20181716 Ver 2_MCDC (Signed)_20190325

MINIMUM CRITERIA DETERMINATION CHECKLIST
The following questions provide direction in determining when Che Department is
required to prapare environmental documents for state-funded construcCion and
maintenance activities. Answer yuestions for Part�s A through C by checking either "Yes"
or "No". Complete Pa�t D of the checldisC 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 coneretc deck at the existing location, near Waynesville, North Carolina.
The project will utilize stage construction methods during consh•uction.
Anticipated Permit or Consultation Requirements: Nationwide Permit No. 3& 401
Certifcation. Written notification is required for this project due to aquatic &
environmental impacts
1. Outside river eorridor = Yes.
2. Below impact thresl�old for applicable NWP =No. NWP 3 Required.
3. Tree clearing = Yes (Sycamore, Oak) —(follow moratorium).
4. TrouC watershed = Yas (follow moratorium unless verification NCWRC IetCer
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 were surveyed on 3.15.2016 and 7.29.2018 for bats rare
plants, respectively and no specimens or evidence were found. PoYentially suiYable habitat
near the bridge was intensively surveyed but on specimens were detectcd. Bridge to
bridge replacement.
10/09/18 1 of4

PART A: MINIMUM CRIT�RIA
YES
Item 1 to be comp[eted by the �ngineer. '
1. Is ihe proposed project listed as a type and class of activity allowed under �X
Yha 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, undel' WhICh CategoCy? (9) Rocon9truction of existine crossroad or
rail�ro•�d sen��'ations and existing stream crossines,
including but not Iimited to n�nes culvcrts, 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 Engineer.
Z, Could the proposed activiTy cause significaut 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
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, t6at an uncommon concern
for its environmental cffects has been expressed to the Depaitment?
NO
C
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Item 5-8 to be con�pleted by DivisioH Ehvir•onme�ttal Officer.
5. Docs the proposed activity have a significant adversa cffect 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?
(. 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 activity cause significant changes in land use
concentrations that would be expected to create adverse water quality or
ground water impacts?
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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
natural habiYats
If any questions 2 tluough 8 are answered "yes", the proposed project may not qualify as a
Minimum Criteria project. A state environmental assossment (GA) may be required. For
assistance, contact:
Manager, Project Development and Environmental Analysis Branch
P. O. Box 25201
Raleigh, NC 27611
(919) 733 —3141
Pax: [phone]
PAKT C: COMPLIANCE WITH STAT� AND FEDERAI. REGULATIONS
Iterrrs 9- 12 to be completed by Division Environmenfal Officer. YES NO
9. Is a federally protected threatened or endangered species, or its � �
habitat, likely to bc impacted by the proposed action?
10. Does the action require the placement of temporary or permanent � �
fill in waters of the United States? NWP 3/401 Cert Required.
11
12.
Does the project requirc the placement of a significant amo�int of
fill in high quality or relatively rare wetland ecosystems, such as
mountain bogs or pine savannahs?
Is the proposed action located in an Area of Environmental
Concern, as defined in the coasfal Area Managcment Act?
Itenas 13 — I S to be comp(efed by the Ehgineer.
13. Does tlle project require stream rclocation or channel changes?
Cultural Resources
l4. Will the project have an "effecY' on a property or site listed on the
National Register of Historie Places?
15. Will the proposed action require acquisition of additional right of
way fi�om publicly owned parldand or recreational 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 Part "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 the rules are
used.
Items 16- 22 to be contpleted hy DivisioH Environmehttd Officer.
16. Projectlength:
17. Right of Way width:
18. Project comp(etion 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 Pai�t D of che checklist is completed, send a copy of the entire checklist document to:
Don G. Lce
State Roadside Environmental Engineer
Mail Seivice Center 1557
Raleigh, NC 27699-1557
[phone]
Fax [phone]
Einail: [e-mail]
000usiv��a ny:
Cd�„, pdc�w� �ai�Zi�o�B
Reviewed by: Fat�neFassaoai... D3te:
Adam Dockery, P�
Division 14 Bridge Pcogram Manager
�000�sion.a er: 10/9/2018
�� �'� Date:
Patric ".Z���iO'bt�
Division 14 - Environmental Specialist
ioio�n s a of a

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.