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CAMA AND DREDGE AND FILL
GENERAL - IPig 4 ` Q
PERMIT
Feu 2 a ?Q��,
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 S x � -�(J',a
� 1
Applicant Name n ,4
Address
City
Project Location (County, State Road, Water Body, etc.)
Phone Number a`Y * '6AV'� •-f^,
State zip o►��
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
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.
(SCALE
-1
applicant's signature
permit officer's signature
issuing date expiration date
attachments —)�()Q�
In issuing this permit the State of North Carolina certifies ;that
this project is consistent with the North Carolina Coastal
Management Program.
application fee
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
a. Public X Private
b. Type of bridge (construction material)
reinforced concrete
c. Water body to be crossed by bridge
Far Creek
d. Water depth at the proposed crossing at MLW or
NWL +/- 4.5 feet
e. Will proposed bridge replace an existing bridge?
X Yes No
If yes,
(1) Length of existing bridge 51 feet
(2) Width of existing bridge + /- 20 feet
(3) Navigation clearance underneath existing
bridge +/- 2.5 feet
(4) Will all, or a part of, the existing bridge be
removed? (Explain) entire bridge to be
removed
f. Will proposed bridge replace an existing culvert(s)?
Yes X 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 45 feet
h. Width of proposed bridge 27 feet
i. Height of proposed bridge above wetlands
+ /- 3-4 feet
j. Will the proposed bridge affect existing water flow?
Yes X No
If yes, explain
k. Navigation clearance underneath proposed bridge
+ /- 2.5 feet
Will the proposed bridge
reducing or increasing th
opening? Yes X
If yes, explain
e
affect navigation by
existing navigable
No
m. Will the proposed bridge cross wetlands containing
no navigable waters? Yes X No
If yes, explain
n. Have you contacted the U.S. Coast Guard
concerning their approval?
Yes X No
If yes, please provide record of their action.
Form DCM-MR5
2. CULVERTS N/A
a. Water body in which culvert is to be placed
b. Number of culverts proposed
c. Type of culvert (construction material, style)
d. Will proposed culvert 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)
e
Will proposed culvert replace an existing culvert?
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)
f. Length of proposed culvert
g. Width of proposed culvert
h. Height of the top of the proposed culvert above the
MHW or NWL
i. Will the proposed culvert affect existing water flow?
Yes No
If yes, explain
j. Will the proposed culvert affect existing navigation
potential? Yes No
If yes, explain
3. EXCAVATION AND FILL
a. Will the placement of the proposed bridge or culvert
require any excavation below the MEW or NWL?
Yes X No
If yes,
(1) Length of area to be excavated
(2) Width of area to be excavated
(3) Depth of area to be excavated
(4) Amount of material to be excavated in cubic
yards
b. Will the placement of the proposed bridge or culvert
require any excavation within: No
_ Coastal Wetlands _ SAVs Other Wetlands
If yes,
(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?
Yes X No
If yes,
(1) Length of area to be excavated
(2) Width of area to be excavated
(3) Amount of material to be excavated in 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
(2) Dimensions of spoil disposal area
(3) Do you claim title to the disposal area?
Yes No
If no, attach a letter granting permission from
the owner.
Form DCM-M -5
(4) Will the disposal area be available for future
maintenance? 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.
(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.
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? Yes X No
If yes,
(1) Length of area to be filled
(2) Width of area to be filled
(3) Purpose of fill
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? X Yes No
If yes,
(1) Length of area to be filled +/- 40 feet
(2) Width of area to be filled +/- 5 feet
(3) Purpose of fill backfill for endbents and
wingwalls
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
f. What type of construction equipment will be used
(for example, dragline, backhoe or hydraulic
dredge)? Crane, 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?
Yes X No
If yes, explain in detail
M. Randall Turner, Division Environ. Officer
Applicant or oject N e
�Wl�Y
ignature
_ January 2, 1998
Date
Revised 0319;
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NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
-DIVISION OF HIGHWAYS
COUNTY: HYDE
PROJECT: Replace Bridge No. 80
on S.R. 1320
DATE: Dec. 3,1997
SUBJECT: VICINITY MA d SCALE:
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NORTH CAROLINA
DEPARTMENTOF •OR •
—AIWLSIO..
COUNTY- HYDE
PROJECT: Replace Bridge No. 80
on S.R. 1320
D- Dec. 3, 1997
PROFILE
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