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CAMA AND DREDGE AND FILL
GENERAL ,` JUN 0 9 1998
k�1 166 ~4b
PERMIT IV
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name �y �,��erZc.r , Phone Number
Address
1p t Ulu-,
<� 1
City c -. State Zip
Project Location (County, State Road, Water Body, etc.);g1'
Type of Project Activity Y �� V, V-t s '
ll tt
s . ; C �LlL art " a !w,
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions —
Other
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 be-
come 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) this pro-
ject 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.
(SCALE: j& VN L )
1 1
applicant's signature
attachments
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
Form DCM-MP-5
BRIDGES AND
CULVERTS
_attach this form to Joint application for C:��'L4 'vlaior
permit, Form DC'\2--\ -1. Be sure to complete all other
sections of the Joint Application that relate to this
proposed project.
1. BRIDGES \/A
a. Public Private
b. Type of bridge (construction material)
Water bode to be crossed by bridge
d. : ater depth at *.he proposed crossing ator
NWL
e. \Z"ill proposed bridge replace an existlrig bridge''
Yes \o
If yes,
(I) Length of existing bridge
(') lVidth of existing bridge
(3) Navigation clearance underneath existing
bridge
(;) will all, or a part of the existing bridge be
removed? (Explain)
f. Will proposed bridge replace an existing culverts)?
Yes -N.0
If ves,
(1) Length of existing culvert
(3) Width of existing culvert
(3) Height of the top of the existing culvert above
the -NR-1W or NkVI
i;4) Will all. or a part of, the existing culvert be
removed? tT-xplain)
g. Length of proposed bridge
h. IVIdth of proposed bridge
i. Height of proposed bridge above wetlands
j. Will the proposed bridge affect existing-,vater flow'
Yes \o
If yes, explain
k. \avigation clearance underneath proposed bridge
1. Will the proposed bridge affect navigation by
reducing or increasing the existing navigable
opening? Yes \o
If yes, explain
m. Will the proposed bridge cross wetlands containing
no navigable waters? Yes '\o
If yes, explain
n. Have you contacted the U.S. Coast Guard
coneeming their approval'?
Yes \o
If Ives, please provide record of their action.
Form DC-'%I--\IP
2. CULVERTS
a. Water body in which culvert is to be placed
Unnamed canal
D. 'cumber of culverts proposed
c. Type of culvert (construction material, style)
corrugated aluminum p)rnes
IN -ill proposed culvert replace an existing brit
Yes Z No
if ves.
(1) Length of e�zlsting bridge
(2) Width of existing bridge
;3) 'Navigation clearance underneath existing
bride v
i '4) lx ill all_ or a part of, the existing bridge be
removed':' (xplain)
Will proposed culvert replace an existing culvert?
Yes \To
If ves.
i'D Length of exrstme culvert 2 ,a 0'
(2) Width of existing culvert 2 —aa 367-
(3) Height of the top of the existing culvert above
the '-N-21IV or NMI
(4) Will all, or a part of: the existing culvert be
removed'.' .E-.plain) all of both existine
Mines will be removed
f. Length of proposed culvert 2 ;'a 60'
g. )Width of proposed culvert 2 ,'a.. 36"
h. Height of the top of the proposed culvert above the
or NIA1 0.6 feet below '• AVL
i. X-'ilI the proposed culvert affect existing water flow?
Yes X No
If yes, explain
j. \ ill the proposed culvert affect existing navigatio,
potential? Yes :; No
If ves. explain
3. EXCAVATION' AND FILL
a. IN"ill the placement of the proposed bridge or culvert
require any excavation below the N!UBN' or NIN11
1 Yes :tio
If V.
(1) Length of area to be excavated 60'
(2) Width of area to be excavated I O'fincl. nines I
(3) Depth of area to be excavated (—'-) 4-5'
(4) amount of mat;rial to be excavated in cubic
vards < 20. excluding volume of nit)es
b. R'ill the placement of the proposed bridge or culvert
require any excavation within: NO
_ Coastal Wetlands _ S it's _ Other Wetlands
If ves.
(1) Length of area to be excavated
(2) Width of area to be excavated
(3) amount of material to be excavated in cubic
vards
c. Will the placement of the proposed bridge or culvert
require any highground excavation?
1 Yes No
If ves.
(1) Length of area to be excavated 60'
+;2) Width of area to be excavated I Vexcl. pipes}
(3) amount of material to be excavated in cubic
vards < 10
d. If the placement of the bridge or culvert involves an%
excavation, please complete the following:
(1) Location of the spoil disposal area
* on -site fill (excl. muck) for expanded radii
(2) Dimensions of spoil disposal area
"See below
(3) Do you claim title to the disposal area?
1 Yes 'NTo
If no, attach a letter granting permission from
the owner.
"Small volume of muck & waste to be trucked to DOT
yard on SR 1100 or "Little Florida Road" site
Form DCI-\LP-_:
(4) Will the disposal area be available for future
maintenance? 1 Yes No
Does the disposal area include any coastal
wetlands (marsh), S Vs, or other wetlands?
Yes X 1_'_o
If ves, Give dimensions if different from (_)
above.
(6) Does the disposal area include any area below
the 1.1h"A' orYes 1 No
If }.es, give dimension if different from No.
above.
e. Will the placement of the proposed bridge or culvert
result in any fill (other than excavated material
described Lz Item d. above) to be placed below
�
TSS W orN-'%VL? X Yes No
I Yes,
i1) Length of area to be tilled 60'
IV-dth of area to be tilled 10'
(3) Purpose of till Backtill of new culverts
?. GTi'ill 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: -NO
Coastal Wetlands S Vs Other Wetlands
—
(I) Length of area to be f111_ed
t'?) \V idth of area to be filled
(�) Purpose of fill
g. \Vill 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? 1 Yes No
If ves, 60' pipe back -fill &
(i ) Length of area to be filled 125' (x 2)
lVidth of area to be filled I T (pipes) & �;-10'
(3) Purpose of till backfill pipes & widen
shoulders for increase in turning radii
4. GENERAL
a. Will the proposed project involve any mitigation?
Yes Y No
If ves, explain in detail
b Will the proposed project require the relocation of
any ex1stM2 utility lines? 1"es si '�o
If yes_ explain in detail
c. Will the proposed project require the construction
of any temporan- detour structures?
Yes X No
If ves, explain in detail
d. tVill the proposed project require any work
channels? Yes X No
If yes, complete Form DCM-_LP-?
e. How will excavated or fill material be kept on site
and erosion controlled? Implementation of Best
'Management Practices for the Protection of Surface
Waters in N.C.
f. What type of construction equipment will be used
(for example, dragline, backhoe or hydraulic
dredge)? Backhoe. dump trucks
g. Will wetlands be crossed in transporting equipment
to project site? Yes X No
If i-es, explain steps that will be taken to lessen
environmental impacts.
h. Will the placement of the proposed bridge or culvert
require any shoreline stabilization?
Y Yes \o
If yes, explain in detail Granite riprgp will be used
to stabilize fill slopes at pipe outlets
H. Franklin Vick_ P.E.
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DTVISION OF TITGT-IAVAYS
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