19196_NC DOT_19980506

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CAMA AND DREDGE AND FILL
GENERAL f)19196 _ i-
PERMIT JUN 0 9 1998 701
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 �)� • Q 10 ,-)
Applicant Name 1V m Phone Number
Address J
5 j `ate �• :, `� (Z C�, c� l
City State— Zip A)
1
Project Location (County, Ste Road, Water Body, etc.)'
l�
Type of Project Activity.:
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
(SCALE: N(JN% )
Groin length
number
Bulkhead length
max. distance offshore IS
Basin, channel dimensions �A 1"1 Rpm `L ,9 Cl"e
cubic yards
Boat ramp dimensions
OtherTs�
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.
applicant's signature
r�
permit officer's signature
issuing date expiration date
attachments d Yl • o
In issuing this permit the State of North Carolina certifies that ,�v_ , i�
this project is consistent with the North Carolina Coastal application fee 5 `-^ a(0 (kUa�
Management Program.

S
?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. BRIDGES - N/A
a. Public Private
b. Type of bridge (construction material)
z. Water body to be crossed by bridge
J. Water depth at the proposed crossing at MLW or
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
if yes,
(1) 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
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
n. Have you contacted the U.S. Coast Guard
concerning their approval?
Yes No
If yes, please provide record of their action.
161.
Revised 03195

orm DCNI-Y-P-5
(4) Will the disposal area be available for future
maintenance? __X__ Yes —
(5) Does the disposal AVs loclother wetlandany s?
wetlands (marsh), S
Yes X No
If yes, give dimensions if different from (2)
above.
(6) Does the disposal area include any area below
the MHW or NWL? __- Yes
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 below
erial
described in Item d. above) to be placed No
MEW or NWL? X — Yes
If ; es,
(1) Length of area to be filled 60� --
(7_) Width of area to b fine back l for
(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 within:
Coastal Wetlands SAVs _ Other Wetlands
If yes,
(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 mate
rial
described in Item d. above tobee placed
1 ato
highground? Yes
If yes,
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 projed require the construction of
any temporary detour structures?
yes _IL— No
If yes, explain in detail
d. Will the proposed project require any work
channels? Yes __�L_ No
If yes, complete Form DCM-MP-2
e. How will excavated or fill material be kept on site
and erosion controlled? Application of st
management ractices. —
f. What type of construction equipment will be used
(for example, dragline, bac'rhoe or hydraulic
dredge)? Dra line backhoe trucks
g. Will wetlands be crossed in transporting equipment
to project site? Yes
v 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?
Yes _ No
If es, explain in detail Class "B" Marle
' be placed on m ��T C� �=�
H. Keith Harrison, TT V
Applkant or Project Name
Signature
Date
Revised 03195

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