20170031 Ver 1_780039 Attachment G_20170104

Attachment G: Low/Minimal Impact
Bridge Project Data Sheet
1 ??IP NO None
2 .WBS EI@f11BIlt No. 17BP.7.R.101
3 Eoun Rockingham
4 :Brid e Num6er 780039
5 ; Descri tion Bridge No. 39 over Jacobs Creek on SR 2316 (Bethan Road
6 �;Basin Roanoke
7 �Classification C � � �
8 Stream SIN � � 2232-(0.5) �
.... . . . . .. ........ . .
9 ��Type Perennial
10 �.Size SA: 2-6' wide; SB: 2-3' wide; Jacob's Creek SC 30-40' wide; SD: 1-2' wide
� Reinforced Concrete Deck on I-Beams;
11 .. �TYpe Reinforced Concrete Caps, Timber Piles
�Z Existing Structure �Size 4 Span: 1@402", 2@40', 1Q40'2"
13 Suff. Ratin 47.86
�4 Proposed Shucture :T, e _ Brid e
15 ��.S ze 3 Span: 33" Box Beam with 4' Deep Caps, 1@40', 1@80', 1@40'
16 bSACE (LF) 35 feet temporary
�� Stream �.NCDW41m acts LF 35feetfemporary
18 �USACEImpacts (AC� 0
19 Wetlands �Non4041mpacts(AC) 0
... _.__ ......___._.. . . .
20 �.CAMAim acts SF 0
21 NC DWQ Buffers Im acts SF 0
22 8ufferA licaton Re uired /N No
23 State Stormwaler Permit Required YIN No
���Habitat Smooth coneFlower: Yes
24 James spinymussel: Yes Roanoke logperch: Yes
T&E �Species Present
Smoath coneflower: No
25 James spinymussel: No Roanoke logperch: No
� Bio ConcWsion Smooth coneflower: No Effect with Habitat James spinymussel: No Effect
26 Roanoke lo erch: Ma affect, not likel to adversel affect
27 Mo7atorium T e None
Yp .
28 - Dates � - None
29 �.Native/Hatchery No
...._ ........... .. . . _._ . .
30 '7rout Species Present No
Trout Waters � � � � -
31 Trout Conditions (Y/N) No
32 :WRC Reviewer � � � N!A - �� � � � �
33 CAMA�AECs No
34 Essential Fish'� Habitat No
35 Nav.'A enin No
36 USCG�Permit No
37 Historic�.Pro erties No
38 Archaeolo icafResources No
39 Tribal!Lands No
40 4 f iResources No
41 6 LWCF �Resources No
42 Wild and!Scenic River No
43 Federal!Lands No
44 NA'�Area No
45 FEMA'Bu out N/A
46 PEMAIFIood Stud Yes MOA Coordination)
47 USTs�HazMats No
48 iRelocatees None
49 ;LAT 36.347713
Location � -- � � � �-
50 !LONG � -79.884654
51 Project Comments
Completed by: ,y,�/ � Date: �' y � � �
Lead Engineer _
/ /J
� pI � �
l.J Date: *� ✓
Div' ion Environmen Officer

SITE PHOTOS

Bridge No. 39 over Jacobs Creek on SR 2316 (Bethany Road) (17BP.7.R.101)
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Upstream Profile