51285_NC DOT_20090209

❑LAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New El 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
r j
-_285'1 `X
Previous permit #
Date previous permit issued
Applicant Name �� I Project Location: County
Address rj Street Address/ State Road/ Lot #(s)
City
Phone # ( )
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS
ORW: yes / no
State .� ZIP ?' t
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
attached.
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
(Scale: )
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore,
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
-
I,
,(
J
I
!
r
(
h
C
I
I
i
I
i
I
I
3
Shoreline Length
SAV: not sure yes `n
i
Sandbags: not sure yes Lr�io
Moratorium: n/a yes (nO
Photos: yes no
Waiver Attached: yes (no
T,. ��1,, . 'saCry
A building permit may be required by: (J ❑See
Notes/ Special Conditions
I
iote on back regarding River Basin rules.
Agent or Applicant Printed Name !
Signature * Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date
Expiration Date
Y,
Rover File Name
Application Fee(s)
Check #
Local Plan ningJurisdiction

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 howto complywith 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: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

JAN 3 0 2009
STATE OF NORTH CAROLMA Morehead City DGIV
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
MEMO TO
FROM:
SUBJECT:
Work Order Number:
TIP Number:
EUGENE A. CONTI, JR.
SECRETARY
January 29, 2009
Stephen Lane, Field Representative
North Carolina Division of Coastal Management
Mason Herndon, Division 3 Environmental Officer
North Carolina Department of Transportation
CAMA General Permit Application for bank reconstruction and
stabilization on SR 1618 (Hughes Rd.), Hampstead, Pender County
3.207111
N/A
Category: $400.00 fee
124 Division Drive, Wilmington, NC 28401
PHONE: [phone] FAX: [phone]

DCM MP4
APPLICATION for
Major Development Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
9. Primary Applicant/ Landowner Information
Business Name
NC Department Of Transportation
Project Name (if applicable)
Hughes Rd (SR 1618)
Applicant 1: First Name
H
MI
Allen
Last Name
Pope
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
123 Division Dr.
PO Box
I
City
I 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
ZIP
Email
2. Agent/Contractor Information
Business Name
NC Department Of Transportation
Agent/ Contractor 1: First Name
Mason
MI
Last Name
Hemdon
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.necoastalmanagement.net

Form DCM MP-1 (Page 2 of 5)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Pender
N/A
SR 1618
Subdivision Name
City
State
Zip
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,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Cape Fear
Mill 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
Mill Creek
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)
7.5 ®NHW or ❑NWL
e. Vegetation on tract
N/A
f. Man-made features and uses now on tract
NCDOT 2 lane paved secondary roadway
g. Identify and describe the existing land uses adiacent to the proposed project site.
residents/vacant 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)
252-808-2808 .. 1-888-4111COAST :. www.nccoastaimanagement.net

Form DCM MP-1 (Page 3 of 5)
APPLICATION for
Major Development Permit
n. Describe existing wastewater treatment facilities.
N/A
o. Describe existing drinking water supply source.
N/A
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 NPubliclGovernment
❑Private/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
standard secondary road 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.
NCDOT standard roadway equipment, backhoe, trucks
d.
List all development activities you propose.
N/A
e.
Are the proposed activities maintenance of an existing project, new work, or both?
Maintenance of existing
f.
What is the approximate total disturbed land area resulting from the proposed project?
350 NSq.Ft or ❑Acres
g.
Will the proposed project encroach on any public easement, public accessway or other area
UYes ❑No ❑NA
that the public has established use of?
h.
Describe location and type of existing and proposed discharges to waters of the state.
Fill is required to rebuild the shoulders on both the inlet and outlet ends of at an existing
48" crossline, the rebuilt shoulders
will then be armored with rip rap to prevent future erosion
i.
Will wastewater or stormwater be discharged into a wetland?
ElYes NNo ❑NA
If yes, will this discharged water be of the same salinity as the receiving water?
❑Yes [:]No NNA
j.
Is there any mitigation proposed?
OYes NNo ❑NA
If yes, attach a mitigation proposal.
<Form continues on backs
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 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 .. 1-888-4RCOAST — www.necoastaimanagement.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.
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.
Unknown
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.
17. Certification and Permission to Enter on Land I
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 1/12/09
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

Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
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.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL)
stabilization
Length
Width
Avg. Existing
NA
NA
Depth
Final Project
NA
NA
Depth
1. EXCAVATION OThis`section °notapplicable`
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
c. (i) Does the area to be excavated include coastal wetlands/marsh d. High -ground excavation in cubic yards.
(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 ❑SB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
2. DISPOSAL OF EXCAVATED MATERIAL ®This section not applicable
a. Location of disposal area. b. Dimensions of disposal area.
C. (i) Do you claim title to disposal area? d. (i) Will a disposal area be available for future maintenance?
❑Yes [--)No ❑NA ❑Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner. (ii) If yes, where?
e. (i) Does the disposal area include any coastal wetlands/marsh f. (i) Does the disposal include any area in the water?
(CW), submerged aquatic vegetation (SAV), shell bottom (SB), ❑Yes ❑No ❑NA
or other wetlands (WL)? If any boxes are checked, provide the
(ii) If yes, how much water area is affected.
number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of disposal in these areas:
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised: 12/26106

Form DCM MP-2 (Excavation and Fill, Page 2 of 2)
3. SHORELINE STABILIZATION ❑ This ;section not,applicable`
If development is a wood groin, use. MP-4 — Structures)
a. Type of shoreline stabilization:
❑Bulkhead NRiprap ❑Breakwater/Sill ❑Other:
c. Average distance waterward of NHW or NWL: 4 ft
e. Type of stabilization material:
Class II rip rap
g. Number of square feet of fill to be placed below water level
Bulkhead backfill Riprap 100
Breakwater/Sill Other 241
i. Source of fill material.
NCDOT stockpile
b. Length: 41.1 tt
Width: 3 ft
d. Maximum distance waterward of NHW or NWL: 6 ft
f. (i) Has there been shoreline erosion during preceding 12
months?
®Yes []No ❑NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
341 sq. ft., observation of exposed pipe
h. Type of fill material.
earth material
4. ,OTHER FILL ACTIVITIES This, section'not.,applicable
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brouqht to the site? ❑Yes ❑No ❑NA b. (i) Will fill material be placed in coastal wetlands/marsh (CW),
If yes,
(ii) Amount of material to be placed in the water
(iii) Dimensions of fill area
(iv) Purpose of fill
submerged aquatic vegetation (SAV), shell bottom (sts), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑None
(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,
controlled? backhoe, or hydraulic dredge)?
shoulder will be seed and matted, slope armoured with rip rap backhoe
c. (i) Will navigational aids be required as a result of the project?
❑Yes ®No ❑NA
(ii) If yes, explain what type and how they will be implemented.
d. (1) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised: 12126/06

e z
se
wq
zoo
L)
QS
IV- 1��5
1667
14u
I
ol
9/I

P R " PIAOY,111,7'��
77.71502 W
40-
utsOU";
Ei
I
W,
IQRT
411i, ",71
77 ,
�4-
._ yn
9* w
Name: HAMPSTEAD Location: 034.3471298* N 077.7144263' W
Date: 1/5/2009
Scale: 1 inch equals 2000 feet
Copyright (C) 1997, Maptech, Inc

PENDER COUNTY
HUGHES RD (SR 1618)
Thomas Johnnie Gilbert Jr.
345 Twin Oaks Dr,
Hampstead,NC 28443
Areas requiring bock fill
& slope protection
Washington Acres Inc.
PO Box 441
Hampstead, NC 28443
MHW — — —
S" robed SCALE 10:1
Pipe burial .ill match existing pipe invert - 6'
sr 161 8hughes rd.dgn 1 /6/2009 5:52:42 PM
-y-;
Rip Rap
Erosion escarpment
R/W
Graystone of Pender LLC
PO Box 1069
Hempstead, NC 28443
Tobish William et al
Toe or Slope 625 Hadley Ct.
Wilmington, NC 28405
R / W SCALE 20:1
SCALE 1O:1

NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property
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) Thomas Johnnie Gilbert, Jr. 101 Atlantic Ave. Kure Beach, NC 28449
(2) Washington Acres, Inc. PO Box 441 Hampstead, NC 28443
(3) Greystone of Pender, LLC PO Box 1069 Hampstead, NC 28443
(4) Tobish William, et.al. 625 Hadley Ct., Wilmington, NC 28405
(5)
(6)
(7)
(8)

UNITED STATES
• SendeANiefsg
r Pawe a4dress, and ZIP+ in.this box
IvI5I0 4?Aon
NCDOT - Division 3
124 Division Drive
Wilmington, NC 28401

■ 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:
Wehdc Glna�cer
222 O�C�c..w.o►-��-'T�r
COMPLETE THIS SECTION
f,
A. Signature
X / y El Agent
i(�,L /i ❑Addressee
B. Receiveg_0rinted Name) I C; Da�tq,.qf Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Pt Certified Mail ❑ Express Mail
❑ Registered 1�j Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
Article Number 7007 0220 0000 8220 1962
(Transfer from service label)
3 Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class -.Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Mason Herndon
NCDOT - Division 3
124 Division Drive
Wilmington, NC 28401
h c I (01 S"'

■ 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,
j or on the front if space permits.
Article Addressed to:
-1" In O r e s JD61 h i e Gi) het 4 )►-
3t-1 � T'wih 6aks Dr•
1--etMFs-}tAd, IN(- 2SL+43
❑ Agent
Ea Addressee
C. Date of Delivery
D. Is delivery address different from item 1 ? 13 Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered IN Return Receipt for Merchandise ,
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7007 0220 0000 8220 1948
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED. -STATES , POSTAL
• Sender: Please print your name, address',"and ZI�04—i6this box •
Mason Herndon
NCDOT - Division 3
124 Division Drive
Wilmington, NC 28401
PC 1(1/1?
- ------ - ----------------------------------------------------------------------- L ----------

■ 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:
To6 is k W'% \\ kavY,
2s 4-tt.d tt� CO
n( L z g L405
2. Article Number
(Transfer from service label)
4
❑ Agent
C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
K Certified Mail ❑ Express Mail
❑ Registered Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7007 0220 0000 8220 1979
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1

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 •
Mason Herndon
NCDOT - Division 3
124 Division Drive
Wilmington, NC 28401

■ 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:
�a�-ri a✓1 a, J ane 1AU �t s
wZls(n�►-, f-oh Ao2s,
N G l-w Ju Zta E
4VvnFg+irao(, NC, 2FL4 443
A.
�' ❑ Agent
X ❑ Addressee L
B. Recei d by jPfited Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Jl T Certified Mail ❑ Express Mail
❑ Registered Return Receipt for Merchandise
❑ Insured Mail ❑ G.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7a�7 p22p ppOO 822� 1931
(Transfer from service label) —___ --_— --
PS Form 3811, February 2004 Domestic Return Receipt 102595-02•M-1540