20190629 Ver 1_Pickens Hwy. (U.S. 178) - Transylvania County - RMIP - Programmatic Agreement Cultural Resources Screening Checklist (Signed)_20190512

Programmatic Agreement Cultural Resources Screening Checklist
Project Numbers: N/A
FA: N/A
Project Name: U.S. Highway 178 (Pickens Highway) — RMIP
WBS: N/A
County: Transylvania County
Project Description: Replace (5) deteriorating culverts under Pickens Highway. (4) Culvert replacements will
be foot -for -foot and (1) culvert replacement will have a 15' extension.
Funding Source: State Permits Required: Nationwide 3 — GC 4132
Instructions
NCDOT Project Managers/Engineers, should complete the following checklist based upon your knowledge of the project site and
immediate vicinity. If you check "Unable to Determine", efforts should be undertaken to acquire available information on the project.
If the answer to any question is "Yes" or "Unable to Determine," the project is subject to further historic preservation review, not
withstanding other determinations under state environmental review laws and regulations. If the answer to all the questions is "No,"
the project may be excluded from further historic preservation review.
Yes
No
Unable to
Determine
A. Does this project contain activities that are not specified in Appendix C
X
of the North Carolina Programmatic Agreement for Minor Transportation
Projects? (List of Exempt Activities on reverse)
B. Is this project directly related to other actions with individually
X
insignificant, but cumulatively significant, environmental effects?
C. Are there properties listed on or eligible for listing on the National
X
Register of Historic Places in the project area?
D. Is this project questioned by the owner of a historic property?
X
E. Is there known public controversy based on historic preservation issues?
X
F. Can this project be classified as anything other than a "categorical
X
exclusion" (or state -equivalent) project
Certification
By my signature, I certify that I have completed a site visit or am familiar with the specifics of the project and that my answers to the
questions above are, to the best of my knowledge, correct. I also understand that no further environmental analysis is required
according to Appendix C of the North Carolina Programmatic Agreement for Minor Transportation Projects.
DOCUSigned by:
Patrick J. Breedlove [_P & 15y"5/4/2018
Name (print)
Signature
Date