30576_NC DOT_20030610

E CAMA / El DREDGE & FILL G -30-576
C. dOENERAL, PERMIT
Previous permit #
�Newo ElModification ElComplete Reissue ElPartial 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
El Rules attached.
Applicant Name T Project Location: County "ice
Address Street Address/ State Road/ Lot #(s) City State zip -Z' 71 7-
Phone # T,: -77 77 Fax # O Subd'
77
zip Ji� eiei
Authorized Agent City -
El CW El EW g PTA [I ES P?TS Phone# River Basin
Affected
11
AEC(s): OEA Ll HHF DIH [--1 UBA L1 N/A Adj. Wtr. Body— (nat
El PWS: El FC:
ORW: yes / no PNA yes / no Crit. Hab. yes I no Closest Mal. Wtr. Body
Type of Project/ Activity 60:
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
1-44-
Basin, channel
-ff-j
cubic yards A b (1)
Boat ramp
Boathouse/ BJRW�OG - ----- 7
Beach Bulldozing
Other1&1i1*C /62,&13a i
Shoreline Length
T
SAM not sure yes no
4. i-A
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: h See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on.6ack of permit
Application Fee(s) Check #
Permit Officer's Signature
all
Issuing Date GpirationDate
,I,- -� IJ4
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, 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: [phone]
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)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 10/05/01

rw
PAY TUTHE
! ORDER OF
NC Department of Transportation
1514 K8uU Services Center
Raleigh, NC 27698'1514
53/
Warrant I451996
Date 08/27/2003
200.00
S. DIM=
00
`m*49"O
NC oErTOFENVIRONMENT
AND NATURAL RESOURCES
\ DIVISION 0rCOASTAL MANAGEMENT
/ 10a8MAIL SERVICE CTn
! nxLs|oH mc 27699'1638
� State Treasurer, Raleigh, North Carolina _ '_�� _
� Payable at Par Through Federal Reserve System Chief_ '__
i -- -- --------------------------'---'—'----inancial Officer
THIS FORM CONTAINS MICROPRINTING
----'--~~
�305�~�
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�

Form DC'VI-MP-1
APPLICATION
(To be completed by all applicants)
1. APPLICANT
a. Landowner:
Name N. C. Department of Transportation
Address 113 Airport Road
City Edenton
Zip 27932
Fax [phone]
b. Authorized Agent:
State N.C.
Day Phone [phone]
Name Clay Willis, Environmental Officer
Address 113 Airport Road
City Edenton
Zip 27932
State N.C.
Day Phone [phone]
Fax [phone]
c. Project name (if any) Bridge # 30 Replacement
over Pungo Canal
NOTE: Permit will be issued in name of landowner(s), and/or
project name.
2. LOCATION OF PROPOSED
PROJECT
a. County
b. City, town, community or landmark
Union Grove Community
c. Street address or secondary road number
NC 45 in Hyde County
d. Is proposed work within city limits or planning
jurisdiction? Yes X No
e. Name of body of water nearest project (e.g. river,
creek, sound, bay) Pungo River Canal
3. DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
a. List all development activities you propose (e.g.
building a home, motel, marina, bulkhead, pier, and
excavation and/or filling activities.
Replace Bridge # 30 on the existing alignment
b. Is the proposed activity maintenance of an existing
project, new work, or both? Maintenance
c. Will the project be for public, private or commercial
use? public
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed
project. If more space is needed, please attach
additional pages. The purpose of this project is to
maintain the bridge crossing over the Pungo
River Canal. The existing bridge is deteriorating
and needs to be replaced. This work will be
accomplished by removing the old bridge with a
crane in sections. The new concrete slab will be
placed on piles. These piles will be driven with a
vibratory hammer.
Revised 03/95

Form DCM_NW-1
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract The area is approximately 175
feet by 60 feet, includes paved roadway surfaces.
b. Size of individual lot(s) N/A
c. Approximate elevation of tract above MHW or
NWL 5 feet
d. Soil type(s) and texture(s) of tract
(WaA) Wasada Muck
e. Vegetation on tract various roadside grasses such
as panic grass, fescue, beggar tick, and red clover.
f. Man-made features now on tract NC 45 and small
boat ramp adjacent to road
g. What is the CAMA Land Use Plan land
classification of the site? (Consult the local land use plan.)
_ Conservation Transitional
_ Developed Community
X Rural Other
h. How is the tract zoned by local government?
NCDOT right-of-way
i. Is the proposed project consistent with the applicable
zoning? X Yes No
(Attach zoning compliance certificate, if applicable)
j. Has a professional archaeological assessment been
done for the tract? Yes X No
If yes, by whom?
k. Is the project located in a National Registered
Historic District or does it involve a National
Register listed or eligible property?
Yes X No
1. Are there wetlands on the site? Yes X No
Coastal (marsh) Other
If yes, has a delineation been conducted?
(Attach documentation, if available)
n. Describe location and type of discharges to waters of
the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down" and residential discharges.) Surface runoff
from NC 45
o. Describe existing drinking water supply source.
None
5. ADDITIONAL INFORMATION
In addition to the completed application form, the
following items must be submitted:
• A copy of the deed (with state application only) or
other instrument under which the applicant claims title
to the affected properties. If the applicant is not
claiming to be the owner of said property, then
forward a copy of the deed or other instrument under
which the owner claims title, plus written permission
from the owner to carry out the project.
• An accurate, dated work plat (including plan view
and cross -sectional drawings) drawn to scale in black
ink on an 8 1/2" by 11" white paper. (Refer to
Coastal Resources Commission Rule 7J.0203 for a
detailed description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue -line
prints or other larger plats are acceptable only if an
adequate number of quality copies are provided by
applicant. (Contact the U.S. Army Corps of
Engineers regarding that agency's use of larger
drawings.) A site or location map is a part of plat
requirements and it must be sufficiently detailed to
guide agency personnel unfamiliar with the area to
the site. Include highway or secondary road (SR)
numbers, landmarks, and the like.
in. Describe existing wastewater treatment facilities.
None
•A Stormwater Certification, if one is necessary.

Form DCM, -MP-1
•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. Upon signing this form, the applicant
further certifies that such notice has been provided.
Name
Weyerhaeuser
Address
P. O. Box 1391
New Bern, NC 27962
Phone
Name
Daniel W. Allen
Address
473 Pike Rd.
Pantego, NC 27860
Phone
Name
C. D. Liverman Sr.
Address
6850 NC Highway 99 N
Pantego, NC 27860
Phone
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
None
• A check for $250 made payable to the Department of
Environment, Health, and Natural Resources
(DEHNR) to cover the costs of processing the
application.
• A signed AEC hazard notice for projects in
oceanfront and inlet areas.
• A statement of compliance with the N.C.
Environmental Policy Act (N.C.G.S. 113A - 1 to
10) If the project involves the expenditure of public
funds or use of public lands, attach a statement
documenting compliance with the North Carolina
Environmental Policy Act.
6. CERTIFICATION AND PERNIISSION
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 conditions
and restrictions contained in the permit.
I certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's
approved Coastal Management Program and will be
conducted in a manner consistent with such program.
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.
ZoDj
This is the / o day of Jun- ,
Print Name Clav Willis
Signature [;G
Lando or Authorized Agent
Please indicate attachments pertaining to your proposed
project.
DCM MP-2
Excavation and Fill Information
_
DCM MP-3
Upland Development
_
DCM MP-4
Structures Information
_
X DCM MP-5
Bridges and Culverts
DCM MP-6
Marina Development
NOTE. Please sign and date each attachment in the
space provided at the bottom of each form.
Revised 03/95

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.
1. BRIDGES
a. Public X Private
b. Type of bridge (construction material)
concrete
c. Water body to be crossed by bridge
Pungo River Canal
d. Water depth at the proposed crossing at MLW or
NWL 5'6"
e
Will proposed bridge replace an existing bridge?
X Yes No
If yes,
(1) Length of existing bridge 90'
(2) Width of existing bridge 30'
(3) Navigation clearance underneath existing
bridge 3'
(4) Will all, or a part of, the existing bridge be
removed? (Explain) All will be removed
f. Will proposed bridge replace an existing culvert(s)?
Yes X No
If yes,
(1) Length of existing culvert N/A
(2) Width of existing culvert N/A
(3) Height of the top of the existing culvert above
the MHW or NWL N/A
(4) Will all, or a part of, the existing culvert be
removed? (Explain) N/A
g. Length of proposed bridge 107'3"
h. Width of proposed bridge 32'
i. Height of proposed bridge above wetlands
N/A
j. Will the proposed bridge affect existing water flow?
Yes X No
If yes, explain
k. Navigation clearance underneath proposed bridge
3'
1. Will the proposed bridge affect navigation by
reducing or increasing the existing navigable
opening? Yes X No
If yes, explain
in. Will the proposed bridge cross wetlands containing
no navigable waters? Yes X No
If yes, explain
n. Have you contacted the U.S. Coast Guard
concerning their approval?
Yes X No
If yes, please provide record of their action.
2. CULVERTS N/A
a. Water body in which culvert is to be placed
b. Number of culverts proposed
c. Type of culvert (construction material, style)
d. Will proposed culvert replace an existing bridge?
Yes No
If yes,
(1) Length of existing bridge
(2) Width of existing bridge
Revised 03/95

Form DCM-MP-5
(3) Navigation clearance underneath existing
(2) Width of area to be excavated
bridge
(3) Amount of material to be excavated in cubic
(4) Will all, or a part of, the existing bridge be
yards
removed? (Explain)
c. Will the placement of the proposed bridge or culvert
e.
Will proposed culvert replace an existing culvert?
require any highground excavation?
Yes No
X Yes No
If yes,
If yes,
(1) Length of existing culvert
(1) Length of area to be excavated 35'
(2) Width of existing culvert
(2) Width of area to be excavated 55'
(3) Height of the top of the existing culvert above
(3) Amount of material to be excavated in cubic
the MHW or NWL
yards 427
(4) Will all, or a part of, the existing culvert be
removed? (Explain)
d. If the placement of the bridge or culvert involves
any excavation, please complete the following:
(1) Location of the spoil disposal area
NCDOT approved waste area site
f.
Length of proposed culvert
(2) Dimensions of spoil disposal area
g.
Width of proposed culvert
(3) Do you claim title to the disposal area?
h.
Height of the top of the proposed culvert above the
X Yes No
MHW or NWL
If no, attach a letter granting permission from
the owner.
i.
Will the proposed culvert affect existing water flow?
(4) Will the disposal area be available for future
Yes No
maintenance? X Yes No
If yes, explain
(5) Does the disposal area include any coastal
wetlands (marsh), SAVs, or other wetlands?
Yes X No
j.
Will the proposed culvert affect existing navigation
If yes, give dimensions if different from (2)
potential? Yes No
above.
If yes, explain
(6) Does the disposal area include any area below
the MHW or NWL? Yes X No
If yes, give dimension if different from No. 2
3.
EXCAVATION AND FILL
above.
e. Will the placement of the proposed bridge or culvert
a.
Will the placement of the proposed bridge or culvert
result in any fill (other than excavated material
require any excavation below the MHW or NWL?
described in Item d. above) to be placed below
Yes X No
MHW or NWL? Yes X No
If yes,
If yes,
(1) Length of area to be excavated N/A
(1) Length of area to be filled
(2) Width of area to be excavated N/A
(2) Width of area to be filled
(3) Depth of area to be excavated N/A
(3) Purpose of fill
(4) Amount of material to be excavated in cubic
yards N/A
f. Will the placement of the proposed bridge or culvert
b.
Will the placement of the proposed bridge or culvert
result in any fill (other than excavated material
require any excavation within: None
described in Item d. above) to be placed within: No
_ Coastal Wetlands _ SAVs Wetlands
_ Coastal Wetlands SAVs Other Wetlands
_Other
If yes,
_
If yes,
(1) Length of area to be excavated
(1) Length of area to be filled
(2) Width of area to be filled
Revised 03/95

Form I)CM-MP-5
(3) Purpose of fill
g. 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
highground? X Yes No
If yes,
(1) Length of area to be filled 35'
(2) Width of area to be filled 55'
(3) Purpose of fill endbent placement and
bridge approaches
4. GENERAL
a. Will the proposed project involve any mitigation?
Yes X No
If yes, explain in detail
b. Will the proposed project require the relocation of
any existing utility lines? X Yes No
If yes, explain in detail A power line running
parallel with the bridge will be moved.
c. Will the proposed project require the construction of
any temporary detour structures?
Yes X No
If yes, explain in detail
d. Will the proposed project require any work
channels? Yes X No
If yes, complete Form DCM-MP-2
e. How will excavated or fill material be kept on site
and erosion controlled? Using NCDOT Best
Management Practices and guidelines for
sediment and erosion control.
f. What type of construction equipment will be used
(for example, dragline, backhoe or hydraulic
dredge)? crane, pile hammer, boom truck,
excavator
g. Will wetlands be crossed in transporting equipment
to project site? Yes X No
If yes, explain steps that will be taken to lessen
environmental impacts.
Revised 03/95
h. Will the placement of the proposed bridge or culvert
require any shoreline stabilization?
X Yes No
If yes, explain in detail Rip -rap placement in front
of new endbents will stabilize bank under bridge.
Clay Willis, Environmental Officer
Applicant or Project Name
// 4��' //--)
Signatur`6
6 9,3
Date

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PUNGO NATIONAL
WILDLIFE REFUGE
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j ■ Complete items T, 2, and 3. Also complete
1 item 4 if Rgsfricted Delivery is desired.
ti ■ 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:
C. D. Livennan
6850 NC Hwy. 99 N
Pantego, NC 27860
j 2. Article Number
(Transfer from service label)
A. Sign/aturre� / '/d
X2�2ZZ Add.
B. Received by ( Printed Name) C. Date of Delivery j
I2-zo-o Z
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. S ice Type
Certified Mail ❑ press Mail
❑ Registered Return Receipt for Merchandise if
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
i PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 y

UNITED STATES POSTAL SERVICE First -Class Mail
( Postage KFee, Paid
• Sender: Please print your name, address, and ZIP+4 in INS box •
Clay Willis
NC Dept. of Transportation
113 Airport Drive, Suite 100
Edenton, NC 27932

{ ■ Complete items 1, 2, and .. Also complete
item 4 if geptrigted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
S ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
� 1. Article Addressed to:
Daniel W. Allen
473 Pike Road
Pantego, NC 27860
A. Signature
X gent
Addressee
B. ,F, lc v by (Printed Nam) C. Date of Delivery
12-?2 " Z i
D. Is delivery address different from item 1 ? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Serv' e Type
VCertified Mail
❑ E�ress Mail
❑ Registered
Uteturn Receipt for Merchandise t
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number / p �t t �
(Transfer from service label) 7 00 / { L VO eoo-� 6�7� �p�G'7
(I PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-154[

UNITED STATES POSTAL SERVIC r
&`Tees Paid
2002 '� -Permit
Nb. 4
• Sender: Please print your name, address, and ZIP+4 in this box •
Clay Willis
NC Dept. of Transportation
113 Airport Drive, Suite 100
Edenton, NC 27932
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ADJACENT RIPARIAN LANDOWNER STATEMENT
( Hyde County: Bridge replacement on NC 45 over Pungo Canal)
General Statute 113-229 requires that riparian landowners with property adjoining a
proposed development in an Area of Environmental Concern (AEC) be given thirty (30)
days in which to comment on the proposed development. This form allows the adjacent
riparian landowner to express either: (1) that he objects to the project; or (2) that he does
not object and desires to waive his/her right to the 30-day period so that the processing of
the application can progress more rapidly. Of course, the adjacent riparian landowner
need not sign this form at all if he/she so chooses. No response within 30 days
following receipt of this letter and form will be construed to mean the adjacent
riparian landowner has no objections.
I, EU,S ER Co • am an adjacent riparian property owner and am
aware of the North Carolina Department of Transportation's plans for the replacement of
a bridge on NC 45 in Hyde County over the Pungo Canal. I am further aware that this
work will occur in one or more AEC's and therefore will require authorization from the
Division of Coastal Management in accordance with the Coastal Area Management Act
(CAMA).
I have no objection to the project as presently proposed and hereby waive
that right of objection as provided in General Statute 113-229.
I have objections to the project as presently proposed and my comments
are attached.
2J 1'7 .
Signature of Adjacent Landov0n'er ,-S.? -G 3 3
Date: