19951305 Ver 1_Complete File_19951219

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Coastal Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Roger N. Schecter, Director
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19 December 1995
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MEMORANDUM DEC ' 195
TO: Mr. A. Preston Howard, P.E., Director
Division of Environmental Management
FROM: John R. Parker, Jr.
Major Permits Processing Coordinator
SUBJECT: CAMA/Dredge and Fill Permit Application Review
Applicant: N.C. Department of Transportation
RECENEp
(?511'4GgTON OFF1C_
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DEC 2. ?
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Project Location: On SR 1160 at Bridge No. 29, Hertford County, North Carolina
Proposed Project: To replace the existing' 17 wide by 156' long bridge with%a 27' ide by
175' long bridge.
?e
Please indicate below your position or viewpoint on the proposed project and return this form
by 9 January 1996. If you have any questions regarding the proposed project, please contact
David Moye at 946-6481, Ext 298. When appropriate, in-depth comments with supporting data
is requested.
REPLY This office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the project only if the recommended
changes are incorporated. See attached.
This office objects to the project for reasons described in the
attached comments. //
Signed Date lP
l
1424 Carolina Avenue, Washington, North Carolina 27889 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
'10 DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: N. C. Department of Transportation
2. LOCATION OF PROJECT SITE: Hertford County on SR 1160 at Bridge #29 over Potecasi Creek
near Murfreesboro, North Carolina
Photo Index - 1989: N/A 1984: N/A
State Plane Coordinates - X: 2,562,600 Y: 958,200
Union Quad. (upper left corner)
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 10/11/95 4/3/95
Was Applicant Present - NO NO
5. PROCESSING PROCEDURE: Application Received - 12/15/95
Office - Washington
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Hertford County
Land Classification From LUP - Conservation (water, wetlands) Rural (land)
(B) AEC(s) Involved: PTA
(C) Water Dependent: YES
(D) Intended Use: Public
(E) Wastewater Treatment: Existing - N/A
Planned - N/A
(F) Type of Structures: Existing - Bridge
Planned - Bridge
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION:
DREDGED FILLED OTHER
(A) Vegetated Wetlands
(B) Non-Vegetated Wetlands
(C) Other ±800 ft2
Highground
[AREA]
(D) Total Area Disturbed: 0.02 acres
(E) Primary Nursery Area: NO
(F) Water Classification: C-NSW Open: NO
8. PROJECT SUMMARY: The applicant proposes to replace an existing ± 17' wide by ± 156' long
bridge with a ±27' wide by ± 175' long bridge.

NC DOT Bridge #29
Hertford County
Project setting
The N. C. Department of Transportation (NC DOT) proposes to replace bridge #29
located on SR 1160 crossing Potecasi Creek south of Murfreesboro in Hertford County, North
Carolina. The existing bridge is ± 17' wide and ± 156' long and is a one lane bridge. The bridge
is bordered on the downstream (south) side by an approximately 50' wide cut over woodland area
for aerial transmission line right-of-way. This cut over area is vegetated with various wetland
plant species which give way to upland grasses on the road shoulder. Adjacent the cut over area
on the downstream side are wooded wetlands on both sides of the creek. The upstream (north)
side of the site is bordered by wooded wetland on both sides of the creek. The creek is _+ 126'
wide at the bridge crossing and the vertical clearance under the existing bridge is +5'. Potecasi
Creek which is classified as C-NSW by the Environmental Management Commission.
Project description
NC DOT proposes to replace an existing ± 17' wide by ± 156' long bridge with an
approximately 27' wide by ± 175' long bridge. The existing bridge which has 7 bents will be
removed and replaced with a new bridge which has 3 bents. Approximately 800 ft2 of high
ground (existing approach fill) will be removed which will increase the horizontal opening under
the bridge from ± 156' to ± 175'. The existing vertical clearance of ±5' will remain the same.
Anticipated impacts
The project as proposed would result in the excavation of ±800 ft2 of high ground. The
existing bridge has a navigable opening between existing bents of ±20' wide with a vertical
clearance of ±5'. The proposed bridge will have a opening of ±50' wide with a vertical
clearance of ±5' which will enhance navigability while maintaining the existing vertical clearance.
The existing bridge width of ± 17' will be increased with the new bridge to ±28' . Localized
turbidity would occur as a result of the construction activities.
David W. Moye - Washington Office - 18 December 1995
„`STATED
STATE OF NORTH CAROLINA
DEPARTMENT OF TkkNSPORTATION
JAMES B. HUNT JR. DIVISION OF HIGHWAYS
GOVERNOR P.O. BOX 25201, RALEIGH, N.C. 27611-5201
December 7, 1995
Mr. David W. Moye, Field Representative
N.C. Department of Environment; Health.
and Natural Resources
Division of Coastal Management
Washington Field Office
P.O. Box 2188
Washington, N.C. 27889-2188
Dear Mr. Moye
GARLAND B. GARRETT JR.
SECRETARY
Re., Proposed Replacement of Bridge No. 29 on SR 1160 in Hertford County
On/about September 29, 1995 the North Carolina Department of Transportation
(NCDOT) submitted a CAMA Major Development Permit application for the proposed
replacement of bridge # 29 in Hertford County. A permit was required, because
Potecasi Creek; at the site of bridge # 29, was determined to be a Public Trust Water
Area of Environmental Concern per Administrative Code Subchapter 7H.0207.
On October 13, 1995 the Division of Coastal Management (DCM) returned the
application due to discrepancies in the information provided. Corrections have been
made to the application as recommended in DCM's October 13th letter. The revised
MP-1 and MP-5, applications and accompanying drawings are attached. Riparian
landowner notification verifications are also provided.
It is requested that this revised application be processed as soon as possible to
enable the Bridge Maintenance program to upgrade the existing, functionally obsolete
structure in the near future.
If you have any questions or comments please call Mr. M. Randall Turner at
[phone] (office), or at [phone] (cell phone),
Sincerely
H. ranklin Vick, P.E., Manager
Planning & Environmental Branch
HFV/mrt
R 1%
Page 2
December 7, 1995
M r. Moye
Enclosures
cc: John Parker, Permit Coordinator, DCM
Jimmy Lee, P.E., Bridge Maintenance Unit
D.R. Conner, P.E., Division Engineer
M. Randall Turner, Division Environmental Officer
Form DCM-?vJ P-1
APPLICATION
(To be completed by all applicants)
1. APPLICANT
b. City, town, community or landmark
Approx. 4 miles south of Murfreesboro
a. Landowner:
Name N. C. Department of Transportation
C. Street address or secondary road number
SR 1160
Address P.O. Box 25201
City Raleis4h State N.C
Zip 27611-5201 Day Phone [phone]
Fax [phone]
b. Authorized Agent:
Name H. Franklin Vick. P.E.. lign. ME Branch
Address P.O. Box 25201
City Raleia State N.C.
d. Is proposed work within city limits or planning
jurisdiction? yes X No
e. Name of body of water nearest project (e.g. river,
creek sound, bay) Potecasi Creek
3. DESCRIPTION A`TD PLANNED USE
OF PROPOSED PROJECT
a. List all development activities you propose (e.g.
building a home, motel, marina, bulkhead, pier, and
excavation and/or filling activities.
Replace existing timber bridge with new concrete
bridge
Zip 27611-5201 Day Phone [phone]
Fax [phone]
b. Is the proposed activity maintenance of an existing
project, new work or both? both
c. Project name (if any) Replacement of Bridge 4 29
:VOTE: Permit will be issued in name of landowner!s),
and/orprgject name.
2. LOCATION OF PROPOSED
PROJECT
c. Will the project be for public, private or commercial
use? Public Transportation
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed
project. If more space is needed, please attach
additional pages. Public Transportation: High-yvay
crossing of Potecasi Creek; Standard Construction
1/Iethodolomes
a. County Hertford
Form DCM-MP-1
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract N/A
b. Size of individual lot(s) N/A
c. Approximate elevation of tract above MI-1W or
NWL +/- El 20 ft (USGS)-/- 100 ft assumed datum
d. Soil type(s) and texture(s) of tract
Mapped as Bibb Soils. mucky inclusions
e. Vegetation on tract Ma lp e, aum, ash, cress
swamp forest
f. Man-made features now on tract Timber bridge
g. What is the CA1vL4 - Land Use Plan land
classification of the site? (Consult the local land use
plan.)
X Conservation Transitional
Developed Community
X Rural Other
h. How is the tract zoned by local government?
Rural-agricultural
Is the proposed project consistent with the
applicable zoning? X Yes Na
("Attach zoning compliance certificate, if applicable)
Has a professional archaeological assessment been
done for the tract? Yes X No
If yes, by whom?
k. Is the project located in a National Registered
Historic District or does it involve a National
Register listed or eligible property?
Yes X No
1. Are there wetlands on the site? X Yes _ No
Coastal (marsh) Other X
If yes, has a delineation been conducted? * No
(Attach documentation, if available) *See attached memo to
COE
m. Describe existing wastewater treatment facilities.
n. Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down" and residential discharges.)
Surface runoff from bridge and am)roachwavs
o. Describe existing drinking water supply source.
5. ADDITIONAL INFORMATION
In addition to the completed application form, the
following items must be submitted:
• A copy of the deed (with state application only) or
other instrument under which the applicant claims
title to the affected properties. If the applicant is not
claiming to be the owner of said property, then
forward a copy of the deed or other instrument under
which the owner claims title; plus writt en permission
from the owner to carry out the project.
® An accurate, dated work plat (including plan view
and cross-sectional drawings) drawn to scale in black
ink on an 8 1/2" by 11" white paper. (Refer to Coastal
Resources Commission Rule 710'203 for a detailed
description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue-line
prints or other larger plats are acceptable only if an
adequate number of quality copies are provided by
applicant. (Contact the U.S. Army Corps of
Engineers regarding that agency's use of larger
drawings.) A site or location map is a part of plat
requirements and it must be sufficiently detailed to
guideagency personnel unfamiliar with the area to the
Form DCM-MP-1
site. Include highway or secondary road (SR)
numbers, landmarks, and the like.
SA Stormwater Certification, if one is necessary.
SA list of the names and complete addresses of the
adjacent waterfront (riparian) landowners and
signed return receipts as proof that such owners
have received a copy of the application and plats
by certified mail. Such landowners must be advised
that they have 30 days in which to submit comments
on the proposed project to the Division of Coastal
Management. Upon signing this form, the applicant
further certifies that such notice has been provided.
Name Smithfield Carroll's Farm
Address P. O. Box 1240
Phone Waverly, Virginia ?3890
Name R. Jennings & Annie P. White. Jr.
Address P.O. Box 147
Phone Con-vav N. C. 27820
Name W.L. Simons & Agnes R. Simons Heirs
Address 412 N. Colony Ave
Phone Ahoskie, N.C. 27910
A list of previous state or federal permits issued
for work on the project tract. Include permit
numbers, pennittee, and issuing dates.
N
• A check for 5250 made payable to the Department of
Environment, Health, and Natural Resources
c DEI'R) to cover the costs of processing the
application.
® A signed AEC hazard notice for projects in
oceanfront and inlet areas.
• A statement of compliance with the N.C.
Environmental Policy Act (N.C.G.S. 113A - 1 to
10) If the project involves the expenditure of public
funds or use of public lands, attach a statement
documenting compliance with the North Carolina
Environmental Policy Act.
6. CERTIFICATION AND PERMISSION
TO ENTER ON LAND
I understand that any permit issued in response to this
application will allow only the development described in
the application. The project will be subject to
conditions and restrictions contained in the permit.
I certifv that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's
approved Coastal Management Program and will be
conducted in a manner consistent with such program.
I certify that I am authorized to grant, and do in fact,
grant permission to representatives of state and federal
review agencies to enter on the aforementioned lands in
connection with evaluating information related to this
permit application and follow-up monitoring of the
project.
I further certifv that the infonmation provided in this
application is truthful to the best of my knowledge.
This is the ( 4 day of Jac , 19 1;5 .
Print Name H. Franklin Vick P.E.
Signature
Landowner orAuthorizd Agent
Please indicate attachments pertaining to your proposed
proj ect.
DCM MP-2 Excavation and Fill Information
DCM VIP-3 Upland Development
DCM MP-4 Structures Information
Y DCM MP-5 Bridges and Culverts
DCM MP-6 Marina Development
A"OTE. Please sign and date each attachment in the
space provided at the bottom of each form.
Form DCM-MP-5
BRIDGES AND
CULVERTS
Attach this form to Joint Application for CAM.A Major
Permit, Form DCM ;MP-1. Be sure to complete all other
sections of the Joint Application that relate to this
proposed project.
1. BRIDGES
a. Public X Private
b. Type of bridge (construction material)
Concrete-Prestressed cored slab
c. Water body to be crossed by bridge
Potecasi Creek
d. Water depth at the proposed crossing at T%4LW or
N-IN-L +/- 11 ft.
e. Will proposed bridge replace an existing bridge?
X Yes No
If Yes,
(1) Length of existing bridge 156 ft.
(2) Width of existing bridge 17.1 ft CR*
(3) Navigation clearance underneath existing
bridge +/- 5.0 ft
(4) Will all, or a part of, the existing bridge be
removed? (Explain) Entire existing bridge
will be removed
* CR denotes clear roadway
f Will proposed bridge replace an existing culvert(s)?
Yes X No
If Yes,
(1) Length of existing culvert
(2) Width of existing culvert
(3) Height of the top of the existing culvert above
the M1-1W or NWL
(4) Will all, or a part of, the existing culvert be
removed? (Explain)
g. Length of proposed bridge 175 ft
h. Width of proposed bridge 24 ft CW: +/- 27 ft R-R*
Height of proposed bridge above wetlands
+/- 4.6 ft
* R-R denotes rail-to-rail
Will the proposed bridge affect existing water flow?
Yes X No
if yes, explain
k. Navigation clearance underneath proposed bridge
+/- 5.0 ft
Will the proposed bridge affect navigation by
reducing or increasing the existing navigable
opening? X Yes No
If ves, explain Existing bridge has 2 spans P 17 ft
6 in and 6 spans a. 20 ft-, proposed bridge has 3
spans @ 50 ft and 1 (tai 25 ft therefore navigational
width is increased. Vertical clearance remains
unchanged
m. Will the proposed bridge cross wetlands containing
no navigable Nvaters? Yes X No
If ves, explain
n. Have you contacted the U. S. Coast Guard
concerning their approval?
Yes X No
If yes, please provide record of their action.
Form-MM-W-5
2. CULVERTS
a. Water body in which culvert is to be placed
N/A
b. Number of culverts proposed NIA
c. Type of culvert (construction material, style)
NIA
d. Will proposed culvert replace an existing bridge?
Yes No N/A
If yes,
(1) Length of existing bridge
(2) Width of existing bridge
(3) Navigation clearance underneath existing
bridge
(4) Will all, or a part of, the existing bridge be
removed? (Explain), e. Will proposed culvert replace an existing culvert?
Yes No N/A
If yes,
(1) Length of existing culvert
(2) Width of existing culvert
(3) Height of the top of the existing culvert above
the NMW or NWL
(4) Will all, or a part of, the existing culvert be
removed? (Explain)
f Length of proposed culvert N/A
g. Width of proposed culvert N/A
h. Height of the top of the proposed culvert above the
',Iv1HLV or NWL N/A
i. Will the proposed culvert affect existing water flow?
Yes No N/A
If yes, explain
j. Will the proposed culvert affect existing navigation
potential? Yes No N/A
If yes, explain
3. EXCAVATION AND FILL
a. Will the placement of the proposed bridge or culvert
require any excavation below the M-1W or NWL?
Yes X No
If yes,
(1) Length of area to be excavated
(2) Width of area to be excavated
(3) Depth of area to be excavated _
(4) Amount of material to be excavated in cubic
yards
b. Will the placement of the proposed bridge or culvert
require any excavation within: No
_ Coastal Wetlands SAVs - Other Wetlands
If yes,
(1) Length of area to be excavated _
(2) Width of area to be excavated
(3) mount of material to be excavated in cubic
yards
c. Will the placement of the proposed bridge or culvert
require any highg-ound excavation?
X Yes 1To
If yes,
(1) Length of area to be excavated +/-M ft
(2) Width of area to be excavated +/- 40 ft
(3) Amount of material to be excavated in cubic
yards +/- 200 cu vds
d. If the placement of the bridge or culvert involves any
excavation, please complete the following:
(1) Location of the spoil disposal area
_Upland site to be determined
(2) Dimensions of spoil disposal area
see d. (1)
(3) Do you claim title to the disposal area?
Yes No seed. 1
If no, attach a letter granting permission from
the owner.
Form DCM-MP-S
(4) Will the disposal area be available for future
maintenance? Yes No see d. 1
(5) Does the disposal area include any coastal
wetlands (marsh), SAVs, or other wetlands?
Yes X No
If yes, give dimensions if different from (2)
-above. see d. W
(6) Does the disposal area include any area below
the MHW or NWL? Yes X No
If yes, give dimension if different from No. 2
above. see d. (1)
e. 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
MHW or NWL? Yes X N
If yes,
(1)
(2)
(3)
f.
Length of area to be filled
Width of area to be filled
Purpose of fill .
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 _ SAVs _ Other Wetlands
If yes, No
(1) Length of area to be filled
(2) Width of area to be filled
.(3) Purpose of fill
g. 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
highground? X Yes NO
If yes,
(1) Length of area to be filled +I- 40 ft
(2) Width of area to be filled +/- 40 ft
(3) Purpose of fill Top dress shoulders near
end bents
4. GENERAL
a. Will the proposed project involve any mitigation?
Yes X No
If yes, explain in detail
b. Will the proposed project require the relocation of
any existing utility lines? . Yes X No
If yes, explain in detail None anticipated
c. Will the proposed project require the construction
of any temporary detour structures?
Yes X No
If yes, explain in detail None anticipated
d. Will the proposed project require any work
channels? Yes X No
If yes, complete Form DCM-T%4P-2
e. How will excavated or fill material be kept on site
and erosion controlled? Stringent application of
NCDOT's Blv'TPs for the Protection of Surface
Waters
f. What type of construction equipment will be used
(for example, dragline, baekhoe or hydraulic
dredge)'' Backhoe, crane, trucks. etc
g. Will wetlands be crossed in transporting equipment
to project site? Yes X No
If yes, explain steps that will be taken to lessen
environmental impacts.
h. Will the placement of the proposed bridge or culvert
require any shoreline stabilization?
X Yes No
If yes, explain in detail Stone rip-rap will be used on
all slopes greater than 2.1
NCDOT H. Frankli P.
App or oject N
is atture
Date
Hertford County
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North Carolina
Department of Transportation
Division of Highways
County: Hertford
Quad: Union
Basin: Chowan
Project: Replace Bridge # 29 on
SR 1160 Over Potecasi Creek
Date: 09 / 21 / 95
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Department of Transportation
Division of MF.hways
County: Hertford
Quad: Union
Basin: Chowan
Project. Replace Bridge # 29 on
SR 1160 Over-Potecasi Creek
Date: 09 / 21 / 95
Plan View
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North Carolina
Department OfTranvortation
Division of Highways
County: Hertford
Quad: Union
Basin: Chowan
ProJect: Replace Bridge # 29 on
SR 1160 Over Potecasi Creek
Date: 09 / 21 / 95
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Noah Carolina
Department of Transportation
Division offiighways
County: Hertford
Quad: Union
Basin: Chowan
Project: Replace Bridge # 29 on
SR 1160 Over Potecasi Creek
Date: 09 121 / 95
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p_ M North Carolina
Department of Transportation
Division of Highways
i County: Hertford
I Quad: Union
Basin: Chowan
Project. Replace Bridge # 29 on
SR 1160 Over Potecasi Creek
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Date: 09 / 21 / 95
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT JR. DIVISION OF HIGHWAYS GARLAND B. GARmTT JR.
GOVERNOR P.O. BOX 1405 SECRETARY
Elizabeth City, N.C. 27906-1405
Phone: [phone]
Fax: [phone]
December 7, 1995
Mr. Raleigh W. Bland, Regulatory Project Manager
U. S. Army Corps of Engineers
Washington Regulatory Field Office .
P.O. Box 1000
Washington, N.C. 27889-1000
Dear Mr.. Bland:
Re: Proposed Replacement of Bridge No. 29 on SR 1160 in Hertford County
I have enclosed a vicinity map and a site drawing for a proposed bridge
replacement in Hertford County. A CAMA Major Development Permit application has
been submitted (effective December 7, 1995) by the NCDOT. As designed, the project
will impact less than 0.1 acre of Section 404 wetlands. The wetland impacts are in the
vicinity of the proposed rip-rapped zones adjacent to the proposed end-bents.
I have visited the site on more than one occasion and have made a wetland
determination. The approximate upland-wetland boundary is depicted on sheets 1 and
2. The predominant community in the bridge study area is a swamp forest and fringe
wetlands associated-with Potecasi Creek. Soils are mapped as Bibb and evidence of
saturation within the upper 12 inches for extended periods is apparent.
The Division of Coastal Management wants to insure that the wetland
boundaries in the project area have been properly determined, as evidenced by a COE
tear sheet, concurring with the field determination.
Please provide me with a tear sheet confirming that sheets 1 and 2 properly
depict the wetland boundaries in the bridge vicinity. Call me if you have any questions
or comments.
. Sincerely,
M. Randall Turner, Division Environmental Officer
Division One
Attachments
cc: David W. Moye, DCM
lax
1zilrsia5 13: 23 aUla 331 9739 NCDOT EC DIST 1 1& 002
U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Action ID:
County: -L 4n 1?: ?1
Notification of Jurisdictional Determination
PiLoprrnmerlAuthorized Agent 1 .
Address K U .
V-4

Indicate Which of the following apply:
• There a wetlands on,* above describe roperty which we str
ly suggest should delineated d
yag
s yed. The sup ed wetland lin ust be verified by o staff before the s will mak final
Arisdictional d rmination on yo property.
Beca of the size our property an ur present worklo , our identification an elineation of you
w ds cannot a accomplished i timely manner. Y may wish to employ onsultant to obt ' a
ore timely ineation of the ands. Once your sultant has flagged a we d line on the pr erty,
Corps st will review it, an , rf it is accurate, we ongly recommend that have the line su eyed for
.fins proval by the Co . The Corps wi7I no ake a final jurisdictional etermination on ur property
vKhout an approve urvey.
• The wetlands on your lot have been delineated, and the limits of Corps jurisdiction have been explained
to vou. Unless there is a change in the law or our published regulations, this determination may be relied
upon for a period not to exceed thfew& years from the date of this notification.
• Ther are no wetla presenii-emmnnation oV th above describe propeny which a subject tot permit
r
-qGi ements of S ion 404 of taWater Act SC 1344). Unl there is a cha a in the law
or our public regulations, th' m e relied upon for a eriod not toe d three years
from the a of this notifica ' n.
f' j• The project is located in one of the 20 Coastal Counties. You should contact the nearest State Office of
Coastal Management to determine their requirements.
Placement of dredged or fill material in wetlands on this property without a Department of the Army
permit is in most cases a violation of Section 301 of the Clean Water Act.(33 USC 1311). A permit is
not required for work on the property restricted entirely to existing high ground. If you have any
quesu- re ardin the orps of Engineers regulatory program, please contact
Rck Q lit at 1 qi 1 ?v 1 ?.3
Property-swasdAuthorized
Project Manager Signature.
Date t 2?" 15j - 15
SURVEY PLAT OR FIELD SKETCH OF DESCRIBED PROPERTY AND THE WETLAND
DELINEATION FORM MUST BE ATTACHED TO THE YELLOW (FILE) COPY OF THIS FORM.
CEMW Facm566
1 =91
Telephone Numbers 3'3 t -- WT '1
Expiration Date [I- J5- U00
1Z/15/y5 13:24 W919 331 4739 NCDOT EC DIST 1
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID .
. County Qr {GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent _) t
Address p. o . d
- t ?. ? flub
Telephone No. 4 J ?? 1G?,"' ?j g y D
Size and Location of project (waterbodv, road name/numb
. / 1 ,
town, etc.)

Description of Activity
n- ,.r --- - .J

._-Section 404 (Clean Water Act, 33 USC 1344) only. .l
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
R -3 Regional General Permit or Nationwide Permit Number.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above may subject the
permittee to a stop work order, a restoration order, and/or appropriate legal action.
This Department of the Army Regional GeneraI/Nationwide Permit verification does not relieve the undersigned
pennittee of the responsibility to obtain any other required Federal, State, or local approvals/permits. The permittee
may need to contact appropriate State and local agencies before beginning work.
By signature below, the permittee certifies an understanding and acceptance of all terms and conditions of this
permit.
Property Owner/Authorized Agent Signature
Regulatory Project Manager Signature Ti
Date 6 `" r? - 9 S _ Expiration
-X-4
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE ATTACHED TO
THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
ra 003
cESAw Foam 69t
Dec 1993
1Z/ 18/!!5 13: L5 aVlY 331 TIJU iNUDUT 1:G ll15T 1
_5_
L0 004
NATIONWIDE PERMIT # 3: }S2lN=27AWcv_. AUTHORIZES REPAIR, REHABILITATION, OR
REPLACEMENT OF ANY PREVIOUSLY'AUTBORT_ZED CURRENTLY SERVICEABLE STROCTIIR.E OR
FILL OR OF ANY CURRENTLY SERVICEABLE STRUCUuRE OR FILL AUTHORIZED EY 33 CFR
330.3. DOES NOT AUTHORIZE. ZL?INTENANCE DREDGING ANY) BEACH RESTORATION.
SECTIONS 10 AND 404.
STATUS IN NORTE CAROLINA. ISSUED.
NATIONWIDE CONDITIONS.- STANDARD GnEX2RAL CONDITIONS AND THE FOLLOWING SPECIFIC
CONDITIONS:
1. THE-STRUCTURE OR FILL IS NOT TO BE PUT TO USES DIFFiRING FROM THOSE
USES SPECIFIED OR CONTEMPLATED FOR IT IN THE ORIGIT7AL PERMIT OR THE MOST
RECENTLY AUTHORIZED MODIFICATION.
2. MINOR DEVIATIONS DUE TO CHANGZS IN YATERIALS, CONSTRUCTION TEc,,LTIQUES
OR CURRENT CONSTRUCTION CODES OR SAFETY STANDARDS WHICH ARE NECESSARY TO
2%=t REPAIR, REHABILITATION OR REPI:ACEM?,NT TO CURRENT SAFETY STANDARDS AL.y
PERMITTED.
3. i'NCLUDES THOSE STRUCTURES AND FILLS DESTROYED WITHIN THE PAST TWO
Y` _PARS BY STORMS, FLOODS, FIRE OR OTMIR DISCRETE EVENTS, BUT WHICH WTERE
SERVICEABLE IMMEDIATELY PRECEDING T'rAT EVENT.
REGIONAL CONDITIONS: NONE.
4401 CERTIFICATION DETE=NATION: GENERAL. CERTIFICATION ISSUED, BUT
CONDITIONED AS FOLLOWS:
1. ESTABLISHED SF,DIb+..° NT AND EROSION CONTROL PRACTICES PRE UTILIZED TO
PRE4 TT VIOLATIONS OF THE APPROPRIATE TURBIDITY WATER QUALI.TT STANDARD (50
NTUS IN STRF.A1u5 AND RIVERS NOT DESTGNA^E'D AS TROUT SY NCDEM_; 25 NTUS IN
ALL SALTWATER CLASSES ANU ALL LA=C5 AND RESERVOIRS; AND 10 NTUS IN TROUT
em- TERS) _
2. • MEN _ RES SHALL BE TA MN TO PREVENT LIVE OR FRESH CONCRETE FROM- COMING
_TiYTO CONTACT WITH WATERS OF THE STATE UNTIL TEE CONCRETE HAS HAIRDENED.
CONSISTENCY DETERMINATION: CONSISTENT IN COASTAL ALREA SUBJECT TO THE
FOLLOWING CONDITION:
1. SHOULD ALL OR PART OF T°T_.* D-ErELOPMENT ACTIVITY BE LOCATED WITHIN AN
ARIA OF ENVIRONS'-ENTAL CONCERN (AEI) AS DESIGNATED BY = NORTH CAROL=NA
COASTAL RESOURCES COM MISSIC.', A COASTAL AREA M?a1?Ir`?GEM?ExMT ACT (CPLv_?) PERMIT_
IS REQUIRED FROM- THE NCDCM3 UNLESS THE I--PLTCZLgT is a =C-- ERRMT AGENCY. IF
Tom' -PPLICA.INT IS A FEDERAL AGENCY XbM ALL OR PART OF TITE DEVELOPME`N^s
ACTIVITY IS "LOCATED WITHIN ALIN _.EC, A CONSISTENCY DETERMINATION PUR$U AT, TO
15 CFR 930 MUST BE PROVIDED TO THE NCDCli AT LEAST 90 DAYS BEFORE T;? ONSET
OF THE PROPOSED ACTIVITY.