20170234 Ver 1_SRTE OFFICE17022423320_20170224

Attachment G: Low/Minimal Impact

TIP B-5709 (Bridge 090154) Bladen County
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
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:0.50
miles S of the intersection of SR 1700 and SR 1709
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES
AT DIFFERENT SITES)
State:NC County/parish/boroughBladen City: Elizabethtown
Center coordinates of site (IaUlong in degree decimal format}: Lat. 34.5701 °
Pick List, Long. -78.5604° Pick List.
Universal Transverse Mercator:
Name of nearest waterbody: Hammond Creek
Identify (estimate) amount of waters in the review area:
Non-wetland waters: 50 linear feet: ft.width (ft) and/or
Cowardin Class: Riverine
Stream Flow: Perennial
Wetlands: 0.0 acres.
Cowardin Class:
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 official 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 applicanYs 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 precludes 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 appeal, it becomes necessary
to make an official determination whether CWA jurisdiction 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
appl ica nUconsu Itant: .
� Data sheets prepared/submitted by or on behalf of the
applicant/consu Itant.
❑ 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 Hydrologic Atlas: .
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
� U.S. Geological Survey map(s). Cite scale & quad name: Chadbourn, 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 ❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify): .
later iurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
3
� ,� �� oz/z3�,
mature�and date of
�son r�questing preliminary JD
=QU1'RED, unless obtaining
signature is impracticable)

�-570y Bladen Count
Estimated
Site Cowardin amount of Class of
number Latitude Longitude Class aquatic aquatic
resourcein resource
review area
1 34.5701 -78.5604 Riverine 50LF Non-section 10
non-wetland
:f

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N Site Information
_,i�j�r�� � ��� W�E Bridge #154
� 0 900 1,800 3,600 Feet SR 1709 (Coley Rd)
` - ���� S ' ' ' ' �J Bladen County
1 inch = 2,000 feet

•• �.+�.v .,� � cnrcmvH� wrv uq��a YtJKM —Ai1811SIC 8pO CiUlf G088t21 P�O�p (jEg10I1
Praject/Si[e: _ Ji'r' �r'l Cfty/County. �Ss'f FC a�t1�µ- Sempling Date: � a 7/%
ApPlfcantlOwner. /(-/. � ���r%()T � S�te:�G Sampl(ng Point G/I'f Lv
Imestfgator(s): �-4�[�( S(i/7^..pVW�O r-� SecNon, 7ownship, Range: !�!�k��d.�j �
Landform (hillslope, terrace, ete.):. ��pj(' � Gl pv�, ,LLocal relief (coneeve, convex, none): A612D Slope (%):
Subregion (LRR or MLRA): {� Lat: 3 7. J�70� Lon9: `�7 g���65 Datum:
�
Sail Map Unk Name: _ �1'� _��y� NWI classificaKon: _�6�6'Y
Are �matie / hydrobgie wnditions on the site typical Por fhia time of yea(t Yes � No _(If no, explain in Ramarks,) �
Are VegetaBon _� 8oil � or Hydrology _ s�g�lflwntly dtsturbed7 /ve'Normal Circumstancea" preseM9 Yes / Na
Are Vegefatlon _, Soll_, or Hydrolagy_ �aWrelty problematic? (If needed, explain any answsrs in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, hansects, impurt�nt features, etc.
Hydrophytic Vegatation Presant7
Hydric Soil Presant?
Wetland Hydrology Present?
Sc� y�ee �
S�Y�e,� - �.�.,,,,,....,_
HYDROLO(3Y
Yes _G No _ I �s the Sampled qrea
Yes No � /
Yes_ � No_
wkhin a WeNand? Yes No
vn.. J�o,-� we,a.� c�u�C
G�� , C
�-�/V� `._ /�'�
,--__ _
""�j� 't3��s�/
�.---.
Wetland Hydrology Indicaton: 3¢condarv Indtcat••K �•••�•.:-..- N ri o reauiredl
Primerv Indicatore (minimim of o.�e �� .e,.uired' eFsdt atl �+ r.�k
_ Surtace So8 Cradcs (Bf�
_ Surtaoe Water (A7) _ Wa�tersfained Leaves (� Sparsery Vegefeted Conpve Surface (BB)
_ High Water Table (A2) _ Aquetle Faurre (61� . � Drainape patlemy �g�0)
Saluratlon (14� _ Marl DeposHs (Bt� (LRk U) _ Moss Trim L'mes (61�
�Weter Marks (B7) _ Hydrogen SuH(de Odor (C7) _ Dry-3eason Vyapar Tabla (C�
SedimeM Deposits (B2) _ Opdfzed Rh¢ospheres on L'vfig Roots (p) _ Cra�sh Burrows (C�
� OriR Deposils (B� _ presence o9 Reduced Iron (C� SaWratlon V'wi61e on Aeria� Imagery (C�
_ Algal Mat or Crust (B4) _� Recerrt Iron Reduction in T71ed Soils (C6j /Geomorphie Position (D2)
_ Iron Deposlts (B� _ ThM Mudc Swfece (Cn _ Shalbw Aq�rd (p3)
� Inundetlon Visible on Aeriel Ima9Bry (6� _ Other (Ezpla(n in Remarks) _ FAC-Neutrsl Test (p5)
FiNd Observations;
Surfece Water PreseM? Yes _ No! Depth pnches): �
IAlater Table PreseM? Yes _ No i- Depth (nches):
3etureflon Preserd? Yes_ No-� Depth (nches): Wetl�d Hydrology Present? yes / No
dudes ca lla ' e �_ _
Describe ReeordM Da4� (stream gauge, �g Nreg, aeriai photos, previous inspeGloreJ,'rf avaiYable:
Remerks:
a�,P� � .�e-�,�.o � /U�ew�., � �-,Gr��P L�
� w� n��,l� �� fi�-e� rti-i-�-.l� c�-a r.� ��o ��.�-�,fo .
�ra.�a� ��c.�t�iru� �py�( Cv�e-i, �at�J ii�c�, a.�C"iiass ��rea.�—
�
�Q6u,r -j-�-v��u.,�a C.l���t;.r-e.(,
US Army Corps of Eng(neers Atlandc and Gulf Coastel Plain Region - Interlm Version

VEGETATION - Use scientific names of plants.
Tree Stretum (Plot s¢e: .J� 9T ) % ve Soeelas7 tus
,. Uc/rvan,�s �aati�,zicea..�a�� � �1cW
2. E� Y� .J �
3.� i'Cl. � S
a. cn r 15 � rwi � �0 �1
6.
7.
�= Totel Cover
Saolina 3kafum (Pbt s¢e: )
1. LL� vNAAS (ANNk/td �AivILL .�(� .
2. �YGqG�.. hA W il e'�Y ( i'��iJ'Pe'K� �� � '
3. _
4.
5.
8.
7.
OU : Tom� Cover
Shrub Stratum (Plot sae: )
1.
2.
3.
4.
5.
8. ' _
�.
a 0 = Tofal Cover
HefbStratum (Pbtaize: �d � _..-_T�. ... ..
1.
z. f�r't'>pE n�� /r�hNl um 30
3. �% /�(M'1 5�-2.G/ .�
4.
5.
8.
7.
8.
9.
10.
it.
12.
Sampling point:
Numberof DominairtSpecies
That Are OBL, FACW, or FAC:
Total Numbarof DominaM
s�ores a«o� ai scr��:
PerceM of DomineM Species
Thet Are OBL, FACVy, or FAC: P� C� �yg�
Total%CoveroE _.MunioNbv:
OBL speciea x � �
FACW species X Z �
FAC speefes x 3 =
FACU species X q �
UPL species x 5 =
Column Totals: �,q� �B�
Prevelence Intlex = grA=
_ Dominance Test is �Sp?4 . .
_ Prevalenee Index is 53A� .
_ ProblOmafic Hydrophytic Vegeletlon� (Explai�)
'Indi�rs of hydrk soll end wetland hYdrobgy must
be preseM. unless disyirbed or probbmatic.
Tree- WnodY P�eMs. rxdudn9'�'ootly vifres,
appmcimttely 20 R(B m) or more in height and 3 in.
(7.6 a� or larger in dhmeter at hreast heigM (DBH).
�SeWmO-��1Y P�SMs, exdudi'g woodY vines,
approxirtmtey 20 R(8 m) or more in heipM and less
NL �n 3 in. (7.8 ar� DBH.
� � =TotslCover
Woodv Vi1n,e 'Streh'ma _(Plot s¢e: ) �j
i. W 1� 4�c.�� [A �m`iC E-)� OQ _
2.
3.
4.
5.
� = Tofal Cover
N�n/ rna3�� � �n�
���
Shtub - Woody plenb, erzdudtng v,qody vines,
approxirtutey 8 to 20 R(1 M 6 m) In heipM.
H�rb -All herbaoeous (non-wood� p1aMs, including
he�bacw�s vines. repardksy of s¢e. Includes v.�oody
p�a�. except woody vines. leas than approx4retey
3 @ (1 m) m heipht
Woody vine-All xpody vaias. ra�ryless of heigM.
Hydrophytic
Vepetation /
PreseM? Yes f No__
�»���� ��,�1��� o �na s-e-�,d�
US Army Corps of En9��eers Atlanticand GuM Coastsl PWin Re9fon- Interim Version

SOIL
Proflle Descripqon: (DeseNbe to the depfh needed M doeument the indicator or conflrm the absenee of indtcat ��'�n9 Paint: � �� r
�P� MaMr
QnchensJl _ Cotot fmoisN _�5 _ Color fmolstl re
�� b' �D /L �___ %' l L uc Texture Re
" �s
�_ __
— -- ri dU l�.cr v�
. -. - -- --__ __
HydricSo111nAcators: --' '"`^"'���aorvoemaSandGrelns. 'I.ocatlon. pL=Pore
Ind'ieators for Pro Linin , M=Matrix.
_ Histosol (A7) _ Potyvalue BelowSurfaee (98) (LRR 3, 7, �em�� H�ric Soils :
_ Histle Epipedon (A2) ` Thin Dark Surface �I _ 1 an Mudt (qg1 i�RR O)
_&edc Histle (q3) i�) P-RR S, 7 UI _ 2 an Muck (A1
_ Hydrogen 3uMide (q� —�^n' Mudry Mkierel (Ft) (LRR p) � Redueed Ve�y� F�` 8RR S)
_ Loamy Cileyed MaUix (Fn ( ��°�talde MLRq 160A,B)
_ Stratlfkd Layers (A5) ._ RedmoM Floodplain 3oils (F1 �(LRR P� S.'�
_ OrgaNe Badies —�Pleted Matrh (F� . _ Momsbuy B�IgM Loa
G�1(LRR P, T. lq _ Redor Uark 8urfam (FB) my 8ofls (Fyp)
_ 5 an Mudry Minerel %°� M�t P� T, U) _. Deple�d Datk BurFaee (F7) iNLRA 163B)
_ Muck Presance (A!» (LRR U) ._ Redox Depreeabns (F� . — Red Peroirt Mffierial (TF� �
_1anMudc(q�f�RRP.'n �Mad 1 �y —4aryShalbwDarkSurfece �
_ DePiated Bsbw �ark 3urfaae (q11) � DePlemd OchAc (F11) (MLRA 161) — Olher (Explaln in Remarks) (1F12) (LRR T. U
� Thkk Dark Surfaee (q1?j
�.. hoe-Manpanete Idasaas (F12) (LFVt O, P, T) °Indkabrs M hydrpphYec Ve
._ Coast PnHe Redox U�1� (MLRA 160A) _ Umbric Sur/aw (F1811�R P. T� U) weflend
_ Sandy Mucky Mineral (31) (LRR O, 3 hydrobyY �� ��b�on end
_ SeM GN ) — DeIN Oehde (F1� (M�LRA 761) unleu distu�bed or ProseM,
_ San y Redox Matriz (8� � Raduced Verde (F187 (I17LRA 760A,1608) Woblem�tle. I
dY �7 _ Pladrtq�R Floodplcin 8olls '
_�61pPed Metrhc (S� _ Anomsbw BAgM Loe SoOs� (�LRA 148A) .
� Dark Surfaoe (8� (LRR P� 8. T. UI � i�) (bLRA 1<9A. �68C,183p)
�ryPe• _.
Depth (inehm
M�Ics:
VV��
Y \U/1!�
� �f'
c�'�O �.P�v�,p tn.�. t � SW�ro�,,,� �e �
� wlf.�'lq C�, �lt.bl,l C.cA.v� ,
0 ��
5�„�-.:� -�;�:e�e� � �„�
-- I MY�ia Sal Preserrt? Yes /
fi�J J�pC�L4 a,l�R., ca ��c� c�,QQ �
�� �� .
us.�,,, oo�� w �,9i�ear� .
ANantic and Oulf Coestal PIaIn Region _ �Merim Varsiue

NC DWQ Stream Identification
Date: �/� %/� iJ
Evaluator. � S�y�� ��
Total Points: �
Stream is at leaffi infermittent 3
if 2 19 or oerennial if 2 3�'
1"�Continuity of channel bed and b
2. Sinuosity of channel along thalw
3. in-channel strudure: ex. riffle-pc
ripple-pool sequence
4. Particle size of stream substrate
5. Active/relict floodplain
6. Depositlonal bars or benches
7. Recent alluvial deposits
8. Headcuts
9. Grade control
10. Natural valley
11. Second or greater order chann�
a artificial ditches are not rated; see disi
B. Hydrology (Subtotal = �
12. Presence of Baseflow
13. Iron oxidizing bacteria
14. Leaf litter
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil-based evidence of high wa
C. Biolopy (Subtotal =
18. Fibrous roots in sVeambed
in manual
ersion 4.11
ProjecNSite: �� �-�S ,� Latitude: 7J � r J� ] 0 0
Counry: /'�Q� Longitude: _ 7�, �c�0
5tream Detertnination (circle one Other �,.e�.�9P�
Ephemerel Intermittent erennia� e.g.QuadNamb'. G;�,,,,y�n
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
1
1
Yes
1
1
19. Rooted upland plants in streamoea 3(J Z �
20. Macrobenthos (note diversity and abundance) � p
21. Aquatic Mollusks p � �
22. Fish 0.5 1
23. Cra�sh 0.5 �
24. Amphibians (�j7 0.5 1
25. Algae 0.5 �
26. Wetland plants in stream6ed FACW = 0.75; OBL = 1.5 Other
"perennial streams may also be identified using other methotls. See p. 35 of manual.
�
1.5
Q
0
�
0
3
3
1.5
1.5
1.5
Sketch: �h� ��GvvJ � ���� �, �y,���. �� �_
a c�u �� h� � c h� �:u. `� �� �lc �.�d. a�6C
Gt,y� L� a d f a-��" �"o ���lC.r;�ra.�.0 ip a G�s',r� �QJG� �e-Pa r�r.� .
}�rrvr�i,� cP C'�..ee.f�� . G .