58374_NC DOT_20111216

•� ❑CAMA / ❑ DREDGE & FILL Qj
GENERAL PERMIT Previous permit#
❑New ❑Modification El Complete Reissue El 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 I SA NCAC
❑ Rules attached.
Applicant Name
Address
City State ZIP
Phone # () Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA
ElOEA ElHHF ElIH
AEC(s):
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # () River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Win Body
Type of Project/ Activity
(Scale: )
Pier (dock) length'
_i Platform(s) i
i
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
r`
. •�
,.
I
�
i
I
14"
-
-
-
-
-}
'
i
I
Shoreline Length 3
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: ❑ 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 **
t�'
PermitOfficer's Signature
Application Fee(s)
Issuing Date
Check# Local PlanningJurisdiction
Expiration Date
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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
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)
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

Date:
—J I— J1 C�
Describe below the HABITAT disturbances for the application. All values should rr!atch the name, and units of measurement
found in your Habitat code sheet.
Habitat Flame
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Dislurbance total
includes any
anticipated
restoration or
ternimpacts)
FIf lAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
ternimpacts)
FIPdAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge B' Fill n' Both (`�'Olher ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
bredge ❑ Fill ❑ F3olh ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ . Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
'a S.2-;3vJ.••?'3vh' .. I.-'Z:33 CUA:37 .. ca,_.aptal.,�,:�a1rr:u{ i;'

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis
Governor Director
December 21, 2011
NCDOT
c/o Stonewall Mathis
5501 Barbados Blvd.
Castle Hayne, N.C. 28429
Dear Mr. Mathis:
Dee Freeman
Secretary
Attached is General Permit #58374 C to replace the two existing 60" X 57' long culverts with a 15'6" X 7'3" X
49.5' long box culvert and associated infrastructure at approximately 150' South of SR1667, in Wilmington,
North Carolina.
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
rcb
Enclosures
400 Commerce Ave., Morehead City, NC 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
Natlfl"ully

STATE OF NORTH CAROUNA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
December 2, 2011
Stephen Lane
Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28557
EUGENE A. CONTI, JR.
SECRETARY
RECEIVED
SUBJECT: CAMA General Permit .2300 Application for a Pipe Replacement Project on
SR 1492 Myrtle Grove Road approximately 150 south of SR 1667 D E C Q 6 2 01 1
New Hanover County WBS # 3B.206512
Dear Mr. Lane: DCM-MHD CITY
The North Carolina Department of Transportation is requesting issuance of a CAMA General Permit .2300 for a
pipe replacement project in New Hanover County on SR 1492 approximately 150 feet south of SR 1667. The water
body at this location is Everett Creek and is classified as SA HQW. It appears that Everett Creek is designated as a
DMF Primary Nursery Area up to the downstream side of SR 1492. The proposal is to replace existing twin CUT
60 inch pipes at 57 feet long with a single 931 Aluminum Box Culvert that would measure 15 feet 6 inches wide by 7
feet 3 inches tall by 49.5 feet long. The proposed box would be on a 97 degree skew to best match the alignment of
the stream. The proposed box would have headwalls on the inlet and outlet. Additionally, four new valves, two for a
water line and two for a sewer line, will need to be installed in order to temporarily shut off these utilities for
installation of the proposed pipe.
Please find enclosed the permit application forms MP-1, MP-3, and MP-5, maps (2), drawings (3), riparian property
owner list, sample copy of riparian property owner notification letter, the certified mail receipts from the mailings to
the adjacent riparian property owners, and one return receipt received thus far. In regard to section 4.m. of the MP -I
form, I believe that there are wetlands on the site and that there are no coastal wetlands on the site. While no official
delineation has been done, our proposal would seemingly affect only upland areas and open water within the stream.
Additionally, NCDOT has made application to the USACE to perform this work under a Nationwide Permit 3 and
Water Quality Certification 3687.
NCDOT acknowledges that $400.00 will be debited against the WBS element provided above for processing this
CAMA General Permit .2300 Application.
Thank you for considering this request. If you have any questions or need additional information please contact me
at [phone].
Sincerely,
Stonewall Mathis
Division 3 Environmental Officer
Enclosures
Mr. Mason Herndon, DWQ, Fayetteville
Mr. Brad Shaver, USACE, Wilmington District
5501 BARBADOs BLVD. CASTLE HAYNE, NC 28429
Phone: [phone] Fax: [phone]

1e0 NtiI
WFLICATION for
Major lerelMwenlPermlt
(last revised 12127106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
NC Department Of Transportation
Project Name (if applicable)
SR 1492 Pipe Replacement
Applicant 1: First Name
Stonewall
MI
D
Last Name
Mathis
RECEIVED
Applicant 2: First Name
MI
Last Name
DEC 0 6 2011
If additional applicants, please attach an additional page(s) with names listed.
DCM-NIHD CITY
Mailing Address
5501 Barbados Blvd.
PO Box
City
Castle Hayne
State
NC
ZIP
28429
Country
USA
Phone No.
910 - 341 - 2036 ext.
FAX No.
910 - 675 - 0143
Street Address (if different from above)
City
State
ZIP
Email
[e-mail]
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>

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
New Hanover
SR 1492 approx. 150' South of SR 1667
1492
Subdivision Name
City
State
Zip
n/a
Near Wilmington
NC
28409 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
n/a - - ext.
n/a, I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Cape Fear
Everett 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
Masonboro Sound ORW Area
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.
n/a
4.
Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
—80
>1 acre
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
n/a, I I
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
--7 to 8 ft ®NHW or ❑NWL
e.
Vegetation on tract
Roadside grasses on most of tract with shrubs and trees at edge of ROW RECEIVED
f.
Man-made features and uses now on tract
Paved road, existing pipes, utilities
DCIv1-NII-ID CITY
g.
Identify and describe the existing land uses adjacent to the proposed project site.
Vacant land, residential, and woodland
h.
How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
This is NCDOT ROW, the surrounding property is R-15
(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>

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Perrnit
m. (i) Are there wetlands on the site? ❑Yes ❑No
wee Co✓F✓
(ii) Are there coastal wetlands on the site? Oyes ❑No I r ,1� �.
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ❑Yes ❑No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
n/a, however a sewer force main runs along the roadway
o. Describe existing drinking water supply source.
n/a, however a water line runs along the roadway
p. Describe existing storm water management or treatment systems.
Grassed shoulder filter strip
5. Activities and Impacts
a.
Will the project be for commercial, public, or private use? ❑Commercial ®Public/Government
❑ Private/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
The project is to ensure safety and mobility of the traveling public by replacing an aged pipe.
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 methodology is to dig up the existing pipe with heavy equipment and install the new pipe with heavy equipment. It is
anticipated that back hoes, dump trucks, and the like will be used for construction. Numbers of equipment are unknown.
The road will be shut down for the pipe replacement and equipment will be stored in uplands on the ROW.
d.
List all development activities you propose.
NCDOT proposes to install four valves, two each on a water line and a sewer line, to facilitate shutting off these utilities to
allow for installation of the proposed pipe. NCDOT proposes to remove the existing pipes and install the new pipe. NCDOT
proposes to modify the water and sewer line within the pipe excavation by elbowing the utilities around the newly installed
pipe. NCDOT proposes to establish final grades for disturbed areas. NCDOT proposes proper erosion control throughout.
e.
Are the proposed activities maintenance of an existing project, new work, or both? New work of installing new pipe.
f.
What is the approximate total disturbed land area resulting from the proposed project? 10,000 ®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.
Roadway and pipe fill are existing. Roadway and pipe fill are proposed. I suggest that the proposed project may actually
result in reduced permanent impacts from the existing project as the proposal is to shorten the pipe by approximately 7 feet.
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>

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name See attached list Phone No.
Address
Name Phone No,'CEIV;
Address
Name Phor@pc. 0 6 201
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 12/2/2011 Print Name
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

.Form DCM MP-3
UPLAND DEVELOPMENT
(Construction and/or land disturbing activities)
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.
GENERAL UPLAND DEVELOPMENT
a. Type and number of buildings, facilities, units or structures b. Number of lots or parcels. RECEIVED
proposed. NCDOT ROW
Four utility valves proposed, two for the water line and two
for the sewer line. Also, the roadway pipe is to be installed.
The road shoulders will be reworked to bring shoulders up
to proper elevation relative to the newly constructed road
surface once the pipe is installed.
c. Density (give the number of residential units and the units per
acre).
n/a
e. If the proposed project will disturb more than one acre of land, the
Division of Land Resources must receive an erosion and
sedimentation control plan at least 30 days before land -disturbing
activity begins.
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the Division of Land Resources?
[]Yes ❑No ®NA
(ii) If yes, list the date submitted:
g. Give the percentage of the tract within the coastal shoreline AEC to
be covered by impervious and/or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
Approximately 35% very much as existing; the only known
increase in impervious compared to existing is thought
to be the valve covers at an additional estimated 10
square feet total
i. Give the percentage of the entire tract to be covered by impervious
and/or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking.
Thought to be approximately 35%
j. Describe proposed method of sewage disposal.
Construction workers should have port-a-jon onsite.
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industrial/
commercial effluent, "wash down" and residential discharges).
Surface runoff
DC31-?vIHD CITY
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
Approximately 10,000 square feet
f. List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
Stone overlayed with asphalt for the roadway
reconstruction once the pipe install is complete.
h. Projects that require a CAMA Major Development Permit may also
require a Stormwater Certification.
(i) Has a site development plan been submitted to the Division of
Water Quality for review?
[-]Yes ❑No ®NA
(ii) If yes, list the date submitted:
k. Have the facilities described in Item (i) received state or local
approval?
❑Yes ❑No ®NA
If yes, attach appropriate documentation.
m. Does the proposed project include an innovative stormwater
design?
[-]Yes ®No ❑NA
If yes, attach appropriate documentation.

' Form DCM MP-3 (Upland Development, Page 2 of 2)
m. Describe proposed drinking water supply source (e.g., well,
community, public system, etc.)
n/a
o. When was the lot(s) platted and recorded?
n/a
12/2/2011
n. (i) Will water be impounded? ❑Yes ®No ❑NA
(ii) If yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
❑Yes ❑No ®NA
Date
SR 1492 Pipe Replacement RECEIVED
Project Name
Ston wall Mathis DEC 0 6 2011
Appl nt e
DCM-MHD CITY
App icant Signature

Fem IN 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:
❑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:
b. Water body to be crossed by bridge:
d. Water depth at the proposed crossing at NLW or NWL:
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)
h. Width of proposed bridge:
i. Will the proposed bridge affect existing water flow? ❑Yes ❑No j. Will the proposed bridge affect navigation by reducing or
If yes, explain: increasing the existing navigable opening? ❑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. Have you contacted the U.S. Coast Guard concerning their
approval? ❑Yes ❑No
If yes, explain:
FC T' FT)
n. Height of proposed bridge above wetlands:
)EC 0 0 2011
DCM-MHD CITY
2. CULVERTS ❑This section not applicable
a. Number of culverts proposed: One
b. Water body in which the culvert is to be placed:
Everett Creek
< Form continues on back>

Form DCM MP-5 (Bridges and Culverts, Page 2 of 4)
C. Type of culvert (construction material):
Aluminum Box Culvert
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: 49.5 feet
h. Height of the top of the proposed culvert above the NHW or NWL.
Approximately 5 to 6 feet
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? ®Yes [:]No
If yes, explain: The proposed culvert would seemingly
increase the existing navigable opening.
e. (i) Will proposed culvert replace an existing culvert?
®Yes ❑No
If yes,
(ii) Length of existing culvert(s): 57 feet
(iii) Width of existing culvert(s): 2 at 60 inch diameter
(iv) Height of the top of the existing culvert above the NHW or
NWL: Approximately 3 to 4 feet
(v) Will all, or a part of, the existing culvert be removed?
(Explain) All of the existing culverts will be removed.
g. Width of proposed culvert: 15.5 feet
i. Depth of culvert to be buried below existing bottom contour.
1 foot on both inlet and outlet
k. Will the proposed culvert affect existing water flow?
®Yes ❑No
If yes, explain: It seems that the larger opening would
affect water flow.
3. EXCAVATION and FILL El This section not applicable
a
C.
(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: 60 feet
(iii) Avg. width of area to be excavated: 15 feet
(iv) Avg. depth of area to be excavated: 1.5 ft below mud line
(v) Amount of material to be excavated in cubic yards: 50
(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: 60 feet
(iii) Avg, width of area to be excavated: 50 feet
(iv) Avg. depth of area to be excavated: 7.5 feet
(v) Amount of material to be excavated in cubic yards: 834
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 ®None
(ii) Describe the purpose of the excavation in these areas:
None known, all excavation is expected to be in upland
areas and open water areas within the stream.
RECEIVED
DEC 0 6 2011
DCM-MHD CITY

17- -` """"" "m-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: Spoil will be used to help backfill the pipe excavation area and also on existing upland
roadway fill areas to rework road shoulders to bring them to proper elevation relative to the newly constructed road surface
once the pipe is installed. NCDOT attempts to use all spoil from the project for the listed purposes. Any excess spoil would be
hauled to and disposed of at a commercial pit.
(ii) Dimensions of the spoil disposal area: Approximately 10,000 square feet and any excess spoil to commercial pit
(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 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 fill (other than excavated material described in Item d above) to
be placed below NHW or NWL? ❑Yes ®No be placed 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 filled: feet affected.
(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: 49.5 feet
(iii) Avg. width of area to be filled: 50
(iv) Purpose of fill: This is the stone backfill over the pipe
for structural support of the pipe. It is anticipated that
stone backfill of the pipe excavation area would
completely underly the pave road area while the shoulder
areas would be adequately backfilled over and around
the pipe and then topped off with sufficient depth of soil
material to establish vegetation.
4. GENERAL
a. Will the proposed project require the relocation of any existing
utility lines? ®Yes ❑No
If yes, explain: The water line and sewer line are not
anticipated to have to be relocated in the horizontal
plane, however, they are anticipated to have to be
relocated in the vertical plane. It is anticipated that this
would be achieved via use of pipe elbows.
❑CW ❑SAV ❑SB
❑WL _ ®None
(ii) Describe the purpose of the excavation in these areas:
RECEIVED
DEC 0 6 2011
DCM-A4HD CITY
b. Will the proposed project require the construction of any temporary
detour structures? ❑Yes ®No
If yes, explain: There will be an offsite detour route.

Form DCM MP-5 (Bridges and Culverts, Page 4 of 4)
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 fence will be used to contain the spoil material until it is
used for backfill and shoulder work. Silt fence and
other appropriate erosion control measures will be used
to contain fill on uplands until vegetation is established.
The disturbed upland areas will be seeded and
mulched and matted as needed to expedite vegetation
establishment.
e. What type of construction equipment will be used (for example, f. Will wetlands be crossed in transporting equipment to project site?
dragline, backhoe, or hydraulic dredge)?
❑Yes ®No
Backhoes and/or excavators and dump trucks are If yes, explain steps that will be taken to avoid or minimize
anticipated. environmental impacts.
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.
12/2/2011
Date
SR 1492 Pipe Replacement
Project Name
Stonewall Mathis
77a lybl
Applicant Signat re
RECEIVED
DEC 0 6 2011
DCM-MHD CITY

Pipe Replacement Proposal on SR 1492
about 150' South of SR 1667 New Hanover County
D 7001,400 2,800 4,200 5,600 M A }
Feet

11 4.5'
LO'
Not
-ls 70 4.50
Inlet Headwall
99.7
99.2
15'8" span X 73"
rise Alum. Box
Culvert Welded
@ 97 Degrees
90.8
89.8
R 27.00' 3.1
4.50'
Outlet Headwall —�•
99.5
99.0
1516" span X TY
rise A um. Box
Culvert Welded
:7' (Q 97 Degrees
90.6
22.5' Ae
89.6
13.5'
New Hanover County SR1492
150' Se of SR1667
I ! G. w , -,
1 c--' 3
I jz/1) --5-D,v,

New Hanover County Pipe Replacement
SR 1492 approx. 150' south of SR 1667
20 feet upstream Proposed *31 Aluminum Box
of existing pipe
Stream Bed Elev.:91.8 Culvert of 15'6'Wx7'3'Hx49.5'L
Proposed Inlet
Invert Elev.- 90.8
Note: Existing Pipe Is Twin 60'
CMP at 57 feet in length
Note: Stream Information Collected
September 19, 2011
Note: Stream Bed Is depicted as a
straight line. Additional Existing
Stream Bed Elev'sa
1) 10 ft. up of Inlet: 91.8
2) 5 ft. up of Inlet: 9t.8
3) Inlet: 91.6
4) Outlet: 91.3
5) 12 ft. down of outlet: 90.0
RECEIVED
DEC 062011
35 feet downstream
of existing pipe
Stream Bed Elev.:91.6
Proposed Outlet
invert Eleva 90.6
Bankfuii
27.00'
Water Depth Approx Ifoot
Channel Profile
w-) j 2 / z / l I -�.� � �
DCM-MHD CITY

RECEIVED
DEC 0 6 2011
.SCALE: Iil_ Zo/
DCM-MHD CITY
North (approx.)
Outlet Headwall
New Hanover County SR1492
150' S. of SR1667
prr-vj, Ln) 3 0� '3
/ Z/ Z ) it 5-r>y-,

New Hanover County SR 1492 Pipe Adjacent Riparian Property Owners
Home Life Inc.
PO BOX 18615
WILMINGTON NC 28405
Quality Water Supplies Inc.
PO BOX 2398
WILMINGTON NC 28402-2398
Van Gregory Paxton
1000 S HAWTHORNE RD
WINSTON SALEM NC 27103
Carmen D Hartmut Maack
PO BOX 15454
WILMINGTON NC 28408-5454
RECEIVED
DEC 0 6 2011
DCM-MHD CITY

STATE OF NORTH CAROLIN A
DEPARTMENT OF TRANST TAU®N
BEVERLY EAVES PERDUE
GOVERNOR
November 22, 2011
Van Gregory Paxton
1000 S HAWT'HORNE RD
WINSTON SALEM NC 27103
Dear Pdparian Neighbor,
E;UGENE A. CONTI., JR.
SECRETARY
The NC Department of Transportation is proposing a pipe replacement project on SR 1492 approximately
150 feet south of SR 1667 in New Hanover County. NCDOT is applying for permits to perform the
proposed work. You are being notified of this proposal because of Coastal Area Management Act
requirements to notify adjacent riparian property owners of proposed development.
Please see the attached maps and drawing in regard to this proposal. Please contact me if you have any
questions in regard to this proposal.
If you wish to comment on the proposed project to the regulatory agency of the NC Division of Coastal
Management, please contact Mr. Stephen Lane by email at steplien.1ane d !=ncdenngn-v or write to him at:
NC Division of Coastal Management
Athi: Mr, Stephen Lane
400 Commerce Avenue
Morehead City, NC 28557
You have 10 days in which to submit your comments in writing to the NC Division of Coastal Management.
No response shall be interpreted as no objection.
Thank you for your consideration.
Enclosure
Sincerely,
HionewallMathis
NCDOT
Division Environmental Officer
5561 BARr3ADos BLvD. CAs,mE i1AY2iE, NC 28429
Phone: [phone] Fax: [phone]
RECEIVED
DEC 0 6 2011
DC?vi-.NIHD CITY

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t NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for I
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regwred.
■ For an additional fee, delivery may be restricted to the addressee or
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endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail I.
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an'intIthry.
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■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For I`
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is
required.
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addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery". -`
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047

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Important Reminders:
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valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPSe postmark on your Certified Mail receipt is
required.
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addressee's authorized agent. Advise the clerk or mark the mailpiece with the I
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an,. inquiry.
PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047

■ Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired. i
■ Print your name and address on the reverse X +, / ` t
i so that we can return the card to you. B. Received by ( Printed Name)
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: Q�
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1000 S .
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C. Date of Delivery
D. Is delivery address different from item 1?
If YES, enter delivery address below:
RECEIVED
DEC 0 6 2011
❑ Yes
❑ No
3. _ser4eeType
Certified Mail ❑ ss Mail
❑ Registered eturri Receipt for Merchandise '
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
i 2. Article Minbet 7010 1870 0002 9000 8759
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PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
N. C. Department of Transportation
Division Three Office
5501 Barbados Blvd.
Castle Hayne, NC 28429