20120659 Ver 1_401 Inspection_20130730

Wetland Inspection Report
-80°26'34''+36°15'22''
SW Plan Location:
Longitude:Latitude:
NCDOT- Bridge No. 15 on SR 1604 (B-4744)Location:
Issued Status:1 Version:
Replace bridge with bridge Project Type:NCDOT- Bridge No. 15 on SR 1604 (B-4744)Project Name:
NC DOT PDEA Site Owner Name:
Project Num:20120659
County:Forsyth Winston-Salem Region:
Inspection Date:07/30/2013
Reason for Inspection:
Inspection Type:Site Inspection (DOT)
Routine
Phone:Inspection Contact Person:Title:
On-Site Representative(s):
Facility compliance Status:Compliant Not Compliant
Amy C Euliss Primary Inspector:
Secondary Inspector(s):
Phone:
Permit (401 WQC)
Program Area:401 (includes isolated/non-404)
Question Areas:
Inspection Summary:

Yes No NA NE Permit (401 WQC)
Does the impact(s) match what was approved in the 401 WQC or non 404 permit?
Are the culverts and/or filled areas installed properly?
Is the site compliant with additional conditions of the 401 WQC or non 404 permit?
Comment:
1 Page: