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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 SI rF -rL 4 . ../ .. 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