20170836 Ver 1_Signed 000307 Attachment G_20170706

Attachment G: Low/Minimal Irv�pact
Bridge Project Data Sheet
i TIP NO B-5735
z WBS Element No. asssi � �
3 Count Alamance
4 Brid e Number 000307
5 �escri tion Brid e No. 307 over East Back Creek on SR 1936 (Stone Street E#ension)
6 Basin Cape Fear
7 Classification WS-V, NSW
8 Stream SIN 16-1&-(6)
9 Type Perennial
10 Size 35 - 40 feet wid2
11 Type Steel Plank Deck on I-Beams; Reinforced Concrete Caps on Steel Piles
12 Existing Structure Size 1@ 31'. 2@ 40', 1� 41'
13 Suff. Ratin 2527
14 Proposed Structure TYPe Brid e
15 Size 1 30', 1 70', 1 70'. 24" Corzd Slab with 4' Deep Ca s
i6 USACE (LF) 45 feet ermanent
�� Stream NCDW� Im acts LF 45 feet ermanent
18 U5ACE Impacts (AC) 0
19 Wetlands Non 4041mpacts (AC) 0
20 CAMA Im acts SF 0
21 NC DWQ Buffers Impacts (SF) 5,852 square feet
22 Buffer Applicaton Required (YM) Yes
23 State Stormwater Permit Required (YIN) No
24 Habitat NIA
25 T&E Species Present N/A
26 Bio Conclusion NIA
zr Moratorium TYPQ Non2
28 Dates None
29 NativelHatchery No
30 Trout Species Present No
31 Trout Waters 7rout Conditions (YIN) No
32 WRC Reviewer N/A
33 CAMA AECs No
34 Essential Fish Habitat No
35 Nav. 0 enin No
36 USCG Permit Na
37 Historic Pro erties No
36 Archaeolo ical Resources No
39 Tribal Lands No
40 4 f Resources No
41 6 f LWCF Resources No
42 Wild and Scenic River No
43 Federal Lands No
44 TVA Area No
45 FEMA Bu out NIA
46 FEMA Flood Stud Yes (MOA Coordinahon)
47 USTs Haz Mats No
48 Relocatees None
49 LAT 36.089875
50 Location LONG -79.338268
51 Project Comments Jordan Lake Buffer Rules apply
Completed by: ��„� i--�'� Date: 6' Z�7" / 7
Lead Engineer
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_ � �,v� Date: (0 Z�
Division rearaentat-0fficef
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FIGURES

SITE PHOTOS

Bridge No. 307 over East Back Creek on SR 1936 (Stone Creek Extension) (B-5735)