination Form, permit drawings, stormwater management plan and design plans for the above-
referenced project. The State Minimum Criteria Checklist was completed on 6/25/2012 and copies were
distributed shortly thereafter. Additional copies aze available upon request.
This project was let on 2/19/2013 and construction is due to begin 1/6/15.
Regulatory Approvals
Section 404 Permit: All aspects of this project aze being processed by the Federal Highway
Administration as a"State Minimum Criteria ChecklisY' in accordance with 23 CFR 771.115(b). The
NCDOT requests that these activities be authorized under a Nationwide 14 permit.
Section 401 Permit: The NCDOT requests that these acrivities be authorized under Water Quality
Certification Number 3886. We anticipate that written approval from the NC Department of Water
Resources will be required.
If you have any questions or need additional information, please contact me at [phone].
incerely,
(�„ (% .�r,vs
.
James . Rerko
Division Environmental Officer — Division 6
cc:

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Figure 1
Project Vicinity
Bridge No. 217 over Troy Mill Branch on SR 1700 (Red Hill Road)
WBS No. 17BP.6.R.1
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Columbus County, North Carolina
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Legend
O Bridge No. 217
, ____.� County Boundary
NCDOT Roads
� Railroads
Streams/Waterbodies
Source: NCDOT, NC OneMap antl USGS
Figme Date: ato?o12
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� Feet

o��F WATF9OG
O�TI
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. A licant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps: � Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number: 3886
1c. Has the NWP or GP number been verified by the Corps? � Yes ❑ No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
� 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
❑ Yes � No ❑ Yes � No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation � Yes ❑ No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes � No
below.
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: Replacement of NCDOT Bridge 230217 on SR1700 over Troy Mill Branch
2b. County: Columbus
2c. Nearest municipality / town: Clarkton
2d. Subdivision name: not applicable
2e. NCDOT only, T.I.P. or state NCDOT Project: 17BP.6.R.40
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b_ Deed Book and Page No. Not applicable
3c. Responsible Party (for LLC if �ames J. Rerko, Division Environmental Officer
applicable):
3d. Street address: PO Box 1150
3e. City, state, zip: Fayetteville, NC 28302
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
3h. Email address: [e-mail]
Page 1 of 10

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name: Not applicable
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. AgenUConsultant Information (if applicable)
5a. Name: Not applicable
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): Not applicable
1 b. Site coordinates (in decimal degrees): Latitude: 34.417225 Longitude: - 78.677786
(DD.DDDDDD) (-DD.DDDDDD)
1c. Propertysize: <1 acre
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Troy Mill Branch
proposed project:
2b. Water Quality Classification of nearest receiving water: C; Sw
2c. River basin: Lumber
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Existing conditions at the Project Site include maintained/ disturbed roadside shoulder and forest areas. Land use in the
Project Vicinity is predominately agriculture and forest with scattered residential properties.
3b. List the total estimated acreage of all existing wetlands on the property:
0.04 acres
3c. List the total estimated linear teet of all existing streams (intermittent and perennial) on the property:
111 linear feet
3d. Explain the purpose of the proposed project:
To replace a structurally deficient and functionally obsolete bridge
3e. Describe the overall project in detail, including the type of equipment to be used:
Replace existing single-span (1 @ 18'-0") reinforced concrete on I-beams structure with an Aluminum Box Culvert (21'-6"
x 7'-8") structure. Traffic will follow an offsite detour during construction. Standard road building equipment, such as
trucks, dozers and cranes will be used.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ❑ Yes ❑ No � Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: Mulkey, Inc.
Name (if known): Mark Mickley Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ❑ Yes � No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
Page 3 of 10

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
� Wetlands � Streams-tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ — non-404, other) (acres)
Tem ora T
W 1� P 0 T Permanent fill � Yes � Corps < 0.01
❑ No ❑ DWQ
W 1 ❑ P� T Dewatering � Yes � Corps < 0.01
❑ No ❑ DWQ
W2 � P� T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P � T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W5 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts < 0.01
2h. Comments: Temporary impacts due to dewatering are < 0.01 acres.
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.
3a. 3 b. 3 c. 3 d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ — non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 � P❑ T Permanent fill Troy Mill Branch � PER � Corps 15.6 46.5
❑ INT � DWQ
S2 ❑ P� T Dewatering Troy Mill Branch � PER � Corps 14.0
❑ INT � DWQ
S3 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S4 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S5 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S6 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total stream and tributary impacts 46.5
3i. Comments: Permanent impacts of 46.5 feet are the result of placement of the aluminum box culvert. Temporary impacts of
14.0 feet are due to dewatering for culvert installation.
Page 4 of 10

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent(P)or
Tem ora T
01 ❑P❑T
02 ❑POT
03 ❑POT
04 ❑P❑T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
Sf. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number— Reason, Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Tem orar T im act re uired?
B1 ❑P❑T ❑Yes
❑ No
62 ❑P❑T ❑Yes
❑ No
B3 ❑P❑T ❑Yes
❑ No
6h. Total buffer impacts
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The proposed culvert provides more effective hydraulic opening than the existing bridge and will be replaced in-place. The
culvert will be buried to maintain stream bedform and there will be no excavation in non-permitted jurisdictional areas. The
removal of road fill for the culvert bridge will increase the size of the opening. Promotion of sheet flow and infiltration over
stabilized banks or grassed surfaces is proposed.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Best Management Practices for Protection of Surface Waters and for Bridge Demolition and Removal will be implemented
during the construction phase. Drill shafts will not be utilized.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for � Yes ❑ No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check al] that apply): ❑ DW Q � Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project? � Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ❑ Yes
4b. Stream mitigation requested: 93 linear feet
4c. If using stream mitigation, stream temperature: � warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires ❑ Yes � No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified � yes � No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments:
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? Not applicable
2b. Does this project require a Stormwater Management Plan? ❑ Yes � No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
The Stormwater Management Plan is designed in accordance with NPDES Permit #NCS000250. See attached permit
drawings and stormwater management plan.
2d. If this project DOES require a Stormwater Management Pian, then provide a brief, narrative description of the plan:
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? Not applicable
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs � NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwater Pro rem Review
❑ Coastal counties
❑ HQW
4a. Which of the following state-implemented stormwater management programs apply � ORW
(check all that apply): ❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ❑ Yes � No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? � Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met? � Yes ❑ No
Page 8 of 10

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the � Yes ❑ No
use of public (federal/state) land?
1 b. 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 ❑ Yes � No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. 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.) ❑ Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ❑ Yes � No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ❑ Yes � No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasona6ly anticipated future impacts) result in � Yes � No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Not applicable
Page 9 of 10

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will thi? project occur in or near an area with federally protected species or � Yes ❑ No
habitat.
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts? � Yes ❑ No
� Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural Heritage Program, USFWS website, USFWS scoping letter (see attached) and field surveys.
6. Essential Fish Habitat (Corps Requirement)
6a. W ill this project occur in or near an area designated as essential fish habitat? ❑ Yes � No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Essential Flsh Habitat Mapper.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
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 � Yes � No
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?
NCDOT PDEA— Human Environment Section
8. Flood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMA-designated 100-year floodplain? ❑ Yes � No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA Maps/ NC Floodplain Mapping Program
October 9,
James J. Rerko I 2014
ApplicanUAgenYs Printed Name I ApplicanUAge 's Signat re Date
(AgenYs signatur� is valid only � an authorization letterfrom the applicant
� provided.
Page 10 of 10

4� NT OF T�
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MqRCH ,0A9 .
United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Field Office
Post Office Box 33726
Raleigh, NoRh Carolina 27636-3726
October 1, 2012
Gregory J. Thorpe, Ph.D.
North Carolina Department of Transportation
Project Development and Environmental Analysis
1598 Mail Service Center
Raleigh, North Carolina 27699-1598
Dear Dr. Tlioipe:
!��`�:� � � �`��
. �::�
Q�''T 3 2a1[
DN�51��� n'w�qyINAYS
r�� �r' ll _ __.-- .. ROi
This letter is in response to your letter of September 17, 2012 which provided the U.S. Fish and
Wildlife Service (Service) with the biological conclusion ofthe North Carolina Department of
Truisportation (NCDOT) that the replacement of the following fifteen Design Build Year 2
Bridge Program projects in Columbus County may affect, but are not likely to adversely affect
the federally endangered wood stark (Mycteria arnericana). In addition, and with the exception
of Bridge No. 230342, NCDOT has deteimined that the proj ects will have no effect on all other
federally listed species. With regazd to the federally threatened Waccamaw silverside (Menidia
exte�isa), Bridge No. 230342 will be addressed later under separate cover. These comments are
provided in accordance with Section 7 of the Endangered Species Act (ESA) of 1973, as
amended (16 U.S.C. 1531-1543).

Although some potentiat foraging habitat for wood storks occurs at several of the bridges, no
wood storks or wood stork nests were observed at any of the sites. Given the low numbers of
wood storks that occur in North Cazolina, and the low probability of any one site being utilized
for foraging, the Service concurs with your conclusion that the aforementioned proj ects may
affect, but aze not likely to adversely affect the federally threatened wood stork. With the
exception of the Waccamaw silverside at Bridge No. 230342, the Service concurs with your
conclusion that the bridge replacements will have no effect on all other federally listed species.
With the exception of Bridge No. 230342, we believe that the requirements of Section 7(a)(2) of
the ESA have been satisfied for all of the other bridge replacement projects. We anticipate
resolving Section 7 for Bridge No. 230342 in the near future. 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 determined
that may be affected by these idenfified actions.
The Service appreciates the opportunity to review these projects. If you haue any questions
regazding our response, please contact Mr. Gary Jordan at [phone] (Ext. 32).
Sincerely,
Pete Ben amin
� �
Field Supervisor
Electronic copy: Ronnie Smith, USACE, Wilmington, NC
Travis Wilson, NCWRC, Creedmoor, NC
Chris Militscher, USEPA, Atlanta, GA

TIP 17.BP.6.R.1 (Bridge 230217) Columbus County
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUNDINFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
James J. Rerko, PWS NCDOT Box 1105 Fayetteville, NC 28302
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: Along
SR 1006 500 feet east of the intersection of SR 1006 and SR 1933
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES
AT DIFFERENT SITES)
State:NC County/parish/borough: Columbus City: Nakina
Center coordinates of site (IaUlong in degree decimal format): Lat. 34.4179°
Pick List, Long. -78.6773° Pick List.
Universal Transverse Mercator:
Name of nearest waterbody: Waccamaw River
Identify (estimate) amount of waters in the review area:
Non-wetland waters: 60.5 linear feet:.width (ft) and/or.
Cowardin Class: Riverine
Stream Flow: Perennial
Wetlands: 0.01 acres.
Cowardin Class: forested
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal:
Non-Tidal:
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to

request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre-construction notification" (PCN), or requests verification for a non-reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an o�cial determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and preciudes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeai, it becomes necessary
to make an official determination whether CWAjurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.
This preliminary JD finds that there "may be" waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
SUPPORTING DATA. Data reviewed for preliminary JD (check all that apply
- checked items should be included in case file and, where checked and
requested, appropriately reference sources below):
�

� Maps, plans, plots or plat submitted by or on behalf of the
applicanUconsultant: .
� Data sheets prepared/submitted by or on behalf of the
applicant/consultant.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps: .
❑ Corps navigable waters' study:
� U.S. Geological Survey HydrologicAtlas: .
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
� U.S. Geological Survey map(s). Cite scale & quad name:Nakina, NC.
❑ USDA Natural Resources Conservation Service Soil Survey. Citation:
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: (National Geodectic Vertical Datum
of 1929)
❑ Photographs: ❑ Aerial (Name & Date): .
or 0 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
necessarilv been verified bv the Corps and should not be relied upon for
later iurisdictional determinations.
�,
Signature and date of
Regulatory Project Manager
(REQUIRED)
3
/o L��/4
son re�E{uesting preliminary JD
=QU11#ED, unless obtaining
signature is impracticable)

17BP.6.R.1 Brid e 230217 Columbus Count
Estimated
Site Cowardin amount of Class of
number Latitude Longitude Class aquatic aquatic
resource in resource
review area
1 34.4179 -78.6773 Riverine 0.01acre Non-section 10
—wetland
1 34.4179 -78.6773 Riverine 60.5 LF Non-section 10
- non-wetland
�

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
ProjecUSite: Bndge 217 City/County: Columbus Sampling Date: 3/26/12
ApplicantlOwner: NCDOT State: NC Sampling PoinC Up WA20
Inves[igator(s): Mal'k Mickley, Mulkey, I�c. Section, Township, Range: RICO
Landform (hillslope, terrace, e[c.): Hillslope Local relief (wncave, comex, nonej: nO�e Slope (%): �
Subregion (LRR or MLRA): Lat: 34.41785 Long: 78�67735 Datum: WGS 84
Soil Map Unit Name: Norfolk loamy fine sand NWI classification: UplBnd
Are dimatic / hydrologic conditions on [he site rypical for [his time of year? Yes %< No _(If no, explain in Remarks.)
Are Vegeta[ion , Soil , or Hydrology significanlly disturbed? Are "Normal Circumslances" presenl? Yes %< No
Are Vegetation , Soil , or Hydrology naturally problematic? Qf needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophylic Vege[ation Present?
Hydric Soil Present?
Wetland Hydrology Present?
HYDROLOGY
Yes %< No _ �s the Sampled Area
Yes No x
x within a Wetland7 Yes No %<
Yes No —
Wetland Hydrology Indicators: Secondarv Indicators fminimum of two reauiredl
Primarv Indicators fminimum of one is reauired: check all that aoplvl _ Surtace Soil Cracks (B6)
Surface Water (A1) _ Aquatic Fauna (B13) _ Sparsely Vegetated Concave Surtace (B8)
_ High Wa[er Table (A2) _ Mad Deposits (815) (LRR U) _ Drainage Pattems (B70)
Sa[uretion (A3) _ Hydmgen Sulfide Odor (C1) _ Moss Trim Lines (B16)
Water Marks (B1) _ Oxidized Rhizospheres along Living Roots (C3) _ Dry-Season Water Table (C2)
Sediment Deposits (82) _ Presence of Reduced Iron (C4) _ Crayfish eurmws (C8)
Drifl Deposits (B3) _ Recent Iron Reduction in Tilled Soils (C6) _ Sa[uration Visible on Aerial Imagery (C9)
Algal Mal or Cmst (B4) _ Thin Muck Surface (C7) _ Geomorphic Position (D2)
Iron Deposits (B5) _ Other (Explain in Remarks) _ Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery (B7) X FAC-Neutral Test (D5)
WaterStained Leaves (B9) _ Sphagnum moss (D8) (LRR 7, U)
Field Observations:
Surtace Water Present? Yes _ No %� Depth (inches):
WaterTablePresent? Yes_ No %� Depth(inches):
Satura[ion Present? Yes _ No %� Deplh (inches): Wetland Hydrology Present? Yes _ No %�
includes ca illa frin e
Describe Recorded Data (s[ream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
No primary hydrologic indicators
US Army Corps of Engineers Atlantic and GWf Coastal Plain Region – Version 20

VEGETATION (Four Strata) - Use scientific names of plants.
7ree Stratum (Piot size: 30 ft. � % Cover Sqecies? Status
1. Pinus �aeda FAC 45 X FAC
2. Quercus michauxii FACW 15 X FACW
3.
4.
5.
6.
Sampling Point: �P WAZ�
Number of Dominant Species
That Are OBL, FACW, or FAC:
Total Number of Dominant
Species Across All SUata:
Percent of Dominant Species
That Are OBL, FACW, or FAC:
6 �A�
fi �B�
100% (�B)
Prevalence index worksheet:
7.
Total % Coverof: Multiolvbv:
8. �
60 - Total Cover 08L species x 1=
50 % of total cover. 3� 20 % of to[al cover: 12 FACW species x 2= 4
SaplinqlShrub Shatum (Plot size: 15 ft �
1. Maqnolia qfand'rflore FAC 10
2. IIPx opaca FAC 5
g. Lyonia lucida FACW 15
4.
5.
6.
7.
8.
Herb Stretum (Plot size:
�.
2.
3.
4.
5.
6.
7.
8.
9.
10.
��.
12.
FAC species x 3= �
X FAC FACU species x 4= �
X FAC UPL species x 5= �
X FACW Column Totals: (A) � (B)
30 = Totai Cover
50 % of total cover: � 5 20 % oi to[al cover: 6
Sft �
= Total Cover
50 % of total cover. � 20 % of to[al cover �
Woodv Vine Stratum (Plol size: 30 ft. )
�. Lonicera iaponica FAC 5 X FAC
2.
3.
4.
5.
5 =TOtalCover
50 % of total cover 3 20 % of total covec �
hological adaptations below).
Prevalence Index = 6/A =
Hydrophytic Vegetation Indicators:
_ 1- Rapid Test for Hydrophytic Vegetation
%< 2 - Dominance Tesl is >50 %
3 - Prevalence Index is <_3.0'
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydmlogy must
be present, unless disturbed or pro6lematic.
Tree - Woody plants, excluding vines, 3 ia (7.6 cm) or
more in diameter at breast height (DBH), regardless oi
height.
Sapling/Shruh- Woody plants, excluding vines, less
than 3 in. DBH and greater than 328 ft(1 m) tall.
Herb-All herbaceous (non-woody) plants, regardiess
of size, and woody plants less than 328 ft tall.
Woody �ine - All woody vines greater than 328 ft in
heighl.
Hydrophytic
Vegetation
Present? Yes X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

$OIL Sampling Point Up WA20
ProFle Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inchesl Color (moisll % Color fmoistl % Tvpe Loc Texture Remarks
0-12 10 YR 3!1 � �o sl dry loam salt&pepper
'T e: C=Concentration, �=�e letion, RM=Reduced Matrix, MS=Masked Sand Grains. 'Location: PL=POre Linin , M=Matrix.
Hydric Soil Indicatore: (Applicable to all LRRs, uniess otherwise noted.) Indicators for Problematic Hydric Soils':
Histosol (A1) _ Polyvalue Below Surface (S8) (LRR S, T, U) _ 1 cm Muck (A9) (LRR O)
His[ic Epipedon (A2) _ Thin Dark Surface (S9) (LRR S, T, U) _ 2 cm Muck (A10) (LRR Sj
Black Histic (A3) _ Loamy Mucky Mineral (F1) (LRR O) _ Reduced Vertic (F18) (outside MLRA 150A,B)
_ Hydrogen SWfde (A4) _ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F79) (LRR P, S, T)
Stratified Layers (A5) _ Depleted Matrix (F3) _ Anomalous Bright Loamy Soils (F20)
Organic Bodies (A6) (LRR P, T, ll) _ Redox Dark Surface (F6) (MLRA 153B)
5 cm Mucky Mineral (A7) (LRR P, T, U) _ Depleted Dark Surtace (F7) _ Red Parent Material (TF2)
Muck Presence (AS) (LRR U) _ Redox Depressions (F8) _ Very Shallow Dark Surtace (TF12)
1 cm Muck (A9) (LRR P, T) _ Mad (F10) (LRR U) _ Other (Explain in Remarks)
Depleted Below Dark Surface (A11) _ Depleted Ochric (F11) (MLRA 151j
Thick Dark Surface (Al2) _ Iron-Manganese Masses (F12) (LRR O, P, T) 'Indicators of hydmphytic vegetation and
Coast Prairie Redox (A16) (MLRA 150A) _ Umbric Surtace (F13) (LRR P, 7, U) wetland hydrology must be present,
Sandy Mucky Mineral (57) (LRR q S) _ Delta Ochric (F17) (MLRA 151) uNess disturbed or problematic.
Sandy Gleyed Matrix (54) _ Reduced Vertic (F18) (MLRA 150A, 1506)
Sandy Redox (55) _ Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) _ Anomalous eright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Dark Surface (S7) (LRR P, 5, T, U)
Restrictive Layer (if observed):
Type:
Depih (inches): Hydric Soil Present7 Yes No X
Remarks:
No hydric soil indicators
US Army Corps of Engineers Atlanlic and GWf Coastal Plain Region — Version 2.0

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
ProjecUSite: B�dge 217 Ciry/Counry: Columbus Sampling Date: 3/26/12
ApplicanUOwnec NCDOT S[ate: NC Sampling Point Wp`20
Investigator(s): Mark Mickley, Mulkey, Inc. Section, Township, Range: Rico
Landform (hillslope, terrace, etc.): Swamp Local relief (concave, convex, none): nOne Slope (%): �
Subregion (LRR or MLRA): LRR T Lat 34.4175 Long: 78�67743 Datum: WGS 84
SoilMapUnitName:Norfolkloamyfinesand NWlclassifcation: PFO
Are climatic / hydrologic conditions on ihe site typical for this time of year? Yes x No Qf no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly dis[urbed? 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 1s the Sampled Area
Hydric Soil Present? Yes X No _
within a Wetland? Yes %� No
Wetland Hydrology Present? Yes X No
HYDROLOGY
Wetland Hydrology Indicators: Sewndarv Indicators (minimum of two reauiredl
Primarv Indicators (minimum of one is reouired: check all tha[ aoolv) _ Surface Soil Cracks (B6)
x Surface Water (A1) _ Aquatic Fauna (B13) _ Sparsery Vegetated Concave Surface (B8)
x High Water Table (A2) _ Mari Deposits (815) (LRR Uj x Drainage Pattems (B10)
%� Saturation (A3) _ Hydrogen SWfide Odor (C1) _ Moss Trim Lines (816)
Water Marks (B1) _ Oxidized Rhizospheres along Living Roots (C3) _ Dry-Season Water Table (C2)
Sediment Deposits (B2) _ Presence of Reduced Iron (C4) _ Cre�sh 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 Sudace (C7) _ Geomorphic Position (D2)
Iron Deposits (B5) _ Other (Explain in Remarks) _ Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery (87) X FAC-Neutral Test (D5)
X WatervStained Leaves (B9) _ Sphagnum moss (DS) (LRR T, U)
Field Observations:
Surtace Water Present? Yes x No _ Depth (inches)� �
Water Table Present? Yes %� No _ Depth (inches): ���
Satura[ion Present? Yes %� No _ Depth (inches): 4�� Wetland Hydrology Present7 Yes %� No _
includes ca illa frin e
Describe Recorded Data (sheam gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and GWf Coastal Plain Region — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size: 30 ft. ) % Cover Soecies? Status
1. Nyssa b'rflore OBL 5 OBL
2 Liouidambar stvraciflua FAC 10 FAC
3. Acer rubrum FAC 40 X FACW
4. Fraxinus oennsvlvanica FACW 5 FACW
5. Taxodium distichum OBL 5 OBL
g. Pinus taeda FAC 10 FAC
7.
8.
�5 = Total Cover
50 % of total cover: 36 20 % oi total covec � 5
Saolinq/Shrub Stratum (Plot size: 15 R �
1. Acer rubrum FAC 10 X FACW
2. Ar.er negundo PACW 5 X FACW
3_ Arundinaria gigantea PACW 5 X FACW
4.
5.
6.
7.
8.
Herb Stratum (Pbt size:
1.
2.
3.
4.
5.
6.
7.
8.
9.
70.
1 1.
12.
20 = Total Cover
50 % of total covec � � 20 % of total covec 4
5ft �
= Total Cover
50 % of total cover: � 20 % ot total cover: �
Woodv Vine Stratum (Plot size: 30 ft. )
1. Smilax rotundifolia FAC 5 X FAC
p, Lonicera iaponica FAC 15 X FAC
3.
4.
5.
Z� = Total Cover
50 % of total cover: � � 20 % of total cover. 4
Remarks:
Sampling Point: N1A20
Number of Dominant Species
That Are OBL, FACW, or FAC: 6 (A)
Total Number of Dominant 6
Species Across All Strata: (B)
Percent of Dominant Species 100%
That Are OBL, FACW, or FAC: (A/B)
Prevalence Index worksheet:
Total % Coverof: Multiolvbv:
OBL species x 1= �
FACW species x 2= 0
FAC species x 3 = �
FACU species x 4= �
UPL species x 5 = �
Column Tolals (A) � (B)
Prevalence Index = B/A =
Hytlrophy[ic Vegetation Indicators:
1- Rapid Test for Hydrophytic Vegefation
%< 2 - Dominance Test is >50 %
3- Prevalence Index is 53.0'
_ Problema[ic Hydrophytic Vegetation' (Explain)
'Indicators 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 (D8H), regardless of
height.
Sapling/Shrub- Woody plants, excluding vines, less
than 3 in. DBH and greater than 328 ft(1 m) tall.
Herb-All herbaceous (non-woody) planis, regardless
of size, and woody plants less than 328 ft tall.
Woody vine - All woody vines greater than 328 ft in
height.
Hydrophytic
Vegetation
Present7 Yes X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

$Dll. Sampling Point:�NA20
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix RedoxFeaWres
(inches) Color fmoistl % Color (moistl % �� Loc Texture Remarks
0-10 10 YR 4/1 100 sl
'T e: C=Concentration, D=De lelion, RM=Reduced Matrix, MS=Masked Sand Grains 'Location: PL=POre Linin , M=Malrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.) Indicators for Problematic Hytlric Soils':
_ Histosol (A1) _ Polyvalue Below Surface (S8) (LRR S, T, U) _ 1 cm Muck (A9) (LRR Oj
_ 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 Sulfde (A4) _ Loamy Gleyed Malrix (F2) _ Piedmont Floodplain Soils (F19) (LRR P, S, T)
_ Stratified Layers (AS) X Depleted Matrix (F3) _ Anomalous Bright Loamy Soils (F20)
_ Organic Botlies (A6) (LRR P, T, U) _ Redox Dark SuRace (F6) (MLRA 153B)
_ 5 cm Mucky Mineral (A7) (LRR P, T, U) _ Depleted Dark Surtace (F7) _ Red Parent Material (TF2)
_ Muck Presence (A8) (LRR U) _ Redox Depressions (FB) _ Very Shallow Dark Surtace (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 Surtace (Al2) _ Iron-Manganese Masses (F12) (LRR O, P, T) 'Indicators of hydrophytic vege[ation 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) _ �elta Ochric (F17) (MLRA 151) unless disturbed or problematic.
Sandy Gleyed Matrix (S4) _ Reduced Vertic (F78) (MLRA �SOA, 150B)
Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 149A)
_ Slripped Matrix (S6) _ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Dark Surtace (57) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present7 Yes %� No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

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