In response to recent flooding that occurred as a result of Hurricanes Matthew (2016) and Florence (2019), the U.S. Army Corps of Engineers received funding through the 2019 Additional Supplemental Appropriations for Disaster Relief (H.R. 2157) for a feasibility study to assess and recommend actions that reduce flood risk and increase resiliency within the Tar-Pamlico River Basin. A series of flood risk management alternatives designed to reduce flood risks within the basin through various combinations of structural (e.g., floodwalls, levees, detention basins), non-structural (e.g., acquisition and relocation, home elevation), and natural and nature-based measures (e.g., wetland and floodplain storage) were developed and compared with the goal of identifying and recommending an alternative that reduces flood risk while protecting environmental resources.