20020730 Ver 3_2015 Work Plans & Application_MP-5_20200327

Form OCM 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. Please include all supplemental information.
1. BRIDGES
❑This section not applicable
a. Is the pro bridge: '11b. Water body to be crossed by bridge.
ommercial ublic/Government ❑Private/Community, + I<-
A f i' w
se� � V C ✓
c. Type of bridge (construction material): d. Water depth at the proposed crossing at NLW or NWL:
e:
(i) Will proposed bridge replace an existing bridge? ❑Yes &K.
If yes, o^ t
(ii) Length of existing bridge: �W
([it) Width of existing bridge: t Z r,/
(iv) Navigation clearance underneath existing bridge: 1Y 1iA
(v) Will all, or a paA of, the existing bridge be removed?
(Explain) /I�t1 a..,e LO �^pt`1 W4r�
�, VC c.J.
f. (i) Will proposed bridge replace an existing culvert? ❑Yes Lyrvo
If yes,
(ii) Length of existing culvert: _
(iii) Width or existing culvert: _
(iv) Height of the lop of the existing culvert above the NHW or
NWL:
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
9. Length of proposed bridge: 160 - - - h Width of proposed bridge: 20
i. Will the proposed bridge affect existing water flow?. ❑Yes &<u j. Will the proposed bridge affect navigation by reducing or
If yes, explaini increasing the existing navigable opening? ❑Yes e<
If yes, explain:
k. Navigation clearance underneath proposed bridge: 1v 1A I. Have you contacted the U.S. Coast Guard concernin heir
approval? es ❑No
If yes, explain: 'pC4V'Py ��1Yw��✓T
V57d4G6p`re !fN J�
m. Will the proposed bridge cross wetlands containing no navigable n. Height of proposed bridge above wetlands:
waters? ❑Yes Ly'No
If yes, explain: RECEIVED
DEC 3 b ?tr`
DCM-M'i�DC::I111V
2. CULVERTS his section not applicable
a. Number of culverts proposed:
b. Water body in which the culvert is to be placed:
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C. Will the proposed project require any work channels?
[]Yes ❑No
If yes, complete Form DCM-MP-2.
e. What type of construction equipment will be used (for example,
dragline, backhoe, or hydraulic dredge)?
g. Will the placement of the proposed bridge or culvert require any
shoreline stabilization? ❑Yes ❑No
If yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
1-7 / ,e;L
Date
Project Name
St M[ - 'J L
Ap can ame
L
Applicant Signature
d. How will excavated or fill material be kept on site and erosion
controlled?
Will wetlands be crossed in transporting equipment to project site?
❑Yes ❑No
If yes, explain steps that will be taken to avoid or minimize
environmental impacts.

OC. sri nit»' Cu a dris, Pa^. _ 2 a`, 1
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C. Type of culvert (construction material):
d. (1) Will proposed culvert replace an existing bridge? e. (i) Will proposed culvert replace an existing culvert?
❑Yes [:]No ❑Yes []No
If yes,
(ii) Length of existing bridge. _
(iii) Width of existing bridge: _
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
I. Length of proposed culvert:
h. Height of the top of the proposed culvert above the NHW or NWL.
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? ❑Yes ❑No
If yes, explain:
If yes,
(ii) Length of existing culvert(s):
(iii) Width of existing culvert(s):
(iv) Height of the top of the existing culvert above the NHW or
NWL:
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
g. Width of proposed culvert:
i. Depth of culvert to be buried below existing bottom contour.
k. Will the proposed culvert affect existing water flow?
(-]Yes ❑No
If yes, explain:
3. EXCAVATION and FILL Cklhz section not applicable
a. (i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ❑Yes ❑No
If yes,
(ii) Avg, length of area to be excavated:
(iii) Avg. width of area to be excavated: _
(iv) Avg. depth of area to be excavated: _
(v) Amount of material to be excavated in cubic yards:
C. (I) Will the placement of the proposed bridge or culvert require any
high -ground excavation? []Yes ❑No
If yes,
(ii) Avg. length of area to be excavated
(iii) Avg. width of area to be excavated:
(iv) Avg. depth of area to be excavated:
(v) Amount of material to be excavated in cubic yards:
b. (1) Will the placement of the proposed bridge or culvert require any
excavation within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SS), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
❑CW ❑SAV ❑SB _
❑WL ❑None RECEIVED
(ii) Describe the purpose of the excavation in these AC 3 1) 2014
DCM-MLln IIY
D CM WlrLMVN G i C a�a; I"JCs

d. If the placement of the bridge or culvert involves any excavation, please c
(i) Location of the spoil disposal area:
following:
(ii) Dimensions of the spoil disposal area:
(iii) Do you claim title to the disposal area? ❑Yes ❑No (If no, if h a letter granting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? ❑Yes ❑No
(v) Does the disposal area include any coastal wetlands/marsh (CW), s bmerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (S8)?
❑CW ❑SAV ❑WL ❑SB ❑None
If any boxes are checked, give dimensions if different from (ii) abov
(vi) Does the disposal area include any area below the NHW or NWL? !' [-]Yes[]No
yes, give dimensions if different from (ii) above. I
e. (i) 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 NHW or NWL? ❑Yes ❑No
If yes,
(ii) Avg, length of area to be filled:
(iii) Avg. width of area to be filled: _
(iv) Purpose of fill:
g. (i) 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 high -ground? ❑Yes ❑No
If yes,
(ii) Avg. length of area to be filled:
(iii) Avgwidth of area to be filled: _
(iv) Purpose of fill
(i) Will the placement of the proposed bridge or culvert result in any
rill (other than excavated material described in Item d above) to
be placed within coastal wetlandslmarsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WI-)? If any boxes are checked, provide the number of square
feet affected-.
[]CW ❑SAV ❑SB
❑WL ❑None
(it) Describe the purpose of the excavation in these areas:
a. Will the proposed project require the relocation of any existing b. Will the proposed project require the construction of any temporary
utility lines? ❑Yes ❑No detour structures? ❑Yes ❑No
If yes, explain: If yes, explain:
If this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification.
< Form continues on back>

d. If the placement of the bridge or culvert involves any excavation,please comp[ he following:
(i) Location of the spoil disposal area: � i P I/ 1
(it) Dimensions of the spoil disposal area:
(III) Do you claim title to the disposal area? []Yes ❑No (Ifno; atta h a letter granting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? ❑Yes ❑No
(v) Does the disposal area include any coastal wetlands/marsh (CW), s bmerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (SB)?
❑CW ❑SAV ❑WL ❑SB ❑None
If any boxes are checked, give dimensions if different from (ii) abov
(vt) Does the disposal area include any area below the NHW or NWL? ? ❑Yes ❑No.
If yes, give dimensions if different from (ii) above.
e. (i) 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 NHW or NWL? Elves ❑No
1f yes,
(ii) Avg. length of area to be filled:
(III) Avg. width of area to be filled: _
(iv) Purpose of fill:
g. (i) 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 high -ground? ❑Yes []No
If yes,
(ii) Avg. length of area to be filled:
(III) Avg. width of area to be filled:
(iv) Purpose of fill:
4. GENERAL
a. Will the proposed project require the relocation of any existing
utility lines? Elves ❑No
If yes, explain:
If this portion of the proposed project has already received
approval from localauthorities, please attach a copy of the
approval or certification.
(i) 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/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected:
❑m ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
b. Will the proposed project require the construction of any temporary
detour structures? ❑Yes ,❑No
If yes, explain:
< Form continues on backe,
RECEIVED
DEC 1117014
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a^i39';`n iG1 r'"'-5 jM'9.ires Z „-,d i. rzs., Pswcz ;i of <;)
c. Will the proposed project require any work channels? d. How will excavated or fill material be kept on site and erosion
OYes []No controlled?
If yes, complete Form DCM-MP-2.
e. What type of construction equipment will be used (for example, I. Will wetlands be crossed in transporting equipment to project site?
dragline, backhoe, or hydraulic dredge)?
. Yes ONo
If yes, explain steps that will be taken to avoid or minimize
_ environmental impacts.
g. Will the placement of the proposed bridge or culvert require any
shoreline stabilization? - E]Yes ❑No If yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.. ,
Date
US5 Af G- -Kj l Reea: v
Project Name
SSt^G - Tt'J L- kST /
Ap ican ame
Applicant Signature
RECEIVED
DEC V 0 7014
DCM-MM© CITY