55254_NC DOT_20101228

CAMA / ❑ DREDGE & FILL
GENERAL PERMIT permit ermit #
❑New ❑Modification ❑Complete Reissue El Partial Reissue �j Date previous permit issued_
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name " Project Location: County
Address <s `'-6 X Street Address/ State Road/ Lot #(s)
-i s'_--?,f`
'154
uty
Jtate Llr
Phone # O 0 3 rl Fax # ( )
Subdivision
Authorized Agent
"'
City ZIP
[�CW
MIEW
9PTA [_ TS ❑ PTS
Phone # ( ) River Basin
Affected
AEC(s): ❑ OEA
❑ HHF
El ❑ UBA ❑ N/A
n� G / e (.- t �y
Adj. Wtr. Body .� (nat /man /unkn)
❑ PWS:
❑FC:
P `.
ORW: yes /' no
PNA
r--`
.yes; / no Crit.Hab. yes / no.
Closest Maj. Wtr. Body '�
Type of Projefct�Aet�vi �� `'' °` 6�v e ,' �.e :a _
_ _3 _ %�
x
(Scale: ! )
Pier (dock) length _
Platform(s)
Finger pier(s) -
Groin length
number
Bulkhead/ Riprap length
I
avg distance offshore—
j 1'
max distance offshore � � � i —.- { �- � r- r
Basin, channel
:
T
:
:
:
:
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other o
Shoreline Length
SAV: not sure
yes no
Sandbags: not sure
yes no.
Moratorium: n/a
yes' no
Photos:
:yes no
Waiver Attached:
yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
F- See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiratio[nJ Date
o
Local PlanningJurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowners).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax: [phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

i®CAMA / X DREDGE & FILL N? 55254
GENERAL PERMIT Previous permit#
lgNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources O O
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC v.-7 2s
ules attached.
Applicant Name %J Project Location: County C" „tom ;-zfi
Add e O ,rye jC I S� -7 Street Address/ State Road/ Lot #(s) it 4 ,
ress
�r c e nvr t l a
N' ZIP
City
State
Phone # () �� 0 3y�
Fax # ( )
Authorized Agent
Ftl-fW 5EW
Q'PTA YES ❑ PTS
Affected
AEC(s): ElOEA ❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no PNA
yes / no Crit.Hab. yes / no
Subdivision
City f3"� �� C ZIP
Phone # ( ) } River Basin
Adj. Wtr. Body y = r{ k (nat /man / n
Closest Maj. Wtr. Body Cam'
Type of Project/ Activity ��; :1 /' 4�t 0 c f < S (, ° r C..Y;f J ✓ter �r� j'r� c c ca - 4 r iC 3 C ✓ter r
Pier (dock) len h
Platf
Finge
Groin
Bulk
Basil
Boat
Boat
Beac
Othi
Shor
SAV
Sanc
Mor
Phot
WaiN
(Scale: IV / /A )
orm(s)
f
T 7 --
- -I-
- -
r-
r pier(s) --�
length-�—--
number
i—
_
ead/ Riprap length
avg distance offshore
- - -
—
-
max distance offshore-
V/
,channel
_
U>1c� �ncar "�rri i/40, f um1
I J
cubic yards!
t--�—
ram —
'- --
I 1
�
louse/ Boadift
l Bulldozing
I
r
dine Length
not sure nd
yes
gags: not sure yes-
torium: n/a yes no
i
ar Arr—hart• vac Inn
-�
A building permit may be required by: �r, / / /"�� �/' f /j ❑ See note onbackregarding River Basin rules.
Notes/ Special Conditions r Uj o i' - r f J(o°'� 7 ' t' j`zx T,�, �- o
// G 1%� L�JT/ " / :uf Jc� c�r,� l" ii✓L ' �•w.'."t ct NX jam✓`='�'Cl1 L•Y"".-e J'1`". f •'� ,. �„ ✓ d-G D `% - t(C b ;.✓ •;t^'t,•V-n.>�e.� .�7
Agent or Applicant
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit :icSers Signature
0-- f -1-t3
Issuing Date Expiration Date
Local Planningf urisdiction Rover File Name

� 0
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
December 29, 2010
Jay Johnson, NC DOT
Division of Environmental Officer
Division 3
PO Box 1587
Greenville, NC 27835
Dear Mr. Johnson:
Attached is General Permit #55254C to construct a 36"x40' culvert to replace the existing
24"x32' culvert located in Beaufort, NC.
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Stephen Lane
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer —50% Recycled \ 10% Post Consumer Paper

_'7
Applicant:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
t
Dredge ❑ Fill ❑ Both D,--Other ❑
ov✓ �"�f
Dredge ❑ Fill ❑ Both [Other ❑
Dredge ❑ Fill ❑ Both Other ❑
1 y
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

1= W1
APPLICATION for
Major Development Permit A/n
(last revised 12/27106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
North Carolina Department Of Transportation
SR 1164, Ware Creek Road, Carteret County Over Ware
Creek
Applicant 1: First Name
MI
Last Name
Jay
B.
Johnson
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
City
State
1587
Greenville
NC
ZIP
Country
Phone No.
FAX No.
27835 1587
us
252 - 830 - 3490 ext. 248
252 - 830 - 3341
Street Address (rf different from above)
City
State
ZIP
Email
[e-mail]
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
-
- ext.
Phone No. 2
- - ext.
FAX No.
Contractor #
Street Address (rf different from above)
City
State
ZIP
Email
<Form continues on back>

Form DCM MP-1 (Page 2 of 5)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
SR 1164, Ware Creek
Carteret
Road
Subdivision Name
City
State
Zip
Phone No,
Lot No.(s) (if many, attach additional page with list)
- - ext.
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
White Oak
Ware Creek
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural ❑Manmade ❑Unknown
Core Creek
e. is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
❑Yes ®No
work falls within.
None
4. Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
14' (T East and 7' West)
N/A
c.
Size of individual lot(s)
d. Approximate elevation of tract above NNW (normal high water) or
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
2' ❑NHW or ®NWL
e.
Vegetation on tract
Maintained Roadside Grasses
f.
Man-made features and uses now on tract
Pipe
g.
Identify and describe the existing land uses ad acent to the proposed project site.
Woodlands and Marsh
h.
How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
N/A
(Attach zoning compliance certificate, if applicable)
[]Yes ❑No ®NA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ONO
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ONO ®NA
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ®No ❑NA
National Register listed or eligible property?
<Form continues on next page>
m. (i) Are there wetlands on the site? ®Yes []No
(ii) Are there coastal wetlands on the site? ®Yes []No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ❑Yes ®No
(Attach documentation, if available)
Dee

Form DCM MP-1 (Page 3 of 5)
APPLICATION for
Major Development Permit
wastewater
N/A
o. Describe existing drinking water supply source.
N/A
storm water management or treatment systems.
N/A
S. Activities and Impacts
a. Will the project be for commercial, public, or private use?
❑Commercial ®Public/Govemment
❑Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The Existing 32' x 24" RCP Will Be Replaced By A Proposed 40' x 36" CMP .
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
The Existing Pipe Will Be Removed and the Proposed Pipe Will Be Installed. Typical
Roadway Construction Equipment Will
Be Used, Inciuding,But Not Limited To Tracked Excavators, Crane, Dump Trucks, Flat
-Bed Trucks,Back-Hoes,And Boom
Trucks.
d. List all development activities you propose.
Emergency Pipe Replacement
e. Are the proposed activities maintenance of an existing project, new work, or both?
Both
f. What is the approximate total disturbed land area resulting from the proposed project?
294 ®Sq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area
❑Yes []No SNA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
N/A
i. Will wastewater or stormwater be discharged into a wetland?
❑Yes ®No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water?
❑Yes ❑No ❑NA
j. Is there any mitigation proposed?
❑Yes ®No ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (f) are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.

Form DCM MP-1 (Page 4 of 5)
APPLICATION for
Major Development Permit
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such ;A
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.
Name Heron Point Associates
Phone No.
Address 15 Oak Ridge Road Brunswick, ME 04011 Parcel 2288
Name Stephen W. Tibbetts and Hallie Tibbetts
Phone No.
Address 15 Oak Ridge Road Brunswick, ME 04011 Parcel 7082
Name James H. Selander and Fredric selander
Phone No.
Address 1107 Middleton Court Mt. Pleasant, SC 29464 Parcel 7444
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
None
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Ad.
7. 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 the conditions and restrictions contained in the permit.
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 certify that the information provided in this application is truthful to the best of my knowledge.
Date October 8, 2010 Print Na Jay B. Johnso
Signature
�JG..Jf
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ®DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
"114,
'0169
V10C4

Form DCM MP-2 <`. /V cF/���
EXCAVATION and FILL o� zo,
(Except for bridges and culverts) C�Ci/y
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access
Other
Channel
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
(excluding
(NLW or
Breakwater
shoreline
NWL)
stabilization
Length
Width
Avg. Existing
NA
NA
Depth
Final Project
NA
NA
Depth
1. EXCAVATION ®This section not applicable
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
c. (i) Does the area to be excavated include coastal wetlands/marsh d. High -ground excavation in cubic yards.
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
[]CW ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of the excavation in these areas:
2. DISPOSAL OF EXCAVATED MATERIAL ®This section not applicable
a. Location of disposal area. b. Dimensions of disposal area.
c. (i) Do you claim title to disposal area? d. (i) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA ❑Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner. (ii) If yes, where?
e. (i) Does the disposal area include any coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of disposal in these areas:
(i) Does the disposal include any area in the water?
❑Yes ❑No ❑NA
(ii) If yes, how much water area is affected?

Form ®CM MP-2 (Excavation and Fill, Page 2 of 2)
3. SHORELINE STABILIZATION ❑This section not applicable
(If development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization:
❑Bulkhead ®Riprap ❑Breakwater/Sill ❑Other: _
c. Average distance waterward of NHW or NWL: -0-1' } >p
e. Type of stabilization material:
Class B Marl
g. Number of square feet of fill to be placed below water level
Bulkhead backfill Riprap 45' For Pipe Bedding
Breakwater/Sill Other Pipe Bedding
i. Source of fill material.
b. Length: 30' (15' East And 15' West)
Width: §' Ik
d. Maximum distance waterward of NHW or NWL: 9"
f. (i) Has there been shoreline erosion during preceding 12
months?
❑Yes ®No ❑NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
h. Type of fill material.
Granitel
4. OTHER FILL ACTIVITIES ®This section not applicable
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? ❑Yes ❑No ❑NA b. (i) Will fill material be placed in coastal wetlands/marsh (CM,
If yes,
submerged aquatic vegetation (SAV), shell bottom (SB), or
{ii) Amount of material to be placed in the water
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(iii) Dimensions of fill area
❑CW ❑SAV ❑SB
(iv) Purpose of fill
OWL ❑None
(ii) Describe the purpose of the fill in these areas:
5. GENERAL
a. How will excavated or fill material be kept on site and erosion
b. What type of construction equipment will be used (e.g., dragline,
controlled?
backhoe, or hydraulic dredge)?
Silt Fences and Rip Rap
Typical Road and Bridge Construction Equipment
c. (i) Will navigational aids be required as a result of the project?
d. (i) Will wetlands be crossed in transporting equipment to project
❑Yes ®No ❑NA
site? ❑Yes ®No ❑NA
(ii) If yes, explain what type and how they will be implemented.
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
October 8, 2010 Jay B. Johnson
Date
SR 1164, Ware Creek Road, Pipe To Pipe Replacement WBS
Element Number 2C.016014
Project Name
Applicant e
Applicant na

Form DCM MP-5
BRIDGES and CULVERTS
v�
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint'
Application that relate to this proposed project. Please include all supplemental information.
1. BRIDGES ®This section not applicable
a. Is the proposed bridge:
❑Commercial ❑PubliGGovernment ❑Private/Community
c. Type of bridge (construction material):
e. (i) Will proposed bridge replace an existing bridge? ❑Yes ❑No
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
b. Water body to be crossed by bridge:
d. Water depth at the proposed crossing at NLW or NWL:
f. (i) Will proposed bridge replace an existing culvert? ❑Yes ❑No
If yes,
(ii) Length of existing culvert:
(iii) Width of existing culvert:
(iv) Height of the top of the existing culvert above the NHW or
NWL:
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
9 Length of proposed bridge: h. Width of proposed bridge:
i. Will the proposed bridge affect existing water flow? ❑Yes ❑No j. Will the proposed bridge affect navigation by reducing or
If yes, explain: increasing the existing navigable opening? []Yes ❑No
If yes, explain:
k. Navigation clearance underneath proposed bridge: I. Have you contacted the U.S. Coast Guard concerning their
approval? []Yes [-]No
If yes, explain:
m. Will the proposed bridge cross wetlands containing no navigable n. Height of proposed bridge above wetlands:
waters? ❑Yes ❑No
If yes, explain:
2. CULVERTS El This section not applicable
a. Number of culverts proposed: 1
b. Water body in which the culvert is to be placed:
Tributary of Ware Creek
< Form continues on back>

Form DCM MP-5 (Bridges and Culverts, Page 2 of 4)
c. Type of culvert (construction material):
Proposed 40' x 36" CMP
d. (i) Will proposed culvert replace an existing bridge?
❑Yes ®No
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge: _
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
e. (i) Will proposed culvert replace an existing culvert?
BOG` G
C"
®Yes ❑No
If yes,
(ii) Length of existing culvert(s): 32'
(iii) Width of existing culvert(s): 24" (2')
(iv) Height of the top of the existing culvert above the NHW or
NWL: 0.5
(v) Will all, or a part of, the existing culvert be removed?
(Explain) All of the Existing Culvert will be Removed
f. Length of proposed culvert: 40' 9 Width of proposed culvert: 36"
h. Height of the top of the proposed culvert above the NHW or NWL. i. Depth of culvert to be buried below existing bottom contour.
0.5' 1'
j. Will the proposed culvert affect navigation by reducing or k. Will the proposed culvert affect existing water flow?
increasing the existing navigable opening? ❑Yes ®No
❑Yes ®No
If yes, explain: If yes, explain:
3. EXCAVATION and FILL El This section not applicable
a. (i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ®Yes []No
If yes,
(ii) Avg. length of area to be excavated: 45' For Pipe Bedding'
(iii) Avg. width of area to be excavated: 7' for Pipe Bedding
(iv) Avg. depth of area to be excavated: 1.0'
(v) Amount of material to be excavated in cubic yards: 12
Cubic Yards
c. (i) Will the placement of the proposed bridge or culvert require any
high -ground excavation? ®Yes ❑No
If yes,
(ii) Avg. length of area to be excavated: 20'
(iii) Avg. width of area to be excavated: 7'
(iv) Avg. depth of area to be excavated: 3'
(v) Amount of material to be excavated in cubic yards: 16
Cubic Yards
b. (i) Will the placement of the proposed bridge or culvert require any
excavation within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? if any boxes are checked, provide the number of square
feet affected.
ECW 328 Sq. Ft.. ❑SAV ❑SB
❑WL ®None
(ii) Describe the purpose of the excavation in these areas:
Removal of Existing Pipe and Installation of Proposed
Pipe

Form DCM MP-5 (Bridges and Culverts, Page 3 of 4)
d. If the placement of the bridge or culvert involves any excavation, please complete the following:
(i) Location of the spoil disposal area: Temporary Spoil Area is in the Existing Road
(ii) Dimensions of the spoil disposal area: 100' x 200' ej �L
(iii) Do you claim title to the disposal area? ®Yes ❑No (If no, attach a letter granting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? ®Yes ❑No
(v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (SB)?
❑CW ❑SAV ❑WL ❑SB ®None
If any boxes are checked, give dimensions if different from (ii) above.
(vi) Does the disposal area include any area below the NHW or NWL? ? ❑Yes ®No
If yes, give dimensions if different from (4) above.
e. (i) Will the placement of the proposed bridge or culvert result in any f. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to fill (other than excavated material described in Item d above) to
be placed below NHW or NWL? ❑Yes ®No be placed within coastal wetlands/marsh (CW), submerged
If yes, aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
(ii) Avg. length of area to be filled: feet affected.
(iii) Avg, width of area to be filled: ®CW 56 Sq. Ft. ❑SAV ❑SB
(iv) Purpose of fill: ❑WL ❑None
(ii) Describe the purpose of the excavation in these areas:
Fill for Shoulders
g. (i) 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 high -ground? ❑Yes ®No
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
a. Will the proposed project require the relocation of any existing b. Will the proposed project require the construction of any temporary
utility lines? []Yes ®No detour structures? ❑Yes ®No
If yes, explain: If yes, explain:
If this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification.
< Form continues on back>

Form ®CM MP-5 (Bridges and Culverts, Page 4 of )
c. Will the proposed project require any work channels? d
[]Yes ®No
If yes, complete Form DCM-MP-2.
e. What type of construction equipment will be used (for example, f
dragline, backhoe, or hydraulic dredge)?
Typical Roadway Construction Equipment
g. Will the placement of the proposed bridge or culvert require any
shoreline stabilization? ®Yes []No
If yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
October 8,2010 WBS Element 2C.016014 Debit $400
Date
SR 1164, Ware Creek Road, Pipe to Pipe Replacement, Carteret
County WBS Element Number 2C.016014
Project Name
Jay B. Johnson
Applicant a
L'
Applicant i atu � )
How will excavated or fill material be kept on site and erosion
controlled? 41
Rip Rep and Silt Fences will be used to retain sediment on-
Will wetlands be crossed in transporting equipment to project site?
❑Yes ®No
If yes, explain steps that will be taken to avoid or minimize
environmental impacts.

SR1164, WARE CREEK:M4&(ARMRETCOE.WTY
:EMERGENCY PIPE RMAWWW:
:REPLACE EXISTING 24"x32'.:WCP:WITH PROPOSED 36"x40'cmp:
:pCORE CREEK USGS QUAD MAPAND SHEET 13 OF THE
:SOIL SURVEY OF CARTERET COUNTY
... p
"S ELEMENT NUMBER 2C.016014 OCTOBER 8, �,pl
WARE CREEK VA;..#QW
FIRM PANEL 6388 J
..........
MAPNUMBER 3720638800C .:*:.
-�-::B66MC.6"10UNDS 0302010.&��]
2,400 1,200 0 2,400 Feet
inch...",.2,000 feet
.. . .. .... .
........... ......
40"

SR 1164, WARE CREEL{ ROAD, ;CARTERET COUNTY
�.!sE
EMERGENCY PIPE REPLACEMENT
r REPLACE EXISTING14'x3 RCP "TH PROPOSED 3 6 "x40' CMP
`CORE CREEK' USGS QUAD MAPA" SHEET 13I OF THE
i f
t itq
9
SOIL SURVEY OF CARTERET COUNTY
WBS ELEMENT NUMBER 2C.016014' OCT013ER 8, 20100
i
WARE CREEK SA; HQW R }
FARM Pt1NEL 6388 T s f * t
$t,�
_...r . :stl
—,.m:
M4PNUMBER 3720638800 .T BOGIIE--CORE SOUNDS 03020106i�� 1 '
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SR 1164, WARE CREEK ROAD
DETAIL SECTION -
PROPOSED RIP R�
EXISTING STREAM BED
I
I
I
0.02 FPr
CARTERET COUNTY
CROSS SECTION
0.02 FT/FT 10.04
_ _ _ E ISTIN_G ,24" x 32' RCP
-- -- - !--- -- ---
----- - - -- -
PROPOSED 36" k 40' CMP
NOTE:
PROPOSED 36" x 40' CMP
TO BE BURIED A MIN. OF 1' BELOW EXISTING STREAM BED
NOTE:
PROPOSED PIPE WILL BE
BURIED F (MIN.) BELOW EXISTING
STREAM BED
ELEVATIONS ARE BASED ON
ASSUMED DATUM. q EQF, PAYWNT
PROPOSED RIP R P
+pa -
gq----— — — — —- ELE.= 48.88''
— - - — - — - —EXISTING._SURFACE
EX I8TIN0 STREAM BED
- - - - - - - - - - - - - - - - - - - - - - - - - - - - El `81
ELEV. 47.8' e
PROPOSED PIPE BED
Ix ELEV. = 46.8"
24"
PROPOSED 38" x 40' CMP NG
x 32' RCP
DETAIL SECTION - END VIEW
PR POSED RIP RAP
- _ - - - -EXISTING WATER SURFACE
PROPOSED PIPE BED
PROPOSED CROSS SECTION
- - - - EXISTING CROSS SECTION
NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
DIVISION 2
P.O. BOX 1567
GREENVILLE NO 27835 [phone]
COUNTY:CARTERET WBS#: 2C,016014
QUAD: CORE CREEK USGS QUAD MAP DATE: OCTOBER 8, 2010
BASIN: WHITE OAK SHEET #: 2 OF 2
SUBJECT: PIPE REPLACEMENT ON SR-1184 WARE CREEK RD.
LAT. = 34,760331 N LONG. = 76,673650 W
SCALE: 1" = 10'

NO. I SHEET NO.
0
IvoV
40'e'euclokoe,
7444
JAMES H. SELANDER AND
FREDRIC SELANDER
1107 MIDDLETON COURT
MT. PLEASANT, SC 29464
DBK. 397, Pg. 3/I
AREA I
COASTAL WETLAND IMPACTS = 82 Sq. Ft.
SR 1164, WARE CREEK ROAD
20' SOIL ROAD
PIPE REPLACEMENT
EXISTING 32' x 24" RCP
PROPOSED 40' x 36" CMP
WHITE OAK RIVER BASIN
CORE CREEK USGS QUAD MAP
SHEET /3 OF THE SOIL SURVEY OF CART ERET
COUNTY SCALE: l" = 40'
WARE CREEK SA;HQW
OCTOBER 8, 2010 7444
JAMES H. SELANDER AND
RAY SHEET NO.
DWAY DESIGN HYDRAULIC
ENGINEER ENGINEER
WHITE OAK RIVER BASIN FREDRIC SELANDER
NO RIPARIAN BUFFER RULES 1107 MIDDLETON COURT
MT. PLEASANT, SC 29464
POT Sto. i3+o3 DBK. 397, Pg. 3/l
AREA 2
COASTAL WET LAND IMPACTS = 82 Sq. Ft.
INCOMPLE
E PLANS
DO NOT .. RbR
�W ACQUISITION
PRELIMIN
RY PLANS
DO NOT USE VD
CONSTRUCTION
SR 1164,WARE CREEK ROAD
0.4 MILES TO SR I165, RUSSELL CREEK ROAD
E 20' SOIL ROAD
a
am--
----------------------------------------------------- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
EXISTING 32' x 24' RCP
-- ------------------------
PROPOSED 40` x 36" CMP
-------------------------
N 5/0' TO JORDAN LANE `� �, MARSH
m - �E
TO END STATE MAINTENANCE
TO WARE CREEK AREA 3
COASTAL WETLAND IMPACTS = 82 Sq. Ft.
a
m � MARSH
AREA 4
O
o COASTAL WETLAND IMPACTS = 82 Sq. Ft. 7082
E 2288 STEPHEN W. TIBBETTS AND
HALLIE TIBBETTS
HERON POINT ASSOCIATES /5 OAK RIDGE ROAD
s l5 OAK RIDGE ROAD BRUNSWICK, ME 0401/
BRUNSWICK, ME 04011 DBK. 551, Pg. 06
E
NO DEED REFERENCE
y<
Om
OE
N � 1
-p!
TOTAL COASTAL WETLAND IMPACTS = 328 Sq. Ft.

Page 1 of 1
Owner Information
Owner's Name:
SELANDER,JAMES H ETAL FREDERIC
Owner's AddresST-711107
MIDDLETON CT
Property Address:
0000238 WARE CREEK RD BEAUFORT
128516
City and State:
MT PLEASANT SC 29464
Market Value:
$53,505.00
Property Type:
R
PID:
6398.04.83.7444000
Previous Year Value:
53505
Farm Use: --7
0
Acreage:
0
Land Value:
$53,505.00
Buildin Value: 71$0.00
Extra Features:
0
TWP:
BEAUFORT
City:
Fire:
BEALTFORT
Tax Deferred:
0
Property Card
RT 110001.448000 SELANDER,JAMES H ETAL FREDERIC 2010 53,505 MKT CARD 421
PID R 6398.04:83.7444000 53,505 PY Val USE 53,505 LAND 001
1107 MIDDLETON CT DEF BLDG 000
LISTER 8/03/2006 RCCB MT PLEASANT SC 29464 .682 ACRES XFOB 000
TWP BEAUFORT CITY FIRE BEAUFORT FIRE RESCUE BEAUFORT RESCUE OTHER
LOT BLK PL BK/PG PLAT ADDRESS 0000238 WARE CREEK RD BEAUFORT 28516
NBHD 11000100 USE 000800 VACANT DEED 0397 00311 AICUZ PRINTED 9/21/2010 BY ROSAS
LEGAL: LOT SR 1164 JORDAN LAND
LAND
Seq Zone Code Use Description
Front Depth Back FT #Units UT UTPrice Adjl Adj2 Adj3 Adj4 Fadj Dadj Nbad Adj £ff Rate Value
1 110101 RESIDENTIAL LOT
205 145 60 205.000 FF 360.000 1.00 1.00 1.00 1.00 .74 .98 1.000 261.000 53,505
No sketch available
Disclaimer: The information contained herein is from our current tax system and contains information that was valid post
1999. It may be used as a tool for research however the information may not always be accurate.
http://tax.carteretcountygov.orgltaxparcelsummary.asp?recno=6398.04.83.7444000&card... 10/11 /2010

Page 1 of 1
Owner Information
Owner's Name: IBBETTS,STEPHEN W ETUX HALLIE
Owner's Address: 15 OAK RIDGE RD
jProperty Address7­110000000
City and State: BRUNSWICK ME 04011
Market Value:
$164,837.00
Property Type:
R
PID:
6398.04.83.7082000
Previous Year Value:
164837
Farm Use: —10
Acreage:
7.37
Land Value:
$164,837.00
Building Value:
$0.00
Extra Features:
10
TWP:
JIBEAUFORT
Icity: I
Fire: BEAUFORT
Tax Deferred: 0
Property Card
RT 110001.477.000
TIBBETTS,STEPHEN W ETUX HALLIE
2010
164,837 MKT
CARD 438
PID R 6398.04.83.7082000
164,037 PY
Val
USE
164,837 LAND 003
15 OAK RIDGE RD
DEF
BLDG 000
LISTER 8/03/2006 RCCB
BRUNSWICK ME 04011
7.370 ACRES
XFOB 000
TWP BEAUFORT CITY
FIRE BEAUFORT FIRE RESCUE
BEAUFORT RESCUE
OTHER
LOT BLK
PL BK/PG PLAT ADDRESS
0000000
NBHD 11000100 USE 000800
VACANT DEED 0551 00006 AICUZ
PRINTED 9/21/2010
BY ROSAS
LEGAL: ACREAGE SR 1164
LAND
Seq Zone Code Use
Description
Front Depth Back FT
#Units UT UTPrice Adjl Adj2 Adj3 Adj4
Fadj
Dadj Nbad Adj
Eff Rate Value
1 110146
RIVER CRK ACREAGE
.750 AC 200,000.000 .75 1.00 1.00 1.00
1.00
1.00 1.000
150,000.000 112,500
2 110103
RESIDUAL ACREAGE
3.250 AC 16,000.000 1.00 1.00 1.00 1.00
1.00
1.00 1.000
16,000.000 52,000
3 110139
MARSHLAND
3.370 AC 100.000 1.00 1.00 1.00 1.00
1.00
1.00 1.000
100.000 337
No sketch available
Disclaimer: The information contained herein is from our current tax system and contains information that was valid post
1999. It may be used as a tool for research however the information may not always be accurate.
http://tact.carteretcountygov.orgltaxparcelsummary.asp?recno=6398.04.83.7082000&card... 10/ 11 /2010

Page 1 of 1
Owner Information
Owner's Name:
HERON POINT ASSOCIATES
Owner's Address:
15 OAK RIDGE RD
Property Address7­110000000
lity and State:
BRUNSWICK ME 04011
Market Value:
$1.00
Property Type: l
R
PID:
6398.04.82.2288000
jPrevious Year Value:
I
Farm Use:
0
Acreage:
0
Land Value: 11$1.00
Building Value: 11$0.00
Extra Features: =10
TWP: JIBEAUFORT
City:
Fire:
BEAUFORT
Tax Deferred: =10
Property Card
RECEIVED.
401.9n00d City I)CIW
RT 110001.010.000
HERON POINT ASSOCIATES
2010
1 MKT
CARD 104
PID R 6398.04.82.2288000
1 PY Val
USE
1 LAND 001
15 OAK RIDGE RD
DEF
BLDG 000
LISTER 2/16/2000 JF
BRUNSWICK ME 04011
.064 ACRES
XFOB 000
TWP BEAUFORT CITY
FIRE BEAUFORT FIRE
RESCUE BEAUFORT RESCUE
OTHER
LOT BLK
PL BK/PG PLAT
ADDRESS
0000000
NBHD 11002400 USE 000800
VACANT DEED 0000 00000 AICUZ
PRINTED 9/21/2010
BY ROSAS
LEGAL- LOT ADJ L1 HERON POINT
LAND
Seq Zone Code Use
Description
Front Depth Back FT
#Units UT UTPrice Adjl Adj2 Adj3 Adj4 Fadj
Dadj Nbad Adj
Eff Rate Value
1 OOOOCA
COMMON AREA
80 35 60
1.000 UT 1.000 1.00 1.00 1.00
1.00 1.10
1.00 1.000
1.000 1
No sketch available
Disclaimer: The information contained herein is from our current tax system and contains information that was valid post
1999. It may be used as a tool for research however the information may not always be accurate.
http://tax.carteretcountygov.orghaxparcelsummary.asp?recno=6398.04.82.2288000&card... 10/ 11 /2010

USPS - Track & Confirm
Page 1 of 1
r LRECEIVEv
r
NOV
UNITEDST13TES I0�rene�,dPOSTAL SERVICEn City ®t;l tllome I Help I Sign In
Track & Confirm FAQs
Track & Confirm JA►n Es
Search Results
Label/Receipt Number: 7009 0080 0002 4040 6224
Service(s): Certified Mail' Trctcic &Confirm
Status: Delivered Enter Label/Receipt Number.
Your item was delivered at 12:16 pm on October 15, 2010 in MOUNT
PLEASANT, SC 29464. (Go> 1
Notification Options
Track & Confirm by email
Get current event information or updates for your item sent to you or others by email. Go> )
Site Map Customer Service Forms Gov't Services Careers
Copyright© 2010 USPS. All Rights Reserved. No FEAR Act EEO Data FOI
Privacy Policy
A 19
Terms of Use Business Customer Gateway
http://trkcnfrm l .smi.usps.com/PTSIntemetWeb/InterLabellnquiry.do 10/22/2010

Page I of 3
Sutton, Michael W
From: Barfield, Bonita H
Sent: Tuesday, September 21, 2010 7:14 AM
To: Alligood, Dwayne H; Beck, Frank F; Brame, Bill Jr.; Bullard, Aaron; Caldwell, Betty A; Cole,
Christopher W; Eatmon, Bryce E; Gaddy, Nancy B; Griffin, Tonya S; Hamilton, Steven J,
Harrington, Tommy B; Jackson, Michael R; Johnson, Jay B; Jones, Larry L; Lassiter, Neil E; Lewis,
Brenda R; Mombaerts, Gerard E; Moore, Mary V; Peedin, Kenneth G. Rogerson, Maria A; Rouse,
John W; Smith, Sandra F; Sullivan, Valorie W; Sutton, Michael W; Tran, Van K; Witherspoon,
Garrick L
Subject: FW: NCDOT Employee News - Identifying and Handling Suspicious Mail and Packages
Annex Employees:
Please read and review the letter below.
After reading and reviewing, please sign the letter.
Then turn it in to me and I will take all of ours over to Nancy for our personnel files.
Division Employees:
Your signed copy can be given directly to Nancy.
Thanks,
Bo
Bonita H. Barfield
Division 2 Training Coordinator
A 0, Box 1587
Greenville, NC 27835-1587
C. S. 01-44-25
[phone]
bhba,[e-mail]
**************************
From: Service Account - NCDOT Employee Notification
Sent: Monday, September 20, 2010 2:17 PM
To: DOT ALL
Subject: NCDOT Employee News - Identifying and Handling Suspicious Mail and Packages
10/21/2010

■ Complete items 1, 2, and 3. Aiso complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
s-MT hl✓N� w ill 6bmj
�a����I�) M� oyall
A Signat z;W
[I Agent
is ❑ Addressee
B. Rece d by (Printe�ame�L �-C• Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Sepelce Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 0080 0002 4040 621,7
(Transfer from service label)
PS Form 3811, February 2004
Domestic Return Receipt 02595-02-M-1540
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
a�Qo►JDI tsT �1�ScX
Rv I3s w (CIL , ml�
04011
A. 'eAliture
❑Agent
❑ Addressee
B. R ived by ( rinjf0 Name) C. Date of Delivery
D. Is delivery address different from Rem 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7009 0080 0002 4040 6194
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
RECEIVED
NOV
ti��ireta�atl �i1���I►h�
s1;�, ) /64- aK��
T