20191555 Ver 1_MCDC (Signed)_20191112

MINIMUM CRITERIA DETERMINATION CHECKLIST
The following questions provide direction in determining when the Department is
required to prepare environmental documents for state -funded construction and
maintenance activities. Answer questions for Parts A through C by checking either "Yes"
or "No". Complete Part D of the checklist when Minimum Criteria Rule categories #8,
#12(i), or #15 are used.
TIP Project No.:
State Project No.: 17BP.14.R.61
Project Location: Bridge No. 36 on SR 1384 (Webb Creek Road) over Webb Creek
Cherokee County, North Carolina
Project Description: Replace Bridge No. 36 with a 67' 6" L x 24' W x 5'-9" H
aluminum arch culvert structure on existing location. The project will use a staged onsite
detour for construction.
Anticipated Permit or Consultation Requirements: Anticipated Permit or
Consultation Requirements:
1. Outside river corridor = Yes.
2. Below impact threshold for applicable NWP = No. NWP 3 Required.
3. Tree clearing =Yes, Bureau of Indians Affairs to Determine Moratorium.
4. Trout watershed = Yes (follow moratorium unless EBCI Fishery & Wildlife
verification letter states no).
5. NLEB HUC = Clear.
Project will require a USACE NWP 3 written authorization and written EBCI
Water Quality 401 Certification.
Special Project Information: Project located on EBCI Lands. Concurrence required
from EBCI Regulatory Program, Water Quality Program, Fish & Wildlife Program and
Tribal Historical Preservation Office.
09/17/18 1 of 4

PART A: MINIMUM CRITERIA
YES NO
to be completed by the Engine
1. Is the proposed project listed as a type and class of activity allowed under 0
the Minimum Criteria Rule in which environmental documentation is not
required?
If the answer to number 1 is "no", then the project does not qualify as a
minimum criteria project. A state environmental assessment is required.
If yes, under which category? (9) Reconstruction of existing crossroad or
railroad separations and existing stream crossings,
including, but not limited to pipes, culverts, and
bridges.
If either category #8, #12(i) or 415 is used complete Part D of this checklist.
PART B: MINIMUM CRITERIA EXCEPTIONS
Items 2 — 4 to be completed by the Engineer
2. Could the proposed activity cause significant changes in land use
concentrations that would be expected to create adverse air quality
impacts?
3. Will the proposed activity have secondary impacts or cumulative impacts
that may result in a significant adverse impact to human health or the
environment?
4. Is the proposed activity of such an unusual nature or does the proposed
activity have such widespread implications, that an uncommon concern
for its environmental effects has been expressed to the Department?
[Item 5-8 to be completed by Division Environmental Officer
5. Does the proposed activity have a significant adverse effect on wetlands;
surface waters such as rivers, streams, and estuaries; parklands; prime or
unique agricultural lands; or areas of recognized scenic, recreational,
archaeological, or historical value?
6. Will the proposed activity endanger the existence of a species on the
Department of Interior's threatened and endangered species list?
7. Could the proposed activity cause significant changes in land use
concentrations that would be expected to create adverse water quality or
ground water impacts?
09/17/18 2 of 4

YES NO
8. Is the proposed activity expected to have a significant adverse effect on ❑ ES
long-term recreational benefits or shellfish, finfish, wildlife, or their
natural habitats
If any questions 2 through 8 are answered "yes", the proposed project may not qualify as a
Minimum Criteria project. A state environmental assessment (EA) may be required. For
assistance, contact:
Manager, Project Development and Environmental Analysis Branch
P. O. Box 25201
Raleigh, NC 27611
(919) 733 —3141
Fax: [phone]
PART C: COMPLIANCE WITH STATE AND FEDERAL REGULATIONS
Items 9-12 togbdompleted by Divisio4Environmental Officer. _ YES NO
9.
Is a federally protected threatened or endangered species, or its
❑
habitat, likely to be impacted by the proposed action?
10.
Does the action require the placement of temporary or permanent
®
❑
fill in waters of the United States? NWP 3
11.
Does the project require the placement of a significant amount of
❑
fill in high quality or relatively rare wetland ecosystems, such as
mountain bogs or pine savannahs?
12.
Is the proposed action located in an Area of Environmental
❑
Concern, as defined in the coastal Area Management Act?
Items 13 —15 to be completed by the Engineer.
13.
Does the project require stream relocation or channel changes?
7
�X
Cultural Resources
14. Will the project have an "effect" on a property or site listed on the ❑X
National Register of Historic Places?
15. Will the proposed action require acquisition of additional right of 0
way from publicly owned parkland or recreational areas?
Questions in Part "C" are designed to assist the Engineer and the Division Environmental
Officer in determining whether a permit or consultation with a state or federal resource
agency may be required. If any questions in Part "C" are answered "yes", follow the
appropriate permitting procedures prior to beginning project construction.
09/17/18 3 of 4

PART D: (To be completed when either category #8, #120), or #15 of the rules are
used.
Items 16- 22 to be completed by Division Environmental Officer. =
16. Project length:
17. Right of Way width:
18. Project completion date:
19. Total acres of newly disturbed ground
surface:
20. Total acres of wetland impacts:
21. Total linear feet of stream impacts:
22. Project purpose:
If Part D of the checklist is completed, send a copy of the entire checklist document to:
Don G. Lee
State Roadside Environmental Engineer
Mail Service Center 1557
Raleigh, NC 27699-1557
[phone]
Fax [phone]
Email: [e-mail]
DocuSigned by:
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Reviewed by: F91746F43930471...
Adam Dockery
Division 14 Bridge Program Manager
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Patric A3°Wreec�ove
Division 14 Environmental Specialist
9/17/2018
Date:
9/17/2018
Date:
09/17/18 4 of 4

Cherokee County
Replace Bridge Number: 36 (Webb Creek) under
SR 1384 (Webb Creek Road) near Andrews, N.C.
WBS No. 17BP.14.R.61
• Project will be require written NWP 3 authorization for this project as
well as a written EBCI Water Quality Program 401 Certification.
• Project will comply with the standard 2017 NWP 3 conditions, EBCI Fish &
Wildlife Program conditions and EBCI Water Quality Program 401
conditions.
• Project will adhere to NCDOT best management practices to prevent
sedimentation in downstream habitats of Webb Creek.

Bridge 36
Bridge 36, SR 1384 (Webb Creek Road)
USGS Quad: " over Webb Creek
Andrews Cherokee County
35083-B7-TF-024 w e 0 0.25 0.5 1
Miles
s