54631_NC DOT_20100105

❑CA1s1t♦„y;-, J DREDGE & FILL AF,RIL
GENERAL PERMIT ""1 Previous permit #
[]New ❑Complete Reissue ❑Partial Reissue / Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address
City
State ZIP
Phone # ( )
Fax # ( )
Authorized Agent
�:] CW
❑ EW ❑ PTA [[ ES ❑ PTS
Affected
❑ OEA
AEC(s):
❑ HHF ElIH ElUBA ElN/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City - ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
)
Pier (dock) length
Platform(s)T"—
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
I
I
1
I_
y
Lv
?
--
I
I
i
�
-
1
__._
_
--
_
I ..
I
Shoreline Length
SAV: not sure yes no,
Sandbags: not sure yes no
Moratorium: n/a yes f19�
Photos: yes' no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
1
❑ 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
Rover File Name
Application Fee(s)
Check # Local Planningf urisdiction

4
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 Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

0AMA ! [Z�bRPEDGE & FILL I\j I') , .1 #' `,? _L
GENERAL PERMIT Previous permit #
[S�Kevv ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources —7
11
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / .L
n C- lUes attached.
Applicant Name N Project Location: County C• ''tom' Z
Address Street Address/ State Road/ Lot #(s) �<
City State N C- ZIP a- r. I ,.✓ {r rt i T 1 l s
Phone # ) "� 3 ctaix # (_-
Authorized Agent
Affected E?eW E9,L* &VTA r---ES ❑ PTS
AEC(s): ElOEA ElHHF ❑ IH F ] UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / 'g Crit.Hab. yes / no
j Type of Project/ Activity
M
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 1 7I /i ` �n X G
Subdivision
City N`-'y-tj C" ZIP )-,F;-70
Phone # () % River Basin
Adj. Wtr. Body y 1 �f ((kman /unkn)
Closest Maj. Wtr. Body 111wsc� c/�l
136`` X
Shoreline Length
I
f
SAV. not sure
Sandbags: not sure
y es
no
-,
—
Moratorwm:
yes
�
i
n/a
yes
Photos:
ve
no
Waiver Attached:
yes
n®---.---
-----
A building permit may be required by:
10�"t`I
v'� / �z A.
Notes/ Special Conditions
(Scale: A )
❑ See note on back regarding River Basin rules.
OV �- r'1..ar r1,.,1! j.�+ ,��a �� �hr': �v �{>,✓yam
,)' 1►'� cC t C :, n i� 1t � � n cJ
or Applicant Printed Name
Signature Please read compliance statement on back of permit
-X Yoo �,,r81 28, 16/1
Application Fee(s) Check #
PermitOffi( e�r''s Signature
1,--J l o
Issuing Date Expiration Date
X J ).-3 D ) r,A
Local Planning Jurisdiction Rover File Name

ALT ? A
7i�lla
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
January 6, 2010
Jay Johnson, NC DOT
Division of Environmental Officer
Division 3
PO Box 1587
Greenville, NC 27835
Dear Mr. Johnson:
Attached is General Permit #54631 C to construct a 14' 11 "x9' 10"x60' culvert to replace two
96"x60" culverts at SR 1154 (Mill Creek Road) approx 100' west of SR 1155in Newport, 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,
Stephan 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

Last Name
PO Sox City State
Phone No. 2
ext.
ext.

3. Project Location
ore cad City acM
State tid #
i County (can be multiple)
Sheet Address
SR I1'S4 Mill Creak
Carteret
Road
Sut�division blame 'City
State
Zip
Phone No.
Lot No(s) (if many, attach additionalpace with hst)
_ ekt,
a. In vfhich NG river basin is the project located?
b. Name of body of water nearest to propdseti project
White Oak
Mill Creek
c Is the rater body identified in (b) above, natural or manmade?
d. Name tha closest major water body to the proposed project site
©Natural Omanmade El Unknown
1 Newport River
e. Is proposed work within city lirnits or planning jurisdiction?
{ f. If applicable, list the planning jurisdiction or city Limit the proposed
❑Yes QNo
I work falls within
N/A
4. Site Description
a. Total length of shoreline on the tract'(ft.) 1 b. Size of entire tract (sq.ft.)I
! 85' {40' North and 45' South) NIA
h. H041, does locat government zone the tract?
1. Is the proposed project consistent with the applicable zoning?
NIA
;Attach zoning compliance certificate, if"appiicable)
CYes ❑N'o (DNA
j. is the proposed activity part of an urban waterfront redevelopment proposal? Yes ; No
j k. Has a professional archaeological assessment been done fer the tract? If yes, attach a copy DYes No OFA
i
If yes, by whom?
I i�is the proposed project located in a National Registered Historic District or does it involve a ElYes. N—Jo NA
National Re^,inter listed or eligible property?
<Form continues on next page>
No
MYes 04\40
EYes ❑No

................ .
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.
The Existing 2@96"x 60' CMP Will Be Replaced By 1 @ 14'-11'' x 9'-10'' 71" x 60' CAAPA with Headwalls. The Proposed
Pipe Will Keep The Roadway From Collapsing, Thus Preventing Possible Injury and Death
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
The Existing Pipes Will Be Removed and the Proposed Pipe Will Be installed. Typical Roadway Construction Equipment
Will Be Used; IncludingBut Not Limited To Tracked Excavators,Dump Trucks, Flat -Bed Trucks, Back-Hoes,And Boom
Trucks.
d. List all development activities you propose.
. .
Pipe Replacement and Asphalt Patching
....
i
e. Are the proposed activitiesmaintenance' of an existing project, new work, or both? Both
f. What s the approximate total disturbed land area resulting from the proposed project? 1940 ®Sq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area LlYes DNo NA
that the public has established use of?
h. 'Describe location and type of existing and proposed discharges to waters of the state.
N/A
i. Will wastewater or stormwater be discharged into a wetland? ❑Yes ❑No ❑NA
If yes, v;dJ this discharged water be ofthe same salinity as the receiving Ovate, r ❑Yes ❑No ❑NA
j. Is there any mitigation proposed? Yes CNo 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) — (0 are always applicable to any mafor development application. Please consult the application
instruction booklet on hour to properly prepare the required items belova.
a. A project narrative
b An accurate, dated work pat (including plan view and cross -sectional drawings) dranvn 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.
Lc__A site or location map that is sufficiently detailed to guide agency personnel unfamiliar ,with the area to the site.

_ ........... _ _
Form O UP- �Exi;av-atiQn n,e Kklt, b3 qo :?'Z i. 2,
........ .. . ..
t
�Q� 5 zoiQ
a. Type of shoreline stabilization:
b.
Length:85'North And 4 'a�raCj u6Jcity Oc
®Bulkhead ❑Rp ❑ ; ra ElBreakwater/Sill Other:
P
Width: 3'
c. Average distance waterward of NHW or NWL- 2'
d.
Maximum distance waterward of NHW or NWL '3'
e. Type of stabilization material:
f.
(i) Has there been shoreline erosion during preceding 12
Aluminum Structural Plate Headwall
months?
❑Yes MNo El NA
(ii) If yes, state amount of erosion and source of erosiom amount..
nformation.
g. Number of square feet of fill to be'placed:b.etow water level.
h.
Type of fill material
Bulkhead backfill North 40'x5=200 Sq.Ft, Sout- 45'x5'=225 Sq.Ft.
Aluminum Structural Plate
Riprap t .. . ._
Breakwater/Sill Other ": ..
i. Source of fill material _.:
Clark's Neck Quarry
4. 'OTHER FILL ACTIVITIES
®This section not ahplicab..i.
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? ❑Yes No NA
b.
(i)1Nill'fill material be placed in coastal wetlands/marsh (CW);
If yes,
submerged aquatic vegetation (SAV), shell bottom (SB), or
(ii) Amount of material to be placed in the water
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(iii) Dimensions of fill area
❑CW []SAV ❑SB
(iv) Purpose of fill
OWL C1None
(ii) Describe the purpose of the fill in these areas.
5. 'GENERAL
.
a. How will excavated or fill material be kept on site and erosion
b.
What type of construction equipment will be used (e.g., dragline i
controlled?
backhoe, or hydraulic dredge)?
Siltfences,Rlp Rap, Headwall
Typical Road Construction Equipment
c (i) Will, navigational aids be requ red as z result of the project?
d.
(i) Will wetlands be crossed in transporting equipment to project
❑Yes ®N'o ❑NA
site? ❑Yes ZNo EINA
(ii) If yes, explain what type and how they will be implemented.
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
August 27, 2009 Revised December 11, 2009
C�
Date
'WIDS
pliant Sign Ve
SR 1154 KII Creek Road,Pipe Replacement Element
Number 213:201611 -
Project Name
.. . ... ....
:Jay B.Johnson
AP
plicant Name

RECEIVEV,
Form DCM MP-5 JAN 5 2010
BRIDGES and CULVERTS Morehead City DCM
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
a. Is the proposed bridge: b. Water body to be crossed by bridge:
❑Commercial ❑Public/Government ❑Private/Community
c. Type of bridge (construction material):
e. (i) Will proposed bridge replace an existing bridge? ❑Yes ❑No
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
g. Length of proposed bridge:
i. Will the proposed bridge affect existing water flow? ❑Yes ❑ No
If yes, explain:
k. Navigation clearance underneath proposed bridge:
m. Will the proposed bridge cross wetlands containing no navigable
waters? ❑Yes ❑No
If yes, explain:
d. Water depth at the proposed crossing at NLW or NWL:
f. (i) Will proposed bridge replace an existing culvert? ❑Yes El No
If yes,
(ii) Length of existing culvert:
(iii) Width of existing culvert:
(iv) Height of the top of the existing culvert above the NHW or
NWL:
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
h Width of proposed bridge:
j. Will the proposed bridge affect navigation by reducing or
increasing the existing navigable opening? ❑Yes ❑No
If yes, explain:
I. Have you contacted the U.S. Coast Guard concerning their
approval? ❑Yes [:]No
If yes, explain:
n. Height of proposed bridge above wetlands:
2. CUL.VEf T$ ❑This section not applicable
a. Number of culverts proposed: 1 b. Water body in which the culvert is to be placed:
Mill Creek
< Form continues on back>
.... .. a:, i;; ",aA:9, .. 4 G. Q0 8>8" -, 14't _. ......,.t� w,.::,...> �., .-.,.., ec �.5 .,..,,.....,�a•st. r..-,.a

RECEIVED
`5y.+r3,"ry �fflIN-x ��' �: '}{ > Pik '.r * d'i:: �`0 3'��' T, a 12 c
c. Type of culvert (construction material):
CAAPA
d. (i) Will proposed culvert replace an existing bridge?
❑Yes ®No
If yes,
Qi) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge: _
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
f. Length of proposed culvert: 60'
h. Height of the top of the proposed culvert above the NHW or NWL.
3.0'
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? ❑Yes ®No
If yes, explain:
JAN 5 2015
Morehead City DCM
e. (i) Will proposed culvert replace an existing culvert?
®Yes ❑No
If yes,
(ii) Length of existing culvert(s): 60'
(iii) Width of existing culvert(s): 96"
(iv) Height of the top of the existing culvert above the NHW or
NWL: 2.7'
(v) Will all, or a part of, the existing culvert be removed?
(Explain) All of the Existing Culverts Will be Replaced
g. Width of proposed culvert: 14'-11"
i. Depth of culvert to be buried below existing bottom contour.
I
k. Will the proposed culvert affect existing water flow?
❑Yes ®No
If yes, explain:
3, EXCAVATION and FILL This section not appiica6ie`
a. (i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ®Yes ❑No
If yes,
(ii) Avg. length of area to be excavated: 5'North 5' South
(iii) Avg. width of area to be excavated: 40' North 45' South
(iv) Avg. depth of area to be excavated: 5_3'
(v) Amount of material to be excavated in cubic yards: 83 Cu
Yds
c. (i) Will the placement of the proposed bridge or culvert require any
high -ground excavation? ®Yes ❑No
If yes,
(ii) Avg. length of area to be excavated: 26'
(iii) Avg. width of area to be excavated: 60'
(iv) Avg. depth of area to be excavated: 7.9'
(v) Amount of material to be excavated in cubic yards: 456
Cubic Yards
b. (i) Will the placement of the proposed bridge or culvert require any
excavation within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
®CW 110 Sa.Ft. ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of the excavation in these areas:
Pipe Bedding
.. ,... ,.SAES fl .°S�x2 fit ..., .,f ., .:?CS ,�, 6"i 9'"A"G�a".". "!'" ,.. xa,.,.,.a.. w.-,....�.ar4,r.,oc ssa •,.raa, ac,�mn5,r:.n .,3 ,.cr

Fb rM rd € _ (ridlga4s a €d CWva-rts, P—A ge 4 Sri 4)
C. Will the proposed project require any work channels?
❑Yes ®No
If yes, complete Form DCM-MP-2.
e. What type of construction equipment will be used (for example
dragline, backhoe, or hydraulic dredge)?
Typical Bridge Construction Equipment
g. Will the placement of the proposed bridge or culvert require any
shoreline stabilization? E]Yes ❑No
If yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
August 27,2009 Revised December 11, 2009
AppTicanVName
App�icant SI ur,
0�9 *ECfIVEP,
d. How will excavated or fill material be kept on site a d erosion 2010
controlled? ftbrGhApd Cam,
Turbidity Curtains and Silt Fences will be used to retOch,
sediment on -site
f. Will wetlands be crossed in transporting equipment to project site?
❑Yes ®No
If yes, explain steps that will be taken to avoid or minimize
environmental impacts.

RECEIVED
..E.HaT.E. I
n
NUN
I.E.I... mo
...............
PIPE, REPLACEMENT
up
.Y= 380172.8838
Ng
,X= 2673832.6306
Wr
N34A
-46'-25" m
........ .....
76A _45 '-21
N34.773659 DEGREES
w i.
W 76. 755912 DEGWEE, S
... ........
i w w w w
m
w w w
a w . . . . . . . . . . . . .
gin
0 700 1,400 2,800 4,200 5,600
Feet

�0 7001,400 2,800 4,200 5,600
- - Feet

F----�---
0.
SUMMARY OF AFFECTED PROPgRtYl

PROPOSED RIP RAP
E.-X AVAT10N BELOW N W L
SC TH 5'w x 45`C x 5Ta 44 YARi
CREEK

8^ '+Qmma : sr ,i % ?+ T"'m '41
2 f E of ?AVOW
FWA
TwezOxoAI.. PITCH
ILVATION y
Q �:LEGEND SHEET --- ---
U
D SE.FLOW THROUGH *:WETLANDS.
VE&TATEO UPLANDS. BEFOREENTERING..IV
mvx,
TTYPIC�EE CH EttI IEG
qmTEMPORARY ROCK SILT CHECK
TYPE-A :UPLANDS � � y 1?�e JILT BASS! ttFE 6
W O _ TEIPOAARY wh .52i cum ME -A.
yl
.. TE!RT 8MC%.STT_LiEU:TYPc-8:
d.
IEIPl"v SCi FENM .. .
SILT BASIN TYPB B Q w
w I GRADE BREAt
I ^ati' OFZMlf OF FLOW
wnQOsuNE
� .DIFFUSE FLOW DETAL DIFFUSE FLOW
ITS. -,404 WETLANDS' FILL AREA
- REUSE RIVER RIPARIAN BUFFER
— ------ 404:WETLANDS
-- COASTAL WETLANDS
-GRASS LINED.CHANNEL
---OPEN WATER IMPACTS
PROPMO'SILT FENCE
UTILITIES LEGEND,
TYPICAL. EACH SHEET
POWER POLE
At
Q
TELEPHONE PEDESTAL
©
CABLE TV PEDESTAL
©
SEWER CLEAN OUT
WATER VALVE
FIRE HYDRANT
Q
WATER METER
E[PO
EXISTING IRON PIPE
+ PROPERTY CORNER
�— PROPERTY LINE
GRASS -LINED CHANNEL
TRAPEZOIDAL DITCH SECT10pV
.z
X-SECTM AREA (A1= BD +zD
:TOP WIDTH (Tl- B + DDZ
' EXISTING FILL '
AREA TO BE
FILLED OR _ UNDISTURBED AREA
p1STUReED
.1
1
FABRIC BURIED BELOW
EXISTING :GRA:
SILT FENCE
DETAIL
Nt
PROPOSED SILT FENCE
WETLAND VAR. O'-6` .. VAR.9' 6'. .
EDGE OF EXIST. ROAD EDGE OF EXIST -ROAD

o
N LEG,END SHEET
U
Lta �
5 'ECIAL SEDIMENT CONTROL FENCE
3 FT.
VAf
D*
CONTROL STONE
ON.
!i W
SEDIMENT CONTROL.
I FT. MIN.
WATER FLOW
STEEL POST - 2 FT. DEEP
WOOD POST - 3 FT. DEEP
GENERAL NOTES:
USE NO.3 OR NO.57 STONE FOR SEDIMENT
CONTROL AND: PAY FOR AT THE CONTRACT UNIT
PRICE PER TON SEDIMENT CONTROL STONE
US£ . HARDWARE CLOTH 24 GAUGE WIRE MESH
WITH Y4 INCH MESH OPENINGS
INSTALL 5 FT.SELF FASTENER ANGLE STEEL
POST 2 FT.DEEP MINIMUM
INSTALL 6 FT. LONG; 3 IN. DIA WOOD :POSTS
3 FT.DEEP MINIMUM
SPACE POSTS A &AXIMUM OF 3 FT:
TURBIDITY CURTAIN
SILT BAG

U.S.
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For delivery information visit our website at vrevw.usps.com;
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PS Form 3800. August 2006 See Reverse for Instructions
U.S. Postal ServiceT,,,
CERTIFIED MAIL,,,, RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
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RECEIVED
DAN 5 2010
IWMheod City OCM
06t,�-KSQZ%

Form DCM MP-1 (Page 2 of 5)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Carteret
SR 1332, Harker's Island
Road
Subdivision Name
City
State
Zip
Phone No.
Lot No.(s) (►f many, attach additional page with list)
- - ext.
I I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
White Oak
Un-Named Tributary of Whitehurst 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
The Straits Core Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
[]Yes ®No
work falls within.
None
4.
Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
40' (20' North and 20' South)
N/A
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
1.7' ❑NHW or ®NWL
e.
Vegetation on tract
Maintained Roadside Grasses
f.
Man-made features and uses now on tract
Road
g.
Identify and describe the existing land uses adwacent to the proposed project site.
Residential Property
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 UNo ❑NA
National Register listed or eligible property?
<Form continues on next page>
m. (i) Are there wetlands on the site?
(ii) Are there coastal wetlands on the site?
(iii) If yes to either (i) or (ii) above, has a delineation been conducted?
(Attach documentation, if available)
®Yes ❑No
®Yes ❑No

Ps
01
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9
■ Complete items 4, d 3. Also complete
item 4 if Restri e D livery is desi Q \11
■ Print your na address on thf drse
so that we ca turh the card,tdyo . M
■ Attach this ca to the b�c� of�the mailpie e, Cn
c
or on the front f space'{ 0`nits.
1. Article Addressed
tiF �G I'
P
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JDIJEs LA,,
/4ED. OV- , lac a86,%v
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2
A. Signature
❑ nt
X �. addressee
B. Received by ( Printed Name) C. Date of Delivery
!fir/li l Tc
D. is delivery address different from item 14 ❑ Yes
If YES, enter delivery address below: O'No
3. Se ce Type
�gLcertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7009 0080 0002 4028 8219 35-02-M-tsao
PS Form 3811, February 2004 Domestic Return
2a

UNITED. STATES POSTAL
Y . . . . . . . . . . . . . . . . . . . .
Ustage &Tpfts,.
SF
-C, 4
0 Sender: Please print your name, address, and ZIP+4 in this box *
N,C* Dept_ of Transportation
P.O. Box 1587
Greenville, NC 27835-1587
dil I Itifaiiij It till! III! h
UNITED STATES POSTAIY-'0!�L O'�f
0 Sender: Please print your name, address, and ZJP+4 in this box 0
N.C. Dept. of Transportation
P.O. Box 1587
Greenville, NC 27835-1587
ter, blb06f- TiPE

■ 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:
�723 nlcla)dMi. eANy
140 47W ft0 /ly uJ001�� C6 .
2. Article Number
(transfer from service label)
PS Form 3811, February 2004
A.
❑ Agent
❑ Addressee
B. R ived )?y (Printerj,Name) C. Dat�gf elivery
o4i�/� d /(,� J(
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 0080 0002 4028 8226
Domestic Return Receipt
102595-02-M-1540

CERTIFIED MAIL
RETURN RECEIPT REQUESTED
August 27, 2009
Revised: December 11, 2009
Stephen F. Daniels
7723 Coldwater Canyon Avenue
North Hollywood, CA 91605
To Whom It May Concern:
O r C 3 1 2009
MOM1100d 4
This correspondence is to notify you as an adjacent riparian landowner that the North Carolina Department of Transportation
plans to replace pipes on -site of his/her property, Parcel 7248, located on SR 1154, Mill Creek Road in Carteret County. The
sketch attached accurately depicts the proposed construction.
Should you have objections to the proposed construction, please check the appropriate statement below, sign, date, and
return as soon as possible to:
Mr. Stephen Lane, Field Representative
N.C. Dept. of Environment and Natural Resources
Division of Coastal Management
Morehead City District
400 Commerce Avenue
Morehead City, N.C. 28557
Written comments must be received by the Division of Coastal Management within 10 days of receipt of this notice.
NO RESPONSE WITHIN 10 DAYS of receipt of the correspondence will be INTERPRETED AS NO OBJECTION.
Sincerely,
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)
1 _2- 67 L (Date)

CERTIFIED MAIL
RETURN RECEIPT REQUESTED
August 27, 2009
Revised: December 11, 2009
United States Department of Agriculture
Croatan National Forest
141 East Fisher Avenue
New Bern, NC 28560
To Whom It May Concern:
w t'
UFC g 2000
Morehead City D 1'
This correspondence is to notify you as an adjacent riparian landowner that the North Carolina Department of Transportation
plans to replace pipes on -site of his/her property, Parcel 6189, located on SR 1154, Mill Creek Road in Carteret County. The
sketch attached accurately depicts the proposed construction.
Should you have objections to the proposed construction, please check the appropriate statement below, sign, date, and
return as soon as possible to:
Mr. Stephen Lane, Field Representative
N.C. Dent. of Environment and Natural Resources
Division of Coastal Management
Morehead City District
400 Commerce Avenue
Morehead City, N.C. 28557
Written comments must be received by the Division of Coastal Management within 10 days of receipt of this notice.
NO RESPONSE WITMN IQDAYS of receipt of the correspondence will be INTERPRETED AS NO OBJECTION.
Sincerely,
1 have no objection to the proposed project as described in this correspondence.
I have objectiga-te Yprcject as presently proposed and have enclosed comments.
(Signature)
I Z-17 - Q -a) (Date)