20170638 Ver 1_U-5105 NCDOT GP 31 Permit Application with Plans_20170523

Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name TIP U-5105 NC 225 Intersection Improvement at Erkwood Drive (SR 1164, and
Shepherd Street (SR 1779)
2. Name of Property Owner/Applicant: NC Department of Transportation
3. Name of Consultant/Agent: N/A
*Agent authorization needs to be attached.
4. Related/Previous Action ID number(s): N/A
5. Site Address: N/A
6. Subdivision Name: N/A
7. City: Hendersonville
8. County: Henderson
9. Lat: 35.290588° N Long: -82.445367° W (Approx. Project Center)
10. Quadrangle Name: Hendersonville (35083-C4-TF-024�
11. Waterway: Kin. Cg reek
12. Watershed: French Broad River (06010105)
13. Requested Action:
Nationwide Permit #
X General Permit # 31
Jurisdictional Determination Request
_ Pre-Application Request
The following information will be completed by Corps office:
AID:
Prepare File Folder Assign number in ORM Begin Date
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Name:
Keywords:

STATE OF NORTH CAROLINA
DEPAR'TMENT OF TRANSPORTATION
ROY COOPER
GOVERNOR
May 23, 2017
Ms. Lori Beckwith
U. S. Army Corps of Engineers
NCDOT Regulatory Project Manager
151 Patton Avenue, Room 208
Asheville, NC 28801-2714
JAMES H. TROGDON, III
SECRETARY
Subject: General Permit 31 Application
NC 225 Intersection Improvement at Erkwood Drive (SR 1164) and Shepherd
Street (SR 1779)
UTs King Creek, Henderson County, North Carolina
TIP No. U-5105, State Project No. 41903.1.1
Dear Ms. Beckwith:
The North Carolina Department of Transportation (NCDOT) is proposing to align Shepherd
Street (SR 1779) with Erkwood Drive (SR 1164) at NC 225 in Henderson County to address
traffic flow obstructions and hazards posed by the existing off-set of these heavily traveled roads.
A round-about will be constructed at the intersection to control traffic and to avoid or minimize
effects of the project on nearby historic properties. The round-about will require extending
existing corrugated metal and concrete box culverts that pass UTs to King Creek under Erkwood
Drive and NC 225, respectively. Construction will occur with phasing to maintain traffic. The
box culvert will have a slope of 0.84% with five 10' wide by 5' W notched sills to further help
ensure bedload retention and fish passage.
Please find enclosed a PCN application, preliminary jurisdictional determination form, Division
of Mitigation Services acceptance letter, cultural resource review forms, maps, plan sheets,
photographs, and other supporting project information.
In Henderson County, Carolina northern flying squirrel (Glaucomys sabrinus coloratus),
Appalachian elktoe mussel (Alasmidonta raveneliana), swamp pink (Helonias bullata), small
whorled pogonia (Isotria medeoloides), bunched arrowhead (Sagittaria fasciculata), mountain
sweet pitcher plant (Sarracenia jonesii), white irisette (Sisyrinchium dichotomum), and northern
long-eared bat (NLEB, Myotis septentrionalis) have current records and are listed as threatened or
endangered. Also, the endangered gray bat (Myotis grisescens) is a probable species in the
county.
Mailing Address:
NC DEPARTMENT OF TRANSPORTATION
Division 14
253 Webster Road
Sylva, North Carolina 28779
Telephone.• [phone]
Fax:[phone]
Customer Service: 1-877-368-4968
Website: www.ncdot.¢ov
Location:
NC DEPARTMENT OF TRANSPORTATION
Division 14
253 Webster Road
Sylva, North Carolina 28779

U-5105, Henderson County Page 2 May 23, 2017
Appalachian elktoe mussels are found in some cool-water rivers in the region that have moderate
to fast flowing water and stable, mixed-substrates of silt, sand, gravel, and/or cobble. All records
of this mussel are from relatively large streams such as the French Broad, Little, and Mills Rivers.
There are no records from tributaries to these rivers. The streams to be impacted at the project
site are too small to support mussels and this species of mussel has never been found in the Mud
Creek watershed.
The project area is only about 2,040 feet in elevation, so there is no habitat present for the
Carolina northern flying squirrel.
White irisette only occurs in the eastern portions of Henderson County and the northeast corner of
Rutherford County and only where there is open dry to mesic oak-hickory forest on rocky steep
terrain with shallow soils. This project is in central Henderson County. And, the forested areas,
road shoulders, and maintained landscaping in the project area are not suitable for this plant.
Swamp pink and mountain sweet pitcher plants both require saturated-soil wetlands, usually bogs,
while bunched arrowhead is considered a submerged aquatic plant associated with low flow
seepage areas. These plants occur in this region of Henderson County and there are some isolated
wetlands in the project area. However, this project will not affect any wetlands. And, according
to the Natural Resources Technical Report, the wetlands in the project area are not suitable for
these plants.
Small whorled pogonia may be found in open, dry, deciduous woods with acid soil, often in
association with white pine and rhododendron, though it can also occur on slopes along streams.
The terrestrial habitats in the project area are either landscaped or forested with dense vegetation
including extensive English ivy ground cover that would preclude small whorled pagonia.
Gray bats usually roost in caves year-round while NLEB only winter in caves or mines with
stable, but not freezing cold temperatures. This project only involves an intersection realignment,
so construction work will not extend far from the existing right-of-ways into areas where caves
may occur. Percussive activities and blasting are not anticipated with this project. There are no
caves or mines in the immediate area. Therefore, gray bats and hibernating NLEB should not be
affected by the project.
When not hibernating NLEB and sometimes gray bats will roost on structures while NLEB often
roost under the shaggy bark of live trees such as white oaks, sycamores, and hickories, or in
cavities and under the loose peeling bark of dead trees. The box culvert that will be extended
under US 225 was surveyed on May 17, 2017 and there were no bats or evidence of bat roosting
noted. Moreover, the project area is not situated in a"Red HUC" where NLEB hibernacula or
maternity roost trees are an identified concern and it is several miles away from the nearest "Red
HUC". The construction work will require the removal of about 301arge trees from forested or
landscaped areas totaling roughly 1.5 acres.
The project is limited in scope to a short road realignment. Erosion and sedimentation control
measures will be used and maintained to minimize adverse effects of the work on aquatic
habitats. Habitats for listed species are lacking at the proj ect site and none of these species were
observed during field visits. For these reasons and those discussed above, we recommend that a
determination of "no effect" on listed species apply to this project.
This project was reviewed by NCDOT's Human Environment Unit in 2011-2012 for potential
effects to archaeological resources with a determination of "survey not required". An effects

U-5105, Henderson County Page 3 May 23, 2017
determination for architectural resources was coordinated with the NC State Historic Property
Office in 2016 with findings of either "no effect" or "no adverse effect" on three nearby historic
register eligible properties.
Impacts to Waters of the United States
The UT King Creek SB (DWQ Class: C) is not shown on a topographic map, though it does have
a defined channel about 2 feet wide with a substrate of silt and sand. UT King Creek SA (DWQ
Class: C) is shown on the USGS topographic map as a perennial stream. The channel is well
defined and approximately 6' wide with a substrate of gravel, silt, and sand. Stream SB flows
into stream SA which flows into King Creek about 0.6 mile downstream NC 225. King Creek
flows into Mud Creek and then into the French Broad River several miles downstream. The
French Broad River (HUC 06010105) meets the definition of a Traditional Navigable Water. For
these reasons, we believe the UTs King Creek are Relatively Permanent Waters and under the
jurisdiction of the U.S. Army Corps of Engineers. The project will result in impacts to waters of
the United States as listed in the table below:
Net
Site No. Eacisting Condition Proposed Condition Impacts
Station (feet)
1 50' L x 10' W X 7' H reinforced 307 'L x 10' W X 7' H reinforced 25�
concrete box culvert concrete box culvert
1 UT King Creek (SA) Temporary fills for impervious 106
dikes and flow diversions
lA UT King Creek (SA) upstream rip rap and benching 30
of box culvert
1B UT King Creek (SA) rip rap and benching 25
downstream of box culvert
2 60' L x 30' corrugated metal 120' L x 30' concrete pipe in UT 60
pipe in UT King Creek (SD) King Creek (SD)
2 UT King Creek (SD) Temporary fills for impervious 15
dikes and flow diversions
Total Permanent Stream Impacts for Culvert Extensions 31T
Total Permanent Tributary Impacts for rip rap/benching 55'
Total Temporary Stream Impacts for Dikes and Flow Diversions 121'
Compensatory Mitigation
Approval for compensatory mitigation was sought and granted for all combined permanent
stream impacts. NCSAM determination rated the intermittent stream SD as "low", so NCDOT
requests consideration of a lower mitigation ratio for the 60 feet of stream impacts for Erkwood

U-5105, Henderson County Page 4 May 23, 2017
Drive (Site 2). An assessment of stream SA confirmed a"medium" rating. Mitigation for rip
rap (DWR requirement) at site 1 was requested since combined impacts exceed 150 feet (300 feet
may now be the current threshold).
Permits Requested
NCDOT hereby requests authorization under Section 404 of the Clean Water Act to proceed with
the construction project outlined above. The project area is not in a"designated trout watershed"
as described in the Nationwide Regional Permit Conditions, however, we are requesting
comments on the request from Mrs. Marla Chambers, Western NCDOT Coordinator with the NC
Wildlife Resources Commission.
NCDOT requests authorization for the project under Section 401 of the Clean Water Act from the
North Carolina Department of Environmental Quality, Division of Water Resources (DWR).
Please contact me at [phone] if you have any questions or need additional information to
evaluate this request. Your prompt attention to this matter is greatly appreciated.
b����r�'�:
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Division 14 Environmental Officer
Enclosures
cc: Ms. Amy Chapman, Division of Water Resources, DEQ, Raleigh
Ms. Kristie Lynn Carpenter, Division of Water Resources, DEQ, Raleigh
Mr. Kevin Barnett, Division of Water Resources, DEQ, Asheville
Ms. Marella Buncick, Biologist, US Fish & Wildlife Service, Asheville
Mrs. Marla Chambers, Western NCDOT Coordinator, NCWRC
Mr. Steve Williams, PE, Division 14 Engineer, NCDOT

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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: or General Permit (GP) number: 31
1c. Has the NWP or GP number been verified by the Corps? ❑ Yes � No
1d. 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.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: NC 225 Intersection Improvement at Erkwood Drive (SR 1164) and Shepherd Street
(SR 1779)
2b. County: Henderson
2c. Nearest municipality / town: Hendersonville
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or State U-5104, State No. 41903.1.1
Project No:
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. N/A
3c. Responsible Party (for LLC if Dave McHenry, Division 14 Environmental Officer for Edward Green, Division 14
applicable): Engineer
3d. Street address: 253 Webster Road
3e. City, state, zip: Sylva, NC 28779
3f. Telephone no.: 828-586-2141
3g. Fax no.: 828-586-4043
3h. Email address: [e-mail]
Page 1 of 10
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if difFerent from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: N/A
5b. Business name N/A
(if applicable):
5c. Street address: N/A
5d. City, state, zip: N/A
5e. Telephone no.: N/A
5f. Fax no.: N/A
5g. Email address: N/A
Page 2 of 10 PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
1 b. Site coordinates (in decimal degrees): Latitude: 35.290588° N Longitude: -82.445367° W
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to King Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C
2c. River basin: French Broad
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:
The general landscape is urban/suburban with single-family home, lawns, landscaping and some wooded areas.
3b. List the total estimated acreage of all existing wetlands on the property:
0.07
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3493
3d. Explain the purpose of the proposed project:
The North Carolina Department of Transportation (NCDOT) is proposing to align Shepherd Street (SR 1779) with
Erkwood Drive (SR 1164) at NC 225 in Henderson County to address traffic flow obstructions and hazards posed by the
existing off-set of these heavily traveled roads.
3e. Describe the overall project in detail, including the type of equipment to be used:
Erosion and sedimentation control measures will be installed. Culverts will be extended and the round-about constructed
in stages to maintain traffic. Track hoes, dump trucks, bulldozers, cranes, paving equipment, water pumps, sandbags,
diversion pipe and various hand tools will be used to accomplish the work.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained fo� this property / � Yes ❑ No ❑ Unknown
project (including all prior phases) in the past.
Comments: N/A
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 Engineers
Name (if known): Brian Dustin Other: N/A
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
May 9, 2012
5. Project History
5a. Have permits or certifications been requested or obtained for � Yes � No ❑ Unknown
this project (including all prior phases) in the past?
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.
N/A
Page 3 of 10 PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. 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❑ T N/A N/A ❑ Yes ❑ Corps N/A
❑ No ❑ DWQ
W2 � P� T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts
2h. Comments: N/A
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. 3b. 3c. 3d. 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 Culvert Extension UT King Creek � PER � Corps 6 257
(SA) ❑ INT � DWQ
S1 ❑ P� T Dikes and Flow UT King Creek � PER � Corps 6 106
diversion �SA� ❑ INT � DWQ
Floodplain � PER � Corps
S1A � P❑ T bench/rip rap fill UT King Creek 6 30
(upstream) (SA) ❑ INT � DWQ
Floodplain � PER � Corps
S1 B� P❑ T bench/rip rap fill UT King Creek 6 25
(downstream) (SA) ❑ INT � DWQ
S2 � P❑ T Culvert Extension UT King Creek ❑ PER � Corps 1 60
(SD) � INT � DWQ
S2 ❑ P� T Dike and Flow UT King Creek ❑ PER � Corps 1 15
diversion (SD) � INT � DWQ
3h.
Total Permanent Stream Impact for Culvert Extensions 317'
Total Permanent Impact for floodplain benches and rip rap 55'
Total Temporary Stream Impact for Impervious Dikes and Flow Diversions 121'
3i. Comments:
Page 4 of 10 PCN Form — Version 1.3 December 10, 2008 Version

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 N/A N/A N/A N/A
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts N/A
4g. Comments: N/A
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 of (acres)
number pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1 N/A N/A N/A N/A N/A N/A N/A N/A
P2
Sf. Total N/A N/A N/A N/A N/A N/A N/A
5g. Comments: N/A
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no: N/A
5i. Expected pond surFace area (acres): N/A
5j. Size of pond watershed (acres): N/A
5k. Method of construction: N/A
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 an impacts require miti ation, then ou 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) for Stream name mitigation (square feet) (square feet)
or Tem ora T im act re uired?
61 ❑ P❑ T N/A N/A � NoS N/A N/A
B2 ❑P❑T ❑Yes
❑ No
B3 ❑P❑T ❑Yes
❑ No
6h. Total buffer impacts N/A N/A
6i. Comments: N/A
Page 5 of 10 PCN Form — Version 1.3 December 10, 2008 Version

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 minimum culvert lengths needed are proposed. Sills and bafFles and floodplain benches will be added to the culvert to
help retain a more natural channel morphology and to help with aquatic life passage.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
BMPs will be installed to minimize effects on aquatic habitat. Flow diversion will be used so that excavation and construction
occurs in a dry work environment.
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 all that apply): ❑ DWQ � 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: N/A
3b. Credits Purchased (attach receipt and letter) Type N/A Quantity N/A
3c. Comments: N/A
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: 372
4c. If using stream mitigation, stream temperature: ❑ warm � cool ❑cold
4d. Buffer mitigation requested (DWQ only): N/A square feet
4e. Riparian wetland mitigation requested: N/A acres
4f. Non-riparian wetland mitigation requested: N/A acres
4g. Coastal (tidal) wetland mitigation requested: N/A acres
4h. Comments: N/A
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.
N/A
Page 6 of 10 PCN Form — Version 1.3 December 10, 2008 Version

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 N/A N/A 3(2 for Catawba) N/A
Zone 2 1.5
6f. Total buffer mitigation required: N/A
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).
N/A
6h. Comments: N/A
Page 7 of 10 PCN Form — Version 1.3 December 10, 2008 Version

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: N/A
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? NS %
2b. Does this project require a Stormwater Management Plan? � Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: N/A
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
The plan is covered under the NCDOT General Stormwater Permit No. NCS000250
2e. Who will be responsible for the review of the Stormwater Management Plan? ❑ Certified Local Government
NCDOT ❑ DWQ Stormwater Program
� DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local governmenYs jurisdiction is this project? N/A
❑ 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 ram 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 PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. 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: N/A
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 26 .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): N/A
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably 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.
This project consists of reconfiguring an existing roadway intersection. The road infrastructure is not being upgraded for
more capacity. The secondary and cumulative impacts from this routine construction project are expected to be
insignificant.
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.
N/A
Page 9 of 10 PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this 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 � Yes ❑ No
impacts?
❑ 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?
North Carolina Natural Heritage Program Database and site visits during and after the field scoping process.
6. Essential Fish Habitat (Corps Requirement)
6a. Will 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?
N/A--There are no marine or estuarine habitat within the Blue Ridge Physiographic Province
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?
The project was submitted to the NCDOT's Human Environment Unit for review. A survey for archaeological resources
was not required, but no effect and no adverse effect calls were made in coordination with SHPO for 3 nearby register
eligible properties (see attached documentation).
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? � Yes ❑ No
8b. If yes, explain how project meets FEMA requirements: Coordinated hydro with FEMA
8c. What source(s) did you use to make the floodplain determination? NC Floodplain Mapping Program
DocuSigned by:
Dave McHenry 5/23/2017
Division 14 Environmental Officer 86673FBE42E541� ��
Applicant/Agent's Signature Date
Applicant/AgenYs Printed Name (AgenYs signature is valid only if an authorization letter from the applicant
is provided.)
Page 10 of 10 PCN Form — Version 1.3 December 10, 2008 Version

Henderson County
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�4 S. �1' .,. .�' GIa��L.l�la�i
Figure 1 - Project Vicinity
Intersection Improvements
at NC 225 (Greenville Highway),
SR 1164 (Erkwood Drive),
and SR 1779 (Shepherd Street)
Henderson County
STIP No. U-5105
�y� North Carolina
��a
�,,.� yr� Department of Transportation

Site Station
No. (From/To)
SITE #1 -L- 21+15 LT/RT
A u stieam) & 1B (downstrea
SITE #2 -Y1- 19+50 RT
TOTALS`:
'Rounded totals are sum of actual impacts
NOTES
YLiltiflYZ•I
Structure
Size / Type
10'X7' RCBC
rip rap
30" RCP
new channel fill
WETLAND PERMIT IMPACT SUMMARY W Exist.
WETLAND IMPACTS SURFACE WATER IMPACTS Culvert
Hand Existing Existing
Permanent Temp. Excavation Mechanized Clearing Permanent Temp. Channel Channel Natural
Fillln Fillln in Clearing in SW SW Impacts Impacts Stream
Wetlands Wetlands Wetlands in Wetlands Wetlands impacts impacts Permanent Temp. Design
(acl (acl (acl (acl (acl (acl (acl (ftl (ftl (ftl
0.03 < 0.01 257 106
30 & 25
< 0.01 < 0.01 60 15
0.04 I< 0.01 I 317. 37�' 121 I 0
NC DEPARTMENT OF TRANSPORTATION
DNISION OF HIGHWAYS
5/10/2017
HENDCRSON COUNIY
41903.1.1 (U 5105)
SI-ICE'f 1 OF 1
.1

See Sheet 9��A For Index of Sheets
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UNLESS ALL SIGNATURES COMPLETED
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GRAPHIC SCALES DESIGN DATA PROJECT LENGTH HIGHWAY
CALYX
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PLANS p_ 9 0�0 JOHNNY BANKS P�. � a
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T= 5/o RIGHT OF WAY DATE: � �
V= 40 MPH NOVEMBER 21, 2016 ROADWAY DESIGN
STEPHEN C. BROWDE, PE ENGINEER �� �
PROFILE (HORIZONTAL) * TTST =1% + DUAL 4% aoAnwAr rno�Ecz ossicN ExcrxEen ��p Qo��
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URBAN COLLECTOR MARCH 20, 2018 STEVE WILLIAMS
PROFILE (VERTICAL) STATEWIDE TIER xcoor coN�nc7 r.s.
OIVISION I4 DES/G.N CONSTRUC]'ION ENGIM1'EF.R S7GNATiIRE:

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FEMA LIMITED DETAILE� STU�Y FRENCH BROAD RIVER BASIN
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� CULVERT SURVEY & HYDRAULIC DESIGN REPORT 1% y
� N. C. DEPARTMENT OF TRANSPORTATION �������1
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"" DIVISION OF HIGHWAYS
z HYDRAULICS UNIT
R RALEIGH, N. C.
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mI.D. No.-----1l-�105------- PropectNo. _...------919Q3,IJ------------ Proj. Station .--_---1�.�ZA.21+.13..._._._
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� County .....HENDERS.QN..__.___ Stream... ______.__KING..CREEK_TRIBU.TARY_A1Q43._.______...Stru. No. ._.NlA...
aOn Highwny--•-•--N�.225/$�_1164_---- Between -------SR-U66_----- and -_--------_$RJI$3---------------
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� Recommended Structure -----_------1�_l4'.X_ 7'RCpC'_IN/_BE�ELED.H�AOWAL�._AND_ WINGWAII.S-------------------
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gRecommended Width ofRoadway._.._.SzFT.SHI,RR.PJ..TQ.SHI.RR_?T_..._.__.._. Skew....___196_.______....
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Q'�, Recommended Location is (Up, At Down) Siream from Existing Crossing.. ___. AT .�X�STING .GULV�j __. ____.
�
LL S4atewide Tier � Regional Tier ❑ Sut�Regional Tier ❑
a Bench Mark is BM_2:STA,�1+17,27_f=LSRI), 0/S_78' RT; 8'_SPIK�.IN_BASE OF_20' POPLAR __________________________
; ------...N_9i2L92.4A.E_57B552D1--------------------------- Elev. _.211ZA2-.---ft. Datum:----._NAYD68-----
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o"�', Temporary Crossing -- NQT_I�QUIRER_...-�------------------------- -----------------------�--- --------.._..---
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ADDITIONAL INFORMATION AND COMiPUTATIONS
HY�ROLOGY _______
-------------------- - --•--- - -----------------------------�----------------- --- --------
USGS URBAN REGRESSION EOUATIONS REGION I- BLUE RIDGE-PIEDMONT
--P.ER.USGS.FACT _�HEEL (9Q7.:QOl----------------------_-
-.DA =.Q.�3--m��-----!A. =.z2%--------------------------
---------- - •----------------------------------- --- - -----
0.655 0.515
_..Oio.=.122tDAl___ (IA)____ 290_CFS___, SAY_290.CFS____.._
0.611 0.436
_._0_ys=_228(DAl_._(IA)___= 446_CFS._._SAY.450_CFS___..__
0.602 0.396
__.0_�0=_296(DA),_. (IA)____=_516 CFS____ SAY_50Q.CFS.._.__.
Q - 374(DA) 'ss3 0.358
.._.aoQ------------(IA)----=-586_ CFS--- SAY,600_CFS ------
___�,so9_=_3,66(O�o)_=.1061.CFS __________ SAY.II00 CFS_.__.__
--�--------FEMA---�---- -- ..
_..__._DISCHARG�S--------...
(USE� FOR COMPLIANCE):
.. """' ""' """"""""' "' _ "' "'
- - - -----•----•-- --------..
-----��ao_°.420 ofs.------
___Y _IMPERVIOUS_ BASED_OFF_H.�NDERSON_ COUNTY_zONING_ MAPS_____ ________ _____________ __________
- -------- ------- - - ----------------- ------- - -------- ---------------------�--------- -•----- --- - ------..
---------------------------------- - ---------------- - ----------------------�---------� - ----•-- - -------•--- - _..
-------------------- - ----------------------- - ------------- - ---------------------------. _.._._..---------------
-- ------ -----�--------------•---._.,.----�--------------•-�------•-�--•------....------------------------ ------
"""""""_ """.. _ .. _ _ """""""" """""""' _ """' _ " _ "_' _ _' _ _ _ _' _' _ ... _ " _ _' _ """""""""'
-----------• --'---- - ------'-- - ------------- - - -------- - ---------'----------------------------------- --------�
-- - - --'-�--•-- - --- - ------------------------ --._... - •------•------------------------------------------- - ----�
---------------•-------------------....-- ----------------------------------------------------------...__..
----�----------- - - -
""-"'-"""""--'---'---"'-'-""'----"--------"•""-""----"-'--"-"'--'-'-'-""'----------------
-------------------------•--•------------ ----- - -----'-- - ----------------------------------------------------....
----"--•'--""-"-"'--"-'------------'---------'---"""'--------------------------"-""""-"'-'-"
__" __" .'___'...___"____'.._..'__________________'_______.._._...__________._____________________________._____'_'
-----------------------------•-•------------------- - -------- - ---•---------------- - -----------------------�----
SITE DATA
Drainage Area --.------__.p,37_lniz__.._.._--- Source -_---------------USGS.AU?D.M9P5--------------_-.-_
River Basin _._._ F_RENCH 9ROAA_.RIV�R.____.._._. Character ................URBAPI_!_61,UE.Rl4GE_.__._._.__.._.
Stream Classification (Such as Trouf, High Quality Water, etc.) .................Gl_ASS.G.___.........._,.__
Data on Existing Structure . 1�7.'X5.'.RCBG.. _ _. _ _. _ _ _ .
------------------------•---------�---------- ----- ----�--
Total Waterway Opening _ _ _ .. _ _42 _ _ _ _ s.f. Waterway Opening Below 100yr. WS EL. . _ .. _ _92_ _ .. s.f.
Debris Potential: Lowp Moderate � High ❑
Dota on Structures Up and Down Stream UPSTREAM _=_185 FT_ U/S.UNDER_SHERMAN BUS. PARK_ (NO_ STRUCT._INV. N0.)
-4'-9'x3'-3" CSP ARCH W/ ASPH. PAVING; WATERWAY AREA=11.6 FTz
DO�yNSrRE?M-195.FT,_R!S:_�Y09D�N_BRIRGE_F.QR_A��ESS_TR_CA�1N-N0_57R1lCT.lNY.CIQ.)_I.SPAN.�_L?':_W?7EJtW9Y_AREA=72 FTz,
Goge Siation No..__.____._ NONE_____________ Period of Records ___.______.____._ N!A._._..___,__..._. yrs.
Max. Discharge.-------.N/A------------c.f.s Date-------_-N/A------,-_._ Frequency-------N/A_..-----
Historical Flood Information:
Date_z09�.__.._ Elev..2118.25..ft.Est. Freq. J99+.yr. Source goB & JANICE SHERMAN Period of
_LOCAL_RESIDENTS__________________ Knowledge__,7�...yrs.
I/29/2015 21I3 2 < lo Period of
Dafe.--------. Elev.----_---.ft.Esi. Freq. -------yr. Source .RECENT DRIFT--_- --------------_ Knowledge------yrs.
Allowable HW Elev._2�ti•4�cFFM9_FJCIS7,19A.YR�g�.STA.3305_..ft. NormalWaterSurface Elev. ..__zU0.60__.._.ft.
Manning's n: Left O.B. Q,435=0.15_ Channe19,09-D 995 Right O.B. Q 0�5=p,15 Obtained From _FIEI,D_ V�RIFI�D_ _
�IMITED DETAILED STUDY Non-Encroachment
Flood Study/Status v��_�_ FEMA.SPEC1gL.FLoqD_HAZ9Rp_zQNE_AE........... Established8 _NR..
With Without
Fbod Study 700 yr. Discharge.._q20_..t.fs.; WS Elev.: Non-Encroachment_..2U@,2 ft.Non�ncroachmen1.2119.1__ft.
@River Station 3306
DESIGN DATA
Hydrological Method . NG.UR6AN _R�GRESSIQN_ ES7.4AIlQNS_ REGI�n.I_ =.@LUE_ RIDG� P��QMQN?_ PER_ U.�@S. fA�T _ SI1�Ei. S4o7-o0)
Hydraulic Design Method _HE&:RAS_VERSIQN_4,1.9-------------------------_-----_-__------_-------•---------
Desi n Tailwater � z112.5' 2113.0' 2113.2' 2113.4' 2114.3
9 Qio ----4'6�---�'% �•--5.1:-�--ft'% aso--5.3�----fr'%Qioo-- 5.5'-�-�•% Qsoo --6.9.-----..ff.
NOTE: TW IS WSEL FROM PROPOSED HEC-RAS �70DEL - XSC 2990
Inlet CoMrol Ou41e1 Control
q Remarks
Size & Typa (c.f.s.) Ke HWiD �frW' dc dc2D ho H �ga �{��� (WSEL-XSC 3306)
I� 10' X 7' RCBC 290 10 YR EL.= 2115.4'
W/ BEVELE� HDWL 450 25 YR EL.= 2117.1'
500 SEE HEC-RA MO EL 50 YR EL.= 2117.8'
600 100 YR EL.= 2119.99'
II00 500 YR EL.= 2120.9
OT EL.= 2120.3'
Is a Floodway Revision Required? _ .. _M9A _-.7YP� _2b_ _ . _ _ _ Total Proposed Waterway Opening . _ _ _ _ _ �fi _ _ _ _ . s.f.
OutletVelocity (V�o) --------?_I---------------f.p.s. Natural Channel Velocity (V�o) -------.�,I.----------.--f.ps.
Required OutletProtection ._�1,A�5.'�°.R�P_R9P_y(/_��OZECH_F.A@Rl�.�&ANK$__QNIYl___________________________ __
INFORMATION TO BE SHOWN ON PLANS
ev. a en @ rver tation 3
Design: Discharge ---5Q9_-----c.f.s. Frequency.--------SQ---_--yr. Elev. .----------2pZ,fl--_-- --ft.
Base Plood: Discharge ___fiQ9___.___c.f.s. Frequenty__._.._.���__.....yr. Elev. ..___..__.2J19.99.........ft•
Overtopping: Discharge_.7Q@-----_c.f.s. Frequency--_----100-+_--_yr. Elev. ._-------_2120.3------.--ft.
PROPOSED OVERTOPPING OCCURS AT STA,21+93 -L-
ELEV. = 2120.3'
�" ��s��1� �� ,��y -. �..�p``�ti CpRO/��/�''�,
�, ENGINFEflS+CONSULTANTS ��Q``� M����v/t/ ��,
� Designed by:------__---DAVID_P.BOCKER�P.E._-------- ; .�.oFESS/p;�,��9 •
� Date ---------------- � :2� ql • 1'
�; Ass�stad by : ..............TERESA.RAMEY�E.I...._._...___ " • SEAL � �
C . . �
rProjectEngineer :---_--DAI�ID P4B9�JtER,P.E.---.-_--- � S 029984 ;:
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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. 2012-00203 County: Hendersan
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner: N.C. Denartment of TransportaHon
Attn: Mr. Mark Davis
253 Webster Road
Svlva. NC 28779
Telephone No.: 82&586-2141
Properiy descripNon:
Size (acres) The studv area is shown on F]eure 3-1 dated 2/28/12 (attached)
Ideazest Town Hendersonville
Nearest Waterway Kin¢ Creek
River Basin I�}ench Broad
USGS H[JC 06010105
Location/properiy descriprion: TIP No. U-5105. This orouertv is located at the intersections of NC 225
(Greenville Hiehwavl and SR 1164 (Erkwood Drivel and SR 1779 (Shenherd Streetl in HendersonviRe.
Aenderaon Countv. North Caralina.
Eadicate Whfch of the Followine Aoalv:
A. Preliminary DeterminaHon
X
B. Approved DeterminaHon
_ There are Navigable Waters of the U.S. within the above described property subject to the permit requirements
of Section 10 of the Rivers and Hazbors Act and Section 404 of the Clean Water Act Unless there is a chenge
in ihe law or our published regulations, this determination may be relied upon for a period not to exceed five
yeazs from the date of this notification.
_ There are waters of the U.S. on the above described ptoperty subject to the perntit requirements of Section 404
of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or out published
regulations, this determination may be reGed upon for a period not to exceed five years from the date of this
notification.
_ We strongly suggest you have the waters of the U.S. on your property delineated. Due to the size of your
property andJor our present workload, the Cocps may not be able to accomplish this wetland delineation in a
tanely manuer. For a more timely delineation, you may wish to obtain a consultant. To be considered final,
any delineation must be verified by the Corps.

ActionId.2012-00203
T'he waters of the U.S. on your property have been delineated and the delineaflon has been verified by the
Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be
reviewed and verified by the Coips. Once veri&ed, this survey will provide an accurate depicfion of all areas
subject to CWA jurisdiction on your properiy whicL, provided there is no change in the law or our published
regulations, may be relied upon for a period not to exceed five years.
The waters of the U.S, have been delineated and surveyed and aze accurately depicted on the plat signed by
the Co:ps Regulatory Official identified below on . Unless there is a change in the law or our published
regulafions, tlris deterntination may be relied upon for a period not to exceed five years &om the date of tlus
notificarion.
There are no waters of the U.S, to include wetlands, present on the above described properiy which are subj ect
to the petmit requirements of Secrion 404 of the Clean Water Act (33 USC 1344). Unless there is a change in
We law or our published regularions, this determination may be relied upon for a period not to exceed five years
from the date of this notification.
Placement of dredged or fill material within waters of the U.S. without a Depadment of the Army pemut may
consHtute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you k�ave any questions regazding
tlus determinakion and/or the Corps regulatory pro�am, please contact Lori Beckwith at 828-271-7980, ex� 223.
C. Basis For Determfination: N/A - Preliminary JD
D. Remarkso Approximate boundaries of waters are shown on Figures 3-1, 3-2, and 3-3 - all dated February 28,
2012.
E. Attention USDA Progrem Participauts
T6is delineaHon/detetminafion has bcen conducted to identity the limita of Co7ps' Cleen VJater Act jurisdiction for the
paRicular site identified in this request. The delineafion/deterutination may not be valid for the weAend consecvation
provisions of the Food Secucity Act of 1985. If you or your tenant are USDA Program participants, or anricipate participaflon
in USDA progrsms, you should request a certifieA wetland detemtinadon from the local office of the Nahual Resources
Conservafion Service, prior to atarting work.
F. Appeals Information (This informatlon appliea only to approved jurisdicrional determinationa as indfcated in B
above).
This cocrespondence consdtutes an approved jurisdictional detemtinaHon fot the above described site. Ifyou object to this
determinahion, you may request au administrative appeal under Corps regulations at 33 CFR PaR 331. Bnclosed you will find a
request for appeal (RFA) form. If you request to appeal this detetmination you must submit a completed RFA form to the
following address:
US Army Coips of Engineets
South AtlenGc Division
Atm: 7ason Steele, Review Officer
60 ForsytL Street SVJ, Room 1OM15
Atlanta, Georgia 30303-8801
Phone: [phone]

Action Id. 2012-00203
in order for an RFA to be accepted by t6e Catps, the Cmps must detemtine 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 deys of the date of the NAP.
Should you decide to submit an RFA form, it must be received at the above address by July 9, 2012.
'�It is not necessary to submit an RFA fom� to the Division Office if you do not object to the deterntinafion in this
correspondence.�► BECKVIlITH.LORETT� �tys°"""u°�"""'i'°'is""_
Corps Regulatory Official: Lori Beckwith A.ANN.� �
Lssue Date: Mav 9. 2012 Expiration Date: N/A—Prelfminarv JD
Copy Fumish by �mail: Mulkey Engineers & Consultants, Inc., Attn: Mr. Thomas Barrett

- r,,i;�
II
!',t�Ulic�,�tt: N.C. C
1L�l�/;��J
��_ `!' �`�.-� .���
;, _
of
Permit or Letter of
Peimit or Letter of
PERMIT DENIAL
APPROi�.D NRISDICTIONAL DET�RMINATSON
ke �.'I�i �,i�t�t!\ siz_�<-�[��2iSi�ll 1 iUN%`�i� I�1 � isRiti�:4�i'ti)�[
, ,;..� . -
3 Dat6: h4a � 9, 2Q1?
See Section Uelow
A
B
C
D
13
�1� 1'��ITA�,:�, P�t«��V ��RS:D h"_ Kl�i[ P: �, "ou may accept or object to the penu'rt.
a ACCEPT: If }'ou received a Standard Peruul, you may sigu the pernilt docuntent and rehw it to lhe distric� engiiteer for final
auSl�oriza[ion. Tf you received a L,etter of Permission (LOP), you may accep[ the LOP and your work is authorized. Your signahve
on the Standerd Permit or acceptance of the LOP means thot you fleeept tUe peruut iu its entirety, and waive all rigUts to appea] the
permit, including its terms wd conditions, and approved jurisdictional detenninations associated with the pennit.
• OB7ECT: If you object to the permit (Standazd or LOP) because of certain terms and conditions lherein, you may rcquest that the
pennit Ue modi8ed aceordingly. You must complete Section II of this fottn and relurn lhe fonv lo the dishict engineer. Yotv
objections must be received by the district engineer witUiu 60 dsys of the date of this notice, or you will forfeit your right to appeal
fhe pemiit in tUe future. Upou receipt of your letter, the distric[ engineer will evaluate your objeclions and may: (a) modify the
pennit to address all of your concems, (b) modify the pemtit to address some of your objections, or (c) not modify the permit
having detertnined that tlie permil should Ue issued as previously written. After evaluating your objutious, the dishic[ engineer
will seud you a proffered pennit for your reconsiderafion, as indicated in Secflon B below.
B: PROFFEFtED PERMIT: You may accept or
• ACCEPT: If you received a Standard Peruvt, you mey sign the pennit document aud retum it to the district engineer for finel
autUorizallou. If you received a Letter of Permission (LOP), you may accept the L,OP and your work is uutl�orized. Your signnhue
on the S[andard Pemvt or acceptaoee of the LAP means tLat you aceept tl�e permit in its entirety, aud waive all rights to appeal the
permit, iucluding its terws aud cooditious, aod approved jurisdictional detemvnatioas asaociated witl� ihe petmit.
• APPEAL: If you choose to decline the proffered pennit (Standard or LOP) because of certain terms and conditions lherein, you
may appeol tLe decliued peimit under qie Co�ps of Engineers Adminislralive Appeel Process by completing Secfion II of this form
and sending tLe form to the divisiou engineer. This form must be received by the division eugineer within 60 days of the date of
this notice.
C: PERMIT DENIAL: You may appeal tl�e denial of a pernvl under t1�e Corps of Engineers Ad�tinistrative Appeal Process by
completwg Sectiou II of ttis fom� and seudiug the fotm to the divisiou engineex. This form musl be received Uy the division engi�eer
within 60 days of lt�e date ofthis uotice.
D: APPROVED 7UItISDICTIONAL D�TERMINATION: You may accept or appeal tlie approved JD or
provide new infonnation.
• ACCEPT: You do not need [o ootify IUe Corps to accept an approved JD. Failure to no[ify the Corys withi¢ 60 days of fhe date of
this notice meaas tliat you accept the approved JD 'u� its entirety aud waive all rights to eppeal lhe approved 7D.
• APPEAL: If you disagree with the approved JD, you may appeal tUe approved JD uuder tUe Coips of Eugi�eers Administrative
Appeal Process by completing Section II of tivs form and se�ding the fonn to the disMct engineer. This Porm must be received by
the district eugiueer within 60 days of the dale of tltis nolice.

�: PRELIIvIINARY JURISDICTIONAL DETERMINATION: You do not need to respoud to the Corps
regarding tlie pretiminaiy JD. Tl�e Preliminary JD is not appealable. If you wish, you may request an approved
JD (whicl� may be appealed), by contacting the Corps dishict for fi�rther instruction. Also you may provide ne�v
uifonnatiov for furtl�er consideration Uy the Corps to reevaluate the JD.
c � a - , . , ;r .� �
1 ,f'E. i ��.
tit t� f r
REASONS POR APP�AL OR OBJECTIONS: (Describe your reasons for appealing tl�e decision or your
objections to an initial proffered permit 'vi clear concise statements. You may attach additional infonnation to
tl�is form to clarify where your reasons or objections are addressed in the adnvnistrative record.)
ADDITIONAL INFORMATION: Tl�e appeal is limited to a review of the admivistrative record, the Corps
memorandum for the record of the appcal conference or meeting, aud any supplemenlal iufomiation lhat the
review officer has cletermiued is needed to clarify the administrative record. NeitUer the appellant nor tlie Corps
may add new information or aualyses to tl�e record. However, you may provicle additional infonnation to clarify
the location of information that is already in the adminishative record.
�i
_ , � � ; ,ain; + �: ,
If you have questions regarding this decision and/or t�e If you only have questions regarding the appeal process
appeal process you �uay contact: you may also covtact:
District Engineer Mr• 7ason Steele, Adiuiiushative Appeal Review Officer
Attn: Lori Beckwith, Project Manager CESAD-PDO
USACE, Asheville Regulatory Field OffiCe U.S. fumy Corps of Engineers, SouQ� Atlantic Divisioo
151 Patton Ave, Room 208 60 Forsyth Street, Room 1OM15
Atlnnta, Georgia 30303-8801
Asheville, NC 28806 Phone: [phone]
828-271-7980
RIGHT OF ENTRY: Your signature below grants ti�e right of entry to Corps of Engineers personnel, and auy
government consultauts, to couduct 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 opportunity to participate in all site
investi ations.
Date: Telephone vumber:
Signahue of a ellant or a ent.
For appeals ou Initial Proffered Permits aud approved Jurisdictional Determinations send this Form to:
District Engineer, Attn: Lori Beckwith, Project Manager, USAC�, Asheville Regiilatory Field Office, 151
Patton Avenue, Room 208, Asheville, NC 28801.
For Permit denials and Proffered Permits send this form to:
Division Engineer, Commander, U.S. Army Engineer Divisiou, South Allantiq Atin: Mr. Jason Steele,
Admuiistrative Appeal Officer, C�SAD-PDO, 60 Forsyth Street, Room 1OM15, Atlsnte, Georgia 30303-
8801
Phone: [phone]

ATTACHM�N7
PRELIMINARY JURIS�IGTIONAI nETERMtNATION F�JRM
�AGKGROUND iNFOf�MAT(ON
A. _. R�pORT COM�LETION D,4TE.FOR PR�LIMINARY JURISd�C'(IDNA�.
D�T�RNfINP,TI0I1(ilR): Fe}i�uary,23, P 12 "
u.�r+c� r�i � 3, ao, �
B. NAAA� AND ,4DDRESS t7F PERSDN REQUESTING PRELIMINARY J13:
Nfr.:Mark tlavi�
Environrriental Supervisnr.
Nigfiyu�y Rivision '1�
�53 Vllebs.fer Rvad
Sgiva, NC 287T9
C: . D15"fRICT OFFfCE, FILE NAME, AND NLIMBER: SylVa, ErKwoD"d /
5fiepard IntetSscfit�h Improvem�nts, U-5105
�� u�—ao i�—Ob �0 3 iV CPa-� 17-j� l!—.�I d 5 I� C�� I5�- ll (a�-i �Dl� ��
D. PRC3JECT Ld.�ATIQId($) AND gACKGaOU.ND lNFORMATION: •
('l]SE�THEio,T7`A¢HED TA�LH.TQ DQCUMEIVT MbLT.1F�E VIiATERBQblE5
AT DIF�ERENL SITES)
Thz>Norfh Cairolina pepartmenx of 7ranspo�#ation �NCDOT) propdses to
improye the intersection of NC 225 (Greenvipe Highway)I5R 1164 �{Erlcuvood
,Drive)LSR 17i9 (Shepe�d StPeetj in iiendersonville, NG�
5#ate:N� Cauhty/parish/bbrough; Henderson. City: Hendersonville
�enter coord(nates ofsite (laUlong in degres declmal format):
Lat. 36.29p822", L.ong. -82.4474.26°; NflD'83; StaFe Plane Feef
Nam� of neare�# wat�rbody:. Kin�s breek
ICIelitiTq (estirimate) ambunt nf waters in {he review area:
N6n-wetlan'd Vraters; 8,495:31 linear feeE widtH (ft) ahd/ar acres.
Cd�rardin Gla�s: '
S�ream Flow: Iniermit%nt and Perenniaf
Wetland's: O.Q7 acres.
Courar.d'm Gl�s�: RFd
Alalne Af any !tiater �odi�s � the si#� that have be�n identii'r�d aS Se�4ion `I �
•watecs: .
xdal: td/A •
N4n-Tidal: �IlA

�E. RE1(IEW.P�R�ORMEp FOR 31TE �VALUATION (CHECK ALL THA7
APPLI'j:
❑ Office (pesk� �eterm�na.tfon. Date;
� �feld Determination. Date(s); Feliruary 23,.2012
9. The.Corps.of Engineers believes that �there ritay be ju�isdietPonal watePs of the
United Sfates on the.su6jecf sife, and khe perinik applic�bt or-other affected party
whp. re.quested this prelfminary JD is hereby advised of his or her opt(an fo '
reques# and b6tain an approVed jurisdietional deteiminafiofl (JR) for that site.
NeVertheless, the perrrmit applicent or otli�r person .wbo requested. ihis
preliminary JD has declined to exercisg fh� Qption to obta(n an approved JD in
thi� instarice and at this t1me. .
2. In any circumstanoe where a permit applicant obtafns an lndividual permit, or
a Nationwide Generaf P�rm(t (NWP) or othe[ general`p�rrftif verificaiioq requlring
"pre-aonstruetion notiRcation" (PCN), or requests veri8catlon for a non-reporting
NWP or other general permit, and the perm'it ap�licanf has nok repuested an
approYed JD for the �ctivity, the permlt appliCant is. hereby made aware of the
ftzllowing: (1) the permit applicant has elected f� seek a permit authorTzatiori '
�based on a preliininaryJD;_whfch daes noi'make an o�cial deter(nination of
jurisdictiarlal watere; (2) th�t fhe: applicant has the option to request an eppro�red
JD befot'e accepting th� ter�ns and.c.onditinns oP the p.erinii aUfhorization, and
thaf basirig a permit authorization on an approved JD could ppssibly Cesult in less
cotppensatory mi[igatiorr being reqUired or different special conditlons;, (3) that
ihe applidant Bas thQ tighl to t�quesf an indtvidual �ermit rathef tfian acc�piing
fhe tercrts ahd con�ttioos nf {he NWP or oiher. general permiE authorization; (4)
that fhe.�pplicant can.�nCept a.pErrriit.autho"rization:and tfierebyag�eeto coroply.
4vith all th� terms and conditions of that perm'it, including whatever miGgation
regui�g�pents the �orps has�determined;t9 be.necessary; (5) tfiaf.und6rtaking
any ectivify in relianCe:upon the� subject perri�if authDrization wlthout requesting
aii approve,c� JD aoqstitute,s� fha appiicanPs accep2an�e. qf the use nf ihe
prelfminafy JD, but that elther form of JD wlll be processed. as soon�as is
p.Kaa�icable; (6) acoepting a permit author9zation (e.g„ signin� a proffered
rndivldual permit) ar undertaking any activily lq telianc� on°any form of Cnrps
peitnii aLthoiization based.on a prelim(nary JD aonstituEes ayreement that all
wetlands and bfher y�ra�er bodi�s on t�e� si#a affected in any way by that aottvity �
are jurisdictlonaf waters of the Unitsd 8[ate�, ahd prQcludes.any challenge to
suoh Jurisd(ction in a�y �dmin(str.alive ortJydfeial cbmpt'ianCe oc enfor.eement
act(pn, or iq any administratfve appea( or In any Fede�al court; and (7) Whether
the applicantelects touse oiHier.an approved.JD or a prelimih�ry JD, thak JD
will b� processed as �qon as fa practicable. Further, an:approved JD. a proffe�d
individua� permlf (and�all #erms.arid cohditiori's contelned tfierelnj, or indiridual
permit denial can be.administrativel�+app�aled pursuant t4 89 C.F.R. Rart �31,.
and thet in any adrriinisirative appeal, jurfsdicNonai Issues can be raised (see 33
C.F.ft. 331.5(a�(2)), !f, during, thet adminlstrative app�ai, it becomes necessary
to make an o�cial determ9natian wr�ther CWA juris�ietion exfsts oV�r a sife, or
�a

fo provide an official delineafion ofjurisd(ctianal waters on the site, ihe Corps wili
provide an approved JD to accomplish thaf r�sult, as snon as is practrcable.
This prelimir�ary JR finds that tiiere. "may bs" w�#ers of the Uflifed States on fhe
sqbject pro)ect sitE, and idenfifies a11 aqua'tic feafures�on Ehe site that: cAuld be
affected by the propos�d activfty, based orl the fo11oW[ng inforri�ation:
SUPP43RTINQ DAiA, Data reyi�wed.for prelfrt�inary J� (check all fha�apply
- checked. items should be irietuded in case file ani1, where cheeked and�
requesEed, appro�Ciately7eference sourcks Iie1oW):
�(yl�ps, plaps, pfots oi' plat submitted by or on behaff of the•
applicanHconsultant: NRDOT and Mulkey, Ine.
� dat� sheets prepared/submitfed by or qtt b�haiPof the .'
appl[ nflconsulfant
Off(ce.concutswiffl data:sheefsfdelineation report.
Oftice does rint qonouF wi(h �data sheets/delipeatiotr report;
❑ 15afa sheeis prepar�d b� iheCorps:
� Coips nayigable 1�r�te{�s' study; .
❑ U.S. Geotogieaf Survey Wydtologic Atlas;;
�� USGS NHD data.
� USGS 8��td 12 di"gif HUG maps.
❑ U,3. G�oTogica( Survey ri�ap(s). Cite-scale & qu�d name:
❑ USDA Natural Resouroes Conselvation $�rv1ca.Sojl SuYyey. Ctfation;
❑NatioT�alV✓etlandslnventbrymap(s). Citen�m�:
❑ Stafe/Lo.ca(wetland:irrvetrtorymap(s); . .
❑:FEMA/FIRAAmeps; �
�] 'LOQ•year Fioodp�ain E�eVatjon is: jNational Geoa�clicVertica{ batu�n
of 1929} .
�� Rhoto'�raphs"� �Aerfal (Name & Datej:�/ �Siizrcz_S �eC,hni�r�.� ��"-�'
ot � other (Name & �ate): W���R ���s� � s a la�l �� �
❑. Pravious deiertnination�s)� File no, and'date of response I�fter;
�Other mformation �lease.spe�ify): (�S�C 5� � v, si � �r. �i1�c�„�k> rn�.
al�3�ia_
3

�,
. L. �`�/i�-
i nature and date,oR
Reyulat�ry P..rajec� Mal.rager
(REQUIR�D) "
4
.�
SCgnatUre and date of �
person requegting p�elJm�taryJQ
(REQI�JI�ED,. unl�s� bbtalning
the sjgn�tpre is Unp[actiaaklg)

North Carolina Department of Environment and Natural Resources
Division of Water Qualily
�evedy Eaves Perdue Chades Waklid, P.E.
' overnor Director
March 13, 2012
Mr. Thomas Barrett, Senior Scientist
Mulkey Engineers & Consultants, Inc.
Post Office Box 33127
Raleigh, North Carolina 27636
Subject: NCDOT TIP U-5105, Henderson County
Four (4) unnamed tributaries to King Creek in the French Broad River Basin,
040302, Class C Waters
On-Site Dete�Ynination for Applicability to the Mitigation Rules (15A NCAC 2H .0506(h)
Dear Mr. Banett:
Oee Freeman
Secretary
On February 23, 2012, at your request and in your attendance, Mike Parker, NC Division of Water
Quality (NCDWQ) staff, conducted an on-site determination to review drainage features located east and
west of North Carolina Highway 225 at the intersection of NCSR 1164 (Erkwood Drive) and NCSR 1779
(Sheperd Street) for applicability to the mitigation rules (15A NCAC 2H. 0506(h)). The drainage features
are approximated on the attached map initialed and dated March 13, 2012.
Stream SA Perennial within Study Area
Stream SB Perennial within Study Area
Stream SC Perennial �vithin Study Area at Fence to Stream SB
Stream SD Intermittent within Study Area
Wetland WA Wetland is adjacent but not abutting to stream SA
Wetland WB Wetland is abutting to stream SA
NCDWQ has determined that the stream feature identified as "SC" on the attached map is perennial at the
fence line downsfream of Mud Creek Baptist Church stormwater pond. Please note that the stream
feature identified as "SD" in the jurisdiction verification request package was not reviewed on site by
NCDWQ and will be considered accurate as presented. Also, this letter only addresses the applicability to
the mitigation rules at the site specifically marked on the attached map as the study area and does not
apply to reaches of the channel or feature outside of the NCDOT project area, or to any other drainage
features in the vicinity.
This letter only addresses the applicability to the mitigation rules and the buffer rules and does not
approve any activity within the buffer, Waters of the United States, or Waters of the State. Any impacts
to wetlands or streams must comply with the 404/401 regulations, water supply regulations (I SA NCAC
2B .0216), and any other required federal, state and local regulations.
The owner (or future owners) or permittee should notify NCDWQ (and other relevant agencies) of this
determination in any future correspondences concerning this property and/or project. This on-site
determination shall expire five (5) years from the date of this letter.
SURFACE WATER PROTECTION SECTION-Ashehl� Regbnal Office
2090 U.S. Hghway 70, Swannanoa, Nalh Carolina 28778A211
Phate: 828-296-05(101 FAX:828-299�7043
InlerneC wvnv.ncwaterquality.ory
M Equal Oppatuni(y 1 Afirmativz Actbn Emyo��er
Noi thCarolina
�atcrr�zllr�

Mr. Thomas Barrett
March 13, 2012
Page Two
Landowners or affected par[ies that dispute a determination made by NCDWQ or Delegated Local
Authority that a surface water exists and that it is subject to the mitigation rules may request a
determination by the Director. A request for a determination by the Director shall be referred to the
Director in writing c% Brian Wrenn, NCDWQ Wetlandsl401 Unit, 1650 Mail Service Center, Raleigh,
NC 27699-1650.
Individuals that dispute a determination by NCDWQ or Delegated L,ocal AuthoriTy that "exempts" a
surface water from the mitigation rules may ask For an adjudicatory hearing. You may obtain the petition
form from the Office of Adminisirative Hearings. You must file the petition with the Office of
Administrative Hearings within sixty (60) days of receipt of this norice and the date the affected parly
(including downstream and adjacent landowners) is notified of this decision. A petition is considered
filed when it is received in the Office of Administrative Hearings during normal office hours. The Ofiice
of Administrative Hearings accepts filings Monday through Friday beriveen the hours of 8:OOam and
S:OOpm, except for official state holidays. The original and one (1) copy of the petition must be filed with
the Office of Administrative Hearings.
The petition may be faxed-provided the original and one copy of the document is received by the Office
of Administrative Hearings within five (5) business days following the faxed transmission.
The mail'ing address for the Office of Administrative Hearings is:
Office of Adminisfrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Telephone: [phone], Facsimile: (919)-733-3478
A copy of the petition must also be served on DENR as follows:
Ms. Mary Penny Thompson, General Counse] •
Deparhnent of Environment and Natural Resources
1601 Mail Service Center
Raleigh, NC 27699-1601
This determination is final and binding unless you ask for a hearing within 60 days.
If you have any additional questions or require additional information please call me at 828-296-4500 or
at [e-mail].
Sincerely,
�����,��
Michael R. Parker
Environmental Senior Specialist
Attachment
cc: Lori Beckwith, USACE —Asheville Regulatory Field Office
Transportation Permitting Unit
Mike Puker-ARO
Sveam Call for U-51 O5, Aenderson County

�,•�ri�;���,�i����+\1
.-f!`��e�C�iii1�:�.,��
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endersa�
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� , Ille - �
��� � ' �'. i¢ x, ,,,`
1
� �� / I � I !. ?�ONT ✓�
T <<�V
I Project Vicinity�
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� 14
�.II' � — . � . !�
Figure 1
Project Vicinity
NC 225{SR 1164 (Erkwood Dr.)/SR 1779 (Shepherd St.)
Intersection Improvements
NCDOT TIP No. U-5105
Henderson County, North Carolina
i �
�• North Carolina
, .I
l� '� Depaitment of Transportation
\�, '�

Legend
� U-5105 Project Study Area
FIGURE
��
Project Study Area
Intersection Improvements
TIP Project U-5105
Henderson County, NC
Map Date: 07/06/2012
e1 inch = 1,000 feet
GRAPHIC SCALE
0 500 1,000 2,�a
Feet
...,
":�s� <
'�r�n� E�n[���n�i� c-:Nf f.�i �.�.�. v�ai�.
�a ic�fl�k.. 5 .� ir. !k G�.ti I•, �"I V4[>5
y Cl+ Y
Ie.tlC�..ri'+r) GIY»e%p-GxlifSa

Legentl
_J U-5105 Project SWdy Area
'�� Wetlands - Verified ,�'
:
Streams � Verified �.�
Intermittenl
• —= Perennial
FIGURE
3-1
il Resources Technical Re
Water Resource Fealures
TIP Praject U-5105
Intersection Improvements
Henderson Counly, NC
Map Da�e: 02I28/2012
e1 inch = 300 feet
GRAPHIC SCALE
0 150 300
Feet
, E... �.,, �v: -a �,�,,.,.., . �,,,_,,,..,: ,
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NCDWQ
Section Map ID Score
SA 40.50
�
� 56 30.00
�
� SC 30.25
SD 22.50
D'.✓�y S�
0
STREAM DELINEATIONS
On Topo On Soils 404 4D3 Subject to
Classification Map Map Jurisdiction Jurisdiction Buffers
PERENNIAL YES YES YES YES N/A
PERENNIAL NO YES YES YES N/A
PERENNIAL NO NO YES YES N/A
INTERMITTENT NO NO YES YES N/A
f'f/�'E? /�✓as,�J>E � �•✓ /� t.-�eu��•tl�r
Comments
No changes
No changes
Changed to Perennial from
Intermittent, Updated Form
No chanees
JD Review Date Reviewer
2/23/2012 TBB
2/23/2012 TBB
2/23/2012 TBB
2/23/2012 TBB

NC DWQ Stream
Date: 5J27/2011
Evaluator: Tom Barrett
Total Points:
Slream is al Icast iNennil�tnt if
>19 or perrnnial i(>30
22.5
�rm Version 4.11
Project/Site: U5105 / SDD21
County: Henderson
Stream Detennination: Intermiltenl
Latitude: 35.2II9526
Lo n g i t u d e:-82.445719
Other:
HENDERSONVILLE
e.g. Quad Name:
A. G2omoY ho10 (Subtotal = 12 ) Absent Weak Moderate Strong SCORE
1a. Continuous bed and bank 0 1 2 3 3
2. Sinuosit of channel alon ihalwe 0 1 2 3 1
3. In-Channel structure: ex. riHle-pool, step-pool, ripple- 0 1 2 3 2
oolse uence
4. Parlicle size of stream substrate 0 1 2 3 1
5. Acfive/relic flood lain 0 1 2 3 1
6. De osifional bars or benches 0 1 2 3 1
7. Recent alluvial de osits 0 1 2 3 1
S. Headcuts 0 1 2 3 0
9. Grade controls 0 0.5 1 1.5 1
10. Natural valle 0 0.5 1 1.5 1
11. Second or greater order channel No = 0 Yes = 3 0
° arlificial ditches are not raled; see diswssions in manual.
B. Hvdroloav (Subtotal = 3 )
C.
21.
22.
23.
24.
25.
or
� (Subtotal =
roots in streambec
may
Notes:
Annelids
Rip / Rap near business
Springbox near 18
Sketch:
Absent Weak Moderate Stror
0 1 2 3
0 1 2 3
1.5 1 0.5 0
0 0.5 1 1.5
0 0.5 1 1.5
No = 0 Yes = 1.5
� I FACW=0.75; OBL=1.5 Olher=0
using other methods. See p.35 of manual.
Channel Subslrate
6`7[.R7
�.
SCORE
1
0
1
.5
.5
0
SCORE
3
3
1
0

North Carolina Departmer�t af Cultural Resources
State Histaric l�ceservation Of�ce
Rumnna 1f. S�rtoK, rlciministratnr
H�n`edr �a����s !'rx�iue, Gocemar
]rnda �. Caclialc, 5eerrt�tr}'
JeFErc�} i_ [�r�w, llrput}• S�crrtiry.
December 1, ?Ol1
Colista Fieeman
I1�Iulke� Enginee�:s a�td Consultants
�7�o T��� R�a
c���, �rc ��s��
OFfcr uf hrchises a�id Hi��ory
L7i��isi� pf Hieeorieal Resourcns
�i3\7L� FiSCiUs� �lY€'CiOf
Re: Imprt�vetnents ta Iniersectinn of NC 225, SR 11G4 and SIt �1170, Hendersanville, U-5105,
Henderson �ounty, ER 1�1-2T71
I�ear �4Is. F�reem�n:
Th�tnk you for your letter af November 2, 2Q11, eoncernin� the above project.
TheCe a�:e no knc�wn �ecoxded archaeolcsgical sites widun the �roject st-ud�� axes. Ho�ucver, tlie praject a�ea has
ne;Ter been sgstematically surveyed ta dctcrmine the locatic�n or si,gnificance of ar�liaeolpgical cestaurces.
Althou�h rnost of die stud� �rea appeaxs to be within a�reviously di5turbed Yesidential area, there are por[it�ns
of the study axea east af Gxeenville Higii�va}' xnd soutli of Sl�eplierd Street, at�d can the north sidc of Erk�vood
Drive, that are appar�ntly undevelc�ped. B�sed +�n the tapographic and h�d�alogical si�tuation, tl�ese sections
are eonsid�red to have a hi�h proba%ility for the presence of prehistoric or histaric archaec�logical sites.
If aan alte�nate for iuit���section itnprovement is selected tliat tivill invoh*e netv �xound distuxbance in the above-
rnentiQned aeeas, �ve tecommer�d that a comprehensive survey be conducted by an experien�ed aicl�aeolagist ta
identify and evatuAte the signift�ance r�f ar�haefllogical remains that map 1ae datnaged c�x destxaj�ed b�� the
proposed project acric*ieies. ��Ue further recamnzend that As tnore detailed canstructic�n plans becc�me available,
diey bc f��lvarded to us for fuYther revie�v.
We have detexrnined that the �ioject As proposcd will npt Iiave �n effect ort any liistQric stxuctu�:es.
The above comments are made pursuant to Scction 10�i of die Natinnal Historic P$e�ercrarian Act and the
tldvisory Councsl t�n Historic Preservation's Regulatians fot Compliance �th SectiQn l OG cociified at 36 CFR
Part SDO.
Th�nk you for yaur ct��peratio� and eonsidei^�tion. If you have questions conceming the above ccamnient,
plcas� contact Rene� Gledhill-�,arie3�, envirQnnaental rerie�v coordinator, at 919-BQ7-G579. In all futu=e
can�municatian canceining t�us project, please cite the abnve-�c�erencecl tracking numbes.
Sincerel} ,
j���-Q_ `�-aC��-��~�lc�.c..��
��Ramona M. Iiartcas
� cc: I�iatt Wilkersvn, I'�CD�T
Loeatiaa 1119 F.�.st Jvnrs Svicer, ri,ilrigh t�C? i{��l hiaiF{ng Address: a61 i iCail tirn-ice C;enter, Raleigh 1\C 27GUJ-�1417 'Te►ep6one/frwc: (J 19) �1J7-657(1/8Q7-R574

NO SLTRVEY RE(�U�RED FC�Ri�i
PRUJ�CT �.NFQRMATIQN
Freject Na:
WI3S No.
F.A. Nn.
U-5105
4]9Q3.1.]
unknown
Federal {'US.4CE) Permit Required?
Cr�unly,�
Dpczrmenc�•
Project Truckmg No. �l+rferrtcrl UseJ
12-0�-0013
Henderson
MCS
Feendrng: ❑ 5tate
❑ Yes � IVa Permit Type;
� Federal
Prajeel Descri�ra�ion: Improvements 1v �he irrlersectian of U,S2�5/SR! 164 (Erkwood DrivejlS1;1779
(Shepherd Str�+�t,? in Hendersonville, North Caralin�. 1'rrzprau�ments beirrg eonsidered irrclucle
sigtrali�atlan wrlh turn lanes, renli�Mmer�t �f Erkwnod Drive or Sh�pherd .Street with a roundaboul or
signal, r�r an oucrl or peanut roundabout. Tf�e pr,aposed xighl-of-ways crlong US2�5, SR1164, c�r SR1779
will vary fsom the exisling �4fl. -Z7f1. to a mr�imum of SSft.
SUMMARY �F CULTi7RAL R�SOiIRCES REVIEW
Brief descripdian nf review activitees, results af revieyv, and conclusior�s:
A tnap review and site file search was �anducted at the C1�ce af State Archaeo�ogy �C]SA) art Thurscf�y,
Feianaary 23, 2t?12. Na previousty recorded archaeolggical sites were cantained within the presently
de�ned APE limiEs or immediatciy ad�acent. An examination pf Natianal Register af Historic Places
�TIRHP), State Study Listed �(5L), Localiy Designated �LI3), Determined EEigible [DE�, and Survey�d Site
(S5} properties was com�aleted utilizing resources availahle on the NCSHP(] wehsite. While the NR�iF
fisted Fiat RQck Historic District is loCat�d immediately south of the praposed improvement locatian,
non�e of the above lested praperties are Contained within or proximal tu the project study area.
Topographie, histarie, and USDA soil survey maps, as weIl as archaealogical/histnrical raference
materials, were examined by the cultural resource specialist to e�valuate �nviranmental and other factors
that may have prnmptsd �rehistnric ar E�istori� occupatian within the proje�t area. Aerial photographs and
the Gaogle Street View map applicatinn were employed tv gauge the le�el ofsurraunding residential,
urban, hydralogieal, and other erasi�e-type disturhances ►+rhich may have impacted the land surfaees and
subsurface areas within and proximal ta the praposed impro�ement I+ocation.
I3rief F�planurian �f ivhy the availalrle informalion provir�es a�eliabfe basis, f'�r reaso�rahly predicting
thar lhere �rrQ na unidentifred hlstQxic properties in [he �PE:
SHPO � 12�01/2011 } commented, "although most af the study area a�peats to be within previously
disturbed residential areas, there are portions �f the study area east of Greenvilfe Highway and south of
Shepherd Strset, and on the narth side of Erkwaod Drive, that are apparently undeveloped, Based on the
tapographical ar�d hydrolagical situation, these sections are cunsidered tn have a high probability for the
presence of prehistoric or hisiaria archaeological sit�s. lf an alternate f�r intersectior► irr�pro�ement is
selected that will invol�e new groun� disturance in the above-mentioned areas, we recommend that a
�omprehensive surr�ey he eanduct�d by an experienced archaealagist ta identify and e�aluate the
significaner. of archaeological remai�s thai may be damaged or d�stroyed by the praposed praject
SCt1VEt1+CS."
Aerial photagrapk�s and the Goagte Street Vievv map agpiicatioa demoflstrate that all portions of the
"No Saney Reyu�rerJ"(urm jar klrsar 7izm.sportarfw� Pro�rcr.s ces Oualrf ed fn �he 10Q7 Progra+�rmnric Agrer,iicnr.
NC[7pT An-l+nealoRv di flrsraric Archeteelure Gronps

existing rig.ht-af-ways along the th�e sub,�e�ct rv�d�, and those areas dir�etty praximal which wo�4d
inctud+e the �rop�sed �tOW expansi+�ns, are �ighly distur6ed from r�sidn�etial aied c�smmercia]
devela�ment. As �HPC} stated, �a cnupte r�i' {r�kativelyj undevelop�d, faeest�e� area5 $long t#te nar+rc�w
stneam cnrrid�sr exi�t within the overail pra}ect study �ea. Howt�er, it is thc ��inion �f thc l'�fC�T
cu�tura! resvuee specialist thai #�ese out�ying sectsnns ar+� unlikely t� b� aft'�ected by the actual
construction impaet� which wt�uld patentialiy impact thuse ar�as in d':eect essociation witis the propos�d
intersectiun r�alignrrrent, Unless Greenville Highway tae 5�erman I]riVc are r�ali�rked an r�e� Ic�catit�n
beyond thc prr�posrd 85ft. widc rigt�T-o� way cni3-idor, �igfiifcant ar�hacolcrgical or �ultural resc�urces are
unlikely to b� a#'€�cted b�+ th� project � currently prvposed. If �nginneerir�g construction designs far fi�e
project shc�uld alt�r the impact �ree beynnd the prapsed 85ft Rl7'W, end thast undewela�d sreas
mention�d abt�ve b�+ S1-�P� �tand t� bt i�pacted, then thc praject i€�fnrmation will necd tc� bt r�e�ubmittcd
ta ti�e �+IGDOT Archaec�logy Grcrup #'vr further cvnsult�civn. As currentiy pr4pv��d, no furthcc
airc��evlo,gic�l w+�rk wi ll he req�ie�d,
SUPPQ�T' DC}��)l'VIENTATI��1t
Se� attaeheci. � M�P4s� � Previo,�s Surv�}+ Info � Pteot�s ❑Cc�rres}xandence
� Ph�+tc�copy �f Coun�y Survey Nates
FIl�iDIIVG BY NC�C)T GULTUR�IL RESOURCES PROFE�SIt�NAL
�t} 5[�RVEY�UIREI)
. �� �� ���
ri1'�I7�5T Cultural R�saurc�es 5peciali�t
��No SprvrY R�qriire+l" fbrnr fm' iiJarmr T�muparWiiw+ �nryaevx m{Jur+drjred m rhe 3007 �ruarei�mrmrc A,qrrrmr+k
1�1C'Dt7Trlrri�w'r� dE Nirror�r �i�r.lrmcawr Grr.aFs
:�'� .���.�
Qatc

North Carolina Department of Cultural Resources
State Historic Preservation Office
Ramona M. Bartos, Adininistxator
Governor Pat McCrory
Secretary Susan HIuttz
Apri126, 2013
MEMORANDUM
TO: Shelby Spillars
Office of Human Environment
NCDOT Division of Highways
FROM: Ramona M. Bartos +`'"�"��` �'��
Office of Archives and History
Deputy Secretary Kevin Cherry
SUBJECT: Historic Architectural Resources Survey Report, Improve Intersection of NC 225/SR 1164/SR
1779, U-5105, Henderson County, ER 11-2171
Dear Ms. Spillers:
T'hank you for your submittal of March 28, 2013, transmitting the above report.
For the purpose of compliance with Section 106 of the National Historic Preservation Act, we concur that the
following properties are eligible for listing in the National Register of Historic Places under the criteria cited
and that the proposed Narional Register boundaries appear appropriate:
■ James and Ginsie Collins House (HN 1300), Criterion A for its association with tourism and the
summer colonies and Criterion C for architecture;
■ Florilina Motor Court (HN 1294), Criterion A for tourism and Criterion C for architecture; and,
■ Towles Cottages (HN 1304), Criterion A for tourism and Criterion C for architecture.
We also concur, barring additional information to the contrary, that the Hiram King Jones House (HN
1323), the Glenn-Sherman House (HN 1303), and the remaining properties within the Area of Potential
Effect are not eligible for listing in the National Register.
The above comments are made pursuant to Section 106 of the National Historic Preservation Act and the
Advisory Council on Historic Preservation's Regulations for Compliance with Section 106 codified at 36 CFR
Part 800.
Thank you for your cooperation and consideration. If you have questions concerning the above comment,
contact Renee Gledhill-Earley, environmental review coordinator, at 919-807-6579 or renee.gledhill-
earle�a,ncdcr.gov. In all future communication concerning this project, please cite the above referenced
tracking number.
cc: Mary Pope Furr, NC DOT, mfurr e,ncdot.gov
Clay Griffith, Acme Preservation Services, c��riffith.acme(a��mail.com
Location: 109 East Jones Street, Raleigh NC 27601 Mailing Address: 4617 Mail Seroice Center, Raleigh NC 27699-4617 Telephone/Fa2c: [phone]/807-6599

F�d�rai,��d #: ,��#: i2-42-��13 �'r�urrty: Hend�r�an
C+C�NCUR1iENCE F+DRM FQR AS�ESSMENT C3F EFFECTS
Pr�ject Descript�an: Imp�rc�ve intersecEicm of US 2�5 and Sr 1 l b� (Erkwoaci Dr} and SR I??9
�Shepard �t) ir► Hent3ers�rnr+iltc.
�3n Au�ust 3D, 2D16, representati�ves ofi�e
� Nar�h Carolir,� i3epartment of Tra�nspnrtation (NC17�UTj
� �ederal Highway Admir�istration (FNWA)
� No�th Ca�lina State Hist�aric Pres�r°v$ti4n Of�'ice (HP+t�)
❑ �lther
Revaewed tt�c subj'ect project and �greed on the effec#s fcndir�,gs ii�t�d witi�in the ta�ble n� the
reaerse of this signatur+� page.
Si,gned.
�Cepr�sentative,
�
0
� �- � � --/�
FHWA, For i� Division Administrat�r, �r ather Feciera! Ag�r�cy^ Lfate
�
R�spresentat�ve, HP4
Q�c�

Fecd�ralAid#.• �'.�t#: il�-p2-OOt3 Ca�mry; H�endersoo
Proparty and S�atus Altemati+re Eftect Finding Rsasona
James and Gi�ssie C4ltins Alt 5R ''`� 1-'s�- ro`'+�•�� �.'�""�"'�'' Q'�' �� � s°'�
Hause (H�T 13€1(ly Itnuedabo� ''� �```� +rn �t�-�• o� taS ZZ"'S
F3orelina Mntaa Court Alt 51�. �t{, �"��'" �,,•-�-St�.,� C�1t,r-yc,._'�' �]..,v�aC c� .• •'� "
(i�I1294} Rn�dabwst
Tcswles Cottages A!t SR '"'' ���''�- '�'� ' "� a�ri6''"� s+�laC.
(f�T 1344} Ra�mdabcnrt 'e� � '��'`;�`� �`~`�" �
James and Ginsie C�lisns Alt 55
�,✓�-S G �'„�r ,a�- cs.��#- �t.......� a..r..� ,�.a �� �"C � E•
Ho�se (HN 13Q0) Sig+al �+c�c�
Flcr:i�ina Motar Cnurt Alt SS rw +�+-�� �' O�k`S„�'4' �rv-,�...# ��Q o� �'�-°�—
+(HPd 12941 Sigasl
Tmwles CcrBt�Gges Alt SS 1� CJ�v1Q�'"3�- U�+�-�'�rLS Ir� �� 1�n.auJc,.- �•�-�5d�-e..} -tv
(HN 13t?�) Signal ,�.�-�¢ o� c..sJ�V Vc'�'wFiS
[nitealed: NCi7d7 �„� FH�VVA � 1-iP0 � -
PHWl4 Intends W vse thc HPO"s conceurence as a Faasis for a"de minim°as" fmding far the follrnwing pr[�erCies, pairsuant to 5ectimn 4(f}:
`,f ca,+r1 c.� �+ �-�.� '�--5'

En vironmental
Quality
RGY COOPER
Governor
Mr. Dave McHenry
NCD�T Division 14 Environmental Specialist
North Carolina Department of Transportation
253 Webster Road
Sylva, North Carolina 28779
Dear Mr. McHemy:
May 16, 2017
Subject: Mitigation Acceptance Letter:
Division 14 Project, TIP U-5105, NC 225 — SR 1164 (Erkwood Drive) to SR 1779 (Shepherd Street)
Intersection Improvement, Henderson County; WBS Element 41903.1.1
The purpose of this letter is to notify you that the Division of Mitigation Services (DMS) will provide the
compensatory stream mitigation for the subject project. Based on the infornlation received on May 10, 2017, the impacts
are located in CU Ob010105 of the French Broad River basin in the Southem Mountains (SM) Eco-Region, and are as
follows:
French Broad Stream Wetlands Buffer (Sq. Ft.)
06010105 Non- Coastal
SM Cold Cool Warm Riparian Riparian Marsh Zone 1 Zone 2
Impacts (feet/acres) 0 372.0 0 0 0 0 0 0
This impact and associated mitigation need were under projected by the NCDOT in the 2017 impact data. DMS
will commit to implement sufficient compensatory stream mitigation credits to offset the impacts associated with this
project as deternuned by tl�e regulatory agencies using die delivery timeline listed in Section F.3.c.iii of the ILF Instrument.
If the above referenced impact amounts are revised, then this mitigation acceptance letter will no longer be valid and a new
mitigation acceptance letter will be required from DMS.
If you have any questions or need additional information, please contact Ms. Beth Harmon at 919-707-$420.
Sincerely,
Jame . Stanfill
Credit Management Supervisor
cc: Ms. Lori Beckwith, USAC� — Asheville Regulatory Field Office
Mr. Steve Williams, P.E., Division 14 Planning Engineer
Ms. Linda Fitzpatrick, NCDOT — PDEA
File: U-5105
!'�'Nothing Compares �-�_
State of North Carolina � Environmental Quality
�17 West Jones Street ! 1601 Mail Service Center � Raleigh. North Carolina 27699-1601
919 707 8600

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): U-5105, Erkwood/Shepherd NC 225
3. ApplicanUowner name: NCDOT, Division 14
5. County: Henderson
7. River basin: French Broad
2. Date of evaluation: 5-17-17
4. Assessor name/organization: Dave McHenry,
Nearest named water body
on USGS 7.5-minute quad: King Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): -82.444882, 35.290469
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): SA 10. Length of assessment reach evaluated (feet): 100
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 6 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): �8 12 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: �Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: � Mountains (M) ❑ Piedmont (P) ❑ Inner Coastal Plain (I) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic �A ��� �B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip ❑Size 1(< 0.1 mi2) �Size 2(0.1 to < 0.5 mi2) ❑Size 3(0.5 to < 5 mi2) ❑Size 4(>_ 5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ❑Yes �No If Yes, check all that apply to the assessment area.
❑Section 10 water �Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/supplementarv measurements included in "Notes/Sketch" section or attached? ❑Yes ❑No
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
�A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
❑A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
�B Not A
3. Feature Pattern - assessment reach metric
❑A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
�B Not A
4. Feature Longitudinal Profile - assessment reach metric
❑A Majority of assessment reach has a substantially altered stream profile (examples: channel down-cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
�B Not A
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down-cutting (head-cut), active widening, and artificial hardening (such as concrete, gabion, rip-rap).
❑A < 10% of channel unstable
�B 10 to 25% of channel unstable
❑C > 25% of channel unstable

6. Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
�B ❑B Moderate evidence of conditions (examples: berms, levees, down-cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
❑C �C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walis, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
❑I Other: (explain in "Notes/Sketch" section)
�J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
�C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes �No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In-stream Habitat Types — assessment reach metric
10a. ❑Yes �No Degraded in-stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in-stream hardening [for example, rip-rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
❑A Multiple aquatic macrophytes and aquatic mosses @�, ❑F 5°/a oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) �@ ❑G Submerged aquatic vegetation
❑B Multiple sticks and/or leaf packs and/or emergent o y ❑H Low-tide refugia (pools)
vegetation Y L ❑I Sand bottom
❑C Multiple snags and logs (including lap trees) L@ ❑J 5% vertical bank along the marsh
�D 5% undercut banks and/or root mats and/or roots �� ❑K Little or no habitat
in banks extend to the normal wetted perimeter
❑E Little or no habitat
**************"******************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. ❑Yes �No Is assessment reach in a natural sand-bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
�A Riffle-run section (evaluate 11c)
�B Pool-glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c. In rifFle sections, check all that occur below the normal wetted perimeter of the assessment reach —whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _> 10-40%, Abundant (A) _> 40-70%, Predominant (P) _> 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
� ❑ ❑ ❑ ❑ Bedrock/saprolite
� ❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
❑ � ❑ ❑ ❑ Cobble (64 — 256 mm)
❑ ❑ � ❑ ❑ Gravel (2 — 64 mm)
❑ ❑ � ❑ ❑ Sand (.062 — 2 mm)
❑ � ❑ ❑ ❑ SilUclay (< 0.062 mm)
❑ � ❑ ❑ ❑ Detritus
❑ ❑ � ❑ ❑ Artificial (rip-rap, concrete, etc.)
11d. ❑Yes �No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. �Yes ❑No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. �Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean (isopod/amphipod/crayfish/shrimp)
� ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ �Other fish
❑ ❑Salamanders/tadpoles
❑ �Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
�B �B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >_ 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
�C �C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
�N �N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
❑A Streams and/or springs Qurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low-flow periods within the assessment area (beaver dam, leaky dam, bottom-release dam, weir)
�D Evidence of bank seepage or sweating (iron in water indicates seepage)
❑E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
�C Urban stream (>_ 24% impervious surface for watershed)
�D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf-on" condition.
�A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
❑A ❑A ❑A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑ B ❑ B ❑ B ❑ B From 50 to < 100 feet wide
❑C ❑C ❑C ❑C From 30 to < 50 feet wide
� D � D � D � D From 10 to < 30 feet wide
❑E ❑E ❑E ❑E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
�A �A Mature forest
❑B ❑B Non-mature woody vegetation or modified vegetation structure
❑C ❑C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22: ❑
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B �B ❑B �B �B ❑B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)Icommercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
�A �A Medium to high stem density
❑B ❑B Low stem density
❑C ❑C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
�A �A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
�B �B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
❑C ❑C Vegetation is severely disturbed in #erms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity — assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes �No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑ B 46 to < 67 ❑ C 67 to < 79 ❑ D 79 to < 230 ❑ E >_ 230
Notes/Sketch:

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name U-5105, Erkwood/Shepherd
NC 225
Stream Category Ma2
Date of Assessment 5-17-17
Assessor Name/Organization Dave McHenry, NCDOT Div.
14
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Function Class Rating Summary
(1) Hydrology
(2) Baseflow
(2) Flood Flow
(3) Streamside Area Attenuation
(4) Floodplain Access
(4) Wooded Riparian Buffer
(4) Microtopography
(3) Stream Stability
(4) Channel Stability
(4) Sediment Transport
(4) Stream Geomorphology
(2) Stream/Intertidal Zone Interaction
(2) Longitudinal Tidal Flow
(2) Tidal Marsh Stream Stability
(3) Tidal Marsh Channel Stability
(3) Tidal Marsh Stream Geomorphology
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2)Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
(1) Habitat
(2) In-stream Habitat
(3) Baseflow
(3) Substrate
(3) Stream Stability
(3) In-stream Habitat
(2) Stream-side Habitat
(3) Stream-side Habitat
(3) Thermoregulation
(2) Tidal Marsh In-stream Habitat
(3) Flow Restriction
(3) Tidal Marsh Stream Stability
(4) Tidal Marsh Channel Stability
(4) Tidal Marsh Stream Geomorphology
(3) Tidal Marsh In-stream Habitat
(2) Intertidal Zone
Overal I
NO
YES
Perennial
USACE/ NCDWR
All Streams Intermittent
MEDIUM
HIGH
MEDIUM
LOW
LO W
MEDIUM
LOW
HIGH
MEDIUM
HIGH
HIGH
NA
NA
NA
NA
NA
MEDIUM
HIGH
MEDIUM
LO W
HIGH
NO
MEDIUM
NA
HIGH
HIGH
HIGH
HIGH
MEDIUM
HIGH
HIGH
MEDIUM
HIGH
NA
NA
NA
NA
NA
NA
NA
MEDIUM

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): U-5105, Erkwood/Shepherd NC 225
3. ApplicanUowner name: NCDOT, Division 14
5. County: Henderson
7. River basin: French Broad
2. Date of evaluation: 5-17-17
4. Assessor name/organization: Dave McHenry,
Nearest named water body
on USGS 7.5-minute quad: King Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): -82.4455, 35.2902
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): �+4 SD 10. Length of assessment reach evaluated (feet): 40
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 1 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 2 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ❑Perennial flow �Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: � Mountains (M) ❑ Piedmont (P) ❑ Inner Coastal Plain (I) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic �A ��� �B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip �Size 1(< 0.1 mi2) ❑Size 2(0.1 to < 0.5 mi2) ❑Size 3(0.5 to < 5 mi2) ❑Size 4(>_ 5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ❑Yes �No If Yes, check all that apply to the assessment area.
❑Section 10 water � ❑Water Supply Watershed (❑I ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/supplementarv measurements included in "Notes/Sketch" section or attached? ❑Yes ❑No
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
�A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
�A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
❑B Not A
3. Feature Pattern - assessment reach metric
❑A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
�B Not A
4. Feature Longitudinal Profile - assessment reach metric
�A Majority of assessment reach has a substantially altered stream profile (examples: channel down-cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
❑B Not A
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down-cutting (head-cut), active widening, and artificial hardening (such as concrete, gabion, rip-rap).
�A < 10% of channel unstable
❑B 10 to 25% of channel unstable
❑C > 25% of channel unstable

6. Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
�B �B Moderate evidence of conditions (examples: berms, levees, down-cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
❑C ❑C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walis, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
❑I Other: (explain in "Notes/Sketch" section)
�J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
�C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes �No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In-stream Habitat Types — assessment reach metric
10a. �Yes ❑No Degraded in-stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in-stream hardening [for example, rip-rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
❑A Multiple aquatic macrophytes and aquatic mosses @�, ❑F 5°/a oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) �@ ❑G Submerged aquatic vegetation
❑B Multiple sticks and/or leaf packs and/or emergent o y ❑H Low-tide refugia (pools)
vegetation Y L ❑I Sand bottom
❑C Multiple snags and logs (including lap trees) L@ ❑J 5% vertical bank along the marsh
❑D 5% undercut banks and/or root mats and/or roots �� ❑K Little or no habitat
in banks extend to the normal wetted perimeter
�E Little or no habitat
**************"******************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. ❑Yes �No Is assessment reach in a natural sand-bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
�A Riffle-run section (evaluate 11c)
�B Pool-glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c. In rifFle sections, check all that occur below the normal wetted perimeter of the assessment reach —whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _> 10-40%, Abundant (A) _> 40-70%, Predominant (P) _> 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
� ❑ ❑ ❑ ❑ Bedrock/saprolite
� ❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
� ❑ ❑ ❑ ❑ Cobble (64 — 256 mm)
❑ ❑ � ❑ ❑ Gravel (2 — 64 mm)
❑ ❑ � ❑ ❑ Sand (.062 — 2 mm)
❑ ❑ � ❑ ❑ SilUclay (< 0.062 mm)
� ❑ ❑ ❑ ❑ Detritus
❑ ❑ � ❑ ❑ Artificial (rip-rap, concrete, etc.)
11d. ❑Yes �No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. �Yes ❑No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ❑Yes �No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ❑Other fish
❑ ❑Salamanders/tadpoles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >_ 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
�N �N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
❑A Streams and/or springs Qurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
�C Obstruction passing flow during low-flow periods within the assessment area (beaver dam, leaky dam, bottom-release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
�E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
�C Urban stream (>_ 24% impervious surface for watershed)
�D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf-on" condition.
❑A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
�B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
❑A ❑A ❑A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑ B ❑ B ❑ B ❑ B From 50 to < 100 feet wide
❑C ❑C ❑C ❑C From 30 to < 50 feet wide
❑ D ❑ D ❑ D ❑ D From 10 to < 30 feet wide
�E �E �E �E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
❑A ❑A Mature forest
❑B ❑B Non-mature woody vegetation or modified vegetation structure
�C �C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22: ❑
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B �B ❑B ❑B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)Icommercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
❑A ❑A Medium to high stem density
❑B �B Low stem density
�C ❑C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
❑A ❑A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
�C �C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
❑B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
�C �C Vegetation is severely disturbed in #erms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity — assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes �No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑ B 46 to < 67 ❑ C 67 to < 79 ❑ D 79 to < 230 ❑ E >_ 230
Notes/Sketch:

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name U-5105, Erkwood/Shepherd
NC 225
Stream Category Mb1
Date of Assessment 5-17-17
Assessor Name/Organization Dave McHenry, NCDOT Div.
14
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Function Class Rating Summary
(1) Hydrology
(2) Baseflow
(2) Flood Flow
(3) Streamside Area Attenuation
(4) Floodplain Access
(4) Wooded Riparian Buffer
(4) Microtopography
(3) Stream Stability
(4) Channel Stability
(4) Sediment Transport
(4) Stream Geomorphology
(2) Stream/Intertidal Zone Interaction
(2) Longitudinal Tidal Flow
(2) Tidal Marsh Stream Stability
(3) Tidal Marsh Channel Stability
(3) Tidal Marsh Stream Geomorphology
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2)Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
(1) Habitat
(2) In-stream Habitat
(3) Baseflow
(3) Substrate
(3) Stream Stability
(3) In-stream Habitat
(2) Stream-side Habitat
(3) Stream-side Habitat
(3) Thermoregulation
(2) Tidal Marsh In-stream Habitat
(3) Flow Restriction
(3) Tidal Marsh Stream Stability
(4) Tidal Marsh Channel Stability
(4) Tidal Marsh Stream Geomorphology
(3) Tidal Marsh In-stream Habitat
(2) Intertidal Zone
Overal I
NO
V�C
Intermittent
USACE/
All Streams
LOW
MEDIUM
LOW
LOW
MEDIUM
LOW
NA
MEDIUM
HIGH
MEDIUM
MEDIUM
NA
NA
NA
NA
NA
MEDIUM
MEDIUM
LOW
LOW
MEDIUM
NO
HIGH
NA
LOW
LOW
MEDIUM
MEDIUM
MEDIUM
LOW
LOW
LOW
LOW
NA
NA
NA
NA
NA
NA
NA
LOW
NCDWR
Intermittent
LOW
MEDIUM
LOW
LOW
MEDIUM
LOW
NA
MEDIUM
HIGH
MEDIUM
MEDIUM
NA
NA
NA
NA
NA
MEDIUM
MEDIUM
LOW
LOW
MEDIUM
NO
NA
NA
LOW
LOW
MEDIUM
MEDIUM
MEDIUM
LOW
LOW
LOW
LOW
NA
NA
NA
NA
NA
NA
NA
LOW

F�i�� ��� {y. North Carolina Department of Transportation
St01"111W't1tE'Y I
i
i
,�,,,.,,,,� Highway 3tormwater Program �!
STORMWATER MANAGEMENT PLAN --
(Version 2.07; Released Octo6er 2016) FOR NCDOT PROJECTS
WBS Element: 41903.1.1 TIP No.: U-5105 County(ies): Henderson Page 1 of 1
General Project Information
WBS Element: 41903.1.1 TIP Number: U-5105 Project Type: Roadway Relocation Date: 4/4/2017
NCDOT Contact: Paul F. Fisher, PE, PLS Contractor I Designer: CALYX Engineers + Consultants / David P. Bocker, PE
Address: 1020 Birch Ridge Drive Address: 7500 East Independence Blvd.
Raleigh, NC 27610-150 Suite 100
Charlotte, NC 28227
Phone: [phone] Phone: [phone]
Email: pfisher(a�ncdot.qov Email: dbocker(a�CALYXenqineers.com
CitylTown: Hendersonville County(ies): Henderson
River Basin(s): French Broad CAMA County? No
Wetlands within Project Limits? Yes
Project Description
Project Length (lin. miles or feet): 0.151 miles Surrounding Land Use: Urban (Residential & Commercial)
Proposed Project Existing Site
Project Built-Upon Area (ac.) 2.0 ac. 1.3 ac.
Typical Cross Section Description: Proposed Roadways - 2@ 12'-19' Lanes with C&G and paved shoulders with Existing Roadways - 2@ 9'-11' Lanes (Lane widths vary on NC 225, SR 1164 and SR
Roundabout 1179)
Annual Avg Daily Traffic (veh/hr/day): Design/Future: 11600 Year: 2035 Existing: 9800 Year: 2017
General Project Narrative: The project consists of intersection improvements at NC 225, SR 1164, and SR 1179 which includes realignment of SR 1179 and a new roundabout in Henderson County. The
(Description of Minimization of Water improvement require a replacement of the existing 7'x6' RCBC conveying King Creek Tributary with a 10'x7' RCBC. The proposed culvert is buried one foot for fish passage.
Quality Impacts) The proposed stormwater runoff from the proposed improvements has been conveyed to storm drainage systems and ditches that outlet to the stream.
Waterbod Information
Surface Water Bod 1: Kin Creek - Tributa 3 NCDWR Stream Index No.: 6-55-8-1-2-3
NCDWR Surface Water Classification for Water Body Primary Classification: Class C
Supplemental Classification: None
Other Stream Classification: None
Impairments: None
Aquatic T8E Species? No Comments:
NRTR Stream ID: Buffer Rules in Effect: N/A
Pro"ect Includes Brid e Spannin Water Body? No Deck Drains Dischar e Over Buffer? No Dissipator Pads Provided in Buffer? N/A
Deck Drains Dischar e Over Water Bod ? No (If yes, provide justification in the General Project Narrative) (If yes, describe in the General Project Narrative; if no, justify in the
(If yes, provide justification in the General Project Narrative) General Project Narrative)
WBS Element: 41903.1.1 TIP No.: U-5105 County(ies): Henderson Page of 1
Additional Waterbod Information
Surface Water Bod 2: NCDWR Stream Index No.: