20090173 Ver 1_Application_20090219

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION wvA*f
MICHAEL F EASLEY
GOVERNOR
February 3, 2009
U S Army Corps of Engineers
Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
ATTN Mr David Baker
NCDOT Coordinator
LYNDo TIPPETT
SECRETARY
090173
Subject Application for Section 404 Nationwide Permit 23 and 401 Water
Quality Certification for the proposed replacement of Bridge No 146 over
Big Pine Creek on SR 1151 (Big Pine Road) in Madison County, Federal Aid
Project No BRSTP-1151(3), Division 13, WBS Element 33314 1 1, TIP No
B-3869
Debit Work Order $240 00
Dear Sir
The North Carolina Department of Transportation (NCDOT) proposes to replace Bridge No
146 over Big Pine Creek on SR 1151 There will be 40 If of permanent surface water
impacts and no temporary impacts
Please see enclosed copies of the Pre-Construction Notification (PCN), Approved
Jurisdictional Determination Form, permit drawings and roadway plan sheets for the above-
referenced project The Categorical Exclusion (CE) was completed in April 2008 and was
distributed shortly thereafter Additional copies are available upon request
This project calls for a letting date of October 20, 2009 and a review date of September 1,
2009
A May 2000 letter from the North Carolina Wildlife Resources Commission (NCWRC) lists
a trout moratorium from November 1 to April 15 for Big Pine Creek Since NCWRCs
comments for this project are more than eight years old, NCDOT hereby requests a new
NCWRC review NCDOT requests that NCWRC forward their comments to the Corps of
Engineers and the NCDOT within 30 calendar days of receipt of this application
MAILING ADDRESS
NC DEPARTMENT OF TRANSPORTATION
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS
1598 MAIL SERVICE CENTER
RALEIGH NC 27699-1598
TELEPHONE [phone]
FAX [phone]
WESSITE WWW NCDOT ORG
LOCATION
2728 CAPITAL BLVD
SUITE 240
RALEIGH NC 27604

A copy of this permit application will be posted on the NCDOT Website at
http//wwwncdotorg/doh/preconstruct/pe/ If you have any questions or need additional
information, please e-mail Jeff Hemphill at jhemphill@ncdot gov
Sincerely,
Gregory J orpe, Ph D
Environmental Management Director, PDEA
W/attachment
Mr Brian Wrenn, NCDWQ (5 Copies)
Ms Marella Buncick, USFWS
Ms Marla Chambers, NCWRC
Dr Charles Nicholson, TVA
W/o attachment (see website for attachments)
Dr David Chang, P E, Hydraulics
Mr Victor Barbour, P E , Project Services Unit
Mr Greg Perfetti, P E , Structure Design
Mr Mark Staley, Roadside Environmental
Mr Jay Swain, P E, Division Engineer
Mr Roger Bryan, DEO
Mr Jay Bennett, P E , Roadway Design
Mr Mated Alghandour, P E , Programming and TIP
Mr Art McMillan, P E , Highway Design
Mr Scott McLendon, USACE, Wilmington
Ms Stacy Oberhausen, PDEA Planning Engineer
2

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Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. 2 0 0 8 0 1 7 3
(1t any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" )
1. Processing
Check all of the approval(s) requested for this project
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2 Nationwide, Regional or General Permit Number(s) Requested NWP 23
3 If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here ?
4 If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here ?
5 If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here ?
II. Applicant Information
Owner/Applicant Information
Name Gregory J Thorpe, Ph D , Environmental Management Director
Mailing Address 1598 Mail Service Center
Raleigh, NC 27699-1598
Telephone Number [phone] Fax Number [phone]
E-mail Address
2 Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant )
Name
Company Affiliation
Mailing Address-
Telephone Number Fax Number
E-mail Address.
Pagel of 9

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III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties Both the vicinity map
and site plan must include a scale and north arrow The specific footprints of all buildings,
impervious surfaces, or other facilities must be included If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format,
however, DWQ may accept paperwork of any size DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided
1 Name of project Replacement of Bridge No 146 on SR 1151 (Big Pine Road over Big
Pine Creek
2 T I P Project Number or State Project Number (NCDOT Only)
B-3869
3 Property Identification Number (Tax PIN) N/A
4 Location
County Madison Nearest Town- Big Pine
Subdivision name (include phase/lot number) N/A
Directions to site (include road numbers/names, landmarks, etc ) Take I-40 west to Exit 24
and turn right (north) on NC 209 Proceed north on NC 209 for approximately sixteen and a
half miles to SR 1151 (Baltimore Branch Road - name changes to Big Pine Road over the
mountain) Proceed approximately four miles to SR 1158 Bridge 146 is located dust prior to
the intersection with SR 1159 (North Fork Road)
Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody )
Decimal Degrees (6 digits minimum) 35 7587 ON 82 8294 °W
6 Property size (acres) N/A
7 Name of nearest receiving body of water Big Pine Creek (DWO Class `C' water)
8 River Basin French Broad River
(Note - this must be one of North Carolina's seventeen designated mayor river basins The
River Basin map is available at http Hl12o enr state nc us/admin/maps/ )
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I
/4,
9 Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application The site is located in a rural section of Madison County The
site is primarily surrounded by commercial and rural residential property
10 Describe the overall project in detail includingthe type of equipment to be used
The North Carolina Department of Transportation (NCDOT) proposes to replace the existin
g
31-foot long single span Bridge No 146 on the same alignment with a new 24-foot wide and
40-foot long single span bridge There will be 40 linear feet of permanent impacts to surface
waters resulting from the east bridge abutment from the proposed bridge being placed at the
waters edge A temporary bridge will man Big Pine Creek just north of the existing bridge to
provide an onsite detour No temporary impacts to surface waters will result from the
construction of this project Construction equipment will consist of heavy trucks, earth
moving equipment, cranes, etc
1 I Explain the purpose of the proposed work The existing bridge is structurally deficient and
according to federal guidelines are considered functionally obsolete The replacement of this
bridge will result in safer traffic operations
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn Provide photocopies of previously issued permits,
certifications or other useful information Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable) If this is a NCDOT project,
list and describe permits issued for prior segments of the same T I P project, along with
construction schedules N/A
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application
N/A
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project Each impact must be
listed separately in the tables below (e g, culvert installation should be listed separately from
nprap dissipater pads) Be sure to indicate if an impact is temporary All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan All wetlands and waters, and all streams (intermittent and perennial)
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should be shown on a delineation map, whether or not impacts are proposed to these systems
Wetland and stream evaluation and delineation forms should be included as appropriate
Photographs may be included at the applicant's discretion If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below If additional
space is needed for listing or description, please attach a separate sheet
Provide a written description of the proposed impacts The construction of the new bridge on the
same alignment will result in 40 linear feet of permanent impacts to surface waters for the
replacement of Bridge No 146 (Site 1) Permanent impacts will result from a new abutment on
the east side of the proposed bridge A temporary detour will bridge Big Pine Creek to the north
of the existing bridge with no temporary impacts to surface waters
Individually list wetland impacts Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc For dams,
separately list impacts due to both structure and flooding
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e g , forested, marsh,
herbaceous, bog, etc) Located within
100-year
Floodplam
(yes/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)
N/A

Total Wetland Impact (acres)
2 List the total acreage (estimated) of all existing wetlands on the property 0 acre
Individually list all intermittent and perennial stream impacts Be sure to identify temporary
impacts Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e g, cement walls, np-rap, crib
walls, gabions, etc ), excavation, ditching/straightening, etc If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included To calculate acreage, multiply length X width, then divide by 43,560
Stream Impact
Number
(indicate on
map)

Stream Name

Type of Impact
Perennial or
Intermittent'? Average
Stream Width
Before Impact
Impact
Length
(linear feet)
Area of
Impact
(acres)
Bridge 146 Big Pine Creek Permanent Perennial 4 feet 40 <0 01

Total Stream Impact (by length and acreage) 40 <0 01
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4
4 Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U S ) Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc) Area of
Impact
(acres)
N/A

Total Open Water Impact (acres)
5 List the cumulative impact to all Waters of the U S resulting from the project
Stream Impact (acres) <0 01
Wetland Impact (acres) 0
Open Water Impact (acres) 0
Total Impact to Waters of the U S (acres) <0 01
Total Stream Impact (linear feet) 40
6 Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet) Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE
7 Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections Also, the proposed pond should
be described here and illustrated on any maps included with this application
Pond to be created in (check all that apply) ? uplands ? stream ? wetlands
Describe the method of construction (e g, dam/embankment, excavation, installation of
draw-down valve or spillway, etc )
Proposed use or purpose of pond (e g, livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc )
Current land use in the vicinity of the pond
Size of watershed draining to pond Expected pond surface area
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project The applicant may attach drawings of alternative, lower-impact
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14.
site layouts, and explain why these design options were not feasible Also discuss how impacts
were minimized once the desired site plan was developed If applicable, discuss construction
techniques to be followed during construction to reduce impacts A temporary bridge will be
utilized for an onsite detour that will span Big Pine Creek resulting in no temporary impacts to
surface waters
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H 0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
o necessary to ensure that adverse effects to the aquatic environment are minimal Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed Examples of mitigation that may be appropriate and practicable include,
but are not limited to reducing the size of the project, establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams, and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http //h2o enr state nc us/ncwetlands/strmgide html
Provide a brief description of the proposed mitigation plan The description should provide
as much information as possible, including, but not limited to site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e g, deed restrictions, conservation easement, etc ), and a
description of the current site conditions and proposed method of construction Please attach
a separate sheet if more space is needed
NCDOT proposes no mitigation for this project due to its minimal permanent impacts
2 Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP) Please note it is the applicant's responsibility to contact the NCEEP at
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[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http //h2o enr state nc us/wrp/index htm If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information
Amount of stream mitigation requested (linear feet) N/A
Amount of buffer mitigation requested (square feet) N/A
Amount of Riparian wetland mitigation requested (acres) N/A
Amount of Non-npanan wetland mitigation requested (acres) N/A
Amount of Coastal wetland mitigation requested (acres) N/A
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ?
2 If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)9
Note If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation
Yes ® No ?
3 If yes, has the document review been finalized by the State Cleannghouse9 If so, please
attach a copy of the NEPA or SEPA final approval letter Yes ® No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project The applicant must also provide
justification for these impacts in Section VII above All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan All buffers must be shown on a
map, whether or not impacts are proposed to the buffers Correspondence from the DWQ
Regional Office may be included as appropriate Photographs may also be included at the
applicant's discretion
Will the project impact protected riparian buffers identified within 15A NCAC 2B 0233
(Meuse), 15A NCAC 2B 0259 (Tar-Pamlico), 15A NCAC 02B 0243 (Catawba) 15A NCAC
2B 0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )9 Yes ? No
2 If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3 (2 for Catawba)
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2 15
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel, Zone 2 extends an
additional 20 feet from the edge of Zone 1
3 If buffer mitigation is required, please discuss what type of mitigation is proposed (i e,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund) Please attach all appropriate information as identified
within 15A NCAC 2B 0242 or 0244, or 0260 N/A
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level N/A
XII. Sewage Disposal (required by DWQ)
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
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H 0500) or any Buffer Rules9
Yes ? No
Is this an after-the-fact permit application9 Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality9 Yes ? No ?
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http //h2o enr state nc us/ncwetlands If no, please provide a short narrative description
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XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e g , draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control)
As of January 31, 2008, the United States Fish and Wildlife Service lists a total of three federally
protected species for Madison County (Table below)
The bald eagle is now protected under The Bald and Golden Eagle Act which requires NCDOT
to look for suitable foraging habitat within one mile of the protect area for these species No
suitable foraging habitat was observed within a mile of the project study area
Federall protected s ecies of Madison Coun .
Common Name Scientific
Name Status Habitat Biological
Conclusion
Bog turtle Clemmys
muhlenbergii Threatened
S/A No Not Subject
Spotfin chub Hybo scs monacha Threatened Yes No Effect
Gray bat Myotis griscens Endangered No No Effect

Z.1(0 "al
Applicant/Ageift's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided )
Page 9 of 9

APPROVED JURISDICTIONAL DETERMINATION FORM
U S Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook
SECTION I BACKGROUND INFORMATION
A REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD)
B DISTRICT OFFICE, FILE NAME, AND NUMBER
C PROJECT LOCATION AND BACKGROUND INFORMATION: TIP# B-3869 NCDOT
State NC County/pansh/borough Madison City Big Pine
Center coordinates of site (lat/long in degree decimal format) Lat 35° Long 82° W
Universal Transverse Mercator
Name of nearest waterbody Big Pine Creek
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows French Broad River
Name of watershed or Hydrologic Unit Code (HUC) 06010105
Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request
Check if other sites (e g , offsite mitigation sites, disposal sites, etc ) are associated with this action and are recorded on a
different JD form
D REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY)
Office (Desk) Determination Date
Field Determination Date(s)
SECTION 11• SUMMARY OF FINDINGS
A RHA SECTION 10 DETERMINATION OF JURISDICTION
There IMM "navigable waters ofthe US" within Rivers and Harbors Act (RHA) Junsdiction (as defined by 33 CFR part 329) in the
review area [Required]
IM Waters subject to the ebb and flow of the tide
® Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce
Explain
B CWA SECTION 404 DETERMINATION OF JURISDICTION
There "waters of the US " within Clean Water Act (CWA) Junsdiction (as defined by 33 CFR part 328) in the review area [Required]
1. Waters of the U.S
a. Indicate presence of waters of U.S in review area (check all that apply)
TNWs, including territorial seas
Wetlands adjacent to TNWs
Relatively permanent waters2 (RPWs) that flow directly or indirectly into TNWs
Non-RPWs that flow directly or indirectly into TNWs
Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
Impoundments of Junsdictional waters
Isolated (interstate or intrastate) waters, including isolated wetlands
b Identify (estimate) size of waters of the U S in the review area
Non-wetland waters 350 linear feet width (R) and/or acres
Wetlands acres
c Limits (boundaries) of jurisdiction based on lit?ann
Elevation of established OHWM (if known)
2 Non-regulated waters/wetlands (check if applicable):3
® Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not Junsdictional
Explain
i Boxes checked below shall be supported by completing the appropriate sections in Section III below
2 For purposes of this form, an RPW is defined as a tributary that is not a TN W and that typically flows year-round or has continuous flow at least "seasonally'
(c g , typically 3 months)
3 Supporting documentation is presented in Section III F

SECTION III CWA ANALYSIS
A TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs If the aquatic resource is a TNW, complete
Section III.A 1 and Section III D I only, if the aquatic resource is a wetland adjacent to a TNW, complete Sections III A 1 and 2
and Section III D.1 , otherwise, see Section III B below
1. TNW
Identify TNW
Summarize rationale supporting determination
2 Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent"
B CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY)
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met
The agencies will assert jurisdiction over non-navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e tributaries that typically flow year-round or have continuous flow at least seasonally (e g, typically 3
months). A wetland that directly abuts an RPW is also jurisdictional If the aquatic resource is not a TNW, but has year-round
(perennial) flow, skip to Section III D 2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section III DA
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law
If the waterbody° is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III B 1 for
the tributary, Section III B 2 for any onsite wetlands, and Section IIi.B3 for all wetlands adjacent to that tributary, both onsite
and offsite The determination whether a significant nexus exists is determined in Section III.C below
1. Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions
Watershed size
Drainage area
Average annual rainfall inches
Average annual snowfall inches
(ii) Physical Characteristics
(a) Relationship with TNW
? Tributary flows directly into TNW
? Tributary flows through ffl? tributaries before entering TNW
Project waters are river miles from TNW
Identify flow route to TNW5
Tributary stream order, if known
Project waters are -river miles from RPW
Project waters area aerial (straight) miles from TNW
Project waters are aerial (straight) miles from RPW
Project waters cross or serve as state boundaries Explain
Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the and
West
5 Flow route can be described by identifying, e g, tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW
(b) General Tnbutarv Characteristics (check all that apply)
Tributary is ? Natural
? Artificial (man-made) Explain
? Manipulated (man-altered) Explain
Tributary properties with respect to top of bank (estimate)
Average width feet
Average depth feet
Average side slopes N0119
Primary tributary substrate composition (check all that apply)
? Silts ? Sands
? Cobbles ? Gravel
? Bedrock ? Vegetation Type/% cover
? Other Explain
? Concrete
? Muck
Tributary condition/stability [e g, highly eroding, sloughing banks] Explain
Presence of run/nffle/pool complexes Explain
Tributary geometry ki
Tributary gradient (approximate average slope) %
(c) Flow
Tributary provides for
Estimate average number of flow events in review area/year
is{
Describe flow regime
Other information on duration and volume
Surface flow is Characteristics
Subsurface flow ' Explain findings
? Dye (or other) test performed
Tributary has (check all that apply)
? Bed and banks
? OHWM6 (check all indicators that apply)
? clear, natural line impressed on the bank ?
? changes in the character of soil ?
? shelving ?
? vegetation matted down, bent, or absent ?
? leaf litter disturbed or washed away ?
? sediment deposition ?
? water staining ?
? other (list)
? Discontinuous OHWM 7 Explain
If factors other than the OHWM were used to determ
High Tide Line indicated by El
? oil or scum line along shore objects
? fine shell or debris deposits (foreshore)
? physical markings/characteristics
? tidal gauges
? other (list)
the presence of litter and debris
destruction of terrestrial vegetation
the presence of wrack line
sediment sorting
scour
multiple observed or predicted flow events
abrupt change in plant community
ine lateral extent of CWAjunsdiction (check all that apply)
Mean High Water Mark indicated by
? survey to available datum,
? physical markings,
? vegetation lines/changes in vegetation types
(m) Chemical Characteristics
Characterize tributary (e g , water color is clear, discolored, oily film, water quality, general watershed characteristics, etc )
Explain
Identify specific pollutants, if known
6A natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e g , where the stream temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices) Where there is a break in the OHWM that is unrelated to the waterbody's flow
regime (e g , flow over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
7[bid
(iv) Biological Characteristics Channel supports (check all that apply)
? R?panan corridor Characteristics (type, average width)
? Wetland fringe Characteristics
? Habitat for
? Federally Listed species Explain findings
? Fish/spawn areas Explain findings
? Other environmental ly-sensiti ve species Explain findings
? Aquatic/wildlife diversity Explain findings
2 Characteristics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW
(i) Physical Characteristics
(a) General Wetland Characteristics
Properties
Wetland size acres
Wetland type Explain
Wetland quality Explain
Project wetlands cross or serve as state boundaries Explain
(b) General Flow Relationship with Non-TNW
JZM Explain
Flow is
Surface flow ?s ism
Characteristics
Subsurface flow Explain findings
? Dye (or other) test performed
(c) Wetland Adiacency Determination with Non-TNW
? Directly abutting
? Not directly abutting
? Discrete wetland hydrologic connection Explain
? Ecological connection Explain
? Separated by benn/bamer Explain
(d) Proximity (Relationship) to TNW
Protect wetlands are _ river miles from TNW
Project waters are aenal (straight) miles from TNW
Flow is from
Estimate approximate location of wetland as within the floodplam
(ii) Chemical Charactenstics.
Characterize wetland system (e g , water color is clear, brown, oil film on surface, water quality, general watershed
characteristics, etc ) Explain
Identify specific pollutants, if known
(m) Biological Characteristics Wetland supports (check all that apply)
? Ripanan buffer Characteristics (type, average width)
? Vegetation type/percent cover Explain
? Habitat for-
[] Federally Listed species Explain findings
? Fish/spawn areas Explain findings
? Other environmentally-sensitive species Explain findings
? Aquatic/wildlife diversity Explain findings
3 Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered ?n the cumulative analysis _INIM M
Approximately ( ) acres in total are being considered ?n the cumulative analysis
For each wetland, specify the following
Directly abuts? (Y/N) Size (in acres) Directly abuts Y/N) Size (in acres)
Summarize overall biological, chemical and physical functions being performed
C SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e g between a
tributary and its adjacent wetland or between a tributary and the TNW) Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook Factors to consider include, for example
• Does the tributary, ?n combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TN Ws, or to reduce the amount of pollutants or flood waters reaching a TN W?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?
Note the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below:
1 Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III D
2 Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section III D
3 Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW Explain findings of
presence or absence of significant nexus below, based on the tributary ?n combination with all of its adjacent wetlands, then go to
Section III D
D DETERMINATIONS OF JURISDICTIONAL FINDINGS THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY)
1 TNWs and Adjacent Wetlands Check all that apply and provide size estimates in review area
TNWs linear feet width (ft), Or, acres
Wetlands adjacent to TNWs acres
2 RPWs that flow directly or indirectly into TNWs.
Tributaries of TNWs where tributaries typically flow year-round arejunsdictional Provide data and rationale indicating that
tributary is perennial DWQ rating form greater than 30
Tributaries of TNW where tributaries have continuous flow "seasonally" (e g, typically three months each year) are
jurisdictional Data supporting this conclusion is provided at Section III B Provide rationale indicating that tributary flows
seasonally
Provide estimates for junsdictional waters in the review area (check all that apply)
Q Tributary waters linear feet width (ft)
[] Other non-wetland waters acres
Identify type(s) of waters
Non-RPWss that flow directly or indirectly into TNWs
Q Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is junsdictional Data supporting this conclusion is provided at Section III C
Provide estimates for jurisdictional waters within the review area (check all that apply)
[] Tributary waters linear feet width (ft)
ED Other non-wetland waters acres
Identify type(s) of waters
Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
0 Wetlands directly abut RPW and thus are junsdictional as adjacent wetlands
Q Wetlands directly abutting an RPW where tnbutanes typically flow year-round Provide data and rationale
indicating that tributary is perennial in Section III D 2, above Provide rationale indicating that wetland is
directly abutting an RPW 87 Corps Manuel Wetland criteria were met in areas adjacent to RPWs.
El Wetlands directly abutting an RPW where tnbutanes typically flow "seasonally " Provide data indicating that tributary is
seasonal in Section III B and rationale in Section III D 2, above Provide rationale indicative that wetland is directlv
abutting an RPW
Provide acreage estimates for junsdichonal wetlands in the review area acres
Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs
Q Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW are junsidictional Data supporting this
conclusion is provided at Section III C
Provide acreage estimates for junsdictional wetlands in the review area acres
Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
El Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are junsdictional Data supporting this
conclusion is provided at Section III C
a
Provide estimates for junsdictional wetlands in the review area acres
7. Impoundments of jurisdictional waters 9
As a general rule, the impoundment of a junsdictional tnbutary remains jurisdictional
Demonstrate that impoundment was created from "waters of the US," or
Demonstrate that water meets the cntena for one of the categories presented above (1-6), or
Demonstrate that water is isolated with a nexus to commerce (see E below)
E. ISOLATED [INTERSTATE OR INTRA-STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY) 10
which are or could be used by interstate or foreign travelers for recreational or other purposes
from which fish or shellfish are or could be taken and sold in interstate or foreign commerce
which are or could be used for industrial purposes by industries in interstate commerce
Interstate isolated waters Explain
Other factors Explain
Identify water body and summarize rationale supporting determination-
8See Footnote # 3
9 To complete the analysis refer to the key in Section III D 6 of the Instructional Guidebook
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.
Provide estimates for Junsdictional waters in the review area (check all that apply)
q Tributary waters linear feet width (ft)
p Other non-wetland waters acres
Identify type(s) of waters
? Wetlands acres
F NON-JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY)
Q If potential wetlands were assessed within the review area, these areas did not meet the cntena in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements
Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce
? Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR)
Waters do not meet the "Significant Nexus" standard, where such a finding is required for Junsdiction Explain
Other (explain, if not covered above)
Provide acreage estimates for non-lunsdictional waters in the review area, where the sole potential basis of junsdiction is the MBR
factors (i e, presence of migratory birds, presence of endangered species, use of water for irrigated agnculture), using best professional
judgment (check all that apply)
Non-wetland waters (i e, rivers, streams) linear feet width (ft)
Lakes/ponds acres
Other non-wetland waters acres List type of aquatic resource
Wetlands acres
Provide acreage estimates for non-lunsdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for Junsdiction (check all that apply)
Non-wetland waters (i e, rivers, streams) linear feet, width (ft)
Lakes/ponds acres
Other non-wetland waters acres List type of aquatic resource
Wetlands acres
SECTION IV DATA SOURCES
A SUPPORTING DATA Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below)
Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant
Data sheets prepared/submitted by or on behalf of the applicant/consultant
? Office concurs with data sheets/delineation report
? Office does not concur with data sheets/delineation report
Data sheets prepared by the Corps
Corps navigable waters' study
U S Geological Survey Hydrologic Atlas
? USGS NHD data
? USGS 8 and 12 digit HUC maps
U S Geological Survey map(s) Cite scale & quad name
USDA Natural Resources Conservation Service Soil Survey Citation
National wetlands inventory map(s) Cite name
State/Local wetland inventory map(s)
FEMA/FIRM maps
100-year Floodplain Elevation is (National Geodectic Vertical Datum of 1929)
Photographs ? Aerial (Name & Date)
or ? Other (Name & Date)
Previous determination(s) File no and date of response letter
Applicable/supporting case law
Applicable/supporting scientific literature
Other information (please specify)
B. ADDITIONAL COMMENTS TO SUPPORT JD-
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