58385_NC DOT_20120726

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
[-]New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
.<—
Applicant Name Project Location: County
Address
CityState ZIP
Phone # ( ) Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
CityZIP
Phone # ( ) 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
+
14
4-
+
1
Id_
(.
•
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes nd
A building permit may be required by: ;�"" `
Notes/ Special Conditions
_
I
© See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Permit Officer's Signature
Signature Please read compliance statement on back of permit
Application Fee(s)
Check #
Issuing Date
Local Planning Jurisdiction
Expiration Date
Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Morehead City Headquarters
Mailing Address:
_ Commerce Ave
1638 Mail Service _
Morehead City, NC 28557
Raleigl N'
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

�"�% po

Mc D.i i iS3.0a i -Y Co•a:s'-t; !��
Applicant: LT G j— 3 f-r
Date:K2 t�
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 ❑ Other ❑�
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-23;j'S ,. I-i:5ai-�*i'a;.; )�,�. .1 ., ;;i.. +,J-I 0F_-L!L-�anfI -E . ;ter f `:, ie, ,. i�, 1)-2/1SJ1D

X�
*A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue
Governor
July 30, 2012
NCDOT
c/o Jay Johnson
P.O. Box 1587
Greenville, N.C. 27835-1587
Dear Mr. Johnson:
Braxton C, Davis
Director
Dee Freeman
Secretary
Attached is General Permit #58385 C to construct 40 linear feet of rip rap for shoreline protection on SR 1104,
Aurora, North Carolina.
In order to validate this permit, please sign the permit as indicated. Retain the white copy for your files and
return the signed yellow and pink copies to us in the enclosed, self-addressed envelope. If the signed permit
copies are not returned to this office before the initiation of development, you will be working without
authorization and will be subject to a Notice of Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Stephen Lane
Coastal Management Representative
rcb
Enclosures
400 Commerce Ave., Morehead City, NC 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer
NorthCarohna
Naturallrf

AMti7
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Nlanagement
Beverly Eaves FerdLle Braxton C. Davis Dee Freeman
Governor Director _ _ Secretary
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Tar -Pamlico & Neuse River basins
per Division of Water Quality (DWQ) regulations 15A NCAC 0213.0259 & 0233. The Division of Coastal Management
(DCM) through a Memorandum of Understanding with the Division of Water Quality (DWQ) has reviewed your project
proposal and has determined that the project as proposed complies with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization as
long as the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to comply
with this Buffer Authorization may subject the property owner & the party (contractor) performing the construction &/or
land clearing to a civil penalty by DWQ of up to $25,000 per day per violation.
1. Impacts: Impacts to woody vegetation from clearing and filling in Zone 1 (begins at the most landward of either
the waters edge or the coastal wetland line and extends 30 feet landward) shall be minimized to what must be
impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and filling in the
buffer is a violation of the riparian buffer rules.
2. Clearing & Grading: Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet
landward) is allowed provided that it is re -vegetated immediately and Zone 1 is not compromised, which includes
maintaining diffused (non-channelized) flow of storm water runoff through the buffer.
3. Construction Corridors: Construction corridors are allowed for shoreline stabilization projects, but they must be
satisfactorily restored as described in condition 5 below.
4. Potential Overwash: For vertical shoreline stabilization projects (bulkheads) only; sites where wave overwash is
expected to be severe, the first ten (10) feet landward (unless specifically authorized otherwise by DCM) from the
structure may be maintained as a stable lawn in order to provide for structural stability.
5. Temporary Stabilization: Immediately post- construction, bare soils must be stabilized as quickly as possible by
providing a temporary ground cover. Newly seeded areas should be protected with mulch and/or erosion matting.
This ground cover is a temporary measure used to address erosion until site restoration can be accomplished.
s. Site Restoration: At minimum, pre -project site conditions must be re-established. A site that was wooded prior to
this shoreline stabilization project must be restored with woody vegetation at a stem density of 320 stems per
acre. Non wooded sites may be re -vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November 1 through March 30) after completion of the bulkhead.
• Pre -project site conditions: VJNkle_� ;_}` c4 �- cK
7. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your property
indicating the location of the shoreline stabilization structure and any associated clearing, grading, and
construction corridors. This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the above listed conditions and verify that all
information is complete and accurate.
Agent or Applicant Printed Name
Agent or Applicant Signature
CAMA GENERAL PERMIT #:
Permit Officer's Signature
`7 r--)- �_ Pl—
Issue Date
Washington Office Morehead City Office Wilmington Office
943 Washington Square Mall 400 Commerce Avenue 127 Cardinal Drive Ext.
Washington, NC 27889 Morehead City, NC 28557 Wilmington, NC 28405-3845
Phone [phone] Phone [phone]
NorthCarolina
;Vaturallty
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

SECTION . z100 - GEN' AL Pia RiNJIT .FOR COINSTRUCTIOIN O is TULKHEADS AND RIRAP
REVETMENTS FOR SHOR! :L.iNE PROTECTION IN ESTUARINE AND PUBLIC TRUST WATERS AND
OCEAN HAZARD AREAS
1= "CAC07H.1101 PURPOSE
permit unQler this Section shall allow the : ;nstruction of _zlkheads a.J riprap revetments for shoreline protcc;11:i 1 in
c public tr ast waters and estuar`ne vatcrs .'.EC; acr )rdi n= authorit; rl ovidec! ; � Subchapter G J ,1100 and accorling
the Rules in this Section. T 'S-.ern:t s'-,I1 nc ,ppl tc :_ _e'ine p: tectic ::.Iona the oceanfront c: tc water, and
shorelines adjacent to the Ocea„ Hazarl A :' : the e c ::; _:;ion of tho_e shor< nes that feature cha: r,ter.-tics o" the
Estuarine Shoreline AEC. Such features include the p-esz:nce of wetland ve ::ation, lower wave ::.srgy and lower
erosion rate. than the adjoining Ocean Erod '- le Area.
History Not,2: Authority G.S. 113A-107(a); 113A-107i b); 113A-113(b); 113A-118.1; 113A-124;
Eff. March 1, 1984;
Amended Eff. July 1, 2009; April 1, 2003.
15A NCAC 07H .1102 APPROVAL PROCEDURES
(a) An applicant for a General Permit under this Subchapter shall contact the Division of Coastal Management and
request approval for development. The applicant shall provide information on site location, dimensions of the project
area, and the applicant's name and address.
(b) The applicant shall provide:
(1) confirmation that a written statement has been obtained signed by the adjacent riparian
property owners indicating that they have no objections to the proposed work; or
(2) confirmation that the adjacent riparian property owners have been notified by certified mail of
the proposed work. The notice shall instruct adjacent property owners to provide written
comments on the proposed development to the Division of Coastal Management within 10
days of receipt of the notice, and, indicate that no response shall be interpreted as no
objection. The Division of Coastal Management shall review all comments and determine,
based on their relevance to the potential impacts of the proposed project, if the proposed
project can be approved by a General Permit. If the Division of Coastal Management
determines that the project exceeds the guidelines established by the General Permit Process,
DCM shall notify the applicant that an application for a major development permit shall be
required.
(c) No work shall begin until an on -site meeting is held with the applicant and a Division of Coastal Management
representative so that the proposed alignment may be marked. Written authorization to proceed with the proposed
development shall be issued if the Division representative finds that the application meets all the requirements of this
Subchapter. Construction of the bulkhead or riprap revetment shall be completed within 120 days of the issuance of the
general authorization or the authorization shall expire and it shall be necessary to re-examine the alignment to determine
if the general authorization may be reissued.
History Note: Authority G.S. 113A-107(a); 113A-107(b); 113A-113(b); 113A-118.1; 113A-124;
Eff. March 1, 1984;
Amended Eff July 1, 2009; October 1, 2007; September 1, 2006; January 1, 1990; December 1, 1987.
15A NCAC 07H .1103 PERMIT FEE
The applicant shall pay a permit fee of two hundred dollars ($200.00) for riprap revetments sited at or above normal
high water or normal water level, or a permit fee of four hundred dollars ($400.00) for riprap revetments sited below
normal high water or normal water level. The applicant shall pay a permit fee of four hundred dollars ($400.00) for
bulkheads. Permit fees shall be paid by check or money order payable to the Department.
History Note: Authority G.S. 113A-107; 113A-113(b); 113A-118.1; 113A-119; 113-119.1; 113A-124;
Eff. March 1, 1984;
Amended Eff. October S, 2009; September 1, 2006; August 1, 2000; March 1, 1991.
15A NCAC 07H .1104 GENERAL CONDITIONS
(a) This permit authorizes only the construction of bulkheads and riprap revetments conforming to the standards herein.
(b) Individuals shall allow authorized representatives of the Department of Environment and Natural Resources to make
periodic inspections at any time deemed necessary in order to ensure that the activity being performed under authority of
this general permit is in accordance with the terms and conditions prescribed herein.
47

(c) There shall be no interference with the use of the waters by the public by the existence of the bulkhead or the riprap
revetment authorized herein. Bulkheads and riprap revetments authorized in this Rule shall not interfere with -the
established or traditional rights of navigation of the waters by the public.
(d) This permit shall not be applicable to proposed construction where the Division of Coastal Management has
determined, based on an initial review of the application, that notice and review pursuant to G.S. 113A-119 is necessary
because there are unresolved questions concerning the proposed activity's impact on adjoining properties or on water
quality; air quality; coastal wetlands; cultural or historic sites; wildlife; fisheries resources; or public trust rights.
(e) This permit shall not eliminate the need to obtain any other required state, local, or federal authorization.
(f) Development carried out under this permit shall be consistent with all local requirements, AEC rules, and local land
use plans current at the time of authorization.
History Note: Authority G.S. 113A-107(a); 113.4-107(b); 113A-113(b); 113A-118.1; 113A-124;
Eff. March 1, 1984;
Amended Eff. May 1, 1990; December 1, 1987;
RRC Objection due to ambiguity Eff May 19, 1994;
Amended Eff. July 1, 2009; August 1, 1998; July 1, 1994.
15A NCAC 07H .1105 SPECIFIC CONDITIONS
(a) Along shorelines void of wetland vegetation:
(1) New bulkheads shall have an average approximation of normal high water or normal water level. The
bulkhead position shall not exceed a distance of five feet waterward of normal high water or normal
water level at any point along its alignment.
(2) New bulkheads or riprap revetments on shorelines within manmade upland basins, canals, and ditches,
shall be positioned so as not to exceed an average distance of two feet and maximum distance of five
feet waterward of normal high water or normal water level.
(3) When replacing an existing bulkhead, the new alignment shall be positioned so as not to exceed a
maximum distance of two feet waterward of the current bulkhead alignment. To tie into a like
structure on the adjacent property, replacement bulkhead position shall not exceed a maximum distance
of five feet waterward of the current bulkhead alignment. When replacing a bulkhead where lands
landward of the bulkhead were lost in the last year, bulkheads shall be positioned a maximum of two
feet waterward of the original/existing alignment.
(4) Riprap revetments shall be positioned so as not to exceed a maximum distance of 10 feet waterward of
the normal high water or normal water level at any point along its alignment.
(b) Along shorelines with wetland vegetation, bulkheads and riprap revetments shall be positioned so that all
construction is to be accomplished landward of such vegetation.
(c) Bulkheads shall be constructed of vinyl, or steel sheet pile, concrete, stone, timber, or other suitable materials
approved by the Division of Coastal Management.
(d) Riprap revetments shall be constructed of granite, marl, concrete without exposed rebar, or other suitable materials
approved by the Division of Coastal Management.
(e) Revetment material shall be free from loose dirt or other pollutants.
(f) Revetment material shall be of sufficient size to prevent movement from the site by wave action or currents.
(g) Construction design for riprap revetments shall take into consideration the height of the area to be protected (i.e.
bulkhead height, escarpment height, water depth) and the alignment shall allow for a slope no flatter than three feet
horizontal per one foot vertical and no steeper than 1 '/2 feet horizontal per one foot vertical.
(h) All backfill material shall be obtained from an upland source pursuant to 15A NCAC 07H .0208. The bulkhead or
riprap revetment shall be constructed prior to any backfilling activities and shall be structurally tight so as to prevent
seepage of backfill materials through the structure.
(i) No excavation, grading or fill shall be permitted except for that which may be required for the construction of the
bulkhead or riprap revetment. This permit shall not authorize any excavation waterward of the approved alignment.
0) Runoff from construction shall not visibly increase the amount of suspended sediments in adjacent waters.
Appropriate sedimentation and erosion control devices, measures or structures shall be implemented to ensure that
eroded materials do no enter adjacent wetlands, watercourses and property (e.g. silt fence, diversion swales or berms,
sand fence, etc.).
(k) If one contiguous acre or more of property is to be excavated or filled, an erosion and sedimentation control plan
shall be filed with the Division of Land Resources, Land Quality Section, or appropriate local government having
jurisdiction. This plan shall be approved prior to commencing the land -disturbing activity.
(1) For the purposes of these Rules, the Atlantic Intracoastal Waterway (AIWW) is considered a natural shoreline.
(m) Construction authorized by this general permit shall be limited to a maximum shoreline length of 500 feet.
History Note: Authority G.S. 113A-107(a); 113A-107(b); 113A-113(b); 113A-118.1; 113A-124;
Eff. March 1, 1984;
Amended Eff July 1, 2009; April 1, 2005; December 1, 1991; January 1, 1989; December 1, 1987.
48

IM M1L1
APPLICATION for
Major Development Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Department Of Transportation
Project Name (if applicable)
SR 1004, Hickory Point Rd, Beaufort Co WBS # 2.200711
Applicant 1: First Name
Jay
MI
B.
Last Name
Johnson
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
1587
City
Greenville
State
NC
ZIP
278351587
Country 7F22-43
USA
e No.
9 -
2800 ext.
FAX No.
252 - 830 - 3341
Street Address (rf different from above)
City
State
ZIP
Email
[e-mail]
2. Agent(Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
- ext.
Phone No. 2
ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
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Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location JUN 2 7 201
County (can be multiple)
Street Address
State Rd. #
Beaufort
1004
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
Tar -Pamlico
Pamlico River
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
Pamlico River
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.)
40'
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal waterleveo
(if many lot sizes, please attach additional page with a list)
5.2' ❑NHW or ®NW L
e. Vegetation on tract
Maintained 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 ®No
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. []Yes []No ®NA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a []Yes ONo ❑NA
National Register listed or eligible property?
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Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
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)
REGEPAD
n. Describe existing wastewater treatment facilities.
N/A
JUN 2 7 201Z
o. Describe existing drinking water supply source. R
BC'v1-?�-•.ri
D CITY
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? ❑Commercial ®Public/Government
❑Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The existing slope at this site has sustained significant erosion, threatening the existing edge of pavement, and making the
shoulder unsafe for the traveling public. Granite or Limestone Rip -Rap will be placed on for slope stabilization.
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.
Rip -Rap will be placed on the shoulder and slope. 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.
Shoulder and Slope Stabilization
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? 270 IBSq.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? OYes []No ❑NA
j. Is there any mitigation proposed? []Yes ONo ❑NA
If yes, attach a mitigation proposal.
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Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in IWla t Z anon
package to be complete. Items (a) - (t) are always applicable to any major development application. Please consWt the application
instruction booklet on how to property prepare the required items below.
a. A project narrative. DCM-!VHD CITY
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site-
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Donald P. IGeffer Phone No.
Address 2448 Snider Yadkinville NC 27055 Parcels 6201 and 6361
Name PCS Phosphate Company, Inc. Phone No.
Address P.O. Box 425 Aurora NC 27806 Parcel 1783
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.
CAMA GP #55239 NCDOT 3-3-10 NC DWQ #20100146 NCDOT 3-26-10
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)
rAstatement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
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 June 20, 2012 Print Name Jay B. Johnson
Signature - }
Please indicate application attachments pertaining to your proposed projedt.
®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-2
EXCAVATION and FILL
(Except for bridges and culverts)
RECEIVED
JUN 2 7 2012
DCM-MHD CITY
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
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL)
stabilization
Length
Width
Avg. Existing
NA
NA
Depth
Final Project
NA
NA
Depth
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 d. High -ground excavation in cubic yards.
(CW ), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (W L)? 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:
2. DISPOSAL OF EXCAVATED MATERIAL ®This section not applicable
a. Location of disposal area. b. Dimensions of disposal area.
G. (i) Do you claim title to disposal area? d. (i) Willa dis oral area be available for future maintenance?
❑Yes ❑No ❑NA ❑Yes YNo ❑NA
(ii) If no, attach a letter granting permission from the owner. (ii) If yes, where?
e. (i) Does the disposal area include any coastal wetlands/marsh
(CW ), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (W L)? If any boxes are checked, provide the
number of square feet affected.
❑CW []SAV ❑SB
OWL ❑None
(ii) Describe the purpose of disposal in these areas:
f. (i) Does the disposal include any area in the water?
❑Yes []No ❑NA
(ii) If yes, how much water area is affected?
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised: 12/26/06

3, SHORELINE STABILIZATION ❑This section cable —
(If development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization: b. Length: 40 JUN 2 7 2012
unumneaa umraprap uureaKwarerram uurnei
c. Average distance waterward of NHW or NWL: 0
e. Type of stabilization material:
Granite or Limestone
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill Riprap 0 Sq. Ft.
Brea kwaterlSi II Other
i. Source of fill material.
N/A
Width: 7
d. Maximum distance waterward of NHW or NWL 0'
))CM•MFID CITY
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.
335 Sq. Ft. from CAMA Permit # 55239 issued on 3-3-10
h. Type of fill material.
Rip -Rap
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 wetlandsimarsh (CW).
If yes,
(ii) Amount of material to be placed in the water
(ii) Dimensions of fill area
(iv) Purpose of fill
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 fill in these areas:
5. 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)?
Rip -Rap Typical Road Construction Equipment
c. (i) Will navigational aids be required as a result of the project?
[]Yes ®No ❑NA
(ii) If yes, explain what type and how they will be implemented.
June 20, 2012
Date
SR 1004, Hickory Point Road, Beaufort County WBS Element
Number 2.200711
Project Name
d. n Will wetlands be crossed in transporting equipment to project
site? []Yes ®No ❑NA
(u) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Jay B. Johnson
Applicant Name
Applicant Sign e 6 �7

U -ir-ED STATES
,L SERVTC-^ First -Class Mail Postage & Fees Paid
USPS
Permit No. G-10
• Sender ise print your name, address, and ZIP+4 in this box •
N.C. DEPT. OF TRANSPORTATION
P.O. BOX 1587
GREENVILLE, NC 27835
ar-m STATES ",aL SERvr---
• Sende ase print: , -our name, address, and ZIP+
N.C. DEPT. OF TRANSPORTATION
P.O. BOX 1587
GREENVILLE, NC 27835
N
........... ....
is box 11

V )
ti
■ 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
-pGS
❑ Agent
Addressee
B. Receive by (Printed Name) C Date of Deli
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
RECEIVED
3. Service Type
Certified Mail ❑ Express Mail
Av W a, I C a 8 ° ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(transfer from service label) 7 011 0470 0002 5561 6 919
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

■ 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:
7o txo L4 P . 6e i_xe-'
a q+g 5-wD6L- Rd .
�a�KfrJvi 11 E,
a�o55
A. SP nature (,p�
q ) A dressee
X
B. Received by ( Printed Name) C. to of Delivery
D. Is delivery address different from hem 1? ❑ Yes
If YES, enter delivery address below: ❑ No
?ZFCri ti70
3. SeS ice Type
Zcertitied 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) 7❑ 11 0470 2 5 5 61 6902
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

BANK STABILIZATION PROJECT
Project
CAMA GP PERMIT APPLICATION
SR 1004, HICKORY POINT ROAD
PAMLICO RIVER
SOUTH CREEK USGS QUAD MAP
AND SHEET 19 OF THE SOIL SURVEY
OF BEAUFORT COUNTY
FIRM PANEL 6588 J
MAP NUMBER 3720658800 J
WBS ELEMENT NUMBER 2Ab l f)
JUNE 20, 2012
JUN 2 7 201?
` DCM-MHD CITY
�r
4
PROJECT
-
N 595166.5951
E 2684413.094
N35-21-49
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W 76-42-15
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N 35.363615
A
W 76.704263
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CERTIFIED MAIL
RETURN RECEIPT REQUESTED R&CEIVF-'D
June 21, 2012
AuN 2 8 zoiz
PCS Phosphate Company, Inc.
P.O. Box 425
Aurora, NC 27806 DCM-MFID GTY
To Whom It May Concern:
This correspondence is to notify you as an adjacent riparian landowner that the North Carolina Department of Transportation
plans to place Rip Rap for Shoulder and Bank Stabilization on SR 1004, Hickory Point Road on -site of his/her property at
Parcel 1783, located on SR 1004, Hickory Point Road in Beaufort County. The sketch attached accurately depicts the proposed
construction.
Should you have objections to the.proposed construction, please check the appropriate statement below, sign, date, and
return as soon as possible to:
Mr. Stephen Lane, Field Representative
N.C. Dent. of Environment and Natural Resources
Division of Coastal Management
Morehead City District
400 Commerce Avenue
Morehead City, City N.C. 28557
Written comments must be received by the Division of Coastal Management within 10 days of receipt of this notice.
NO RESPONSE WITHIN 10 DAYS of receipt of the correspondence will be INTERPRETED AS NO OBJECTION.
Sincerely,
V tj
XI have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
P OS so 4o2r"rr-C 11, v'\J , .ry is
✓�-- �- r_ (Signature)
r w - 2 6 (Date)