20110429 Ver 1_Application_20110506

& 1 1 ®429
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverty Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
Attachment L: Low Impact Bridge Replacement Process
Low Impact Bridge Project No.: BD-5104D County Halifax
Bridge No. 133 over Butterwood Creek WBS Element Number 45350.1.4
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: May 5.2011
Applicant Name: Chad Co-gains
Applicant Address: PO Box 3165
Wilson. NC 27895
Primary Contact for Project: Chad Coaains
Phone No.: 252-296-3532
Is this an after-the-fact application: Yes X No
River Basin: Neuse
Stream Classification: C. NSW
0 6' VO
sq R Zo,1
0
Regulatory Authorization options for this Activity
Federal: USACE Nationwide General Permit 3 - Maintenan
State: General Water Quality Certification X667 and/or Bu Authorisation
Local: None
Project Description -NCDOT proposes to replace Bridge # 133 which is currently a single
span 20'X 41' bridge with a single span 67'X 30' bridge completely spanning all of Butterwood
Creek.. All storinwater is directed to a modified concrete flum located outside Buffer Zone 2
where the stormwater will then sheetflow through the buffer back into Butterwood Creek
Signature:
Print Name: Chad Coaairis/
Title: Div. 4 DEO
Transportation Permitting Unit On.,eat, 7
1650 Mail Service Center, Raleigh, North Carolina 27698-100"50 gT ?? Qd u1Car011na
Location 2321 Crabtree BNB, Raleigh, North Caroline 27604 Naturally
Phone: 91g-733-1 78 6 1 FAX: [phone]
Internet: h9pllh2o.enr.stafe.nc.uslncwei1andsi

Attachment G: Low/Minimal Impact Bridge Project Data Sheet
1 TIP NO Bo-51040
2 WBS Element No. 45350.14
3 County Halifax
4 Bridge Number 133

5
Description Bridge over
Buttenvood
Creek
6 Basin Tar-Pam
7 Classification
St C;NSW
8 ream
SIN 28-79-25-7 11
9 Type Inland
10 size '40,
11 Type 1 span
12 Existing Structure Size (W x L) 20x41
13 Suff. Rating 252
14 Type
Pro
a
d St
t 1 span
15 po
re
ruc
ure size 67X30

16 USACE (LF)
Stream 37LF
20 s ft)
17 NCDWQ Impacts 0
18 USACE Impacts (AC)
Wot<and 8012 i4 R
19 s Non 404 Impacts (AC) 0
20 CAMAI SF 0
21 NC DWQ Buffers Impacts SF 0
22 Butter Application Required (>40 ftl (YIN) no
23 State Stormwater Permit Required (YIN) no
24 Habitat no
25 T& E Species Present no
26 Bio Conclusion no affect
27 Type
M
t
i no
28 ora
or
um
Dates no
29 Native/Hatchery no
30 Trout Species present
T
W no
31 rout
aters
Trout Conditions (Y!N) no
32 WRC Reviewer no
33 CAMA AECs no
34 Essential Fish Habitat no
35 Nay. Opening no
36 USCG Permit no
37 Historic Properties no
38 Archaeological Resources no
39 Tribal Lends no
40 4 Resources no
41 6 WC Resources no
42 Wild and Scenic River no
43 Federal Lands no
44 TVA Aran no
45 FEMA Buyout no

46 FEMA Flood Study No-limitad
47 USTs Haz Mats no
48 Relocateas no
49 LAT 36.3796
SO Location
LONG -77.8875
51 Project Comments
Completed by:
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DIVISION OF HIGHWAYS
HALIFAX COUNTY
TOP O MAP PROJECT: BD-5104C
REPLACE BRIDGE x133
SCALE: V = 2000' ON SR 1304 OVER
BUTTERWOOD CREEK
S&- T3 , T OF 04/11/11
\ 1 ruenes -' 12
Crossroad A ? 1157
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NCDO JL
DIVISION OF HIGHWAYS
VICINITY HALIFAX COUNTY
PROJECT: BD-5104C
MAPS REPLACE BRIDGE X133
ON SR 1301 OVER
(NOT TO SCALE) BUTTERWOOD CREEK
SHEET OF 4/11/11
NORTH CAROLINA