20190147 Ver 1_850012 No Adverse Effect Historic Property_20190201

P+'oject TrackingNo. (/nternal Uee)
17-06-0004
HISTORIC ARCHICTECTURE AND LANDSCAPES
A55ESSMENT 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 Gcoup.
PRn.iF,CT iNFnRMATTnN
Project No: County: Surry
WBSNo.: 17BP.11.R.144 Document MCC
T e.•
Fed. Aid No: Funding: State ❑ Federal
Federal � Yes No Permit USACE
Permit s ; Ty e(s):
Proiect Descrintion:
Replace Bridge No. 12 on SR 1122 (Dobbins Mill Rd) over Snow Creek.
SUMMARY OF HISTORIC ARCHICTECTURE AND LANDSCAPES REVIEW
On June 15, 2017 a search of NC HPOWEB GIS Service map revealed that in the Area of
Potential Effects (APE) the project included a property which is over 50 years of age. An
architectural historian conducted an eligibility evaluation of the properties. In a letter dated
December 22, 2017 the North Carolina Historic Preservation Office concurred with our finding
that Dobbins Mill (SR05421 is elieible for National Reeister listinQ under Criterion A.
Property Name:
Survey Site No.:
Bffects
❑ No Effect
ASSESSMENT OF EFFECTS
Dobbins Mill Status: DE
SR0542 PIN.�
� No Adverse Effect ❑ Adverse Effect
Exnlanation of Effects Determination:
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Hismric ArchitecNre and Landscopes EFF&CTSASSESSMBNTfa�m ja�MinarT7amsparmtion Projects as Qmlified in Ihe 1007Pragramnmtic Agreenienr.
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List oTEnvironmental Commitments:
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SUPPORT DOCUMENTATION
�Map(s) ❑Previous Survey Info. �Photos ❑Conespondence �Design Plans
FINDING BY NCDOT AND STATE HISTORIC PRESERVATION OFFICE
Historic Architecture and Landscapes —ASSESSMENT OF EFFECTS
�
NCDOT Architec�tural Historian Date
I �-��t�¢A 1 �� eJ1Y "'
State Historic Preservation Office .
Representative, Federal Agency
Date
Date
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Hisroric Architeclure ondLondreapes EFFECTS ASSGSSMENT fam ja�Minw� 77ansparintion Projects ax Oiwlifpd in Ihe 1007Programmalic Agreement.
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