20160219 Ver 1_Application_20160303

Attachmer�t G: Lo�u/Minimal impact Bridge P�rcajec# [��t� Sh��t
� Str�cture No. 8��143
2 WIB� Element No. 17BP.�.�..R.1�.5
3 County Surry
4 Bridge Number 143
Replace Brg # 143 aver
S Giescription Grassy Creek
f Basin Yadkin
7 Classification WS-IV
8 SIN 12-76
Stream
9 Type Iniand
Sank Height: 3-6'
�� Size Width: 15-24'
1�. Type Three Span Bridge
12 Existing 5tructure Size 105'6', 24.2" ou�-to-out
13 Suff. Rating 55
14 Type Two Span Bridge
Proposed Structure
1S Size 12�', 3U' out-to-out
16 USACE (LF} 7Q' (Temp}; 52' {Perm)
17 �t��a� NCDWQ Impacts (LF) 7�` (Temp); 52' {Perm)
18 USACE irnpacts (ACj �lo
19 Wetlands Nan 4t14 Impacts (AC) No
20 CAMA Impacts (SF) N f A
21 NC DUVQ Buf#'ers Impacts (SF) N f A
22 Buffer Applicaton Required (Y!N) �10
23 Sta#e Stormwater Permit Required (Y/N) �!o
24 H�bitat Yes {NLE�3)
25 T&E Species Present �lo
26 Bio Conclusion MANLAA
27 Mt�ratorium TYpe �lo
28 Dates N/A
29 NativelHatchery �1/A
�� Trout Waters Trout Species Present �lone
31 Trout Conditions (Y/N) N
32 WRC Reviewer MJ Chambers
33 CAMA AECs N jA
34 Essential Fish Habitat No
35 Nav. C�pening N/A
36 USCG Permit �lo
37 Historic Propertie� Yes
38 Archaealagical Resources No
39 Tribal Lands No
40 4{fj Resources No
4l 6(f) [LWCF] Resources No
42 Wild and Scenic River No
43 �'e+deral Lands I�o
44 TVA Area No
45 FEMA Buyout No
46 FEMA Fload Study Yes
47 USTs Naz Mats No
48 Relocatees No
49 LAT 36.29911
Location
SO LONG -80.47709
51 Project Comments
Completed by: Edward J. Vance, PE
Lead Engineer
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�vision Environme 1 t3fficer 4