HomeMy WebLinkAboutCity of Jacksonville - 71686>r✓
❑CAMA / ❑ DREDGE & FILL No 71686 A B C D
GENERAL PERMIT + Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous per issued
As authorized by the State of North Carolina, Department of Environmental Quality:
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �1Zbles attached.
Applicant Name Project Location: County
Address %' t' 11 (�r'^� � r Street Address/ St to Road/ Lot #(s)
r �t11 fi' �r
City ':- �` `' - " -' State ZIP c.c r
Phone # ( `' o Subdivision
E-Mail
Authorized Agent "^.e- r � 3 City t; r 11, "1 �, 0 � _ZIP el
Affected ❑ CW ❑EW aPTA DES : ❑ PTS
AEC(s): ElOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: - yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offish
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Phone # ( ) River Basin!
Adj. Wtr. Body f" ' ^"^ .1 ` t"t i(nat man unk )
Closest Maj. Wtr. Body i
'(Scale:
Shoreline Length t ;
SAV: not sure yes no
i
Moratorium: n/a yes no + } (,._. ......
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: }` ` ' ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
or Applicant Printed Name-
,, -I
Sign re , "Please read compliance statement on back of permit"
Application Fee(s) Check #
f
PermitOs ed N�ey ..»........-.--'
Signature /%
i J� i o f
Issuing Date Efxlpiration IJate
Statement of Compliance and Consistency
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 or criminal or civil action; and may cause the permit to become
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) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules ❑ Other:
ul Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17
IWK
LETTER OF TRANSMITTAL rDICKSON
community infrastructure consultants
720 Corporate Center Drive Raleigh, North Carolina 27607 919.782.0495 tel.
TO: Ryan Davenport
NC Div. of Coastal Management
CAMA Permitting
400 Commerce Ave.
Morehead City, NC 28557
ATTENTION: Mr. Ryan Davenport
DATE: 8/14/2018
RE: CAMA General Permit Application
We are sending via: [] Overnight ❑ Regular Mail ❑ Pick-up ❑ Hand Delivered
The following items: ❑ Correspondence ❑ Plans ❑ Specifications ❑ Other as listed below:
COPIES
DATE
NO.
DESCRIPTION
1
90% Plans (11" x 17")
THESE ARE TRANSMITTED as checked below:
For Approval ❑ As Requested ❑ Approved as Submitted ❑ Returned for Corrections
❑ For Your Use ❑ For Review and Comment ❑ Approved as Noted ❑ Forward to Subcontractor
REMARKS:
Mark T. Senior, Senior Project Engineer, WK Dickson, Inc.
Aldon Cox, City of Jacksonville �__ I
COPY TO: Project Administrator SIGNED:
RECEIVED
AUG 15 2018
OCM-MHD CITy
Jacksonville / Wardola Culvert Replacement Project Property Owners
NE corner
Marilyn G. Margolis
13 Warlick St., Jacksonville NC, 28540
SE corner
Lighthouse in Christ Ministries, Inc
352 Wardola Dr, Jacksonville NC, 28540-4611
NW corner (North of City of Jacksonville Property)
Street Address = 270 Ford Street, Jacksonville
Mailing Address = Crystal Coast Habitat for Humanity, Tt
PO Box 789, Newport NC, 28570-0789
SW corner (far side south of City of Jacksonville Property)
William K & Melinda S Tyre
83 Shoreline Drive, Jacksonville, 28540
RECEIVED
AUG 14 2018
1C,M-MHD CITY
i
�UNITEDST13TES
POSTAL SERVICE
Date: June 27, 2018
Aldon Cox:
The following is in response to your June 27, 2018 request for delivery information on your Certified
MaiITM item number 9171969009350201928919. The delivery record shows that this item was delivered
on June 14, 2018 at 11:02 am in JACKSONVILLE, NC 28540. The scanned image of the recipient
information is provided below.
Signature of Recipient
X
Address of Recipient:
( Ao*M
Thank you for selecting the Postal Service for your mailing needs.
If you require additional assistance, please contact your local Post Office or postal representative.
Sincerely,
United States Postal Service
RECEIVED
AUG 14 Z018
Of'MA4HD CITY
�r-� UNf TEO STATES
o
ods- 1LSERVICE
August 10, 2018
Dear Aldon Cox:
The following is in response to your request for proof of delivery on your item with the tracking number:
9171 9690 0935 0201 8543 86.
Details
Status: Delivered
Status Date ! Time: August 2, 2018, 2:28 pm
Location: GOLDSBORO, NC 27530
Postal Product: First -Class Mail
Extra Services: Certified Mail"m
Return Receipt -ct.
Shipment Details
Recipient Signature
Signature of Recipient: b��"e
Address of Recipient. �A,.
?a S-102 O t.4 8 ur E'
Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file.
Thank you for selecting the United States Postal Service® for your mailing needs. If you require additional
assistance, please contact your local Post OfficeTM or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004
RECEIVED
AUG 14 2018
orw_ awo CITY
10 UNITED STATES
POSTAL SERVICE
Date: June 27, 2018
Aldon Cox:
The following is in response to your June 27, 2018 request for delivery information on your Certified
MailTm item number 9171969009350201928926. The delivery record shows that this item was delivered
on June 20, 2018 at 8:49 am in NEWPORT, NC 28570. The scanned image of the recipient information
is provided below.
Signature of Recipient:
Address of Recipient
Thank you for selecting the Postal Service for your mailing needs.
If you require additional assistance, please contact your local Post Office or postal representative.
Sincerely,
United States Postal Service
(RECEIVED
AU G 14 2018
. CITY
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Crystal Coast Habitat for Humanity Inc
Address of Property: 270 Ford Street Jacksonville NC
,J (Lot or Street #, Street or Road, City & County)
Agent's Name #: leis ,�Ur - Ieid Mailing Address: __y o &Y 10
Agent'sphone#:`_�c�—��,� —c311)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
if yo have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
availableatht LMm4 v.nccoastalmanagementnet(web/cm/staff-listinoorbycalling1-888-4RCOAST.
No response is considered the came as no obiection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Ownerq ormation
Signature
-�Y's U Ir AA C e- 0
Print or Type Name
\`) U fox �$c�
Mailing Address
0 r�Jc ;4 Ks-v
City/State/Zip
C%i y'e c f v✓�
/�<< b i %a f C q sYV
Telephone Number/Em I Address 0�'
J
6 -do-- Ig
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State2ip
Telephone Number/Email Address
Date
(Revised Aug. 2014)
10UNITED STATES
POSTAL SERVICE,
Date: June 27, 2018
A1don Cox:
The following is in response to your June 27, 2018 request for delivery information on your Certified
Mail"" item number 9171969009350201928902. The delivery record shows that this item was delivered
on June 18, 2018 at 9:58 am in JACKSONVILLE, NC 28540. The scanned image of the recipient
information is provided below.
Signature of Recipient :
Address of Recipient
apr� e
Thank you for selecting the Postal Service for your mailing needs.
If you require additional assistance, please contact your local Post Office or postal representative.
Sincerely,
United States Postal Service
UC;M-MHU CITY
SECTION .2300 - GENERAL PERMIT FOR REPLACEMENT OF EXISTING BRIDGES AND CULVERTS IN
ESTUARINE WATERS, ESTUARINE AND PUBLIC TRUST SHORELINES, PUBLIC TRUST AREAS, AND
COASTAL WETLANDS
15A NCAC 07H .2301 PURPOSE
A general permit for replacement of existing bridges and culverts in estuarine waters, estuarine and public trust
shorelines, public trust areas, and coastal wetlands shall be obtained pursuant to the rules in 15A NCAC 7J A 100 and
this Section to replace existing bridges and culverts in estuarine water, estuarine and public trust shorelines, public trust
areas and coastal wetland AECs.
History Note: Authority G.S. 113A-107; 113A-118.1; 113A-124;
Eff. June 1, 1996,
Amended Eff. August 1, 2000.
15A NCAC 07H .2302 APPROVAL PROCEDURES
(a) The applicant shall contact the Division of Coastal Management (Division) and provide:
(1) information on site location, project description, and his or her name, address and telephone number;
(2) a dated plat(s) showing existing and proposed development; and
(3) confirmation that:
(A) a written statement has been obtained and signed by the adjacent riparian property owners
indicating that they have no objections to the proposed work; or
(B) the adjacent riparian property owners have been notified by certified mail of the proposed
work. Such notice shall instruct adjacent property owners to provide any comments on the
proposed development in writing for consideration by permitting officials to the Division of
Coastal Management within 10 days of receipt of the notice and indicate that no response
shall be interpreted as no objection. Division staff shall review all comments. If the Division
determines that:
(i) the comments are relevant to the potential impacts of the proposed project; and
(ii) the permitting issues raised by the comments require a more detailed review, then the
Division shall notify the applicant that he or she shall be required to submit an
application for a major development permit.
(b) Approval of individual projects shall be acknowledged in writing by the Division of Coastal Management and the
applicant shall be provided a copy of this Section. Construction authorized by this permit shall be completed within two
years of permit issuance or the general authorization shall expire and a new permit shall be required to begin or continue
construction. For North Carolina Department of Transportation projects identified in the Transportation Improvement
Program this permit shall not expire pursuant to G.S. 136-44.713.
(c) No work shall begin until an onsite meeting is held with the applicant and a Division of Coastal Management
representative. Written authorization to proceed with the proposed development shall be issued during this visit if the
Division representative finds that the application meets all the requirements of this Subchapter.
History Note: Authority G.S. 113A-107; 113A-118.1; 113A-124;
Eff. June 1, 1996,
Amended Eff.' May 1, 2010.
15A NCAC 07H .2303 PERMIT FEE
The applicant shall pay a permit fee of four hundred dollars ($400.00). This fee shall be paid by inter -departmental fund
transfer, check or money order made payable to the Department of Environment and Natural Resources.
DECEIVED
History Note: Authority G.S. 113A-107; 113A-118.1; 113A-119; 113A-119.1; 113A-124;
Ef. .. June 1, 1996;
Amended Eff: May 1, 2010; September 1, 2006; August 1, 2000. AUG 14 2018
15A NCAC 07H .2304 GENERAL CONDITIONS DCtv1-iIAHD CITY
(a) Projects authorized by this permit shall be demolition, removal, and replacement of existing bridges and culverts
along the existing alignment and conforming to the standards in this Rule. This permit shall be applicable only to single
bridge and culvert projects and shall not authorize temporary fill causeways or temporary bridges that may be associated
with bridge replacement projects.
(b) The permttee shall allow authorized representatives of the Department of Environment and Natural Resources
(Department) to make periodic inspections at any time deemed necessary in order to ensure that the activity being
performed under authority of this general permit is in accordance with the terms and conditions prescribed in this Rule.
76
(c) This general permit shall not be applicable to proposed construction where the Department determines that
authorization may be warranted, but that the proposed activity might significantly affect the quality of human
environment or unnecessarily endanger adjoining properties.
(d) This general permit shall not be applicable to proposed construction where the Department determines that the
proposed activity would have significant adverse impacts on water quality or historic, cultural, scenic, fisheries, or
recreational resources.
(e) This permit shall not eliminate the need to obtain any other required state, local, or federal authorization.
(f) Development carried out under this permit shall be consistent with all local requirements, AEC rules, and local land
use plans.
(g) This permit shall not apply to projects that require work channels.
(h) Review of individual project requests shall be coordinated with the Division of Marine Fisheries (DMF) and the
Wildlife Resources Commission (WRC). This may result in a construction moratorium during periods of significant
biological productivity or critical life stages as determined by the WRC and DMF.
(i) Development under this permit shall be carried out within Department of Transportation (DOT) right-of-ways or on
lands under the ownership of the applicant in the case of a non -DOT project.
0) Bridge and culvert replacements shall be designed to minimize any adverse impacts to potential navigation or use of
the waters by the public.
(k) This permit shall apply only to projects involving replacement of bridges and culverts currently serving their
intended function.
History Note: AuthorityG.S. 113A-107; 113A-118.1; 113A-124;
Eff. June 1, 1996;
Amended Eff. May 1, 2010.
15A NCAC 07H .2305 SPECIFIC CONDITIONS
(a) This general permit is applicable to bridge replacement projects spanning no more than 400 feet of estuarine water,
public trust area, and coastal wetland AECs.
(b) Existing roadway deck width shall not be expanded to create,additional lanes, with the exception that an existing one
lane bridge may be expanded to two lanes where the Department of Environment and Natural Resources determines that
authorization is warranted and the proposed project does not significantly affect the quality of the human and natural
environment or unnecessarily endangers adjoining properties.
(c) Replacement of existing bridges with new bridges shall not reduce vertical or horizontal navigational clearances.
(d) All demolition debris shall be disposed of landward of all wetlands and the normal water level (NWL) or normal
high water (NHW) level (as defined in 15A NCAC 07H .0106), and shall employ soil stabilization measures to prevent
entry of sediments in the adjacent water bodies or wetlands.
(e) Bridges and culverts shall be designed to allow passage of anticipated high water flows.
(f) Measures sufficient to restrain sedimentation and erosion shall be implemented at each site.
(g) Bridge or culvert replacement activities involving excavation or fill in wetlands, public trust areas, and estuarine
waters shall meet the following conditions:
(1) Replacing bridges with culverts shall not be allowed in primary nursery areas as defined by the Marine
Fisheries or Wildlife Resources Commissions.
(2) The total area of public trust area, estuarine waters, and wetlands to be excavated or filled shall not exceed
2,500 square feet except that the coastal wetland component shall not exceed 750 square feet.
(3) Culverts shall not be used to replace bridges with open water spans greater than 50 feet.
(4) There shall be no temporary placement or double handling of excavated or fill materials within waters or
vegetated wetlands.
(5) No excavated or fill material shall be placed in any wetlands or surrounding waters outside of the alignment of
the fill area indicated on the work plat(s).
(6) All excavated materials shall be confined above NWL or NHW and landward of any wetlands behind dikes or
other retaining structures to prevent spill -over of solids into any wetlands or surrounding waters.
(7) No bridges with a clearance of four feet or greater above the NWL or NHW shall be allowed to be replaced
with culvert(s) unless the culvert design maintains the existing water depth, vertical clearance and horizontal
clearance.
(8) If a bridge is being replaced by a culvert(s) then the width of the waterbody shall not be decreased by more than
40 percent.
(9) All pipe and culvert inverts placed within the Public Trust or the Estuarine Waters AECs shall be buried at least
one foot below normal bed elevation to allow for passage of water and aquatic life. Culverts placed in wetlands are
not subject to this requirement.
History Note: AuthorityG.S. 113A-107; 113A-118.1; 113A-124;
Eff. June 1, 1996,
Amended Eff. May 1, 2010.
77
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: City of Jacksonville
Mailing Address: 815 New Brid a Street
Jacksonville, NC 28540
Phone Number: (910) 938-5200
Email Address: rmassey@iacksonvillenc g0v
I certify that I have authorized Mark T. Senior / WK Dickson, Inc,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Wardola-Thompson Creek
Restoration Proiect / Culvert Replacement
at my property located at - 113 Wardola Drive '
in Onslow County.
1 furthermore certify that / am authorized to grant and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Ronald Massey
Print or Type Name
Deputy City Manager
Title
RECEIVED
Date
AUG 14 2018
This certification is valid through ��-- l 3 i 7 DCM-M1gD C TY
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WDICKSON
community infrastructure consultants
August 13, 2018
Mr. Ryan Davenport
NC Division of Coastal Management/CAMA
400 Commerce Ave.
Morehead City, NC 28557
RE: City of Jacksonville, North Carolina
General Permit Application for the Wordola Drive roadway culvert replacement project
Dear Mr. Davenport:
Per our conversation on April 19, 2018 regarding the City of Jacksonville's Wordola Drive roadway culvert
improvement project, I'm forwarding you the attached 90% plans and additional information for the
purpose of obtaining a General Permit on behalf of the City. I have enclosed a signed agent authorization
form, documents confirming that the 4 adjacent owners were notified of the project by certified mail, and a
check for the $400 permit fee. Please note that the City owns the adjacent property on the northwest and
southwest sides of the project so the next adjacent private property owner was notified.
As you may recall, this project is multipurpose. The primary purpose is to replace two existing 36" culverts
which are failing and silting in. This is resulting in repetitive flooding of the roadway. We propose to
replace the culverts with a 15-foot-wide bridge span. The environmental benefits of the culvert
replacement will include a reduction in the length of culverted stream, a more natural exposed stream cross
section, and an additional 2 foot of clearance between the water surface and the bottom of the bridge.
Please note that there is an existing 36" sewer main at the water's surface just downstream which excludes
watercraft from navigating this area.
The current one lane pavement width is proposed to be widened from the existing 20 feet to 27 feet to allow
for two lanes of traffic (27 feet is the minimum local standard for roadway width). As we discussed,
Section 15A NCAC 07H .2305 (b) of the General Permit for Replacement of Existing Bridges and Culverts
(enclosed for reference), allows for widening of one lane roads two lanes provided the project does not
significantly impact the environment. In this case, the proposed project will actually reduce the length of
stream impacted by the existing culvert crossing. We are also proposing to keep the improvements within
the limits of the existing public right-of-way. I have included a set of 90% construction plans for your
review.
A secondary purpose is to restore the open stream for fish passage allowing the upstream areas to provide
additional primary nursery area. This will also help to restore the natural salinity of the upstream area
which has converted to freshwater resulting from the obstruction by the clogged culverts. You may recall
that Pat Donovan Potts (now Pat Donovan Brandenburg) with the City of Jacksonville has been working on
improving the environmental conditions in this stream and the culvert improvements are part of her
overall water quality program.
This project was approved for a CWSRF loan based on the secondary benefits as described in more detail in
the excerpt from the CWSRF application below. Note that a change from box culverts to a bridge span was
RECEIVED
720 Corporate Center Drive
Raleigh, NC 27607 AUG 14 2018
Tel. 919.782.0495
Fax 919.782.9672
www.wkdickson.com Transportation • Water Resources • Urban D K4uMHD` iT"I -
subsequently approved by CWSRF as it was determined to have less of an environmental impact with
similar costs.
"Summary — The City of Jacksonville seeks to install 28 feet of 13' x 7' box culvert in order to improve
connectivity and restore Anadromous fish passage between Thompson School Creek and Wilson Bay, off of
the New River in Jacksonville, North Carolina. The project will restore over one acre of primary nursery
area by making it accessible to living marine resources using methods that have been successfully
employed in other areas. The project also includes restoration, enhancement and protection of upstream
and downstream riparian buffers through the removal of non-native and invasive vegetation and obtaining
conservation easements. This project will address potential effects of climate change on tidal flux in the
project area in order to ensure the success of the project for years to come. The project is part of an
ecosystem and watershed -based approach to restoration following guidelines set forth by the National
Estuary Restoration Act and various local agencies."
While not part of the construction, the CWSRF approval includes removal of invasive and other non-native
plant species followed by enhancement planting of the riparian buffers just upstream and downstream
from the crossing along with obtaining conservation easements from the adjacent owners. The removal of
the non-native and invasive plants is proposed to be performed with hand held equipment and selective
application of herbicides. No grading or land disturbing is anticipated in these areas (see Planting Plans —
Sheets P1 & P2).
If you have any questions or require additional information, please do not hesitate to contact me at (919)
782-0495(work) — (919)-607-9712(cell) or msenior@wkdickson.com .
Sincerely,
Mark T. Senior, PE
Senior Project Engineer
W.K. Dickson & Co., Inc.
�wI<
LETTER OF TRANSMITTAL i*DICKSON
community infrastructure consultants
720 Corporate Center Drive Raleigh, North Carolina 27607 919.782.0495 tel.
TO: Ryan Davenport
NC Div. of Coastal Management
CAMA Permitting
400 Commerce Ave.
Morehead City, NC 28557
ATTENTION: Mr. Ryan Davenport
DATE: 8/13/2018
RE: CAMA General Permit Application
We are sending via: ❑ Overnight ❑ Regular Mail ❑ Pick-up
The following items: ❑ Correspondence ❑ Plans ❑ Specifications
❑ Hand Delivered
Other as listed below:
COPIES
DATE
NO.
DESCRIPTION
1
Cover Letter
1
90% Plans
1
Signed Agent Authorization
1
List of adjacent owners
1
Map illustrating properties notified
4
Property Owner Notification Verification
1
Check for $400 fee made out to DEQ
1
Section 15ANCAC 07H .2300 (for reference)
THESE ARE TRANSMITTED as checked below:
For Approval ❑ As Requested ❑ Approved as Submitted ❑ Returned for Corrections
❑ For Your Use ❑ For Review and Comment ❑ Approved as Noted ❑ Forward to Subcontractor
REMARKS:
Mark T. Senior, Senior Project Engineer, WK Dickson, Inc.
Aldon Cox, City of Jacksonville
COPY TO: Project Administrator SIGNED:
AUG 14 2018
DCM-MHD CITY
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