20171454 Ver 1_final counter signed Sampson 148 PJD Package_signed_20170307

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATI�N
A. REPORT COMPLET{�N DATE FOR PRELIMiNARY .lURISDICTIONAL
DETERMINATION (JDj:
B. NAME AND ADDRESS OF PERSON REQl1ESTlNG PRELlMINARY J�:
NCDOT Mighway Di�isian 3
55D1 Barbadas Blvd., CasUe Hayne, NC 28429
C. DISTRICT OFFICE, FfLE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
5ampson Bddge 148 on llunRey 5chool Road (5R 1434} over Mill Swamp
(IJSE THE ATZACHED TABLE TO �OCUMENf MUE.TIPI.� WAT�RBODIES AT DIFFERENT
sir�s�
State: NC Countylparishlborough: 5ampsan Ci�y:
Center coordinates of site (latllong in degree decimal format):
Lat. 35.0808fi °N; Long. 78•50897 °W,
Univ�rsal Transverse Mercator: »s �z»6s saezs3o
Name of nearest waterbody: M��� swama
tdenti#y {�stimate) amount of waters in the review area:
Nan-wetland waters:
soo linear feet: 15 width {ft} andlor �0�25 acres.
Cowardin Class: Riv��n�r�aGus��+n�
St�garp F�OW: Perennlal
Wetlands: �o�� acres.
Cowardin Class: Fores�@d
Name of any water bodies on the site that have been identified as 5ection 1�
waters:
Tidaf:
Non-Tidal:

E. REVIEW PERFORMED �OR SITE EVALUA710N (CH�CK ALL THAT
APPLYj:
� Office {Desk} Determinatian. Date:
� Field Determinaiion. Date(s): �z�rzfl�s
SUPPORTlNG DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
wher� checked and requested, appropriately reference sources below?:
aMaps, plans, plots or plat submitted by or on behalf of the
$�rJiIC3f1tIC0115UIt811t: Environme�tal Servlces, Inc.
✓❑ Data she�ts preparedlsubmitted by or on behalf of the
app ' nticonsultant.
Office cancurs with data sheetsldelineaiion repart.
Office does not cancur with data sheetsldelineation report.
❑ Data she�ts pr�par�d by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological 5urvey Hydrolagic Atlas:
� USGS NHD data
� USGS 8 and '�2 digit HUC maps
❑✓ U.S. Gefllogical Survey map{s). Cite sca[e & quad name: Sai@mbur�. NG �:za.oaa
❑✓ USDA Natural Resources Conservation Ser�ice Sail 5urvey.
GtatI0I1: �RCS Digital 5oil 5urvay oi 5ampson County, 2009
❑ National wetfands inventory map(s). Cite name:
❑ StatelLocal wetland inventory map(s):
❑ FEMAIFIRM maps:
� 1 a0-year Floadplain Elsvation is:
{Naiional Geodectic Vertical Datum of 'f929}
❑ Photographs: ❑ Aerial (Name & �ate}: or
� Other (Name & Date):
� Pre�ious determination(s). File no. and date o# response ietter.
� Other information (please specify): 2oa7 ��a e�eYa�on Qa�, NCDOT Lidar, Sampson Caunty

1. The Corps of Engineers beiieves that ther� may be jurisdictional waters of the
United States on t�e subject site, and the permit applicant or ather affected parly
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an appraved jurisdict+onal determination (JD) for that site.
Nevertheless, the permit apPlicant or other person who requested this
preliminary JD has declined to exercise the option to abta�n an approv�d JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Natianwide G�neral Permit (NWP) or other generaf permit verification reguiring
"pre-construction notification" (PCN), or requests verification for a non-reparting
NWP or other g�neral permit, and the permit applicant has not re�uested an
approved JD for the aciiviky, the pemnit applicant is hereby made awara of the
following: (1) the permit applicank has electe� to seek a permit aukhorization
based on a preliminary JD, which daes not make an official determination of
jurisdic�ional waters; (2) that the applicant has the option to request an appraved
JD befare accepting the terms and con�itions of the permit autharization, and
that basing a permit authorization or� an approved JD could passibly result in less
compensatory mit+gatian being req�ired or different special canditions; (3) that
the applicant has the right to request an individual permit rather than accepting
tF�e terms and conditians af khe NWP or other general permit authorization; {4)
thai the applicant can accept a permit authorization and thereby agree to comply
with all the terms and canditions af that permit, including whatever mi#igation
reauirements khe Corps has determined to be r�ecessary; {5} that undertaking
any activity in reliance upan the subject permit authorization without requesting
an appraved JD constiiutes the applicank's acceptance of the use of the
prefiminary JD, b�t that e�t�er form of JD will be processed as soon as is
practicable; (6) accepting a permit au#h�rizatian (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form af Corps
permit authorization based on a preliminary JD conskitutes agreement that all
wetlands and ather water bodies on the site affected in any way by #�at aciivity
are jurisdickional waters af the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative aPpeal o� in any Federal court; and (7} whether
the ap�licant elects to �se either an appraved JD or a preliminary JD, that JD
will ba processed as soon as is practicable. Further, an approved JD, a proffered
individual permit {and all terms and conditions contained kherein), or individuai
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any adminiskrative aPpeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a}{2)). If, during that administrativ� appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
ta pravid� an official deii�eation of jurisdictional waters on the site, th� Corps will
provide an approved JD to accomplish that result, as soon as is practicable.
�j

This preliminary JD finds that there "may be" waters of the United States on the
subject project site, and identifies afl aquatic features an the site that cauEd be
affected by the proposed activity, based an the following �nformatior�:
IMPORTANT NOTE: T�e information recorded on this form has not
necessarilv been verified bv the Corps and should not be relied upon for
later 'urisdict�onal determinations.
Digitally signed by
SH AV E R. B RA D SHAVER.BRAD.E.1276601756
DN: c=US, o=U.S. Government, ou=DoD,
.E.1276601756 ou=PKI,oU-�SA,
c n=5 H AV E R. B RA D. E.12 76601756
narP� �ni � n� n7 07:21:20 -OS'00'
Signature and da#e of
Regulatory Praject Manager
(REQUIRED}
4
Digitally signed by Mason Herndon
�DN: cn=Mason Herndon, o=NCDOT,
��,.,,� ou=Division 3,
email=[e-mail], r—US
Date: 2017.02.15 17:16:34 -OS'00'
Signature and date af
person requesting preliminary .fD
(REQUIRED, unless obtaining
the signature is impracticable)

Estimated amount
Site Cowardin of aquatic resource Class of
number Latitude Langitude Class in r�vicw area aquatic
Linear Acres �'�source
ft.
Non-Section
10 non-
SA 35.05083� -7$.50855 Riverine 600 ft wetland
Non-Section
10 non-
SB 35A60816 -78.50916 Riverine 50 ft wetland
Non-Section
10 non-
SC 35.06153 -78.50898 Riverine 100 ft weland
Non-Sectian
Wp 10 — Wetland
35.06071 -78.54892 Forested <4.1 acre
Non-Section
SWA 10 — non- tida!
35.06144 -78.50924 Lacustrine <.25 acre