20181716 Ver 1_B-174 MCDC (Signed)_20181218

MINIMUM CRITERIA DETERMINATION CHECKLIST
The following questions provide direction in determining when the DeparCment is
required to prepare environmental documents for state-funded construclion and
maintenance activities. Answer yuestions for Part�s A through C by checking either "Yes"
or "No". Complete Part D of the checldist when Minimum Criteria Rule categories #8,
#12(i), or #15 are used.
TIP Project No.:
State Project No.: 14SP.20441.2
Project Location: Bridge No. 174 on SR 1332 (Wateiville Road) over Big Creek
Haywood County, North Carolina
Project Description: Replace Bridge No. 174 with a 135' steel p1aCe girder bridge
sttucture with concrete deck at the existing location, near Waynesville, North Carolina.
The project will utilize stage construction methods during consh•uction.
AnticipaYed Permit or Consultation Requirements: Nationwide Permit No. 3& 401
Cer[ifcation. Written notification is required for this projecE due to aquatic &
environmental impacts
1. Outside river eorridor = Yes.
2. Below impact Yhresl�old for applicable NWP = No. NWP 3 Required.
3. Tree clearing = Yes (Sycamore, Oalc) —(follow moratorium).
4. TrouC watershed = Yes (follow moratorium unless verification NC WRC letter
states no).
5. NLF.B HUC = No. Greater than 0.25 miles from U.S. F& W NLEB "Red HUC".
NWP 3 and written 401 CerYificaYiou will be required for proposed project.
Special ProjecY Information:
The bridge and surrounding area wcre surveyed on 3.15.2016 and 7.29.2018 for bats rare
plants, respeclively and no specimens or evidence were found. PoYentially suiYable habitat
near the bridge was intensively surveyed but on specimens were detected. Bridge to
bridge replacement.
10/09/18 1 of4

PART A: MINIMUM CRIT�RIA
YES NO
Item 1 to be cohip[eted by the Engineer. '�
1. Is ihe proposed project listed as a type and class of activity allowed under �X �
fhe 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, unc]et' WhICh CategoCy? (9) Rucon9truction of existine crossroad or
railro•�d sen��'atimis and existing stream crossines,
includine but not Iimited to n�nes wlverts, and
brid¢es.
If eiYher category #8, #12(i) or #15 is used complete Part D ofthis checklist.
PART B: MINIMUM CRITERIA �XCEPTIONS
Items 2— 4 to be completed by the Engtneer.
Z, Could the proposed activiTy 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 a cumulative impacts
thal may result iu a signi�cant adverse impact to human health or the
environment?
4. Is Yhe proposed activity of such an unusual nature or does the proposed
activity have such widespread implications, that an uncommon concern
for its environmental cffects has been expressed to the Depaitment?
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Item 5-8 to be con�pleted by DfvisioH Ehvironmental Officer.
5. Docs the proposed activity have a significant adverse effect on wetlands; � �
surface waters such as rivers, streams, and estuaries; parklands; prime or
unique agricultural ]ands; or areas of recognized sceniq recreational,
archaeological, or historical value?
6. Will the proposed activity endanger the existence of a species on tbe
Department of Interior's threatened and endangered species list?
'7. Could the proposed activity cause significant changes in land use
concentrations that would be expected to create adverse water quality or
ground water impacts7
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10/09/18 2 of 4

YES NO
$. Is the proposed activity expected to have a significant adverse effect on � �
]oug-term recreational benefiYs or shellfish, finfish, wildlife, or their
natura] habiYats
If any questions 2 tluough 8 are answered "yes", the proposed project may not qualify as a
Minimum Criteria project. A state enviromnental assossment (GA) may be required. For
assistance, contact:
Manager, Project Development and Environmental Analysis Branch
P. O. �3ox 25201
Raleigh, NC 27611
(919) 733 —3141
Pax: [phone]
PAKT C: COMPLIANCE WITH STAT� AND FEDERAI. REGULATIONS
Items 9- l2 to be completed by Division Environmertfal Officer. YES NO
9. Is a federally protected threatened or endangered species, or its � �
habitat, likely to bc impacted by the proposed action?
10. Doas the action require the placement of temporary or permanent � �
fill in waters of the United States? NWP 3/401 Cert Required.
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12.
Does the project require the placement of a significant amount of
fill in high quality or rclatively rare wetland ecosystems, such as
mountain bogs or pine savannahs?
Is Yhe proposed action located in an Area of Environmental
Concern, as defined in the coasfal Area Managcment Act?
Itenrs 13 — I S to be completed by the Ehgineer.
13. Docs tlle project reyuire stream rclocation or channel changes?
Cultural Resources
14. Will the project have an "effecY' on a property or site listed on the
National Register of Histoiie Places?
15. Will t6e proposed action require acquisition of additional right of
way fiom publicly owned parldand or rem�eational areas?
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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 Parl "C" are answered "yes", follow the
appropriate permitting procedures prior to beginning project construction.
10/09/18 3 of4

PART D: (To be completed when either cateeory #8, #12(i), or #15 of tlie rules are
used.
Items 16- 22 to be completed hy DivisioH EnvironmeHttd Officer.
16. Projectlength:
17. Right of Way width:
18. Project comp(etion date:
19. Tota( acres of newly disturbed ground
surface:
20. Total acres of wetland impacts:
21. Total linear feet of stream impacts:
22. Project puipose:
If Pai�t D of the checldist is completed, send a copy of the entire checklist document to:
Don G. Lce
State Roadside Environmental Engineer
Mail Seivice Center 1557
Raleig6, NC 27699-1557
[phone]
Fax [phone]
Einail: [e-mail]
DoauSlpn�tl by:
Cd�,,�, pd�� �a��Z��o�B
Reviewed by: Fsi�eeFassaom... D3te:
Adam Dockery, PG
Division 14 Bridge Peogram Manager
�000usion.a ny: 10/9/2018
�� �� Date:
Patric ".���i0'bt�"
Division 14 - EnvironmenYal Specialist
10/09/18 4 of 4

Haywood County
Replace Bridge 174 on SR 1332
(Waterville Road) near Waynesville, N.C.
14SP.20441.2
. Nationwide 3 Permit will be required and a written 401 under GC 4132.
. A trout moratorium may be applied to the permits at the request of WRC.
Big Creek is listed as a Class C; Tr., HQW stream type.
. High Quality Water best management practices will be utilized during
construction.
. Project will adhere to NCDOT best management practices. Avoidance of
erosion and sedimentation into Big Creek and downstream habitats.
. Trees will be cleared from October 15 to April 15 to avoid potential
roosting by Indiana bats.