20200758 Ver 2_U-6010 NWP 14 Tearsheet_20220922

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2018-01083 County: Alamance U.S.G.S. Quad: NC-Gibsonville
GENERAL PERNHT (REGIONAL AND NATIONWIDE) VERIFICATION
Permittee: NCDOT
Attn: J.M. Mills, P.E.
Address: PO Box 14996
Greensboro, NC 27415
Size (acres)
—30
Nearest Town Burlington
Nearest Waterway
Ingle Creek
River Basin
Cape Fear
USGS HUC
03030002
Coordinates
36.080350,-79.527999
Location description:
The project area includes the intersection of US Highway
70 (South Church Street) at SR 1311
(University Drive)
from iust east of Universitv
Drive to iust west of SR 1309 (Westbrook
Ave), in Burlington, Alamance
County, North Carolina.
Description of projects area and activity: This verification authorizes the discharge of clean fill material associated with
imnrovement of the US Highway 70 intersection at Universitv Drive and associated widening of US Highway 70 to a multi-
lane roadway from east of University Drive to west of Westbrook Ave. The proiect includes permanent impacts to 144 linear
feet (0.05 acre) of stream channel for culvert extensions and road fill and 160 linear feet (0.07 acre) of stream channel for bank
stabilization, permanent impacts to 0.047 acre of riprarian non-riverine wetlands for culvert installation and associated road
fill, and temporary impacts to 41 linear feet (0.02 acre) of stream channel for construction access and dewatering
Applicable Law(s): © Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: NWP 14. Linear Transportation Projects
SEE ATTACHED NWP GENERAL, REGIONAL, AND/OR SPECIAL CONDITIONS
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the enclosed
Conditions, your application signed and dated 6/10/2020 and additional information submitted via email on 7/13/2020 and
7/20/2020, and the enclosed plans "Permit Drawing" Sheets 1 through 12 dated 5/5/2020. Any violation of the attached conditions
or deviation from your submitted plans may subject the permittee to a stop work order, a restoration order, a Class I
administrative penalty, and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified, suspended
or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or modified, this
verification will remain valid until the expiration date identified below, provided it complies with all requirements of the modified
nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the activity would
no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are under construction)
or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the activity is completed
within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless discretionary authority has
been exercised on a case -by -case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Resources (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA), prior
to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal, State
or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory program,
please contact David E. Bailey at [phone] X 30 or David.E.Bailev2(a,usace.armv.mil.
Date: 2020.07.31 14:13:35
Corps Regulatory Official:
-04-00-
Date: 07/31/2020
Expiration Date of Verification: 03/18/2022

SAW-2018-01083
SPECIAL CONDITIONS
1. In order to compensate for impacts associated with this permit, mitigation shall be provided in
accordance with the provisions outlined on the most recent version of the attached Compensatory
Mitigation Responsibility Transfer Form. The requirements of this form, including any special
conditions listed on this form, are hereby incorporated as special conditions of this permit
authorization.
2. This USACE permit does not authorize you to take a threatened or endangered species, in
particular, the Northern Long-eared Bat (NLEB) (Myotis septentrionalis). In order to legally take
a listed species, you must have separate authorization under the Endangered Species Act (ESA)
(e.g., a Biological Opinion (BO) under the ESA, Section 7, with "incidental take" provisions with
which you must comply). The U.S. Fish and Wildlife Service's (USFWS's) Programmatic BO
titled "Northern Long-eared Bat (NLEB) Programmatic Biological Opinion for North Carolina
Department of Transportation (NCDOT) Activities in Eastern North Carolina (Divisions 1-8),"
dated March 25, 2015, and adopted on May 4, 2015, contains mandatory terms and conditions to
implement the reasonable and prudent measures that are associated with "incidental take" that
are specified in the BO. Your authorization under this USACE permit is conditioned upon your
compliance with all the mandatory terms and conditions (incorporated by reference into this
permit) associated with incidental take of the BO. Failure to comply with the terms and conditions
associated with incidental take of the BO, where a take of the listed species occurs, would
constitute an unauthorized take, and would also constitute non-compliance with your USACE
permit. The USFWS is the appropriate authority to determine compliance with the terms and
conditions of its BO and with the ESA.
Corps Regulatory Official:
Expiration Date of Verification: 03/18/2022
Date: 2020.07.31
14:12:30-04'00'
Date: 07/31/2020
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so,
please complete the Customer Satisfaction Survey located at http://corpsmapu.usace.army.mil/cm_apex/Pp=136:4:0
Copy furnished:
Dave Wancha, NCDEQ-DWR, 450 W. Hanes Mill Rd., Suite 300, Winston Salem NC 27105

SAW-2018-01083
Compensatory Mitigation Responsibility Transfer Form
Permittee: NCDOT (Attn: J.M. Mills, P.E.) Action ID: SAW-2018-01083
Project Name: NCDOT / U-6010 / US 70 widening & interchange improvements / Alamance County County: Alamance
Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sponsor, either an approved Mitigation
Bank or the North Carolina Division of Mitigation Services (NCDMS), who will then sign the form to verify the transfer of the mitigation
responsibility. Once the Sponsor has signed this form, it is the Permittee's responsibility to ensure that to the U.S. Army Corps of
Engineers (USACE) Project Manager identified on page two is in receipt of a signed copy of this form before conducting authorized
impacts, unless otherwise specified below. If more than one mitigation Sponsor will be used to provide the mitigation associated with
the permit, or if the impacts and/or the mitigation will occur in more than one 8-digit Hydrologic Unit Code (HUC), multiple forms will
be attached to the permit, and the separate forms for each Sponsor and/or HUC must be provided to the appropriate mitigation
Sponsors.
Instructions to Sponsor: The Sponsor must verify that the mitigation requirements (credits) shown below are available at the identified
site. By signing below, the Sponsor is accepting full responsibility for the identified mitigation, regardless of whether or not they have
received payment from the Permittee. Once the form is signed, the Sponsor must update the bank ledger and provide a copy of the
signed form and the updated bank ledgerto the Permittee, the USACE Project Manager, and the Wilmington District Mitigation Office
(see contact information on page 2). The Sponsor must also comply with all reporting requirements established in their authorizing
instrument.
Permitted Impacts and Compensatory Mitigation Requirements:
Permitted Impacts Requiring Mitigation* 8-digit HUC and Basin: 03030002, Cape Fear River Basin
Stream Impacts (linear feet)
Wetland Impacts (acres)
Warm
Cool
Cold
Riparian Riverine
FRiparian Non-Riverine
Non -Riparian
Coastal
144
1 0.047
*If more than one mitigation sponsor will be used for the permit, only include impacts to be mitigated by this sponsor.
Compensatory Mitigation Requirements: 8-digit HUC and Basin: 03030002, Cape Fear River Basin
Stream Mitigation (credits)
Wetland Mitigation (credits)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
28
0.094
Mitigation Site Debited: NCDMS
(List the name of the bank to be debited. For umbrella banks, also list the specific site. For NCDMS, list NCDMS. If the NCDMS
acceptance letter identifies a specific site, also list the specific site to be debited).
Section to be completed by the Mitigation Sponsor
Statement of Mitigation Liability Acceptance: I, the undersigned, verify that I am authorized to approve mitigation transactions for
the Mitigation Sponsor shown below, and I certify that the Sponsor agrees to accept full responsibility for providing the mitigation
identified in this document (see the table above), associated with the USACE Permittee and Action ID number shown. I also verify
that released credits (and/or advance credits for NCDMS), as approved by the USACE, are currently available at the mitigation site
identified above. Further, I understand that if the Sponsor fails to provide the required compensatory mitigation, the USACE
Wilmington District Engineer may pursue measures against the Sponsor to ensure compliance associated with the mitigation
requirements.
Mitigation Sponsor Name:
Name of Sponsor's Authorized Representative:
Signature of Sponsor's Authorized Representative Date of Signature

SAW-2018-01083
Conditions for Transfer of Compensatory Mitigation Credit:
• Once this document has been signed by the Mitigation Sponsor and the USACE is in receipt of the signed form, the Permittee is
no longer responsible for providing the mitigation identified in this form, though the Permittee remains responsible for any other
mitigation requirements stated in the permit conditions.
• Construction within jurisdictional areas authorized by the permit identified on page one of this form can begin only after the
USACE is in receipt of a copy of this document signed by the Sponsor, confirming that the Sponsor has accepted responsibility for
providing the mitigation requirements listed herein. For authorized impacts conducted by the North Carolina Department of
Transportation (NCDOT), construction within jurisdictional areas may proceed upon permit issuance; however, a copy of this form
signed by the Sponsor must be provided to the USACE within 30 days of permit issuance. NCDOT remains fully responsible for the
mitigation until the USACE has received this form, confirming that the Sponsor has accepted responsibility for providing the
mitigation requirements listed herein.
• Signed copies of this document must be retained by the Permittee, Mitigation Sponsor, and in the USACE administrative records
for both the permit and the Bank/ILF Instrument. It is the Permittee's responsibility to ensure that the USACE Project Manager
(address below) is provided with a signed copy of this form.
• If changes are proposed to the type, amount, or location of mitigation after this form has been signed and returned to the USACE,
the Sponsor must obtain case -by -case approval from the USACE Project Manager and/or North Carolina Interagency Review Team
(NCIRT). If approved, higher mitigation ratios maybe applied, as per current District guidance and anew version of this form must
be completed and included in the USACE administrative records for both the permit and the Bank/ILF Instrument.
Comments/Additional Conditions:
This form is not valid unless signed below by the USACE Project Manager and by the Mitigation Sponsor on Page 1. Once signed, the
Sponsor should provide copies of this form along with an updated bank ledger to: 1) the Permittee, 2) the USACE Project Manager
at the address below, and 3) the Wilmington District Mitigation Office, Attn: Todd Tugwe11,11405 Falls of Neuse Road, Wake Forest,
NC27587 (email: [e-mail]. mil). Questions regarding this form or any of the permit conditions maybe directed to
the USACE Project Manager below.
USACE Project Manager: David E. Bailey
USACE Field Office: Raleigh Regulatory Office
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Email: [e-mail]
Date: 2020.07.31
14:11:41-04'00'
USACE Project Manager Signature
07/31/2020
Date of Signature
Current Wilmington District mitigation guidance, including information on mitigation ratios, functional assessments, and mitigation
bank location and availability, and credit classifications (including stream temperature and wetland groupings) is available at
http://ribits.usace.army.mil

f !l¢ 1141'il� North Carolina Department of Transportation
i []► l I ]� V citE'i
. ... Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 2.08; Released April 2018) FOR NCDOT PROJECTS
WBS Element: 47145.1.1 TIP No.: U-6010 Count (ies): Alamance Page 1 of 1
General Project Information
WBS Element:
47145.1.1 ITIP Number: U-6010 Project T e: Roadway Widening Date: 211412020
NCDOT Contact:
Galen Cail, PE
Contractor / Desi ner:
Joshua G. Dalton, PE, CPESC
Address:
Hydraulics Unit
1000 Birch Ridge Drive
Raleigh, NC 27610
Address:
Sungate Design Group
905 Jones Franklin
Raleigh, NC 27607
Phone:
[phone]
Phone:
[phone]
Email:
acailgncdot.aov
Email:
Udaltongsungatedesign.com
City/Town:
Burlington
Count (ies):
Alamance
River Basin(s):
Cape Fear
ICAMA County?
I No
Wetlands within Project Limits?
No
Project Descri to
Project Length (lin. miles or feet):
0.84 Surrounding Land Use: IMedium & High Residential, Commercial
Proposed Project
Existing Site
Project Built -Upon Area (ac.)
11.7 ac.
7.1 ac.
Typical Cross Section Description:
US 70 (S Church Street): Concrete median with 2:1 max side slopes. 4 paved lanes (total 44 wide) with 2'-6"
curb and gutter. 5' sidewalk (10' berm width (14' w/ guardrail)) and 8'-10' multi use path (varying berm witdth).
Y (SR 1311): Concrete median with 2:1 max side slopes. 4 paved lanes (total 44' wide) with varying additional
turn lanes (total 28.75' wide). 5' sidewalk (10' berm width (14' w/ guardrail)) and 8'-10' multi use path (varying
berm witdth). See project typicals for detailed information.
US 70: 2 paved lanes w/ 1 additional turning lane (total 36' wide). 2' grassed shoulder.
Varying fill and Cut slopes. Y (SR 1311): 4 paved lanes (total 44' wide) with 2'-6" Curb
and gutter. Additional turn lanes (total 12' wide). Varying fill and cut slopes.
Annual Avg Daily Traffic (veh/hr/day):
Design/Future: 14,400 Year: 2040
Existing: 12,500 Year: 2020
General Project Narrative:
(Description of Minimization of Water
Quality Impacts)
The North Carolina Department of Transportation (NCDOT) has proposed the widening and improvements of existing US 70 in Alamance County between west of University
Drive (SR 1311) and Westbrook Avenue. This project includes two existing box culverts at stream crossings along US 70 and SR 1311. Due to the widening of US 70 and SR
1311, both existing box culverts require extensions. The first existing culvert, a 297'x7' (7'x8' Downstream) Reinforced Concrete Box Culvert beneath US 70 requires extensions
both upstream and downstream. As part of this culvert extension, an additional 1 @8'x7' RCBC will be constructed parallel to the existing 297'x7' RCBC. The proposed 8'x7'
RCBC replaces an existing 72" Reinforced Concrete Pipe. The extensions and culvert addition will require channel improvements both upstream and downstream. The channel
improvements will smoothly tie the existing channel to the box culvert extensions and addition. The second existing culvert, a 298'x6' Reinforced Concrete Box Culvert beneath
SR 1311 requires extensions downstream. The northern most barrel has a 2' concrete sill and is backfilled with native material to allow for animal passage and flow conveyance
during storm events. A 2' sill will be constructed in the northern barrel extension. CL II Riprap will be used downstream as bank stabilization All major structures have been
designed to have as little environmental and surface water impacts as possible.
Waterbody Information
Surface Water Body (1): Ingle Branch
NCDWR Stream Index No.:
16-19-5-2
NCDWR Surface Water Classification for Water Body
Primary Classification:
Water Supply V (WS-V)
Supplemental Classification:
Nutrient Sensitive Waters (NSW)
Other Stream Classification:
None
Impairments:
None
Aquatic T&E Species?
No Comments:
NRTR Stream ID:
Buffer Rules in Effect: Jordan Lake
Project Includes Bridge Spanning Water Body?
INo
Deck Drains Discharge Over Buffer? N/A
Dissi ator Pads Provided in Buffer? N/A
Deck Drains Discharge Over Water Body?
N/A
(If yes, provide justification in the General Project Narrative)
(If yes, describe in the General Project Narrative; if no, justify in the
General Project Narrative)
(If yes, provide justification in the General Project Narrative)

0
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See Sheet 1A For Index of Sheets
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DATE: 05-05-2020
47145.1.1
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47145.2.1
ROW/UTIL
47145.3.1
CONST
LOCATION: US 70 (S. CHURCH ST.) FROM WEST OF UNIVERSITY DR.
(SR 1311) TO WESTBROOK AVE. (SR 1309) IN BURLINGTON
TYPE OF WORK: GRADING, DRAINAGE, PAVING, SIGNALS
CULVERT EXTENSIONS AND PAVEMENT MARKING
Letin etin SURFACE WATER IMPACTS
DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
GRAPHIC SCALES DESIGN DATA PROJECT LENGTH Prepared in the Office of: HYDRAULICS ENGINEER
ADT 2020 = 12,500 SUNWEDEsicNCRouPa�.
50 25 0 50 loo ADT 2040 = 14,400 x� °�©���
K = 13 D�0 Q �©
PLANS LENGTH OF ROADWAY TIP PROJECT U-6010 = 0.884 MILES 2018 STANDARD SPECIFICATIONS
P.L.
D = 50 D �0 SIGNATURE:
50 25 0 50 100 T = 3 % RIGHT OF WAY DATE. DAVID L. WILVER PE q s
PROJECT LxcrNLLR ROADWAY DESIGN ENGINEER a
V = 50 MPH TOTAL LENGTH OF TIP PROJECT U-6010 = 0.884 MILES MAY 31, 2019
PROFILE (HORIZONTAL) * TTST =2 DUAL 1 DAVID GARRETT
10 5 0 10 20 FUNC CLASS = LETTING DATE. PROJECT DESIGN ENGINEER
URBAN ARTERIAL OCTOBER 20, 2020
di
PROFILE (VERTICAL) NCDOT CONTACT rL
SIGNATURE:

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ROADWAY DESIGN
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SHEET 4 OF 12
DATE: 05-05-2020

RETAIN
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ZP NO 186 L
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SCALE: V=40'
M
00
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PROJECT REFERENCE NO.
SHEET NO.
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DATE: 05-05-2020
,- 1 rt
HILLIER
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ITABILIZATION
TONS CL II RIP RAP
SY GEOTEXTILE

PROJECT REFERENCE NO.
SHEET NO.
U-6010
C
$
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L EV.
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AT
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=
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LE
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)
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6
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SEE SHEET 10 OF 12 D" PORCH
EST. 75 TONS CL 'I' RI PRAY
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EST. 125 SY GEOTEXTILE BUS W I AT IBUSL
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END CONSTRUCTION POT Sto.57+95.79 -L
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PC Sto.48+17.39 -L- POT STA. /1+/2-5
4' BASE DITCH R 0
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SEE
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9
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SEE
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5 '2 SEE SHEET 9 FOR -L- PROFILE
�43 6 s������5sWATER i r �6� SEE SHEET 10 FOR -Y4- PROFILE

6
10' 5' 0 10' 20'
PROJECT REFERENCE NO. SHEET NO.
U-6010
DENOTES FILL IN
SCALE: 1"=20'
RW SHEET NO.
ROADWAY DESIGN HYDRAULICS
F F
WETLAND
ENGINEER ENGINEER
DENOTES MECHANIZED
,
]E PLANS
NQT use FOR / W ACQUISITION
CLEARING
D
z
DENOTES IMPACTS IN
'�
SURFACE WATER
4114111UNLESS
' V
DOCUMENT NOT CONSIDERED FINAL
ALL SIGNATURES COMPLETED
PERMIT DRAWING
SHEET 10 OF 12
DATE: 05-05-2020
-
II
D
��
-
77
0-
II
—
CL
IC\j
D
REMOVE 15 If
L
w
SS
G
8"Do M
I
o
8 Do o
_o D C
--
��� EX�
D
� Uoa � D DPUE�, , — p
CD
E
aog ae g � E
� � 8" H D P E °
Lu o ° �- TOTAL TAKE � � :
oa0
0 0� SITE 4
CLS]o
STANDARD 4' BASE DITCH
PDE
EST. 75 TONS CL 'I' RIPRAP
z EST. 125 SY GEOTEXTILE
A EST. DDE = 26 CY
SITE 3 L=48 FT
S = 0.60%
A SEE DETAIL 6
A
A
A
A

0
2.5
iWoTT
5
PROJ. REFERENCE NO.
SHEET NO.
I U-6010
X-16
5
70
65
60
5
50
A5
AO
35
30
25
20
15
1
13
15
20
25
30
5
AO
5
50
55
0
65
70
75
PERMIT
DRAWIN
SHEET
11
OF
12
D
T
50-202
UT
RE
TWIN
LAKES
L
cr
SITE
4
—
—
—
FILL
IN
WE
LA
D
0
-
w
3
42
+
0.00
10
0.020
0.020
Ic
41
+
0.
0
0.020
0.020
--
--
--
—
—
3S�
DEVE
OP
EN
10
0.020
0.020
Ic
in
44.18
5
0
5
60
55
50
5
40
35
30
25
2
0
15
13
1
20
25
35
LO4
5
50
5 5
60
5
0
5

WETLAND AND SURACE WATER IMPACTS SUMMARY
WETLAND IMPACTS SURFACE WATER IMPACTS
Site
No.
Station
(From/To)
Structure
Size / Type
Permanent
Fill In
Wetlands
(ac)
Temp.
Fill In
Wetlands
(ac)
Excavation
in
Wetlands
(ac)
Mechanized
Clearing
in Wetlands
(ac)
Hand
Clearing
in
Wetlands
(ac)
Permanent
SW
impacts
(ac)
Temp.
SW
impacts
(ac)
Existing
Channel
Impacts
Permanent
(ft)
Existing
Channel
Impacts
Temp.
(ft)
Natural
Stream
Design
(ft)
1
2 at TxT RCBC EXTENSIONS
19+25 to 19+66-L-LT
INLET CHANNEL
< 0.01
< 0.01
< 0.01
23
20
INLET BANK STABILIZATION
43
19+47 to 19+85-L-RT
OUTLET CHANNEL
< 0.01
< 0.01
< 0.01
36
9
OUTLET BANK STABILIZATION
34
2
2 at 8'x6' RCBC EXTENSION
14+12 to 14+32-Y-LT
INLET CHANNEL
<0.01
0.01
< 0.01
11
INLET BANK STABILIZATION
45
14+42 to 14+55-Y-RT
OUTLET CHANNEL
< 0.01
12
OUTLET BANK STABILIZATION
38
3
40+64 to 40+98-L-RT
ROADWAY FILL
0.01
< 0.01
32
OUTLET CHANNEL
0.02
42
4
41+87 to 42+45-L-RT
ROADWAY FILL
0.01
< 0.01
TOTALS*:
0.03
1
0.02
1
0.04
1 0.01
1 304
141
0
*Rounded totals are sum of actual impacts
NOTES:
Site 1 LT & RT: Total Take
Site 3: Total Take
2018 Feb

SAW-2018-01083
Action ID Number: SAW-2018-01083 County: Alamance
Permittee: NCDOT (Attn: J.M. Mills, P.E.)
Project Name: NCDOT / U-6010 / US 70 widening & interchange improvements / Alamance County
Date Verification Issued: 07/31/2020
Project Manager: David E. Bailey
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn: David E. Bailey
Raleigh Regulatory Office
U.S Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
or
[e-mail]
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee
Date

SAW-2018-01083
Determination of Jurisdiction:
A. ® There are waters, including wetlands on the above described project area that may be subject to Section 404 of the
Clean Water Act (CWA) (33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). This
preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
(Reference 33 CFR Part 331). However, you may request an approved JD, which is an appealable action, by contacting
the Corps district for further instruction. Please note, if work is authorized by either a general or nationwide permit, and
you wish to request an appeal of an approved JD, the appeal must be received by the Corps and the appeal process
concluded prior to the commencement of any work in waters of the United States and prior to any work that could alter
the hydrology of waters of the United States.
B. ❑ There are Navigable Waters of the United States within the above described project area subject to the permit requirements of
Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act (CWA) (33 USC §
1344). Unless there is a change in the law or our published regulations, this determination may be relied upon for a period not to
exceed five years from the date of this notification.
C. ❑ There are waters, including wetlands within the above described project area that are subject to the permit requirements of
Section 404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations,
this determination may be relied upon for a period not to exceed five years from the date of this notification.
D. ❑ The jurisdictional areas within the above described project area have been identified under a previous action. Please reference
jurisdictional determination issued _. Action ID: _.
Basis For Determination: See the Preliminary Jurisdictional Determination form dated 07/31/2020.
Remarks: The potential waters of the US are shown one the sketch entitled "Figure 3" attached to the
Preliminary Jurisdictional Determination form.
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.
F. Appeals Information (This information applies only to approved jurisdiction determinations as indicated in B and C
above).
This correspondence constitutes an approved jurisdiction determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this determination you
must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Atlas: Phillip Shannin, Review Officer
60 Forsyth Street SW, Room 10M15
Atlanta, Georgia 30303-8801
Phone: [phone]
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by Not applicable.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this correspondence.**
/:�%'� Date: 2020.07.3114:06:41
Corps Regulatory Official:-04'00'
David E. Bailey
Date of JD: 07/31/2020 Expiration Date of JD: Not applicable

SAW-2018-01083
NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: NCDOT Attn: J.M. Mills P.E. File Number: SAW-2018-01083
Date: 07/31/2020
Attached is:
See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission)
A
PROFFERED PERMIT (Standard Permit or Letter of permission)
B
PERMIT DENIAL
C
APPROVED JURISDICTIONAL DETERMINATION
D
❑X
PRELIMINARY JURISDICTIONAL DETERMINATION
E
SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or http://www.usace.army.miUMissions/CivilWorks/RegulatoryProgramandPenuits.aspx
or the Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section II of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.

SAW-2018-01083
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.
SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However, you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
If you only have questions regarding the appeal process you may
appeal process you may contact:
also contact:
District Engineer, Wilmington Regulatory Division
Mr. Phillip Shannin, Administrative Appeal Review Officer
Attn: David E. Bailey
CESAD-PDO
Raleigh Regulatory Office
U.S. Army Corps of Engineers, South Atlantic Division
U.S Army Corps of Engineers
60 Forsyth Street, Room 1OM15
3331 Heritage Trade Drive, Suite 105
Atlanta, Georgia 30303-8801
Wake Forest, North Carolina 27587
Phone: [phone]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15-day
notice of any site investigation, and will have the opportuni to participate in all site investi ations.
Date:
Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: David E. Bailey, 69 Darlington Avenue, Wilmington, North Carolina
28403
For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Phillip Shannin, Administrative
Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 1OM15, Atlanta, Georgia 30303-8801
Phone: [phone]