3150-PM-BWEW0552B 11/2012
     

     

     

     

     


    Please complete and provide this chart as part of the General Permit Registration (3150-PM-BWEW0500) for GP-11 (3150-PM-BWEW0511)
     

    BRIDGE AND/OR CULVERT REPLACEMENT PROJECTS OR PROJECTS THAT CHANGE THE WATERWAY OPENING*
     
    Bridge/Culvert Existing
    Bridge/Culvert Proposed
    Activity
    Number**
    Waterway Opening (sq. ft.)
    (cross section/area)
    Span (ft.)
    Underclearance (ft.)
    Length (ft.)
    (upstream to downstream)
    Material
    Type
    (RCP, CMP, etc.)
    Waterway Opening (sq. ft.)
    (cross section/area)
    Span (ft.)
    Underclearance (ft.)
    Length (ft.)
    (upstream to downstream)
    Material
    Type
    (RCP, CMP, etc.)
    1
         
        
         
         
         
         
        
         
         
         
    2
         
        
         
         
         
         
        
         
         
         
    3
         
        
         
         
         
         
        
         
         
         
    4
         
        
         
         
         
         
        
         
         
         
    5
         
        
         
         
         
         
        
         
         
         
    6
         
        
         
         
         
         
        
         
         
         
    7
         
        
         
         
         
         
        
         
         
         
    8
         
        
         
         
         
         
        
         
         
         
    9
         
        
         
         
         
         
        
         
         
         
    10
         
        
         
         
         
         
        
         
         
         
    11
         
        
         
         
         
         
        
         
         
         

    *For multiple structures attach additional sheets that provide the same information requested in the chart.
    **The number used for a particular water obstruction from 3150-PM-BWEW0552A should match the number in 3150-PM-BWEW0552B for the same water obstruction.
     

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