20141170 Ver 1_Application_20141118

Attachment G: Low /Minimal Impact
Bridge Project Data Sheet
Zr 0 1 4 1 1 7 0
TIPrNO
Design Build
Design Build
2
WBS Element No.
17613.4.R.55
17BP.4.R.55
3
County
Nash
Nash
4
Bride Number
63135
63136
5
Description
Overflow to Pig Basket Creek
Pig Basket Creek
6
Basin
Tar
Tar
7
Stream
Classification
C NSW
C NSW
8
SIN
28 -68 -3 -(2)
28- 68 -3 -(2)
9
Type
Inland
Inland
10
Size
25'
45'
11
Type
1 span
2 span
12
Existing Structure
Size
31'LX25'W
59L'X25'W
13
Suff. Rating
57.25
55.82
14
15
Proposed Structure
Type
Size
1span
90'LX33'W
2 span
125'LX33'W
16
Stream
USACE (LF)
60 LF temp impactfor bent removal
14 LF perm for floodplain excavation, 48 LF
temp impact for bent removal
17
1NCDWQ Impacts (LF)
0
0
18
Wetlands
USACE Impacts (AC)
0
.01 fill, .01 HC, .01 MC
19
INon 404 Impacts (AC)
0
0
20
ICAMA Impacts (SF)
0
0
21
NC DWQ Buffers Impacts
(SF)
BZ1 3453 BZ2 2421
BZ1 3413 BZ2 2302
22
Buffer Applicaton Required ( >40 ft) (YIN)
Yes
Yes
23
State Stormwater Permit Required (YIN)
No
No
24
T &E
Habitat
No
No
25
Species Present
No
No
26
Bio Conclusion
No affect
No affect
27
Moratorium
Type
No
No
28
Dates
N/A
N/A
29
Native/Hatchery
No
No
30
Trout Waters
Trout Species Present
No
No
31
Trout Conditions (Y /N)
No
No
32
WRC Reviewer
No
No
33
CAMA
AECs
No /GIS Confirmed
No /GIS Confirmed
34
Essential Fish
Habitat
No /GIS Confirmed
No /GIS Confirmed
35
Nay.
Opening
No /GIS Confirmed
No /GIS Confirmed
36
USCG
Permit
No /GIS Confirmed
No /GIS Confirmed
37
Historic
Properties
No /HEU Confirmed
No /HEU Confirmed
38
Archaeological
Resources
No /HEU Confirmed
No /HEU Confirmed
39
Tribal
Lands
No /GIS Confirmed
No /GIS Confirmed
40
4(f)
Resources
No /GIS Confirmed
No /GIS Confirmed
41
6(0 [LWCF]
Resources
No /GIS Confirmed
No /GIS Confirmed
42
Wild and
Scenic River
No /GIS Confirmed
No /GIS Confirmed
43
Federal
Lands
No /GIS Confirmed
No /GIS Confirmed
44
TVA
Area
No /GIS Confirmed
No /GIS Confirmed
45
FEMA
Buyout
No /GIS Confirmed
No /GIS Confirmed
46
FEMA
Flood Study
MOA/Hydro
MOA/Hydro
47
USTs
Haz Mats
No /GIS Confirmed
No /GIS Confirmed
48
Relocatees
No /GIS Confirmed
No /GIS Confirmed
49
Location
LAT
35.9983
35.9974
50
LONG
77.9603
77.9601
51
Project Comments
Completed by:
— _ - - - -- ���----
- - -� --
I
� I
_
Division Environmental
Officer
Date:

Attachment G: Low /Minimal Impact
Bridge Project Data Sheet
11
TIP NO
Design Build
Design Build
2
WBS Element No.
17BP.4.R.55
17612.4.11.55
3
County
Nash
Nash
4
Bridge Number
63135
63136
5
Description
Overflow to Pig Basket Creek
Pig Basket Creek
6
Basin
Tar
Tar
7
Classification
C NSW
C NSW
8
Stream
SIN
28- 68 -3 -(2)
28- 68 -3 -(2)
9
Type
Inland
Inland
10
Size
25'
45'
11
Existing Structure
Type
1span
2 span
12
Size
31'LX25'W
59L'X25W
13
Suff. Rating
57.25
55.82
14
15
Proposed Structure
Type
Size
lspan
90'LX33'W
2 span
125'LX33W
16
Stream
USACE (LF)
60 LF temp impactfor bent removal
14 LF perm for floodplam excavation, 48 LF
temp impact for bent removal
17
NCDWQ Impacts (LF)
0
0
18
Wetlands
USACE Impacts (AC)
0
.01 fill, 01 HC, .01 MC
19
I Non 404 Impacts (AC)
0
0
20
ICAMA Impacts (SF)
0
0
21
NC DWQ Buffers Impacts (SF)
BZ1 3453 BZ2 2421
BZ1 3413 BZ2 2302
22
Buffer Applicaton Required ( >40 ft) (YIN)
Yes
Yes
23
State Stormwater Permit Required (YIN)
No
No
24
T &E
Habitat
No
No
25
Species Present
No
No
26
Bio Conclusion
No affect
No affect
27
Moratorium
Type
No ,
No
28
Dates
N/A
N/A
29
Native /Hatchery
No
No
30
Trout Species Present
No
No
31
Trout Waters
Trout Conditions (YIN)
No
No
32
WRC Reviewer
No
No
33
CAMA
AECs
No /GIS Confirmed
No /GIS Confirmed
34
Essential Fish
Habitat
No /GIS Confirmed
No /GIS Confirmed
35
Nay.
Opening
No /GIS Confirmed
No /GIS Confirmed
36
USCG
Permit
No /GIS Confirmed
No/GIS Confirmed
37
Historic
Properties
No /HEU Confirmed
No /HEU Confirmed
38
Archaeological
Resources
No /HEU Confirmed
No /HEU Confirmed
39
Tribal
Lands
No /GIS Confirmed
No /GIS Confirmed
40
4(f)
Resources
No /GIS Confirmed
No/GIS Confirmed
41
6(f) [LWCF]
Resources
No /GIS Confirmed
No/GIS Confirmed
42
Wild and
Scenic River
No /GIS Confirmed
No/GIS Confirmed
43
Federal
Lands
No /GIS Confirmed
No /GIS Confirmed
44
TVA
Area
No /GIS Confirmed
No /GIS Confirmed
45
FEMA
Buyout
No /GIS Confirmed
No/GIS Confirmed
46
FEMA
Flood Study
MOA /Hydro
MOA /Hydro
47
USTs
Haz Mats
No /GIS Confirmed
No/GIS Confirmed
48
Relocatees
No /GIS Confirmed
No /GIS Confirmed
49
LAT
35.9983
35.9974
50
Location
LONG
1 77.9603
77.9601
51
Project Comments
Completed by
1111012014
—
I Division Environmental Office _
V
— — Date:
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r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E.
Governor Director
Attachment L: Low Impact Bridge Replacement Process
Low Impact Bridge Project No._ County Nash
Bridge No.-1135 over _ Pig Basket Creek Overflow
WBS Element Number 17BP.4.R.55
John E. Skvarla, III
Secretary
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: 11/05/14
Applicant Name: NCDOT
Applicant Address: NCDOT Division of Highways
P.O. Box 3165
Wilson NC 27895 -3165
Primary Contact for Project: Chad Coggins
Phone No.:(252) 296 -3532
Is this an after - the -fact application: Yes X No
River Basin: Tar - Pamlico
Stream Classification: C; NSW
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
Project Description —
NCDOT proposes to replace Bridge #135, which is currently a single span 31'x25' bridge, with a 90'x
35' single span bridge spanning the overflow of Pig Basket Creek on SR 1435 in Nash County.
Construction of this project will result in 60 LF of temporary stream impacts, as well as impacts to 3,453
square feet of buffer impacts in BZ 1 and 2,421 square feet of impacts in BZ 2. Stormwater will be
captured in a pair of drop inlets on the eastern end of the bridge and diverted onto a rock dissipator pad
outside of BZ 2 on the southeastern quadrant of the bridge. No deck drains will discharge directly into
channel.
Signature:
Print Name: Chad C og ins DEO
Transportation Permitting Unit One
1650 Mail Service Center, Raleigh, North Carolina 27699 -1650 North Carolina
Location: 2321 Crabtree Blvd., Raleigh, North Carolina 27604
Phone. 919 - 733 -17861 FAX: 919 - 733 -6893 Lti NR`lf
Internet: http:// h2o.enr.state.nc.us /ncwetlands/
An Equal Opportunity 1 Affirmative Action Employer

AK5WA
*yAF
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E.
Governor Director
Attachment L: Low Impact Bridge Replacement Process
Low Impact Bridge Project No.: _ County Nash
Bridge No. 136 over _ Pig Basket Creek
WBS Element Number 17BPAR.55
John E. Skvarla, III
Secretary
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: 11/5/14
Applicant Name: NCDOT
Applicant Address: NCDOT Division of Highways
P.O. Box 3165
Wilson NC 27895 -3165
Primary Contact for Project: Chad Coggins
Phone No.:(252) 296 -3532
Is this an after - the -fact application: Yes X No
River Basin: Tar - Pamlico
Stream Classification: C: NSW
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
Project Description —
NCDOT proposes to replace Bridge #136, which is currently a 2 span 59' x 25' bridge, with a 125' x 33'
(2) span bridge over Pig Basket Creek in Nash County. Stormwater will be directed to drop inlet that
discharges onto a rock dissipator pad, outside of Buffer Zone 2, on the northeast quadrant of the bridge.
There are 3,413 square feet of perpendicular impacts to Buffer zone 1, and 2,302 square feet of impacts
in Zone 2 that will be associated with this project. Wetland impacts associated with this project include:
.01 ac. for hand clearing, .01 ac. for mechanized clearing, and .01 ac. of permanent fill. Permanent
surface water impacts will result from 14 LF of excavation and there will be 48 LF of temporary stream
impacts associated with bent removal
Signature: l✓ A1,044 ',_. tJ L "A Or
Print Name: Chad Co ins DEO
Transportation Permitting Unit V V One
1650 Mail Service Center, RalE
Location: 2321 Crabtree Blvd., Raleigh, North Carolina 27604
Phone: 919 - 733 -17861 FAX: 919 - 733 -6893
Internet. http:// h2o.enr.state.nc.us /ncwetiands/
An Equal Opportunity 1 Affirmative Action Employer
NortnUarolina
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