20110232 Ver 1_Application_20110310

G'
NCDENR
North Carolina Department of Environment and Natural Resources ® ? 3
Div'sim of water quality
Beverly Eaves Perdue Cdeen H. Sullins pee Freeman
Govemm Director Secretary
Attachment L: Low Impact Bridge Replacement Process
Low Impact Bridge Project No.: 1313-51048 County Halifax
Bridge No._71_ over Kehukee Swamp WBS Element Number 45350.1.3
This project is subject to the Low Impact Bridge Process as agreed to on October 6,
20119. This project meets the documentation requirements and approval procedures
under NEPA, as defined by FHWA, for Low Impact Bridge Replacements. This project
meets the standards of NCDOT's Minimum Criteria Rules.
Date: 3/11/11
Applicant Name:
Applicant Address: NCDOT Division of Hiahways
P.O. Box 3165 MAR 1 0 2011
Wilson N 27895-3165
t'?1dn a " k
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Primary Contact for Project: Chad Goggins
Phone No.: [phone]
Is this an after-the4act application: Yes X No
River Basin: Roanoke C 0 t(r I e -ry 1"
e14-Y
Stream Classification: C /V W 3
Regulatory Authorization Options for this Activity /t/O l (4r f eis
Federal: USACE Nationwide General Permit 3 - Maintenance Fry' (,? aS
State: General Water Quality Certification #3687 andlor6rr ?Ft2:at3on- I
Local: None 15S"I-
Project Description - NCDOT proposes to replace bridge #71 which is a 3 span 26'X53' bridge
with a new three span 33'X1 02', 6° bridge. There are minimal wetland and no stream impacts 3 flo //",
and no impacts to riparian buffers that are subject to Basinwide buffer rules. All Stormwater will
be directed to a modified concrete flume located away from the streambank where the SW will
then sheet flow back into the main run of Kehukee swamp.
Signature: C LJ ("I, k?
Print Name:
Title:
Transpa6Em Permimng Udl
1550 Mad service center, R*O, Naln C,amfma M99-1650
Loatbn: 2321 Crabtree Blvd., Raleo, Nafi CmoGra 27604
Ph re: 919-73117661 FAX:[phone]
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NorthCarolina
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TIP NO n/a
VVBS Element No. 45350.1.3
-ty Coun Halifax
Bridge Number 71
Description Bridge over
Kehukee Swam
Basin Roanoke
Classification C
Stream SIN 23-42
Type Inland
Size 50'
3 Span
Existing Structure S x L 26x53
Suff. Rating 35.4
Proposed Stricture Type 3 Span
size 33x107 6"
Stream USACE LF 0
NCDWO Impacts L 0
USACE impacts AC <.001
Wetlands Non 404 Impacts AC no
CAMA Impacts SF no
NC DM Buffers Impacts SF no
Buffer Application Required (>40 It) (Y/N) no
State Stormwater Permit R ulred (YIN) no
Habitat no
T&E Species Present no

Moratoriem Bio Conclusion
Type
Dates no affect
Native/Hatche no
Trout Waters Trout Species Present no
Trout Conditions (YIN) no
WRC Reviewer no
CAMA AECs no
Essential Fish Habitat no
Nev. Opening n0
USCG Permit no
Historic Properties no
Archaeological Resources no
Tribal Lands no
Resources no
WC Resources no
Wild and Scenic River no
Federal Lands no
TVA Area no
FEMA Buyout no
FEMA Flood Study ND-limfted
USTs Haz Mats no
Relocatees no
L
ti LAT 36.1295
oca
on LONG -77.3629
Project Comments Wetlands
Delineated
Completed by:
Lead Engineer
D taion En rfr n n 1 Officer

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NCDOT
DIVISION 'OF "HIGHWAYS
VICINITY HALIFAX COUNTY
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B
D-5104
PROJECT:
MAPS REPLACE BRIDGE #71,
ON SR 1804 OVER
i(NOT 'TQ SCALE)
:KEEHUKBE
SWAMP' '

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NORTH CAROLINA
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NCD®T
DIVISION OF HIGHWAYS
HALIFAX COUNTY
1L O P O MAP PROJECT: BD-5104B
REPLACE BRIDGE 471
SCALE: 1° = 2000' ON SR 1804 OVER
KEEHUKEE
SWAMP
SHEET OF 2/25/11