53435_NC DOT_20090701 (2)

❑CAMA / ❑ DREDGE & FILL
—. GENERAL PERMIT Previous permit #
❑New ❑Modification El 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 15A NCAC
_ ❑ Rules attached.
A 1' t N Proj1ect Location: County
pp Ican ame
Address
City_
C. -�;
State ZIP
' --
Phone # ( )
Fax # ( �.
Authorized Agent
ElCW
ElEW ElPTA ElES ❑ PTS
Affected
ElOEA
AEC(s):
-1 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 # O _ River Basin
Adj. Wtr. Body - (nat /man /unkn)
Closest Maj. Wtr. Body-1 ---
Type of Project/ Activity
1 !
(Scale: )
Pier (dock) length_
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length---''%�
avg distance offshore
max distance offshore_
I
I I
Basin, channel
cubic yards
i
i
—I—
I
i
I
Boat ramp
_
Boathouse/ Boatlift
Beach Bulldozing_
Other
-T
—,
I
I
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
-4FFF-
Waiver Attached: yes no -
—
A building permit may be required by:
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
6X' f ! /It
I cer PermitOf i'$ Signature —" f
Agent or Applicant Prin d e f g �-
Signature ** Please read compliance statement on back of permit Issui g Dat6 Expiratidn Date
ApplicationFee(s) Check# Local PlanningJurisdictio Rover File Name _W

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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
June 30, 2009
Jim Hoadley
Division of Coastal Management
1367 U.S. 17 South
Elizabeth City, NC 27909
Dear Mr. Hoadley,
EUGENE A. CONTI, JR.
SECRETARY
This letter is requesting a general permit .1100 be issued for shoulder stabilization
along US 17 Bus. (Hertford Causeway) Perquimans County. The stabilization will occur
on an eroded bank in conjunction with the reinforcement of the roadway along US 17
Bus. The Division of Coastal Management considers the project area to be within an AEC
that requires authorization for the shoulder stabilization. Included with this request are
the MP-1, MP-2 forms, location map, landowner notices, and permit drawings depicting
the proposed work. WBS element # is ISP. 10721.9. If any additional information is
needed please contact Clay Willis at 252-482-7977.
Sincerely,
Jerry Jennings, P.E.
Division Engineer, Division On
Clay Willis
Environmental Offic , Division One
113 Airport Drive, Suite 100, Edenton, NC 27932, Phone [phone], Fax [phone]

rq uimans County US 17 Bus. (Hertford Causeway)
shoulder stabilization ro'ect
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USGS Quad - Hertford N
Pasquotank River Basin 0 0.045 0.09 0.18 Miles W E
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LEGEND
_ _ _ _ _ , WATER LEVEL
EDGE OF PAVEMENT
- - - - - EXIST. SHOULDER
EXIST. RIP RAP
BE A TOTAL OF 759.80 Sq.Ft. (0.017 Acres) OF UNDER WATER FILL
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