55242_NC DOT_20100517

DCAMA / 'D DREDGE & FILLj
GENEMAL PERMIT / PreviousP ermit #
El �_ ;codification El Complete Reissue []Partial Reissue Date previous permit issued
As autho. zed 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
City State ZIP
Phone # O " s Fax # ( )
Authorized Agent fes% - ,
Affected ❑ CW ❑ EW aPTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IN ❑ UBA ❑ N/A
❑ PWS: ❑FC
ORW: yes / no PNA 'yes,/ no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City S =, r' L.1- ZIP
Phone # () River Basin
L;4l ,
Adj. Wtr. Body (nat' /man /unkn)
Closest Maj. Wtr. Body
IType of Project/ Activity 1..o ot� t; r j r l- i" l: , i~, yr _.. , J
Pier (dock) length___
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
(Scale: )
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
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name Permit Officer's Signature
Signature Please read compliance statement on back of permit" Issuing Date Expiration Date
Application Fee(s) Check # Local Planning Jurisdiction Rover File Name
I

'r k--- --.ati
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
landowner(s) .
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 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 Mali
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
ite,i 4 if Re1tricted 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.
Article Addressed to:
Sheila Bryant
29 Carroll Ave.
Valley Stream, NY 11580
A. Signature
X-71 ,
❑ Agent
❑ Addressee
B. Recei (Printamey C. Dat of Delivery
D. Is delivery address different from item 1? U Ye!
If YES, enter delivery address below: ❑ No
3. S ice Type
Certified Mail
❑ Express Mail
Registered
)<,Retum Receipt for Merchandise
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 1410 0000 9448 2577
(Transfer from service label) �
PS Form 3811, February 2004 Domestic Return Receipt 102595 -o2 -M-15401

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10"
• Sender: Please print your name, address, and ZIP+4 in this box •
4e,(7 V�do-,�
17ivisiori J7rice-
�l NC a?�40

■ Complete items 1, 2, and 3. Also complete A.
item 4 if Regtricted 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:
Lacy Lancaster
PO Box 252
Supply, NC 28462
C,1(1 ❑ Agent
j� ❑ Addressee
C. Date of Delivery
Fs—delivery address ren 1? ❑Yes
If YES, enter d very meas tL w-. ❑ No
\vim
1149 0
20
1p
3. S ice Type
Cert�ed Mail
❑ Registered eceipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 1410 0000 9448 2621
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES90, P. 1, 4q, ills
NCA4; R-OzL I JINA
• Sender: Please print your name, address, and i11544-5 this box •
c vo
4 -)t V1
1 *
(/kfl I w<< A�4CIV7 " N C

;`N 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.
Article Addressed to:
506
Jimmie William Jr. O �'
577 Rutherford Av c
Trenton, NJ 0861 0. o
iS
A.
❑ Agent
❑ Addressee
B. Received by (U
Nat C. Date of Delivery
�t/a r \F_ � t 0 _1
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se, ice Type
f Certified Mail ❑ Express Mail
❑ Registered W Retum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(rransfer from service label) 7009 1410 0000 9448-'2584
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1 W)

UNITED STATES POSTAL SFVI�
• Sender: Please print your name, address, and ZIP+4 in this box •
'11 4e,"'VI d C) n
Z� 60 n

COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
1 ■ Complete items 1, 2, and 3. Also complete Signat
item 4 if Restricted Delivery is desired. ❑ Agent
■ Print your name and address on the reverse ❑ Addressee
so that we can return the card to you. B. Rt C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery nt from item 1? ❑ Yes
1. Article Addressed to: If YES ntehl es below: ❑ No
*4, c?
Lacy Lancaster
PO BOX 2.52 3. Se
Ce Mail
SUpply, NC 28462 OR 1 4 tum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 1410 0000 9448 2638
(Transfer from service label) _
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITEDSTATES�PpS4 �i1113 !2 $M1rtail:•....
p�
:s ro.°wi»t:.av l'.'$c aY
'Pei' 't"�:<G�.1„Q,.�
4 77
• Sender: Please print your name, address, and ZI0+4-'in this box •
Ivc-T-
124- iWWSIO'01�v.
1uc
5 2-16
y �• �. F3{i!�}!!!!'.�!{�!I?il!3!Iii!'.I31!!1!Il}!ii!3!��}}?33!1!111ii}i

■ 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.
Article Addressed to:
NC Agricultural Foundation, Inc
PO Box 7645
Raleigh, NC 27695
A. Signature �j'
Agent
MAIL SERVIC❑ Addressee
B. Received by ( Printed Name) I t; ate of
D. Is delivery address different from item 1? ILJ Yes I
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail Q Express Mail
Registered I Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 11410 0000 9448 2607
(Transfer from service label,
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS 11
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
M� �cmj cly,
114

y5
'Ai 141ER: COMPLETE THIS SECTION
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
j ■ Print your name and address on the reverse
j 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.
Article Addressed to:
Charles T. Drew
PO Box 10835
Southport, NC 28461
A S' nat
B. jieceivgd by ( Printed Name)
❑ Agent
Ej Addressee
ite of 6elivery
D. Is delivery address different from item 1?1 ❑ Ye9
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered CjeRetum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 1410 0000 9448 2591
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10'
• Sender: Please print your name, address, and ZIP+4 in this box •
M,,�y) R-e-rnhii
lDq DDA-"-
W)') M1
N a -M' D)
�If 117 �!llii�ff�ttl111lf1,ifl�i;ii�lilil�Ifii111111f�1ii��lff!

■ 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:
Thomas W. Morgan
Doe Creek Plantation, LLC
2802 Sea Vista Dr. SW
Supply, NC 28462-5614
A.
❑ Agent
❑ Addressee
C. Date of Delivery
D. Is delivery addrgSs dijrent from item 1? ❑ Yes
If YES, enter delivery *tress below: No
cS, j�
3. Sprvice Type /
Certified Mail ❑ Express Mail
Registered EkRetum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 141,0 0000 9448 261,4
(Transfer from seMce label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS I . . "
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
I A 'DhA ')
o y,;4o,
'� � n3
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j;JY'CAMA/ E]DREDGE & FILL
GENERAL PERMIT
FtNew ❑Modification ❑Complete Reissue ❑Partial Reissue
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
N°
Previous permit #
Date previous permit issued
[�Kules attached.
Applicant Name N C % Project Location: County 4'"0
Address 9f 'f 1 !V Street Address/ State Road/ Lot #(s)
City L/ f I ,w; ; i s �� StateC ZIP
Phone #(�!°) Fax#(�)_
Authorized Agent �'`f " 4�'t
Affected ❑ CW N,,tW C?'PTA YfS
AEC(s): EIOEA ❑ HHF El 1H ❑ UBA
❑ PWS: ❑FC:
❑ PTS
❑ N/A
ORW: yes /no PNA es / no Crit.Hab. yes / no
Subdivision
City
55242
ZIP_)�_ Y
Phone # (,) River Basin r
k a n- jJ: Z Ce' a
Adj. Wtr. Body nat/ /man /unkn)
Closest Maj. Wtr. Body �"`4V``� rc1/Y
�stl"f ° I �'nc� � �J✓dfcr� fu�cr zJ � �� G b(� Til) vj.
Type of Project/ Activity
nc ast�i/� aVlif,y yTi(y�.
�Scale: tJ 1A j!'•Cc'rfo;�•:� �"� n�� a✓rrh�a..0 ;,�il�rf' (incl C Pct.<,� .t,�.�c.�.='t" '� /.S.
Pier (dock) length_
-
i 1
Platform(s)
p
Finger pier(s)
Groin length
j --
number- - -
- - - -- ----- -- - - --- - - - — - - -- - -
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
- ----- - -
Basin, channel -
-
cubic yards -
T P
4� n o r v i Ct�� LC j If.0 i Z n l I
f
Boat ramp
Gi J r
Boathouse/ Boatlift
-
Beach Bulldozing
r
I
- -
Other ,Z- o(i rz2%c nal � ^1,.1 •,•,r-� r •.✓•',4,-
- -- i I r - ---�-------� ` -- -- -
-
b4tV - - --- - -
A_
Shoreline Length c%V I
1- -- -
SAV: not sure yesSandbags:-
yes
not sure o
Moratorium:
Moratonum. n/a yes
Photos: es no
-
Waiver Attached: yes no
A building permit may be required by:
�t� �`" K / s ✓ 4y ❑See note on back regarding[�River Basin rules.
f
Notes/ Special Conditions J �a
1
CCa:I l / n 2J!t %/11��'� ,t� Cyt �,1i nH:+� r7/ c 7'�✓ c�
b,(o:.✓
-
y ,{. 1 g y� r i.sW ��
jli LCL'.' 1 f �:•U'1`1 twin .Qi1'"1¢il�� .'.dJ�.c.a.,f y✓Z'.�t, ! ��tel' ✓r.t+�% .�7 r`z 1"�=:'�"t.: �J Jfa.. c9 "4o�
�'r`i - ta/.�r.: r s {J > n � c•♦• t i; t' f -l. Jam' : j.t/M � 'r 'tJ l � l - � 1 , 1
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
-7r
Application Fee(s) Check #
Pet'fnitOfficer's Signature
3-i-7—/0 I —1-)z
Issuing Date Expiration Date
Local Planningf urisdiction Rover File Name

4 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
April 6, 2010
Mason Herndon
NC DOT
124 Division Drive
Wilmington, NC 28401
Dear Mr. Herndon:
Attached is General Permit #55242C to construct underground utility lines (Water, Sewer,
Telephone, and Cable TV) via directional bore and overhead utility lines (Power) adjacent to SR
1115 (Stone Chimney Rd.) in Supply, 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

LJ ir-1
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DCM MP -1
°JFCEIVED
APPLICATION for APR
Mayor Development Permit &forehead city p
(last revised 12/27106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
N.0 Department Of Transportation
Project Name (if applicable)
Brunswick Bridge 59
Applicant 1: First Name
H
MI
Allen
Last Name
Pope
MI
Applicant 2: First Name
MI
Last Name
Agent/ Contractor 2: First Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
123 Division Dr.
PO Box
City
Wilmington
State
NC
ZIP
28401
Country
United States
Phone No.
910 - 251 -
5724 ext.
FAX No.
910 - 251 - 5727
Street Address (if different from above)
City
State
Phone No. 2
910 - 620 - 4039 ext.
ZIP
Email
2. Agent/Contractor Information
Business Name
N.0 Department Of Transportation
Agent/ Contractor 1: First Name
Mason
MI
Last Name
Herndon
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
123 Division Dr
PO Box
City
Wilmington
State
NC
ZIP
28401
Phone No. 1
910 - 251 -
5724 ext.
Phone No. 2
910 - 620 - 4039 ext.
FAX No.
910 251 5727
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
<Form continues on back>
252-808-2808 .. 1-888-4RCOAST .. www. nccoastalmanagement.net

Form DCM MP -1 (Page 2 of 5)
APPLICATION for
Major Development Permit
IRpt'tiveR
3. Project Location
County (can be multiple)
Street Address
State Rd.,APR 2010
Brunswick
N/A
SR 1115
MOrel
Subdivision Name
City
State
Zip qty CC
N/A
N/A
N/A
N/A -
Phone No.
Lot No.(s) (if many, attach additional page with list)
N/A - - ext.
N/A, I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Lumber
Little Doe 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
Lockwood Folly River
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.
4. Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
N/A
N/A
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)
8.7 ®NHW or ❑NWL
e.
Vegetation on tract
N/A
f.
Man-made features and uses now on tract
NCDOT bridge and 2 lane paved secondary roadway
g.
Identify and describe the existing land uses adjacent to the proposed project site.
residents/wooded lots
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 ®No
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ❑No ®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)
282-808-2808 .. 1-888-4RCOAST ., www.nccoastalmanagament.net

Form DCM MP -1 (Page 3 of 5)
APPLICATION for
Major Development Permit
n. Describe existing wastewater treatment facilities.
N/A REC�t�t �a
APR 5 201
o. Describe existing drinking water supply source. IYorehe
N/A oci Gif. rvi
p. Describe existing storm water management or treatment systems.
N/A
5. Activities and Impacts
a.
Will the project be for commercial, public, or private use? ❑Commercial NPublic/Government
❑Private/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
Purpose is to relocate utilities that are in conflict with the replacement of a standard secondary road bridge infrastructure
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.
Work will be completed using horizontal directional drill (HDD) equipment, backhoe, and utility trucks .
d.
List all development activities you propose.
Trenchless installation of 400 ft of 8" telephone and cable TV line and connection to existing , trenchless installation of 230 ft
of 8" force main sewer and connection to existing, trenchless installation of 140 ft of 12" water line and connection to existing.
Relocation of powerline, requires installation of one pole and handclearing of trees (0.01 acres on east side of bridge).
e.
Are the proposed activities maintenance of an existing project, new work, or both? Replacement of existing
f.
What is the approximate total disturbed land area resulting from the proposed project? 0.01 ❑Sq.Ft or ®Acres
g.
Will the proposed project encroach on any public easement, public accessway or other area ®Yes [:]No E] NA
that the public has established use of?
h.
Describe location and type of existing and proposed discharges to waters of the state.
None
i.
Will wastewater or stormwater be discharged into a wetland? Yes No NNA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No NNA
j.
Is there any mitigation proposed? []Yes No UNA
If yes, attach a mitigation proposal.
<Fonn 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 property 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
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that th##6M
which to submit comments on the proposed project to the Division of Coastal Management. SCM
Name See attached sheet
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.
CAMA GP 2300 (55237) issued 2/8/10 and USACE NW 3 (Al #2005 591) issued 2/2/10. Both permits were issued for the replacement of the
bridge.
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 3/22/10
Print Name Mason Herndon
Signature
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
252-808-2808 .. 1-888-4RCOAST .. www.nccoastaImanagement.net

RECEIVE®
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
APR 5 2010
Morehead City DCM
I furthermore certify that the following persons are owners of properties adjoining this property. I
affirm that I have provided notification to each of them concerning my intent to complete these
repairs/improvements and to apply for a CAMA permit.
(Name) (Address)
(1) The NC Agricultural Foundation Inc. PO Box 7645 Raleigh, NC 27695
(2) Lacy L. Lancaster, ET UX PO Box 252 Supply, NC 28462
(3) Charles T. Drew, ET UX PO Box 10835 Southport, NC 28461
(4) Doe Creek Plantation, LLC 1027 Sabbath Home Rd Holden Beach, NC 28462
(5)
(6)
(7)
(8)

�C
NORTH CAROLINA APR
IH!
_ llli
Illi
s � G
BRIDGE #59
um
VICINITY
MAPS
(NOT TO SCALE)
m
,"
NCD®T
DIVISION OF HIGHWAYS
BRUNSWICK COUNTY
PROJECT: B-5217
REPLACE BRIDGE #59
ON SR 1115 OVER
LITTLE DOE CREEK
uu
SHEET OF 12/21/09
�tD
2010;
fY DCIH
i
/
VICINITY
MAPS
(NOT TO SCALE)
m
,"
NCD®T
DIVISION OF HIGHWAYS
BRUNSWICK COUNTY
PROJECT: B-5217
REPLACE BRIDGE #59
ON SR 1115 OVER
LITTLE DOE CREEK
uu
SHEET OF 12/21/09
�tD
2010;
fY DCIH

TATE
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
RECEIVED
APR 5 2010
Morehead City DC&l
EUGENE A. CONTI, JR.
SECRETARY
DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION
CERTIFIED MAIL RETURN RECEIPT REQUESTED
March 22, 2010
Charles T Drew
PO Box 10835
Southport, NC 28461
Dear Sir/Madam:
As required by the Division of Coastal Management regulations, you are being notified as an adjacent
riparian landowner that the North Carolina Department of Transportation plans to relocate utilities in
conflict with the replacement of the existing bridge, onsite of his/her property located on Stone Chimney Rd
(SR 1115) at Little Doe Creek in Brunswick County. The attached sketch and application accurately
depicts the proposed construction. Please indicate your position or viewpoint on the proposed project and
return the completed form and any comments to Stephen Lane, Division of Coastal Management, 400
Commerce Ave., Morehead City, NC 28557 or call [phone].
Should you have objections, your comments must be received within 10 days of receipt of this notice.
No response within 10 days will be considered the same as no objection if you have been notified by
Certified Mail
Sincerely,
Mason Herndon
NCDOT Division 3
I have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
Signature
Print Name
Phone Number with Area Code
Date

5WE
RECEIVE
APR 5 2010
STATE OF NORTH CAROLINA MoreheOd City pCM
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE EUGENE A. CONTI, JR.
GOVERNOR SECRETARY
DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION
CERTIFIED MAIL RETURN RECEIPT REQUESTED
March 22, 2010
Lacy L. Lancaster
PO Box 252
Supply, NC 28462
Dear Sir/Madam:
As required by the Division of Coastal Management regulations, you are being notified as an adjacent
riparian landowner that the North Carolina Department of Transportation plans to relocate utilities in
conflict with the replacement of the existing bridge, onsite of his/her property located on Stone Chimney Rd
(SR 1115) at Little Doe Creek in Brunswick County. The attached sketch and application accurately
depicts the proposed construction. Please indicate your position or viewpoint on the proposed project and
return the completed form and any comments to Stephen Lane, Division of Coastal Management, 400
Commerce Ave., Morehead City, NC 28557 or call [phone].
Should you have objections, your comments must be received within 10 days of receipt of this notice.
No response within 10 days will be considered the same as no objection if you have been notified by
Certified Mail
Sincerely,
Mason Herndon
NCDOT Division 3
I have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
Signature
Print Name
Phone Number with Area Code
Date

d � 5rATE
STATE OF NORTH CAROLINA A'OjehecwC"YDC
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE EUGENE A. CONTI, JR.
GOVERNOR SECRETARY
DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION
CERTIFIED MAIL RETURN RECEIPT REQUESTED
March 22, 2010
NC Agricultural Foundation Inc.
PO Box 7645
Raleigh, NC 27695
Dear Sir/Madam:
As required by the Division of Coastal Management regulations, you are being notified as an adjacent
riparian landowner that the North Carolina Department of Transportation plans to relocate utilities in
conflict with the replacement of the existing bridge, onsite of his/her property located on Stone Chimney Rd
(SR 1115) at Little Doe Creek in Brunswick County. The attached sketch and application accurately
depicts the proposed construction. Please indicate your position or viewpoint on the proposed project and
return the completed form and any comments to Stephen Lane, Division of Coastal Management, 400
Commerce Ave., Morehead City, NC 28557 or call [phone].
Should you have objections, your comments must be received within 10 days of receipt of this notice.
No response within 10 days will be considered the same as no objection if you have been notified by
Certified Mail
Sincerely,
." ol�- �LC�
Mason Herndon
NCDOT Division 3
I have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
Signature
Print Name
Phone Number with Area Code
Date

,"
STATE OF NORTH CAROLINA
DEPARTNMNT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GovERNOR
#EC&Vf
APR
ALPO jeh®pac 4'
D,
EUGENE A. CONTI, JR.
SECRETARY
DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION
CERTIFIED MAIL RETURN RECEIPT REQUESTED
March 22, 2010
Thomas W Morgan
Doe Creek Plantation, LLC
2802 Sea Vista Dr. SW
Supply, NC 28462-5614
Dear Sir/Madam:
As required by the Division of Coastal Management regulations, you are being notified as an adjacent
riparian landowner that the North Carolina Department of Transportation plans to relocate utilities in
conflict with the replacement of the existing bridge, onsite of his/her property located on Stone Chimney Rd
(SR 1115) at Little Doe Creek in Brunswick County. The attached sketch and application accurately
depicts the proposed construction. Please indicate your position or viewpoint on the proposed project and
return the completed form and any comments to Stephen Lane, Division of Coastal Management, 400
Commerce Ave., Morehead City, NC 28557 or call [phone].
Should you have objections, your comments must be received within 10 days of receipt of this notice.
No response within 10 days will be considered the same as no objection if you have been notified by
Certified Mail
Sincerely,
Mason Herndon
NCDOT Division 3
I have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
Signature
Print Name
Phone Number with Area Code
Date

U
0)
DETAIL A
SPECIALv' DITCH
( Not to Scale)
Natural \4�e\ \—Fill
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TMin. D = 1.0 Ft.
TRENCHLESS FSS INSTALLATION
THE NC AGRICULTURAL FOUNDATIONINC. o }
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DOE CREEK PLANTATION, LLC PB 34
DB 2087 PG 1042
PB 60 PG 27
TRENCHLESS WATER LINE INSTALLATION
TRENCHLESS TELEPHONE CABLE TV INSTALLATION
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DENOTES EXCAVATION
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WETLAND
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Morehead Ci
DETAIL B
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HAND CLEARING = 401 SF (0.01AC)
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R1,6 IRFP.REY BY.
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ROJECT NO. 42814
BRUNSWICK COUNTY
STATION: 14+76.30 -L-
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ON MP -1
APPLICATION for
Major Development Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
N.0 Department Of Transportation
Project Name (if applicable)
Brunswick Bridge 49
Applicant 1: First Name
H
MI
Allen
Last Name
Pope
MI
Applicant 2: First Name
MI
Last Name
Agent/ Contractor 2: First Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
123 Division Dr.
PO Box
City
Wilmington
State
NC
ZIP
28401
Country
United States
Phone No.
910 - 251 -
5724 ext.
FAX No.
910 - 251 - 5727
Street Address (if different from above)
City
State
Phone No. 2
910 - 620 - 4039 ext.
ZIP
Email
2. Agent/Contractor Information
Business Name
N.0 Department Of Transportation
Agent/ Contractor 1: First Name
Mason
MI
Last Name
Herndon
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
123 Division Dr
PO Box
City
Wilmington
State
NC
ZIP
28401
Phone No. 1
910 - 251 -
5724 ext.
Phone No. 2
910 - 620 - 4039 ext.
FAX No.
910 251 5727
Contractor #
Street Address (if different from above)
City
T-tStateZIP
Email
<Form continues on back>
252-808-2808 .. 1-888-4RCOAST .. www.nccoastaImanagement.net

Form DCM MP -1 (Page 2 of 5)
13. Project Location
APPLICATION for
Major Development Permit
County (can be multiple)
Street Address
State Rd. # V
Brunswick
N/A
SR 1115
Subdivision Name
City
State
Zip
N/A
N/A
N/A
N/A - hfore'te4
Phone No.
Lot No.(s) (if many, attach additional page with list)
N/A - - ext.
N/A,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Lumber
Doe 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
Lockwood Folly River
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.
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
N/A
N/A
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)
7.2 ®NHW or ❑NWL
e. Vegetation on tract
N/A
f. Man-made features and uses now on tract
NCDOT bridge and 2 lane paved secondary roadway
g. Identify and describe the existing land uses adjacent to the proposed project site.
residents/wooded lots
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 ®No
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ❑No SNA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a Yes E3No ®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)
252-808-2808 .. 1-888-4RCOAST .. www.nccoastatmanacgement.net
7
10
74

Form DCM MP -1 (Page 3 of 5)
n. Describe existing wastewater treatment
N/A
o. Describe existing drinking water supply source.
N/A
p. Describe existing storm water management or treatment systems.
N/A
APPLICATION for
Major Development Permit
APR 5 2 10
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.
Purpose is to relocate utilities that are in conflict with the replacement of a standard secondary road bridge infrastructure.
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.
Work will be completed using horizontal directional drill (HDD) equipment, backhoe and utility trucks.
d.
List all development activities you propose.
Trenchless installation of 410 ft of 8" cable TV line and connection to existing, trenchless installation of 320 ft of 8" force main
sewer line and connection to existing, trenchless installation of 250 ft of 12" water line and connection to existing. Powerline
will be located to temporary brackets on existing poles.
e.
Are the proposed activities maintenance of an existing project, new work, or both? Replacement of existing
f.
What is the approximate total disturbed land area resulting from the proposed project? 0.01 ❑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
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) — (1) 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.
252.808-2808 .. 1-888-4RCOA5T .. www.nccoastatmanagement.net

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
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. iRECEivm,
Name Sheila Bryant
Phone No. APR 5 2010
Address 29 Carroll Ave., Valley Stream, NY 11580 MOrehead City DCM
Name Jimmie Williams Jr
Phone No.
Address 577 Rutherford Ave., Trenton, NJ 08618
Name Lacy Lancaster
Phone No.
Address PO Box 252, Supply, NC 28462
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
CAMA GP 2300 (54634) issued 2/8/10 and USACE NW 3 (Al #2005 592) issued 2/2/10. Both permits were issued for the replacement of the
bridge.
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 3/22/10 Print Name Mason Hemdon
Signature
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

NORTH CAROLINA
RFCrs jEE
APR 5 2 10
41 01000d Cifv Dn
UM ,u (�
tom.
BRIDGE #49 "°' 4>
s
int
tlr �
e�
1
VICINITY
MAPS
(NOT TO SCALE)
Lo
1V' DOT
DIVISION OF HIGHWAYS
BRUNSWICK COUNTY
PROJECT: B-5215
REPLACE BRIDGE #49
ON SR 1115 OVER
DOE CREEK
SHEET OF 12/7/09
I

o RECEIVED
•a�,. APR 5 2010
STATE OF NORTH CAROLINA Morehead City DCM
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE EUGENE A. CONTI, JR.
GOVERNOR SECRETARY
DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION
CERTIFIED MAIL RETURN RECEIPT REQUESTED
March 22, 2010
Lacy Lancaster
PO Box 252
Supply, NC 28462
Dear Sir/Madam:
As required by the Division of Coastal Management regulations, you are being notified as an adjacent
riparian landowner that the North Carolina Department of Transportation plans to relocate utilities in
conflict with the replacement of the existing bridge, onsite of his/her property located on Stone Chimney Rd
(SR 1115) at Doe Creek in Brunswick County. The attached sketch and application accurately depicts the
proposed construction. Please indicate your position or viewpoint on the proposed project and return the
completed form and any comments to Stephen Lane, Division of Coastal Management, 400 Commerce
Ave., Morehead City, NC 28557 or call [phone].
Should you have objections, your comments must be received within 10 days of receipt of this notice.
No response within 10 days will be considered the same as no objection if you have been notified by
Certified Mail
Sincerely,
Mason Herndon
NCDOT Division 3
I have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
Signature
Print Name
Phone Number with Area Code
Date

Ub4-
- RECEIVED
APR 52010
STATE OF NORTH CAROLINA fwOrehepd City DCM
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE EUGENE A. CONTI, JR.
GOVERNOR SECRETARY
DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION
CERTIFIED MAIL RETURN RECEIPT REQUESTED
March 22, 2010
Jimmie William Jr.
577 Rutherford Ave.
Trenton, NJ 08618
Dear Sir/Madam:
As required by the Division of Coastal Management regulations, you are being notified as an adjacent
riparian landowner that the North Carolina Department of Transportation plans to relocate utilities in
conflict with the replacement of the existing bridge, onsite of his/her property located on Stone Chimney Rd
(SR 1115) at Doe Creek in Brunswick County. The attached sketch and application accurately depicts the
proposed construction. Please indicate your position or viewpoint on the proposed project and return the
completed form and any comments to Stephen Lane, Division of Coastal Management, 400 Commerce
Ave., Morehead City, NC 28557 or call [phone].
Should you have objections, your comments must be received within 10 days of receipt of this notice.
No response within 10 days will be considered the same as no objection if you have been notified by
Certified Mail
Sincerely,
Mason Herndon
NCDOT Division 3
I have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
Signature
Print Name
Phone Number with Area Code
Date

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
RECEIVED
APR 5 2010
119oreh *ad Cit), DCM
EUGENE A. CONTI, JR.
SECRETARY
DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION
CERTIFIED MAIL RETURN RECEIPT REQUESTED
March 22, 2010
Shelia Bryant.
29 Carroll Ave.
Valley Stream, NY 11580
Dear Sir/Madam:
As required by the Division of Coastal Management regulations, you are being notified as an adjacent
riparian landowner that the North Carolina Department of Transportation plans to relocate utilities in
conflict with the replacement of the existing bridge, onsite of his/her property located on Stone Chimney Rd
(SR 1115) at Doe Creek in Brunswick County. The attached sketch and application accurately depicts the
proposed construction. Please indicate your position or viewpoint on the proposed project and return the
completed form and any comments to Stephen Lane, Division of Coastal Management, 400 Commerce
Ave., Morehead City, NC 28557 or call [phone].
Should you have objections, your comments must be received within 10 days of receipt of this notice.
No response within 10 days will be considered the same as no objection if you have been notified by
Certified Mail
Sincerely,
Mason Herndon
NCDOT Division 3
I have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
Signature
Print Name
Phone Number with Area Code
Date

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RECEIVED
•'�•_•_. MAY 17 Ma
NCDENR
North Carolina Department of Environment and Natural Reswc,,§ ty ©cm
Division of Wafer Quality
Beverly Eaves Perdue Coleen H. S01ins Dee Freeman
Governor Director Secretary
May 14, 2010
Marty Lowing, County Manager
Brunswick County
P.O. Box 249
Bolivia, NC 28422
Subject: Permit No. W00034742
Brunswick County
Bridge Crossing Little Doe Creek
Relocation Force Main
Wastewater Collection System Extension
Brunswick County
Dear Mr, Lowing:
In accordance with your application received April 30, 2010, we are forwarding herewith Permit No.
WQ0034742, dated May 14, 2010, to Brunswick County for the construction and operation upon
certification 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 note the following standard conditions that are contained in this permit.
Condition 3: 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.
Condition 6: Requires that the system be properly certified upon completion of construction
and gLLor to being placed into operation.
Condition 7: Regarding the installation of gravity sewer at greater than ten percent 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.
Condition 12: Requires notification to the Division should the system fail to operate including the
loss of wastewater from the collection system, In addition, note Permit Condition
13 regarding the posting of pump stations with emergency contact information.
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 the North
Carolina -licensed Professional Engineer named in the application.
Wilmington Regional Office One
127 Cardinal Drive Extension Wilmington, NC 28405 NorthC�rolina
Phone: [phone] / FAX: [phone] Nahb0ally
Internet: www.n�wateraualitv.ora
An Equal Opportunity/Affirmative Action Employer Customer Service 1-877-623-6748
507o Recycled/] 07o Post Consumer Paper

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
& RFCFiL�Q
Mo,®heporc41
`tkD
cM
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, other applicable Laws, Rules,, and Regulations, and in conformity with 15A NCAC 2T; the
Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and 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;
PERMISSION IS HEREBY GRANTED TO:
Brunswick County
BRUNSWICK COUNTY
For the construction and operation upon certification of approximately 417 linear feet of 8 -inch force
main to replace existing force main that is in conflicting with bridge construction along Stone Chimney
Road as part of the Bridge Crossing Little Doe Creek Relocation Force Main project, and no additional
discharge of wastewater into Brunswick County's existing sewerage system, pursuant to the application
received April 30, 2010.
The sewage and wastewater collected by this system shall be treated in the West Brunswick Wastewater
Treatment Facility {Permit No. WQ0023693) prior to being land applied.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
1. 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 descrit)ed in the
application and other supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all ti rnes. 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 sfondards 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.

RECEIVED
PAY 17 2010
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following: ''warehecyd
Cn%' DCA9
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Record drawings are defined as
the design drawings that are marked up or annotated with after construction information and
show required buffers, separation distances, material changes, etc.
b. One copy of the supporting pump station design calculations (selected pumps, system curve,
operating point, buoyancy calculations, available storage if portable generator(s) or storage
greater than longest post three year outage reliability option selected) for any pump stations
permitted as part of this project.
C. Changes to the project that do not result in non-compliance with this permit, regulations, or
the Minimum Design Criteria should be clearly identified on the record drawings, on the
certification in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in
non-compliance with this permit (including pipe length increases of 10% or greater, increased flow,
pump station design capacity design increases of 5% or greater, and increases in the number/type
of connections), regulations, or the Minimum Design Criteria. Requested modifications or variances
to the Minimum Design Criteria will be reviewed on a case-by-case basis and each on its own merit.
Please note that variances to the Minimum Design Criteria should be requested and approved
during the permitting process prior to construction. After -construction requests are discouraged by
the Division and may not be approved, thus requiring replacement or repair prior to certification &
activation.
7. Gravity sewers installed greater than ten percent 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.
8. A copy of the construction record drawings and pump station designs, if applicable, shall be
maintained on file by the Permittee for the life of the wastewater collection facilities.
9. 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 Permitiee to an
enforcement action by the Division, in accordance with North Carolina General Statutes § 143-
215.6A through § 143-215.6C.
10. 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.
11. 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 213 .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4 and under the
Division's General Permit NCGO10000, and any requirements pertaining to wetlands under 15A
NCAC 213 .0200 and 15A NCAC 2H .0500.
3

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
Brunswick County
PERMIT #:
WQ0034742
PROJECT:
Bridge Crossing Little Doe Creek Relocation Force Main
ISSUE DATE:
May 14, 2010
COUNTY:
Brunswick
RFCF/VEA
MAY 17 201
A9or®hepa
This project shall not be considered complete nor allowed to operate in accordance with Condition 6
of this permit until the Division has received this Certification and all required supporting documentation.
Consequently, it should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Surface Water Protection Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature
ENGINEER'S CERTIFICATION
Date
1, , 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
project name and location as referenced above for the above 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 w/signature & date
CERTIFICATION COMMENTS OR DETAILS ` ................... ...... ............. ........ ...... ....... .... _... ............
❑ Final ❑ Partial
Comments:
NC Division of Water Quality 127 Cardinal Drive Extension Wilmington, NC 28405
Wilminaton Reaionnl Office Phnni • 910-79A-791.5 PAY- Q1n-4rn-90n4

- t RECE4
MAY 17 20iQ
A=K
M weheaCd'City DCU:
,MSA I�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
May 14, 2010
Marty Lawing, County Manager
Brunswick County
P.O. Box 249
Bolivia, NC 28422
6 0/477,9 � rer,ti",�.{S
Subject: Permit No. WQ0034743
Brunswick County
Bridge Crossing Doe Creek Relocation Force Main
Wastewater Collection System Extension
Brunswick County
Dear Mr. Lawing:
In accordance with your application received April 30, 2010, we are forwarding herewith Permit No.
WQ0034743, dated May 14, 2010, to Brunswick County for the construction and operation upon
certification 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 note the following standard conditions that are contained in this permit.
Condition 3: 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.
Condition 6: Requires that the system be properly certified upon completion of construction
and pfigr to being placed into operation.
Condition 7: Regarding the installation of gravity sewer at greater than ten percent 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.
Condition 12: Requires notification to the Division should the system fail to operate including the
loss of wastewater from the collection system. In addition, note Permit Condition
13 regarding the posting of pump stations with emergency contact information.
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 the North
Carolina -licensed Professional Engineer named in the application.
Wilmington Regional Office
127 Cardinal Drive Extension Wilmington, NC 28405
Phone: [phone] / FAX: [phone]
Internet: www.ncwaterquality.orq
An Equal Opportunity/Affirmative Action Employer
50% Recycled/ 10% Post Consumer Paper
NorthCarolina
Awitrally
Customer Service 1-877-623-6748

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
RALEIGH
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, other applicable Laws, Rules, and Regulations, and in conformity with 15A NCAC 2T; the
Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 and 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;
PERMISSION IS HEREBY GRANTED TO:
Brunswick County
BRUNSWICK COUNTY
For the construction and operation upon certification of approximately 487 linear feet of 8 -inch force
main to replace existing force main that is in conflicting with bridge construction along Stone Chimney
Road as part of the Bridge Crossing Doe Creek Relocation Force Main project, and no additional
discharge of wastewater into Brunswick County's existing sewerage system, pursuant to the application
received April 30, 2010.
The sewage and wastewater collected by this system shall be treated in the West Brunswick Wastewater
Treatment Facility (Permit No. WQ0023693) prior to being land applied.
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 properly 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 r'
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Record drawings are defined as
the design drawings that are marked up or annotated with after construction information and
show required buffers, separation distances, material changes, etc.
b. One copy of the supporting pump station design calculations (selected pumps, system curve,
operating point, buoyancy calculations, available storage if portable generator(s) or storage
greater than longest past three year outage reliability option selected) for any pump stations
permitted as part of this project.
C. Changes to the project that do not result in non-compliance with this permit, regulations, or
the Minimum Design Criteria should be clearly identified on the record drawings, on fhe
certification in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting in
non-compliance with this permit (including pipe length increases of 10% or greater, increased flow,
pump station design capacity design increases of 5% or greater, and increases in the number/type
of connections), regulations, or the Minimum Design Criteria. Requested modifications or variances
to the Minimum Design Criteria will be reviewed on a case-by-case basis and each on its own merit.
Please note that variances to the Minimum Design Criteria should be requested and approved
during the permitting process prior to construction. After -construction requests are discouraged by
the Division and may not be approved, thus requiring replacement or repair prior to certification &
activation.
7. Gravity sewers installed greater than ten percent 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.
8. A copy of the construction record drawings and pump station designs, if applicable, shall be
maintained on file by the Permittee for the life of the wastewater collection facilities.
9. 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.
10. 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.
11. The issuance of this permit shall not exempt the Permittee from complying with any and crll 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.
13

ew'
FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
Brunswick County
PERMIT #:
WQ0034743
PROJECT:
Bridge Crossing Doe Creek Relocation Force Main
ISSUE DATE:
May 14, 2010
COUNTY:
Brunswick
This project shall not be considered complete nor allowed to operate in accordance with Condition 6
of this permit until the Division has received this Certification and all required supporting documentation.
Consequently, it should be submitted in a manner that documents the Division's receipt. Send the
required documentation to the Regional Supervisor, Surface Water Protection Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature Date
ENGINEERS CERTIFICATION
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
project name and location as referenced above for the above 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; I SA 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 Stotions and
Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date
CERTIFICATION COMMENTS OR DETAILS
❑ Final ❑ Partial
Comments:
NC Division of Water Quality 127 Cardinal Drive Extension Wilmington,, NC 28405
Wilminqton Regional Office Phone: [phone] FAX: 910-2-3W-2004

� ,, c as hist., Habitat impect Clampwwr Sheet
,� I
Applicant: /v
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
tem p 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
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