20181716 Ver 1_B-175 MCDC (Signed)_20181218

MINIMUM CRITERIA DET�RMINATION CH�CKL,IST
1'he following questions provide direction in determining when the Department is
required to prepare environmental documents for state-funded construction and
maintenance activiYies. Answer questions for Parts A t6rough C by checking either "Yes"
or "No". Complete Pait D of the checklist when Minimum Criteria Rule categories #8,
#12(i), or #15 are used.
TIP Project No.:
State Project No.: 14SP.204411
Project Location: I3ridge No. 175 on SR 1332 (Wate�ville Road) over Big Creek
Haywood County, North Carolina
Project Description: Replace Bridge No. 175 with a two span ll5' (1 @ 75', 1@ 40')
cored slab bridge structure at the existing location, near Waynesville, North Carolina.
The project will utilize stage construction methods during construction.
Anticipated Permit or Consultation Requiremeuts: Nationwide Permit No. 3& 401
Certification. Written notification is required for this � iect due to aquatic &
environmental impacts
1. Outside river corridor = Yes.
2. Below impact threshold for applicable N WP = No. N WP 3 Required.
3. Tree clearing= Yes (Sycamore, White pine) —(follow moratorium).
A. Trout watershed = Yes (follow moratorium unless verif cation NCWRC letter
states no).
5. NLEB HUC = No. Greater than 0.25 iniles from U.S. F& W NLEB "Red HLTC".
NWP 3 and written 401 Certi�cation will be required for proposed project.
Special Project Information:
The bridge and surrounding area were suiveyed on 3.15.2016 and 7.29.2018 for bats rare
plants, respectively and no specimens or evidence were found. Potentially suitable habitat
near the bridge was intensively surveyed but on specimens were detected. Bridge to
bridge replacement.
10/09/18 1 of 4

PART A: MINIMUM CRIT�RIA
YES NO
Item I to be completed by tlt�e Eng+ineer. �
I. Is the proposed project ]isted as a type and class of activity allowed under � �
the Minimum Criteria Rule in wtrich environmenCal documentation is not
required?
If the answer Yo number 1 is "no", thcn the project does not qualify as a
minimum criteria project. A state environmental assessment is required.
If }�es, undeC WhICh C2teg0�y7 (9i Reconstruction of ezistine erossroad or
railroaJ seoarations and existine stream crossinps
ineludine, but not IimiteJ to oioes, culverts, and
bridees.
If either categoty #8, #12(i) or #15 is used complete ParC D of this checklist.
PART B: MINIMUM CRITF,RIA �XCEPTIONS
Iteyns 2— 4 to be completed by tlte Engineer.
2, Could the proposed activity cause significant changes in land use
concentrations that� would be expected to creatc adverse air quality
impacts7
3. Will tha proposed activity have secondary impacts or cumulaCive impacts
Yhat may result in a significant adverse impact to human health or the
environmentY
4. Is the proposed activity of such an imusual nature or does the proposed
activity have such widespread implications, that an uncommon concern
for its environmental effects has been expressed to the DepartmenY7
❑ �
❑ �
� 4
Itenz 5-8 to be compledecl by Divisio�t 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?
(�, Will the proposed activity endanger the exisfence of a species on the
Department of Interior's threatened and endangered species list?
7, Could the proposed activity cause significant changes in land use
concenUations that would be expected to create adverse water quality or
ground water impacYs?
❑ �
❑ �
10/09/18 2 of4

YES NO
$. Is the proposed activity expectad to have a significant adverse effect on � �
long-Cenn recreational benefits or shellfisl�, finfish, wildlife, or their
natura] habitats
If any questions 2 ttsough 8 are answered "yes", the proposed projcct may not qualify as a
Minimum Criteria project. A state envirorunental assessment (CA) may be required. For
assistance, contact:
Manager, Project Development and EnvironmenYal Analysis Branch
P. O. Box 25201
Raleigh, NC 27611
(919) 733 —3141
Fax: [phone]
PART C: COMPLIANC� WITH STATE AND FEDERAL REGULATIONS
Items 9-12 to be contpleted by Divisiorz Environmen/al Officen 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 temporaiy or permanent � �
fill in walers of the United States? NWP 3/401 Cert. Required.
1 l. Does the project require the placement of a significant amount of
611 in high quality or relatively rare wetland ecosystems, such as
mountain bogs or pine savannahs?
12. Is thc proposed action located in an Area of Environmental
Concern, as defined in the coasYal Area Management Act?
Items I3 — I S fo be con¢pleted by the Erigineer. '
13. Does the project require stream relocation or channel changes?
Cullural Resources
14. Will tlle project have an "effecY' on a property or site Gsted on the
National Register of Historic Places?
15. Will Che proposed action require acquisition of additional right of
way fi�om publicly owned parkland or recreational areas?
❑ �
❑ �
❑ �
❑ �
� �
Questions in ParC "C" are designed to assist the Engineer and the Division Environmental
Officer in determining whether a petmit or consultation with a staCe or federal resource
agency may be required. If any questions in Part "C" are answercd "yes", follow the
appropriate permitting procedures prior to beginning project construction.
10/09/18 3 of 4

PART D: (To be completed when either category #8, #12(i), or #15 of the rules are
used.
Iten:s l6- 22 to be completed by Divisio�a �nvironmendal Offrcer.
16. Project length:
17. Right of Way widYh:
18. Project completion date:
19. Total acres of newly disturbed ground
surface:
20. Total acres of wetland impacts:
21. Tota] linear feet of sh•eam impacts:
22. Project purpose:
If Yart D of the checldist is completed, send a copy of the enYire checldist docwnent to:
Don G. Lee
State Roadside Environmental Engineer
Mail Service Center 1557
Raleigh, NC 27699-1557
[phone]
Fax [phone]
Email: [e-mail]
oa��sio�.a oy:
Cd�, p,�� �o��z�zo�8
Reviewed by: F9naeFaaeaoa»._ Date:
Adam Dockery, PE
Division 14 Bridge Program Manager
�ooe�sia�.a ey: 10/9/2018
�� �� Date:
Pa ' A29:°�i°6L9/�Ibve
Division 14 - Environmental Specialist
]0/09/18 4 of 4

Haywood County
Replace Bridge 175 on SR 1332
(Waterville Road) near Waynesville, N.C.
14SP.20441.1
• 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.