51283_NC DOT_20090128

16
❑ CAMA / ❑ DREDGE & FILL C/ Og / � # 2 8 3
GENERAL', PERMIT Previous permit #
❑New ❑Modification ❑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.
Applicant Name/ Project Location: County
Address ` 't 4 Street Address/ State Road/ Lot #(s)
City State f'' ` ZIP s `
Phone # O Fax #
Authorized Agent
❑ Cw ❑ Ew ❑ PTA
Affected
❑ OEA ❑ HHF ❑ IH
AEC(s):
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
Subdivision
City u
ZIP
❑ ES ❑ PTS Phone # ( ) River Basin 1
❑ U BA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
+ ' x ;. r
(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
�
i
i
I
�-
I
+
o
j
i ;.
y
i
j
Shoreline Length
SAV: not sure yes no J
I
Sandbags: not sure yes no
Moratorium: n/a yes no I j
Photos: yes no
Waiver Attached: yes no
. 1 f
A building permit may be required by: .,, - r`�` r ❑ SeE
Notes/ Special Conditions -4 4-
I
note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
PermitOfficer's Signature
i�
Issuing Date Expiration Date
Application Fee(s)
Check# Local PlanningJurisdiction
Rover File Name

r
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/ 1-8884RCOAST
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

INICAMA / _F;�'61REDGE & FILL
GENERAL PERMIT
[?New CModification ❑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
Applicant Name Iv
Address f I �-y 4 v t f! o pr j v�-
City W jl�. 1r51'+r, State N L ZIP 'D—r i
Phone # s'1 Fax _
#, qlo zrt— s-7a-'7
()
Authorized Agent
Affected M`W CEW a TA 3rd ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
PNA Cyesl/ no Crit.Hab. yes / no
ORW: yes /S
N° 51283
Previous permit # —
Date previous permit issued=
o 7 H. Z') o
2�ules attached.
Project Location: County 45� 1
Street Address/ State Road/ Lot #(s) C -� (✓ c� "� .; �tJ �; c z
Subdivision
��a z�cj, �'�-e City ZIP�
Phone # ( ) River Basin
Adj. Wtr. Body / atman /unkn)
Closest Maj. Wtr. Body L bV
Type of Project/ Activity X z-n �t,`;�,�
ii
+�
✓�✓
?v,'
c c.�Lc(/ic:1_�
S'
fzz'I.
(Scale: NIA
)
Pier (dock) length
Platform(s)-_-
Fingerpier(s) -}
Groin length =—
number -
Bulkhead/ Riprap length
av distance offshore -
g 1
max distance offshore
Basin, channel - i
- �- - - -�-
cubic yards -
Boat ramp--
Boathouse/ Boatlift
Beach Bulldozing
Other �� ��1YC/'r--
1 -
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes-
Moratorium: n/a yes no
Photos: yes ino j _----
Waiver Attached: yes
A building permit may be required by: G1✓1\ C
Notes/ Special Conditions Lu1 JZ f'� ' '�
0
I
I
-
-
-
---
;
-
---
-
-
-
---,
l
i i
E -'�/
►r ••�
�
-ham_
'�
,1 � ,1 �-
-1� --
� n �'
-
-
J- •-�-�
�
��
--
I
i �
I
I
I
�
i
t
t
L--
�..
l --
1 --
-1- - -
i
-
—'-
I -
-
/nv,J
El See note
l✓t'
on back regarding
/'�N �X rJ'+1
River Basin
^) C
�vz
rules.
rf•
zfi
�c
%
J
4y
f r J ^f f��1,.
At\4 fGy
l.�zr^�c,T�-:,
f%R ✓'fl
�ji
Az�rr{v1l:n
�sw�j•.-Q"`�'~� •�ro"�'!, Gcur:.�Jina�f:;� W1�„ D. L:�. V It`G ��^wt'�+' t,,/:,r�C ✓'iic'( 'j'_ r
or Applicant Printed Name
pt��u,I'r" �C a✓"J'�4MT �r�.. .L�fr...�, a � r.-•,-...
PermitOfficer' K ignature
/- )-F o y jr-�L8= /V
Signature Please read compliance statement on back of permit Issuing Date Expiration Date
" ooroo L,/gJ 1` •1ol Oj� e\XL";ic.k
Application Fee(s) Check # Local Planningf urisdiction Rover File Name

MI-I
40 A
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 29, 2009
Mason Herndon
NC DOT
124 Division Drive
Wilmington, NC 28401
Dear Mr. Herndon:
Attached is General Permit #51283C to extend existing 24" culvert for an additional 8 feet at
Sunset Beach, NC
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Stephen Lane
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 500/6 Recycled 110% Post Consumer Paper

r
STATE OF NORTH CAROLINA ftr?headDEPARTMENT OF TRANSPORTA�,4r ®CIS
BEVERLY EAVES PERDUE
GOVERNOR
MEMO TO:
M6krj
SUBJECT:
Work Order Number
TIP Number:
EUGENE A. CONTI, JR.
SECRETARY
January 20, 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 pipe extension on NC 179
(Shoreline Drive W.), Sunset Beach, Brunswick County
3.101011
N/A
Category: $400.00 fee
124 Division Drive, Wilmington, NC 28401
PHONE: [phone] FAX: [phone]

DCM MP4
APPLICATION for
rah®�td C►ail ®C
Major Development Pernff # A
(last revised 12127/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
N.0 Department Of Transportation
Project Name (if applicable)
Shoreline Dr. W. (NC 179)
Applicant 1: First Name
H
Applicant 2: First Name
MI
Allen
MI
Last Name
Pope
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
123 Division Dr.
PO Box
City
Wilmington
State
NC
ZIP
28401
Country
United States
Phone No.
910-251 - 5724 ext.
FAX No.
910 - 251 - 5727
Street Address (if different from above)
City
State
ZIP
Email
2. Agent/Contractor Information
Business Name
N.0 Department Of Transportation
Agent/ Contractor 1: First Name
MI
Last Name
Mason
Herndon
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
123 Division Dr
Wilmington
NC
ZIP
Phone No. 1
Phone No. 2
28401
910 - 251 - 5724 ext.
910 - 620 - 4039 ext.
FAX No.
Contractor #
910 251 5727
Street Address (if different from above)
City State ZIP
Email
<Form continues on back>
252-808-2808 .. 1-888-4RCOAST .. www.nccoastalmanagement.net

Form DCM MP-1 (Page 2 of 5)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Brunswick
N/A
NC 179
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, I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Lumber
AIWW
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
AIWW
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)
4.0 ®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/golf course
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 .. 1-888-4RCOAST .. www.necoastaimanagement.net

Form DCM MP-1 (Page 3 of 5)
APPLICATION for
Major Development Permit
n. Describe existing wastewater treatment facilities.
N/A Fog � zoo
JAN 2 Y 2 09
o. Describe existing drinking water supply source.
N/A
Moreliasid c-
p. Describe existing storm water management or treatment systems. LMy
N/A
5. Activities and Impacts
a.
Will the project be for commercial, public, or private use?
❑Commercial ®Public/Government
❑Private/Comm unity
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?
63 ®Sq.Ft or []Acres
g.
Will the proposed project encroach on any public easement, public accessway or other area
®Yes ❑No ❑NA
that the public has established use of?
h.
Describe location and type of existing and proposed discharges to waters of the state.
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?
❑Yes ®No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water?
[]Yes ❑No ®NA
j.
Is there any mitigation proposed?
❑Yes ®No ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (t) 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.
DCiv
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 Michael McCormick
Phone No.
Address 801 Shoreline Dr. W., Sunset Beach, NC 28468
Name Edward M. Gore
Phone No.
Address 435 Shoreline Dr. W., Sunset Beach, NC 28468
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.
7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date 1/13/09 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.necoasta[management.net

Form DCM MP,-1 (Page 5 of 5)
APPLICATION for
Major Development Permit
��CEi vEo
*rehead City DCM
252-808-2808 .. 1-888-4RCOAST .. www.nccoastaimanagement.net

Form DCM MP-5
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.
1. BRIDGES ®This section not applicable
a. Is the proposed bridge: b. Water body to be crossed by bridge:
❑Commercial ❑Public/Government ❑Private/Community
c. Type of bridge (construction material):
d. Water depth at the proposed crossing at NLW or NWL:
e. (i) Will proposed bridge replace an existing bridge? ❑Yes []No f
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)
9• 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:
(i) Will proposed bridge replace an existing culvert? ❑Yes ❑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. CULVERTS [1 This section not applicable
a• Number of culverts proposed: 1 b. Water body in which the culvert is to be placed:
Tributary to AIWW
< Form continues on back>
c. Type of culvert (construction material):
reinforced concrete pipe
252-808-2808 :: 1-888-4RCOA5T :: www.nccoastalmana ement.net revised: 10/26/06

Form DCM MP-5 (Bridges and Culverts, Page 2 of 4)
d. (i) Will proposed culvert 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)
f. Length of proposed culvert: 8 ft. ext
h. Height of the top of the proposed culvert above the NHW or NWL.
10"
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? ❑Yes ®No
If yes, explain:
3. EXCAVATION and FILL
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: 9 ft
(iii) Avg. width of area to be excavated: 3 ft
(iv) Avg. depth of area to be excavated: 1 ft
(v) Amount of material to be excavated in cubic yards: 1_0
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:
(iii) Avg. width of area to be excavated:
(iv) Avg. depth of area to be excavated:
(v) Amount of material to be excavated in cubic yards:
e. (i) Will proposed culvert replace xistingJc�u(ver ,9
0 ❑No
If yes, II�jj iiGG Ve
(ii) Length of existing culverMgMhead City DCM
(iii) Width of existing culvert(s): 24"
(iv) Height of the top of the existing culvert above the NHW or
NWL: 10"
(v) Will all, or a part of, the existing culvert be removed?
(Explain) None, existing culvert will be extended 8 ft
g. Width of proposed culvert: 24"
i. Depth of culvert to be buried below existing bottom contour.
— 8"
k. Will the proposed culvert affect existing water flow?
❑Yes ®No
If yes, explain:
El This section not applicable
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 ❑SAV ❑SB
®WL 27 []None
(ii) Describe the purpose of the excavation in these areas:
Excavation required to set pipe extension
252.808-2808 :: 1-888-4RCOASST :: www.nccoastalmanagement.net revised: 10126/06

Form ®CM MP-5 (Bridges and Culverts, Page 3 of 4) ..
d. If the placement of the bridge or culvert involves any excavation, please complete the following:
(i) Location of the spoil disposal area: Material removed will be used on site to complete repairs
(ii) Dimensions of the spoil disposal area: N/A
(iii) Do you claim title to the disposal area? ®Yes []No (If no, attach a letter granting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? []Yes ®No
(v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (SB)?
❑CW ❑SAV OWL ❑SB ❑None
If any boxes are checked, give dimensions if different from (ii) above.
(vi) Does the disposal area include any area below the NHW or NWL? ? ❑Yes ❑No
If yes, give dimensions if different from (ii) above.
e. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed below NHW or NWL? ®Yes ❑No
If yes,
(ii) Avg. length of area to be filled: 15 ft
(iii) Avg. width of area to be filled: 6 ft
(iv) Purpose of fill: rebuild shoulder
g. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed on high -ground? ❑Yes ®No
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
4. GENERAL
a. Will the proposed project require the relocation of any existing
utility lines? []Yes ®No
If yes, explain:
If this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification.
(i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SIB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
❑CW ❑SAV ❑SB
®WL 63 []None
(ii) Describe the purpose of the excavation in these areas:
b. Will the proposed project require the construction of any temporary
detour structures? ❑Yes ®No
If yes, explain:
< Form continues on back>
c. Will the proposed project require any work channels? d. How will excavated or fill material be kept on site and erosion
❑Yes ®No controlled?
If yes, complete Form DCM-MP-2. shoulder & slope will be seeded & matted
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaiman?lciement.net revised: 10/26/06

'FOIrM ®CM MR-5 (Bridges and Culverts, Page 4 of 4)
e. What type of construction equipment will be used (for example, f
dragline, backhoe, or hydraulic dredge)?
backhoe
g. Will the placement of the proposed bridge or culvert require any
shoreline stabilization? ❑Yes ®No
if yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
1/13/09
Date
NC 179/Shoreline Dr. W.
Project Name
Mason Hemdon
Applicant Name
Applicant Signature
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.
JAN 2 [ BOG?

Pbesanl
v—
can
/
� f
l�
1�
11
1177 u -
Bdd B—h /

PROPOSED
24' x 8 ft Ext.
Michael McCormick
801 Shoreline Dr. W �—
Sunset Beach, NC 28468
B
"•
8 ft
3:1 slopes
-eW) EXISTING
k Co. 24" x 40 ft RCP
20 ft —>I 8 ft
CL
17 invert on pipe
NC 179 pipe ext.dgn 1 /12/2009 4:38:2 / NM
3:1 slopes
-------------
Edward M Gore
435 Shoreline Dr. W
sunset Beach, NC 28468
NOT TO SCALE
natural grc
Pipe ext. to match slope and invert.
of existing pipe
1-12-09 ,

STATE OF NORTH CAROLINA
ITYZ
JAN 2 0 2009
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE (V'U • ""`` 1W
GovERNOR SECRETARY
DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION
CERTIFIED MAIL RETURN RECEIPT REQUESTED
January 13, 2009
Edward M. Gore
435 Shoreline Dr. W
Sunset Beach, NC 28468
Dear Sir/Madam:
As required by the Division of Coastal Management regulations, you are being notified as an adjacent
riparian landowner that the North Carolina Department of Transportation plans to extend the existing
culvert and repair the shoulder, onsite of his/her property located on NC 179 (Shoreline Dr. W) adj. to the
AIWW in Brunswick County. The attached sketch and application accurately depicts the proposed
construction. Please indicate your position or viewpoint on the proposed project and return the completed
form and any comments to Stephen Lane, Division of Coastal Management, 400 Commerce Ave.,
Morehead City, NC 28557 or call [phone].
Should you have objections, your comments must be received within 10 days of receipt of this notice.
No response within 10 days will be considered the same as no objection if you have been notified by
Certified Mail
Sincerely,
Mason Herndon
NCDOT Division 3
I have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
ign Date
B r l
Print Name
g/"� 57Il��
Phone Number with Area Code

■ Complete items 1, 2, and 3. Also cpmplete
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:
MlcG\aGl 1M-C&-mick
F 10 Sk vm l ,'r-e Dr, he VV
5 w n W+ (.,Qac� / Tel G Z84 (8'
X Signa
B. Received by ( Printed Name) C.
D. Is delivery address different from item/V IJ fax
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered 4 Return Receipt for Merchandise
❑ Insured Mail ❑ G.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7007 0220 0000 8220 1,986
f (Transfer from service label)
s
` PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1840 ;I,

UNITED STATES,♦ -0ST^ L SC�VVVI( 1T C
n.MA�T �`.. A '1R` iY R•
�._ :..{R...�v4 �. �. �. :.... .v:x+M1'F�Z'i:'ian �..a'fs);'.12 d':':.: Y'•'Y.: -�
1 Wit' D':p...F!•rt r... ..... _)ri, a.�ti 7. ... ..�.y�.: OFF,' ,.:a..,.
• Sender: Please print your name, address, and ZIP+d
Mason Herndon
NCDOT - Division 3
124 Division Drive
Wilmington, NC 28401
�;'a`�F� �FFIlII!l1111l tllltttt3t1114fIFliliEllEi�lk1!!li iElflil�llttEl
box 0 '1F >"
w

■ Complete items 1, 2, and 3. Also bbmplete
item 4 if,Restricted Delivery is desired.
■ Print your name and address on the reverse
'j so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
E*Otrd M , Gfl re-
L�35 S-Glorc.l i nt Pr, W
,S-v n ii� Bead G
2 84 6
A.
X ❑ Agent
0 Addressee
Rece ved by (Pn ted Name) C. e of Dqive
D. Is delivery address different from item 1?(❑ Ye:
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail C
❑ Registered P11 Return Receipt for Merchandise (,
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7007 0220 0000 8220 1955
(Transfer from service label)
1
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE..,
C.Q-A.':-3TAL 4C.ARCILTN/A. A.
Pic- 283 2 F
* Sender: Please print your name, address, and ZIP44-4;;-ft'box *
Mason Herndon
NCDOT - Division 3
124 Division Drive
Wilmington, NC 28401
- -- - ----- -- ---- -- ----