20240462 Ver 1_Polk County - B13 - Bat Habitat Assessment Form (2023)_20240325

NCDOT Bat Bridge Habitat Assessment Form Updated 3/23/21
Bat Habitat Assessment Form
NCDOT Bridges
Observers: Q•G TIP or DOT project number:
Date: fl I Bridge Road (Name of facility carried)_, -IQ A tilaQ
County: Bridge 13 Bridge Number: �3
Crossing (Name of the feature intersected): K)mA-% RAIALL VUVAL{
% Surrounding habitat w/in 1 mi. Urban/Commercial 0 010 Suburban/Residential /0
of project footprint (approx) Herb/Shrub/Grassland�O Agricultural fO
Deciduous/Evergreen/Mixed Forest
Woody Wetland/Herb ktland/Open Water rolvo
Any trees >3" DBH within project footprint? N/A Ves _ _ no
lComplete this section for Indiana bat counties (Avery: Cranberry Mine area only, Cherokee, Clay, Graham, Haywood,
Jackson, Macon, Rutherford: Bat Cave/Lake Lure area only, Swain)
Any shaggy trees or snags >5" DBH? N/A no
If yes to shag/snag, how much sunlight do they receive during the day? N/A 1-3 hours 4-6 hours 7+ hour
If yes to shag/snag, list species of habitat trees >5" dbh
If snags >5"DBH are present in sunlit areas, provide photos and location.
if IarQe hollow trees are present, provide photos and location.
Presence of:
Caves
Abandoned mines
In project f print
yes
yes Mn
if'yes' to any of the above, provide photos, description,
Major water source in project footprint N/A river stream/c
Suitable drinking habitat in the form of non -stagnant, smooth or slack —Water?'
Structure specific questions:
Artificial lighting
unknown
yes
Guard rails
none
concrete
timber
Deck type
concrete
metal
m e
Beam type
none
concrete
ste
End/back wall type
concrete
timber
mason
Creosote evidence
Suitable roosting crevices present (34 -1'/," wide)
Deck drains
Max height of bridge deck above ground or water (ft):
Bridge alignment N/S E W NW/SE
Human disturbance under bridge high med
Evidence of bats using bridge? (photos needed)
Below section completed only if bats/evidence of bats observed:
Emergence count performed? (If yes, complete form next page)
Evidence of bats using bird nests, if present?
Type of Evidence (circle all that apply) guano
Roost Type
Roost Material
Bat species present (list all species):
Notes (list each species locations and estimated number of each species):
In vicinty (0.5 i)
yes
yes n
pond lake swamp
es no N/A
�meta
open grid
timber
yes
(no
yes
nol;
yes
no
NE/SW
none
yes Ono
yes
no
yes
no
staining
bats observed
crevice
open area
metal
concrete