20160939 Ver 1_610224_Attachment G_20160929

Attachment G: Low/Minimal Impact

Bridge Project Data Sheet
TIP NOSF-610224B-B-B-
1
WBS Element No.17BP.8.R.102
2
3CountyMontgomery
4Bridge Number224
5DescriptionReplacement
6BasinYadkin
7ClassificationC
Stream
8SIN13-25-27
9TypeInland
10Size12'
11Typesingle span
Existing Structure
12Size25.5'L x 25.5'W
13Suff. Rating55.31
14Typesingle span
Proposed Structure
15Size60'L x 30'W
16USACE (LF)0
Stream
17NCDWQ Impacts (LF)0
18USACE Impacts (AC)0.02
Wetlands
19Non 404 Impacts (AC)0
20CAMA Impacts (SF)0
NC DWQ Buffers Impacts (SF)
21No
Buffer Applicaton Required (>40 ft) (Y/N)
22No
23State Stormwater Permit Required (Y/N)Yes
24HabitatYes
T&E
25Species PresentNo
26Bio ConclusionNo Effect
27Type
Moratorium
28Dates
29Native/HatcheryN/A
30Trout Species PresentN/A
Trout Waters
31Trout Conditions (Y/N)N/A
32WRC Reviewer
33CAMAAECsNo
34Essential Fish HabitatNo
35Nav.OpeningNo
36USCGPermitNo
37HistoricPropertiesNo
38ArchaeologicalResourcesNo
39TribalLandsNo
404(f)ResourcesNo
416(f) \[LWCF\]ResourcesNo
42Wild andScenic RiverNo
43Federal LandsNo
44TVAAreaNo
45FEMABuyoutNo
46FEMAFlood StudyNo
47USTsHaz MatsNo
48RelocateesNo
49LAT35.28155
Location
50LONG-79.77065
51Project Comments
Completed by:Date:
Lead Engineer
Date:
Division Environmental Officer