HomeMy WebLinkAbout19195_NC DOT_19980506O
Applicant Name N
CAMA AND DREDGE AND FILL
GENERAL ��, 01p�195 _�
PERMIT ��N 4 9 �998 07;�
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 ?
Phone Number 2S Z ' Stik ' `dL i Q
Address t < 2g - 5 t ;�t:.;c,i\ —
City State S,�y zip
Project Location (County, State Road, Water Body, etc.) O"," C,3 -:r u.
Type of Project Activity' �� itiel ?+ t0O ` c v. �� �� ti. �L 1 O X
a ' car V110 o"', �
Ia��_ ----, r- T K
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other r %))
�...- s.
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.
INS t A14
(SCALE: N UNL
applicant's signature
0 permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that �� ,
this project is consistent with the North Carolina Coastal application fee 14
Management Program.
orm '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
ether sections of the Joint Application that relate to this
?roposed project.
1. BRIDGED - NIA
3. Public Private
b. Type of bridge (construction material)
Water body to be crossed by bridge
J. Water depth at the proposed crossing at MLW or
NWL
e. WiIl 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
(I) Length of existing culvert
(2) Width of existing culvert
(3) Height of the top of the existing culvert above
the MHW or IYvVL
(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
I. 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.
4a
Revised 03/95
Form nCM-NIP-S
(4) Will the disposal area be available for future
maintenance? X Yes No
(5) Does the disposal area include any coastal
wetlands (marsh SAVs, or other wetlands?
Yes 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.
e. 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, . ,
(1) Length of area to be filled 70
(2) Width of area to be filled 9_1
(3) Purpose of fill Bedding/backfill for
Culvert
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, 00
(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,
*75 (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 best e
and erosion controlledg Application o
management RLqctices —
What type of construction equipment will be used
(for example, dragline, backhoe or hydraulic
dredge)? Backhoe trucks
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 Class "B" Ma -le
To be placed on roadway slopA y-
H. Keith Harrison, TT V
Applicant or Project Name
Signature
s-16 1pg
Date
Revised 03195
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