57908_NC DOT_20110701

CICAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address
City
State ZIP
Phone # ( )
Fax # ( )
Authorized Agent
❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ElOEA
❑ HHF ElIH ❑ UBA ElN/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
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
—
I
I
/
!
h r :.
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no I
i
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
PermitOfficer's Signature
Signature ** Please read compliance statement on back of permit **
Issuing Date Expiration Date
Application Fee(s) Check # 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, 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/ 1-888ARCOAST
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
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue
Governor
July 6, 2011
NCDOT
P.O. Box 1587
Greenville, N.C. 27835
Attn: Jay Johnson
Dear Jay:
James H. Gregson
Director
Dee Freeman
Secretary
Attached is General Permit #57908C to replace an aerial electrical utility line on SR 1763, Havelock, North
Carolina and #57907C to replace existing 28' X 105' bridge with a 30' 10" X 124' long bridge and associated
infrastructure and re -locate a water utility line on NC 99, approximately 2 miles north of SR 1625, in Pantego,
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.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer
ne
NorthCarolina
Natura!!rf

Applicant: ja.
Date: -7- 1. 1
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 (`lame
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tyem 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
tem im acts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge El Fill ❑ Both El Other Er
1 000
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 0 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 ❑

fltECEIVED
�a �s
U L 01 2011
STATE OF NORTH CAROLINA DCM-MHD My
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE EUGE:NE A. CON7'I, JR..
GOVERNOR SECRETARY
July 1, 2011
WBS Element Number: 33725.1.2
County: Craven.
Description: B-4488 Craven 176, SR 1763, Church Road Over
Slocum Creek
MEMORANDUM TO: Stephen Lane, NCDCM Field Representative
FROM: Jay Johnson ��rs
Division 2 Enviro mental Officer
SUBJECT: Section .1700 GP Request
Division 2 respectfully request a CAMA Section .1.700 GP for the Power Line Relocation
for the Emergency Crutch Bent Installation. Your assistance in this matter is greatly
appreciated.
JBJ/ms
MAILING ADDRESS:
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
P.O. Box 1587
GREENVILLE, NC 27835
TELEPHONE: [phone]
FAX: [phone]
WEBSITE: WWW.NCDOT.GOV
LOCATION:
P.O. Box 1587
GREENVILLE, NC

1
C RA VzE nl
RECEWED
•JUL o 1 zo»
DCM-MHD CITY

®ern H'-' RECEIVED
APPLICATION for JUL. 0 1 2011
Major Development Permit
ncM-Mxn crrjr
(last revised 12127/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Project Name (if applicable)
Business Name
Craven 176 Installation of Crutch Bent and Power Line
North Carolina Department Of Transportation
Relocation WBS Element Number 33725.1.2
Applicant 1: First Name
MI
Last Name
Jay
B.
Johnson
Applicant 2: First Name
MI
Last Name
!f additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
City
State
1587
Greenviile
NC
ZIP
Country
Phone Na.
FAX No.
278351587
U5
252 $3 ) - 3490 ext. 248
252 - 830 - 3341
Street Address (if different from above)
City
State
ZIP
Email
[e-mail]
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
ext.
Phone No. 2
- ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
Form continues on back>

Form DCM MP-1 (Page 2 OI&EIVED
APPLICATION for
JUL 01 2011
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Craven DCM-M
CITY
SR 1763 Church Road
Subdivision Name
city
State
Zip
Phone No.
Lot No.(s) (if many, attach additional page with list)
- - ext.
a_ In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Neuse
Slocum Creek
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
Slocum Creek
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.
None
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
200' 100' Each Side of Bridge
NIA
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
8.0' Bridge 35' Power Line ❑NHW or ®NWL
e. Vegetation on tract
Maintained Roadside Grasses
f. Man-made features and uses now on tract
Bridge and Power Line
g. Identify and describe the existing land uses adiaceni to the proposed project site.
Commercial Property
h. How does local govemmeat 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? OYes SNo
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 MNo EINA
National Register listed or eligible property?
<Form continues on next page> 214- ,_ l i
m. (i) Are there wetlands on the site? ®Yes -RNv
(5) Are there coastal wetlands on the site? ❑Yes ®No
(1h) If yes to either (i) or (ii) above, has a delineation been conducted? ®Yes ❑No
(Attach documentation, if available)

Form DCM MP-1 (Page 3 of 5)
APPLICATION for
Major Development Permit
n. Describe existing wastewater treatment facilities.
N/A
JUL 0 1 ZUii
o. Describe existing drinking water supply source.
N/A DCM-MHI) CITY
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?
DCommercial ®Public/Government
❑Private/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
Craven 176 is required to have a Proposed Crutch Bent Installed Due to Scour of the Existing Pilings. The Existing Power
Line has to be Relocated in Order to Perform This Work.
c.
Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
The Existing Power Line Will be Relocated in order for the Proposed Crutch Bent to be Installed on Craven 176.
d.
list all development activities you propose.
Power Line Relocation and Crutch Bent Installation.
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?
1,000 ®Sq.Ft or []Acres
g.
Will the proposed project encroach on any public easement, public accessway or other area
❑Yes ❑No ®NA
that the public has established use of?
h.
Describe location and type of existing and proposed discharges to waters of the state.
NIA
i.
Will wastewater or stormwater be discharged into a wetland?
❑Yes ®No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water?
❑Yes ❑No ❑NA
j.
Is there any mitigation proposed?
Yes ®No ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.

Form DCM MP-1 (Page 4 of 5) RECEIVED
APPLICATION for
JUL 01 Z011
Major Development Permit
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 f% h ck r ay y 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 Kenneth Grimm and Cresencia P. Grimm
Phone No. 252-447-4542
Address 104 East Saddle Lane Havelock, NC 28532 Parel Number 06-053-002
Name Marcus Kneale Innis and Sybil Canady Innis
Phone No. 252-726-3651
Address 3023 Fairway Road Morehead City, NC 28557
Name City Of Havelock
Phone No. 252-444-6400
Address P.Q. Box 368 Havelock, NC 28532 Parcel 06-051-6000
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
None
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date July 1, 2011 Print Name —Jay B. Johnson /
Signature(�L- /
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

Form DCM MP-1 (Page 4 of 5)
APPLICATION for
Major Development Permit
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 Alfred D. Ward, Jr_ and Audrey Ward
Phone No. 252.633-1101
RECEIVED
Address P.O. Box 1428, New Bern NC 28563 Parel Number 06-051-002
Name CCJB, LLC JUL 01 2011
Phone No. 252-447-0252
DCM-MM CITY
Address P.O. Box 436 Havelock, NC 28532 Parcel Number 06-051-007-A
Name
Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
None
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
1 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 1 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 July 1, 2011 Print Name `Jay B. Johnson
Signature
�ws
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
❑DCM MP4 Structures Information

Ady��
-76 3

Lane, Stephen
From: Sutton, Michael W
Sent: Friday, July 01, 2011 1:10 PM
To: Lane, Stephen
Subject: Property Owners Craven 176
Kenneth Grimm ---Attempted To Contact 07-01-2011 No Answer Marcus Innis ---Contacted 07-01-
2011 No Objections City of Havelock ---Contacted 07-01-2011 No Objections Alfred Ward ---
Contacted 07-01-2011 No Objections CCJB--Attempted To Contact 07-01-2011 No Answer
Email correspondence to and from this sender is subject to the N.C. Public Records Law and
may be disclosed to third parties.
1

Lane, Stephen
From: Sutton, Michael W
Sent: Friday, July 01, 2011 9:01 AM
To: Steffens, Thomas A SAW; Ward, Garcy; Lane, Stephen; Blankenship, Andrew; Pugh, Carla
Cc: Rogerson, Maria A; Hughes, John R; Johnson, Jay B
Subject: FW: Craven 176 Crutch Bent
Good Morning Ladies and Gentleiiiien... please refer to the original request and Mr. Travis
Wilson's Response to the Emergency Situation on Craven 176 and the Crutch Bent .... Thank
You .... mike
-----Original Message -----
From: Wilson, Travis W.
Sent: Tuesday, June 28, 2011 9:
To: Sutton, Michael W
Cc: Rogerson, Maria A; Johnson,
Subject: RE: Craven 176 Crutch
53 AM
Jay B; Caldwell, Betty A
Bent
For documentation: Since the urgency of this repair is due to safety reasons, WRC does not
object to NCDOT conducting this work during the requested Moratorium period. If it is
determined that access to the Boating Assess Area will be impacted let me know so I can
coordinate appropriately.
Travis.
-----Original Message -----
From: Sutton, Michael W
Sent: Tuesday, June 28, 2011 8:34 AM
To: Wilson, Travis W.
Cc: Rogerson, Maria A; Johnson, Jay B; Caldwell, Betty A
Subject: Craven 176 Crutch Bent
Good Morning Mr. Travis .... Hope all is well ... We have a scour problem on Craven 176 and we
will need to drive a crutch bent under the first span. This is an emergency situation; we
have to do this to keep the existing bridge open to the public. This operation will take
about 3 days. Utilities are being moved this week and we hope to conduct the crutch bent
installation next week. There will be no impacts or disruptions to the existing boat ramp. We
are aware of the February 15 to September 30 Moratorium. I've attached maps of the vicinity
for your use ... Thank You,Sir..... mike
Email correspondence to and from this sender is subject to the N.C. Public Records Law and
may be disclosed to third parties.
1