52220_NC DOT_20080730

❑rCAMA / El DREDGE
DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New El 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 15A NCAC -
ll ❑ Rules attached.
Applicant Name Project Location: County
Address
'' Street Address/ State Road/ Lot #(s)
City, State`.JC-, ZIP
Phone # (r'7-);'t' Z j�/ <" Fax
Authorized Agent j, A
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ElOEA ❑ HHF ElIH ElUBA ElN/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
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)
�.
:��Y I' 1, c X l (��/
(Scale: )
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
-
-
i
I
I
-
I
j
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
LL
- -
7 Je. /" (70 ❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit`
C,,
Application Fee(s) Check #
' 1
PermitOfficer'`s Signature l%
k_
Issuing Date Expiration Date
4
Local PlanningJurisdictionRover 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/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

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urrituck County NC
615, pipe replacement,�
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USGS Quad - Barco 0 0.25 0.5 1 Miles
Pasquotank River Basin

DEN
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION '
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
July 23, 2008
Jim Hoadley
Division of Coastal Management
1367 U.S. 17 South
Elizabeth City, NC 27909
Dear Mr. Hoadley,
This letter is requesting a general permit .2300 be issued for a pipe replacement project on NC 615
(South End Rd) in Currituck County. The current pipe is failing and needs to be replaced to ensure safe
public travel. The existing pipe 1 @ 30' x 18" RCP will be replaced with the proposed pipe 1 @ 40' x 30"
CAP. The road shoulder at the inlet and outlet of the pipe will be stabilized with class'S" rip -rap, The
Division of Coastal Management considers the project area to be within an AEC that requires authorization
for the pipe replacement. Included with this request are the MP-1, MP-2, MP-5 forms, location map,
landowner notices, and permit drawings depicting the proposed work WBS element # is 1.102711. If any
additional information is needed please contact Clay Willis at 252-482-7977.
Sincerely,
Jerry Jennings, P.E.
Acting Division Engineer, Division One
Clay Willis J; �wlv�
Environmental Officer, Division One
76-7cR5 oq 4
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

MP-1
APPLICHION for
Major Development Permit
(last revised 12127106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
N.C. Department Of Transportation
Project Name (if applicable)
NC 615 (South End Road) Pipe
Replacement
Applicant 1: First Name
Clay
MI
Last Name
Willis
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
113 Airport Road, Suite 100
PO Box
City
Edenton
State
NC
ZIP
27932
Country
Phone No.
252 - 482 - 7977 ext.
FAX No.
252 - 482 - 8722
Street Address (if different from above)
City
State
ZIP
Email
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
- ext.
Phone No. 2
ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
<Form continues on back>
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j7CM MP-1 (Page 2 of 5)
F'r
APPLICATION for
Major Development Permit
f , --
Project Location
County (can be multiple) Street Address State R¢. #
Currituck NC 615 (South End Rd) NC:615 ,
Subdivision Name City State Zip r
`�notts island NC 27950 -
Lot No.( )) (if many, attach additional page with list)
Phone No.
_ - ext.
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed prbject
Pasquotank
UT to Knotts Island Bay. • -
Is the water body identified in (b) above, natural or manmade?
d. Name the docem st ajor water body to the proposed project site:
C.
[]Natural ®Manmade ❑Unknown
Cuffituck Sound
e. Is proposed work within city limits or planning jurisdiction?
f. if applicable, fist the planning jurisdiction or city limit the proposed
®Yes []No
work falls within.
Knotts Island
4. Site Description
a. Total length'of shoreline on the tract (ft.) b. Size of entire tract (sq,ft.)
20' 3600
c. Size of individual lot(s) d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
' 2 ❑NHW or ®NWL
(if many lot sizes, please attach additional page with a list)
e. Vegetation on tract
Various roadside grasses including fescue and bermuda.
f. Man-made features and uses now on tract
NC 615 (South End Road)
g. Identify and describe the existing land uses adjacent to the proposed project site.
Adjacent land use is residential.
h. How does local government zone the tract? I. Is the proposed project consistent with the appl!cable zoning?
N/A (Attach zoning compliance certificate, if applicable)
❑Yes []No ®NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? 0Yes No
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. Yes ONO ❑NA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a [YesNo ❑NA
National Register listed or eljgjble property?
<Form continues on next page>
m. (i) Are there wetlands on the
(ii) Are there coastal wetlands on the site?
(iii) If yes to either (I) or (ii) above, has a delineation been conducted?
(Attach documentation, if available)
No
❑Yes ®No
❑Yes ®No
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NI MP-1 (Page 3 of 5)
APPLICATION for
Major Development Permit
oescnue existing wastewater treatment tacilities.
None
o. Describe existing drinking water supply -source.
None
p. Describe existing storm water management or treatment systems.
None
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? OCornmercial Pubilc/Government
❑Private/Community'
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The purpose of this project is to replace the existing pipe that is structuadly failing on NC 615 (South End Rd).. ;
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.
Methods of construction will be concurrent with NCDOT Best Management Practices for the replacement of pipes. A
tracked excavator, backhoe, and dump truck will be used during construction.
d. List all development activities you propose.
Replace existing pipe 1 @ 30' x 18" Reinforced Concrete Pipe with 1 @ 40' x 30" Corrugated Aluminum Pipe.
e. Are the proposed activities maintenance of an existing project, new work, or both? Maintenance
f. What is the approximate total disturbed land area resulting from the proposed project? 330 ®Sq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area Yes SNo EINA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
Surface runoff from NC 615.
i. Will wastewater or stormwater be discharged into a wetland? Yes ZNo EINA
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) - (f) 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.
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,CM MP-1 (Page 4 of 5)
APPLICATION for
Major Development Permit
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 applicaton fee. Check or money order made payable to DENR:
f. A licit of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return recgipts as pronf that such
'owners have received a copy of the application and plats by certified mail. Such landowners must.be advised that they-liavrW days irr
which to submit comments on the proposed project to the Division of Coastal Management. r
Name James D. Epstein
Phone No.
N
Address 1900 Dudley Court
Virginia Beach, Va 23457 _
Name W. James Parker
Phone No. -
Address 5200 Shenston Circle
Virginia Beach, VA 23455
Name Merril Blake Wagner
Phone No.
Address 529 Southslde Rd
Virginia Beach, VA 23451
Jimmy C. Heflin
326 South End Rd
Knotts Island, NC 27950
Eric C. Beck, Sr.
316 Knotts island Rd
Knotts Island, NC 27950
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
h. Signed consultant or agent authorization form, If applicable.
1. 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
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P-1 (Page 5 of 5)
APPLICATION for
Major Development Permit
erstand that any permit issued in -response to this application will allow only the development detcribed in the application.
- project will be subject to the conditions and restrictions contained in the permit.
certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
tenter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
. 1 further certify that th in ormation provided in this application is truthful to the best of my knowledge.
Date Print Name _Clay Willis, Environmental Officer
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 DEN .''
❑DCM MP-4 Structures Information !,
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