20201591 Ver 1_Revised_17BP12R42_MCD_Checklist_20210324

NCDOT MINIMUM CRITERIA DETERMINATION CHECKLIST
The following questions provide direction in determining when the Department is
required to prepare SEPA 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 NCDOT's Minimum Criteria
Rule categories #8, 12(i) or#15 are used.
TIP Project No.:n/a
State Project No.:17BP.12.R.42
Project Location:
Cleveland County Bridge#329 on SR 2212 (Roseborough Road) over tributary to
Buffalo Creek
Project Description:
The purpose of this project is to replace bridge#329. The bridge is approximately
56 years old. Timber components of the foundations have an increasing degree of
deterioration that can no longer be addressed by maintenance activities. After the
last inspection, the bridge did not meet the minimum load requirements of 8 tons
and was recommended to be closed to traffic.
Prior to the bridge inspection, the bridge had a suffciency rating of 33 out of 100.
and was considered "structurally deficient". The superstructure and the
substructure were rated a 4 out 9.
The existing bridge consists of six 20' spans with timber decking on steel girders.
The foundations consists of timber headwalls and timber piles with two of the piers
located in the stream. The bridge deck is 26'-5" wide with a clear width of 24'-9"
and has two 10' lanes with 2'-5" shoulders.
The proposed bridge replacment will be 135' long with three spans (35'-65'-35'). The
deck will be 30'-0" wide with a clear width of 27'-10". The bridge will have two 10'
lanes and 3'-11"' shoulders. The roadway grade of the new structure will be
approximately the same as the existing structure.
The approach roadway will extend approximately 175' from the west end of the new
bridge and 200' from the east end of the bridge. The approaches will be widened to
include 20' pavement width with 3' shoulders. The roadway will be designed as a
Local route using Sub-Regional Tier Guidelines with a 55 mph design speed.
03/24/21 1 of 6

Anticipated Permit or Consultation Requirements:
A Nationwide permit 3 (33 CFR 330.5(a) 23)) will be required for impacts to
"Waters of the United States" resulting from this project.
Special Project Information:
Environmental Commitments: Proposed replacement bridge will span over the
creek and remove the existing timber piles from the stream.
Estimated Costs:
The estimated costs, based on 2021 prices, are as follows:
Utility: $ 85,000
R/W: $ 10,000
Const: $ 1,100,000
Total: $ 1,205,000
Estimated Traffic:
Current 320 vpd
Year 2020
TTST n/a
Dual n/a
Accidents: One accident over a recent three year period was reported near the
bridge. The accident occurred 300' west of the bridge and was not caused by the
existing roadway conditions.
Design Exceptions: Design exceptions are required for vertical(sag) curve.
Pedestrian and Bicycle Accommodations: SR 2212 is a local route with no planned
bicycle or pedestrian facilities planned.
Bridge Demolition: Bridge No. 329 is constructed out of steel beams with timber pile
footings and will be removed with no resulting debris in the water based on
standard demolition practices.
Alternatives Discussion:
No Build—The current bridge is closed to traffic and a "no build' alternative would
require closing the route permanently to thru traffic.
Rehabilitation—The existing timber footings have deteriorated beyond the point
where they can be repaired. Replacing the bridge with a new structure is
recommended.
03/24/21 2 of 6

Onsite Detour—An onsite detour was not evaluated due to the presence of an
acceptable offsite detour. Construction of a temporary bridge would have greater
impacts and increase the cost of the project.
Staged Construction— Staged construction was not considered because of the
availability of an acceptable offsite detour.
New Alignment— Given that the alignment for SR 2212 is acceptable, a new
alignment was not considered as an alternative.
Offsite Detour—Bridge No. 329 will be replaced on the existing alignment. Traffic
will be detoured offsite during the construction period. NCDOT Guidelines for
Evaluation of Offsite Detours for Bridge Replacement Projects considers multiple
project variables beginning with the additional time traveled by the average road
user resulting from the offsite detour. The offsite detour for this project would
include SR 2226 (Lavender Road), west to NC 198, north to NC 180, north to NC
226, and back to SR 2212 (Roseborourgh Road) The detour for the average road
user would result in 9 minutes of additional travel time (5.4 miles). Up to a 9-month
duration of construction is expected on this project.
Other Agency Comments:
n/a
Public Involvement:
Cleveland County Bus Department has four buses that used this route prior to
closure with eight trips per day Fire and EMS did not have any major concerns with
closing the road for construction. .
03/24/21 3 of 6

PART A: MINIMUM CRITERIA
Item 1 to be completed by the Project Manager. YES NO
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? Category#9
If either category#8, #12(i) or#15 is used complete Part D of this checklist.
PART B: MINIMUM CRITERIA EXCEPTIONS
Items 2—4 to be completed by the Project Manager. . YES NO
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 ❑ M
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?
8. Is the proposed activity expected to have a significant adverse effect on ❑
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 the Environmental Policy Unit at(919) 707-6253 or [e-mail].
03/24/21 4 of 6

PART C: COMPLIANCE WITH STATE AND FEDERAL REGULATIONS
•ems 9-12 to be n pleted 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?
Items 13—15 to be comnlcted by the Project Manager.)
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 Project Manager 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.
03/24/21 5 of 6

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:
�DocuSigned by:
SlA 3/24/2021
Reviewed by: '-270C2EAD29F144E Date:
Project Manager
r—^^DocuSigned by:Reg-J �"b. ��ul Date: 3/24/2021
DiviMrrintiiinental Officer
03/24/21 6 of 6

1 0 1 2 MILES
• •
a O °A,
, I �_
N Patterson u
S'Tin ���^I''
4,4iim!!on
as 4.1
. SRC;
fib%
kilt,
4 ' 4 - Ai
1 %fp aPROJECk4vort _
1 - y '
..,�� yP 'll�r
� Iv
0
�s
/ i -i\c, ,, A 1 alier
r
e ,i ,,tt
la . d Po�� ' �
•
cilik SR 2226
'�*' �l� .I.°F it pti — f mot,
dot%
--gir 'rfil,,..1*/41.-NY A Wik.".,,,,,---,-..,pit t 74, lit idi
' DA. 24,....101 iiirONEIN.. 41i,,.. tr4 ' 70
jalt
A '0-411r1-44470474t/4/11 Iii VFW*F-41
4 ,..Aiiii,..,,, 1,44. , iiiii:. &ski.. ,... 4...
. 4orT AO aiwrippAW' 2,114: \1
ge
.1114- brp,, , .4,,, p ,
' Pr /Al Liirrill 114 *IW )4
. diiiiiil, ‘,7; , i'*1 V,Al, 0
-4
,, _roll • 4L *
4,
, „
_li A , -,_
iii
4
��� �. / .
te4r, .-s�� /•., k
rioAre
South Carolina " ' 1s,C
2 0 2 4 MILES
• • •
NORTH CAROLINA
• �1 DEPARTMENT OF TRANSPORTATION
��� v�1!UI1I � ' ` PROJECT DEVELOPMENT &
j�1�.r.������ �� \,.....-, ENVIRONMENTAL ANALYSIS BRANCH
m" M irisIKA Jr�
i1W,ttala CLEVELAND COUNTY I7BP.12.R.42
WIt� Bridge 329
r over Tributary #3 to Buffalo Creek
on SR 2212 (Roseborough Road)
FIGURE 1: VICINITY MAP

- Feet
h, v� 0 1,000 2,000
P
•
• I 1
//
.
0 } /
o
000 o
•
•
eY-
°
.. $`� �o
0 1
Z
t
-
Lick Brpn4
Legend �._._._._._._._._._._._ _ _ _ - - - _ _ _ _ _
Study Area Sources: Esri, HERE,Garmin, Intermap,increment P Corp.,GEBCO,
USGS, FAO,'NPS,NRCAN,GeoBase, IGN,Kadaster NL,Ordnance
— — Hydro Survey, Esri Japan, METI,Esri China(Hong Kong),(c)OpenStreetMap` .
contributors,and the GIS User Community
Project Study Area Map
0
rState of North Carolina 17BP.12.R.42
Department of Transportation Bridge 329 I Cleveland County

V t
Feet
0 85 170
•• = 4
• i !1.-4' ,I* ig • • i 1
p r - `
t `
•
_ i �G ` • ,yam.# f * w
., i i
...., ... J., .,,,, ' . lb *... . .. :ill 4 vik,4k
,i _ ,
.., . .. i, . \. ilik
. X4fri ..
_ ,�
411* ,. ,
* h y4 +
_1 V 4 . 1 # .... . 4:. . A . .
,.
r { * J
7
. '
Pam, oars "
=4 .:-4. . �� mod_ . 1.
iilef• -
v 6:_',111164.1"*.:;111%.-61%. .11
; % 4 ti # ,
gri
e .4; it 8 #ill t
.. ' ir • 0.
lir • -pi.. . 4.26 4• , .. . _,
. 1.-dik a° i ^ , 4, Ili tioLdr .0 J.. . ..gi,
. a.
. ___ •
. it • .
1
' '.4 ` . • slip. �. lib
. i _
ink1. ,,plii 1." filik.. L i, ittl7� '. ..
r'
+F'
Legend „ r • # • ' ` 'y • • -,
NI
Study Area § 4, .
• Hydro a CM'iOp o o J , 1MG'((C'00 cohics,CNES/Airbus
�� Dk MCA Mho ' o, oDo OGIN,Mal lain caoa_ -r Community
Jurisdictional Features
rState of North Carolina Figure 3
Department o f Transportation Bridge 329 I Cleveland County

14-05-0007
a NO ARCHAEOLOGICAL SURVEY REQUIRED FORM . $
fSZ'H''.' ' This form only pertains to ARCHAEOLOGICAL RESOURCES for this project. It is not I Y p
' '_� &°• I valid for Historic Architecture and Landscapes. You must consult separately with the �. U.:
C Historic Architecture and Landscapes Group.
PROJECT INFORMATION
Project No: County: Cleveland
WBS No: 17BP.12.R.42 Document: MINIMUM CRITERIA CHECKLIST
F.A. No: Funding: ® State ❑ Federal
Federal Permit Required? ® Yes ❑ No Permit Type: NWP 3
Project Description:
Replace Bridge 329 on SR 2212 (Roseboro Rd.) over Triburary 3 to Buffalo Creek. Area of Potential
Effects (A.P.E.)is approximately 153 meters (501 ft.)long and has a variable width. No design plans
provided. Off-site detour. State-funded; Federal permits required;permanent easements required.
SUMMARY OF CULTURAL RESOURCES REVIEW
Brief description of review activities, results of review, and conclusions:
Review included examination of the topographic map (Blacksburg North, N.C.), an aerial photograph,
and listings of previously recorded sites, previous archaeological surveys, and previous environmental
reviews at the Office of State Archaeology(O.S.A.).
The topographic map shows that the A.P.E. includes a narrow floodplain on each side of the bridge with
gently- to moderately-sloped ridge toes on each side. The narrow floodplain landforms have a low to
moderate potential (wider floodplains have more potential). The ridge toes also have low to moderate
potential. The approach road (SR 2212) on the east side of the bridge appears to have been constructed
within a drainage way. Level ridgetop landforms with a low to moderate potential for archaeological sites
are located outside of the A.P.E.
The aerial photograph shows that most of the A.P.E. is wooded. The west end of the A.P.E. in the
northwest quadrant is a residential yard. The west part of the A.P.E. in the southwest quadrant is a
plowed area (large garden?). There are two driveways at the east end of the A.P.E. in the southeast
quadrant. The northeast quadrant is wooded.
A review of information at the O.S.A. shows no previously recorded archaeological sites within the
A.P.E. The A.P.E. is not within any areas that have been previously surveyed for archaeological sites.
The A.P.E. is not within any areas that have been previously reviewed by the State Historic Preservation
Office (HPO).
HPO did review and recommend a survey for a project located a short distance southeast of the A.P.E.
(ER 01-8225). The project includes high potential landforms along Buffalo Creek. The survey(Seibel et
al. 2001)identified several sites in the Buffalo Creek floodplain.
Seibel, Scott, Giampaolo D. Gregorio and Greg Smith
2001 An Intensive Cultural Resource Assessment Survey of the Cleveland Container Industrial
Landfill Expansion, Cleveland County,North Carolina. Environmental Services,Inc., Raleigh,N.C.
"No ARCTIAEUI UGYSTIRVRY RRQTIIRRD"form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
1of6

Brief Explanation of why the available information provides a reliable basis for reasonably predicting
that there are no unidentified historic properties in the APE:
The landforms within the A.P.E.have a low to moderate potential for archaeological sites. The A.P.E. for
the project is small and will not impact much land outside of the existing right of way. There are no
previously recorded sites within the A.P.E. No further work is recommended.
SUPPORT DOCUMENTATION
See attached: ® Map(s) ❑ Previous Survey Info ❑ Photos Correspondence
n Photocopy of County Survey Notes Other:
FINDING BY NCDOT ARCHAEOLOGIST
NO ARCHAEOLOGY SURVEY REQUIRED
Caleb Smith 10/9/2014
NCDOT ARCHAEOLOGIST 77 Date
"No ARCIIAEOLOGYSrIRVRY REQUIRED"form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
2 of 6

Project Tracking No.(Internal Use)
14-05-0007
rommtr
(64,0"variretHISTORIC ARCHITECTURE AND LANDSCAPES
NO SURVEY REQUIRED FORM
This form only pertains to Historic Architecture and Landscapes for this project. It
7,1t76 is not valid for Archaeological Resources. You must consult separately with the
Archaeology Group.
PROJECT INFORMATION
Project No: County: Cleveland
WBS No.: 17BP.12.R.42 Document
Type.
Fed.Aid No: Funding: X State Federal
Federal X Yes No Permit NWP 3
Permit(s): Type(s):
Project Description: Replace Bridge No. 329 on SR 2212 (Roseborough Road) over
Tributary 3 to Buffalo Creek (off-site detour, presumed no improvements).
SUMMARY OF HISTORIC ARCHITECTURE AND LANDSCAPES REVIEW
DESCRIPTION OF REVIEW ACTIVITIES,RESULTS,AND CONCLUSIONS:HPOWeb reviewed on 3 June 2014
and yielded no NR, SL, DE, SS, or LD properties in the Area of Potential Effects (APE). One SS property,
the Collins Cemetery (CL0352), is located approximately 900 feet southeast of the existing bridge
(approximately 650 feet south of SR 2212 (Roseborough Road)), well beyond likely project impact;
several SS properties stand along the proposed off-site detour route, but should be unaffected as long as
no detour improvements are instituted. Cleveland County current GIS mapping, aerial photography, and
tax information indicated a partly wooded APE with residential properties containing resources all dating
from the late twentieth century (viewed 3 June 2014). Bridge No. 329, constructed in 1965, is not
represented in the in the NCDOT Historic Bridge Survey or representative of any distinctive engineering
or aesthetic type. Google Maps"Street View"confirmed the absence of critical historic architectural and
landscape resources in the APE, including the Federal permit area (viewed 3 June 2014).
No architectural survey is required for the project as currently defined.
WHY THE AVAILABLE INFORMATION PROVIDES A RELIABLE BASIS FOR REASONABLY PREDICTING THAT
THERE ARE NO UNIDENTIFIED SIGNIFICANT HISTORIC ARCHITECTURAL OR LANDSCAPE RESOURCES IN
THE PROJECT AREA: APE extends 300 feet to either end of the existing bridge (NE-SW) and 100 feet to
either side of the SR 2212 (Roseborough Road) centerline (NW-SE) to encompass proposed construction
activities. County GIS and other visuals illustrate that no critical architectural or landscape resources are
present in the APE. No National Register-listed properties are located within the APE or along the
proposed off-site detour route.
Should any design elements, including detour improvements, of the project change,
please notify NCDOT Historic Architecture as additional review may be necessary.
SUPPORT DOCUMENTATION
X Map(s) Previous Survey Info. Photos Correspondence Design Plans
FINDING BY NCDOT ARCHITECTURAL HISTORIAN
Hist -ic Architecture ancL.Lar scapes --NO SURVEY REQUIRED
an/Ud6,6117- k 626/ /
NCDOT Architectural Historian Date
Historic Architecture and Landscapes NO SURVEY REWIRED form for Minor T rans'ponalion Projects as Onali/red in the 2007 Programmatic Agreement.