48147_NC DOT_20070413

147
❑CAMA / ❑ DREDGE & FILL 1.
-. GENERAL PERMIT Previous rmit#
iL]New ❑Modification ❑Complete Reissue ❑Partial Rei sue Date pre i. s 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 Project Location: County
AAA—- � - � St t a AAA— -/ St to Roa d/ Lot #(s)
City
Phone # ()
Authorized Agent
Affected ElCW
AEC(s): ❑ OEA
ElPWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW El PTA
ElHHF ElIH
❑ FC:
PNA yes / no
I Type of Project/ Activity
Pier (dock) length
Platforms)
Finger piers)
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
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
❑ See note on back regarding River Basin rules.
7
Permit Officer's Signature
Signature Please read compliance statement on back of permit Issuing Date Expiration Date
ApplicationFee(s) Check# Local Plan ningJ urisdiction 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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

IV -CAN
GEn
SAew
4s authorized by
and the Coastal F
kpplicant
kddress
/ REDGE & FILL
•
4814'7
E L PERMIT Previous permit # —
❑M ification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
e Sta of North Carolina, Department of Environment and Natural Resources 1
;ourc Commission in an area of environmental concern pursuant to 15A NCAC / ? C _
nn [i-Kules attached.
Project Location: Coun (:�,-` f
J-
-ity 'Cz-nvl f 1�
State N ZIP
'hone # ( 3 -0 Fax # (_)
r—
J a
Jo j,►yo�,
\uthorized Agent y
lffected H-eW ❑ EW
❑ PTA ❑ ES ❑ PTS
\EC(s): ❑ OEA ❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
)RW: yes / On PNA
yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision _
City —-/-'--
Phone # ( ) River Basin ��✓�✓�� U� �_
Adj. Wtr. Body gnat 1 a unkn)
Closest Maj. Wtr. Body ---
Type of Project/ Activity �;�T'^ cfi r� 36 'r X
4eri.J ti"I id", X qey, ufi
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 AW
Shoreline Length
(Scale: ft0fI4�1- )
SAV: not sure yes no 1--
-
Sandbag L-
Y t ---T
s: not sure es
Moratorium:. n/a es no I� I
Photos: yes n( — ±
Waiver Attached: yes
A building permit may be required by: ��fiLt ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
J'/��� � �,yrpl��C.�{"� '1A/+H�� (,oefalln�'7"jan 1.✓� ®�''%� '� c.,c.l✓-eJ� �.,'Jr .f�.l(
O,gent or Applicant Printed Name
signature Please read compliance statement on back of permit
-�V 10 1 J 61 �# `�-- C , / o 1 d o )1
koolication Fee(s) Check #
Permit Officer's Signature
9 /3�
Issuing Date Expiration Date
6,���� G � 32 O-Zf
Local PlanningJurisdiction 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:
say 4Wy �0
S L�vf:L n1C
ZBS-7a
Agent
B.-Received by (Pp�Jtedfame) Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
J;jrCertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mall ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7005 3110 0000 2003 9685
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

"§6PN
UNITED STATES POSQ
2: Fj F -'E � B. Z1, (F07
0 Sender: Please print your name, address, and ZIP+4 in this box 0
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V/ IV Ci
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a ; .COMPLETE THIS SECTION
■ 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:
� iFNN � 6 -4JDte—SE rJ
b591 l ?aLriE Z3
Qcq'-L, r-� y i z o5-
A. Signat /
X � /� 4/�'I i9
❑ Agent
B. Received by ( Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? es
If YES, enter delivery address below: ❑ No
3. Sery a Type
rCertified Mail v �'•W �di
QRVIderad Q Retum Rece�
0Inured Mail 0 o a iPt for Merchandise ;
Delivery? (Extra Fee)
2. Article Number 4. Restricted D13 Yes
(Transferfrom service label) ? 0 0 5 3110
PS Form 3811, February 2004 0000 2003 9692
Domestic Return Receipt
______ 102595-02-M-1540

UNITED STATE§.P
• Sender: Please print your name, address, and ZIP+4 in this box •
/VC- ID0 i
G-p C F U t �/ l�C- Z-7 8�
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CA2T Go

' ■ 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:
.�JVI/(r �Q/Lbor2- ��-Tr(E25
l
L`G
/ D 8 0.(7-4 ?-FFS7 .
C t r C X93�
A. Signat�_C�)L
X ❑Agent
❑ Addressee
8. ecglved by (P tev� me) C. Date of Delivery
D. Is delivehj address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se ce Type
Zertified 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 0 0 0 0 2003 9609
PS Form 3811, February 2004 Domestic Return Receipt p 102595-02-M-1540

UNITED STATES POSTAL SERVICE - Flrst Cla$s rnaai.::• ._
Pb tam &'Fees:+ aid
• Sender: Please print your name, address, and ZIP+4 n this box •
y—�g35
ZL t r GIs ii ► t! !! li!fi}l4 if! lt S" �}i 1I i}5}f� !It 3iI l�S��3
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24/04/2007 09:26 NCDOT DIU 2 OPERATIONS 4 912522473330
NO.179 [POI
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 f!wing pages to
Branch/Unit/Company:
Phone Number: G
Fax Number:
'5'rwj�� , '�&5'
This transmittal is being sent from:
No. of pages (including cover sheet):
(If 01 pages are not received, please call the above number.)
Remarks:
Cr
'2 X re�'--7

04/04/2307 09:26 NCDOT DIV 2 OPERATIONS -) 912522473330 NO.179 P02
Forst 000 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
Appl)catlon that relate to this proposed project. Please Include all supplemental information.
1. BRIDGES � ®This section not applicable
a. is the proposed bridoe, b. Wafer body to he crossed by bridge:
[]Commercial QPumcJGovernment ❑PrivswCDmmunity
c. Type of bridge (construction material):
e, (I) will proposed bridge replace an existing bridge? LJYes iJNo
If y®s,
(ii) Length of existing bridge:
(ili) Width of existing bridge.
(iv) Navigation clearance underneath eKleting bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
g. Length of proposed brldge:
I. Will the proposed bridge affect existing wafer flow? []Yos ❑Na
If yes, explain;
k. Navigation clearance undemeath proposed bridge:
m. Will the proposed bridge cross wetlands containing no navigable
waters? []Yes []NO
If yes, explain:
2. CUL VERTS
a. Number of culverts proposed:
c- Type of culvert (construction material):
Corrugated Metal
d. Water depth at the proposed crossing at NLW or NWL:
I. (i) Will proposed bridge replace an existing culvert? ❑Yes LJNo
It yes,
(li) Length of existiltg culvert:
(Ill) Width of existing culvert
(Iv) Height of the top of the existing culvert above the Ni or
NWL:
(v) WilI all, or a part of, the existing culvert be removed?
(Explain)
h. Width of proposed bridge:
p Wig the proposed bridge affect navigation by reducing or
increasing the eXlsling navigable opening? ❑Yes ❑No
If yes, explain:
1. Have you contacted the U.S. Coast Guard concerning their
approval? ❑Yes LINO
If yes, explaln:
n. Height of proposed bridge above wetlands:
[gThis section not applicable
b. Water body In which the culvert is to be placed:
UT to Core Sound
! Fan" continues on beck>
252-SD8-2808 :: 1-88g RC0A5i ': www,neoga,slalrnarfpg4+ ent,ne[ revised. 10126/06

04/04/2007 09:2S NCDOT DIV 2 OPERATI❑NS 4 912522473330 NO.179 P03
Form 0CM MP-5 (Br-idges and Culverts, Page 2 of 4)
d. ' (i)Will proposed culvert replace an exlsting bridge? e. (1) Will proposed culvert replace an existing culvert?
❑Yes ®No Yes ❑No
if yes,
(li) Length of existing bridge:
(nil) Wotn of existing bridge:
(iv) Navigation clearance undemeatn existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
f• Length of proposed culvert: 40'
h. Height of the top of the proposed culvert above the NNW or NWL
1 2'
J. Will the proposed culvert affect navigation by reducing or
increasing (he existing navigable opening? ❑Yes NNo
If yes, explain:
If yes,
(li) Length of existing culverl(s):$
(ili) Width of existing culvart(s): 18"
(iv) Height of the top of the existing culvert above the NHW or
NWL: 07
(v) Will all, or a part of. the existing culvert be removed?
(Explain) All of the Existing Cul
vert Will Be Removed
g. Width of proposed cLlvert' 36"
I. Depth of culvert to be buried below existing bottom contour.
k. *111 the proposed culvert affect existing water flow?
DYes ®No
If yes, explain:
3- EXCAVATION and FILL pThis section not applicable
a. (j) Will the placement of the proposed bridge or culvert require any b, (1) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? SYes ❑No excavation within coastal watlandslmarsh (GW), submerged
if yeti, aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(W/ )? If any boxes are checked, provide Ire number of square
(ji) Avg. length of area to be excavated: 22.01 feet affected.
(nil) Avg, width of area to be excavated: 4=0' BcW a4 sn f OSAV ❑SB
(iv) Avg. depth of area to be excavated. 1+B' (AWL ❑Nana
(v) Amount of material to be excavated in cubic yards: 6
(11) Describe the purpose of the excavation in these areas:
Proposed Pipe Placement
c, (i) Will the placement of the proposed bridge or culvert require any
high -ground excavation? RYes ❑No
If yes,
(li) Avg. length of area to be excavated: 44.V
(5) Avg, width of area to be excavated: 7Q
(iv) Avg. depth of area to he mravalad, 4_5"
(v) Amount of material to be oxcaystad in cubic yards: 52
zs2-sae-2eat3 :r 1-Bs8-4RCgASi :: www,)tc..,oa$tAintianAyoment.net revised: 41112610E

04/04/2007 09:26 NCDOT DIV 2 OPERATIONS -) 912522473330 NO.179 D04
Form DCM MP-5 jBridges and Cuiverts, Page 3 of 4)
d. if the placement of the bridge or culvert Involves any excavation, please complete the following:
{t) Location of the spoil disposal area: Temporary Spoil Area is the Existing Road
(it) Dlmensions of the spoil disposal area: 100'x24'
(iii) 0o you claim title to the disposal area? ®Yes ❑No (tf ao, 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 wellandslmersh (CW), submerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (SB)?
j]CW ❑SAV OWL ❑SB ®None
If any boxes are checkoo, give dimensions if different from (it) above.
(vi) Does the disposal area, include any area below the NNW or NWL? ? ❑Yes ®No
If yes, givedimenslons if different from (ii) above.
e, (t) vvlll the placement of me proposed bridge or culvertresuit in any
fill (other than excavated material described in Item d above) to
oe placed below NHW or NWL? ®Yes ❑No
if yes,
{ii) Avg. length of area to be filled: 22'
(ill) Avg. width of area to he filled: 4'
(iv) Purpose of till: For Pipe Bedding and Cornwr
g. (I) Will the placement of the proposed bridge or Culvan Mult In any
fill (other than excavated material described in Item it above) to
W placed on high -ground? ❑Yea ®No
If yes,
(it) Avg. length of area to be filled:
(ill) Avg. width of area to be filled:
(Iv) Purpose of r11;
I. (i) Will the placemant of the proposea bridge or culvert result In any
fill (other than excavated material described in Item d above) to
be placed will coastal wetlandslmarsh (CW), submerged
aquatic vegetation (SAV), ehelt bottom (SB). or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
❑CW ❑SAV ❑SS
OWL ❑None
(Ii) Describe the purpose of the excavatlon in these areas!
NIA
14. GENERAL
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 RNo detour StruotureS? ❑Yea ®No
If yes. explain: If yes, explain:
If this portion of file proposed project has alreary received
approval' from toea► aufhortffes, please attach a copy of !ha
approval or certiici on.
< Fotrrn continues on back>
c. Will the proposed project require any wont channels? d. How will excavated or fill material be kept on site and erosion
QYes MNc controlled?
ifyes, complete Form OCM-MP-2, Silt Fences will be used to retain material
252-008-2808 :: 1-880-4000AST :, Www.nccoastralrnanage�mant.Ilet r©visvd:ltll'2810fi

04/04/2007 09:26 NCDOT DIO 2 OPERATIONS 4 912522473330 N0.179 P05

04/04/2007 09:26 NCDOT DIU 2 OPERATIONS 4 912522473330
Form DCM MP-5 +Bridges 'and Culverts, Page 4 of 4)
NO.179 D06
e. What type of construction equipment will be used (tor example,
dragiine, bwAhoe, or hydraulic dredge)?
Typical Bridge construction Equipment
g, Will the placement of the proposed bridge or culvert require any
shoreline stabillaatloit? ®Yes DNo
ffyes, complata farm MP-2, Secfian 3 for Shorefina
stabilization only.
February 13, 2007
Date
NCDOT WDS Element Numbor 2C.1016011
Project Name
Jay B.Johnson
plicant NRMEI
piicant Signature
f, WIII wetlands be crossed In transporting equipment to project alto?
[:]Yes ®No
if yes, expialn Steps list wlli he taken to avoid or minimize
environmental Impacts.
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ravised-1012B1o6

5MIC HARWR PARTNERS,LLC
M ML TH PITT STREEF
GREENVILLE. HC 2T834
pBx. rose. PC, Ors AREA I
I6 SQUARE FEET
LAMA IMPACTS
2.101611
:AYA GPI KW
m
m
u u
ELY iw EAST OF AST REfT
m
M SEA LEVELC E
CD
l9
AREA 2 SNUG HARBOR PARrYERS,LLC m
16 SOUARE FEET +us sa ITH P1T1 STREET
GREENVILLE.NC 27834
LAMA IMPACT'S DBK 1099.PG.415
--- -- --- --
--
z
AREA 5
171TCrr
�
XISTIHG Rfw
o
ASP (SHOULDER POINT)
ty
PROPOSED CLASS B STONE
EXISTING 18'xl8' RCP
;;
EP fEOGE OF PWEMENTI
N
------------------------------- - - -
- --
lL
- --------------------
- -----------------
T
m
US 70
It
l L
500' TO SOUTH STREEt
D
0
26 7 TO 5R 1441 EAST STREET
MJ
z
PROPOSED 4SVx36` CMP
—
�,
------------- - - - - --
- -- '-'--
- --
- - -- EPIEDGEOFPAWEMEArr)
kD
i
PROPOSED CLASS 8 STONE
N
P {SHOULDER P01ArJ
`-
"AREA 3—
w
16 SQUARE FEET_
p1TCH
EXCAVATIDN ABOVE NWL
44jg x 7A'x 4.5' = 52 CUBIC FEET
EXCAVATION LOW AlWL
2W x 4.gx 1 B' = 6 CVjRlC FEET
COASTAL WETLANDS IMPACT
AREA I = 16 sq f f
AREA 2 = 16 sq ft
AREA .3 = 16 sq fI
ARFA 4 I cn !
= 64sgtt
AMA. IMPACTS
HENNY E. AHI)ERSEN I
6591 ROUTE 23
ACRA Nr Iz405
DSK.836,PG.0 M CHAELE FINNEY GRANr)Y
534 HIGHWAY 70 EAST
SEA LEVEL NC 26570
DBx.1079,PG,271
EXISTING RIW
z
a
OPEN WATER IMPACTS
AREA 5 = I'I' x 4' = 44 Sq Ft
AREA 6 = II' x 4' = 44 5Q Ft ❑
TOTAL AREA = 88 Sq Ft 11
m

04/04/2007 09:26 NCDOT DIV 2 OPERATIONS 912522473330 NO.179 D08
i"
ttS 70 \
Yp► re M paaw
ao Mpanim
upwom a
OWN-
CROSS SECTION OF
CULVERT CROSSLVG
US 70
CARTERET COUNTY
PIPE REPLACEMENTS
EXISTING 48' x IV RCP
.� EXISTING 48' x /8" RCP
70 �---- 5.5'--.�
-IL
p
mum
s:um
AI �
L •�` Mar To SCAtk
PROPOSED 46' x 36' CMP
7'
EXCAVATION ABOVE NWL:
W x 44' x 4.5'= 52 aiae FEET
EXCAVATION BELOW NWL
W x qr x 10 - 6 Cuac FEET
PROPOSED RIP RAP a ENO
OF PIPE
I r !2'M1N/IfUM BEDQING � � i
W
AV TO SCAN' 7 tnSM dP RAP o END N aTQP XIEWPE
4 �
" e o
Zr
10'
w
W
MTNWRT WAM IW DITCi
10'
PINISNED EWH SLOPE AS REWIRED
�- PRDPPEED R,P RAP a ENO
H
1
1

04iO4i2007 12:38 NCDOT D'IU 2 OPERATIONS 4 912522473330
NO.181 Dot
State of forth Carolina
Department of Transportation
Division of Highways
Division Two
Division Two Operations
RO. Box 1587
Greenville, NC 27835
Telephone Number [phone]
Fax Number [phone]
Date: 1,46< L(—4-I z
Please deliver the following pages to
Branch/Unit/Company:
Phone Number: C- M
Fax Number: 7— 5? 2. 3 3-5 ,-
This transmittal is being sent from:
-11Wc ki K J`cs A3 c�— r4z. %'
i
No. of pages (including cover sheet): ---3
(If all pages are not received, please call the above number.)
remarks:
7-7

'u
34/04/2007 12:39 NCDDT DIU 2 DPERATIONS 3 912522473330
NO.181 D02
Form OCM MP-2
EXC"ATI ON 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 andtor FlII 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
NA
NA
Depth
Final project
NA
NA
Depth
1. EXCAVATION ❑ TPtls section not applicable
a. Amount of marshal 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 coestai wetiandalmarsh d. High -ground excavation in cubic yards.
(CW), submerged aquatic vegetation ($AV), sheu bottom (S8),
or other wetlands (WQ? If any boxes are checked, provide the
number of square feet affected.
QCw ❑sAV psa
❑WL ❑None
(it) Describe the purpose of the excavation in these areas
2. DISPOSAL OF EXCA VA TED MATERIAL ® This section not applicabla
a. Location of disposal area. b. Dimensions of disposal area,
c. (I) Do you clalm 90o to disposal area? d, (i) Will a dl sal area be available for future maintenance?
CIYW QNo ❑NA (�Yers ]No [)NA
(ll) If no, attach a letter granting permisslon from the owner, (it) If yes, where?
e. (i) Does the disposal area include any coastal wellandslmarsh
(CW), submerged aquatic vegetaton (SAV), shelf bottom (58).
or other wetlands (VVL)? If any boxes are checked, provide the
number of square feet affected.
❑CVv ❑SAV pse
pWL ❑None
(8) Describe the purpose of disposal in these areas:
I. (1) Does the disposal Include any area in tna water?
❑Yes []No ❑NA
(4) if yes, how much water area is affected?
3. SHORELINE STABILIZATION ❑ Thts section not applicabla
(If development is a woad groin, use W 4 - Structures)
252-608-2808 :: 1-888-4RCOAST :: www.nc50a&ta'lm2nagpmant.nat
revised: 1212WGQ

04/04/2007 12:39
,NCDDT^DIV 2 OPERATIONS 4 912522473330
i • .
Form DCM MP-2 (Excavation and Fill, Page 2 of 2)
NO.191 P03
a. Type of shoreline slabifizatlon: b. Length: J&
❑Bulkhead ®Riprap 0I3reakwaterlSill ❑other; Width: 51
c, Average distance watermrd of NI-IW or NWI_: 2' d. Maximum distance waterward of NHW or NWL: 5'
0. Type at stabfllzat on material:
Class 8 Mari
g. Number of square test of fill to be placed Wiow water ievol.
Bulkhead backfil) Rlprap 100 a Ft.
Breakwater/Sill Other
i. Source of fill material,
Clark's Quarry
f. (i) Has there been shoreline erosion during preceding 12
months?
❑Yes ®No []NA
(11) if yes, state amount of erosion and source of erosion amount
Information.
h. Type of fill material.
Class B Marl
4. OTNER Flit ACT/VlT/ES ®This Section not applicable
(Excluding Shoreline Stabilization)
►. (i) Will fill material be brought to the slte? ❑veS ❑No [INA 0. (1) Will 60 material be placed In coastal watlandslmarsh (CW),
If yes,.
(11) Amount of material to be placed in the water
(Ili) olmensiona of fill area
(iv) Purpose of fill
submerged aquatic vogetatlon (SAV), shell bottom (SB), or
other wetlands (W-)? If any boxes are Checked, provide the
number of square feet affected.
[]CW CISAV []sB
17WL []Nona
(li) Describe the purpose of the ills in these areas:
5_ GENERAL
a. How will oxcavatad 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)?
c. (1) WUI navigational aids be required as a result of the project? d. (1) Will wretiands be crossed in transporting equipment to project
[]Yes []No ❑NA site? []Yes ❑No ❑NA
(1) If yes, explain what Type and how they will be Implemented. (it) If yea, explain Steps put will be taken to avoid of minimize
environmental Impacts.
AD
plicant Signature
Date
Project
pllcant Name
252-808-2805 r, 1-88841RGOA$1t ;; www.Accoagtafmanagemcnd..net
revised; 1=5106