20190755 Ver 1_Pages from Signed_B-5375_Final_CE_052119_20190610

DocuSign Envelope ID: AF3E6824-6B53-43D8-A973-D63155DB450E
I. Categorical Exclusion Approval
STIP Project No.
WBS Element
Federal Project No.
Prepared By: F
DocuSigned by:
5/20/2019 4 S(h{
Date Elizab-dtffco ; EI,
B-5375
46090.1.1
BRZ-1132(010)
neers inc.
Prepared For: North Carolina Department of Transportation
Reviewed By:
5/20/2019
Date
DocuSigned by:
Larry ompson, PWS, LSS, Division Environmental
North Carolina Department of Transportation
cer
If all of the threshold questions (1 through 7) of
Approved Section F are answered "no," NCDOT approves this
Categorical Exclusion.
❑ Certified
5/20/2019
Date
If any of the threshold questions (1 through 7) of
Section F are answered "yes," NCDOT certifies this
Categorical Exclusion.
DocuSigned by:
Wooe
568D887B80E4404... J
Garland Haywood, PE, Division Bridge Program Manager
North Carolina Department of Transportation
FHWA Approved: For Projects Certified by NCDOT (above), FHWA signature
required.
Date John F. Sullivan, III, PE, Division Administrator
Federal Highway Administration
9 Updated 5/20/19