HomeMy WebLinkAbout19194_NC DOT_19980506O
CAMA AND DREDGE AND FILL
GENERAL 19194- Q
PERMIT JUN 0 9 1998 9
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 `- Phone Number
Address r t ('5'
City v% C- ��. � ��v.m State +. Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity 0 5 k ;� Al "
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
E'
SKETCH (SCALE: NQNk.
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.
�►.J � \ w._ � ,_i r�� �` \ice ��1� ��
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applicant's signature
permit officer's signature
issuing date expiration date
attachments } �$ V
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
oriri 'DCM-MP-5
BRIDGES AND
CULVERTS
Attach this form to Jokt 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 - N/A
a. Public Private
b. Type of bridge (construction material)
c. Water body to be crossed by bridge
(4) Will all, or a part of, the existing culvert bP
removed? (Explain)
g. Length of proposed bridge
h. Width of proposed bridge
i. I-Ieight of proposed bridge above wetlands
j. Will the proposed bridge affect existing water flow?
Yes No
If yes, explain
d. Water depth at the proposed crossing at MLW or k. Navigation clearance underneath proposed bridge
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
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
If yes,
(1) Length of existing culvert n
(2) Width of existing culvert
(3) Height of the top of the existing culvert above
the MHW or N-vVL
Have you contacted the U.S. Coast Guard
concerning their approval?
Yes No
If yes, please provide record of their action.
Revised 03195
corm T?Ch1-h'_P-5
(4) Will the disposal area be available for future
maintenance? X Yes No
(S) Does the disposal area include any coastal
wetlands (marsh), SAVs, or other wetlands?
Yes X No
If yes, give dimensions if different from (2)
above. A
(6) Does the disposal area include any area below
the MHW or NWL? Yes X No
If yes, give dimension if different from No. 2
above.
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
MHW or NWL? X Yes No
If yes, 60'
(1) Length c area to be filled 9_12'
(2) Width of area to be
filled
din backfill for
(3) Purpose of fill g
culvert.
f. 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 — SAVs ^ Other Wetlands
If yes, 1A 0
(1) Length of area to be filled
(2) Width of area to be filled
(3) Purpose of fill
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? Yes X No
If yes,
t� (1) Length of area to be filled
(2) Width of area to be filled
(3) Purpose of fill
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? Application of best
management practices
What type of construction equipment will be used
(for example, dragline, backhoe or hydraulic
dredge)? Backhoe
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 glass "B" Marle
To be placed on roadway slopes only• —
H. Keith Harrison TT V
Applicant or Project Name
Signature
Date
Revised 03195
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