20171062 Ver 1_NEPA/SEPA Final Approval_20170824

Attachment G: Low/Minimal Impact
Bridge Project Data Sheet
1 TIP NO SF-180094 B- B- B-
2 WBS Element No. 17BP.8.R.124
3 Count Chatham
4 Brid e Number 94
5 Descri tion Re lacement
6 Basin Cape Fear
7 Classification WS-IV; NSW
8 Stream SIN 16-34- 0.7
9 Type Inland
10 Size 30'
11 Type Three span
12 Existing Structure Size 91' x 29'
13 Suff. Ratin 74.9
14 Type single span
15 Proposed Structure Size 100' x 30'
16 USACE (LF) 0
�� Stream NCDWQ Im acts LF 0
18 USACE Impacts (AC) 0
19 Wetlands Non 404 Impacts (AC) 0
20 CAMA Im acts SF 0
21 NC DWQ Buffers Impacts SF 5,567
22 Buffer Applicaton Required (>40 ft) (Y/N) Yes
23 State Stormwater Permit Required Y/N Yes
24 Habitat Yes
25 T&E Species Present No
26 Bio Conclusion No Effect
2� Moratorium Type N/A
28 Dates N/A
29 NativelHatchery N/A
30 Trout Species Present N/A
31 Trout Waters Trout Conditions (Y/N) N/A
32 WRC Reviewer N/A
33 CAMA AECs No
34 Essential Fish Habitat No
35 Nav. 0 enin No
36 USCG Permit No
37 Historic Pro erties No
38 Archaeolo ical Resources No
39 Tribal Lands No
40 4 Resources No
41 6 LWCF Resources No
42 Wild and Scenic River No
43 Federal Lands No
44 TVA Area No
45 FEMA Bu out No
46 FEMA Flood Stud Yes
47 USTs Haz Mats No
48 Relocatees No
49 Location LAT 35.802065
50 LONG -79.20677333
51 Project Comments
Completed by: Ben Furr Date: 8/17/2017
ICA Engineering, Inc.
Date:
Division Environmental Officer