20180512 Ver 1_16-06-0028_EffectsSigned_20180411

Project Tracking No. (Inte��eal Use)
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HISTORIC ARCHICTECTURE AND LANDSCAPES
ASSESSMENT OF EFFECTS FORM
This form only pertains to Historic Architecture and Landscapes for this project. It
is not valid for Archaeological Resources. You must consult separately with the
Archaeology Group.
PROJECT INFORMATION
Project No: County: Stokes
WBS No.: 45739.1.1 Document MCC
Type:
Fed. Aid No: Funding: � State ❑ Federal
Federal � Yes ❑ No Permit NWP 3
Permit(s): Type(s):
Proiect Description:
Replace Bridge No. 125 on SR 1484 (Dan George Rd) over Hunting Creek.
SUMMARY OF HISTORIC ARCHICTECTURE AND LANDSCAPES REVIEW
Descrintion of review activities, results, and conclusions:
Based on this review the Area of Potential Effects (APE) intersects with the parcel for the
National Register Listed Matthew Moore House (SK0002)
Property Name:
Survey Site No. :
Effects
� No Effect
ASSESSMENT OF EFFECTS
Matthew Moore House Status: NR
SK0002
PIN.•
❑ No Adverse Effect
Exvlanation ofEffectsDetermination:
❑ Adverse Effect
The bridge is located on the southwest corner of the 43 acre parcel. The bridge is downhill from
the house and is separated from the cleared area surrounding the house by a densely wooded
area.
Hista•ic Ard�itechme and Lnndscapes EFFECTSASSESSMENT form for Mii�or Tra�rsporta(ion Prajects ns Q�ralified i�i tGe 2007 Progrmm�rntic Agreement.
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I List ofEnvironmental Cominitments:
SUPPORT DOCUMENTATION
❑Map(s) ❑Previous Survey Info. ❑Photos ❑Correspondence �Design Plans
FINDING BY NCDOT AND STATE HISTORIC PRESERVATION OFFICE
Historic Architecture and Landscapes —ASSESSMENT OF EFFECTS
NCDOT Archi
�
Historian
State Historic Preservation Office
0
FHWA, for the Division Administrator, or other Federal Agency
2
Date
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Date
Date
FHWA intends to use SHPO's concurrence as a basis of a"de minimis" finding for the following properties, pursuant to
Section 4(fl:
Hista•ic Ard�itechrre mrd Lrmdscnpes EFFECTS ASSESSMENTform for Minor Trmisportntion Projec[s ns Qirrtlified i�� tlie 2007 A•ogranimntic Agreeme�:t.
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Location of Bridge Replaceme�it
Hisloric A��chitech�re nnd Lm�dsrnpes EFFECTSASSESSA4ENTJor�u Jor Minor "I'rnnsportnrrmi Projecr.r ns QunliJierl in rlie 2007 Progrnu�mnric Agreeu,enr.
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View frorn�Bridge No 125 toward Matthew Moore House (SK0002)
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Matthew Moore House (SK0002) view toward Bi•idge No 125
Historic �7i'chifechn e mid Lm�dsrnpes EFFECTS ASSF.SSMENT fa'n� Jor A4i�mr "!'rnnsporintia� Projects ns Qualijieri i�i die 2007 Progrnmum�ic Agree�ue�u.
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