20765_NC DOT_19990122

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Applicant Name
Address
City
CAMA AND DREDGE AND FILL
GENERALi
PERMIT
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 : ?� ' ' 11 `7?irz ' 7`
Zip
Project Location (County, State Road, Water Body, etc.) - � A�
State
Type of Project Activity
PROJECT DESCRIPTION SKETCH _ i �1' (SCALE: )
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
Apt
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
applicant's signature
permit officer's signature
)�ru�r
issuing date % expiration date
attachments
application fee

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Form 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
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
d. 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 NWL
(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.
2. CULVERTS
a. Water body in which culvert is to be placed
Kendrick's Creek Tributary
b. Number of culverts proposed two @ 96" X 60'
c. Type of culvert (construction material, style)
Bituminous Coated Metal Pipe
Revised 03/95

Form DCM-MP-5
d. Will proposed culvert replace an existing bridge?
Yes X 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)
e. Will proposed culvert replace an existing culvert?
X Yes No
If yes,
(1) Length of existing culvert 56'
(2) Width of existing culvert 72"
(3) Height of the top of the existing culvert above
the MHW or NWL +/- 2.5'
(4) Will all, or a part of, the existing culvert be
removed? (Explain) all three existing pipes
to be removed
b. Will the placement of the proposed bridge or culvert
require any excavation within:
_ Coastal Wetlands — SAVs _ Other Wetlands
If yes, No
(1) Length of area to be excavated
(2) Width of area to be excavated
(3) Amount of material to be excavated in cubic
yards
c. Will the placement of the proposed bridge or culvert
require any highground excavation?
X Yes No
If yes,
(1) Length of area to be excavated +/- 60'
(2) Width of area to be excavated +/- 27'
(3) Amount of material to be excavated in cubic
yards +/- 450 cubic yards
d. If the placement of the bridge or culvert involves
any excavation, please complete the following:
(1) Location of the spoil disposal area
roadside shoulder dressing on SR 1127
f.
Length of proposed culvert 60'
(2)
g.
Width of proposed culvert 96"
(3)
h.
Height of the top of the proposed culvert above the
MHW or NWL +/- 2.5'
i.
Will the proposed culvert affect existing water flow?
(4)
X Yes No
If yes, explain proposal will increase drainage
(5)
x-section by 18.5% over existing
j.
Will the proposed culvert affect existing navigation
potential? Yes X No
If yes, explain
(6)
3. EXCAVATION AND FILL
e.
a. Will the placement of the proposed bridge or culvert
require any excavation below the MHW or NWL?
X
Yes No
If yes,
(1)
Length of area to be excavated + /- 65'
(2)
Width of area to be excavated + /- 22'
(3)
Depth of area to be excavated +/- 2'
(4)
Amount of material to be excavated in cubic
yards + /- 110 cubic _yards
Dimensions of spoil disposal area
several hundred feet
Do you claim title to the disposal area?
X Yes No
If no, attach a letter granting permission from
the owner.
Will the disposal area be available for future
maintenance? X Yes No
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.
Does the disposal area include any area below
the MHW or NWL? Yes X No
If yes, give dimensions if different from (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? Yes X No
If yes,
(1) Length of area to be filled
(2) Width of area to be filled
(3) Purpose of fill
Revised 03/95

Form DCM-MP-5
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, No
(1) Length of area to be filled
(2) Width of area to be filled
(3) Purpose of fill
g. 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,
(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? Strict enforcement of
NCDOT's BMPs for the protection of surface
waters
f. What type of construction equipment will be used
(for example, dragline, backhoe or hydraulic
dredge)? Backhoe, truck crane, dump 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?
Yes X No
If yes, explain in detail
M. Randall Turner, Division Environmental Off.
Applicant o oject Name
-r
Si�,'nature
December 30, 1998
Date
Revised 03/95