20180538 Ver 1_MCDC (Signed)_20180417

MINIMUM CRITERIA DETERMINATION CHECKLIST
The following questions provide direction in determining when the Department is
required to prepare environmental documents for state-funded construction and
maintenance activities. Answer questions for Parts A through C by checking either "Yes"
or "No". Complete Part D of the checklist when Minimum Criteria Rule categories #8,
#12(i), or #15 are used.
TIP Project No.:
State Project No.: 14SP.20201.1
Project Location: Bridge No. 163 on SR 1348 (Bates Creek Road) over Bates Creek -
Cherokee County, North Carolina
Project Description: Replace Bridge No. 163 with a 63' 3" L x 18'-4" W x 8'-3" H(2
Barrels @ 8' W x 6' H) reinforced concrete box culvert structure on existing location
(with 1 ft. seal on low flow barrel, 2ft. seal on high flow barrel), near the Hangdog
Community in Murphy, North Carolina. The project will use an offsite detour for
construction.
Anticipated Permit or Consultation Requirements: Anticipated Permit or
Consultation Requirements:
1. Outside river corridor = Yes (2.02 miles from Valley River)
2. Below impact threshold for applicable NWP = No
3. Tree clearing = No Clearing (otherwise have no effect on T&E)
4. Trout watershed = Yes (follow moratarium unless verification NCWRC letter
states no)
5. NLEB HUC = Yes (greater than 025 miles from known hibernacula/maternity
roost)
NWP 14 will require written authorization and written 401 Certification.
Special Project Information: Mitigation Required. Bridge to Culvert.
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PART A: MINIMUM CRITERIA
Item 1 to be completed by the Engineer
1. Is the proposed project listed as a type and class of activity allowed under
the Minimum Criteria Rule in which environmental documentation is not
required?
If the answer to number 1 is "no", then the project does not qualify as a
minimum criteria project. A state environmental assessment is required.
If yes, under which category? (9) Reconstruction of existinE crossroad or
railroad separations and existinE stream crossings,
includinE, but not limited to nipes, culverts, and
brid�es.
If either category #8, #12(i) or #15 is used complete Part D of this checklist.
PART B: MINIMUM CRITERIA EXCEPTIONS
Items 2— 4 to be completed by the Engineer.
2. Could the proposed acrivity cause significant changes in land use
concentrations that would be expected to create adverse air quality
impacts?
3, Will the proposed activity have secondary impacts or cumulative impacts
that may result in a significant adverse impact to human health or the
environment?
4. Is the proposed activity of such an unusual nature or does the proposed
activity have such widespread implications, that an uncommon concern
for its environmental effects has been expressed to the Department?
YES NO
❑X ❑
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Item S-8 to be completed by Division Environmental Officer.
5. Does the proposed activity have a significant adverse effect on wetlands; � �
surface waters such as rivers, streams, and estuaries; parklands; prime or
unique agricultural lands; or areas of recognized scenic, recreational,
archaeological, or historical value?
6. Will the proposed activity endanger the existence of a species on the
Department of Interior's threatened and endangered species list?
7. Could the proposed activiry cause significant changes in land use
concentrations that would be expected to create adverse water quality or
ground water impacts?
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❑ �
❑ �

YES NO
$. Is the proposed activity expected to have a significant adverse effect on � �
long-term recreational beneiits or shellfish, iiniish, wildlife, or their
natural habitats
If any questions 2 through 8 are answered "yes", the proposed project may not qualify as a
Minimum Criteria proj ect. A state environmental assessment (EA) may be required. For
assistance, contact:
Manager, Project Development and Environmental Analysis Branch
P. O. Box 25201
Raleigh, NC 27611
(919) 733 —3141
Fax: [phone]
PART C: COMPLIANCE WITH STATE AND FEDERAL REGULATIONS
Items 9-12 to be completed by Division Environmental Officer. YES NO
9. Is a federally protected threatened or endangered species, or its � �
habitat, likely to be impacted by the proposed action?
10. Does the action require the placement of temporary or permanent � �
fill in waters of the United States? NWP 14 Required
11. Does the project require the placement of a significant amount of
fill in high quality or relatively rare wetland ecosystems, such as
mountain bogs ar pine savannahs?
12. Is the proposed action located in an Area of Environmental
Concern, as defined in the coastal Area Management Act?
Items 13 —1 S to be completed by the Engineer:
13. Does the project require stream relocation or channel changes?
Cultural Resources
14. Will the project have an "effect" on a property ar site listed on the
National Register of Historic Places?
15. Will the proposed action require acquisition of additional right of
way from publicly owned parkland or recreational areas?
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❑ �
❑ �
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� �i
Questions in Part "C" are designed to assist the Engineer and the Division Environmental
Officer in determining whether a permit or consultation with a state or federal resource
agency may be required. If any questions in Part "C" are answered "yes", follow the
appropriate permitting procedures prior to beginning project construction.
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PART D: (To be completed when either cate�ory #8, #12(i), or #15 of the rules are
used.
Items 16- 22 to be completed by Division EnviNonmental Officer.
16. Project length:
17. Right of Way width:
18. Project completion date:
19. Total acres of newly disturbed ground
surface:
20. Total acres of wetland impacts:
21. Total linear feet of stream impacts:
22. Project purpose:
If Part D of the checklist is completed, send a copy of the entire checklist document to:
Don G. Lee
State Roadside Environmental Engineer
Mail Service Center 1557
Raleigh, NC 27699-1557
[phone]
Fax [phone]
Email: [e-mail]
DocuSigned by:
�OSu,l�a �j. �U1%bin, 3/8/2018
ReV1eWeCl by: cF�s�ecacc�oa�E.. �ate:
Josh B. Deyton, PE
Division 14 Brid�e Management Engineer
DocuSig ed by:
��� ���� 3/8/2018
Date:
Patrick J. Breec�o e� ���
Division 14 Environmental Specialist
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Cherokee County
Replace Bridge Number: 163 (Bates Creek) under
SR 1348 (Bates Creek Road) near Murphy, N.C.
WBS No. 14SP.20201.1
NWP 14 will require written authorization for this project as well as a
written 401.
• Project will comply with the standard 2017 NWP 14 and 2017 GC 4135
conditions.
• Project will adhere to NCDOT best management practices.