20120222 Ver 1_Application_20120222

BEVERLY PURDUE
GOVERNOR
N C Division of Water Quality
Winston -Salem Regional Office
585 Waughtown St
Winston- Salem, NC 27107
Attention Ms Amy Euhss
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
P O Box 25201 Raleigh, NC 27611 5202
PHONE [phone]
February 17 2012
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EUGENE CONT
SECRETARY
120223
Subject Notification for the replacement of Bridge #84 over West Prong Moon Creek on SR 1315
(Jones Rd) in Caswell County WBS # 45353 1 11 TIP# BD -5107J
Dear Ms Euhss
The North Carolina Department of Transportation is scheduled to replace Bridge #84 with a new bridge at
the same location I have included the Attachment L with a project description and a set of the project
plans Please review this project for compliance by your Division
We plan to begin construction as soon as possible If further information is required, please contact Jerry
Parker at (336) 256 -2063 Your early review and consideration will be appreciated
Sincerely
M Mills P E
Division Engineer Division 7
Enclosures
cc Jerry A Parker Division Environmental Supervisor
Thomas Brown, US Army Corps of Engineers
Tun Powers NCDOT
NCDENR DWQ Wetlands /401 Unit Raleigh, NC
Barry Harrington, Roadside Environmental Field Operations Engineer
P O Box250 N WrLxEsBoRo NC 28659
PHONE [phone] FAx [phone]

Ord
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H Sullins Dee Freeman
Governor Director Secretary
Attachment L Low Impact Bridge Replacement Process
Low Impact Bridge Project No BD -5107J County - Caswell
Bridge No 84 over West Prong Moon Creek WBS Element Number 45353 1 11
This project is subject to the Low Impact Bridge Process as agreed to on October 6
2009 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 February 17, 2012
Applicant Name NCDOT
Applicant Address 1584 Yanceyville Street
Greensboro NC 27415
Primary Contact for Project Jerry A Parker
Phone No 336 256 2063
Is this an after the fact application Yes X No
River Basin Roanoke
Stream Classification Class C
Regulatory Authorization Options for this Activity
Federal USACE Nationwide General Permit 3 — Maintenance
State General Water Quality Certification #3687 and /or Buffer Authorization
Local None
Transportation Permitting Unit 0110
1650 Mail Service Center Raleigh North Carolina 27609 1650 NorthCarohna
Location 2321 Crabtree Blvd Raleigh North Carolina 27604 yr //
Phone [phone] FAX [phone] atu` Add
Internet http / /h2o enr state nc us /ncwetlands/

Project Descnption — The project consists of replacing Bridge #84 over West Prong Moon
Creek on SR 1315 (Jones Rd) and improving roadway approaches The existing 36 L X 19 9'W
bridge is structurally deficient and will be replaced with a new 135 L X 30 W bridge at the
same location An off -site detour will be utilized dunng construction Total project length is 500
ft No work is proposed in the stream and there are no buffers nor wetlands associated with the
project No permanent or temporary stream impacts are proposed during construction A survey
was conducted for the presence of James Spinymussel and Roanoke logperch A conclusion of
No Effect was reached for both species
Signature -n-) ��& ) p Pt-
Print Name J M Mills, P E
Title Division Engineer, Division 7

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