20210672 Ver 1_14C 045166.Consult.2021_20210615

1 Updated 3/17/20

North Carolina Department of Transportation
NEPA/SEPA Consultation Form

STIP Project No. X-####
WBS Element 14C.045166
Federal Aid Project No. #########

A. Project Description, Location, and Purpose:
SR 1130, Shoals Falls Road Grade, drain, base, widen bridge #84, pave, and erosion control - Begin at SR 1127 and
continue in a southernly direction for a total distance of approximately 1,335 feet to the end of project.

B. Consultation Phase: (Check one)

☐ Right-of-Way
☒ Construction
☐ Other: Identify the trigger – (e.g., design change, change in impacts)

C. NEPA/SEPA Class of Action Initially Approved as: (Check one)

☒ SEPA MCDC Date(s)

D. Changes in Proposed Action & Environmental Consequences:
Kevin Barnett revisited this site with Rusty Darnell of the District 1 office on 02/17/2021. A
bridge widening has been added to this project since the NRR was developed. No plans
for the bridge are available in pre-con website.

E. Conclusion:
The above NEPA/SEPA documentation has been reevaluated (as required by either 23
CFR 771 or by NC General Statute Chapter 113A Article 1). It has been determined that
the current proposed action is essentially the same as the original proposed action.
Proposed changes, if any, are noted in Section D. It has been determined that anticipated
social, economic, and environmental impacts were accurately described in the above
2 Updated 3/17/20

referenced document(s) unless noted otherwise herein. Therefore, the original
Administration Action remains valid.

F. Coordination
NCDOT personnel have discussed the current project parameters with qualified NCDOT
representatives and FHWA (where applicable). The NCDOT Project Manager, Project
Manager Name, hereby verifies the involvement of the following staff and the incorporation
of their technical input:

Design Engineer: Name Date
Environmental Specialist: Kevin Barnett 06/14/21
FHWA (if applicable): Name Date
Other: Name Date

G. Consultation Approval for NCDOT Project TIP or Other #

Prepared By:

06/14/21 Russell Darnell, Asst. Dist. Engineer
Date Name, Title
Organization

Prepared For:
NCDOT, Division Unit or Name

Reviewed By:

06/14/21 Kevin Barnett, Environmental Specialist
Date Name, Title of NCDOT employee
Organization
District 1 Construction Unit
3 Updated 3/17/20

☐ Approved In adherence with 23 CFR 771 (NEPA) or NC General Statute
Chapter 113A Article 1 (SEPA), NCDOT approves this Consultation.
or
☐ Certified NCDOT staff certifies if FHWA signature was previously required or
where changes have resulted in FHWA signature being required.

Date Name, Division Engineer – or – Unit Head
North Carolina Department of Transportation

FHWA Approved: FHWA signature required for Type I(B) CE, Type II(B) CE, Type III
CE, FONSI or ROD.

Date John F. Sullivan, III, PE, Division Administrator
Federal Highway Administration
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H. Project Commitments (as of Date)

County
Project Name
Federal Project No.
WBS No.
TIP No.