20130474 Ver 1_Application_20130506

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E. John E. Skvarla, III
Governor Director Secretary
Attachment L: Low Impact Bridge Replacement Process
Low Impact Bridge County Halifax Bridge No. 96 over Deep Creek
WBS Element Number 45650.3.17
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: April 30, 2013
Applicant Name: Chad Coggins
Applicant Address: PO Box 3165
Wilson, NC 27895
Primary Contact for Project: Chad Coming
Phone No.: 252 - 296 -35
Is this an after - the -fact application: Yes X No
River Basin: Roanoke
Stream Classification: WS-1v
Regulatory Authorization Options for this Activity
Federal: USACE Nationwide General Permit 3 — Maintenance
State: General Water Quality Certification #3883 and /or Buffer Authorization
Local: None
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Project Description —NCDOT proposes to replace Bridge # 96 which is currently a 3 span 531
X 25`W bridge with a 2 span 1001 X 30'W bridge over Deep Creek. All stormwater is directed
to DI's and disspato pads that drain to wetlands. This stream is not buffered.
Signature: 1 ,
4--
Print Name: Chad Co ins
Title: Div. 4 DEO
Transportation Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699 -1650
Location. 2321 Crabtree Blvd., Raleigh, North Carolina 27604
Phone- 919 - 733 -17861 FAX: 919 - 733 -6893
Internet: http : / /h2o enr state.nc.us /ncwetlands/
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
Natura!!ff

Low /Minimal Impact Bridge Project Data Sheet
1
ITIP NO
BD -5104P
2
WBS Element No.
45350.3.17
3
ICounty
Halifax
4
I Bridge Number
41096
51
J Description
Bridge over Deep Creek
6
Stream
Basin
Roanoke
7
Classification
WS- IV
8
SIN
23-24-(l)
9
Type
Size
inland
10
35'
11
Existing Structure
Type
3 span
12
Size
53ft X 25.3ft
13
Suff. Rating
40.2
14
Proposed Structure
2 span
15
Type
Size
100ft X 30ft 1 @45ft, 1 55ft
16
Stream
USACE (LF)
0
17
NCDWQ Impacts (LF)
0
18
Wetlands
USACE Impacts (AC)
HC 1082 sq ft Fill 90 sq ft Excavation 44 sq ft
19
Non 404 Impacts (AC)
0
20
CAMA Impacts SF
0
21 INC
DWQ Buffers Impacts (SF)
not buffered
22
Buffer Applicaton Required (Y /N)
N
23
State Stormwater Permit Required (Y /N)
N
24
T&E
Habitat
n
25
Species Present
n
26
Bio Conclusion
no affect
Moratorium
�Dates
28
n
29
Trout Waters
Native /Hatchery
no /GIS confirmed
30
Trout Species Present
no /GIS confirmed
31
Trout Conditions (Y /N)
no /GIS confirmed
32
WRC Reviewer
no /GIS confirmed
33
CAMAIAECs
no /GIS confirmed
34
Essential Fishy
Habitat
no /GIS confirmed
35
Nay.JO
enin
no /GIS confirmed
36
USCG
I Permit
no /GIS confirmed
37
Historic
IProperties
no /HEU confirmed
38
Archaeological
I Resources
no /HEU confirmed
391
Tribal
ILands
no /GIS confirmed
40
4 f
(Resources
no /GIS confirmed
41
6(f) LWCF
(Resources
no /GIS confirmed
42
Wild and
Scenic River
no /GIS confirmed
43
Federal
Lands
no /GIS confirmed
44
TVA
Area
no /GIS confirmed
45
FEMAIBu
out
no /GIS confirmed
46
FEMAIFlood
Study
None
47
USTsIHaz
Mats
no /GIS confirmed
48
I Relocatees
no /GIS confirmed
49
Location
LAT
36.4367
50
LONG
- 77.8239
51
Project Comments
I
I
I
Completed by:
I
I �
Z2� L92s.
Date: 5/1/2013
Division Environmental Officer
1/2/2010 Field Scoping Meeting

NORTH CAROLINA
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1522 ,52a BRIDGE No.96
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VICINITY
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SHEET
NCD®T
DIVISION OF HIGHWAYS
HALIFAX COUNTY
PROJECT: BD -5104P
REPLACE BRIDGE *%
ON SR 1520 OVER-
DEEP CREEK
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NCD®T
DIVISION OF HIGHWAYS
HALIFAX COUNTY
PROJECT: BD -5104P
REPLACE BRIDGE *%
ON SR 1520 OVER-
DEEP CREEK

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