55251_NC DOT_20101028

C!CAMA / ElDREDGE & FILL C> —tu
GENERAL PERMIT / Previous permit #
❑New ❑Modification [-]Complete Reissue El Partial Reissue lrl� 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
Address
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
❑ ES ❑ PTS Phone # ( ) River Basin
❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
—
Finger pier(s)
—
Groin length
T-
number
I
Bulkhead/ Riprap length
- —
i
avg distance offshore
t i
max distance offshore
f
i-
Basin, channel
-
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_-
Xxx-7
1_
Other
(I'xs7o) -
Shoreline Length
j
SAV: not sure yes no
•'1 '
Sandbags: not sure yes no
...Moratorium: n/ yes es no
— —
Photos: yes no
Waiver Attached: yes no.
A building permit may be required by:
See note on back regarding River Basin rules.
Notes/ Special Conditions
j
Agent or Applicant Printed NaaVi,e Permit Officer's Signature
Signature Please read compliance statement on back of permit Issuing Date
Application Fee(s) Check # Local Planning)urisdiction
Expiration Date
Rover File Name
6:

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, certify that 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 complywith these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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

■ 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:
City ,T L-lizabeth Ci'Ly
P J Bo
V.Iizabcih :miry, NC 7909
A. Signature
X
❑ Agent
❑ Addre
B. Received
�byy (Pnbted%ame) C. ate of Delive
J V /:, P bar, 76
D. Is delivery address different from Item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se'ce Type
®'Certified Mail �❑ ress Mail
Ret
❑ Registered 6d urn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7008 1830 0004 3635 4068
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
■ Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired. P`
■ Print your name and address on the reverse Q Agent
so that we can return the card to you. ❑Addressee
■ Attach this card to the back of the mailpiece, B. Received by (Printed-N
or on the front if space permits. C. Date of Delivery
CJA�7 c'' 6¢
I. Article Addressed to: D. Is delivery addre Yi rant fro ate ❑ yeS
If YES, enter dN¢ address below. G ❑ No
Jennetic 17rult an(i Pf,)(Juce Ci•. Inc.
PO Box 60
Elizabeth City; N 2'; 09
3. ,S._er%v'ce Type
ls�Certified Mail ❑ EccPress Mail
L4.Restricte�d
Registered Return Receipt for Merchandise
Insured Mail ❑ C.O.D.
Delivery? (Extra Fee)
2. Article Number ❑Yes
(Transfer from service label) 7008 1300 0001 7 9 6 8 1739
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-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:
Calvin vin Ley' it:;, Vfai:on Gutman
I Ga--dner Pointe
Elizabeth City, N-C 27909
A.
v ❑ Addressee
by Printed ame) C. Date of Delivery
D. Is'deliv'ery addrf<ssldffferent from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
C4 Certified Mail
❑ Registered
❑ Insured Mail
❑ �xPress Mail
Return Receipt for Merchandise
❑ C.O.D.
4_ IfGl tMl+eAi.-
- - . t-- , - �v ❑ Yes
2. Article Number (7008 1300 0001 7968 1722
Transfer from service lab -
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540

C CAMA / ❑ DREDGE & FILL ' 1�1 � 55251
GENERAL. PERMIT Previous permit # -
❑New ❑Modification ❑Complete Reissue El Partial Reissue 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 l H r_ ules attached. j
Applicant Name C I Project Location: County <l q,�,o
Address r Ce�fi�' Street Address/ State Road/ Lot #(s)
12,f�1�k State ZIP N� a7�Q�
City ✓ ct ^ cam"
Phone # (qll ) ? 1_� 00 o Fax # ( )
Authorized Agentf��.``�
ElCW ©E�N Y TA [MKS ElPTS
Affected ElOEA ElHHF ElIH ElUBA ElN/A
AEC(s):
❑ PWS: ❑FC:
ORW: yes /(q> PNA yes / no Crit.Hab. yes / no
Subdivision
City- L'~1 -��. �f / N C- zip �� n
Phone # ( )p ' River Basin fAJ1M" t,"k
Adj. Wtr. Body i (^f� N°'r`"' `Z (=a f /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ActivityAu'ff
4-0-1111k-A-e- (Scale N'I`1 }
Pier (dock) length _ -
Platform(s)
Fid
nr7g%�.
e
r
1
Jri
) r41C•
e� gbs.✓�'"."•t�'' i
� Ov\�
�-tl ���-�i�-•c- �v�,�Ii�I!�'—,^� - l---•-,.-
0D ,;(fi-. r� �-•-�—d - �p_-� -- -�i�;'�j - - /-- Y
" -Groi
Bulk
Basin, channel
Boat
Boat
Beach Bulldozing
Oth
Shor
sure -4Sand
Mor
Phot
Waiver Attached.
A building permit may be required by: ❑See note on back regarding River Basin
? r_ o iu_-
1l
e
! s/.
Notes/Special Conditions %A C,,f )l,e,r
�IAp1lL-,-v 1— �41-11
d_
I
� �
.
d �� yh rr t u N, i t Ta / - I - 13. -P
Agent or ApplicarmilOMMifiName
Please read compliance statement on backof permit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date IZI, Expiration Date
C1j-zap 0�y �'fo21ILIA
Local PlanningJurisdiction Rover File Name

OVA
j0FL*)w
-
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
November 1, 2010
Chris Rivenbark
NCDOT
1598 Mail Service Center
Raleigh, NC 27699
Dear Mr. Rivenbark:
Attached is General Permit #55251 C to construct underground utility lines (water, sanitary
sewer, power, telephone, natural gas, cable -TV) US158, adjacent to Bridge #19 in Elizabeth
City, 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.
Si.cerely,
�:'41l�'
Stephen Lane
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

J
4
Applicant.
Date: p
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
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
ow
Dredge ❑ Fill ❑ Both ElOther [3'
-----temp
'/ 0
rn9� L4A-M
Dredge ElFill ElBoth ElOther
' I, -7 1 6
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
K
�. >

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
September 24, 2010
N.C. Dept. of Environment and Natural Resources
Division of Coastal Management
400 Commerce Avenue
Morehead City, NC 28557
Attn: Mr. Stephen Lane
NCDOT Coordinator
Dear Sir:
RECEIVED
motehead City DCM
EUGENE A. CONTI, JR.
SECRETARY
Subject: Application for a CAMA General Permit for utility work associated with the
replacement of Bridge No. 19 on eastbound US 158 over the Pasquotank River in
Pasquotank and Camden Counties. Federal Aid Project No. STP-0158(31) TIP
No. U-4438, Debit $400.00 from WBS Element 35742.1.1.
Please find enclosed the North Carolina Division of Coastal Management Major Permit Form
and utility plans for the above referenced project. An Environmental Assessment and Finding of
No Significant Impact were completed for this project on April 29, 2009 and January 28, 2010
respectively and distributed shortly thereafter. Additional copies are available upon request.
The North Carolina Department of Transportation (NCDOT), Division of Highways, in
consultation with the Federal Highway Administration (FHWA), proposes improvements to US
158 from NC 34 (Water St.) to US 17 Business (Road St.) including the replacement of the
existing 846-foot Bridge No. 19 with new bridge of the same length over the Pasquotank River
in Pasquotank and Camden Counties. No impacts to wetlands or surface waters due to utilities
are proposed. This application is for utility work associated with the project and is being
requested in advance to allow time for utility relocations to commence prior to project letting.
The proposed let date for the project is April 19, 2011 with a review date of March 1, 2011.
However, the let date may advance as additional funds become available.
Regulatory Approvals
Section 404 Permit: A request for the appropriate Section 404 nationwide permit from the U.S.
Army Corps of Engineers will be submitted under separate cover.
MAILING ADDRESS: TELEPHONE: [phone] LOCATION:
NC DEPARTMENT OF TRANSPORTATION FAX: [phone] ATLANTIC AVENUE
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS SUITE 116
1598 MAIL SERVICE CENTER WEBSITE: WWW.NCDOT.ORG RALEIGH NC 27604
RALEIGH NC 27699-1598

Section 401 Permit: A request for the appropriate Section 401 General Certification from the
North Carolina Department of Environmental and Natural Resources, Division of Water Quality
will be submitted under separate cover.
CAMA: NCDOT requests that the proposed utility work associated with this project be
authorized under a Coastal Area Management Act General Permit. The remaining construction
activities will be requested via a Coastal Area Management Act Major Development Permit. The
adjacent riparian landowner return receipts will be forwarded upon receipt. Authorization to
debit the $400 Permit Application Fee from WBS Element 35742.1.1 is hereby given.
A copy of this permit application will be posted on the NCDOT Website at:
http://www.ncdot.org/doh/preconstruct/pe/. Thank you for your assistance with this project. If
you have any questions or need additional information, please contact Chris Rivenbark at
[e-mail] or [phone].
Sincerely
Gregory J. Thorpe, Ph.D., Environmental Management Director
Project Development and Environmental Analysis Branch
cc:
W/o attachment (see website for attachments)
Mr. Bill Biddlecome, USACE
Mr. Brian Wrenn, NCDWQ
Ms. Cathy Brittingham, NCDCM
Mr. Scott McLendon, USACE, Wilmington
Mr. Travis Wilson, NCWRC
Mr. Gary Jordan, USFWS
Mr. Ron Sechler, NMFS
Ms. Anne Deaton, NCDMF
Dr. David Chang, P.E., Hydraulics
Mr. Greg Perfetti, P.E., Structure Design
Mr. Mark Staley, Roadside Environmental
Mr. Dewayne Sykes, P.E., Utilities Unit
Mr. Jerry Jennings, P.E., Division 1 Engineer
Mr. Clay Willis, Division 1 Environmental Officer
Mr. Jay Bennett, P.E., Roadway Design
Mr. Majed Alghandour, P. E., Programming and TIP
Mr. Art McMillan, P.E., Highway Design
Mr. Ted Devens, P.E., PDEA

ON MP4
APPLICATION for
Major Development Permit
(last revised 12127/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
NC Department of Transportation
U-4438
�FCFjy
Applicant 1: First Name
MI
Last Name
okp
Gregory
Thorpe
4for
Z®,
Applicant 2: First Name
MI
Last Name
40°t`,�
OC
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
City
State
1598 Mail Service Center
Raleigh
NC
ZIP
Phone No.
FAX No.
Country
27699- 1598
USA
919 - 431 -
2000 ext.
919 - 431- 2002
ZIP
Street Address (if different from above)
City
State
4701 Atlantic Ave. Suite 116
Raleigh
NC
27604-
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 #
2 2-808-2 0 1-8 -4 OAS .neco stalm anagornent.not

Form DCM MP-1 (Page 2 of 6)
APPLICATION for
Major Development Permit
Street Address (if different from above) City State ZIP
Email
<Form continues on back>
2 5 2- 08- ,. 9- - `&" vvw.necoastaimana ee ent.net

Form DCM MP-1 (Page 3 of 6)
APPLICATION for
Major Development Permit
I Project Location
County (can be multiple)
Street Address
State Rd. #
Pasquotank Camden
US158 (East Elizabeth
Street) from US17 Business (N. Road
US 158 BPF
Street) to East of Pasquotank River)
zip or,94,
Subdivision Name
City
State
C�
N/A
Elizabeth City
NC
27909 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
- - ext.
I I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Pasquotank River Basin
Poindexter Creek and Pasquotank River
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
Albermarle Sound
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.
Elizabeth City
4.
Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
1,120 ft. (approximately 560 ft. on each shore)
Approximate Project Area = 435,600 sq. ft
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
n/a, I I
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
3 ft ❑NHW or ®NWL
e.
Vegetation on tract
West of Pasquotank River -fescue, bermuda grass
East of Pasquotank River -cattail, arrow arum, lizard tail, jewelweed, wax myrtle, bald cypress
f.
Man-made features and uses now on tract
Roadway, sidewalks, bridges and culverts
g.
Identify and describe the existing land uses adjacent to the proposed project site.
commercial, residential, forested
h.
How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
Central Business, Heavy Industrial, Causeway Mixed Use
(Attach zoning compliance certificate, if applicable)
NYes ❑No ❑NA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes NNo
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. NYes ❑No ❑NA
If yes, by whom? NCDOT Archaeology Group

Form DCM MP-1 (Page 4 of 6)
APPLICATION for
Major Development Permit
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)
n. Describe existing wastewater treatment facilities.
N/A
o. Describe existing drinking water supply source.
N/A
p. Describe existing stone water management or treatment systems.
CMP collection system in Elizabeth Street to common detention area controlled by hydraulic pumps.
5. Activities and Impacts
a.
Will the project be for commercial, public, or private use? ❑Commercial ®Public/Government
❑Private/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
Roadway and bridge for transportation use
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.
Typical utility methods in addition to apparatus used for directional boring.
d.
List all development activities you propose.
Replacement/relocation of existing utility lines including: water, sanitary sewer, power, telephone, natural gas, and cable TV.
Most of the work will occur away from the Pasquotank River. One directional bore will carry power and cable TV. A second
directional bore will carry telephone. A water line, power line, and sanitary sewer line will be attached to the bridge to serve
the bridge tender's house.
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? —10 ❑Sq.Ft or ®Acres
g.
Will the proposed project encroach on any public easement, public accessway or other area ®Yes ❑No ❑NA
that the public has established use of?
h.
Describe location and type of existing and proposed discharges to waters of the state,
none associated with the utility relocations
i.
Will wastewater or stormwater be discharged into a wetland? ❑Yes ®No DNA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No ®NA

Form DCM MP-1 (Page 5 of 6) APPLICATION for
Major Development Permit
j. Is there any mitigation proposed? ❑Yes ®No ❑NA
If yes, attach a mitigation proposal.
V'.
<Form continues on back>
6. Additional Information eod h�
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the applicatkoc
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.
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
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 Phone No.
Address
Name Phone No.
Address
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
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 Act.
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 SPp� ZLfr 76[o Print Name �• L LUS IC
Signature
Please indicate application attachments pertaining to your proposed project.
❑DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
2 52-0 9-2 8 08 .. 1 A5 « i OST .< www. necoastalmanagement. nt

Form DCM MP-1 (Page 6 of 6)
APPLICATION for
Major Development Permit
❑DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
52- 08-2808 .- 1- -4RCO r. earww. ccoas Imanacgemc-nt -n t

e,e.5fA7p o
wes .F.
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE EUGENE A. CONTI, JR.
GOVERNOR SECRETARY
September 24, 2010
Jennette Fruit and Produce Co. Inc.
PO Box 608
Elizabeth City, NC 27909
Dear Landowner:
The North Carolina Department of Transportation is planning improvements to US 158 from NC 34
(Water St.) to US 17 Business (Road St.) including the replacement of Bridge No. 19 over the
Pasquotank River in Pasquotank and Camden Counties. Utility relocations are necessary and are
being permitted separately from the remaining road and bridge construction activities. This project
crosses an Area of Environmental Concern, as defined by the North Carolina Division of Coastal
Management (DCM), and must be approved by the DCM under provisions of the Coastal Area
Management Act (CAMA). One of the prerequisites to this approval is that adjacent riparian
landowners be given an opportunity to comment on the proposal. A permit application, vicinity
map, and site drawings are enclosed for your review. In addition to this notice, you will receive a
similar notification when a permit application for the road and bridge construction activities is
submitted.
The attached form is submitted to ensure that you have an opportunity to comment on the proposal.
The work planned is depicted in the attached drawing. If you have no objections to the proposal,
please return the form with your response within 10 days to this office. If you do have objections to
the project, please forward your comments to:
Mr. Stephen Lane
N.C. Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28557
Thank you for your cooperation.
Sincerel
F .
Gre ory J. Thorpe, Ph.D.,
Environmental Management Director, PDEA
Enclosures
cc: Stephen Lane, NCDCM
File U-4438
MAILING ADDRESS: TELEPHONE: [phone] LOCATION:
NC DEPARTMENT OF TRANSPORTATION ENVIRONMENTAL RESOURCES CENTER
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS FAX: [phone] ATLANTICAVENUE, STE. 116
NATURAL ENVIRONMENT UNIT RALEIGH, NC 27604
1598 MAIL SERVICE CENTER WEBSITE: WWW.NCDOT.ORG
RALEIGH NC 27699-1598

ADJACENT RIPARIAN LANDOWNER STATEMENT
Pasquotank and Camden Counties:
Replace Bridge No. 19 over the Pasquotank River
NCDOT TIP U-4438
General Statutes and Division of Coastal Management Major Development Permit approval
procedures require that riparian landowners with property adjoining a proposed development in
an Area of Environmental Concern (AEC) be given ten (10) days in which to comment on the
proposed development. This form allows the adjacent riparian landowner to express either: (1)
that he objects to the project; or, (2) that he does not object and desires to waive his/her right to
the 10-day period so that the processing of the application can progress more rapidly. Of
course, the adjacent riparian landowner need not sign this form at all if he/she so chooses.
I, , am an adjacent riparian property owner and am aware of
the North Carolina Department of Transportation's plans for replacing Bridge No. 19 on
eastbound US 158 over the Pasquotank River in Pasquotank and Camden Counties, North
Carolina. I am further aware that this work will occur in one or more Areas of Environmental
Concern and therefore will require authorization from the Division of Coastal Management in
accordance with the Coastal Area Management Act (CAMA).
I have no objection to the project as presently proposed and
hereby waive that right of objection as provided in General
Statute 113-229.
I have objections to the project as presently proposed and my
comments are attached.
Signature of Adjacent Riparian Landowner Date
Phone Number with Area Code

y moo,
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GovERNOR
September 24, 2010
City of Elizabeth City
PO Box 347
Elizabeth City, NC 27909
Dear Landowner:
�ce2
F
Or
EUGENE A. CONTI, JR.®
SECRETARY 04'.
The North Carolina Department of Transportation is planning improvements to US 158 from NC 34
(Water St.) to US 17 Business (Road St.) including the replacement of Bridge No. 19 over the
Pasquotank River in Pasquotank and Camden Counties. Utility relocations are necessary and are
being permitted separately from the remaining road and bridge construction activities. This project
crosses an Area of Environmental Concern, as defined by the North Carolina Division of Coastal
Management (DCM), and must be approved by the DCM under provisions of the Coastal Area
Management Act (CAMA). One of the prerequisites to this approval is that adjacent riparian
landowners be given an opportunity to comment on the proposal. A permit application, vicinity
map, and site drawings are enclosed for your review. In addition to this notice, you will receive a
similar notification when a permit application for the road and bridge construction activities is
submitted.
The attached form is submitted to ensure that you have an opportunity to comment on the proposal.
The work planned is depicted in the attached drawing. If you have no objections to the proposal,
please return the form with your response within 10 days to this office. If you do have objections to
the project, please forward your comments to:
Mr. Stephen Lane
N.C. Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28557
Thank you for your cooperation.
Sincerel
� 1
Gregory J. Thorpe, Ph.D.,
Environmental Management Director, PDEA
Enclosures
cc: Stephen Lane, NCDCM
File U-4438
MAILING ADDRESS:
NC DEPARTMENT OF TRANSPORTATION
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS
NATURAL ENVIRONMENT UNIT
1598 MAIL SERVICE CENTER
RALEIGH NC 27699-1598
TELEPHONE. [phone]
LOCATION:
ENVIRONMENTAL RESOURCES CENTER
4701 ATLANTIC AVENUE, STE. 116
RALEIGH, NC 27604
FAX [phone]
WEBSITE: WWW.NCDOT.ORG

ADJACENT RIPARIAN LANDOWNER STATEMENT
Pasquotank and Camden Counties:
Replace Bridge No. 19 over the Pasquotank River
NCDOT TIP U-4438
General Statutes and Division of Coastal Management Major Development Permit approval
procedures require that riparian landowners with property adjoining a proposed development in
an Area of Environmental Concern (AEC) be given ten (10) days in which to comment on the
proposed development. This form allows the adjacent riparian landowner to express either: (1)
that he objects to the project; or, (2) that he does not object and desires to waive his/her right to
the 10-day period so that the processing of the application can progress more rapidly. Of
course, the adjacent riparian landowner need not sign this form at all if he/she so chooses.
I, , am an adjacent riparian property owner and am aware of
the North Carolina Department of Transportation's plans for replacing Bridge No. 19 on
eastbound US 158 over the Pasquotank River in Pasquotank and Camden Counties, North
Carolina. I am further aware that this work will occur in one or more Areas of Environmental
Concern and therefore will require authorization from the Division of Coastal Management in
accordance with the Coastal Area Management Act (CAMA).
I have no objection to the project as presently proposed and
hereby waive that right of objection as provided in General
Statute 113-229.
I have objections to the project as presently proposed and my
comments are attached.
Signature of Adjacent Riparian Landowner Date
Phone Number with Area Code

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GovERNOR
September 24, 2010
Calvin Lee & Marion Gutman
1 Gardner Pointe
Elizabeth City, NC 27909
Dear Landowner:
y �T
� � ek.
o�o��aq �'
41-
4,L,
EUGENE A. CONTI, JR.
SECRETARY
The North Carolina Department of Transportation is planning improvements to US 158 from NC 34
(Water St.) to US 17 Business (Road St.) including the replacement of Bridge No. 19 over the
Pasquotank River in Pasquotank and Camden Counties. Utility relocations are necessary and are
being permitted separately from the remaining road and bridge construction activities. This project
crosses an Area of Environmental Concern, as defined by the North Carolina Division of Coastal
Management (DCM), and must be approved by the DCM under provisions of the Coastal Area
Management Act (CAMA). One of the prerequisites to this approval is that adjacent riparian
landowners be given an opportunity to comment on the proposal. A permit application, vicinity
map, and site drawings are enclosed for your review. In addition to this notice, you will receive a
similar notification when a permit application for the road and bridge construction activities is
submitted.
The attached form is submitted to ensure that you have an opportunity to comment on the proposal.
The work planned is depicted in the attached drawing. If you have no objections to the proposal,
please return the form with your response within 10 days to this office. If you do have objections to
the project, please forward your comments to:
Mr. Stephen Lane
N.C. Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28557
Thank you for your cooperation.
Sincerel ,
Grego J. horpe, Ph.D.,
Environmental Management Director, PDEA
Enclosures
cc: Stephen Lane, NCDCM
File U-4438
MAILING ADDRESS:
NC DEPARTMENT OF TRANSPORTATION
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS
NATURAL ENVIRONMENT UNIT
1598 MAIL SERVICE CENTER
RALEIGH NC 27699-1598
TELEPHONE: [phone]
FAX: [phone]
WEBSITE. WWW.NCDOT.ORG
LOCATION:
ENVIRONMENTAL RESOURCES CENTER
4701 ATLANTICAVENUE, STE. 116
RALEIGH, NC 27604

ADJACENT RIPARIAN LANDOWNER STATEMENT
Pasquotank and Camden Counties:
Replace Bridge No. 19 over the Pasquotank River
NCDOT TIP U-4438
General Statutes and Division of Coastal Management Major Development Permit approval
procedures require that riparian landowners with property adjoining a proposed development in
an Area of Environmental Concern (AEC) be given ten (10) days in which to comment on the
proposed development. This form allows the adjacent riparian landowner to express either: (1)
that he objects to the project; or, (2) that he does not object and desires to waive his/her right to
the 10-day period so that the processing of the application can progress more rapidly. Of
course, the adjacent riparian landowner need not sign this form at all if he/she so chooses.
I, , am an adjacent riparian property owner and am aware of
the North Carolina Department of Transportation's plans for replacing Bridge No. 19 on
eastbound US 158 over the Pasquotank River in Pasquotank and Camden Counties, North
Carolina. I am further aware that this work will occur in one or more Areas of Environmental
Concern and therefore will require authorization from the Division of Coastal Management in
accordance with the Coastal Area Management Act (CAMA).
I have no objection to the project as presently proposed and
hereby waive that right of objection as provided in General
Statute 113-229.
I have objections to the project as presently proposed and my
comments are attached.
Signature of Adjacent Riparian Landowner Date
Phone Number with Area Code

�-m
E SHEET 1-A FOR INDEX OF SHEETS
E SHEET 1-B FOR CONVENTIONAL PLAN SHEET SYMBOLS
A�
4 CITY, NC Q
US \ Q
NOTE: PROPOSED POWER POLES
WILL BE JOINT —USE POLES WITH
TELEPHONE AND CATV
LEGEND
O
EXISTING POLE
O
POLE TO BE REMOVED
0
POLE TO BE NSTµLEO
®
POLE TO BE REPLACED
METAL STREETuGHT POLE AND FlXTURC TO INSTALL
0
EYJSTNG OVERHEAD TRANSFORMER
TO WORK AS NOTED
PNWWNI[0 TRANSFORMER, SINGLE PHASE
® 1X1
(SIZE AS INOLA7E0) TO INSTALL
EXISTING 7.2/12.47W PRIMARY
TO REMAIN
EXISTING 7.2/1247W PRIMARY
TO REMOVE
— UP
UNOERGROMO ELECTRICAL PRIMARY CONOLIC70A
OR CONDUIT 10 WORK IS NOTED
7,2/I2.47K OVERHEAD ELECTRICAL CONDUCTOR
TO INSTAL, AS NOTED
SECONDARY TO BE REMOVED
SECONDARY TO WORK AS NOTED
— UG —
UNDFRGROUND ELECTRICAL SECONDARY CONDUCTOR
OR CONDUIT TO WORK AS NOTED
—SL—
1-2 INCH HOPE CONDUIT WITH ONE (1) NO 2
UO TRIPLEX ,DUD ONE (1) NO. 6 UD SINGLE
FOR STREETUGHTING, UNLESS OTHERWISE NOTED.
SGDA CABLE
DOWN GUY AND ANCHOR
O SPI
SECONDARY PEDESTAL 70 INSTALL
Q SPI
SECONDARY PEDESTAL 10 REMOVE
PC
PRIMARY CABINET, SINGLE PHASE OR
MULTI -PHASE TO NSULL
■
SECONDARY HANDHOLE IN SIDEWALK FOR STREETLIGHIINNC
HN
ELECTRIC PRIMARY HANDHOE
0
TREE 70 TRIM OR REMOVE
GRAPHIC SCALES
50 25 0 50 100
PLANS
50 25 0 50 100
PROFILE (HORIZONTAL)
10 5 0 10 20
PROFILE (VERTICAL)
Tp
HFRT,cORo
STATE OF NORTH CAR®LINA
DIVISION OF HIGHWAYS
H WAYS
PASQUOTANK & CAMDEIV COUNTIES
UTILITY CONSTRUCTION PLANS
US 158 (EAST ELIZABETH STREET) FROM US 17 BUSINESS
(NORTH ROAD STREET) TO EAST OF PASQUOTANK RIVER
UTILITY RELOCATION PERMIT DRAWING PLANS
NO IMPACTS
INDEX OF SHEETS WATER AND SEWER OWNERS ON PROJECT
SHEET NO. DESCRIPTION (1) WA TER...ELIZABETH CITY
(2) SANITARY SEWER...ELIZABETH CITY
SHT—I TITLE SHEET (3) POWER...ELIZABETH CITY
(4) TELEPHONE...CENTURYLINK
SHT-4 THRU SHT-8 UTILITY CONSTRUCTION PLAN SHEETS (5) NATURAL GAS PIEDMONT NATURAL GAS
SHT-9 THRU SHT-10 PROFILE SHEETS (6) CABLE —TV TIME —WARNER
T.LR Na
SHEET NO.
U-4438
SH-1
1-19
sheet ( of
o
SEAL PREPARED IN 771E OFFICE OF:
DIVISION OF HIGHWAYS
UTILITIES ENGINEERING
SECTION
1591 MAIL SERVICES CENTER
RALEIGH NC 276994591
FAQ SQ PHONE [phone]
OF TRA FAX [phone]
Roger Worrhinglon, P.E. UTILITIES SECTION ENGINEER
Corey Bowguer, P.E. UTILITIES SQUAD LEADER PROJECT ENGINEER
Eric HaMAaard, P.E. UTILITIES PROJECT DESIGNER

0
• -RAVITY,
LAJ
r ,•
III■vlY��l�tf
in
�_q.l.
��� ._.•�'i►
•
••�
• •
.. r.r it
•
a
. r11:" •\ice
. >
pp ,,��
l
�qI/ �� �r��
, '••
�$
'
GRAVITY
SEWER,
LINE
•
Jy'7•
GRA
BLINE
•��iD!•1l
� •
�i ,����
i't•:�
/ • •
I 1�
�►�r
I�:r� fi.�=�
�3 � �>
•,�.. � - -- :;/ ��i� �I
�
I
a1•yr�-.�f
r rr k�
�- '���!�
I Ili
!� � �'
I
��-
' ' ►.
� ; lie, /
�
! s�
•
,
1 1 'i4'
�
�nt
�-0t A
�`�;I��
�: `����,tlll� s�
�
�
i
I U
''''�i
. • III
x
t �
�I
?►
•y
�
Ee
`�,II�l�' vl �� "�
1• / r+
P/N
"1.•II�.c�.7
I�
z
10
a�' �� �C,r��
I
/
�'4, a
NUp
/��!
•
1
kI
i-
`,1\!1
-. I
CIAO,
,�
rr
A
�•7•,'� a�
Y - _— ...Trr-�•_.._-,-
- _c�4o�■/w..— rirad•:
� __� �.r'
a �t�
R7-'!l,�13'� ���,yr
.j r;iir�
�Y
�Il�t_'\ I\\I.T�I\ IC - a wr ������... ��wra>�la�>♦r�
..'�l�'�•�;A"riV�lll�ll.�•.='_�II�= �..�z-r .u�,•; �rC;�.;�!'! $�x�w�x�w� f� _ .•�_1�a;,�,r��'t __ �
�4 °= L(�,]I. ■�wSS:'rlbcr....'�i•>r^��y �11111iYi,�S�✓ri/=r �I—e'IIra*ci�r+� ; ,E�_I �'' �ii�i.F�i+ii.i.f<:ily:i���'yly. .�°:. l 1• 1.� .�i.y.f�_���r T �i :.r _.wA iw , .����1-9�-/'n11�"�QC a `lhQ�1.1:Y,7p'IIl
/ i' U�-1l "EMS 0 1
se
rma•a ydi
1+�..;. W7
tp,�Nc°`, PROP. 2' FORCE
N
v
-Y to.11+
D
�
GRINDER PUMP
PA
al
rn
I -Y4- PDT Sto.12+201JID
I
o
ry
E
0
�c
al
0
E
0
m
v
co
01
00
m
W—aj
a
LINE .''
�
��'.
# 14i�
I, '�/::
�� .`I:I�I:,�
I.
♦
�"�
i'�jlc
��ij��
IIR1'S�iS�1.
ai
Ns
IjN
III
�
�_:,;�
�:�•
,
EXIST
-'��
'•• •
_�Il,�
�
'•• err
�,�
�.I
•',ljill
li,
,1i11�,-
I�I
N'
�
I
I
i11
R LINE
__ ROP 10" WA
INE
8 GRAVITY FEY
f
ABAND Nam'
z o
w
I
ABAN•� N
pp7Z -
`''•
In
�-
z
PROPOSED WATER AND
2
ma
+7
SEWER SERVICE FOR
!j
•tic.
®D 5 EXIST +95 1
BRIDGE'TENDER HOUSE
EXIS : 0
c
51
�v R Fox +1228 �
�I
Sto 12+ 3.4
.o`-d'p,pING f
GIN BRIDGE
a88- w p
EXIST
V7 POC StO l2+10
PROP. ANN 8" GRAVITY
�
(Va1;7.7
+
SEWER LINE Y 34
o
o
PROP.
4" GRAVITY
o
Xd� o"
f OUNO
tR�s EXI N
z
SEWER LINE
IPING
+08.46 L
PIPING f OU
ti
2S9XBUS
-
T S^1o�.3,3�+Mry1)
_ Q,77', E
loo4.n 21
�-
�ryy>�
/PBNNI/YJlJ1N
P � O
RT
(LA!
• PROP. 2" WATER kSL AO
LINE
PROP.
8
GRAVITY
I
- 1-
/9
"Lu4
E
+ 4.11 -YB- PDT St 12+4394
I
EXIST 0 a ;•07'29
THpMAS PHELPS
_
I v 1
END CONSTRU N
00 N/A
D
-Y8-,POT Sto.14 4J1
o
-Y8- PUT S10.15+36
N/A
Z
9
+02.20 L1
335.83'
"•
3
.09'
_
. •
ula .0 w.E
PROPOSED UNDERGROUND
�•
TELEPHONE INSTALLED
BY
\
DIRECTIONAL BORE
PROP 10'' MATE
—
LINE
i
APPROXIMATE LOCATION
I
END OF UNDERGROUND
TELEPHONE LINE
PROP.
8'l GRAVITY
SEWER
LINE
II
t•
Porte ;.dwilg
s� zst 3 of 8

(81
�v
T
�P
/
T
I
*D WALL WD WALL I0 I �1
STOP S4GA!ALi SEA
=ice•'-.ice„IIlSTOP SIGNAL
'l;tom==��-,el
• �.
DESIGNED 9Tt: EWH
NCDOT PROJECT U - 4438 DRAWN BY: EWH CHECKED CHECKED BC: COB ,
A�SPL APPROVED V: COB
NEU PERMIT DRAWING REVISED: AUGUST 9' SAP
Q
OT9�k+P! OS NORTH MOLINA 2 V �o
DEPART•ENT OF
2010 TANSPGRTATION
UTILIIES EIVIKERIMG SEC
�rOi
PNONE:19141250-4128 UT IL I7Y'L�RRS7R11�'I
FAX:E:(9191250- 1 PLANS ONLY
NO
POWERPROP SECABLE- U ONSTALLED UTILITY CONSTRUCTION
BY DIRECTION L B RE cr3
(NO IMPACTS TLANDS) PRELIMINARY PLANS
�Q DO NOT USE FOR CONSTRUCTION
�
Q
Z
4
is Y
� Y W
t
_ END LOCATION (BORE PIT)
PROPOSED UNDERGROUND
POWER, CABLE -TV INSTALLED
: BY DIRECTIONAL BORE e„
US158 ELIZItBBTH£ 54'BST Mn
(NO IMPACTS TO WETLANDS) ONC Eo
r Mw ...l 1111
APPROXIMATE
o O?:
E END LOCATI ON
PROPOSED TI
UNDERGROUND
TELEPHONE
INSTALLED BY
DIRECTIONAL BORE
9
PVP N/
GR
i5
A
V
O
I u01 WN•5
17A.A94.49' NO ASSOCigI
D'
\
QO
a lE'E` vy-E
PIPING FOU1�
TTOfTEIO AIA RELEASE VALVES A PIPING
TED
NOT F W TER LINE AND THE •FCI WITH
OUND I E F LINE WERT
PROPERTY FIELD. LI E
a
P�
+69.12 OWNCR nA5
T aOjAT HE
O� 1 H�TNESSN BAUCn VALVES1A4 THa HAS R
CKFILLED
all
C
1(1
rt� tly.E
TOSGAOE SEVERA 4REA
UND SETTLEMENT,
t
0
W
is
HUR AN RELEY• 6
M1RRI( FBI' 993
�
�
pfOR F y�,AlyQ'
OE
E
�
W`E
IGARppyyFER JYMI/I
EUZABETN dh',.yL'
a
a
W
""p°
�
1i
WATER 5f/RFACE ELEy /S'
AT//f/200f a f2i0 P.y.
I
`I
NpON PROPOSED UNDERGROUND
p,6P TELEPHONE INSTALLED
aD
BY
DIRECTIONAL BORE
OD
o m
oC
a
oL
O
N~
E
I �
G
—as
.----
--------
------- - - - - --
--
O cc? BST
01 Ea --
ISFBUS
it
j .75 CR
5
W
._�• 17 D
EXIST
+11.95
Nptf:
fM
50.1 0
0
ISF
BUS
UT B'I(
e• OUitN = _L3.
35F APT
-VE
s
�
ETEM
6• SANITARY '\
ODT LOCa TEO\v
WOODEN WALKWAY.
7Y MANHOLE
-
LME ENDS
Permit cawing
Sheet 4 of
saw
a

O
N( nnT PR(),IPr.T 11-AA :ZP i ID
ESIGNED BY: EWH
)RAWN BY: EWH
)HECKED BY: CDB
EPPROVED BY: CDB
REVISED:
NORTH CAROLINA
DEPARTMENT OF
TRANSPORTATION
JTILITIES ENGINEERING SEC
�HONE:[phone] UTILITY CONSTRUCTION
7AK:[phone] PLANS ONLY
LITY CONSTRUCTION
PRELIMINARY PLANS
)0 NOT USE FOR CONSTRUCTION
Perritt Drawing
Sfi-eet 5 of
G4k4,,, J

F
SI
PI
C'
(2
W
u
U-4438 NEU PERMIT DRAWING
PROPOSED TELEPHONE PROFILE
UNDER PASQUOTANK RIVER P
AUGUST 9, 2010
I
R I7
le
it a fi
TT
I —
I
I
I
I
I 0RE ROFt, I
I K
I
I
I
RE
` r NL
r Ail'
� SF
HORIZONTAL: 1' - 100' V i
VERTICAL: I' 20'
Permd swing R
Sheet of $
RONYIN
)LUTI DNS FROM THE GROUND UP
0 US Hwy 158E
) Box 339
� dE NC 27921
52)338-2913
55) 33B-5552 fax
sema—bey—
C-0598
eOVA,,oN&.,
ePpk�N
IIRECTIONAL
BORE
DIAGRAM
FOR THE
ASQUOTANK
RIVER
BRIDGE
PLACEMENT
ELIZABETH
CITY
NORTH
CAROLINA
EY PLAN:
Project k: 100139
),axing 4: 100139 Bbage Bare Profile
Dawn: KOH
Che.< SCR
1ppr.- SCR
Dale: 07/29110
Sheet #. 111
Scale: AS SHOWN
VISIONS.
M. DATE DESCRIPTION
EET TITLE:
BORE PROFILE
EET NUMBER
SHT-9

HYMAN
ROBEY�°���
SOLUTIONS FROM THE GROUND UP
U-4438 NEU PERMIT DRAWING
150 US Hy 158 E.
Camden, NC 27921
PROPOSED POWER PROFILE
—den.
(252) 33B-2913
(252)ymnmbe
UNDER PASQUOTANK RIVER
www.hymanr°beY.cam
Lkenae"598
AUGUST 9, 2010
PROFILE TAKEN FROM ELEVATIONS PROVIDED BY NCOOT
E ��` nw:
DIRECTIONAL
�o
o
BORE
DIAGRAM
FOR THE
"
( t 10'
T.#F Mm ..aa ra.ao rr.ae t><.ae r,.#a w.aa IF.ea rF.ee rT.ee wm 1/N1p
CITY OF
'°
' "
ELIZABETH
CITY
X I
vs°'
°
ELECTRICAL
I
-'°
LINE
FOR THE
PASQUOTANK
or
RIVER
BRIDGE
REPLACEMENT
"
ELIZABETH
-110
1,
CITY
-t"
T-F
NORTH
CAROLINA
KEY PLAN:
Projad #: 100139
D—AN #: 100139 SWItleal Bore P,.&
D—: KOH
Checked: SCR
Approved: SCR
Dale: 072WID
Sheet #: 111
Scale: AS SHOWN
REVISIONS:
NUM, DATE DESCPoPTION
SHEET TITLE:
Permit Drawer
BORE PROFILE
Sheet C5 of Sy
SHEET NUMBER
SHT-10

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Colleen H. Sullins Dee Freeman
Governor Director Secretary
October 20, 2010
Paul A. Fredette, PE, Director of Public Works
City of Elizabeth City
410 Pritchard Street
Elizabeth City, NC 27909
Subject: Permit No. W00035057
City of Elizabeth City
Utility Relocation for NCDOT U-4438 Sewer
Wastewater Collection System Extension
Pasquotank County
Dear Mr. Fredette:
In accordance with your application received October 11, 2010, we are forwarding herewith
Permit No. W00035057, dated October 20, 2010, to the City of Elizabeth City for the construction and
operation of the subject wastewater collection system extension. This permit shall be effective from the
date of issuance, until rescinded and shall be subject to the conditions and limitations as specified
therein. This cover letter shall be considered a part of this permit and is therefore incorporated therein
by reference.
Please pay particular attention to Permit Condition 3, which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2T .0403 or
any individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 15A NCAC 2T; the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 as applicable; and the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable, unless specifically
mentioned herein. Division approval is based on acceptance of the certification provided by a North
Carolina -licensed Professional Engineer in the application. It shall be the Permittee's responsibility to
ensure that the as -constructed project meets the appropriate design criteria and rules. Failure to
comply may result in penalties in accordance with North Carolina General Statute § 143-215.6A through
§ 143-215.6C, construction of additional or replacement wastewater collection facilities, and/or referral
of the North Carolina -licensed Professional Engineer to the licensing board.
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable laws, Rules, and Regulations, permission is hereby granted
to City of Elizabeth City for the construction and operation of approximately 3,191 linear feet of 8-inch
gravity sewer, 1,895 linear feet of 10-inch gravity sewer, 1,378 linear feet of 18-inch gravity sewer, 43
linear feet of 20-inch gravity sewer; a 1,500-gallon per minute pump station with duplex pumps, on -site
audible and visual high water alarms, and a permanent generator with automatic transfer switch with
telemetry; as well as approximately 374 linear feet of 10-inch force main, and 2,295 linear feet of 24-inch
North Carolina Division of Water Quality Internet: www.newaterqualitY orq
943 Washington Square Mall Phone: [phone] NorthCarolina
Washington, NC 27889 FAX_ [phone] Natumilb,
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

force main to serve as rehabilitation of the existing sewer system, as part of the Utility Relocation for
NCDOT U-4438 Sewer project, and the discharge of zero (0) gallons per day of collected wastewater
into the City of Elizabeth City's existing sewerage system, pursuant to the application received October
11, 2010, and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit.
The sewage and wastewater collected by this system shall be treated in the City of Elizabeth
City Wastewater Treatment Facility (NPDES Permit No. NCO025011) prior to being discharged into the
receiving stream.
A stormwater management plan shall be submitted to and approved by the Washington
Regional Office in accordance with 15A NCAC 2H .1000.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150E of North
Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Thom Edgerton at
[phone] or via E-mail at [e-mail].
Si cerei ,
>�4-1
Fo olee
cc: Pasquotank County Health Department
Washington Regional Office, Surface Water Protection Section (City of Elizabeth City Collection
System)
Sean C. Robey, PE (Hyman & Robey, PC, PO Box 339, Camden, NC 27921)
Water Quality Central Files
PERCS (formerly NDPU) Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
This permit shall be effective from the date of issuance until rescinded and shall be subject to the following
specified conditions and limitations:
This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division of Water Quality's (Division)
Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum
Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as
applicable; and other supporting materials unless specifically mentioned herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities shall be property maintained and operated at all times. The Permittee
shall maintain compliance with an individual system -wide collection system permit for the operation and
maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual permit is not required, the
following performance criteria shall be met as provided in 15A NCAC 2T .0403:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge to
land or surface waters, and any contravention of the groundwater standards in 15A NCAC 2L .0200 or
the surface water standards in 15A NCAC 2B .0200.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e. 365
days per year). Pump stations that are connected to a telemetry system shall be inspected at least
once per week.
e. High -priority sewer lines shall be inspected at least once per every six-month period of time.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows and bypasses shall be reported to the appropriate Division regional office in accordance
with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North Carolina
General Statute § 143-215.1 C.
4. This permit shall not be transferable. In the event there is a desire for the wastewater collection facilities to
change ownership, or there is a name change of the Permittee, a formal permit request shall be submitted
to the Division accompanied by documentation from the parties involved, and other supporting materials

as may be appropriate. The approval of this request shall be considered on its merits and may or may not
be approved.
5. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to interrupt
service by the existing utilities nor result in an overflow or bypass discharge of wastewater to the surface
waters of the State.
6. Per 15A NCAC 2T.0116, upon completion of construction and prior to operation of these permitted facilities,
the completed Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where the
form is fully executed and the supporting documents are provided as applicable.
7. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the
wastewater collection facilities.
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the Division's
Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design
Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted June 1, 2000 as applicable;
and other supporting materials may subject the Permittee to an enforcement action by the Division, in
accordance with North Carolina General Statutes § 143-215.6A through § 143-215.6C.
9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as may be
required by this Division, such as the construction of additional or replacement facilities.
10. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes, rules,
regulations, or ordinances that may be imposed by other government agencies (local, state and federal)
which have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC 2B .0200,
erosion and sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's General
Permit NCG010000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A
NCAC 2H .0500.
1 1. Noncompilance Notification:
The Permittee shall report by telephone to a water quality staff member at the Washington Regional
Office, telephone number 252-946-6481, as soon as possible, but in no case more than 24 hours or on the
next working day, following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable of
adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage or
breakage, etc.; or
b. Any failure of a pumping station or sewer line resulting in a by-pass directly to receiving waters without
treatment of all or any portion of the influent to such station or facility.
Overflows and spills occurring outside normal business hours may also be reported to the Division of
Emergency Management at telephone number [phone] or [phone]. Voice mail messages or
faxed information shall not be considered as the initial verbal report. Persons reporting any of the above
occurrences shall file a spill report by completing and submitting Part I of Form CS-SSO (or the most current
Division approved form) within five days following first knowledge of the occurrence. This report must
outline the actions taken or proposed to be taken to ensure that the problem does not recur. Part II of
Form CS-SSO (or the most current Division approved form) can also be completed to show that the SSO
was beyond control.

12. Gravity sewers installed below the minimum required slope per the Division's Gravity Sewer Minimum Design
Criteria shall not be acceptable and shall not be certified until corrected. If there is an unforeseen obstacle
in the field where all viable solutions have been examined, a slope variance can be requested from the
Division with firm supporting documentation. This shall be done through a permit modification with fee.
Such variance requests will be evaluated on a case -by -case basis. Resolution of such request shall be
evident prior to completing and submitting the construction certification.
Permit issued this the twentieth day of October, 2010
N00 H CARC ILINA ENVIRONMENTAL MANAGEMENT COMMISSION
For Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0035057

Permit No. WQ0035057
October 20, 2010
ENGINEER'S CERTIFICATION
Complete and submit this form to the permit issuing office (address below) with the following:
• One Copy of the project record drawings (plan/profile views and detail drawings of sewer lines) of the wastewater
collection system extension. Final record drawings should be clear on the plans. Record drawings should indicate the
design and the marked up changes during construction.
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generators) or storage greater than longest past three year outage reliability option selected) for any pump stations
permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form, P rmit
modifications are required for any changes resulting in non-compliance with this permit regulations or minimum design
Criteria. Modifications should be submitted prior to certification
This project shall not be considered complete nor allowed to operate until this Engineer's Certification and all required
supporting documentation have been received by the Division. Therefore, It is highly recommended that this certification
be sent In a manner that provides proof of receipt by the Division.
ENGINEER`S CERTIFICATION
❑ Partial ❑ Final
i• as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (❑
periodically, ❑ weekly, ❑ full time) the construction of the Utility Relocation for NCDOT U-4438 Sewer. Pasquotank County project,
consisting of 3.191 linear feet of 8-inch gravity sewer, 1,895 linear feet of 10-inch gravity sewer, 1,378 linear feet of 18-inch gravity sewer, 43
linear feet of 204nch gravity sewer; a 1,500-gallon per minute pump station with duplex pumps, on -site audible and visual high water
alarms, and a permanent generator with automatic transfer switch with telemetry; as well as approximately 374 linear feet of 10-inch force
main, and 2.295 linear feet of 244nch force main, for the Permittee hereby state that, to the best of my abilities, due care and diligence
was used in the observation of the construction such that the construction was observed to be built within substantial compliance of this
permit; 15A NCAC 2T: the Division of Water Quality's (Division) Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as
applicable; and other supporting materials.
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS FORM & SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
NORTH CAROLINA DIVISION OF WATER QUALITY
WASHINGTON REGIONAL OFFICE - SURFACE WATER PROTECTION SECTION
ATTN; REGIONAL SUPERVISOR
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
The Permittee is responsible for tracking all partial certifications up until a final certification is received. Any wastewater flow made tributary
to the wastewater collection system extension prior to completion of this Engineer's Certification shall be considered a violation of the
permit and shall subject the Permittee to appropriate enforcement actions.

SEE SyEET 7�
n/ S-
1.
UJ4 4 Irs 100 fit v
o-
16
t t
ss
!
160 ° !
I.� ! RELOCATE 4" GAS LINE
' t APPROXIMATELY 10'
WEST
UNDER ROAD STREET
42' 1
q2•
1 36' 1
3p� 36.
� 0• co
( 30. 30. J 36.
j 0
,�——_ 6
— ss SS
7���,30-
I 0 it
II v v
(( r z c?
156 % ! to
t .� t