20150602 Ver 1_Inspection_20151207

Wetland Inspection Report
Project Num: 20150602
Project Name: NCDOT - Bridge 119 on SR 16�
County: Stokes
Location: NCDOT - Bridge 119 on SR 1636
Latitude: +36° 27' 36"
SW Plan Location
Site Owner Name NC DOT Division 9
Inspection Date: 12/3/2015
Reason for Inspection Routine
Inspection Type: Site Inspection (DOT)
Inspection Contact Person:
On-Site Representative(s):
Primary Inspector: Dave Wanucha
Secondary Inspector(s):
Facility Compliance Status: � Compliant
Program Areas: 401 (includes isolated/non-404)
Question Areas:
� Permit (401 WQC)
Inspection Summary:
The project was completed satisfactorily.
Version: 1 Status: Issued
Project Type: Replace bridge with bridge
Region: Winston-Salem
Title:
❑ Not Compliant
Longitude: -80° 03' 11"
Phone:
Phone: [phone]
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Site Number: 20150602
Inspection Date: 12/3/2015
Owner: Tippett, Lyndo
Inspection Type: Site Inspection (DOT) Reason for Visit: Routine
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: The bridqe and impacts associated with rip rap stabilization were installed per the plans.
Yes No NA NE
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