20200187 Ver 1_Avery Bridge #1 MCD Checklist_20200204

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.: SF-050001
State Project No.:
Project Location: SR 1349 (Ruffin St.), Linville, NC
Project Description: This project replaces existing bridge #01, composed of 2 spans, each
36' in length, for an overall length of 72'. The existing bridge consists of timber floor on
I -beams with reinforced concrete abutments and pier, and is 18' wide out -to -out.
The proposed new bridge will be two spans, each consisting of 45' cored slabs for an
overall length of 90'. The new bridge width will be 33' out to out. There is a slight
increase in the impervious area of the project, however there is no significant increase in
the discharge from the roadway runoff.
Anticipated Permit or Consultation Requirements: Nationwide Permit #3 from USACE
and Water Quality General Certification 4132 from NCDWR
Special Project Information:
Environmental Commitments
Construction Moratorium - Brown Trout occur in the project area. As a result, NCWRC
has requested a moratorium prohibiting in -stream work and land disturbance within the
25-foot trout buffer from October 15 to April 15 to protect the egg and fry stages of trout.
Federally Protected Species - Suitable habitat for the Northern Long -Eared Bat (NLEB)
does exist within the project study area. Furthermore, a review of the NC Natural
Heritage Program (NCNHP) records during November 2019 revealed that NLEB have
been documented within a mile of the project. Due to the known proximity of NLEB, a
survey request was made to NCDOT's Biological Surveys Group. Additional
information will be provided from their survey by late spring/early summer 2020.
01/13/20 1 of 4

PART A: MINIMUM CRITERIA
Item I to be completed by the Engine e YES
1. Is the proposed project listed as a type and class of activity allowed under
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
PART B: MINIMUM CRITERIA EXCEPTIONS
pleted by the EngineerrM
YES
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?
NO
I
UN
M
YES NO
8. Is the proposed activity expected to have a significant adverse effect on ❑
/1
��
/1
01/13/20 2 of 4

long-term recreational benefits or shellfish, finfish, wildlife, or their
natural habitats
PART C: COMPLIANCE WITH STATE AND FEDERAL REGULATIONS
Items 9-12 to be completed by Division Environmental 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?
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?
NEW-13 — IS to be completed by the Engineer.
13. Does the project require stream relocation or channel changes?
❑
Cultural Resources
14. Will the project have an "effect" on a property or site listed on the ❑ ❑
National Register of Historic Places?
15. Will the proposed action require acquisition of additional right of ❑
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.
Reviewed by:
Date:
Lead Engineer
Date: 1 /13/20
Division Environmental Officer
01/13/20 3 of 4