20201570 Ver 1_MCDC (Signed)_20201113

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.: 14SP.20561.1
Project Location: Bridge No. 343 on SR 1448 (West Old Murphy Road) over Allison
Creek in Macon County,North Carolina.
Project Description: Replace Bridge No. 343 a 20' W x 32' L Reinforced Concrete
Floor on I-beam structure on existing location and replace with a 33' W x 24"H x 60' L
Cored Slab Bridge near Franklin,North Carolina. The project will utilize an offsite
detour during construction.
Anticipated Permit or Consultation Requirements: Nationwide Permit 3 and 401
Certification.
1. Outside river corridor=Yes.
2. Below impact threshold for applicable NWP =No. NWP 3.
3. Tree clearing=Yes. (follow moratorium).
4. Trout watershed=Yes. (follow moratorium unless verification NCWRC letter
states no).
5. NLEB HUC =No, greater than 0.25 miles from known hibernacula site.
NWP 3 will require written authorization and written 401 Certification.
Special Project Information:
The bridge and surrounding area were surveyed on 8.27.2012, 5.3.2011 and 9.21.2020
and no listed species were observed. There are no records for listed species records
within 1 mile of the bridge and the bridge is too low to support bat roosting(lack of bat
roosting will be confirmed before construction). Tree clearing will occur from October
15 to April 15 to protect possible Indiana bat roosting.
11/05/20 1 of4

PART A: MINIMUM CRITERIA
YES NO
Item 1 to be completed by the Engineer.
1. Is the proposed project listed as a type and class of activity allowed under X
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#15 is used complete Part D of this checklist.
PART B: MINIMUM CRITERIA EXCEPTIONS
hems 2—4 to be completed by the EngineLrAli
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?
I
Item 5-8 to be completed by Division Environmental Officer.
5. Does the proposed activity have a significant adverse effect on wetlands; X
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 X
Department of Interior's threatened and endangered species list?
7. Could the proposed activity cause significant changes in land use X
concentrations that would be expected to create adverse water quality or
ground water impacts?
11/05/20 2 of

YES NO
8. Is the proposed activity expected to have a significant adverse effect on X
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 to be completed by Division Environmental Officer. ' YES NO
9. Is a federally protected threatened or endangered species, or its XI
habitat, likely to be impacted by the proposed action?
10. Does the action require the placement of temporary or permanent X
fill in waters of the United States?NWP 3/401 Certification
11. Does the project require the placement of a significant amount of X
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. Al
13. Does the project require stream relocation or channel changes? X
Cultural Resources
14. Will the project have an"effect" on a property or site listed on the XI
National Register of Historic Places?
15. Will the proposed action require acquisition of additional right of XI
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.
11/05/20 3 of

PART D: (To be completed when either category#8, #12(i), 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]
c—DocuSigned by:
11/5/2020
Reviewed by: �8AB1C5DD20614A4... Date:
Garrett Higdon
Assistant Bridge Management Engineer
Division 14 p—DocuSigned by:
PAM& bilt,L 11/5/2020
"—A2DAC8979C7943D... Date:
Patrick J. Breedlove
Division 14 - Environmental Specialist II
11/05/20 4 of

Replace Bridge 343
SR 1448 (West Old Murphy Road)
near Franklin, N.C. (Macon County)
14SP.20561.1
• Nationwide 3 Permit will be required and a written 401 under GC 4132. A
trout moratorium may be applied to the permits at the request of WRC.
• Project will adhere to NCDOT best management practices. Avoidance of
erosion and sedimentation into Allison Creek (WS III; Tr.) and downstream
habitats.
• Trees will be cleared from October 15 to April 15 to avoid potential
roosting by Indiana bats.