48146_NC DOT_20070413

lee-
❑CAMA / ❑ DREDGE & FILL 4 46
GENERAL PERMIT Previousper it#
[-]New❑Modification ❑Complete Reissue El Partial Reissue Date pr v' us permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name
Address
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
❑ CW
Ll EW '❑ PTA
Affected
❑ OEA
❑ HHF ❑ IH
AEC(s):
❑ PWS:
❑ FC:
ORW:
yes / no
PNA yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other '
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
Agent or Applicant;Printed Name
El ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
J4, --7 3� 7
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
.Closest MajWtr. Body
s-0 Afose7 i
(Scale: )
❑ See note on back regarding River Basin rules.
eP rtnitd'icer's Signature
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
�.,r
' 1141 A v .�.) 6 ..,-L n
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, certifythat this project is consistentwith 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

A�611VIA /
DGE & FWL
N? 48146
GENE PERMIT
Z
Previous permit #
evv ❑Modifi' do
❑Complete Reissue
❑Partial Reissue Date previous permit issued —
As authorized by the State of '
Carolina, Department of Environment and Natural Resources L% • -7 H,
/
and the Coastal Resources Commission in an area of environmental
concern pursuant to 15A NCAC _
Applicant Name
ules attached.
Project Location: County _ �, 41- .
Address_ o X ��
Street Address/ State Road/ Lot #(s)_
City �TY \t/!� e
J
StateZlP —7J 3 ���� ��U a. A
Phone # ( ) 72 0' 3 91
D Fax #j ( )
Subdivision,_
Authorized Agent Tay
J/ ') Y�-f0.4
City i�%�--- --- -_ ZIP
eeCW [RtW
Affected
N4TA �S ❑ PTS
Phone # () River Basin
ElOEA ElHHF
AEC(s):
❑ IH [IUBA El N/A
r
Adj. Wtr. Body u ��' J,``"`� nat an unkn)
Closest Maj. Wtr. Body ---
ORW: yes /no PNA
yes /0o Crit.Hab.
yes / no
Type of Project/ Activity
��� /'�c� .r��
l/F X yq,c,ly� T���c�vv'. :j`' X `y
Cu I ve,^�T
(Scale: Al, tile- >
Pier (dock) length —
—.-
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 —
Othe� Gu jy��! ®-qf" Y'f I
N
Shoreline Length
SAV: not sure
yes
no '- ---- -- ---------
- --- --
Sandbags: not sure
yes
-
i
Moratorium: n/a
yes
n
;
Photos:
yes
W Atta h d•
arver c e yes n -- ----- -- —1--- - - -- - - - -
A building permit may be required by: �u r l �� ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions ���../// r�- -f � 1�ei'�'r•� U°r.�.� �"X
1,r- a-1 A' tX/aw A,a—,-/ Jo- in..
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit **
Application Fee(s) Check #
i'ermit pf ter's Signature
t4-1 „Jyr6-7
T.�13 DO
Issuing Date
Expiration Date
03a C � A -
Local Planning Jurisdiction
Rover File Name

■ 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.
Article Addressed to:
�,lLo /YId S 0r7Tx'—
M av C/7�, /vc.
Zg557
A. Signs ire' � j
El Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
V Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7005 3110 0000 2003 9630
PS form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED,ST.AT5$cFQ5TAl2 5E
.... ...... LTIN A All i
0 Sender: Please print your name, address, and ZlP+4'irrthis box 0
1 -D,f KC- 17-

■ 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.
!i ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Gl/.Gvit/ Q / A b c"-'s
�cliQ �RiFTGvoOW �>T)
A1'JGEIa1 -TX 7004
A.
X ❑ Agent
❑ Addressee
B. Received by (Print d Name) C. Date of Delivery f
-St
^ .SU
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise ;
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Trransfer from service label) 7005 3110 0000 2003 9623
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1W

I
UNITED STATES ROB L,e�E + /10Er' � `Y
• Sender: Please print your name, address, and ZIP+4 in this box •
NVC -1---)� 1
GZEEAJ VIJ161 /VC
C-d,i+ .ii C-D.

04/04/2307 09:22 NCDOT DIU 2 OPERATIONS 4 912522473330
NO.178 Doi
State of North Carolina
Department of Transportation
Division of Highways
Division Two
Division Two Operations
P.Q. Box 1587
Greenville, NC 27835
Telephone Number [phone]
Fax Number [phone]
Date: 4-4Xpiz-20 re
Please deliver the following pages to
BrancWnit/Company:
Phone Number:
Fax Number:
I
i
This transmittal is being sent fro
fiL
k - -7
No. of pages (i.ncluding cover sheet):
(If all pages are not received, Please call
Remarks:
above number.)

04/04/2007 09:22 NCDOT DIU 2 OPERATIONS 4 912522473330 NO.178
D02
Farm QCM MP-5
BRIDGES and ClILVEiTS
Attach this form M Joint Application for CAMA Manor Permit, Form DCM MP-1. Be sure to complots all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental Information.
I. BRIDGES MThis section not applicable
a. Is the proposed bridge:
❑Commercial j312ubliclGovernment MF)YlveteiCommunity
C. Type of bridge(Wnstruotion material):
e. (i) Will proposed bridge replace an existing bridge? ❑Yes QNo
If yes,
(li) Length of existing bridge:
(iii) Width of existing bridge:
(Iv) Navigation clearance underneath existing brlpge:
(v) will all, or a part of, the existing bridge be removed?
(Explain)
g. Length of proposed bridge:
i. Will the proposed bridge affect existing water Itovl7 ❑Yes ❑No
If yes, explain:
k, Navigation clearance underneath proposed bridge:
b. Water body to be crossed by bridge:
d. Water depth at the proposed crossing at NLW or NWL:
f. (1) WIII proposed brioge replace an existing culvert? ©Yes []No
If yes,
(li) Length of existing culvert:
(40 Width of existing culvert:
(Iv) Height of the top of the existing culvert above the NHW or
NWL:
(v) WIII all, or a part of, the existing culvert be removed?
(Explain)
h. Width of proposed bridge:
j. Wip the proposes bridge affect navigates by reducing or
incregsing the existing navigable opening? ❑Yes []No
If yes, explain;
I, Have you contacted the U.S. Coast Guard concerning their
approval? Oyes ONO
If yes. explain:
m. Will the proposed bridge Cr066 YMIS CIS rOntalning 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:
UT to Core Sound
c form continues on back>
c. Type of culvert (construction material):
Corrugated Metal
282-8133-2808 1-588-4RCOAST :: www,nCcoeSlz+Im;an yprnent.nQt revised: 1 W26106

24/04/2007 09:22 NCDOT DIU 2 OPERATIONS 4 912522473330
Form 0CM MP-5 (Bridge's and Culverts, Page 2 of d)
NO.178 903
d. (1) Will proposed covert replace an existing bridge?
riyes MNo
If yes,
(ii) Length of existing bridge:
(lit) 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 advert: 44'
h. Haight of the top of the proposed culvert above the NHW or NWL.
12
J. Will me proposed culvert affect navigation by reducing or
Increasing the existing navigable opening? L]Yss ®No
If yes, explain:
e. (1) WIII proposed culvert replace an existing culvert?
®Yes [:]No
If yes,
(11) Length of existing culvert(s)- 44'
(iii) Width of existing culvert(s): 36"
(iv) Height of the top of the existing culvert above the NHW or
NWL: 0 3'
(v) WIII all. or a part of, the existing culvert be removed?
(Explain) All of the Existing
Culvert Will Be Removed
g VVldlh of proposed culvert: 46"
I. Depth of culvert to be buried below exisling bottom contour.
V ,
k. WIII the proposed culvert affect existing water flow?
❑Yes ®No
If yes, explain:
3. EXCAVATION and FILL El This section not alapticabfe
a. (1) Will the placement of the proposed bridge or culvert require any b. (1) Will the placement of the proposed bridge or culverl require any
excavation below the NHW or NWL? ®Yes ❑No excavation within coastal we"andslmarsh (CW), submerged
If yes, aquatic vegetation ($AV), shall bottom (SB), or other wetlands
u Av length of area to be excavated: ++4. (WL)? If any boxes are checked, provide the number of square
(••I g• 9 �� feet affected.
(III) Avg_ width of area to De excavated: 4_5' ®CW 144 t OSAV LJSB
(Iv) Avg. deptn of area to be excavated: 4Q OWL L]Nona
(v) Amount of material to be excavated in cubic yards, ZZ
(11) Describe lihs purpose of the excavation in these areas:
Proposed Pipe Placement
c, (i) WIII the pfeoement of the proposed bridge or culvert require any
nigh -ground excavation? MYes QNo
if yes,
(ti) Avg. length of area to be excavated: 94.Q
(Ilq Avg. width of area to be excavated:
(iv) Avg. depth of area to be excavated: 7.51
(v) Amount of material tote excavated in cubic yards; 1722
252•608.2808 ;: 1-888-4111COA87 :: www,ncc.oastalmanayement,not rravised:10126106

24/04/2207 09:22 NCDOT DIU 2 ❑PERATIONS 4 912522473330 NO.178 1?04
Form•DCM MP-5 (Bridges and Culverts, Page 3 of 4)
d. If the placement of the bridge or culvert involves any excavation. please complata the folloWng:
(i) Location of the spoil disposal area: Temporary Spoil Area is the Existing Road
(ill Dimenslons of (he spoil disposal area 00120'
(Ili) Do you claim title to the disposal area? WYas ONO (if no, allach a leffer granting permission from this owner.)
(iv) Will the disposal area be available for future maintenance? ®Yes LINO
(v) Daas the disposal area Include any coastal wetiandsRnarsh (CW), submerged aquatic vegetation (SAVS), other wetlands (WL), or shell
bottom (SBr
❑CW OSAV OWL 088 ®None
if any boxes are checked, give dimensions if different from (ii) above.
(vl) Does the disposal area include any area below the NHW or NWL? ? ©Yes ®No
If yes, give dlmenslo+is If different from (II) above.
e. (i)Will the placement of the propo6ed bridge or culvert result in any
Fill (ather than excavated material descripep in Item d above) to
be placed below Ni or NWL? ®Yes ONO
If yes,
(ii) Avg. length of area to be filled: 28'
(Ili) Avg. width of area to be filled, Z
(Iv) Purpose of flu: For Pipe Bedding and Cover
g. (1) Will the placement of (he proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed on high -ground? QYes ®No
If yes,
(II) Avg_ length of area to be fitted:
(Ili) Avg. width of area to be filled:
(Iv) Purpose of fill:
4. GENERAL
a. Will rho proposed project require the relocation of any existing
utility lines? QYes ®No
If yes, exptaln:
(1) Oil the placement of the proposed bridge or culven result In any
fill (other than excavated material desCrlbed in Item d above) la
be placed Within coastal wettand5lmamh (M), submerged
aquatic vegetation (SAV), snefl bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
OG1ly QSAV ©SB
C)WL QNone
(II) Describe the purpose of the excavation In these areas:
NIA
b. Will the proposed project require the construction of any temporary
detour stnx:tures? QYes ®NO
if yes, explain:
It this Fortfon of the proposed project has already received
approval tram local aufhorifles, please attach a copy of the
approval or cerlAcatlon.
< Form continues an ball
c. yyla the proposed project require any work channels? d. How Wll excavated or fl(I malarial be kept on site and erosion
❑Yes ®NO controlled?
if yes, complete Form DGM-MF-2. Slit Fences will be used to retain material
252-808-Z808 1-88t3�lRCDAST :: wvvw,nccoaslxalma.nagemetlt.r�et reviaed:10126106

04/04/2207 09:22 NCDOT DIU 2 OPERATI❑NS 4 912522473330 NO.178 D05
FOrM 0CM MP-5 (Bridges and Culverts, Page 4 of 4)
e. What type of constructlon equipment will be used {for example, f, Will wetlands be Crossed in transporting equipment to project site?
draglin9, baahos, or hydraulic dredge)? []Yea ®No
Typical Bridge Construction Equipment If yes, explain steps that will be taken to avoid or minimize
— - _ environmental Impacts.
g. Will the placament of the proposed bridge or culvert rp ufrs any
shoreline stabilization? to
®No
if yes, complete (arm MP-2, Seclion 3 fior Shomiine
Stwizatiou only.
February 13, 2007
Date
NCDOT WBS Element Number 2C.1016011
Project Name
Jay B. Johnson
ap
pNrbnt Namo--, n
plicant Signat
252-6081-21308 :: 1-35a-4RCt3AST :: www- c ,ggistal{ n emenL.RB: revised: taizaloe

F HONAS H. POTTER, Sr
303 6ARROUR ROAA UNIT A&
MOREHEAD CITY.NC 285.7
DSK, 8ta PG, 436
AREA 1
36 SQUARE FEET
LAMA IMPACTS
t3 4
F� CF
THOIIAS H.POTTER.Sr
303 BAR6WR ROAD UNIT 10
WRENEAD CITY, NC M57
09 610. PG.436
AREA 2
36 SQUARE FEET
CAMA IMPACTS
■�2a�
2.1a1611 ,
AREA 5
EXISTING CtONC.NEADWALL
1
PROPOSED CLASS B STONE
D'0i"
ly 0—
XOST1NG R!W
— - - — '
-
- - - - - - PROPOSED SILT FENCE
----------------
L11
PROPOSED SILT FENCE
6'� — — —
SP �SridULL1ER POtNTJ
EXISTING 2 0 44x36' RCP
1 11 1
I I I
— — ----------
----��EPfEDGE OF PAVEUEAFT)
PROPOSED 2 c 44'x 48' CAP
I
Y= 3954ws3z9
TO DAV15 Lr S 70
N 34-48`34.3315
- Z450 TO SR 1369,ARMY CAMP ROAD
I I I I
�-I 1
w 7E a`-2OQ8G5S
OJ MILES TO OYSTER CREEI:.BRiDGE MU+fBER
PROPOSED SILT FENCE
S`
1 1
PROPOSED SILT FENCE
39 _
�^
EP !EO E OF PIIEME+vTJ
- PROPOSED CLASS_ B STONE_
Z.s� - AREA 4 20' AREA 3
36 SQUARE FEET AREA 6 36 SQUARE FEET
CAMA IMPACTS CAVA IMPACTS
WAIINETA HOLLAND ROBERTS
3918 f3RIf7w000 Dpwr
SAN AMGELO,TX 769O4
DSK.544, Pr, 381
EXCAVATION ABOVE NWL
44.p` x 14.CYx 7.5' - 153 CUBIC YARDS
EXCAVATION BELOW IVW[
40.0' x 9ffx 4ff = 54 CUBIC YDS
COASTAL WETLAND5 IMPACT
AREA I = 36 fr
AREA 0 = 36 sq ff
AREA 3 = 36 sq ft
APT.6 4 � -ir, cn fy
DfrCri
EXISTING R/W
WAUNETA HOLLAWD ROBERTS
3919 DRIFTWOOD DRIVE
SAN ANGELO. U 75SO4
D31(.544, PG.381
OPEN WATER IMPACTS
AREA 5 = 20' x 4.5' _ 160 Sq Ft
AREA 6 = 20' x 4.5' = 180 Sq Ft
TOTAL AREA = 360 Sq Ft

24/04/2007 09:22
NCDOT.D[V 2 OPERATI❑NS -� 912522473330
NO.178 907
as mA—
&a► rn u mr".
Iml ..mELLM
)LACE f ,....'. CROSS SECTION OF
EBMAr d
70 CULVERT CROSSING
WO NFw MIS US 70
CARTERET CARTERET COUNTY
PIPE REPLACEMENTS
EXISTING 2* 44' : 86" CMP
EXISTING 44' x 36' RCP
m Ymum w
&.KAW
WT re S'CAL£
PROPOSED 2 911 44' x 46' CAP
PWOSEO W RAP o ENO
OP PIpQ
r rr nrrkruu u 9c DO+NG c i z
� 3 0
AUF TO SCALE' PROPOSED RIP RAP o END � n- TOP VIEW1 _
OF FIFE
b' c�
�- tQ
w wr u
d TCH
19'
EXCAVATION ABOVE N WL: *-op
RTH SLOPE AS REWIRED
14'w x 44'L x 7.5'd = 153 CU8lC YARDS
EXCAVATION BELOW NW L ROPOSED R-P RAP 0 GNO
9'w x 40DL x 4D'o 54 CU&!C YARDS mF PIPE
T
W.
T

4
04/04/2207
12:28 NCDOT DIU 2 OPERATIONS 4 912522473330
NO.180 Dot
State of North Carolina
Department of Transportation
Division of Highways
Division Two
Division Two Operations
P.O. Box 1587
Greenville, NC 27835
Telephone Number [phone]
Fax Number [phone]
Date:
Please deliver the following pages to
B4 ".9. CTnitlCornpan.:
Phone Number:
Fax Number:
This transmittal is being sent fi-om:
_�/'/ K!�- --5c-s --r"-)
3156
No. of pages (including cover sheet):
(If all pages are not received, please ca 1 the above number.)
Remarks:
_'517-6 1-5 ) C,,+< -rax�-r

04f04i200? 12:29 NCDOT DIU 2 OPERATIONS -) 9125224?3330
Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
NO.180 P02
Attach this folm to Joint Application for LAMA Major Permit, Form DCM MP-1. He sure to complete all other sections or the Joint
Application that relate to this proposed project. Please Include all supplemental Information.
Describe below the purpose of proposed excavation ar for fill activities. All values should be given In feet.
Access
Other
Channel
Canal
Boat Basin
Boat Ramp
Rack Groin
Rock
(excluding
(NLW or
Breakwater
shoreline
NWT)
stabllixatlon
Length
Width
Avg. Existing
NA
NA
pepth
Final Project
Depth
NA
NA
L1- EXCAVATION [I This section not applicable
a- Amount of material to be excavated from below NHW or NWL )n In. Type of material to he excavated.
cubic yards.
c, (1) Does the area to be excavated include coastal watiands/marsh d. Hlgh-ground excavation in cubic yards.
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number Of Square feet affected.
OCW OSAV oSa
OWL ❑None
(11) Describe the purpose of the excavation In these areas:
2. DISPOSAL OF EXCAVATED MATERIAL ® This section not applicable)
a_ Location of disposal area. h. Dimensions of disoosal area.
G. (i) Do you claim tlpe to disposal area?
❑YO ONO QNA
(il) If no, attach a letter granting permisgion from the owner.
e. (i) Does the disposal area Include any coastal wetlandsimarsh
(CW), submerged aquatic vegetallon (SAV), shell bottom (58),
or other wetlands (WL)? rf any boxes are checked, provide the
number of square feet affected.
pcw OSAV psa
Dwl_ _ gNooe
(1I) Describe the purpose of disposal in these areas:
d. (I) Will a disposal area be available for future maintenance?
E]Yes []No ❑NA
(II) If yes, where?
f. (1) Does the disposal Include any area in the water?
❑Yes ❑No ❑NA
(II) If yes, how much water area Is affected?
3. SHORELINE STABILIZATION []This sectim not applicable
(0 d®velopment is a wooa groin, use MP-4 — Struclures)
252-808-2808 :: 1-848-4RCOA5T :: www nccoAstnlmanp emQne.ne/ r(pvi86d: 12`26106

34/04/2207 12:20 NCDOT DIU 2 OPERATIONS 4 912522473330
NO.180 1
Fol im DCM MP-2 (Excavation and Fill, Page 2 of02)
' w
a. Type of shoreline stabilization; b, Length:
❑8utkhead ®Riprap []BreakwaterlSill ❑Other: Width:
c. Average distancewaterward of NHW at NVWL: 2' d. Maximum distance waterwerd of NHW or NWL: 5'
a. Type of stabilization material; f.
Class 6 Marl
g. Number of square feet of fill to be planed below water level
6utkflead baCkfifi Riprap W
Breakwater/Sill— Other
i. Source of rill material.
Ctark's Quarry
(1) Hae there been e1 erosion during preceding 12
months?
71Yes ONO ❑NA
(li) If yes, etaie amount of erosion and source of erosion amount
informatlan.
h. Type of fill material,
Glass B Mari
4. OTHER FILL ACTIWTIES RThis section not appYrable
(Exciuding shoreline Stabilization)
a. (i) Will fill material be brought to the sits? [I Yes No QNA b. (1) Wllf rill material be placed in coastal wellandalmarsh (CW),
If yes, submerged aquatic vegetation (SAU), shell bottom (SG), or
Amount of material robe placed in the water other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(III) Dimensions of flit area QCW ❑SAV ❑SB
(lv) Purpose of fill
❑WL ❑None
(if) Describe the purpose of the fill in these areas:
a. How will excavated or fill material be kept on site and erosion b. Whet type of construction equipment will be used (e.g., dragllne,
controlled? backhoe, or hydraulic dredge)?
c- (1) Will navigational aids be required as a result of the project? q. (i) NO wetlands be crossed in transporting equipment to project
❑Yes C]Na j]NA site? []Yes ❑No ❑NA
(li) If yes, explain what type and how they will be Implemented. i If yes, explain steps that will b9 taken to avold or minimize
environmental impacts.
— _ Ap
_ plicant Signature
Date
Project Name
plicant Name
252-808-21308 n 1-88$-4RCOAS'T:, www..r►c.c_ aVafman. gML ent.net revised. 12/26106