26857_NC DOT_20010116

Applicant Name
CAMA and DREDGE AND FILL 1 268574
GENERAL DI
PERMIT
rJUN 0 7 2001�
as authorized by the State of North Carolina COASTAL MANAGEMENT
Department of Environment and Natural Resour es_arad-t-boQ9F-Resoafces Commission
in an area of environmental concern pursuant to 15 NCAC :
Phone Number
Address & S0
�i � Zi? ''`�City r-
7
Project Location (County, State Road, Water Body, etc.)
c _ `71
Type of Project Activity = P L �g c
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
other"
F `4
A;
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
permit officer's signature
rt Yny
issuing date expiration date
„ o attachments
application fee

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NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
COUNTY:
PROJECT:
DATE: /— >- 0�
SUBJECT: Plan&X-sec SCALE:,
SHEET: I of

Form DCM-MP-5
BRIDGES AND
CULVERTS
Attach this form to Joint Application for CAMA Major
Permit, Form DCM-MP-1. Be sure to complete all
other sections of the Joint Application that relate to this
proposed project.
1. BRIDGES
a. Public Private
b. Type of bridge (construction material)
c. Water body to be crossed by bridge
d. Water depth at the proposed crossing at MLW or
NWL
e. Will proposed bridge replace an existing bridge?
Yes No
If yes,
(1) Length of existing bridge
(2) Width of existing bridge
(3) Navigation clearance underneath existing
bridge
(4) Will all, or a part of, the existing bridge be
removed? (Explain)
f. Will proposed bridge replace an existing culvert(s)?
Yes No
If yes,
(1) Length of existing culvert
(2) Width of existing culvert
(3) Height of the top of the existing culvert above
the MHW or NWL
(4) Will all, or a part of, the existing culvert be
removed? (Explain)
g. Length of proposed bridge
h. Width of proposed bridge
i. Height of proposed bridge above wetlands
j. Will the proposed bridge affect existing water flow?
Yes No
If yes, explain
k. Navigation clearance underneath proposed bridge
1. Will the proposed bridge affect navigation by
reducing or increasing the existing navigable
opening? Yes No
If yes, explain
m. Will the proposed bridge cross wetlands containing
no navigable waters? Yes No
If yes, explain
n. Have you contacted the U.S. Coast Guard
concerning their approval?
Yes No
If yes, please provide record of their action.
2. CULVERTS
a. Water body in which culvert is to be placed
Halls Creek
b. Number of culverts proposed 3
c. Type of culvert (construction material, style)
Aluminum
d. Will proposed culvert replace an existing bridge?
x Yes No
If yes,
(1) Length of existing bridge 35 feet
(2) Width of existing bridge 24.2 feet
Revised 03/95

Form DCM-M -5
(3) Navigation clearance underneath existing
bridge 2 feet
(4) Will all, or a part of, the existing bridge be
removed? (Explain) all
e. Will proposed culvert replace an existing culvert?
Yes x No
f
If yes,
(1) Length of existing culvert
(2) Width of existing culvert
(3) Height of the top of the existing culvert above
the MHW or NWL
(4) Will all, or a part of, the existing culvert be
removed? (Explain)
Length of proposed culvert 112"
(2) Width of area to be excavated
(3) Amount of material to be excavated in cubic
yards
c. Will the placement of the proposed bridge or culvert
require any highground excavation?
x Yes No
If yes,
(1) Length of area to be excavated 10 feet
(2) Width of area to be excavated 20 feet
(3) Amount of material to be excavated in cubic
yards + /- 30 cubic yards
d. If the placement of the bridge or culvert involves
any excavation, please complete the following:
(1) Location of the spoil disposal area
authorized NC DOT disposal area
(upland site)
g.
Width of proposed culvert 75"
(2)
Dimensions of spoil disposal area
h.
Height of the top of the proposed culvert above the
(3)
Do you claim title to the disposal area?
MHW or NWL
x Yes No
If no, attach a letter granting permission from
i.
Will the proposed culvert affect existing water flow?
the owner.
Yes x No
(4)
Will the disposal area be available for future
If yes, explain
maintenance? x Yes No
(5)
Does the disposal area include any coastal
wetlands (marsh), SAVs, or other wetlands?
j.
Will the proposed culvert affect existing navigation
Yes x No
potential? Yes x No
If yes, give dimensions if different from (2)
If yes, explain
above.
(6)
Does the disposal area include any area below
the MHW or NWL? Yes x No
3.
EXCAVATION AND FILL
If yes, give dimension if different from No. 2
above.
a.
Will the placement of the proposed bridge or culvert
e. Will the placement of the proposed bridge or culvert
require any excavation below the MHW or NWL?
result
in any fill (other than excavated material
x Yes No
described
in Item d. above) to be placed below
If yes,
MHW or NWL? x Yes No
(1) Length of area to be excavated 40 feet
If yes,
(2) Width of area to be excavated 60 feet
(1)
Length of area to be filled 40 feet
(3) Depth of area to be excavated 1 foot
(2)
Width of area to be filled 60 feet
(4) Amount of material to be excavated in cubic
(3)
Purpose of fill fill around culverts
yards 89 Cubic yards
b. Will the placement of the proposed bridge or culvert f. Will the placement of the proposed bridge or culvert
require any excavation within: result in any fill (other than excavated material
n Coastal Wetlands n SAVs n Other Wetlands described in Item d. above) to be placed within:
If yes, n Coastal Wetlands n SAVs n Other Wetlands
(1) Length of area to be excavated If yes,
(1) Length of area to be filled
Revised 03/95

Form DCM-MP-S
(2) Width of area to be filled
(3) Purpose of fill
g. Will the placement of the proposed bridge or culvert
result in any fill (other than excavated material
described in Item d. above) to be placed on
highground? x Yes No
If yes,
(1) Length of area to be filled 40 feet
(2) Width of area to be filled 60 feet
(3) Purpose of fill fill over culverts
4. GENERAL
a. Will the proposed project involve any mitigation?
Yes x No
If yes, explain in detail
b. Will the proposed project require the relocation of
any existing utility lines? Yes x No
If yes, explain in detail
c. Will the proposed project require the construction of
any temporary detour structures?
Yes x No
If yes, explain in detail
d. Will the proposed project require any work
channels? Yes x No
If yes, complete Form DCM-MP-2
e. How will excavated or fill material be kept on site
and erosion controlled? Best management Practices
f. What type of construction equipment will be used
(for example, dragline, backhoe or hydraulic
dredge)? Excavator, dumptrucks, crane
g. Will wetlands be crossed in transporting equipment
to project site? Yes x No
If yes, explain steps that will be taken to lessen
environmental impacts.
h. Will the placement of the proposed bridge or culvert
require any shoreline stabilization?
x Yes No
If yes, explain in detail aluminum headwall and
Wings, erosion control stone on unstable slopes
Kristen Shacochis Environmental Officer
Applicant or Project 'e
Signature
Date
Revised 03/95