51034_NC DOT_20080320

3
❑CAMA / ❑ DREDGE & FILL
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
j
Address
Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) Fax # (`)
Subdivision
Authorized Agent
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes'/ no PNA yes / no Crit.Hab.
yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: '� )
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
i
i
t
I�
—
—
Shoreline Length
SAV: not sure yes no
I
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: Xf' 1` ` F ; ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions ^` "
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s) Check # Local Planning Jurisdiction Rover File Name

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 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 (252-946-648 I) 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

MCA1,0A ❑ DREDGE & FILL lr ? 51034
L. PERMIT Previous permit # — C
Ne ❑ odification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized , the ate of North Carolina, Department of Environment and Natural Resources D
and the Coast Reso ces Commission in an area of environmental concern pursuant to 15A NCAC
/�
n -r [}I uules attached.
Applicant Na e e �Project Location: County1
Address- X ,S-9�
City �rr-f n V I Ile. State NC ZIP'--77
Phone # (�IrDi- �07 0- 3 4 Fax # (� )
Authorized Agent ���"Y
GEW P W El PTA PiS' ElPTS
Affected
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: es / no PNA �/� Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s) _ 13 `t 9
Subdivision
City -T^ y rna t Ai C_. zip 7 It
Phone # (_) River Basin��°
Adj. Wtr. Body T ' N
1 Y (nat /m_ an u�n
Closest Maj. Wtr. Body �`'"-4- -1 I L,1J•
Type of Project/ Activity c_ L r�� . �f iti c rt 3 !�', ,�
Pier (dock) length
N v `� ? o ,rz��
(Scale: t,1 %A )
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
I
I
!
I
1
avg distance offshore
max distance offshore —j
—
—
j—I
Basin, channel —
cubic yards �
Boat ramp e
Boathouse/ Boatlift
Beach Bulldozing��—
Other✓L✓'f��i
I
�
—
i
�
�
- -
� -
�
i
✓
4-
i
+
i
—
-
I
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes
y (——
Moratorium: n/a es
Photos: yesno
Waiver Attached: yes i
A building permit may be required by: a�z r
L ❑See note on back regarding River Basin rules.
Notes/ Special Conditions
1 ©feAJk1';,A'ci)e�,7 LF.
f ii1 f,li'Y/1 Z-w 12•( �'�lL1.n j� t:G Ji si {; `.c hi.✓\ �j/ �Lft. �+`Iv W'I 1;� I�1 4t
(
or Applicant Printed Name
Signature* Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Offi is Signature
Issuing Date Expiration Date
Cyr zXJ -orl9 f
Local Planning Jurisdiction Rover File Name

l�r� t r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
March 24, 2008
NCDOT
Jay Johnson
PO Box 1587
Greenville, NC 27835
Dear Mr. Johnson:
Attached is General Permit 951034 and 49073C to replace a 22x15 culvert with a 40x24 culvert
at Hancock place road Pipe-42 and to replace a 22xl5 culvert with a 32x24 culvert at Hancock
Place Road Pipe #3 both located in Smyrna, 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. nccoastal management, net
An Equal Opportunity 1 Affirmative Action Emplover— 50% Recvded 110% Post Consumer Paper

gem MP-1
APPLICHION for �' t
major Development Permit
(last revised 12/27106)
North Carolina DWISION OF COASTAL MANAGEMENT
9. Primary Applicant(Landowner Information
Business Name
North Carolina Department Of Transportation
Project Name (it applicable)
SR 1349, Hancock Place Road
Applicant 1: First Name
Jay
MI
B.
Last Name
Johnson
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
P.O. Box 1587, Greenville, NC 27835-1587
PO Box
1587
City
Greenville
State
NC
ZIP
27835-1587
Country
USA
Phone No.
252 - 830 - 3490 ext. 248
FAX No.
252 - 830 - 3341
Street Address (if different from above)
1704 North Greene Street
City
Greenville
State
NC
ZIP
27835- 1587
Email
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
-
ext.
Phone No. 2
- - ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
<Form continues on back> IF
r
MAR 1 8 2008
Morehead City DC.-"
262-805-2500 :: I.888-4RCOAST :: www.necoarstalmanagernent.net

f
Form DCM MP-1 (Page 2 of 5)
APPLICATION for
MAR 1 8 2008
Major Development Permit
-.
3. Project Location Morehead City
County (can be multiple) Street Address
State Rd. #
Carteret
1349-Pipe Number 3
Subdivision Name
City
State
Zip
Phone No.
Lot No.(s) (if many, attach additional page with list)
- - ext.
I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
White Oak
Tusk 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
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 fails within.
4.
Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
0
N/A
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHVV (normal high water) or
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
2.0' ❑NHW or ®NWL
e.
Vegetation on tract
Pinus taeda, Chamaecyparis thyoides, Typha latifolia, Smilax, Toxicodendron radicans, Berchemia scandens,
Parthenocissus quinquefolia, Myrica cerifera
f. Man-made features and uses now on tract
Soil Road
g.
Identify and describe the existing land uses adiiacent to the proposed project site.
Residential
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? OYes SNo
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. LJYes EJNo EINA
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does it involve a Yes ENo 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)

+` Form DCM MP-1 (Page 3 of 5)
r.=
o APPLICATION for
RIMajor Development Permit
�1AR 1 S CCI�g
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? DCommercial Pubiic/Government
❑Private)Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
SR 1349, Hancock Place Road will be Graded, Drained, and Based, and Paved for use by the traveling public of the State of
North Carolina
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 Right of Way will be cleared and grubbed in upland areas; road side ditches and shoulders will be built; shoulders and
slopes will be seeded,strawed,and tacked; cross -line pipes and drive way pipes installed; additional ABC will be placed on
the roadway, and then paving of the roadway. Tracked excavators, road graders, back hoes, dump trucks, tractors with rakes
and distributors, crew cab trucks will be used. Equipment will be stored on the right of way.
d, List all development activities you propose.
Pave the soil road
e. Are the proposed activities maintenance of an existing project, new work, or both? Both
f. What is the approximate total disturbed land area resulting from the proposed project? 492 ®Sq.Ft or DAcres
g. Will the proposed project encroach on any public easement, public accessway or other area OYes IZNo DNA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
Pipe Numbers 2 and 3 as shown on the attached plan sheet
i. Will wastewater or stormwater be discharged into a wetland? ®Yes ❑No DNA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ®No ❑NA
j. Is there any mitigation proposed? LJYes ENo DNA
If yes, attach a mitigation proposal.
<Form continues on back>
6. Additional Information
In addition to this completed application form, (MP- f) 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 :: 9-888-4RCOAS ' :: www.nccoatstalmanageme•rat.not

Form DCM MP-1 (Page 4 of 5)
D �c
MAR 1 8 2008
APPLICATION for
Major Development Permit
d. A copy of the deed (with state application only) orbtfier instrument undecwfh he-
C�r I 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 Frank W. Pake and Ethel Pake
Phone No.
Address P.O. Box 202, Marshallberg, NC 28553
Name Charles S. Jones and Janie Jones
Phone No.
Address 296 Bay Drive, Smyrna, NC 28579
Name Charles M. McCarthy and Libby McCarthy
Phone No.
Address 130 Bay Drive, Smyrna, NC 28579
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
No. 35206 DCM
No.43486 DCM
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.
1 7. 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 _,Februa ry 21, 2008 Print Name Jay B. Johnson_
Signature _(10 144-al�
Please indicate application attachments pertaining to your pro Ted proje rt..
NDCM MP-2 Excavation and Fill Information ®DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
❑DCM MP-4 Structures Information

Form DCM MP-2
EXCAVATION and FILL
PJAS.,�.t
FEB 4 2008
(Except for bridges and culverts) Morehead GltV
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
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
(excluding
(NLW or
Breakwater
shoreline
NWL)
stabilization
Length
Width
Avg. Existing
NA
NA
Depth
Final Project
NA
NA
Depth
1. EXCAVATION
a. Amount of material to be excavated from below NHW or NWL in
cubic yards.
1.2 Cubic Yards
C. (i) Does the area to be excavated include 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.
0CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
Pipe Replacement
2. DISPOSAL OF EXCAVATED MATERIAL
a. Location of disposal area.
Temporary Spoil Area is Existing Road
C. (i) Do you claim title to disposal area?
®Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner
❑This section not applicable
b. Type of material to be exca
d. High -ground excavation in cubic yards.
El This section not applicable
Dimensions of disposal area.
100'X200'
d. (i) Will a disposal area be available for future maintenance?
®Yes ❑No ❑NA
(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
number of square feet affected. (ii) If yes, how much water area is affected?
❑m ❑SAV ❑SB
OWL ®None
(ii) Describe the purpose of disposal in these areas:
3. SHORELINE STABILIZATION ❑This section not applicable
(if development is a wood groin, use MP-4 — Structures)

Form -2 (Excavation and Fill, lose 2 of
a. Type of shoreline stabilization: b. Length: 10'
❑Bulkhead ®Riprap ❑Breakwater/Sill ❑Other: 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:
Class B Marl
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill Riprap 30
Breakwater/Sill Other
i. Source of fill material.
Clark's Quarry
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.
h. Type of fill material. 7--
Class BMarl
FEB 4 2008
nnnrgth��l 'itx/ QC V
4. OTHER FILL ACTIVITIES pThis section riot applicable
(Excluding Shoreline Stabilization)
3. (i) Will fill material be brought to the site? ❑Yes ❑No ®NA b. (i) Will fill material be placed in coastal wetlandslmarsh (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 (SB), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
®CW 460 Sq. Ft. ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the fill in these areas:
Building slopes and shoulder
15. 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)?
Silt Fences and TRSC-B's Typical Road Construction Equipment
C. (i) Will navigational aids be required as a result of the project? d
❑Yes ®No ❑NA
(ii) If yes, explain what type and how they will be implemented.
December 17, 2007
Date
SR 1349, Hancock Place Road Pipe Number 3 WBS Element
Number 2C.016040
Project Name
Jay B. Johnson
(i) 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.
plicant
plicant Name

Form OCM MP-5
BRIDGES and CULVERTS ,sMAR 1 e 2008
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP�1,Q t3 cmpietLY cQr 8e6tfons 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):
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:
d. Water depth at the proposed crossing at NLW or NWLi
f. (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)
In. Width of proposed bridge:
�. Will the proposed bridge affect navigation by reducing or
increasing the existing navigable opening? ❑Yes []No
If yes, explain:
1. Have you contacted the U.S. Coast Guard concerning their
approval? ❑Yes ❑No
If yes, explain:
m, Will the proposed bridge cross wetlands containing no navigable n. Height of proposed bridge above wetlands:
waters? ❑Yes ❑No
If yes, explain:
2. CULVERTS ❑This section not applicable
a. Number of culverts proposed: 1 Pipe Replacement b. Water body in which the culvert is to be placed:
Tusk Creek
< Form continues on back>
c. Type of culvert (construction material):
Corrugated Metal Pipe
n��..sx ris+_'ana ., v..aseQ.. �firan r .. ......... -- -- ..ns '%9V'1r-1nr

r - (Bridges and Cadverts, 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: 32'
h. Height of the top of the proposed culvert above the NHW or NWL,
0.0
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? ❑Yes ®No
If yes, explain:
e. (i) Will proposed culvert-replace'an existing culvert?
®Yes ❑No
If yes, In fg3h ,�� r!
(ii) Ler1g� C�`firi�cuivert(s'� 22'
(iii) Width of existing culvert(s): 15"
(iv) Height of the top of the existing culvert above the NHW or
NWL: 0.0
(v) Will all, or a part of, the existing culvert be removed?
(Explain) All of the Existing Culvert will be Replaced
g. Width of proposed culvert: 24"
i. Depth of culvert to be buried below existing bottom contour.
1.0'
k. Will the proposed culvert affect existing water flow?
❑Yes ®No
If yes, explain:
3. EXCAVATION and FILL ❑This section not applicable
a. (i) Will the placement of the proposed bridge or culvert require any b. (i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ®Yes ❑No excavation within coastal wetlands/marsh (CW), submerged
If yes, aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
(ii) Avg. length of area to be excavated: 14' feet affected.
(iii) Avg. width of area to be excavated: 6' ®CW 32 ❑SAV ❑SB
(iv) Avg. depth of area to be excavated: 223' OWL ❑None
(v) Amount of material to be excavated in cubic yards: 7
(ii) Describe the purpose of the excavation in these areas:
Pipe Replacement
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: 6'
(iv) Avg. depth of area to be excavated: 2'
(v) Amount of material to be excavated in cubic yards: 12

,r6' ; r.
t•
Foy - (Bridges and Culverts, Page 3 of 4) •
If the placement of the bridge or culvert involves any excavation, please complete the following:
(i) Location of the spoil disposal area: Temporary Spoil Area is in the Existing Road
(ii) Dimensions of the spoil disposal area: 100'x200'
(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:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
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:
f. (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 (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
®CW 460 So. Ft. ❑SAV ❑SB
OWL []None
(ii) Describe the purpose of the excavation in these areas:
Fill will be placed to Build the Shoulder and Back Slope
from Station 18+70 to Station 21+00,Rt.-L-
Morehead City DDM
4. GENERAL
a. Will the proposed project require the relocation of any existing b. Will the proposed project require the construction of any temporary
utility lines? ❑Yes ®No detour structures? ❑Yes ®No
If yes, explain: 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.
< 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. Silt Fences and TRSC-B's will be used to retain material
On -Site

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? ❑Yes ®No
If yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
December 17,2007
Pipe Number 3, SR 1349,Hancock Place Road WBS Element
2C.016040
Project Name
Jay B. Johnson
Ap
plicant Name
— IQ", , " 1� �- 14 P
plic77a u
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.
' 1)
FEB 4 2008
Morehead City DCM

CERTIFIED MAIL
RETURN RECEIPT REQUESTED
December 17, 2007
Frank A. Massino,Jr. and Cathy Massino
125 Bay Drive
Smyrna, NC 28579
To Whom It May Concern:
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 located on SR 1349, Hancock Place Road 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:
*, 9`' 1.
Mr. Stephen Lane, Field Representative {$t
N.C. Dept. of Environment and Natural Resources
Division of Coastal Management
Morehead City District ± FEB 4 NOB
400 Commerce Avenue
Morehead City, City N.C. 28557 moravleadcity DCM
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)
(Date)

CERTIFIED MAIL
RETURN RECEIPT REQUESTED
December 17, 2007
Frank W. Pake and Ethel Pake
P.O. Box 202
Marshallberg, NC 28553
To Whom It May Concern:
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 located on SR 1349, Hancock Place Road 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 M� �I
N.C. Dept. of Environment and Natural Resources or W
Division of Coastal Management � 4$6
Morehead City District 1A FEB
400 Commerce Avenue 10p
Morehead City, City N.C. 28557
Morehea, City D
�I
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)
(Date)

CERTIFIED MAIL
RETURN RECEIPT REQUESTED
December 17, 2007
Charles M. McCarthy and Libby McCarthy
130 Bay Drive
Smyrna, NC 28579
To Whom It May Concern:
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 located on SR 1349, Hancock Place Road 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: JAl x g
Mr. Stephen Lane, Field Representative
N.C. Dept. of Environment and Natural Resources
Division of Coastal Management FEB 0 4 Z008
Morehead City District
400 Commerce Avenue
Morehead City, City N.C. 28557 Morehead OtY OCM
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)
(Date)

Ira SASKN TYP[ 'K'
0
LEGEND SHEET
DIFFUSE FLOW THROUGH WETLANDS
VEGETATED UPLANDS BEFORE ENTERING wETLAND� I SOIL EROSION CONTROL LEGEND,
Lu TYPICAL EACH SHEET
w
TEMPORARY ROCK SILT CHECK >
TYPE -A UPLANDS
F- I
Q
a
SILT BASIN TYPE B
f I
w
>
IL
O
TEMPORARY ROCK SILT CHECK TYPE -A
a
TEMPORARY ROCK SILT CHECK TYPE-B
LL I
U
p
W
^-+a••• TDAPORAR7 SIT FENCE
SILT BASIN TYPE-B
O
w I
GRADE BREAK
z
IL
v I
w
I
I
�
I
—� OIRECnON OF FLOW
j
III•
------ WOODSLINE
DIFFUSE
FLOW
DETAIL-
- DIFFUSE FLOW
� nAK
TEMPI AIRY ROCK TILT CHECK TYPE 'E
o7Br�ai
• f
/ EDK DF PAVE ERT
o�yJ'
STRVCTORAL STONE
I801ETAIC VIFB
I' YIN. NANRAL ��
CRQ$8 SECTION
VEE OIT H
TItA?EZorDAL DITCH ELEVATION VIEW
NTS
-------- 404 WETLANDS FILL AREA
W30' _
- NEUSE RIVER RIPARIAN BUFFER
me I
—------- 404 WETLANDS
* - -�-- COASTAL WETLANDS
GL � GL �-�j-�j-� ----GRASS LINED CHANNEL
I ----OPEN WATER IMPACTS
na
I T'—
x
_....... .. _. IIEOTION S•S
q • 11° KIN.. IN° YNA.
T
REOTIDN AmA
TEMPORARY ROCK SILT CHECK TYPE -A
PROPOSED SILT FENCE
WETLAND VAR, 0'-6'
EDGE OF EXIST. ROAD
UTILITIES LEGEND,
TYPICAL EACH SHEET
*
POWER POLE
0
AG
(D
TELEPHONE PEDESTAL
©
CABLE TV PEDESTAL
(+
SEWER CLEAN OUT
®
WATER VALVE
FIRE HYDRANT
0
WATER METER
EIPO
EXISTING IRON PIPE
+
PROPERTY CORNER
—'L—
PROPERTY LINE
GRASS —LINED CHANNEL
TRAPEZOIDAL DITCH SECTION
Z°
X SECTION AREA (A) = BD +ZD
TOP WIDTH fT1= B + 20Z
AREA TO BE �_ 6
FILLED OR UNDISTURBED AREA
DISTURBED
a
— a
t FABRIC BUR7GRA
EXISTING
1
SILT FENCE
I
DETAIL
- J. � NTS
P .
EXISTING,,
'se I -..- VAR. 0'-6'
''SEDGE. OF EXIST. ROAD
PROPOSED SILT FENCE
_4� +
WETLAND

LEGEND SHEET
SPECIAL SEDIMENT CONTROL FENCE
3 FT.
VAf
DW
/,
SEDIMENT CONTRO
I FT. MIN.
WATER FLOW
CONTROL STONE
TURBIDITY CURTAIN
PUMP
2 \ 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
USE HARDWARE CLOTH 24 GAUGE WIRE MESH (m SILT BAG
WITH %q 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 MAXIMUM OF 3 FT. --

��cF.ivE IlidNOW&M,
w APR 1 0 2008
POT - - .50 �
+rh- f `.50
i2FRANK
W.AND ETHEL PAKE
P.O. BOX 202
MARSHALLBERG, NC 28553
DBK. 408, PG. 423
IO
MBK.15, PG.12TE:WHITE
OAK RIVER BASIN
RIPARIAN BUFFER RULES
w
FL
POT -L - 17 +63.70
8 Sq.Ft.OF OPEN WATER IMPACTS
492 SQUARE FEET 10.01 ACRE )OF CAMA �
WETLAND IMPACTS
NOTE: THE PROJECT IS SHOWN ON THE
Qb
WIGS TON AND HARKER'S ISLAND USGS QUAD
k )
co
SHEET NUMBERS 14 AND 21OF THE SOIL
SURVEY OF CARTERET COUNTY
PERMANENT TYPE-B
SILT BASIN
N
PERMANENT TYPE -A
OCK DITCH CHECK
DOUGLAS E.GILLIKEN 'P N 592702
2800 WEST BRIGSTOCK 77.70'
MIDLOTHIAN,VA 23113-630
DBK. 2, PG. 491
MBK. 9, PG. 916
*14
HANCOCK CREEK !
ESTURINE WATERS
.16 r
PEGGY M.0 IS
1101 COURTYARD EAST
BEAUFORT, NC 8516 '17
DBK. 232, PG. 475
TEMPORARY TYPE-8 ROCK SILT CHECK
N
EXISTING 40'xl5' RCP
PROPOSED 4O`x24'CAP FLOW
15'CP N 59*1410-1E 320A0 E EXISTING R/W
PROPOSED 4O'x24' CAP N 5714`02' E 320.00' c EXISTING R/W
FLOW
I5• cP ' ���Gs TEMPORARY TYPE-8 ROCK SILT CHECK
FLOW
C
fio ` , DAVID E. AND SUSAN JONESJr.
q4 k46, 308 BAY DRIVE
/ SMYRNA,NC 28579
SR 1349, HANCOCK PLACE ROAD 06K. 891, PG. 768
PIPE NUMBER 3 MBKJ5, PG. 12
WBS ELEMENT NUMBER ZC.016040 CARTERET COUNTY
SMYRNA TOWNSHIP DECEMBER 17.2007
REVISED: APRIL 10, 2008
SCALE: r=5O` FOR PERMITTING ONLY
NOT FOR CONSTRUCTION
N 54'04'47'EE
L N 59720`02 E iP
20719' t14.45`
PT -L- 16+26.73 s
V
A GP APPLICA7ION
NUMBER 3 SR 1349,HANCOCKPLACE ROADYPE-B 20' SOIL ROAD
IN
CAMA WETLAND IMPACTS FROM STATION 118+70
TYPE -A TO STATION 21f00.RT -L-
CHECK 460 Sq.Ft.OF CA14A WETLAND IMPACTS
EXISTING 22'xl5'RCP TO BE REPLACED WITH
32'x24' CAP
32 Sq, Ft.CAMA WETLAND IMPACTS
A,$jUR o1-.Ogpr 1ANE
<to
W

10,
POT —Y — 11 +45.50
POT —L — 18 *46.50
POT —Y — 12+20.50
8 Sq.F,.OF OPEN WATER IMPACTS
32 Sq.Ft.OF CAMA WETLAND IMPACTS
AT THE PIPE REPLACEMENT SITE
!2 3
FRANK W. AND ETHEL PAKE
P.O. BOX 202
MARSHALLBERG, NC 28553
DBK. 408, PG. 423 W
MBK.15, PG.12 FL
POT -L - 17 +63.70
PERMANENT TYPE-8
SILT BASIN
PRE DITCHTYPCHECK
Flp N 59'20L
77.70'
CAMA GP APPLI CAT ION
PIPE NUM8ER 3 WBS ELEMENT NUMBER 2CD16040
SR 1349, HANCOCK PLACE ROAD CARTERET COUNTY SMYRNA TOWNSHIP
SCALE: r-50'
29 SOIL ROAD DECEMBER /7.2007
CAMA WETLAND IMPACTS FROM STATION 18+70 FOR PERMITTING ONLY
TO STATION 21+00.RT -L- NOT FOR CONSTRUCTION
460 Sq.Ft.OF CAMA WETLAND IMPACTS
EXISTING 22'xl5' RCP TO BE REPLACED WITH
32'x24' CAP
32 Sq.Ft.CAMA WETLAND IMPACTS
20
POT —L— 19+21.50
9625
CHARLES S.AND JANIE JONES
296 BAY DRIVE
SMYRNA,NC 28579
DBK. 891, PG, 769 �—
MBKJ5, PG.12
TEMPORARY TYPE-8 ROCK SILT CHECK POT —L— 20 f93.14
N 59° 14' 021 E
EXISTING 40'xl5' RCP FLOW
I51CP N 59'14'02'E 320A0 EXISTING R/W
PROPOSED DITCH
._IFI.-"
e!
460 Sq.Ft.OFCAMA WETLAND IMPACTS
l �1 I& I P e4j I&I I a EDDITci++
$' p0 PROPOSED 4Cx24'CAP N 59.14'02'E 320A0' EXISTING R/W
.4 FLOW
TEMPORARY TYPE -B ROCK SILT CHECK
sOj� aR�F ' 1396 LEGEND ;tam
DAVID E, AND SUSAN JONES,Jr. ® ;WETLAND -
'j D TES FILL'
308 BAY DRIVE
SMYRNA,NC 28579 ' TEUP E PE -a =
DBK. 891, PG. 768 RocK sr CHECK -
_z
MBKJ5. PG.12 ' ))
8 Sq.Ft.OF OPEN WATER IMPACTS ID- xa
I
492 SQUARE FEET (0.01 ACRE ) OF CAMA NOTE:WHITE OAK RIVER BASIN
+ WETLAND IMPACTS NO RIPARIAN BUFFER RUMS
FLOW NOTE: THE PROJECT IS SHOWN ON THE
WILLISTON AND HARKER'S ISLAND USGS QUAD
MAPS HE EY NUMBERS 14 AvDO21 OF THE SOIL
S
N 54'04'47' E
L �7= N 59'0702' E 1p --
20719' � I14.45'
C3
V o eVP

SR 1349, HANCOCK PLACE ROAD
SMYRNA TOWNSHIP CAR TERET COUNTY
REPLACE 22'xl S" RCP WITH 32x24" CAP MAR 1 8 20U�
CAMA WETLAND IMPACTS FROM PIPE NUMBER 3
STATION 18+70 TO STATION 21+00,RT. -L-
HARKER'S ISLAND AND WILLISTON USGS QUAD MAPS AND SHEET
NUMBERS 14AND 21 OF THE SOIL SURVEY OF CARTERET COUNTY
1

R.�
Pvl

CAMA GP APPLICATION WBS ELEMENT NUMBER 2CD16040
CARTERET COUNTY SMYRNA TOWNSHIP
PIPE NUMBER 3 SCALE: r=5(Y
SR 1349, HANCOCK PLACE ROAD DECEMBER 17, 2007
FOR PERMITTING ONLY
NOT FOR CONSTRUCTION
PDT -L - 30+73.82
20' SOIL ROAD
-
CAMA WETLAND IMPACTS FROM STATION )8+70i
STATION 21+00,RT -L-
0 0Sq. Ft.OF CAMA WETLAND IMPACTS
EXISTING 22'xl5' RCP TO BE REPLACED WITH
6237
32'x24'_CAP
32 Sq. t.CAMA WETLAND IMPACTS
FRANK W AND ETHEL PAKE
+ P.O. BOX 202
FRANK A.MASSINO, lr. AND CATHY MASSINO
<!D MARSHALLBERG, NC 28553
125 BAY DRIVE
DBK. 406, PG. 423
SMYRNA, NC 28579
EXISTING 22'x15' RCP
M8K, I5, PG. 12 30
E BREAK
GR�AE26 50 DBK, Il11, PG. 0/
4026
PROPOSED 32 z24' CAP
r 16 SgFt. CAMA WETLAND k
N 59'14`00 E 30OD0'
TV. pry x
IMPACTS
1
TAOCr
EXISTING R/W SR 1349
j—�_ — -- — — — _-
FL-� - - - - - - FLOW
N 59Y4'02' E
— —
PROPOSED DITCH i
s/LT G yECX 264hff
--- __—
-------------------------
-• FLDW -► FLOW_ _�-�` PROPOSED DITCH
- - ----
EXISTING R/W
N 59'14'02 E 300.00'
GRADE BREAK
STA.26450
6811
CHARLES M. MCCARTHY AND LIBBY MCCARTHY
130 BAY DRIVE
SMYRNA,NC 28579
D8K.1187, PG. 304
— —`
Si
N 57/4'02 E T 'K u+'FCP Tkoac SALT C 76F 29/82
16 Sq.FI.CA44A WETLAND ' 8 Sp -Ft OF OPEN WATER IMPACTS
IMPACTS 8044
FRANK WAND ETHEL PAKE
PI0. BOX 202
MARSHALLBERG,NC 26553
DBK, 408, PG, 423
MBK.15, PG. 12
a
-4
GD
8 Sq.Ft.OF OPEN WATER IMPACTS
492 SQUARE FEET (0.01 ACRE ) OF CAMA
WETLAND IMPACTS
NOTE: THE PROJECT IS SHOWN ON THE
W�SSTON AND HARKER S ISLAND USGS QUAD
SHEET NUMBERS 14 AND 21OF THE SOIL
SURVEY OF CAPTERET COUNTY
NOTE -WHITE OAK RIVER BASIN
NO RIPARIAN BUFFER RULES
LEGEND
C=)
® DENOTES FIL6.4N
r _`
WETLAND
f58 TEMPORAR( TYPE-8
lEhi RocK SILT CHECK Z

PROJECT NO. 2C.0I6040
DATE DECEMBER 17 2007
ROAD SR 1349
ROAD NAME HANCOCK
PLACE ROAD
COUNTY CARTERET
CROSS SECTION OF
CULVERT CROSSING
PIPE NUMBER 3
STATION 29+00
REPLACE 22'xl5" RCP WITH 3Zx24" CAP
ROAD a
SR /349
EXISTING 2745"RCP
C, _ , LIAR 1 8 2008
2.0'
ROAD
SR 1349
2.0' 2.3' mft
PROPOSED 32 x24
heed City DU, I
1.3'
Z ~
z
W
c�
r
L
O
W W
J
W
PROPOSED RIP RAP n END
W W
STOP VIEWa
O
4
Ld
a
OF PIPE
WIOlJWI a
z
� �
rZ--
�w
"Z
NAWILL NOT TO SPACE I60 SQUARE FEET 10'
v_
w w
OF NEW FILL
w
o w
w
�p
DITCH
PRO aSED YPE
DITCH
TOTAL SQUARE FEET 10'
OF NEW FILL = 320 50. FT.
EXCAVATION ABOVE NWL:
64 x 26'L x 2.9d = J12 SOUARE FEET 12 CUBIC YARDS
EXCAVATION BELOW NWL:
6'w x M'L x 2.3'd = 1932 SOUARE FEET 7 CUBIC YARDS
FINISHED EARTH SLOPE AS REQUIRED
PROPOSED RIP RAP (o END
i k
OF PIPE
� I fl

N. C. DEPARTMENT OF TRANSPORTATION
TRANSMITTAL SLIP
TO:
FROM;,
DATE
REF. NO. OR ROOM, 8LDG.
'j I --- - -• - -M, ULDG.
U � T
ACTION
7E]l OTE ANDFILEOTE qND RETURN TO ME ❑ PER OUR CONVERSATION
❑ PER YOUR REQUEST
ETURN WITH MORE DETgILS NOTE AND SEE ME ABOUT THIS El FOR YOUR APPROVAL
❑ FOR YOUR INFORMATION
❑ PLEASE ANSWER ❑ FOR YOUR COMMENTS
❑ PREPARE REPLY FOR MY SIGNATURE ❑ SIGNATURE
❑ TAKE APPROPRIATE ACTION
❑ INVESTIGATE AND REPORT
COMMENTS:
77
i
�✓�'We MAN 12 2008

UNITED STATES POSH bi 1 l") . rL �w t
os a e eesO. a :-°}. Fa'�a . r .: EPermit No. G-10
�of
i _ ..ter ,•
• : Please fit your name, address, and ZIP+4 in this box •
c0
d
cv''
/\! V/ ��F� A/ C-
CD
a-IS3
itlirlFii�}j!!!t�!tiftl!��

■ 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:
A. Si nature
X El Agent
❑ Addressee
B./ i�c ived by (Prin Name) C. Date o� Delivery
of �I/
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
�oJ l`1J o r JES .
3.
SM� PwA , NC zss,7 9
Mtertified Mail ❑ Express Mall
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7007 3020 0001 0962 0 519
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540 i

■ Complete iterris 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:
Frank W. Pake
Ethel Pake
P.O. Box 202
Marshellberg, NC 28553
A.
Agent
❑ Addressee
B. Receive by"( (Printed Name) C. Date of Deliv
N (, SI 141e: L) i l—S 11-30-;
ll
D. Is delivery a dress different from item 1? ❑ Yes
If YES, enter delivery address below: 9No
3. Se ice Type
Wertified 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) 7005 3110 0000 2033 2328
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POS QL N N:C: 2 a11 1L,
9 Sender: Please print your name, address, and ZIP+4 in this box 0
NC Dept of Transportation
PO Box 1587
Greenville, NC 27835
CA

' ■ Compl2taiterns 1, 2, and 3. Also complete
iterli'4 if Aestricted 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:
Frank A. Massino, Jr.
Cathy Massino
125 Bay Drive
Smyrna, NC 28579
A.
X
❑ Agent
❑ Addressee
redeived by (F1rinfed Name) IC. ate ofpelivery
g-' SV ✓ 1 11 3 t I :'
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
1ffCertified Mail ❑ Express Mail j
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7005 3110 0000 2033 2342
PS Form 3811, February 2004 Domestic Return Receipt 1025s5-o— 2-M-1540�

UNITED STATES POS 4c V(c
• Sender: Please print your name, address, and ZIP+4 in this box •
NC Dept of Transportation
PO Box 1587
Greenville, NC 27835
&I 11MI11111111111fi Ei i i!E! ! £ If!!F £im !! F £! E C
sP- 1349 CAS, til2e-l—

■ CompleWiterlis 1, 2, and 3. Also complete
i 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:
Charles M. McCarthy
Libby McCarthy
130 Bay Drive
Smyrna, NC 28579
A. Si atur
X I
Agent
Addressee '.
B. Received b�PriJame) C. Date of Delivery
t a �h1, -�'H�/�o
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. ice Type
9�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 label) 7005 3110 0000 2033 2335
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

S��wu:.Mr.ap�i:w��°+Lw.«r+s0
{ R",S c� i< imc 2t aww
STATES POSTAL JEFVICE WOO —
UNITED
0
• Sender: Please print your name, address, and ZIP+4 in this box •
NC Dept of Transportation
PO Box 1587
Greenville, NC 27835
M:�

■ Comple44iterils 1, 2, and 3. Also complete
RA, 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:
Charles S. Jones
Janie Jones
296 Bay Drive
Smyrna, NC 2.8579
CV' Addressee '
B. Received by ( Printed Na ) C.,Date of Delivery
�-
D. Is delivery address different from item t? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Seryice Type
s
rCertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) O Yes
2. Article Number
(Transfer from service label) 7005 3110 0000 2033 2359
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAI' ,4� Cg7CPIN'. `v
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1
• Sender: Please print your name, address, and ZIP+4 in this box •
NC Dept of Transportation
PO Box 1587
Greenville, NC 27835
CAR 1 Ems!