Schedule A - Culvert
Project Description
(Please complete one Schedule for each crossing)
Location
Site Name/No/Civic Address: ___________________________________________________________
Please mark location on a copy of a topographic map (preferably at 1:50,000 scale) or Google
Earth Image and include as a separate attachment with the application.
If including a 1:50,000 Topographic Map, Please Provide:
Map No: ________________
Or, UTM Coordinates:
N ____________________ E ____________________ NAD __________ ZONE __________
Design
Drainage Area Profile:
Drainage Area:
Drainage Area Classification:
___________________ km2
Forest:
______________________%
Main Channel Length: ___________________ km
Barren:
______________________%
Slope of Drainage Area: ___________________ %
Wetland:
______________________%
Urban:
______________________%
□ RFFA
□
Hydrologic Details:
Return Period:
1: ____________ years
Estimation Method:
□ Rational
Maximum Flow:
□ TR55
3
____________ m /s
Design Flow:
Other _________
____________ m3/s
Description of Estimation:
Please show calculation(s) below or attach separate sheets, if required.
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Design (cont’d)
Culvert Shape:
□ Round
□ Pipe-arch
□ Other _______________
Culvert Material:
□ Steel
□ Concrete
□ Aluminum
□ Other ______________
Headwall Type:
□ Concrete
□ Wood
□ Rip-rap
□ Other ______________
Number of Pipes: ____________
Length: ____________ metres
Width:
____________ mm
Height: ____________ mm (for arch-pipe)
Diameter:
____________ mm (for round pipe)
Max Velocity:
____________ m/s
Min Velocity:
____________ m/s
If the undertaking involves replacing an existing culvert, please provide dimensions of existing
culvert and reasoning behind the replacement (undersized, collapse, etc.): _____________________
_____________________________________________________________________________________
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Complete the diagram below and check inlet/outlet type:
Construction
Equipment to be used: ___________________________________________________________
Proposed dewatering method: _____________________________________________________
Briefly describe how erosion control and stabilization will be carried out:
______________________________________________________________________________
_____________________________________________________________________________________
______________________________________________________________________________
Briefly describe how site restoration will be carried out:
_____________________________________________________________________________________
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______________________________________________________________________________
Technical guidelines, departmental policies and application forms are available at:
http://www.env.gov.nl.ca/env/waterres/regulations/appforms/index.html
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