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Home My WebLink AboutPiedmont Natural Gas❑CAMA / IV DREDGE & FILL GENERAL PERMIT f)New ❑Modification ❑Complete Reissue ❑Partial Reissue No 71623 Previous permit #_ Date previous permit K. A B C D 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 I SA NCAC Rules attached Applicant Name_ i I t O I ,t a I V t. 'r / (7, ✓ Proiect Location: County .: Address 7 (,i - `� ; ', i �., Street Address/ State Road/ Lot #(s) 1 \ �' City N C-u P-) State lv CZIP 1 C�_ �C� a r, t i I Phone # ( - )(r.� 0Il 'E-Mail Subdivision '` f' f ; F i ),J Authorized Agent Affected EI CW ❑EW -'PTA DES' ❑PTS AEC(s): 1-1 OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /(no PNA yes / no City ZIP Phone # ( ) River Basin Lk l Adj. Wtr. Body\ P Vf ` %rt A-(nat /rta@i /unknI Closest Maj. Wtr. 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Piedmont Natural Gas 401 Executive Pkwv New Bern, NC 28562 THIS AGREEMENT, made and entered Into Ih of River Band, parry of the RIGHT OF WAY ENCROACHMENT AGREEMENT WITNESSETH 20_8 by and between the Town s parry of the second part, THAT WHERAS, the party of the second part desires to encroach on the right of way of the public road designated as Route See Attachment. WHEREAS, It Is to the material advantage of the party of the second part to effect this encroachment, and the party of the Brat part in the exercise of authority conferred upon It by statute, Is willing to permit the encroachment with In the limits at the right of way as Indicated, subject to the condlllons of this agreement; NOW, THEREFORE, IT IS AGREED that the party of the flat part hereby grants to the party of the second part the right and privilege to make this encroachment as shown on attached plan sheei(s), specifications and special provisions which are made a part hereof upon the following conditions, to wil: - Inane Installimm, operation, and m entenance Of the above described facility win be accomplished In accordance with the the and perl's[shell POLICIES- AND PROCEDURES FOR ACCOMMODATWO UTILITIES ON RlnWi .IIFMAv. o„d,:,,,•h,o, ono smenurnenls meint, as may be in enact at the date or Ims agreement. Information as to these policies and procedures may be obtained from the Division Engineer or Stale Utility Agent of the party of the fire[ pad. That the sold party of the second pan binds and obligates himself to Install and maintain [he encroamlng facility In such sere and proper condition that It will not Interfere with or endanger travel upon said highway, nor obstruct her Interfere with the proper maintenance thereof, to reimburse the party of the flat pan for the cowl Incurred for any repairs or maintenance to Its "mays and structures necessary due to the Installation and existence of the lacluilm of the party, of the second pad, and If an any time the party of the flat pad, shell require the removal of or changes In the location or the said fedlilles, that the said party of the second part binds himself, his successors end margins. to promptly remove a alter the said facilities, In Order to conform to the aeltl requirement, without any mat to the party of the first part That the party of Iha second part agrees to provide during construcilon and any subsequent maintenance proper elgns, signal lights. Bagman and other wemirg device; for the protection of Imrfc In conformance with the latest Manual on Uniform Traffic Control Devices for Sueat; aid Hlohwevs end Amendments or Supplements thereto. Information as to the above rules and regWellons may be obtained Irom the Division Engtnmr of the party of the fret pan. That the perry of the second pan hereby agrees to Indemnify and save harmless the party of the flan pan fmm all damages and Calms for damage that may arise by reason of the Installation and maintenance of this encroach nant. That the party of the second part agrees to retailers all areas disturbed during Installation and maintenance to the satisfaction of the Division Englnaer of the party of the Aml part. The party of the second pen agrees to exercise every reasonable precaution during construction and maintenance W prevent eroding of soil; silting or pollution of gives, sireeme, lakes, reservoirs, olherwater Impoundments, ground surfaces or offer property; or pollution of the air, There shall be compliance with applicable rules and regulations of the North Carolina Division of Environmental Management, North Carolina Sedimentation Control Commisslon, and Win Ordinances and regulallom or various counties, municipalities and other official agencies relating to pollution prevenllon and control, When any Installation or maintenance operation disturbs the round surface and existing ground cover, the party of the second pad agrees to remove and replace the sod or otherwise reestablish the greed cover to meet the satisracgon of the Division Eng(neaof the party or the first pod. That the party of the second pan agrees to assume the actual mat artery Inspection of the work considered to be necessary by the Division Englnmr or the party of the flat pad. That the party or the second part agrees to have available at the construction alto, at all times during construction, a copy of this agreement showing evidence ofappoval by the parlyofthe first pad. The perry of the first pan reserves the right to slop all work unless evidence of approval ban be shown. Provided the work contained In this agreement is being performed on a completed highway open to traffic; the party of the second part agrees to give written Mica to the Divlelon Engineer of the party of the lint pert when all work contained herein has been mmpleted. Unless specifically requested by the party of the gran pen, wrlltan coike of completion of work on highway projects under construction will con be required, That In the was of noncompliance with the terms of this agreement by the party of the second part, the party of the And part reservers. the right to stop all work until the facility has been brought Iola compliance or removed from the right of way at no mat to the party of the firstpad. That it Is agreed by both parties that this agreement shall become veld If actual construcion of the work contemplated herein is net begun within one (1) year from the date of authorization by the party of the first pan unlace wrlllen waiver Is secured by the party of the second pad from the party of the flat pad. During the performance or this contract, the second party, for Itself, Its i nslgnim and successors In Interest (herelnefer retained to as the'mnlmclor'), agrees as follows; a. Comollance Wth Reculallonst The contreclur shall comply Wlh the Regulations relative to nondiscrimination In Fedemlly� asslsted programs of the U. S. Department of Transportation. This 40, Code of Federal Regulations, Pan 21, as they may be amended from time to time, (hereinafter referred to as the Regulations), which are herein incorporated by reference and made a pan of this contract. b. Nondle Inolinn: The contractor, with regard no the work performed by It during the contract, shall col dlscdminate on the grounds of race, cola, or national origin In the selection and retention of eubcontrado s, Including procurements of maledals and leases of equipment. The contractor shall col panldpate either directly or indirectly In the discrimination prohlblled by Section 21.5 of the Regulallone, Including employment practkea whm the contract coven a program eel forth In Appendix 9 of the Regulations. ,.• - conlmctr t ar air n ulens in all sdkitalbns either by competitive bidding ar negotiation made by the a fdr work to be periormed under a subcontract, Including procurements of materials or leases of equipment, each potential subcontractor w supplier shall be nagged by the contractor of the contradoes oblyailone under Nis contract and the Regulations relative to nondiscrimination on the grounds or mm, color, or natlonel origin. FORM RJW 18.1 (Rev. July 1, 1977) zllenca with such Regulations or ii another who rails or refuses to fumish II , or the Federal Highway Adrdnlslretion one,ordlrectives n to be partinanl to Is In the exclusive Departmenlof s made to obtain e. Sanctions for Noncomogence: In the avant of the cantadofs noncompliance with the nondiscrimination provlslona of this contract. the Department of Transportation shall Impose such coned Sanction an it or the Federal Highway Administration may determine to be appropriate, including, but not limited to, (1) withholding of payments to the contractor under the contract until the connector complies, andfor (2) cancellation, lerminallon or suspension or the contact, In whale or in part d. IncompennonorPmvislons: The contractor shall include the provisions of paragraphs*a'thraugh'r in every subconbool, Including pmouremedto of materials and losses of equipment, unions exempt by the Regulations, or directives Issued pursuant thereto. The contractor shell tale such action with maestri to env subcontract or mccuramenl ae the Daoanmant m , ronsponeao„ or inn recess, nlgmvay Nmmmishaiion may alfM aS a means or anlardrg even provlSluM including sanctions for noncompliance: Provided, however, that, In the avant a contractor becomes Involved In, orie Ihrealened wit litigation with a subcontractor or supplier as a result of such direction, the contracor may request the Department of Transportation to enter Into such litigation to protect the Interests of the Slate, and, in addition, the contreclor may request the United States to enlor Into such litigation to protect the Interests of the United Stales. RMy (161) : Party of the Second Pert certifies that this agreement is true and accurate copy of the form RIW (161) Incorporating all revisions to date. IN WITNESS WHEREOF, each of the parties to this agreement has caused the same to be executed the day and year first above written. ATTEST OR WITNESS: Piedmont Natural Gas \J Joseph B. Kelly - DIstribullon Project Spec TOWN OF Fj(VER TEND BY: 11/ DAU rw TOWN MANAGER I PI mont Natural Gas "a - DanielRhyne — Manger- Construction P+6�StfsSQST&� When the applicant Is a corporation or a municipality, this agreement must have the corporate seal and be attested by the corporation secretary or by the empowered dty official, unless a waiver of corporals seal and situation by the secretary or by the empowered City official Is on file In the Raleigh office of the Manager of Righter Way. In the space provided In this agreement for executed, the name of the corpo2gon or municipality Shall be typed above the name, and the of ail persons signing the agreement should be typed directly below their signature. _ When the applicant is not a corporation, than his signature must be wllnessed by one parson, The address Should be included in this agreement and the names of all persons signing the agreement should be typed directly below their signature. This agreement must be accanpenled, In the term of on attachment, by plane or drawings showing the following applicable information: 1. All m ndweys and amps. 2. Right army lines and where applicable, the control of access lines. 3. Locauon or the existing and/or proposed encroachment. 4. Length, size and type of enomachmenl. 5. Method of installation. 8. Dimensions showing the distance tram the encrpaclhnenl to edge of pavement, shoulders, etc. 7. Locellonbyhighweysurmystetionnumber. Itstation number cannot beobtalned, location should be shown by distance fmm some Identifiable point, such as a bridge. mad, Inlersedlon, etc. (To assist In preparation of the encroachment plan, the Depenmenre roadway plans may be Been al the various Highway Division Offices, ar at the Raleigh offlce.) a. Drainage sbucturea or bridges if affected by encroachment(show vertical add horizontal dimensions from encroachment to foamed pad of structure). 8. Method of attachment to drainage structures or bridges. tor. . Manhole design. It. On underground utilities, the depth of Wry underall Imvoied lanes, shoulders, ditches, eldewalks, etc. 12. Length, size and type of encasement where required. 13. On underground crossings, notation as to method of crossing - boring and Jacking. open cut, eta. 14. Lootshm or vents. 1.. Any emechment to a bridge or other drainage structure must be approved by the Head of Structure Design In Raleigh prior to submission of encroachment agreement to the Division Englnaer. 2. All crossings should be as near as possible normal to the centerilns of the highway. 3. Minimum vertical clearancav of overhead wires and cables above all roadways must conform to clearances set out in the National Electric Safety Code, 4. - Encasement$ shall extend fmm ditch line to ditch line In cut sections and 5- beyond toe of slopes In nil sections. 5. All vents should be extended to the right or way line or as otherwise required by the Department. 8. All pipe ancasemenls as to malarial and strength shall meet the standards and specifications of the Department. 7. Any special provisions or specifications as to the performance of the work or the method of consWctim that may be required by the Depanmenl most be shown on a separate sheer attached to encroachment agreement provided Net such Information cannot be shown on plans or drawings. 8. The Depad moms Division Engln c r should be given notice by the applicant prior to actual starting of installation Included In this agreement. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _Town Of Riverbend_ (Name of Property Owner) property located at _Plantation Dr (Address, Lot, Block, Road, etc.) on _Tributary of the Trent River in Craven , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. _XJ2I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive t setb ck, you must initial the appropriate blank below.) _X do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property rtr Inii_: ion) D Signature Delon, ,o✓l Print or Type Name 45 SI.®re1'ne br. Mailing A dress �Ve� end NC a8S6c?- City/sta""z"' a QL _ 63 8-33 70 Telephone Number Date (Adjacent Property Owner Information) lA Signature Print or Type Name Mailing Address City/statelzip Telephone Number Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _Town Of Riverbend_ (Name of Property Owner) property located at _Shoreline Dr (Address, Lot, Block, Road, etc.) on _Tributary of the Trent River in Craven , N.C. (Waterbody) (City/Town and/or County) The applicant h s described to me, as shown below, the development proposed at the above location. X_3L have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive t setb ck, you must initial the appropriate blank below.) X do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pr erty Owner In o �formati Signature LL DP.6n,e_ acl�5o✓1 Print or Type Name 45 Sh®reline Qr Mailing A dress t'ie_ gend NC aTg6a City/StatelZip aiL-W-3870 Telephone Number Date (Adjacent Property Owner Information) Signature Print or Type Name Mailing Address City/State/Zip Telephone Number Date (Revised 611812012)