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HomeMy WebLinkAbout55239_NC DOT_20100303SILKS C�]CAMA / ❑ DREDGE & FILL 7 ; GENERAL PERMIT 1f� Previous permit # - ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue ate previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Reso ces and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Project Location: County Address i Street Address/ State Road/ Lot #(s) City 61P State ZIP Phone # ( } Fax # ( ) Authorized Agent T Affected Cw ❑ Ew ❑ PTA DES EJ PTS AEC(s): 0 OEA C HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / ono PNA yes / no Crit.Hab. yes / no Subdivision City ZIP Phone # (�) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Bulkhead/ Riprap length-;- avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp- r Boathouse/ Boatlift Beach Bulldozing„ -- Other - - - - -- --- - - -- Shoreline Length l I 17 SAV: not sure yes no — Sandbags: not sure yes no: Moratorium: n/a yes no' Photos: yes Waiver Attached: yes no -- A building permit may be required by: `* See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date Local Planningf urisdiction Rover File Name Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian 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/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 AMA / 3t6REDGE & FILL N? 55239 GENERAL PERMIT Previous permit # — 31�evv ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources C '7 �4 / / I✓ C and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ules attached. Applicant Name N L o Z Project Location: County G 9 Address o X � .re Street Address/ State Road/ Lot #(s) J o c' f;CL'T�/i � �, �. -. %.f3.r d. I j2i y✓u-�a y''i in.nJ u a J b ✓'a a r.� City State_ ZIP Phone # '� y 'Fax # O Subdivision Authorized Agent //may J a �ru ors City Alt �q N C ZIP 2��C C ❑ CW [SEW ❑ PTA 0'E5 ❑ PTS Phone # ( ) River Basin ira✓ - JG""`ll" Affected �/z,; - AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body ,c/� , ° na'ti /m— an /unkn) ❑ PWS: ❑ FC: Closest Maj. Wtr. Body ORW: yes / no PNA yes / o Crit.Hab, yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length -' number ` Bulkhead/ iprap engthr avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift (Scale: /J//4 -- I - I I I I �. I t..+_ - I L - r-- - -- - 1 —i— - Beach Bulldozing Other i Shoreline Length SAV: not sure yes no Sandbags: not sure yes - - - - -- r I- - - - -- - - -� -- -- - Moratorium: n/a yes Photos: yes no - - - - J Waiver Attached: yes no ...--!--- I A building permit may be required byp ^" ty I [S;- ee note on back regarding River Basin rules. Notes/ Special Conditions ll '1"�lq r ek f / f 'irK anZ rlI�at�. L/ J`ACV< 'pV_+t;+� 4C"1iR' 11�/)v �)� L� B�� f�^`��i Je �1`ze-4b Yc..j-l-,r�riynu�L, �'a i+•� '7.`e'1%/ '� O �f ���/2. /� C,�i 0 J�, � /`��G.1 4�G.- I �cl .e/fc l liWi l �, �/'-c-c_ a i��o DMA. �7� � ( er1H/ �D! �i� G�n" i J. U .1 W I 1 C U' cf .� �{ o .'Z?C ��:t! •2�jC� 1 !'.c ' o n a"P2. O- ' ele'� ^ c Agent or Applicant Printed Name Sign ture ** Please read compliance statement on back of permit" 7� Application Fee(s) Check # PermitOfficer's Signature 3--3-/0 Issuing Date Expiration Date Local Planning Jurisdiction Rover File Name A F-KWA 'ria NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary March 8, 2010 NC DOT PO Box 1587 Greenville, NC 27835 Jay Johnson: Attached is General Permit #55239 C to construct 55 linear feet of riprap for shoreline protection At SR 1004 0.5 miles west of the terminus of the road in Aurora, NC In order to validate this permit, please sign the permit and the Buffer Authorization Certificate For Shoreline Stabilization as indicated. Retain the white copy of the permit 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: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper rvnvsion, of Coastal� Habitat Innpact "Cornputer Sheet Applicant: Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or tempimpacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp im act amount TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or tem impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount f 1 n A J � Dredge El Fill [R B�oth ❑ 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Ag a -M c k.. M n _� ent n vis ds 02o's ? g WWI APMUHN Ier RECEmD 32 Ppp— major ���� l�i�1t FEB 2 2 2010' (lost revilsed 12127MG) Morehead Ci�® North Carolina DIVISION OF COAS MANAGEMENT 1. Primary Applicant/ Landowner Information Business Name Project Name (rf applicable) SR 1004, Hickory Point Road Beaufort County Applicant 1: First Name Donald MI P. Last Name Kieffer Applicant 2: First Name MI Last Name If addibmal epp#cants, please attach an additional page(s) with names ftsfed. Mailing Address 1237 Fairway Drive PO Box City Yadkinville State NC ZIP 270M Country us Phone No. - .] - ext FAX No. _ Street Address (if dr7fiararrf ham above) City State ZIP Email 2. AgenbContractor Inthnmadon Business Name North Carolina Department Of Transportation Agent/ Contractor 1: First Name Jay Ml B. Last Name Johnson Agent/ Contractor 2: First Name MI last Name Mailing Address PO Box 1587 City Greenville State NC ZIP 27835 1587 Phone No. 1 252 - 830 - 3490 exi 248 Phone No. 2 FAX No. 252 830 3341 Contractor # Sheet Address (irdifttrrsnt trvm above) City State ZIP Email <Forrn continues on bacb Form DCM MP-1 (Page 2 of 5) APPLICATION for Major Development Permit 3. Project Locadon County (can be multiple) Sheet Address State Rd. A Beaufort SR 1004 Subdivision Name City State zip Phone No. Lot No-(s) (Ymany, attach additional page with list) - - ext 410 a. In which NC rarer basin is the project located? b. Name of body of water nearest to proposed project Tar -Pamlico Pamlico a Is the water body identified in (b) above, natural or manmade? d. Name the closest major water body to the Proposed Project Sde- ®Natural OMenmade ❑Unknown Pamlico River e. Is proposed work within city limits or planning jurisdiction? f. If applicabW list the planning jurisdiction or city Emit the proposed []Yes ®No work falls within. 4. Site Description a. Total length of shoreline on the tract (R) b. Size of entire tract (sq.ft) 55, WA c. Sine of individual lot(s) d. ApproxdnwLa elevation of trod above NHW (normsy high water, or NWL (normal water lave/) {rf many lot sizes please attach addibbnal page with a h4 5.2' ❑NHW or ®NWL e. Vegetation on trad Maintained Grasses f. Manmade features and uses now on tract Road g. Identify and describe the existing land uses > iscanr t to the proposed project site. Residential Property h_ How does local government zone the had? i. Is the proposed project consistent with the applicable zoning? WA (Attach zoning compliance certificate, if applicable) 0Yes ONO ®NA j. Is the proposed activity part of an urban waterfront redeveioprnerrt proposal? 0yes ONO k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. OYes ONo OKA If yes, by whom? L Is the proposed project located in a National Registered Historic District or does It Involve a DYes ZNo EINA National Register listed or eligible property? <Form continues on Next page> m. () Are there wetlands on the site, Yes ONO (ii) Are them coastal wetlands on the site? ®Yes ❑No (ii) If yea to either (i) or (ii) above, has a dekwmition boon conducted? ®Yea []No (Attach docurtenWan, if evadable) .22 2010 '.Y Did Dc� Form DCM MP-1 (Page 3 of 5) APPLICATION for Major Development Permit n. Describe existing washrai ter treatment facilitim N/A Rl:ci?IyEL, o. Describe existing drinking water supply source. 4 Z 1 WA "yi p. Describe existing stomr water managernerrt or treatment systems. a, D WA 5. Acdvides and Impacts a_ Will the project be for corrxner ial, pubic, or private use? OConnaiercial OPOWGovernment ❑Private/Conmunity b. Give a brief description of purpose, use, and daily operations of the project when complete. The Existing Slope at this site has sustained significant erosion, thmatening the existing edge of pavement, and making the shoulder unsafe for the traveling public. Granite or Limestone Rip -Rap will be placed on for Slope Stabilization. c. Describe the proposed construction methodology, types of construction equipment to be used during fiction, the number of each type of equipment and where its to be stored. Rip Rap will be placed on the shoulder and slope. Typical Roadway Construction Equipment Will Be Used, Including,But Not Limited To Tracked Excavators,Dump Trucks, Flat -Bed Tntcks,Back-Hoes,And Boom Trucks. d. List all development activities you propose. Shoulder and Slope Stabilization e. Are the proposed acWhes maintenance of an existing project, new work, or both? New Wor* t What is the approximate total disturbed land area resulting from the proposed project? 335 ®Sq.Ft or []Acres g. Will the proposed project encroach on any public easement, pubrrc accessway or other area es No ONA that the public has established use oR h. Describe location and type of existing and proposed discharges to waters of the state. WA i. Will wastewater or stomwrater be discharged Oft a wetland? OYes ONo NA tf yes, wig this discharged water be of the same salinity as the receiving water? []Yes []No ❑NA J. Is there any mitigation proposed? Yes MW CINA if yes, attach a mitigation proposal. <Form continues on back> 6. Additionallnformadon In addrlion to this commrpleted appOcabon form, (W-I) the Wowft !tears below, it appicable, must be suerrt+tted In order hx the apptiratron padwW to be comp/eta. !terns (a) — Mare always applicable to any mallior dleveloprrrsnt appkation. Please c wsO the appfkwtion inshvction bookibt on how to pn*ery prepare the required items below. a. A project narrative. b. An accurata, dated work plat (inducting plan view and aloes-seWonal drwMfQs) drawn to scale. Please give the present status of the proposed project Is any portion already complete? If previously autlwrized work, clearty indicate on maps, plats, drawings to distinguish between work completed and proposed. G A site or location map that is sultiRdently detailed to guide agency personnel unfarniliar with the area to the site. form DCM MP-1 (Page 4 of 5) APP'RUN for Major Development Permit 2 2010 d. A copy of the deed (with state application only) or other Instrument under which the applicant chins title to the 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 waberfiont (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 ronunerks on the proposed project to the Division of Coastal Management. Name Donald P. Kwffw Phone No. Address 1237 Fairway Drive Yadkinvie, NC 27055 Parcels 6201 and 6361 Name PCS Phosphate Company, Inc.. Phone No. Address P.O. Box 425 Aurora, NC 278M Parcel Number 1783 Name Phone No. Address g. A list of previous state or federal permits issued for work on the project tract Indude permit numbers, pemuttee, and Issuing dates. None h. Signed consultant or agent authorization form, if applicable. i_ Wetland delineation, if necessary. j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Afust be soroad by property owner) k. A statement o(c ompliance 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 Aci. 1 7. Ceritification 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 knowiedge. Date February 10, 2010 Print Name Jay B. !:W Signature Please indicate application attachments pertaining to your pro pv ®DCM MP-2 Excavation and Fill Information DDCM MP-5 Bridges and Cufverts ❑DCM MP-3 Upland Development ❑DCM MP-4 Structures Information RECEIVEC Form DCM MP-2 EXCAVATION and FILL (Except for bridges and culverts) FEB 2 2 2010 Morehead City DCM Attach this form to Joint Application for CAMA Major Permit, Forth DCM MP-1. Be sure to complete an other sections of the Joint Application that relate to this proposed project. Please include all supplemental information. Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet Access Channel (NLW or NWL) Canal Boat Basin Boat Ramp Rock Groin Rock Breakwater Outer (excluding shoreline stabilization Length Width Avg. Existing Depth NA NA Final Project Depth NA NA 1. EXCAVA77ON ®This secWn not applicable a. Amount of material to be excavated from below NMN or NWL In b. Type of material to be excavated, cubic yards. a (i) Does the area to be excavated include coastal wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom (SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected. ❑CW ❑SAV 0S8 OWL ❑None (ii) Describe the purpose of the excavation in these areas: d. High round excavation In cubic yards. Z DISPOSAL OF EXCAVATED MATERIAL ® This section not applicable a. Location of disoceal area. b. Dimensions of disposal area. C. (i) Do you claim We to disposal area? []Yes ❑No ❑NA (i) If no, attach a letter granting permission from the owner. e. (i) Does the disposal area Include any coastal wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom (SB), or other wetlands (WL)? If any boxes are checked, provide the number of square few affected. []CW ❑SAV ❑SB ❑WL ❑None (b) Describe the purpose of disposal in these areas: d. () Will a disposal area be available for future maintenance? ❑Yes ONo ❑NA (10 if yes, where? f. () Does the disposal include any area in the water? ❑Yes ❑No ❑NA (i) If yes, how much water area is affected? 3. SHORELINE STABIUZA77ON ❑ This section not applicable (lf devefoprrrent is a wood groin, use MP-4 — Structures) Form DCM MP-2 (Excavation and Fill, Page 2 of 2) a. Type of shoreline stabilaation: b. Length: ❑Bulkhead ®ROW ❑BreakwateNSill []Other Width: JZ t-E8 L• 0' c. Average distance weterward of NHW or NWd. Maximum distance waterward of NM or NWL: (Y ,9,12010 W0r9r)docl City DClW e. Type of stabilization material: f. () Has there been shoreline erosion during preceding 12 Granite or Limestone monk? ❑Yes ®No ❑NA (u) If yes, state amount of erosion and source of erosion amount arforrnation. g. Number of square feet of fill to be placed below water level. h. Type of fill material. Bulkhead backfil Riprap 0 Sa. R WA Breakwater/Sill Other i. Source of fill material. WA & OTHER RLL ACT1VMES 0Tids section not appiicable (&dudeng Shoretrrle Stabdizabon) a. W WIN fill material be brought to the SAO? OYOS ONO EINA b. W Will fid material be placed in coastal wetlendstmarsh (C", tf yes, (s) Amount of material to be pieced in the water (iii) Dimensions of fdl area (iv) Purpose of fill submerged aquatic vegetation (SAV), shell bottom (SB), or other wetlands (WL)? It any boxes are checked, provide the number of square feet affected. OCW ❑SAV ❑SB ❑WL ❑None (i) Describe the purpose of the fill in these areas: 5. GENERAL a. How will excavated or fig material be kept on site and erosion b. What type of construction equipment will be used (e.g., draghne, controlled? backhoe, or hydraulic dredge)? Rip Rap Typical Road Construction Equipment c. (i) Will navigational aids be required as a result of the project? d. (r) Will wetlands be crossed in transporting equipment to project ❑Yes No ❑NA site? ❑Yes ®No ❑NA (ii) tf yea, explain what type and how they wig be implemented. (h) tf yes, explain steps that will be taken to avoid or minimize environmental impacts. 10.201 SR 1004, Hickory Point Road,Beaufort County WBS Element Number 2C.100711 Jay B. Johnson An plicant Name T pNcartt Si atu '�� RECElyEL9 NCDENR FEB 22 201U North Carolina of Environment and Natural Resources nor®,, Division of Coastal ��g��nQd City DCM Bevedy Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date AD ?410 Name of Property Owner Applying for Permit: 0 o RT r.-JT oI' PTA?io,f Mailing Address: Y14 n)<.,,,/ iLGE Q."— I certify that I have authorized (agent)/�e.f act on my behalf, for the purpose of applying for and obtaining all CCAAMA Permits necessary to install or construct (activity) '5H"RC at (my property located at) eEL :�oZo / Lo7- A Ai 7 �cA-A7 T Gsg j_ f,, Gscpl This certification is valid thru (date) 16, Z4 A5) Property Owner Signature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-8W28M8 FAX 252-247-3330 1 Internet www.ncooastalmanagementnet An Equal OpPortundy l AffOnsM Action Employer - 50% Recycled 110% Post Consumer Paper 4ECElVE® FEB 2 2 2010 Rip Rap Placement For Shoulder and Slope MorenepdCi Stabilization, SR 1004, Hickory Point Road, Beaufort l'DcM County WBS Element Number: 2C.1OO711 Erosion Control Schedule • Install erosion/sediment control measures according to plans. • Grading of slopes; 1.5: 1= stabilize with Class B riprap • Seed all disturbed areas as soon as final grading is completed. • Clean out and/or rework all temporary sediment control measures after significant rainfall event (or as otherwise needed). These measures should be maintained until a permanent vegetative cover is established and project is complete O�dF W A TF9QG 5 < RECE Ei5 Office Use Only. ', 2 Corps action ID no.FEB Q to DWQ project no. Fort Version 1.3 Dec 10 200 "900Ci oc:ty Pre -Construction Notification Form A. Applicant information 1. Processing 1a. Type(s) of approval sought from the Corps: ® Section 404 Permit ❑ Section 10 Permit 1 b. Specify Nationwide Permit (NWP) number. 3 or General Permit (GP) number- 1 c. Has the NWP or GP number been verified by the Corps? Yes TO ® No .- id. Type(s) of approval sought from the DWQ (check all that apply): ® 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Pemmit ❑ 401 Water Quality Certification — Express ® Riparian Buffer Authorization le. Is this notification solely for the record because written approval is not required? For the record only for DWQ 401 Certification: ❑ Yes ® No For the record only for Corps Permit: ® Yes j] No 1 f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts? If so, attach the acce tano letter from m pacts p mitigation bank or In -lieu fee program. ❑Yes ® No 1g. Is the project located in any of NC's twenty coastal counties. If yes, answer I below. ® Yes ❑ No 1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? 0 Yes ❑ No 2. Project Information 2a_ Name of project: SR 1004 Hickory Point Road Shoulder Stabil"¢ation 2b. County: Beaufort 2c. Nearest municipality / town: Aurora 2d. Subdivision name: NIA 2e. NCDOT only, T.I.P. or state project no: 2C.100711 3. Owner Information 3a. Name(s) on Recorded Deed: Donald P. Kieffer 3b. Deed Book and Page No. DBK 1304,Pg. Big and DBK. 1582, Pg. 102 3c. Responsible Party (for LLC if applicable): WA 3d. Street address: 1237 Fairway Drive 3e. City, state, zip: Yad4clnville, NC 27055 3f. Telephone no.: 3g. Fax no_: 3h. Email address: Page 1 of 10 PGN Form — Version 1.3 December 10, 2008 Version RECEIVED 4. Applicant Information (if differerrt from owner) 4a. Applicant Is: 4b. Name: ❑ Age ®Other, specify: Division 2 Environmental Officer-sh®ad c., .. Jay B. Johnson 4c. Business name (if applic eNe): North Cardhza DePretrnent of Transportation 4d. Street address: P.O. Box 1587 4e. QtY. state, zip: Greenville, NC 27835 4f. Telephone no.: 252-830-3490 4g. Fax no.: 252-830-3341 4h. Email address: Johnson@nc dot.gov & AgentfConsultant lnfomwftn (If applicable) 5a. Name: N/A 5b. Business name (if applicable): 5c. Street address: 5d. City, state, zip: 5e. Telephone no.: 5f. Fax no.: 5g. Email address: Page 2 of 10 PCN Form —. Version 1.3 December 10, 2008 Version RECEIVED FEB 2 2 2010 B. Project Information and Prior Project History 1. Property IdentM"tion 1a. Property identification no. (tax PIN or parcel ID): Parcels 6201 and 6361 1 b. Site coordinates (in decimal degrees): 76� 70395N526 Longitude: - W (DD.DOODOD) (-DD.DODDDO) 1 c. Property size: Lots 27 and 28 acres 2. Surface Waters 2a. Name of nearest body of water (stream, river, etc.) to Proposed project: Pamlico 2b. Water Quality Classification of nearest receiving water. SA;HQW;NSW 2c. River basin: Tar -Pamlico 3. Project Description 3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: SR 1004, Hickory Point Road is a paved secondary state highway. Agricultural and Residential Land Uses dominate the landscape. 3b. List the total estimated acreage of all existing wetlands on the property. This site is part of a larger adjacent wetland system 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: This site is part of a longer adjacent stream system 3d. Explain the purpose of the proposed project: Shoulder Stabilization; the existing shoulder is failing. 3e. Describe the overall project in detail, including the type of equipment to be used: The Existing Shoulder will be stabilized with Rip Rap. Excavators,Dump Trucks,and Crane Trucks will be used. 4. Jurisdi tiionai Determinations 4a. Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / ®Y� El No ❑Unknown project (including all prior phases) in the past? Comments: 4b. If the Corps made the jurisdictional determination, what type ® Preliminary ❑Final of determination was made? 4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: Name (if known): Jay B. Johnson Other: NCDOT - 4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. January, 2010 5. Project History 5a. Have permits or certifications been requested or obtained for ❑ Yam' No Unknown this project (including all prior phases) in the past? 5b. If yes, explain in detail according to 'help file' instructions. 6. Future Project Plans 6a. Is this a phased project? ❑ Yes ® No 6b. tf yes, explain. Page 3 of 10 KIN Form —Version 1.3 December 10, 2008 Version RECEIVED PPP 9. 9. min C. Proposed Impacts Inventory 1. Impacts Summary 1 a. Which sections were completed below for your project (check all that apply): 0 Wetlands ❑ Streams - tributaries ® Buffers ❑ Open Waters ❑ Pond Construction 2. Wetland Impacts If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted. 2a. 2b. 12c. 2d. 2e. 2 f. Wetland impact Type of jurisdiction number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact Permanent (P) or (if known) DWQ — non-404, other) (aces) Temporary W1 ®P ❑ T Fill Bottomiand ❑ Yes ® Corps 335 Sq. ft. Hardwood Forest ® No z DWQ 0.008 Acres W2 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W3 ❑ p ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W4 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W5 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W6 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ 2g. Total wetland impacts 0.008 Acres 2h. Comments: 3. Stream Impacts if there are perennial or Intermittent stream impacts (including temporary Impacts) proposed on the site, then complete this question for all stream sites impacted. 3a. 3b. 3c. 3d. 3e. 3f. 3g. Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact number - (PER) or (Corps - 404, 10 stream length Permanent (P) or intermittent DWQ _ non-404 width (linear Temporary M (INT)? other) (feet) feet) S1 ®P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S2 ® P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S3 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S4 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S5 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S6 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ 3h. Total stream and tributary Impacts 0 3i. Comments: No Stream Impacts Page 4 of 10 PCN Form — Version 1.3 December 10, 2008 Version RECEIVED ' U I U 4. Open Water Impacts If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean or an A 1Q 3 1 r"'sV ra M Y water o the U.S. then individual list all o dually pen water Impacts below. 4a. Open water 4b. Name of waterbody 4c. 4d. 4e. impact number — Permanent (if applicable) Type of impact Waterbody type Area of impact (acres) (P) or Temporary 01 ❑P[IT 0.00 02 ❑P❑T 03 ❑P❑T 04 ❑P❑T 4f. ETbtaln water impacts 0.004g.s: No Open Water Impacts S. Pond or Lake Construction N pond or lake construction proposed, then oom fete the chart below. 5a. 5b. 5c. 5d. 5e. Pond ID proper use of purpose of Wetland Impacts (acres) Stream Impacts (feet) Upland number pond (acres) Flooded Filled Excavated Flooded Filed Excavated Flooded P1 P2 5f. Total None 5g. Comments: No Lake Construction 5h. Is a dam high hazard permit required? ❑ Yes ❑ No If yes, permit ID no: 5i. Expected pond surface area (acres): 5j. Size of pond watershed (acres): 5k. Method of construction: Page 5 of 10 PCN Form —Version 1.3 December 10, 2008 Version REC4., 6. Buffer Impacts (for DWQ) d LS y� n 2o1 L pi If project will Impact a protected riparian buffer, then complete the chart below. If yes, then individually list all tx,t(fer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form. 6a Project is in which protected basin? ® Neuse ❑ Tar -Pamlico ❑ Other. Hone ❑ Catawba ❑ Randleman 6b. Buffer impact 6c. 6d. 6e. 6f. ag_ number — Permanent (P) Reason for Impact Stream name Buffer mitigation Zone 1 impact (square feet) Zone 2 Impact (square feet) or Temporary required? 131 ®P ❑ T Shoulder Stabilization Pamlico ❑ Yes ® No 335 0 Sq. Ft B2 ❑P❑T El Yes ❑ No B3 ❑P❑T El Yes ❑ No 6h. Total buffer impacts 335 Sq. Ft 0 Sq. Fk 6i. Comments: 335 Square Feet of Buffer Zone 1 Impacts D. Impact JustWcatlon and Mitigation 1. Avoidance and Minimization 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. Wetland Impacts have been minimized to the extent feasible, with impacts occurring only where necessary to accommodate Ow proposed shoulder stabilization. 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techNques Use of existing roadway to operate constructionequipment; no equipment will enter wetlands. 2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State 2a. Does the project require Compensatory Mitigation for ❑ Yes ® No impacts to Waters of the U.S. or Waters of the State? 2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps ❑ Mitigation bank 2c. If yes, which mitigation option will be used for this project? ❑ Payment to in -lieu fee program ❑ Permittee Responsible Mitigation 3_ Complete If Using a Mitigation Bank 3a. Name of Mitigation Bank: 3b. Credits Purchased (attach receipt and letter) Type Quantity Page 6 of 10 PCN Form — Version 1.3 December 10, 2008 Version 3c. Comments: NIA 4. Complete If Malting a Payment to In4leu Fee Program 4a. Approval letter from in -lieu fee Program is attached. El Yes 4b. Stream mitigation requested. linear feet 4c. if using stream mitigation, stream temperature: ❑ warm ❑Door 4d. Buffer mitigation requested (DWQ only): square feet 4e. Riparian wetland mitigation requested: acres 4f- Non -riparian wetland mitigation requested: acres 4g. Coastal (tidal) wetland mitigation requested: acxes 4h. Comments: 6. Complete if using a Parmittee Responsible Mitigation Plan 5a. If using a permittee responsible mitigation plan, provide a description of the proposes} mitigation plan. 6. Buffer Mitigation (State Regulated Riparian Buffer Rules) —required by DWQ 6a. WiII the project result in an impact within a protected riparian buffer that requires ❑ Yes butter mitigation? ®No 6b. If Yes, amount akln� the square feet of impact bo each zone of the riparian buffer that mitigation required. requires mitigation. Calculate the 6c. - 6d. Zone Reason for impact Total impact Multiplier Required mitigation Zone 1 uare feet) (square feet) (Ulm" Zone 2 3 (2 for Catawba) 1.5 6f. Total buffer mitigation required: None 6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e. Permittee responsible riparian buffer restoration, Payment into an approved irNieu fee fund). 9 ,Payment to prorate mitigation bank, WA Page 7 of 10 PCN Form — Version 1.3 December 10, 2008 Version iRECEIVEG FEB 22 Wo Il oral E. Stormwater Management and Diffuse Flow Plan (required by DWQ) 1. Diffuse Flow Plan 1 a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules? 10 Yes ❑ No 1 b. If yes, then is a diffuse flow plan included? If no, explain why. Comments: The Proposed Rip Rap will be placed on Filter Fabric. Stormwater will ❑ Yes ® No Diffuse Flow through the Rip Rap and the Stormwater will be treated by flowing throughVegetated sections of the Shoulders before entering into the Pamlico River. 2. Stormwater Man meat Plan 2a. What is the overall percent imperviousness of this project? N/A Roadway Project % 2b. Does this project require a Stomiwater Management Plan? ® Yes [] No 2c. if this project DOES NOT require a Stormwater Management Plan, explain why: 2d. If this project DOES require a Stanrrwater Management Plan, fhen provide a brief, narrative description of the plan: The Proposed Rip Rap will be placed on Fitter Fabric. Stormwater will Diffuse Flow through the Rip Rap and the Stormwater will be treated by flowing throughVegetated sections of the Shoulders before entering into the Pamlico River. Certified Local GovernmentProgram 2e. Who will be responsible for the review of the Stormwater ManagementEl Plan? . El DWQ Stormwater Program ® DWQ 401 Unit 3. Certffled Local Government Stormwater Review 3a. In which local govemmenrs jurisdiction is this project? N/A ❑ Phase II 3b. Which of the following locally4mplemented stormwater management programs ❑ NSW ❑ USMP apply (check all that apply): ❑ Water Supply Watershed ❑ Other. N/A 3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ® No attached? 4. DWQ Stortmvater Program Review ® Coastal counties 4a. Which of the following state -implemented stormwater management programs apply ® HOW ❑ ORW (check all that apply): ❑ Session Law 2006-246 ❑ Other:NPDES Permit 4b. Has the approved Stormwater Management Plan with proof of approval been attached? ❑ Yes ® No 6. DWQ 401 Unit Stormwatw Review 5a. Does the Stormwater Management Plan meet the appropriate requirements? ❑ Yes ❑ No 5b. Have all of the 401 Unit submittal requirements been met? ❑ Yes ❑ No Page 8 of 10 PCN Form — Version 1.3 December 10, 2008 Version RECEIVED FEB 2 2 ?nin F. Suppiementary Information Morehead Cify I. Environmental Documentation (DWQ Requirement) la. Does the project involve an expenditure of public (federaUstateAocal) funds or the use of public (federaUstate) land? ® Yes ❑ No 1 b. If you answered 'yes' to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State ❑ Yes ® No (North Carolina) Environmental Policy Act (NEPA/SEPA)? 1 c. tf you answered 'yes' to the above, has the document review been finalized by the State Clearing House? (if so, attach a copy of the NEPA or SEPA final approval letter.) ❑ Yes ❑ No Comments: 2. Violations (DWQ Requirement) 2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), isolated Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ❑ Yes ® No or Riparian Buffer Rules (15A NCAC 26.0200)? 2b. Is this an after -the -fact permit application? ❑ Yes ® No 2c. If you answered "yes' to one or both of the above questions, provide an explanation of the violation(s): 3. Cumulative Impacts (DWQ Requirement) 3a. Will this project (based on past and reasonably anticipated future impacts) result in Yes ® No additional development, which could impact nearby downstream water quality? 3b. If you answered "yes" to the above, submit a qualitative or quantitatiye cumulative impact analysis in accordance with the most recent DWQ policy. if you answered 'no,' provide a short narrative description. 4. Sewage Disposal (DWQ Requirement) 4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. WA Page 9 of 10 PCN Form — Version 1.3 December 10, 2008 Version RECEIVFr 5. Endangered Species and Designated Critical Habitat (Corps Requirement) FEB 2 2 2010 5a. Will this project occur in or near an area with federally protected species or habitat? ❑ Yes an c'if rv. 5b. Have you checked with the USFWS concerning Endangered Species Act impacts? El Yes ® No 5c. If yes, indicate the USFWS Field Office you have contacted. Raleigh ❑ Asheville 5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? On -Site Habitat Investigation 6. Essential Fish Habitat (Corps Requirement) 6a. Will this project occur in or near an area designated as essential fish habitat? ® Yes ❑ No 6b. What data sources did you use to determine whether your site would Impact Essential Fish Habitat? NC Natural Heritage Program GIS Data 7. Historic or Prehistoric Cultural Resources (Corps Requirement) 7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation ❑ Yes ® No status (e.g., National Historic Trust designation or properties significant in North Carolina history and archaeology)? 7b. What data sources did you use to determine whether your site would Impact historic or archeological resources? NCSHPO 8. Flood Zone Designation (Corps Requirement) 8a. Will this project occur in a FEMA-designated 100-year floodplain? ❑Yes ® No 8b. If yes, e)lain how project meets FEMA requirements: Shoulder Stabilization designed to no -rise standards 8c. What source(s) did you use to make the fioodplain determination? FEMA FIRM Maps Jay B. Johnson February 10, 2010 Applicant/Agent's Printed Name pli t/ s Signature Date (Agents signatu on if authorization letter from the appkam is Page 10 of 10 PCN Form —Version 1.3 December 10, 2008 Version BANK STABILIZATION PROJECT SR 1004, HICKORY POINT ROAD SOUTH CREEK USGS QUAD MAP SHEET NUMBER 19 OF THE N ate SOIL SURVEY OF BEAUFORT COUNTY \ FIRM PANEL 6588 J ✓s 1783 PAMLICO RIVER PC HOSPHATE COMPANYjr)c �. E�ox 425 40' JS 44.7 •g AURORA, NC 27806 is- -- EXl RD8K.1024, Pg. 588 30, 26, 45.6 EXISTING STON 46.4 TOP OF 'V 0 �0� EX BANK SR 1004 HICKORY POINT ROAD /O' TO FERRY DOCK Ya 595142.2990 'A' 0 X= 26844642461 4987 MAP NUMBER J720658800 J WBS ELEMENT NUMBER 2CJ00711 FEBRUARY l0, 2010 SCALE: 1'=20' 6201 AND 6361 DONALD P. KIEFFER 1237 FAIRWAY DRIVE YADK/NVILLE. NC 27055 DBK.1582, Pg.102 D8K.1304. Pg. 619 -is �^ ExI TING STONE vs EXISTING R/W ` 335 Sq. Ft. PROPOSED CLASS Il STONE OF EXISTING BANK TO HICKORY POINT TO DEAD END EXISTING R/W TAR-PAMLICO RIVER BASIN ��'� `--- --- w bm TAR-PAMLICO RIPARIAN BUFFER RULES APPLY FIST f EXISTING ROADWAY IS EXEMPTED FROM BUFFER C PAMLICO RIVER IS CLASSIFIED AS SA -HOW, -NSW HUC CODE 93020104 SR 1004, HICKORY POINT ROAD, BEAUFORT COUNTY BANK STABILIZATION PROFILE Sto IO+Io .A$f EL = 49.82' EP Sto lO+pp� EL=49.87 SR 1004 I — NOT TO SCALE Slo /O+i9 TOP L OF4BANK AND TOP OF RIP RAP —III—III—III— —IIII—III—III— HE_ —III —III—III—III—III— � III III -III- — EXISTING RIP RAP FROM Sto /0+/8 TO Sto 10+26 iii-11I=III-iI11-III -11 u- Sto /0+26 EL = 46.4' TOE OF EXISTING RIP RAP PROPOSED RIP RAP WITH FILTER FABRIC FROM Sto I0+I8 TO Sto /0+30 Sto l0 +30 EL = 45.6' R/W w0\© Sto I0 +40 1 EL = 44.7 EDGE OF WATER � p� SUMMARY OF AFFECTED PROPERTY OTMERS TRACT NUMBER PROPERTY 0UWER RECEIVED ADDRL� 2 2010 1783 PCS PHOSPHATE COMPANY,Inc. P.O. BOX 425 AURORA, NC 27806 6201 DOKALD P. KIEFFER 1237 FAIRWAY DRIVE YADKINVULE, NC 27055 6361 DONAI.D P. KIEFFER 1237 FAIRWAY DRIVE YADK NVIr.r F KC 27055 BANK STABILIZATION PROJECT SR 1004, HICKORYPOINT ROAD, BEAUFORT COUNTY SOUTH CREEK USGS QUAD MAP SHEET NUMBER 19 OF THE SOIL SURVEY OFBEA UFORT COUNTY FIRM PANEL 6588 J FEBRUARY 10, 2010 MAP NUMBER 3720658800 J CAMA GP PERMIT WBS ELEMENT NUMBER 2C.100711 APPLICATION 1783 PCS PHOSPHATE COMPANY,Inc. P.O. BOX 425 AURORA, NC 27806 DBK. 1024, Pg. 588 0 750 1,500 3,000 4,500 6,000 Feet 1 inch = 2,063.259555 feet PROJECT Y= 595142.2989 X= 2684464.2461 N 35^-21'-49" W 76^-42W4" N 35.363526 DEGREES i W 76.703957DEGREES Rtcely 22®1® r®h®ad 6201 DONALD P. KIEFFER 1237 FAIRWAYDRIVE YADKINVILLE, NC 27055 DBK. 1582, Pg 102 E v 6361 DONALD P. KIEFFER 1237 FAIRWAYDRIVE YADKINVILLE, NC 27055 DBK. 1304, Pg. 619 BANK STABILIZATION PROJECT SR 1004, HICKORYPO17VT ROAD, BEA UFORT COUNTY SOUTH CREEK USGS QUAD MAP SHEET NUMBER 19 OF THE SOIL SURVEY OF BEA UFOR T COUNTY FIRM PANEL 6588 J FEBRUARY10, 2010 MAP NUMBER 3720658800 J C4M,4 GP PERMIT APPLICATION I" GUM. 0 650 1,300 2,600 3,900 5,200 Feet 1 inch = 2,034.957695 feet FE8 2 DCM N W- E s Rl lcm BANK STABILIZATION PROJECT SR 1004, HICKORYPOINT ROAD, BEAUFORT COUNTY SOUTH CREEK USGS QUAD MAP SHEET NUMBER 19 OF THE SOIL SURVEYOFBEAUFORT COUNTY FIRM PANEL 6588 J FEBR UARY 10, 2010 MAP NUMBER 3 720658800 J CAMA GP PERMIT WBS ELEMENT NUMBER 2C.100711 APPLICATION PROJECT 2nd St Cee � 595142.2989 X 2684464,2461 �0 N35^-21' 49" W 76^-42W4" r N 35.363526 DEGREES W 76.703 95 7 DEGREES ;9 0 650 1,300 2,600 3,900 1 inch = 2,000 feet 5,200 Feet Pt Rd FEB w 2 2010 �Praredi� I I City DCAj z RECEIVE[, ■ 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: �vLDe- I �� --�-j8o� 2. Article Number (Transfer from service labeo PS Form 3811, February 2004 FEB 22 2010 1114OPeheOcl City DCA4 I ❑ Agent ❑ Addressee E�Recelved` y (Prin Name) / C. D of D livery D. Is delivery address different from item 1? Ll Yes if YES, enter delivery address below: ❑ No 3. Service Type JCertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7009 0080 0002 4029 4333 Domestic Return Receipt ■ 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: J) � G� 411 ErFE P- Iz3 7���(,�� �iC / ,=� 7 V Ste". 2. Article Number (Transfer from service tabeq PS Form 3811, February 2004 102595.02-M-1540 A. Signature / ❑ Agent ❑ Addressee B. Received by (Printed M1114 C. Date ofDelivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below. ❑ No 3. Service Type ,EZ'Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7009 0080 0002 4029 432L Domestic Return Receipt 102595-02-M-1540,i �' a L, r,—a-1 RECElvrn ■ 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: CGS At) 2De-a) /\)C- --�7go10 2. Article Number (transfer from service label) PS Form 3811, February 2004 V) ❑ Agent ❑ Addresse Received y (P�rijnt �Ni�am^e) C.�,ofs 11% D. Is delivery address different from item 1 If YES, enter delivery address below: ❑ No 3. Service Type 53:16ertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 70D9 0080 0002 4029 4333 Domestic Return Receipt ■ 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: M3 7 �lADICIo'jVIF— C // A 7 V S� 2. Article Number (rhvwfer from service label) PS Form 3811, February 2004 102595-02-M-1540 A. Signature � ❑Agent X (� �v ❑ Addressee B. Received by ( Printed Nam C. Date of Deliver Vd ti t- �- - /V D. Is delivery address different from item 1? ❑ Yes if YES, enter delivery address below: ❑ No 3. Service Type `Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7009 008D 0002 4029 4326 Domestic Return Receipt 102595-02-M-1540 i VSPS - Track & Confirm Page 1 of 1 UNlTE'DSTATES PQSTAL SEft'V ICE,. Home I Heip I Sign in ..... ........,.. ......... Track & Confirm FAQs _..... _........... _ ... Track & Confirm Search Results Label/Receipt Number: 7009 0080 0002 4029 4333 Service(s): Certified MailTM Status: Delivered Your item was delivered at 4:43 PM on February 16, 2010 in AURORA, NC 27806. Tragic & Confirm Enter Label/Receipt Number. Detailed Results: • Delivered, February 16, 2010, 4:43 pm, AURORA, NC 27806 • Notice Left, February 16, 2010, 9:39 am, AURORA, NC 27806 • Arrival at Unit, February 16, 2010, 9:25 am, AURORA, NC 27806 Notification Options Track & Confirm by email Get current event information or updates for your item sent to you or others by email. i'As Ste_FAap Custom=r_Service. Forms Gcr't Services Careers Copyright@ 2010 USPS. All Rights Reserved. No FEAR Act EEO Date FOt PrYacy_Policy Terrn$oof Use A r,.......... ..._ Gos 3usuiess Cgslcm_er Gateway httn://trkcnfrml .smi.uses.con/PTSlntemetWeb/InterLabellnquiry.do 3/5/2010 LISPS - Track & Confirm .v Page 1 of 1 JimUNUEDSTATES POSTAL SERVIC&., Home Hey I Sign In _..... Track & Confirm FAQs Track & Confirm Search Results Label/Receipt Number: 7009 0080 0002 4029 4326 Service(s): Certified Maii'm Status: Delivered Your item was delivered at 9:13 AM on February 17, 2010 in YADKINVILLE, NC 27055. ....... _- ..... ..... ... .... . Track & Confirm Enter Label/Receipt Number. Detailed Results: • Delivered, February 17, 2010, 9:13 am, YADKINVILLE, NC 27055 • Notice Left, February 16, 2010, 11:03 am, YADKINVILLE, NC 27055 • Arrival at Unit, February 16, 2010, 8:51 am, YADKINVILLE, NC 27055 Notification Options Track & Confirm by email Get current event information or updates for your item sent to you or others by email. Go SiiaMap Custgme..r_S ryice, Forms. Gov't,Se-vices Careers Copyright:© 2010 LISPS. All Rights Reserved. No FEAR Act EEO Data FOI A y Pnr%La- Poles rm Tes of Use so+ Business GustpMer Gateway httn•//trlrrrnfrml cmi ncnc cnm[PT,CTntP.rnPtWPh/TnterT.,ghe]Tnciuirv.do 3/5/2010 A riparian buffer authorization is required for shoreline stabilization activities within the Tar -Pamlico & Neuse River basins per Division of Water Quality (DWQ) regulations 15A NCAC 02B.0259 & 0233, The Division of Coastal Management (DCM) through a Memorandum of Understanding with the Division of Water Quality (DWQ) has reviewed your project proposal, determined that the project as proposed complies with the aforementioned regulations, and made a "no practical alternatives" determination per those regulations. Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization as long as the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to comply with this Buffer Authorization shall subject the property owner & the party (contractor) performing the construction Wor land clearing to a civil penalty of up to $25,000 per day per violation. 1. Impacts: Impacts to woody vegetation From clearing and filling in Zone 1 (begins at the most landward of either the waters edge or the coastal wetland line and extends 30 feet landward) shall be minimized to what must be impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and filling in the buffer is a violation of the riparian buffer rules. 2. Clearing & Grading: Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet landward) is allowed provided that it is re -vegetated immediately and Zone 1 is not compromised, which includes maintaining diffused (non-channelized) flow of storm water runoff through the buffer. 3. Construction Corridors: Construction corridors are allowed for shoreline stabilization projects, but they must be satisfactorily restored as described in condition 5 below. 4. Potential Overwash: For vertical shoreline stabilization projects (bulkheads) only; sites where wave overwash is expected to be severe, the first ten (10) feet landward (unless specifically authorized otherwise by DCM) from the structure may be maintained as a stable lawn in order to provide for structural stability. 5. Site Restoration: At minimum, pre -project site conditions must be re-established. A site that was wooded prior to this shoreline stabilization project must be restored with woody vegetation at a stem density of 320 stems per acre. Non wooded sites may be re -vegetated with woody vegetation. Restoration must be completed by the first subsequent planting season (November 1 through March 30) after completion of the bulkhead. Once re- established, understory vegetation in Zone 1 is to be undisturbed and no mowing or any other activity that would remove understory vegetation is allowed. • Pre -project site conditions: IVtl ve feJr,+eJ ;,, c h . 6. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your property indicating the location of the shoreline stabilization structure and any associated clearing, grading, and construction corridors. This drawing will be used to aid in compliance and monitoring efforts. By your signature below you agree to be held responsible for meeting all of the above listed conditions and verify that all information is complete and accurate. Agent or icant Printed Name Permit Officer's Signature Agent or LAMA GENERAL E'RMIT #: Washington Office 943 Washington Square Mall Washington, NC 27889 Phone 252-946-6481 3_3-Ib Issue Date Morehead City Office 400 Commerce Avenue Morehead City, NC 28557 Phone 252-808-2808 An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper One NorthCaxofina ahlI I Version 5, 09/2009