51284_NC DOT_20090130

❑CAMA / ❑ ,
DREDGE & FILL 8, 4
GENERAL PERMIT Previous permit# —'
iENew ❑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
Address
City State - ZIP
Phone # O Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (at /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
I I
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore r
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
j
�F
l
I
I
I
—
--
—
j f
!
1
Shoreline Length.. -
SAV: not sure yes no'
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A buildingpermit may be required b : � O See
P Y 9 Y
Notes/ Special Conditions
i
r
rules.
note on back regarding River Basin u es.
g g
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
PermitOfficer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
Application Fee(s) Check #

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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
0 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/ 1-888ARCOAST
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

I
VCAMA / ❑ DREDGE & FILL N? 51284
GENERAL PERMIT Previous permit#
RNew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 11
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC i✓ 1? - �1 C
Sor`Rules attached.
Applicant Name 0 i Project Location: County
Address P. 1 ` Y Street Address/ State Road/ Lot #(s)
CityecnJl (� State �% G ZIP ��3s js fw � �� s t rZ 1 '7 i b 0;, /V
Phone #.( _ �-� ��3Fax.# (`)J } �3D.-33L' Subdivision
Authorized Agent Y City 1V ZIP Z-V C
Affected ES Cw
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / n `xo
❑ EW C?'FTA ❑ ES &`IlSiS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / (Do Crit.Hab. yes / no
� I
Phone # ( ) River Basin I :ir —��wj
Adj. Wtr. Body `"`' { ,' e z K nat Oman /unkn)
Closest Maj. Wtr. Body —
Type of Project/ Activity
Pier (dock) I
Platform(s)
Fing,
Groi
Bulk
Basir
Boat
Boat
Beac
Oth(
Shot
SAV:
Sand
Mor
Phot
Wai\
(Scale: NIA )
—� - --I — ----
-
:r pier(s)
length
- --
-
_
i
---
number
lead/ ra RiP P length b
avg distance offshore
max distance offshore
,channel
(
-�
'--
I
--- -
--
-
T- -
-
I
—
�
_
,
—
cubic yards
ramp
L
�9
-
--
louse/ Boatlift--
I
h Bulldozing--—
r
(
r- -- - --E-
- -
-
--
aline Length
notsure yes n
nags: not sure yes
,torium: n/a yes
Ds: yes �
er Attached! ves Ind
! I
-_�
_I__---
-
-
---
-
-
-
,-
I
i—
—
• v
rf
A building permit may be required by: ) �,y�.'tN % See note on back regarding River Basin rules.
Notes/ Special Conditions f s i 1 �'t K o I d `z' A ,� `4 � rN u►", a � , v✓"' ' '�"'' `� °` N �L"
j ) G J� 1 I
Ajp!,r �/1s�1 (.�,i�J�rf�� p7 G1tgi1 rJ.:-%t al -
Agent or Applicant Printed Name
Signature
Lu*"*' Please read compliance statement on back of permit"
-r g DO - 00 '1G . (' c-7 o'x 6
Application Fee(s) Check #
PermitOffhd'r's Signature
fr -3(3—v 9
r
/., �3�� Qq _
Issuing
Expiration Date
Date
A'lp�e y� '74 7� L4 A
(
LocalYPl`a'n"n`ingJurisdiction
Rover File Name

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
February 2, 2009.
Jay Johnson
NC DOT
Division of Environmental Officer
Division 3
PO Box 1587
Greenville, NC 27835
Dear Mr. Johnson:
Attached is General permit 951284C to construct 60' of riprap for shoreline protection, at
Approximately 350' south of SR 1716 on NC 99 in Belhaven, 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— 50% Recycled 110% Post Consumer Paper

6. Additional Information
In addition to this completed application form, (MP-1) the following items below, it applicable, must be submitted in order for the application
package to be completer penis (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 drawingsl drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previausly 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.

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. (whist 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 vAth the North Carolina Environmental Policy Act.
i. 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.

e. (i) Does the d, iwosal area include any coastal wetlands/marsh f. (i) Does the disposal include any area in the Prater?
(CVV), subtt#rged aquatic vegetation (SAV), shell bottom (SB),
❑Yes ❑No ❑NA
or other wdin.6s (VVL)? If any boxes are checked, provide the
number of sgtjare feet affected. (ii) If yes, how much water area is affected?
CICVV ©5AV [Jso
❑VVL ONone
(ii) Describe the purpose of disposal in these areas:
i
�. SHORELINE STABILIZATION . El section not applicabt
(If development is a wood groin, use MP-4 � .Strudures)

hr tlip,
a. Type of shoreline stabilization: b...: Length: BQ'
❑Bulkhead ®Riprap 0Brea kwater/Sill ❑Other.
Width: 16.5'
c. Average distance waterward of NHW or NWL: 2' d Maximum distance waterward of NHW or NWL: 5'
—__
e. Type of stabilization material: Has there been shoreline erosion during preceding 12
Granite
months?
®Yes ❑No El NA
(ii) If yes, state amount of erosion and source of erosion amount
information
g. Number of square feet of fill to be placed below water level h. Type of Fill material.
Bulkhead backfiil Riprap 104 Sq. Ft, Sand>
Breakwater/Sill _— Other
i. Source of fill material. ONO
NCDO BorrowPit �A►Y�l�a
410 QaU
14. OTHER FILL ACTIWTIES
(Excluding Share/Me Stabilizatl0n) ®Tfiis section rriatt applicable:
a. (i) Will fill material be brought to the site? Yes No NA b. (i) Will fill material be placed in coastal wetlands/marsh (GWb ,
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 ❑Plane
(ii) Describe the purpose of the fill in these areas:
a♦ Holm 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)?
Filter Fabric and Rip Rap .. Typical Road Construction Equipment
C. (i) Will navigational aids be required as a result of the project? d- (i) Will wetlands be crossed in transporting equipment to project
❑ Yes No ❑NA site? ❑Yes ®No ❑NA
(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.
.:. January 7;2008 a F
plicant Signature
Date --
NC 99 Shoulder Repair and Slope Stabilization MISS Element
Number 2C.007026
Project Name
Jay B. Johnson
plicant !Name__._.._____._

SUMMARY AFFECTED, 1 d /-!

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GENERAL NOTES: .. . .. .. .
5E NO.3 OF NO.57 STONE FOR SEDIMENT
IA�TRpL AND PAY FOR AT THE CONTRACT UN1T ....
?ICE PER TON SEDIMENT CONTROL STONE
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'ACE POSTS A MAXIMUM OF 3 FT.

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This map wmas produced for illustrative purposes as ageneral guide to z 1Y T 1;
assist the public. Informational data used for this map were collected .0104 1 t
from Federal, state, county, and private organizations: While every
effort is mads to keep this map accurate and up-to-date, it is not 0103 2 0104 2 g !
i intended to replace any official source. Linder no circumstances shall the rl
State of North Carolina be liable for any actions taken or omissions made
from reliance on any information contained herein from whatever source no 2 h
} shall the State be liable for any other consequences from any such reliance. i r-
Background Imagery are U.S. Geological Fishery;'JursaryAreas Fishery Nursery A
Survey 1:100,000scale planimetric maps. Primary
Permanent Secondary V.k Map Datum: NAD83
Special Secandary AN'
& Map Projection: No State Plane
qF Map Date: July2DC6
Military Danger s
y Zones and 1coo 0 1000 2000 Yards

■ Complete items 1, 2, and S. 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.
I ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
-/-7/oAi45 K •
1% a L� T � �1 >✓ R..
g-;-7LA,nJf--h1f /fG a79I0
A. Signature
❑ Agent
/-� /C•''❑ Addressee
' -
Received by (Printed Name) C. Date of Delivery f
a'!l v3G�
D. Is belivery address different from item 1 ? ❑ Yes
If YES, enter delivery address below: "tEI-iJe-
3. Service Type
ErCertified 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 labeo 7008 1140 0002 0395 9179
r PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
i

UNITED STATES POSTAk, SF�V
• Sender: Please print your name, address, and ZIP+4 in this box •
N.C. Divisions of Highways
P.O. Box 1587
Greenville, NC 27835-1587
... ..... �tl11f11!!f1{!{!!tliillllifi!IIFI Ff liFlli�Ffl�iif!!1i!F11!!1� � ��

■ 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:
ceps V. goyE772—r
NC
,�-791 b
A. Signature
��
X �'��G�l �t/ ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
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
2. Article Number
(transfer from service laben 7008 1140 0002 0395 9162
PS -Form 3811, February 2004 Domestic Return Receipt 102e95-02-M-1540

UNITED STATES POSTAL SERVICE
• Sender: Please print your name, address, and ZIP;4—W his box •
N.C. Divisions of Highways
P.O. BOX 1587
Greenville, NC 27835-1587
_..... i"1►fl„�ii„I�►,li,,i�l����1i�i,i�i�,iri�„ii,E►�i, e v��7-