57901_NC DOT_20110509

11CAMA / ❑ 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
[I Rules attached.
Applicant Name
Address
City State ZIP
Phone # (^) Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
(Scale: )
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
---
I
f
'
1
r
-
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes na
Moratorium: n/a yes no
Photos: yes no 17
Waiver Attached: yes no
i
A building permit may be required by:
Notes/ Special Conditions
I
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
Application Fee(s)
Issuing Date
Check # Local Planninglurisdiction
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 complywith 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/ 1-888-4RCOAST
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

•
[!16AIVIA
NY 57901
EDGE & FILL
GE
L PERMIT
Previous permit # —
��lev�
Mod' , ication El Complete Reissue D Partial Reissue Date previous permit issued
As authorized by t Stat of North Carolina, Department of Environment and Natural Resources 7
and the Coastal R ourc Commission in an area of environmental concern pursuant
to I SA NCAC
Applicant Nam
[9Ru)es attached.
Project Location: County
Address
Street Address/ State Road/ Lot # (s) 17�41/
City. Mate D — ; ,
xR: It
Phone #
Fax LLL��.
Subdivision
Authorized zed Agent
r, ZA ZIP
City`
[iT'CW
2r6W 2*TA �S EJ PTS
Phone# River Basip
El OEA
Affecte(s):d
AEC
El HHF 01H El UBA 0 N/A
Adj. Wtr. Bod 6720/man /unkn)
11 Pws:
0 FC:
ORW: yes / (50
PNA res �/ no Crit.H,b. yes no
Closest Maj. Wtr. Body—
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Agent or Applicant Printed Name
Permit Officer's Signature
Signature Please rad c eompliance statement on backof permit IssuingDate ion Dlte
boo �p 3 e , ,,,
Application Fee(S) Check #
Local PlanningJurisdiction Rover File Nam!

APT,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
May 9, 2011
Jay Johnson, NC DOT
Division of Environmental Officer
Division 3
PO Box 1587
Greenville, NC 27835
Dear Mr. Johnson:
Attached is General Permit #57901 C and 57902C.
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,
�o;���
Stephen Lane
Coastal Management Representative
SL/lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.necoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

�f L� �j 7`1 0 I
VY �
Applicant:
Date: �� f
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both [gr Other ❑
l�
Dredge ❑ Fill ❑ Both [-Other ❑
Dredge ElFill [`]"—Both (:1 Other El!
4.)
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 ❑
14
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both Cl Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
5 0 , W

DOE 0"
APPLICATION for
Major Development Permit MAR 17 2011
(last revised 12/27106)
North Carolina DAB�MWASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
North Carolina Department Of Transportation
NI-2042 Pipe Replacement SR 1343, Pigott Road Over U/T
The Straits Straits Township Carteret County
Applicant 1: First Name.
MI
Last Name
Jay
B.
Johnson
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
City
State
1587
Greenville
NC
ZIP
Country
Phone No.
FAX No.
27835 1587
US
252 - 830 - 3490 ext. 248
252 - 830 - 3341
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.
7
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 5)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. # 1
Carteret
SR 1343, Pigott Road
Subdivision Name
City
State
Zip -
Phone No.
Lot No.(s) (if many, attach additional page with list)
- - ext.
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
White Oak
U/T The Straits
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
The Straits
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
❑Yes ®No
work falls within.
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
90' (45' East and 45' West)
N/A
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
3' ❑NHW or ®NWL
e. Vegetation on tract
Maintained Roadside Grasses
f. Man-made features and uses now on tract
Road
g. Identify and describe the existing land uses adjacent to the proposed project site.
Residential Property
h. How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
N/A
(Attach zoning compliance certificate, if applicable)
❑Yes [:]No ®NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? . []Yes UNo
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?
<Forrn 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)
201,
.ry

Form DCM MP-1 (Page 3 of 5)
APPLICATION for
Major Development Permit
n. Describe existing wastewater treatment facilities.
N/A
MAR r
zo»
o. Describe existing drinking water supply source.
kv.
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? ElCommercial ®Public/Govemment
❑Private/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
The Existing 2 @ 73" x 57" x60' CMP Will Be Replaced By a Proposed 2 @ 73"x 55" x 60' CMP. The Proposed Pipes Will
Keep The Roadway From Collapsing, Thus Preventing Possible Injury and Death.
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 Existing Pipes Will Be Removed and the Proposed Pipes Will Be Installed. Typical Roadway Construction Equipment
Will Be Used, Including,But Not Limited To Tracked Excavators,Dump Trucks, Flat -Bed Trucks, Back-Hoes,And Boom
Trucks.
d.
List all development activities you propose.
Pipe Replacement and Asphalt Patching
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? 1320 ®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.
N/A
i.
Will wastewater or stormwater be discharged into a wetland? []Yes ®No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No ❑NA
j.
Is there any mitigation proposed? []Yes ®No ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (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.
C[qy

Form DCM MP-1 (Page 4 of 5)
APPLICATION for
Major Development Permit
•l' :ram
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. DCM-MHD
Name Giles Willis, Jr.
Phone No.
Address Down Home Road Gloucester, NC 28528 Parcel 8046
Name
Phone No.
Address
Name
Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
None
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 certif th the information provided in this appli aton is trot I the best of my knowledge.
Date l / Print Name �JJ� S ""
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-1 (Page 4 of 5)
APPLICATION for
MARM107 ?01�lopment Permit
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title t ftl"perties.
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 Joseph C. Chadwick
Phone No.
Address 4 Greenbriar Trailer Park Wilson, NC 27893 Parcel 9770
Name Elbert C. Meares
Phone No.
Address 7 Malvern Court Colt's Neck, NJ 07722 Parcel 1187
Name Gloucester Community Center
Phone No.
Address P.O. Box 195 Gloucester, NC 28528 Parcel 3246
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
None
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 February 23, 2011 Print Name Jay B. Johnson
Signature
Please indicate application attachments pertaining to your prop d pr .
®DCM MP-2 Excavation and Fill Information ®DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
❑DCM MP-4 Structures Information

t Form DCM MP-2
EXCAVATION and FILL
(Except for 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.
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
Depth
NA
NA
Final Project
Depth
N A
NA
1. EXCAVATION ®This section not applicable
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
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.
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
d. High -ground excavation in cubic yards.
12. DISPOSAL OF EXCAVATED MATERIAL ®This section not applicable
a. Location of disposal area. b. Dimensions of disposal area.
c. (i) Do you claim title to disposal area?
❑Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner.
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?
❑CW ❑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 DGM MP-2 (Excavation and Fill, rage 2 of 2)
r a
C.
Type of shoreline stabilization:
❑Bulkhead ®Riprap ❑Breakwater/Sill
Average distance waterward of NHW or NWL: 2'
❑Other:
e. Type of stabilization material:
Class B Marl
g. Number of square feet of fill to be placed below water level.
Bulkhead ball Riprap 45' x 5' = 225 Sa. Ft.East
and West Total = 450 So. Ft.
Breakwater/Sill Other
i. Source of fill material.
Clark's Quarry
Width: 5' '
d. Maximum distance waterward of NHW or NWL: 3' Z�Jf
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.
Class B Marl
4. OTHER FILL ACTIVITIES ®This section not applicable
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? ❑Yes ❑No NA b. (i) Will fill material be placed in coastal wetlands/marsh (CW),
If yes,
(ii) Amount of material to be placed in the water
(iii) Dimensions of fill area
(iv) Purpose of fill
suomerged 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
OWL ❑None
(ii) Describe the purpose of the fill in these areas:
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. (i) Will wetlands be crossed in transporting equipment to proj
❑Yes ®No DNA site? ❑Yes ®No ❑NA
(ii) If yes, explain what type and how they will be implemented. (ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
February 23, 2011
Date
SR 1343,Pigott Road Over U/T The Straits NI-2042 Carteret
County Pipe Replacement WBS Element Number 2B.201611
Project Name
Jay B. Johnson
plicant Name
plicant Signatu

. rsm ON Nr,S
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 th t
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)
9• 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:
I. 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: 2
b. Water body in which the culvert is to be placed:
U/T the Straits
< Form continues on back>

I
, orm ,33C i1 N7 P.. j (Bridges and Culverts, page 2 of 4)
C. Type of culvert (construction material):
CMP
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: 60'
h. Height of the top of the proposed culvert above the NHW or NWL.
1_0'
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? ❑Yes ®No
If yes, explain:
RECEWED
MAR 17 2011
e. (i) Will proposed culvert replace an existin
❑No
If yes,
(ii) Length of existing culvert(s): 60'
(iii) Width of existing culvert(s): 73"
(iv) Height of the top of the existing culvert above the NHW or
NWL: 1.1'
(v) Will all, or a part of, the existing culvert be removed?
(Explain) All of the Existing Culverts Will be Replaced
9• Width of proposed culvert: 2 73"
i. Depth of culvert to be buried below existing bottom contour.
1'
k. Will the proposed culvert affect existing water flow?
❑Yes ®No
If yes, explain:
3. EXCAVATION and FILL El This section not applicable
a. (i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ®Yes [:]No
If yes,
(ii) Avg. length of area to be excavated: North 4' South 4'
(iii) Avg. width of area to be excavated: 20' North 20' South
(iv) Avg. depth of area to be excavated: 1_0'
(v) Amount of material to be excavated in cubic yards: 6 Cubic
Yards
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: 48'
(iii) Avg. width of area to be excavated: 20'
(iv) Avg. depth of area to be excavated: 1_2'
(v) Amount of material to be excavated in cubic yards: 43
Cubic Yards
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 25 Sq. Ft. ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
Excavation for Pipe Bedding

FOnr, -OC 1 i3NIP-5 (Bridges and Culverts, o-,ige 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: Temporary Spoil Area is in the Existing Road
(ii) Dimensions of the spoil disposal area: 100' x 200' .11W/
(iii) Do you claim title to the disposal area? ®Yes ❑No (If no, attach a lettergranting permission from the owner.) %�
(iv) Will the disposal area be available for future maintenance? ®Yes ❑No 6911
(v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation (SAVs), other wetl ), 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 (SBI, or other wetlands
of area to be filled: North 4' South 4' (WL)? If any boxes are checked, provide the number of square
O Avg length th feet affected.
(iii) Avg. width of area to be filled: 20' ®CW 350 Sq. ft. ❑SAV ❑SB
(iv) Purpose of fill: Pipe Bedding ❑WL ®None
(ii) Describe the purpose of the excavation in these areas:
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:
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>

ei i'J]P-5 (3ri_9ges and Cull-verts, Page 4 of 4)
c. Will the proposed project require any work channels?
❑Yes ®No
If yes, complete Form DCM-MP-2.
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.
February 23,2011
Date
SR 1343, Pigott Road NI-2042 Over U/T The Straits, Pipe
Replacement, Carteret County WBS Element Number
26.201611
Project Name
Jay B.Johnson
Applicant Name
Applicant Signa
/ J
d. How will excavated or fill material be kept on site and era pon
controlled? '�,,
Turbidity Curtains and Silt Fences will be to retaifiFb
sediment on -site d
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.

NI--2042
SR 1343, PIGOTT ROAD OVER UIT THE STRAITS
CARTERET COUNTY
DETAIL SECTION - CROSS SECTION
WBS ELEMENT 2B.201611
241-W
PROPOSED RIP RAP
PROPOSED 2 ® 73' x 55' x 80' OMP, \
EXISTING STREAM BED - - - - - - - - - - - - - - -
ELEVATIONS ARE BASED ON
ASSUMED DATUM.
0.02 FLFT
EXISTING 2 Q 73' x 57' x 83' CMP
— - — - — - — -
- — - — - — - — - — - — - — - -
F
�OF PAVEMENT - - - - - - - - - - - - - - - - -
— — — — ELEV. = 100.00'
PROPOSED RIP RAP
EXISTING
EXISTING
WATER SURFACE
STREAM BED
ELEV. = 94.0'---------------- - - - ------- -- - - -- - - -- -ELEV. = 94.0--------
PROPOSED
PIPE BED
PROPOSED 2 @ 73" x 55" x 60' CMP ELEV. = 93.0'
DETAIL SECTION - END VIEW
P OPOSED RIP RAP
,z 1PROPOSED 2 a 73' x ee' x 80' CMP
— _ — _ — _ _ _ —EXISTING WATER SURFACE
PROPOSED PIPE BED
SYMBOLS
PROPOSED CROSS SECTION
- - - EXISTING CROSS SECTION
NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
DIVISION 2
P.O. BOX 1587
GREENVILLE NO 27835 [phone]
COUNTY: CARTERET WBS#:2B.201611
QUAD: HARKER'S ISLAND DATE: FEBRUARY 18, 2011
USGS QUAD MAPS
BASIN: WHITE OAK SHEET #: 2 OF 2
SUBJECT: NI-2042
EXISTING 2 ® 73" x 57" x 63' CMP
TO BE REPLACED WITH PROPOSED 2 Cl 73" x 55" x 60' CMP
LAT. = 34.726634 N LONG. = 76.542932 W SCALE: 1" = 10'

9TT0
CREENBR/,4R TR,4/L ER 10,419K
Q
�Y/L SON, NC 279.93
OBK, 753, Pg, 876
Pf?OPOSEO P/PE REPLACEMENT
519 IJ4 ,, P/607-T R0,40
WBS ELEMENT NUMBER 2B.201611
COASTAL 11W114CTS = 55 Sq. Ft, T T
TEMPORARY SILT FENCE 4�
r -
------------------------------------------
-
----------------- y —f— (-
EXISTING PIPE:2Q73"X57"X60'CMP
� � I
E- 0.08 MILES TO SR 1342 CHADWICK DRIVE I
4
---- � — -- -- —t
-------------'- =------- -
TEMPORARY SILT FENCE---- F
COASTAL 11W10,4C7-5 = 85 Sq, Ft
-----------------
9046
C/L ES `Y/L L /S, ✓r
DOWN HOME 190.40
CZ O(/CESTER, NC 2852d
OBK, 9.39, Pg, 19J
//87
EL BERT C. ME,4RES
7 M,4L VERN COURT
COL T'S NECK, N✓ 07722
NO GEED 1ZTZ9ZNCZR/W
COASTAL 14110,4C7-5 = 80 Sq, Ft
- -5------------ iFF --- --- --------------- SHOULDER POINT
— — E.O.P.
0.7 MILES TO SR 1545 SLEEPY POINT ROAD -
C/L SR-1343
I y PIGOTT ROAD
PROPOSED PIPE. 2(D73"X551IX60'CAAPA
I y
I
--4— — — -------------- E.O.P.
- -- --- ----- - - --;------------------------------------ SHOULDER POINT
_ 5
— 45' �`
T T COASTAL /MP4CTS - 30
TRIBUTARY TO
THE STRAITS
W
- / Sq. Ft
— — — — — — — — — — — — — — — — - R/W
.-3246
CL OL/CESTER COMMON/TY CENTER
A. 0, BOX /95
CZ OlICESTER, NC 29529
OB/G /76, Pg, 52/
NOTE. NOT TO SCALE
FOR PERMIT USE ONLY
TOTAL COASTAL
/MP,4CTS = J50 Sq, Ft

SR 1343, PIGOTT ROAD OVER U/T OF THE STRAITS, CARTERET COUNTY
PIPE REPLACEMENT NI-2042
REPLACE EXISTING 2 @ 73 "x 57" x 63' CMP WITH PROPOSED 2 @ 73 "x57" 63' C4,
HARKER'S ISLAND USGS QUAD MAPS AND SHEET 21 OF THE MqR I '
SOIL SURVEYOF CAR TERET COUNTY
WBS ELEMENT NUMBER 2B.201611 FEBRUAR 17,2011 �0,
BOGUS -CORE SOUNDS 03020106 FIRM PANG J
MAP NUMBER 3720733600 J THE STRAITS SA;HQW'Pk
VW ►A
Gx

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
There are 795 Sq. Ft. of 404 Wetland Impacts for this Project; Therefore,The Wetland Impacts have been minimized to the
greatest extent feasible, with just those impacts occurring for the pipe installation for the project
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Use of existing roadway to operate construction equipment; no equipment will enter wetlands.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes ® No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
El Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form —Version 1.3 December 10, 2008 Version

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item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
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or on the front if space permits.
1. Article Addressed to:
C' o Gf-5T E'e /✓G
'Z8 5 2 8
-ic -o
MAR ' '' 2011
,,;, :4! "
A. Signature
❑ Agent
X !�(� " ❑ Addressee
13 eive y ( rfintd 7.r) C`�a l of ery
D. Is delivery address different from Item 1?--U Yes
If YES, enter delivery address below: ❑ No
3. Serv' a Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ yes
2. Article Number 7
(transfer from service label) 1870 0 0 01 0069 5728
PS Form 3811, February 2004 Domestic Return Ra 102595-02-M-1540
c,41< EKEE T

ACTION REQUEST FORM
REQUESTED BY: H. Lanier
WORK ORDER #: 2B.105211
REQUESTED FOR: Jay Johnson DATE:
PROJECT REQUEST:
Install class-B stone on inlet end of culvert due to materail loss duri
SITE LOCATION: 2.0 miles SE of JCT US17
QUAD MAP: Maysville USGS Quad Ma
COUNTY: JONES
ROAD #: NC58
BRIDGE#: C-15
NAME OF CREEK/STREAM: Branch of white oak river
12/14/2010
storm
BLUELINE STREAM ON USGS: YES / NO Maysville USGS Quad Map
BLUELINE STREAM ON SOIL SURVEY: YES / NO Sheet Number 11 of the Soil Survey of,
DIRECTIONS (INCLUDE LOCATION ON COUNTY MAP AND DESCRIPTION):
From Kinston take NC 58 to Maysville go 2 miles southeast to culvert
NOTES:
Proceed Under Authority of NWP 3
Print out NWP 3 Conditions and WQC 3687 and Keep On -Site
Use All Appropriate BMP's
This site was brought to my attention by Inspections.
Please give me a call so I can meet you at this site. 252-527-1723
Thanks,
Harold

IF
MAR ] 7 2011
DCM-MITI) CITY
■ 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:
77-)o �oXi�s J
A. SignaVre
❑Agent
V1 �y ,�,
X ;,4 Get A9 ^ ` ? ❑Addressee
ff' ceiV��a{,{ (h\y (Printed Name) Cate of eliver
D. is delive t u s
If YES,rnter delivery, address below: No
MAR U 4 Z011
NOW-
3. �Ser}v'ce Ty (� �g s
/1� �Certifled Mail €xpress Mail
rC ❑ Registered ❑ Return Receipt for Merchandise
C7 ❑ Insured Mail ❑ C.O.D.
�$ ✓ 2 Q 4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7 010 1870 0001 0069 5 711
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
/.,/T - Z(f D 4-Z` C4K (f'RC -/

1i,
■ 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:
�79 93
MAR 17 2011
MM-MHD crrx
A. Signatur
❑ Agent
❑ Addressee
ceived by ( Printed i1(ame) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter deli0e& address bel'dwi • `=. ❑ No
3. Sery ce Type >,, " r
�CertiFled Math, b .Expms.AM�I�� ,, ,
❑ Registered O.RetUm Refit for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7 010 1870
(Transfer from service label, 01 0069 5704
PS Form 3811, February 2004 Domestic Return Receipt 102595 02 M-1Sao

4

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item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
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or on the front if space permits.
1. Article Addressed to:
Abel--r 0. rn44R.65
Ovbr' �Fr , //T`
b%7z7.
MW
RECEIM
MAR 17 2011
A.
❑ Agent
B. Received by (Printed Name) C. Dat of Delivery
D. Is delivery address different from item 1? Yes
If YES, enter delivery address below: ❑ No
3. Service Type
146ertifled Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail 13 C.O.D.
4. Restricted Delivery? (Extra Fee) p Yes
2. (Transfer
nsferle umm 7010 1870 0001 0069 5735
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
-T --- -z o ¢- Z
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