A slow moving surface low moved through the southeastern United States and up the East Coast through the Mid Atlantic. This caused steady moderate rain across the Central Appalachians for much of the day on January 23rd. Generally 1-1.5 inches of rain fell through the day on soil already saturated from previous rainfall. This resulted in efficient runoff and several creeks and streams spilled over their banks. This included Paint Creek in the Pax area of Fayette County, and Camp Branch near Harper in Raleigh County. Several roads and bridges were covered by water in these areas.