20180512 Ver 1_404 and 401 permit application Br 125 Stokes_20180411

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
ROY COOPER
GOVERNOR
ApYll 11, 2018
Mr. Bryan Roden-Reynolds
Regulatory Project Manager
U.S. Army Corps of Engineers
Charlotte Regulatory Office
8430 University Executive Park Drive
Charlotte, NC 28262
SUBJECT: Pre-Construction Notification Pursuant to Nationwide Permit #13
JAMES H. TROGDON, III
SECRETARY
Bridge No. 125 on Dan George Road (SR 1484) over North Double Creek (Class C)
Stokes County, NC
WBS Number: 17BP.9.R.104
Dear Mr. Roden-Reynolds:
We are requesting Section 404 Nationwide Permits (NWP) 13 for the replacement of Bridge no. 125 with
a new bridge at the same location over North Double Creek (Class C) on Dan George Road (SR 1484) in
Stokes County. The project will utilize an offsite detour. In addition to the PCN application, included
are, a"No Archeological Sites Affected" form for Archeology, a"No Effects" form for Historic
Architecture, a USFWS concurrence letter, permit drawings and a stormwater management plan. The
project will permanently impact 67' of North Double Creek for bank stabilization.
The project was reviewed by NCDOT Historic Architecture and Archeology staff. The project is
adjacent to the National Register Listed Matthew Moore House. An Effects meeting was held between
NCDOT and SHPO, and it was determined that the project would have `no effect' on the property, with
no commitments. An archeological survey was done to assess the potential impacts to archeological
resources. A former slave cemetery is located in the southeast quadrant, immediately east of the SR 1483
(P. East Road)/Dan George Road intersection. The cemetery lies outside of the existing and proposed
right of way. As such, it was determined that the proj ect will have `no effect' on archeology sites.
The USFWS lists Schweinitz's sunflower (Helianthus schweinitzii), Small-anthered bittercress
(Cardamine micranthera), and the James Spiny mussel (Pleurobema collina) as endangered and the
Northern long-eared bat (NLEB-Myotis septentrionalis) as threatened for Rowan County. Habitat is
present in the project area for Schweinitz's sunflower and the Small-anthered bittercress; however none
were found in a survey on October 16, 2016 and May 16, 2016, respectively.
Habitat is also present in the project area for the James Spiny mussel. The project area, as well as up and
downstream in North Double Creek and in the Dan River was surveyed jointly by USFWS and NCDOT
on August 6, 2016, and none were found. It was determined that the project "May Affect but is not likely
to Adversely Affect (MANLAA)" the James Spiny mussel with a commitment to implement Design
Mailing Address:
NC DEPARTMENT OF TRANSPORTATION
DNISION 9
375 SILAS CREEK PARKWAY
WINSTON-SALEM, NC 27127
Telephone: [phone]
Fax: [phone]
Customer Service: 1-877-368-4968
Wehsite: www.ncdotgov
Location:
375 SILAS CREEK PARKWAY
WINSTON-SALEM, NC 27127

Standards in Sensitive Waters for the sediment and erosion control plan. The USFWS concurred with
the MANLAA call in a letter dated February 2, 2017.
Summer roosting habitat exists in the project area for the NLEB. No bats were found on the bridge
during an April 10, 2018 survey. In addition to clearing, percussive activities are expected with the
project. Consequently, the biological conclusion for the NLEB is `MANLAA'. Thus for the proposed
action, NCDOT has committed to the conservation measures listed below:
1. No alteration of a known hibernaculum's entrance or interior environment if it impairs an
essential behavioral pattern, including sheltering Northern long-eared bats (January 1 through
December 31);
2. No tree removal within a 0.25-mile radius of a known hibernacula (January 1 through
December 31); and
3. No cutting or destroying of a known, occupied maternity roost tree, or any other trees
within a 150-foot radius from the known, occupied maternity tree during the period from June 1
through and including July 31.
Bald Eagles are protected under the Migratory Bird Treaty Act and the Bald and Golden Eagle Protection
Act. A desktop-GIS assessment of the project study area, as well as the area within a 1.13 mile radius
(1.0 mile plus 660 feet) of the project limits, was performed in October 2016, using color aerials from the
year 2014. No water bodies large enough to be considered potential feeding sources for bald eagles exist
within 1.0 mile. A field survey of the project study area and within 660 feet of the project limits was
conducted on October 16, 2016, and no eagles or nests were observed. Additionally, a review of the
NCNHP database on October 2016, revealed no know occurrences of this species within 1.0 mile of the
project study area thus it was determined that there will be `no effect' on the Bald Eagle.
Please note this is a courtesy copy for the Division of Water Resources. If you have any questions,
comments, or need additional information after reviewing this material contact me a(336) 747-7802.
Thank you for your cooperation in this matter.
Sincerely,
�✓'� ���
�
Amy Euliss
Division Environmental Officer, NCDOT Division 9
Attachments: Application package
CC: Amy Chapman, NCDEQ-DWR, Transportation Permitting Unit Supervisor-e-copy
Dave Wanucha, NCDEQ-DWR, Environmental Specialist- e-copy
Daniel Dagenhart, NCDOT Division 9 Bridge Project Manager-e-copy
Phil Suggs, Division 9 and 10 Roadside Environmental Engineer- e-copy

�� �
6fvlslaa of Water Resources
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
January 31, 2018 Ver 2.3
*
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are ans�red.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right-click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs. deq. nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30. pdf
A. Processing I nformation
County (or Counties) where the project is located:*
Stokes
Is this project a public transportation project?*
C� Yes C' No
7his is any publicly funded by rrunicipal,state or federal funds road, rail, airport transportation project.
Is this a NCDOT Project?*
G Yes C' No
(NCDOT only) T.I.P. or state project number:
WBS #
17BP.9.R.104
(for NCDOT use only)
1a. Type(s) of approval sought from the Corps:*
fJ Section 404 Permit (wetlands, streams and waters, Clean Water Act)
� Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
r% Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
This form may be Corps to initiate the standard/individual permit process. Please contact your Corps representative for submittal of standard permits.
All required items that are not provided in the E-PCN and be added to the miscellaneous upload located at the bottom of this form.
Nationwide Permit (NWP) Number: 13 - Bank Stabilization
NWP Number Other:
List all MN nurrbers you are applying for not on the drop dow n list.
1c. Type(s) of approval sought from the DWR:*

check all that apply
r% 401 Water Quality Certification - Regular r 401 Water Quality Certification - E�ress
r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
*
1d. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification: C•' Yes f No
For the record only for Corps Permit: C' Yes C•' No
1e. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
If so, attach the acceptance letter from rritigation bank or in-lieu fee program
C' Yes C•' No
1f. Is the project located in any of NC's twenty coastal counties?*
C' Yes C•' No
� 1h. Is the project located in a designated trout watershed?*
C' Yes G No
Link to trout information: http://ww�.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Amy Euliss
1b. Primary Contact Email:*
[e-mail]
1c. PrimaryContact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
r% Owner r% Applicant (other than owner) r AgenUConsultant
(Check all that apply)
2. Owner I nformation
2a. Name(s) on recorded deed:
2b. Deed book and page no.:
2c. Responsible party:
(for Corporations)
2d.Address
Street Address
Address Line 2
�'
R�stal / Zip Code
2e. Telephone Number:
I(xxx)xxx-xxxx
2f. Fax Number:
State / Rovince / F�gion
Country

(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Applicant is:
C' Agent
C' Other
If other please speciFy.
3b. Name:
3c. Business Name:
(if applicable)
3d.Address
Street Address
Address Line 2
�Y
Fbstal / Zip Code
3e. Telephone Number:
(xxx)xxx-xxxx
3f. Fax Number:
(xxx)xxx-xxxx
3g. Email Address:*
[e-mail]
State / Rovince / F�gion
Country
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
� Replacement of Bridge No. 125 on SR 1484 (Dan George Road)
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/town:*
Danbury
1d. Driving directions*
If it is a new project and can not easily be found in a GPS rrepping system Rease provide directions.
Take NC 66 North to Moore's Spring Road. Turn L on Dan George Road. Crossing will be the second bridge on Dan George Road.
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
2b. Propertysize:
(in acres)

2c. Project Address
Street Address
Address Line 2
�Y
Fbstal / Zip Code
State / R-ovince / F�gion
Country
2d. Site coordinates in decimal degrees
I Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey-grade GPS device) after the decimal place as
appropriate, based on howthe location was determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to
map coordinates to 5 or 6 digits after the decimal place.)
Latitude:* Longitude:*
36.432187 -80.294265
ex: 34208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
North Double Creek
3b. Water Resources Classification of nearest receiving water:*
C
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Roanoke
RiverBasin Lookup
4. Project Description
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
The surrounding area is rural residential and agriculture.
4b. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)
C7ick the upload button or drag and drop files here to attach docurrer�t
Fle type rrust be pdf
4c. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.
(for DWR)
C1ick the upload button or drag and drop files here to attach docurrent
Fle type rrust be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0
4e. List the total estimated linear feet of all existing streams on the property:
(interrrittent and perennial)
appro�amately 150'
4f. Explain the purpose of the proposed project:*
I Replace the e�asting structurally deficient bridge with a new bridge at the same location, and stabilize the bank of
the stream under the bridge.
4g. Describe the overall project in detail, including indirect imapacts and the type of equipment to be used:*

The ewsting bridge will be demoed according to NCDOT BMPs, and a new bridge will be constructed in the same
location. Standard road and bridge building equipment will be used.
4h. Please upload project drawings for the proposed project.
C1ick the upload button or drag and drop files here to attach docurrEnt
17BP9R104_Permit Wetland_180309.pdf 1.6MB
Fle type rrust be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
G Yes C' No f" Unknown
Comments:
The site was reviewed for jurisdictional resources, but there was only the
main crossing at Norh Double Creek present.
5b. If the Corps made a jurisdictional determination, what type of determination was made? *
C' Preliminary �' Approved C' Unknown C•' f�UA
Corps AID Number:
5carrple: SAV�2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Melissa Ruiz and Pam Ferral
Agency/Consultant Company:
Othe r:
Stantec
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
A JS determination was not requested from the USACE.
5d1. Jurisdictional determination upload
C7ick the upload button or drag and drop files here to attach docurrerd
Fle type rrust be FDF
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
C' Yes �' No �' Unknown
7. Future Project Plans
7a. Is this a phased project?*
C' Yes C•' No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the
proposed project or related activit�/? This includes other separate and distant crossing for linear projects that require Department of the
Army authorization but don't require pre-construction notification.
D. Proposed I m pacts I nventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands rJ Streams-tributaries r Buffers
r Open Waters � Pond Construction

3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites
impacted.
3a. Reason for impact*3b.lmpact 3c. Type of impact*3d. Stream name * 3e. Stream 3f. Type of 3g. Stream 3h. Impact
type * Type * Jurisdiction * width * length *
S1 Bank stablization P Bank North Double Creek Perennial Both 15 67
N�p label (e.g. F�ad Qossing F�rrranent (� or Stabilization F�rennial (F�t) or Average (linearfeet)
1) Terrporary (� interrrittent pfv� (feet)
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
67
3i. Total temporary stream impacts:
0
3i. Total stream and tributary impacts:
67
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
The bridge will completely span North Double Creek, and the banks will be armored for long term stability. The
erosion control plan for the project has been designed in accordance with NCDOT Design Standards in Sensitive
Watersheds.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
The placement of rip rap will be utilizing NCDOT's Best Management practice. All other work will take place outside
of the waters and sediment and erosion control measures will be implemented to isolate the work area.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
C' Yes C•' No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Bank stabilization impacts are not considered to be a loss of water, and thus, not a mitigable impact.
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington DistricYs RIBITS website.
F. Stormwater Mana ement and Diffuse Flow Plan re uired b DWR
9 � q Y )
�"� Recent changes to the stormwater rules have required updates to this section ."'�
� 1. Diffuse Flow Plan

1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection
Rules?
f Yes C•' No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
NA
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes C' No
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
C' Yes C' No
1b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the
requirements of the National or State (North Carolina) Environmental PolicyAct (NEPA/SEPA)?*
C' Yes C•' No
Comments:*
A State MCC has been prepared.
' 2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or
DWR Surface Water or Wetland Standards or Riparian Buffer Rules (15A NCAC 2B .0200)? *
C' Yes C•' No
2b. Is this an after-the-fact permit application?*
C' Yes �' No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact
nearby downstream water quality?*
C' Yes �' No
3b. If you answered "no," provide a short narrative description.
The project is a bridge replacement and does not change access to land.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project? *
C' Yes �' No C' f�/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
C� Yes �' No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*

r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. Is another Federal agency involved?*
C' Yes �' No
Se. Is this a DOT project located within Division's 1-8?*
C' Yes C' No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.? *
�' Yes C' No
5g. Does this project involve bridge maintenance or removal?*
C� Yes C' No
�' Unknown
5g(1). If yes, have you inspected the bridge for signs of bat use such as staining, guano, bats, etc.? Representative photos of signs of
bat use can be found in the NLEB SLOPES, Appendix F, pages 3-7.
C�' Yes C' No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB�LOPES&apps.pdF
If you answered "Yes" to 5g(1), did you discover anysigns of bat use?*
C' Yes C•' No C' Unknown
'** If yes, please show the location of the bridge on the permit drawings/project plans.
5h. Does this project involve the construction/installation of a wind turbine(s)?**
C' Yes r No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers,
mechanized pile drivers, etc.?*
�' Yes C' No
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this activity on the
prope rty.
C7ick the upload button or drag and drop files here to attach docurrent
Fle rrust be FDF
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
NC Natural Fleritage database and field surveys
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
C' Yes C•' No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NA
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural
preservation status (e.g., National Historic Trust designation or properties significant in North Carolina historyand archaeology)?*
�' Yes l" No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*

There is a National Register property adjacent to the project. See cover letter and attached effect forms for those
reviews.
7c. Historic or Prehistoric Information Upload
C1ick the upload button or drag and drop files here to attach docurr�nt
16-06-0028_EffectsSigned.pdf 2.97M6
AR16-06-0028NoSitesAffected.pdf 8.33MB
I Fle rrust be FDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
C� Yes C' No
8b. If yes, explain how project meets FEMA requirements:
The project has a limited detail study and an MOA with FEMA.
8c. What source(s) did you use to make the floodplain determination?*
i NCDOT bridge survey report
Miscellaneous
Miscellaneous attachments not previously requested.
Qick the upload button or drag and drop files here to attach docurr�nt
17-178 Stokes Co. Bridge 125 Replacement over N Double Creek on SR 1484 James
1.28M6
Spinymussel concurrence.pdf
17BP9R104 -SMC_v2.0.pdf 12.77MB
Br 125 Dan George Rd cover letter.pdf 207.58KB
Fle rrust be FDF or IWQ
Signature
*
r% By checking the box and signing below, I certify that:
. I have given true, accurate, and complete information on this form;
■ I agree that submission of this PCN form is a"transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions AcY');
■ I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions AcY');
■ I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
■ I intend to electronically sign and submit the PCN form.
Full Name:*
Amy Euliss
Signature
Sign
Date
4/11 /2018

United States Department of the Interior
FISH AND WILDLIFC SERVICE
Asheville Field Oftice
160 Zillicoa Street
Asheville. North Carolina 28801
Febcuary 2, 2017
Ms. Amy Euliss
Division 9 Environmenta( Officer
North Carolina Department of Tcanspoctation
375 Silas Creek Parlcway
Winston-Salem, North Carolina 27127-7167
Dear Ms. Euliss:
Subject: Endangered Species Concurrence for Proposed Replacement of Stokes County Bridge
I 25 on State Route 1484 (Dan George Road) over North Double Creel<
On February l, 2017, we received your letter (via email) requesting section 7 concurrence on
effects the subject bridge replacement may have on the federally endangered James spinymussel
(Pleurobeina collina). The following comments are provided in accordance with section 7 of the
Endangered Species Act of 1973, as amended (16 U.S.C. 1531-1543) (Act).
On August 16, 2016, you and Andrew Henderson of the US Fish & Wildlife Service (USFWS)
visited the proposed project site, as well as upstream and downstream areas, to assess aquatic habitats
and survey for fi•eshwater mussels in North Double Creek and downstream in the Dan Rivec.
Although the James spinymussel is known to inhabit the Dan River in Stokes County, there were no
freshwater mussels found in the areas surveyed wit}1in the pcoject footprint, in Not•th Double Cceek,
or in areas immediately below the moutkl of North Double Creek during the mussel survey effort.
Accordingly, we concur with youc determination that the p►•oposed bridge replacement project may
affect, but is not likely to adversely affect the James spinymussel.
As outlined in the Biological Opinion completed on the 4(d) rule for the federally thceatened
Northern long-eared bat (Myotis septerrt�^ionalis) on 1/5/l6, this activity is now excepted it•om take
prohibitions for Northern long-eared bat, based on the project location. Project activities in the
action acea: ( I) would not affect a known hibernation site; (2) are not located within '/4 mile of a
lcnown hibernation site, ot•; (3) are not located witllin a 150' radius of a known maternity (tree) site.
Therefoce, we believe the �•equicements �u�der Section 7(c) of the Endangered Species Act (ESA) of
1973, as amended (16 U.S.C. 1531-1543), aee fulfilled. Obligations under Section 7 of the ESA must
be reconsideced if: (1) new information reveals impacts of this identified action that may affect listed
species or critical habitat in a manner not pt•eviously considered, (2) this action is subsequently
modifiied in a manner that was not consideced in this ►•eview, or (3) a new species is listed or ccitical
habitat is detecmined that may be affected by the identified action.

Sincerely,
anet A. Mizzi
Field Supervisor

ProjectTrackiiagNo. �baternal Use�
16-06-0028
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. L 1 Docuntent MCC
Type:
Fed. Airl No: Facndi�zg: � State ❑ Federal
Fede��ul � Yes ❑ No Per�nit NWP 3
Permit(s): Type(s):
Proiect Desc�•iption:
Replace Bridge No. 125 on SR 1484 (Dan George Rd) over Hunting Creek.
SUMMARY OF HISTORIC ARCHICTECTURE AND LANDSCAPES REVIEW
Description of �'evie►v 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)
Pf�operty Name:
Suf•vey Site No.:
Effects
� No Effect
ASSESSMENT OF EFFECTS
Matthew Moore House Status: NR
SK0002
PIN.•
❑ No Adverse Effect
E_xplunution o/'Effects Detern:ination:
❑ Adverse Effect
The bridge is located on the southwest corner of the 43 acre parcel. The bridge is downhill fi-om
the house and is separated from the cleared area surrounding the house by a densely wooded
area.
Hisforic Archi�echu e mid Landsrnpes EFFECTS ASSESSd9ENT jorm Jo� Mi�ror Trmispormtion Projecls ns Qnalifred in die 2007 Progrmnuintic Agreement.
Page 1 of 4

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
� p�3 �-
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.
Page 2 of 4

Location of Bridge Replaceme�it
Historic A��chitech�re aud Lm��lscapes EFFECTSASSESSMENTJ'orm jor Minor Trnnsporinriai Projecrs ns Qrrnlr/ierl in rlie 2007 Progrnuimnric Agreemenr.
Page 3 of 4

View from Bridge No 125 toward Matthew Moore House (SK0002)
-�- �. ��� . ... _ .. _ '.. - '"-� -._ l.. Y:.. '
_ �� �„. ,�.- _
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Mattliew Moore House (SK0002) view toward Bridge No 125
Histaric Archi(echrre nnd Lm�dscnpes EFFECTS ASSESSMENT form Jor Mi�mr "!'rnnsporintion Projecfs ns QualiJied i�i die 2007 Progrnnunnlic Agreeu�eut.
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Project Tracking No.
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NO NATIONAL REGISTER OF HISTORIC PLACES
o��� ELIGIBLE OR LISTED ARCHAEOLOGICAL SITES �
':Q,; �$��,�� � AFFECTED FORM ��;�-' � �o
:��p� �� ���; : -
"¢ o�°. '�' This form only pertains to ARCHAEOLOGICAL RESOURCES for this project. It is not �.••�.. '. .,.�'�
�� ���� valid for Histaric Architecture and Landscapes. You must consult separately with the ��? ��
Historic Architecture and Landscapes Group.
PROJECT INFORMATION
Project No.
WBS No:
F.A. No:
B-5784
45739.1.1
na
Federal Permit Required?
County:
Document:
Stokes
MCC
Funding: � State ❑ Federal
� Yes ❑ No Permit Type: NWP 3
Project Description:
The North Carolina Deparhnent of Transportation (NCDOT) Division 9 intends to replace Bridge No.
125 on SR 1484, Dan George Road, over North Double Creek near its confluence with the Dan River. No
preliminary design was available at the time of the archaeological review, but the proposed project is
listed at 1003.6 feet (nearly 305.9 meters) in length, and an expansion of right-of-way (ROW) from 60 to
90 feet (from nearly 18.3 to over 27.4 meters) was proposed. Thus, the area of potential effects (APE) for
the archaeological review and survey was estimated to encompass more than 2.07 acres (nearly .84
hectare). On March 2, 2017 updated preliminary design was received that reduced the expansion of ROW
drastically so that the APE could be revised to an area encompassing roughly 1.2 acres (nearly .49
hectare).
SUMMARY OF ARCHAEOLOGICAL FINDINGS
Two National Register of Historic Places (NRHP) Eligible archaeological sites are located immediately
adj acent the proposed APE for the replacement of Bridge No. 125 on SR 1484, sites 31 SK21 and
31SK227**. As a result ofrevisions to the proposed project, neither archaeological resource will be
impacted by the proposed project.
The North Carolina Department of Transportation (NCDOT) Archaeology Group reviewed the subject
project and determined:
//
■
■
�
�
There are no National Register listed ARCHAEOLOGICAL SITES within the project's
area of potential effects. (Attach any notes or documents as needed)
There are National Register listed ARCHAEOLOGICAL SITES within the project's area
of potential effects. (Attach any notes or documents as needed).
Subsurface investigations did not reveal the presence of any archaeological resources.
Subsurface investigations did not reveal the presence of any archaeological resources
considered eligible for the National Register.
All identified archaeological sites located within the APE have been considered and all
compliance for archaeological resources with Section 106 of the National Historic
Preservation Act and GS 121-12(a) has been completed for this project.
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form for the Amended Minor Transportation Projects as Qua[ified in the 2007 Programmatic Agreement.
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Brief description of review activities, results of review, and conclusions:
As noted on the Archaeological Survey Required form dated November 29, 2016, a review of the
mapping and site files archived at the North Carolina Office of State Archaeology (OSA) was conducted
on July 19, 2016. It became quickly apparent that site 31SK21 was recorded immediately adjacent the
proposed project area, but that the site boundaries depicted on site mapping at OSA did not show the site
extending into the APE as it had been established for the initial archaeological review. However, an
archaeological survey conducted on behalf of NCDOT by archaeologists with Environmental Services,
Inc. (ESI) for the replacement of Bridge No. 129 over South Double Creek revealed that the fringes of site
31SK21 extended into the 150-foot wide APE for that project (PA No. 14-11-0002).
Site 31 SK21 was initially recorded in 1972 by Bennie Keel and Joe Smith on the floodplain west of the
Dan River, between North Double Creek and South Double Creek. At that time, the site was
characterized as similar in its assemblages to the Upper Saratown site (31SK1) and the William Klutz site
(31 SK6) with a think preserved midden and human interments. The site was revisited in 1984 by
archaeologists with the Research Laboratories of Archaeology (RLA) of the University of North Carolina
at Chapel Hill (L7NGCH) during their Siouan Project (see Ward and Davis 1993). At that time, Trawick
Ward of the RLA reported that he had observed "no evidence of potting" (contradicting the site form
completed in 1983), but that features and artifacts from the site were visible at the surface. The site was
divided by Ward and Davis into three portions (31 SK21 A— C) that represented generally distinct
temparal manifestations of the occupation of the area and noted that the northern portions of the site
(31SK21A and 31SK21B) exhibited charcoal, shell, bone, and ceramic and lithic artifacts in
concentrations at the surface. Limited auger testing of the northern portions of the site appeared to
confirm that intact subsurface features remained present. In conversation about the site on Apri130,
2017, Davis recalled that the more significant portions of the site appeared to correspond to the lower
terraces on the floodplain. A fairly large collection of artifacts from the site reside in the RLA's
collection including over 2,100 ceramic sherds and more than 40 diagnostic tools from the site. Forty-
seven projectile points are listed in the RLA collection from site 31 SK21, including: two Early Archaic
Kirk Corner Notched points, two Middle Archaic Morrow Mountain II Stemmed projectile points, three
Late Archaic Savannah River Stemmed points, two Late Archaic Gypsy Stemmed projectile points, one
Middle Woodland period Yadkin Large Triangular projectile point, 23 Late Prehistoric Caraway
Triangular points, one Late Prehistoric Uwharrie Triangular point, and one Late Prehistoric Randolph
Stemmed projectile point (Daniel and Davis 1996: A-119; Davis and Daniel 1990: A-86).
In 1989, a visit to the site by an avocational archaeologist resulted in the collection of additional chipped
stone artifacts, ceramic sherds, a ground stone celt, and a stone pendant. A sketch map of the site was
added to the file from this visit that depicted a number of the landscape features in the area, including the
Matthew Moare House (labeled as a"pre-Civil War House"), a slave cabin (?) southwest of the bridge
over South Double Creek, and a slave cemetery southeast of the same bridge. In 1993, another visitor to
the site reported to Ward at the RLA recovering marginella shell, turtle carapace fragments, and a deer
tooth fragment from a drainage ditch south of North Double Creek. By 1996, Steve Claggett and Dolores
Hall from OSA visited the site at the request of another local collector, who observed what he thought
may have been human bone. Claggett and Hall observed no evidence far human remains at the time, but
noted that cultural materials were observed on the surface, reflecting impact of plowing at the site on the
subsurface features below. The site file notes "...that human skeletal material will appear at some point
in the future".
On February 4, 2015, staff archaeologists with ESI conducted an intensive archaeological survey of the
proposed APE for the replacement of Bridge No. 129 on SR 1484 over South Double Creek, as noted
above. The APE for that project involved a study area that extended 300 feet in each direction along Dan
George Road from the ends of the existing bridge and 75 feet in each direction from centerline of SR
1484. Including the existing transportation facilities, that APE encompassed an area of approximately
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form for the Amended Minor Transportation Projects as Qua[ified in the 2007 Programmatic Agreement.
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2.35 acres (slightly more than .95 hectare). The archaeological investigations associated with this project
included a pedestrian examination of the entire APE, in addition to 11 subsurface tests predominantly
excavated along the east side of Dan George Road. While high concentrations of artifacts were observed
along the T-1 surface of the floodplain, only a handful of artifacts (n=7) were recovered from within the
APE for Bridge No. 129. These artifacts included examples of inetavolcanic debitage, a fragmentary
Caraway Triangular projectile point (identified as made in chert), and two Late Woodland ceramic sherds
(tentatively identified as Dan River and Early Saratown examples). Based on the change in artifact
density from T-1 to T-2 surfaces (where the Bridge No. 129 APE was located) as well as a lack of
evidence for intact sub-plowzone deposits, the Teri Russ with ESI recommended that no further
investigation in that area was required in that area. No evidence of a possible slave cabin or slave
cemetery was observed in the remainder of the APE or its vicinity. Based on these findings, NCDOT
archaeologist, Paul Mohler, generated a No National Register of Historic Places Eligible or Listed
Archaeological Sites Present or Affected form on February 23, 2015 for the associated project.
As referenced above, an Archaeological Survey Required form was produced on November 29, 2016 for
the current project. In addition to the information referenced above, the survey requirement for the
current project was based also on the presence of a number of other archaeological sites that have been
previously recorded in the area (in particular, sites 31 SK109, 31 SK167, and 31 SK223). On November
28, 2016, the Archaeology Group also received GIS mapping from NCDOT Division 9 personnel of an
area reported by the current landowner to be the location of a"grave site". Based largely on these factors
an intensive archaeological investigation, including subsurface testing, of the origina12.07-acre APE was
recommended.
On December 2, 2016, NCDOT archaeologists Shane Petersen and Brian Overton conducted a pedestrian
survey of the APE, including the excavation of a transect of shovel test pits. Three shovel test pits were
excavated on a 15-meter interval along the southeastern edge of the survey APE. These shovel tests fall
within the area mapped as exhibiting Danripple sandy clay loam soils and shovel test proiiles recorded
from the subsurface examination correlate generally well with the official soil description. A relatively
thin Ap horizon over a deeper Bt horizon was observed in each test with artifacts relegated to either the
surface or the plowzone.
As can be gleaned from the shovel test results and artifact inventory, very few artifacts were recovered
from subsurface contexts during the survey; only one piece of quartz shatter and one small triangular
projectile point were recovered through shovel test excavation, both from the shallow Ap horizon. The
remainder of the assemblage associated with the current archaeological examination (n=28) were
recovered from the surface of the site, either within the proposed APE, or near the gate post close to the
northern edge of the iield. Materials collected from the surface of the site along the edge of SR1484
appear to be fairly consistent with previous collections made on the site. The small collection of sherds
recovered from the surface within the APE (n=7) exhibited cord-marked, fabric-impressed, ands plain
exterior surface treatments with iine to medium sandy paste. Interior surface treatments appeared to be
smoothed over scraped surfaces. According to the site files for site 31 SK21, this collection falls squarely
in line with previous collections which were generally identified as Vincent and Clements series pottery
(cf. Coe 1964: 101-105). The lithic assemblage from the site (all proveniences; n=16) includes examples
from as many as seven lithic sources and includes both curated and expedient tools. The small triangular
projectile point recovered from the plowzone of Shovel Test Pit No. 2 is entirely consistent with other
diagnostics from the site. In a relative sense, the density of materials within the APE does seem fairly
low for a potentially major village site and very few artifacts were recovered from subsurface contexts,
suggesting that subsurface features are very unlikely within the APE.
In addition to investigations within the APE, some bone was observed on the surface of the site in the
vicinity of a fence/gate post along the edge of the field. These remains appeared at first glance to be
bones from the lower limb of a large mammal and were assumed to probably be those of a deer. But,
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form for the Amended Minor Transportation Projects as Qua[ified in the 2007 Programmatic Agreement.
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given the history of the site, these remains were collected for analysis, along with a few nearby artifacts.
The bones were identified by Emily McDowell of the Office of State Archaeology Research Center as
lower limb bones from a White-Tailed Deer (Odocoileus virginianus). Despite the nearby artifacts, it is
pretty unlikely (though not completely impossible) that these faunal remains are from an archaeological
context.
As noted above, the presence of human interment in the small wooded area southwest of the bridge was
reported by the current landowner, Linda George Gibson, to NCDOT surveyors. Ms. Gibson was
contacted and arrangements were made to meet on-site to further investigate the reported graves on
December 16, 2016. This follow-up investigation was conducted by NCDOT staff archaeologists, Shane
Petersen and Paul Mohler. According to Ms. Gibson, her father, Dan George, had long maintained that
the graves located on a small knoll overlooking North Double Creek and Bridge No. 125, were the final
resting places for slaves. This bit of local folklore was repeated by Mr. James Rogers, the owner of the
parcel opposite the reported cemetery, who reported to have grown up on the property and recalled grave
locations and fieldstone markers when the area had been the location of a dog kennel.
Using a leaf-rake, the general area was examined for markers, depressions, or other evidence for human
interments in the area. Through gentile clearing of leaf-litter and deadfall branches, a handful of grave
locations (four or five) graves in two rows and marked with headstones and/or footstones, were identified.
These graves were confirmed with Mr. Rogers, along with a potential headstone that had been displaced
by an attempted looting of the site, according to Mr. Rogers. Crude wooden structural remains and wire
fencing in the area suggested the location of the reported dog kennels to the east of the graves. These
interments had been oriented on an east-west alignment, with the westernmost row of markers placed
immediately adjacent the cut-bank for SR 1484. This cemetery was recorded as site 31SK227**, with
site boundaries established based on topography and subtle changes in extant vegetation.
In an attempt to confirm local folklore regarding this cemetery, a survey of the deed and census
information was undertaken by NCDOT archaeologist, Paul Mohler in December 2016. According to the
National Register of Historic Properties form for the Matthew Moore House, the property was obtained
by Matthew Moore in 1773 from John Walker, who had been granted the property by Earl Granville. The
state census for 1784-1787, as well as the 1790 and 1800 Federal Censuses, indicate that Moore owned
slaves. His will, written in 1801, lists 27 slaves by name, all of whom were bequeathed to his wife and
children upon his death. Based on this will, the property in question was handed down to his son
Matthew Red Moore, who owned the land until 1843. The 1820, 1830, and 1840 Federal Censuses
indicate that Matthew Red Moore owned slaves during the period that he occupied the property. In 1843,
Matthew Red Moore defaulted on a loan, and as result surrendered the property to Emmanuel Shober. In
1844, this property was acquired by the Unitas Fratrum through conveyances to William Henry Van
Vleck and Charles Kluge, land speculators for the Moravian settlement at Salem. By 1849, Hardin W.
Reynolds purchased over 1,300 acres "on both sides of Dan River it being the tract of land known by the
name of Col. Matthew R. Moore home place." While Hardin W. Reynolds, owned slaves (per the 1850
and 1860 Federal Censuses), he did not reside on the Stokes County property, so it is unclear how the
farm was managed in his absence. Nevertheless, there are possibilities. During this period, neighboring
tracts and a mill at the mouth of Big Creek were owned by Pressley George, Sr. Pressley George Sr. and
his son (Pressley George Jr.) are both listed as owning slaves in Stokes County according to the 1850 and
1860 Slave Schedules, and it is possible that they had lease agreements with Reynolds allowing them to
farm the property. In any case, R. W. George (son of Pressley George Jr.) purchases the property from an
heir of Hardin Reynolds (his son W. N. Reynolds) in 1898. The property has since been owned by the
George family up to the present time, for the current owners, Linda George Gibson and Kathie George
McKinney, are the great-granddaughters of R.W. George.
Based on the research, it is certainly safe to say enslaved individuals were residing on the property during
the nineteenth century, although it is rather difficult to add any detail to the numbers and association of
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those enslaved people with the property owner. We can , however, add more evidence to the argument
that the cemetery at 31SK227**, differs substantially from other cemeteries in the vicinity. An
examination of the documented historic properties and cemeteries in the general area of the proposed
project, reveals a mortuary behaviar pattern by which family cemeteries are located on upland landforms
relatively close to the farm house associated with the white farm owner. This pattern is illustrated in the
proximity of the Matthew Moore House and its cemetery, the Walter W. George House and its associated
cemetery, and the unassociated yet nearby William H. Vaden House and its cemetery. By contrast, the
cemetery at 31SK227** is located on an alluvial terrace remnant far from any documented historic
residence.
This is not to say that the cemetery could not be the final resting place of individuals who were not
enslaved or perhaps would have been associated with a different ethnicity. Yet, the circumstantial
evidence provided by the mortuary behavioral pattern, the property and census records, and the local
folklore (even as suggested by the original site form for 31 SK21) argue otherwise. For these reasons, site
31 SK227** is recommended as eligible for the National Register of Historic Places (NRHP) under
Criterion A due to the site's association with enslaved individuals, from the earliest period of
development in the county, as well as the history of slavery in North Carolina and the United States.
Additionally, the site might be considered to be eligible for the NRHP under Criterion B for its
association with Matthew Moore (one of the largest slaveholders in the county at the time) and Criterion
D for potential information on the demographics of enslaved people and mortuary practices.
On April, 6, 2017, NCDOT archaeologist met with OSA representatives including John Mintz, Rosemarie
Blewitt, and Emily McDowell to discuss preliminary concurrence on the eligibility of the cemetery.
Additionally, revised preliminary designs were presented that would keep the proposed ROW in the same
location as existing ROW in the portions adjacent the locations of sites 31SK21 and 31SK227**. This
new proposal would create no new impacts to either site. This discussion resulted in the verbal agreement
that neither site would be affected by the project under the most recent proposal for the replacement of
Bridge No. 125 over North Double Creek.
No further archaeological investigations are required for the project as it is currently proposed. The
project should be considered to be compliant with Section 106 of the National Historic Preservation Act
and North Carolina General Stature 121-12(a). Should the project footprint expand outside the areas
currently delineated as the revised APE, further consultation would be required and the effects
determination reached with the Office of State Archaeology might be nullified. In the unlikely event that
archaeological material are encountered within the revised footprint of the project during construction, all
earth-disturbing activities in that area should cease and this office should be contacted immediately.
References Cited:
Coe, J. L.
1964 The Formative Cultures of the Carolina Piedmont. Transactions of the American
Philosophical Society, n.s., 54(5).
Daniel, I. R. Jr., and R. P. S. Davis, Jr.
1996 The Projectile Point Classification Project: A Classification of Projectile Points in Existing
Archaeological Collections from North Carolina (Phase II). Technical Report No. 26, Research
Laboratories of Anthropology, University of North Carolina, Chapel Hill.
Davis, R. P. S. Jr., and I. R. Daniel, Jr.
1990 The Projectile Point Classification Project: A Classification of Projectile Points in Existing
Archaeological Collections from North Carolina (Phase I). Technical Report No. 19, Research
Laboratories of Anthropology, University of North Carolina, Chapel Hill.
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form for the Amended Minor Transportation Projects as Qua[ified in the 2007 Programmatic Agreement.
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Ward, H. T. and R. P. S. Davis, Jr.
1993 Indian Communities of the North Carolina Piedmont, A.D. 1000 to 1700. Monograph No. 2,
Research Laboratories of Anthropology, University of North Carolina, Chapel Hill.
SUPPORT DOCUMENTATION
See attached: � Map(s) ❑ Previous Survey Info
Signed:
�
NCDOT ARCHAEOLOGIST
Shovel Test Results for B-5784:
� Photos ❑Correspondence
July 11, 2017
Date
Shovel Level Depth Depth Munsell Color Soil Texture Artifacts Notes
Test Pit (top) (base)
I 0 12 7.5YR3/4 Dark Brown silty clay loam no Plowzone
1
II 12 19 7.5YR3/4 Dark Brown sandy clay loam no Very gravelly
I 0 22 7.5YR3/4 Dark Brown silry clay loam lithic Plowzone
2
II 22 32 7.5YR4/4 Brown sIlry clay loam no
I 0 23 7.5YR3/4 Dark Brown silry clay loam lithic Plowzone
3
II 23 32 7.5YR4/4 Brown silry clay loam no
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Artifact Inventory for 31SK21:
Provenience Accession Number
General Surface Collection 2016.0413-1
2 Ceramic, body sherds (with coil breaks), sand temper with some
quartz, cord-marked exterior surface treatment, scraped and
smoothed interior surface treatment.
2 Ceramic, body sherds (one coil break), sand temper, fabric-
impressed exterior surface treatment, smoothed interior surface
treatment, thin-walled.
Ceramic, body sherd, sand temper, plain exterior surface treatment,
smoothed interior surface treatment.
2 Ceramic, body sherds, sand temper, unidentified exterior treatment,
unidentified interior surface treatment, eroded.
Biface, early-stage, chert (purple?), thermally-altered.
Biface, early-stage, quartz.
Core, multi-directional, quartz.
2 Expedient tool, retouched flakes, possible burin, intermediate to
felsic (andesitic to dacitic) lava or tuff.
2 Debitage, tertiary flake (interior), undetermined lava or tuff.
Debitage, tertiary flake (interior), undetermined flow-banded
porphyritic lava.
Debitage, tertiary flake (interior), porphyritic intermediate to felsic
(andesitic to dacitic) lava or tuff.
Debitage, tertiary flake (interior), tuffaceous sandstone.
Debitage, flake fragment, tuffaceous sandstone.
Debitage, flake fragment, chert.
Shovel Test No. 1, surface.
1 Debitage, flake fragment, quartz.
2016.0413-2
Shovel Test No. 2, Zone 1(0-22 cmbs) 2016.0413-3
1 Projectile point, small triangular (Caraway Triangular),
undetermined (probably felsic) lava or tuff.
Shovel Test No. 3, Zone 1(0-23 cmbs)
1 Debitage, shatter, quartz.
"NO NATIONAL REGISTER ELIGIBLE OR LISTED ARCHAEOLOGICAL SITES AFFECTED "
form for the Amended Minor Transportation Projects as Qua[ified in the 2007 Programmatic Agreement.
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Surface Collection at Edge of Field (near faunal remains) 2016.0413-5
2 Faunal remains, Odocoileus virginianus (white-tailed deer),
metapodial fragments.
2 Faunal remains, Odocoileus virginianus (white-tailed deer),
carpals or tarsals.
2 Faunal remains, Odocoileus virginianus (white-tailed deer),
phalanges.
Ceramic, body sherd, sand temper, plain exterior surface treatment,
unidentified interior surface treatment.
Biface, piece esquille (?), felsic (rhyodacitic to dacitic) lava or tuff.
"NO NATIONAL REGISTER ELIGIBLE OR LISTED ARCHAEOLOGICAL SITES AFFECTED"
form for the Amended Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
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Aerial photograph illustrating the distributio�l of some of the cultural features in the project
vicinity including: the original project APE (red), the APE for PA No. 14-11-0002 (purple), site
31 SK21 (pink), known local cemeteries (yellow dots), and recorded historic properties (blue
dots).
"NO NAT/ONAL REGISTER E.LIGlBLE OR L/STED ARCH,9EOLOGlC,9L SITES AFFF.CTFD "
Jorv�t for the Am�ended Minor• Tr•an.rporiatioie Projec[s as� Oi�aliJied ira lhe ?007 Progran�nzatic Agreerr�erx�.
9of16

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View of the north eild of the sw�vey AP�, Dan George Road, and Bridge No. 125 (faciilg soutl�).
View of P-East Road/Dan George Road intersection (facing south).
"NO NAT/ONAL RF.GISTF,R ELIG/BL,I:' OR LISTE:D ARCH,9EOLOG/C,9! S/TBS AFFFCTF.D "
/ornr %or the A»iended �YSinor Tr•an.rpa�iatioie Projec(s a.�� OualiJied iu lhe ?007 Prograrnrnatic,9gree�xien�.
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View of ROW east of SR 1484 and documented western edge of site 31 SK21 in an agricultural
field; note copse of trees in center background where interments were reported (facing north).
"NO NAT/ONAL REGISTER E.LIGlBLE OR /./ST6D ARCH,9EOLOGlC,9L SITES AFFF.CTFD "
Jorv�t for the Am�ended Minor• Tr•an.rporiatioie Projec[s as� Oi�aliJied ira lhe ?007 Progran�nzatic Agreerr�erx�.
11 of l6

Project Trac%ing No.
16-06-0028
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12 of l6

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"NO NaT/ONAL RF.GISTF.R E.L/G/BL,6' OR / ISTED ARCH,9FOLOGICAL SITES AFFF.CTF.D "
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13 of l6

Project Tracking No.
16-06-0028
"NO NaT/ONAL RF.GISTF.R E.L/G/BLE OR //STF.D ARCHAFOLOGICAL SITES AFFF.CTF.D "
Jorv�i %or the Am�ended Minor• Tr•an.rporiatioie Projec[s as� Oi�aliJied ira lhe ?007 Progran�nzatic Agreerr�erx�.
14 of l6

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15 of l6

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archaeological sites 31 SK21 (pink lines) and 31 SK227** (orange lines).
"NO NaT/ONAL RF.GISTF.R E.L/G/BLE OR //STF,D ARCHAFOLOGICAL SITES AFFF.CTF.D "
Jorv�t for the Am�ended Minor• Tr•an.rporiatioie Projec[s as� Oi�aliJied ira lhe ?007 Progran�nzatic Agreerr�erx�.
16 of l6

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PERMIT DRAWING SHEET 3 OF 4
PROJECT REFERENCE NO. SHEET NO.
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-- - - L -- - - - STAl6 40.00 -- - C- - � -- � �—
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�_ _ T E TO EXl 00.00 �-- I�I SEE 5 EET � 2A- ELT l�f,95.00 � :- P! -!+55.b0 �, �I i _ �
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___ �_ 35 Ptl= �_ k 9 EE_ SHEET 2a-1 � i J- --- � -
� � �I I u _5 MRti• ,. �I , I� I BRIDGE HYDRAULIC DATA �
- — �—
� _ (-J �, I- �--- r- - , �Iil'L.- �+12.8 , \`I.a_ II � DESIGN DISCNARGE = 2600 CFS
� � p,620 � � ��% II ! E 1 y DESIGN FREOUENCY = 25 YRS I
5
- ---- -- - � � DESIGN HW ELEVATION = 755J FT
' - -- � �--f_
- -
' \ �TING GRCJ I N� BASE DISCHARGE = 3600 CFS
� I ' � , i
nepeox e ev. nr e�=�se -= I BASE FREOUENCY = l00 YRS �
I es! no c �'' i i BASE HW ELEVATION = 757.5 FT i
---- ---- --_ --- ------ ----- --- -- -,- --- ---- - OVERTOPPING DISCHARGE _ � 4820 CFS ---
BM_I_ I ___----_'-_---_ ' - � ---II ---�j -- -- � - -- I--- -- I OVERTOPPING FREOUENCY= � 500 YRS
�I STA. 11+�6.0 (15,7.08 LTJI cl' � V RT PPIN ATl N= 7 7.4 FT Ir---
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1 5�1 NOR AL
s . . �. . . . . �. �. . . . . . . CL II STRE BANK �� � . - 5TA ILIZATION . � I �� . . � - . � � �
_ I � I �TABILI noN--� �� �', I ; DATE OF SURVEY = 02 / 28 / l7 !
' � � , � " ` � ���€ �� �� � W.S. ELEVATION _
3, I� wse j-za-nll'ANo se ='i �ae., - i� AT DATE OF SURVEY 746.1 FT ��
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�'�._ 10 11 12 13 14 15 16 17 18

WETLAND AND SURACE WATER IMPACTS SUMMARY
WETLANDIMPACTS SURFACE WATERIMPACTS
Hand Existing Existing
Permanent Temp. Excavation Mechanized Clearing Permanent Temp. Channel Channel Natural
Site Station Structure Fillln Fillln in Clearing in SW SW Impacts Impacts Stream
No. (From/To) Size / Type Wetlands Wetlands Wetlands in Wetlands Wetlands impacts impacts Permanent Temp. Design
(ac) (ac) (ac) (ac) (ac) (ac) (ac) (ft) (ft) (ft)
1 13+gg to 14+31 -L- BANK STABILIZATION 0.01 67
TOTALS*: 0.01 67 0 0
"Rounded totals are sum of actual impacts
NOTES: