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HomeMy WebLinkAbout50453_NC DOT_20080513❑DREDGE & FILL NTH' A 51)4 ¢3 7 6-�& PERMIT []New ❑Modification ❑Complete Reissue ❑Partial Reissue As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Applicant Name Address City ----._..-----.--.-.-- State ZIP Phone # () Fax # ( ) i Authorized Agent Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Previous permit # Date previous permit issued ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body P ' f — f , -L--L . - _ ■■■■■■■■■■■■■■■■■■■■■■I■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■®■■■■■■■■■I■■■■■■■■■■■■■■■■ ►�►4 2 �1 �f(i:�a H 1■■■■■■■■■■■I■■■■■■■■■■■■■■■■ k�Jl' ■MZnWLW. Jw ■■■■■■■■■■■■■■I■■■■■■■■■■■■■■■■ T:`i ■■ ■■■■■N■E■■■I■■■■M■■■■■■■ Agent or Applicant Printed Name Permit Officer's Signature Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # Issuing Date Local Planningf urisdiction Expiration Date Rover File Name Statement of Compliance and Consistency 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 or criminal 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 officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythatthis project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar- Pamlico River Basin Buffer Rules ❑ Neuse River Basin Buffer Rules ❑ Other: If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 'r� Yi LLJ N� coW LU 0 m o c V ZD z co U) z < W 75 a.. W Q J W w AMI ,. p :iw a tf r� J LO r z LO co QQ O LO N Z (So ►�- 0 0 7 o a V O -J W I n Q w � w `� CL O 0co \� DRNE \ \ \\ FIELD \Ae \ \ \ - , \.DRNE\ .\ Geory�o.G�� y l(all LeX;"5f�� lip U+�z�,beih CI'fyl Al a7101 'PLAIV YIE W DETAILED DRA WrlVG \ �p GUY WIRE SYMBOLS OPROPOSED CROSS SECTION \ \ s POWER POLE — — — sxrsrrNc CROSS SECTION WATER LEVEL E\ �- PE%- RIP RAP �i ri PROPOSED \ �� A ® EARTZr MATERIAL 7X x 55' x 40' CAAPA (12' SKEW ) \ y WITH HEADNALL \ \ \ \ NOTE: PROPOSED HEADWNL \ \ `\ 48 XI TI CMP THERE WILL BE NO STREAM OR WETLAND IMPACT FOR PIPE INN STALATIO. FIELD W � i 1 � q �+-� �{ e ✓ti r U � i %e 1177 T.B.M.: PJ(.NAIL ON / ( N qo ELEV. = 50.56' G 2 G } h 7i N G % Q\\ \ \ \ \ \BASED ON ASSUMED DATUM \\ \ \\\ S 1_ a NORTH CAROLINA DEPARTMENT OF TRANSPORTATION D n IVISION \ 113 AIRPORT (25 h Urc h 1\(� S� \ EDENTON, NC 27932 (2E2) 4E2-7977 111 � ��,►e � C �\ ell. '� h J � I •` L I � N � ¢ COUNTY: PASOUOTANK WBS#: N/A \\ QUAD: WEEKSVILLE DATE: MARCH 17, 20 BASIN: PASOUOTANK SHEET #: 1 OF 2 SUBJECT: PIPE REPLACEMENT ON SR 111E DOUBLE BRIDGE RD. LAT. - 38.1893237 N LONG. +• 7E.177B361 W DRAWN SY: A.L. MULDER SCALE: 1" - 30 DETAIL SECTION -- M-0„ PROPOSED RIP 0.02 Fr/FT PROPOSED HEADWALL�n C-17- — EXISTING STREAM BED PROPOSED 1 @ 73" X 55" X 40' CAAPA W/HEADWALL CROSS SECTION PROPOSED RIP RAP PROPOSED HEADWALL WATER LEVEL (u EXIST. PIPE BED PROPOSED PIPE BED EXISTING 1 @ 48" X 40' CMP NOTE: PROPOSED 1 @ 73" x 55" x 40' CAAPA TO BE BURIED 1.0' BELOW EXISTING STREAM BED NOTE: PROPOSED PIPE WILL BE OF PAVEMENT BURIED 1.0' BELOW EXISTING 50.49' STREAM BED EXISTIVG PROPOSED RIP RAP_— — — — — — — — 1 Qa 48- X 40' CMP — — — — — — — — — — �— — _ WATER LEVEL EXISTING STREAM SE ELV. 48.28' ELV. 45.00' PROPOSED PIPE BED PROPOSE ELV. 44.00' 1 @ 73" X 66" X 40' CAAPA W/HEADWALL EXELVIN44.60' BED DETAIL SECTION - END VIEW SYMBOLS PROPOSED CROSS SECTION - - - - EXISTING CROSS SECTION NORTH CAROLINA DEPARTMENT OF TRANSPORTATION DIVISION 1 113 AIRPORT DR. EDENTON, NO 27932 (252) 462-7977 COUNTY: PASQUOTANK WBS#: NIA QUAD WEEKSVILLE DATE: MARCH 17, 2008 BASIN: PASQUOTANK SHEET#: 2 OF 2 SUBJECT PIPE REPLACEMENT ON SR 1115`DOUBLE �BRIDGE 4RD, amvwmnavv.cvv+nxvm�wM1vrnvv�vv+mrvvtimvvvcawv+rn� R vvv+n+a+niuvu+ua�xvavvvuxv+.vvv.wmv.w+vvu+.ue�s LAT. = 35.1893237 N LONG. = 78.1776351 Al DRAWN BY: A.L.wMULDER�*yww* s SCALE: 1" = 10' ON MP-1 APPLICATION for Major Development Permit (last revised 12127/06) North Carolina DIVISION OF COASTAL MANAGEMENT 1. Primary Applicant Landowner Information Business Name N.C. Department Of Transportation Project Name (if applicable) SR 1115 Pipe Replacement Applicant 1: First Name Clay MI Last Name Willis Applicant 2: First Name MI Last Name If additional applicants, please attach an additional page(s) with names listed. Mailing Address 113 Airport Road PO Box City Edenton State NC ZIP 27932 Country Phone No. 252 - 482 - 7977 ext. FAX No. 252 - 482 - 8722 Street Address (if different from above) City State ZIP Email 2. AgentContractor Information Business Name Agent/ Contractor 1: First Name MI Last Name Agent/ Contractor 2: First Name MI Last Name Mailing Address PO Box City State ZIP Phone No. 1 - - ext. Phone No. 2 - - ext. FAX No. Contractor # Street Address (if different from above) City State ZIP Email <Form continues on back> 2 5 2 - 8 0 8 - 2 8 0 8 . 1-888-4RCOAST .. wva w.nccoastaImanagement.net Form DCM MP-1 (Page 2 of 5) APPLICATION for Major Development Permit 3. Project Location e County (can be multiple) Street Address State Rd. # Pasquotank SR 1115 Double Bridge Road 1115 Subdivision Name City State Zip Elizabeth City NC 27909 - Phone No. Lot No.(s) (if many, attach additional page with list) - - ext. a. In which NC river basin is the project located? b. Name of body of water nearest to proposed project Pasquotank Unnamed tributary (modified stream channel) to Chapel Creek. c. Is the water body identified in (b) above, natural or manmade? d. Name the closest major water body to the proposed project site. ®Natural []Manmade ❑Unknown Chapel Creek e. Is proposed work within city limits or planning jurisdiction? f. If applicable, list the planning jurisdiction or city limit the proposed ❑Yes ®No work fails within. 4. Site Description a. Total length of shoreline on the tract (ft.) b. Size of entire tract (sq.ft.) 35' 800 c. Size of individual lot(s) d. Approximate elevation of tract above NHW (normal high water) or NWL (normal water level) (If many lot sizes, please attach additional page with a list) 2.5 ❑NHW or ®NWL e. Vegetation on tract Various roadside grasses, bermuda, fescue, and centipede. f. Man-made features and uses now on tract SR 1115 Double Bridge Road g. Identify and describe the existing land uses adiacent to the proposed project site. Residential and agricultural. h. How does local government zone the tract? i. Is the proposed project consistent with the applicable zoning? N/A (Attach zoning compliance certificate, if applicable) ®Yes []No El NA j. Is the proposed activity part of an urban waterfront redevelopment proposal? []Yes ®No k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. [-]Yes ®No ❑NA If yes, by whom? I. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ®No ❑NA National Register listed or eligible property? <Form continues on next page> m. (i) Are there wetlands on the site? []Yes ®No (ii) Are there coastal wetlands on the site? ❑Yes ®No (iii) If yes to either (i) or (ii) above, has a delineation been conducted? ❑Yes ®No (Attach documentation, if available) 252-808-2808 :, 1-888-4RCOAST .. www.ncc vast almanagement.net Form DCM MP-1 (Page 3 of 5) APPLICATION for Major Development Permit n. Describe existing wastewater treatment facilities. None o. Describe existing drinking water supply source. None p. Describe existing storm water management or treatment systems. None 5. Activities and Impacts a. Will the project be for commercial, public, or private use? ❑Commercial ®Public/Government ❑Private/Comm unity b. Give a brief description of purpose, use, and daily operations of the project when complete. The purpose of this project is to replace the existing pipes that are structuarlly failing on SR 1115 Double Bridge Road. c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type of equipment and where it is to be stored. Methods of construction will be concurrent with NCDOT Best Management Practices for the replacement of pipes. A tracked excavator, backhoe, and dump truck will be used during construction. d. List all development activities you propose. Replace existing pipe 1 @ 40' x 48" Corrugated Metal Pipe with 1 @ 40' x 73" x 55" Corrugated Aluminum Alloy Pipe Arch. e. Are the proposed activities maintenance of an existing project, new work, or both? Maintenance f. What is the approximate total disturbed land area resulting from the proposed project? 400 ®Sq.Ft or ❑Acres g. Will the proposed project encroach on any public easement, public accessway or other area ❑Yes ®No ❑NA that the public has established use of? h. Describe location and type of existing and proposed discharges to waters of the state. Surface runoff from SR 1115. i. Will wastewater or stormwater be discharged into a wetland? ❑Yes ®No ❑NA If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No DNA j. Is there any mitigation proposed? ❑Yes ®No ❑NA If yes, attach a mitigation proposal. <Form continues on back> 6. Additional Information In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application package to be complete. Items (a) — (f) are always applicable to any major development application. Please consult the application instruction booklet on how to properly prepare the required items below. a. A project narrative. b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish between work completed and proposed. C. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site. 252-808-2808 .. 1-888-4RCOAST .. www.nccoastatmanagement.net Form DCM MP-1 (Page 4 of 5) APPLICATION for Major Development Permit d. A copy of the deed (with state application only) or other instrunlent under which the applicant claims title to the affected properties. e. The appropriate application fee. Check or money order made payable to DENR. f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in which to submit comments on the proposed project to the Division of Coastal Management. Name Charles R Gray Phone No. Address 1119 Salem Church Road Elizabeth City, NC 27909 Name George O. Gray Phone No. Address 1611 Lexington Drive Elizabeth City, NC 27909 Name William Henry Garrett Phone No. Address 1177 Double Bridge Rd Elizabeth City, NC 27909 g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates. h. Signed consultant or agent authorization form, if applicable. i. Wetland delineation, if necessary. j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner) k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act. 7. Certification and Permission to Enter on Land I understand that any permit issued in response to this application will allow only the development described in the application. The project will be subject to the conditions and restrictions contained in the permit. I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up monitoring of the project. I further certify that the information provided in this application is truthful to the best of my knowledge. Date Y�� Print Name _Clay Willis, Environmental Officer Signature 2 5 2 - 8 0 8 - 2 8 0 8 .. 1-888-4RCOAST .. wwws.ssccoastaimatiagement.net Form DCM MP-1 (Page 5 of 5) APPLICATION for Major Development Permit Please indicate application attachments pertaining to your proposed project. ®DCM MP-2 Excavation and Fill Information ®DCM MP-5 Bridges and Culverts ❑DCM MP-3 Upland Development ❑DCM MP-4 Structures Information .2 a2-808-2608 ,. 1-888-4RCOAST .. www."ccoastaImanagement.net Form ON MP-5 BRIDGES and CULVERTS 4 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. Please include all supplemental information. 1. BRIDGES ®This section not applicable a. Is the proposed bridge: b. Water body to be crossed by bridge: ❑Commercial ❑Public/Government ❑Private/Community c. Type of bridge (construction material): d. Water depth at the proposed crossing at NLW or NWL: e. (i) Will proposed bridge replace an existing bridge? []Yes [-]No f. (i) Will proposed bridge replace an existing culvert? ❑Yes ❑No If yes, If yes, (ii) Length of existing bridge: (ii) Length of existing culvert: (iii) Width of existing bridge: (iii) Width of existing culvert: (iv) Navigation clearance underneath existing bridge: (iv) Height of the top of the existing culvert above the NHW or (v) Will all, or a part of, the existing bridge be removed? NWL: (Explain) (v) Will all, or a part of, the existing culvert be removed? (Explain) 9. Length of proposed bridge: h• Width of proposed bridge: i. Will the proposed bridge affect existing water flow? []Yes []No j. Will the proposed bridge affect navigation by reducing or If yes, explain: increasing the existing navigable opening? ❑Yes ❑No If yes, explain: k. Navigation clearance underneath proposed bridge: I. Have you contacted the U.S. Coast Guard concerning their approval? ❑Yes ❑No If yes, explain: m. Will the proposed bridge cross wetlands containing no navigable n. Height of proposed bridge above wetlands: waters? ❑Yes []No If yes, explain: 2. CULVERTS El This section not applicable a. Number of culverts proposed: 1 b. Water body in which the culvert is to be placed: Unnamed tributary(modified stream channel) to Chapel Creek. < Form continues on back> C. Type of culvert (construction material): 1 - 40' x 73" x 55" Corrugated Aluminum Alloy Pipe Arch 282-808-2808 :: 1-883-4RCOA T :: w ernr.nccoastainianagen�ent.net revised- 10261;06 s Form DCM MP-5 (Bridges and Culverts, Page 2 of 4) d. (i) Will proposed culvert replace an existing bridge? e. (i) Will proposed culvert replace an existing culvert? ❑Yes ®No If yes, (ii) Length of existing bridge: (iii) Width of existing bridge: (iv) Navigation clearance underneath existing bridge: _ (v) Will all, or a part of, the existing bridge be removed? (Explain) f• Length of proposed culvert: 40' h. Height of the top of the proposed culvert above the NHW or NWL. 2.5' j. Will the proposed culvert affect navigation by reducing or increasing the existing navigable opening? ❑Yes ®No If yes, explain: ®Yes ❑No If yes, (ii) Length of existing culvert(s): 40' (iii) Width of existing culvert(s): 48" (iv) Height of the top of the existing culvert above the NHW or NWL: 2.5' (v) Will all, or a part of, the existing culvert be removed? (Explain) All 9• Width of proposed culvert: 42" i. Depth of culvert to be buried below existing bottom contour. 1' k. Will the proposed culvert affect existing water flow? []Yes ®No If yes, explain: 3. EXCAVATION and FILL ❑This section not applicable a. (i) Will the placement of the proposed bridge or culvert require any b. (i) Will the placement of the proposed bridge or culvert require any excavation below the NHW or NWL? ®Yes []No excavation within coastal wetlands/marsh (CW), submerged If yes, aquatic vegetation (SAV), shell bottom (SB), or other wetlands (WL)? If any boxes are checked, provide the number of square (ii) Avg. length of area to be excavated: 1' feet affected. (iii) Avg. width of area to be excavated: 10' ❑CW ❑SAV ❑SB (iv) Avg. depth of area to be excavated: 2' OWL ®None (v) Amount of material to be excavated in cubic yards: 0`7 (ii) Describe the purpose of the excavation in these areas: c. (i) Will the placement of the proposed bridge or culvert require any high -ground excavation? ®Yes ❑No If yes, (ii) Avg. length of area to be excavated: 40' (iii) Avg. width of area to be excavated: 10 (iv) Avg. depth of area to be excavated: 2' (v) Amount of material to be excavated in cubic yards: 29.6 252-808-2806 1-888-4RCOAST :: www.ncco+astallmanagernent.net revised: 't€1,'26,106 orm DCM MP-5 (Bridges and Culverts, Page 3 of 4) •d. If the placement of the bridge or culvert involves any excavation, please complete the following: (i) Location of the spoil disposal area: NCDOT approved waste area site. a (ii) Dimensions of the spoil disposal area: N/A (iii) Do you claim title to the disposal area? ®Yes ❑No (If no, attach a letter granting permission from the owner.) (iv) Will the disposal area be available for future maintenance? ®Yes ❑No (v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation (SAVs), other wetlands (WL), or shell bottom (SB)? ❑CW ❑SAV OWL ❑SB ®None If any boxes are checked, give dimensions if different from (ii) above. (vi) Does the disposal area include any area below the NHW or NWL? ? []Yes ®No If yes, give dimensions if different from (ii) above. e. (i) 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 below NHW or NWL? ❑Yes ®No If yes, (ii) Avg. length of area to be filled: (iii) Avg. width of area to be filled: (iv) Purpose of fill: g. (i) 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 high -ground? []Yes ®No If yes, (ii) Avg. length of area to be filled: (iii) Avg. width of area to be filled: (iv) Purpose of fill: 4. GENERAL a. Will the proposed project require the relocation of any existing utility lines? ❑Yes ®No If yes, explain: If this portion of the proposed project has already received approval from local authorities, please attach a copy of the approval or certification. (i) 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 within coastal wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom (SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected. ❑CW _ ❑SAV ❑SB ❑WL ®None (ii) Describe the purpose of the excavation in these areas: b. Will the proposed project require the construction of any temporary detour structures? ❑Yes ®No If yes, explain: < Form continues on back> c. Will the proposed project require any work channels? ❑Yes ®No If yes, complete Form DCM-MP-2. d. How will excavated or fill material be kept on site and erosion controlled? Using NCDOT best management practices for sediment and erosion control. 252-808.2aO8 -- 3-888-4RCOAST :: www.nccoastaimanagement. net revised: 40 26';06 For", CM MP-5 (Bridges and Culverts, Page 4 of 4) e. What type of construction equipment will be used (for example, dragline, backhoe, or hydraulic dredge)? tracked excavator, dumptruck, backhoe g. Will the placement of the proposed bridge or culvert require any shoreline stabilization? ❑Yes ®No If yes, complete form MP-2, Section 3 for Shoreline Stabilization only. Date SR 1115 Double Bridge Road Pipe Replacement Project Name Clay Willis, Environmental Officer plicant Na -lam P plicant Sig ature f. Will wetlands be crossed in transporting equipment to project-.ite? []Yes ®No If yes, explain steps that will be taken to avoid or minimize environmental impacts. 252.-808-2808 :: 1-88F341 COAST :: wvvw npcoastafmanagarnent.not revised: ` 0112&06