57904_NC DOT_20110513

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑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
[I Rules attached.
Applicant Name Project Location: County 3
Address Street Address/ State Road/ Lot #(s)
City
State ZIP
Phone # ( )
Fax #
Authorized Agent
Affected ❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no.
PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # () River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
_ T (Scale: )
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
`
G
�
t'
f1
r
s
i
Shoreline Length
SAV: not sure yes no - - ' - = - .. --_
Sandbags: not sure yes no
Moratorium: n/a yes no.
Photos: yes no
Waiver Attached: yes no) 1
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions `
or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
s7 "-
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date
Local Planningf urisdiction
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:
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.
(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

N° 57904
..��
I�CAMA / ElDREDGE & FILL
�.
GENERAL PERMIT
Previous permit #
—
N�evv ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources �y .�(l
I 0
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Applicant Name
Project Location: County y
u es attached.
Address ` + 1 '' �"� }V /'I` l v 0
Street Address/ State Road/ Lot #(s)
I v t q/
�i� State ZIP S L� �1
�j L� r� f 4 ` m , ,- .i� � �` "� X, j 307
City:
Phone # ( ') '7 �� 7 Fax # ( L f r;,-_� 71
Subdivision
Authorized Agent i'
City
ZIP L
ElCW ElEW YfTA ElES ITS
Phone # ( ) River Basin r `-
Affected
AEC(s): ❑ OEA [IHHF ❑ IH ElUBA ❑ N/A
Adj. Wtr. Body f
nat a unkn
❑ PWS: ❑FC:
�..�
ORW: yes / PNA yes / tno/ Crit.Hab. yes / no
Closest Maj. Wtr. Body
ON ONE
INN
0 No
�1
0
No
ii
Elm
ENIPIP"
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10
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0111111
i�"EM
0
i�ce�.MOMMEMEM
0
■
MEMEEMEM
MENNEN
INEMEMEMEMSE
C
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit*
Application Fee(s) YV: s {� Check #
PermitOfflcer's Signature
Issuing Date Ex irationDpeV
Local Planning Jurisdiction Rover File Name
-r m

A�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
May 13, 2011
Clay Willis, Environmental Officer
Division 1
NC Dept. of Transportation
113 Airport Road, Suite 100
Edenton, NC 27932
Dear Mr. Willis:
Attached is General Permit #57904C to construct a 112` of riprap to stabilize road at NC94, 0.1
miles north of SR1307 in Fairfield, NC
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
SL/lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

Applicant:
Date: I J
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 (dame
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tem imp/acts
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
im act 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
0 ? ��-f
Dredge ❑ Fill [9"Both ❑ Other ❑
G
3 _3 G
Dredge ❑ Fill Both ❑ Other ❑
3
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 ❑
••,,.9-.:5:.1.:��:(i T ,?1'.N':+�.z1Cr___.�., ! '�.. � ... .. _r:��f r,: _i, P: f;

t
sMANFo
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
April 26, 2011
Stephen Lane
NC Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28557
Dear Mr. Lane,
PECEIVEr,
APR272011
DCM-MaD Crjr
EUGENE A. CONTI, JR.
SECRETARY
This letter is requesting a General Permit .1100 be issued for 112' of
shoulder/shoreline stabilization along NC 94 in Hyde County. The stabilization will occur
on an eroded bank that has collapsed along NC 94 causing the shoulder of the road to
become unstable. The Division of Coastal Management considers the project area to be
within an AEC that requires authorization for the shoulder stabilization. Included with
this request are the MP-1, MP-2 forms, location map, landowner notices, and permit
drawings depicting the proposed work. WBS element # is 1.104811. If any additional
information is needed please contact Clay Willis at 252-482-7977.
Sincerely,
Jerry Jennings, P.E.
Division Engineer, Division One
Clay Willis
Environmental Officer, Division One
113 Airport Drive, Suite 100, Edenton, NC 27932, Phone [phone], Fax [phone]

IN MP-1
APPLICATION for
Major Development Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
N.C. Department Of Transportation
Project Name (if applicable)
INC 94 shoreline stabilization project
Applicant 1: First Name
Clay
MI
Last Name
Willis
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
113 Airport Raod
PO Box
City
Edenton
State
NC
ZIP
27932
Country
Phone No.
252 - 482 - 7977 ext.
FAX No.
252 - 482 - 8722
Street Address (if different from above)
City
State
ZI P
Email
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
ext.
Phone No. 2
ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
<Form continues on back>
252-808-2808 .. 1-888-4RCOAST .. www.nccoastalmanagement.net

'Form DCM MP-1 (Page 2 of 5)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Hyde
NC 94, 0.4 miles N. of SR 1307
NC 94
Subdivision Name
City
State
Zip
Fairfield
NC
27826 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
- - ext.
I I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Tar -Pam
Fairfield Canal
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
Intracoastal Waterway
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.)
112'
6720
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)
3 ❑NHW or ®NWL
e.
Vegetation on tract
Various roadside grasses on maintained shoulder.
f.
Man-made features and uses now on tract
INC 94
g.
Identify and describe the existing land uses adjacent to the proposed project site.
Woodlands, WRC Gamelands, and agriculture.
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. OYes ®No ❑NA
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ®No ❑NA
National Register listed or eligible property?
<Form continues on next page>
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)
252-808-2808 .. 1-888-4RCOAST .. www.nccoastaimanagement.net

'Form DCM MP-1 (Page 3 of 5)
APPLICATION for
Major Development Permit
n. Describe existing wastewater treatment facilities.
None
o. Describe existing drinking water supply source.
None
p. Describe existing storm water management or treatment systems.
None
5. Activities and Impacts
a. Will the project be for commercial, public, or private use?
❑Commercial ®Public/Government
❑Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The purpose of this project is to stabilize the shoulder of NC 94 by placing rip rap and
backfilling with shoulder material.
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.
A tracked excavator, backhoe, and dump truck will be used during construction.
d. List all development activities you propose.
To stabilize 112' of shoulder along NC 94.
e. Are the proposed activities maintenance of an existing project, new work, or both?
Maintenance
f. What is the approximate total disturbed land area resulting from the proposed project?
220 ®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.
Surface runoff from NC 94
L 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) - M 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.
252-808.2808 .. 1-888-4RCOAST .. www.nccoastalmanagement,net

'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 North Carolina Wildlife Resource Commission
Attn: Dale Davis
Phone No.
Address 132 Marine Drive
Edenton, NC 27932
Name Hyde County Water System, CIO Joseph B. Williams
Phone No.
Address 1966 Newlands Rd
Fairfield, NC 27826
Name Clifford Byrum, Jr.
Phone No.
Address 823 Amanda Drive
Matthews, NC 28104
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 t e information provided in this application is truthful to the best of my knowledge.
Date S� / Print Name _Clay Willis, Environmental Officer
Signature U4, �9�1
252-808-2808 .. 1-888-4RCOAST .. www.nccoastaimanagement.net

'Form DCM MP-1 (Page 5 of 5)
APPLICATION for
Major Development Permit
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 MP-4 Structures Information
252-808-2808 .. 1-888-4RCOAST .. www.nccoastaImanagement.net

Form DCM MP-2
EXCAVATION 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 and/or fill 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 ®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.
(CW), 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
❑WL []None
(ii) Describe the purpose of the excavation in these areas:
High -ground excavation in cubic yards.
2. DISPOSAL OF EXCAVATED MATERIAL ®This section not applicable
a. Location of disposal area. b. Dimensions of disposal area.
c. (i) Do you claim title to disposal area?
❑Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner.
e. (i) Does the disposal area include any coastal wetlands/marsh
(CW), 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
❑WL ❑None
(ii) Describe the purpose of disposal in these areas:
d. (i) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA
(ii) If yes, where?
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.nccoastalsnan@_gement.net e,,�s. 1: 12 26 06

Form DCM MP-2 (Excavation and Fill, Page 2 of 2)
3. SHORELINE STABILIZATION ❑This section not applicable
(If development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization:
❑Bulkhead NRiprap ❑Breakwater/Sill []Other:
c. Average distance waterward of NHW or NWL: 3'
e. Type of stabilization material:
Class "B" riprap
g. Number of square feet of fill to be placed below water level.
Bulkhead backfili Riprap 336
Breakwater/Sill Other
i. Source of fill material.
quarry
b. Length: 112'
Width: 5'- 7'
d. Maximum distance waterward of NHW or NWL: 5'
f. (i) Has there been shoreline erosion during preceding 12
months?
®Yes ❑No El NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
3'- 5', swirling effect in canal from discharge of pump house
h. Type of fill material.
riprap
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 wetlands/marsh (CW),
If yes,
(ii) Amount of material to be placed in the water
(iii) 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)?
Using NCDOT Best Management Practices for soil and erosion tracked excavator, backhoe, dumptruck
control.
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.
d. (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Clay Willis, Environmental Officer
Date Applicant Name
NC 94 shoreline stabilization
Applicant Signature
Project Name
252-808-2808 :: 1-888-4RCOAST :: www,nc_coastalmana%em_ ent.net revised: 12l26/06

Hyde County NC 94 Shoreline Stabilization
0.4 mi. N. of SR 1307
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FILL MATERIAL
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NC Department of Transportation
Division of Highways
COUNTY: HYDE
BASIN: T'AR-PAMLICO
PROJECT: N c q
DATE: 3._ 7-
SCALE: V=20' DRAWN BY SLE
PERMIT DRAWING: of

EDGE Or PAVEMENT CENTERLINE
WATERLINE
,PROPOSED 2:I SLOPE
CROSS-SECTION : A
CENTERLINE
'NA I'LRLINE
- SHOULDLR STABILIZATION MATERIAL
CROSS-SECTION
SYMBOLS
_ Proposed
Cross-section
Existing
Cross-section
SCALE
Horizontal: 1 " = 10'
Vertical: 1 " = 5'
NC Department of Transportation
Division of Highways
COUNTY: HYDE
BASIN: TAR-PAMLICO
PROJECT: A/C 9'/
DATE: 3-7- /i
PERMIT DRAWING: of

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
April 12, 2011
Hyde County Water System
CIO Joseph B. Williams
1966 Newlands Rd
Fairfield, NC 27826
To Whom It May Concern:
EUGENE A. CONTI, JR.
SECRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to stabilize 112' of shoulder
along the east side of NC 94 in Hyde County. The shoulder of the road is eroding away
and needs to be stabilized to prevent further erosion and unsafe driving conditions. The
project is located 0.4 miles north of SR 1307 (Seth Rd), adjacent to the Fairfield Canal
pump house.
The Division of Coastal Management (DCM) considers this to be in an "Area of
Environmental Concern" under their regulations. Therefore, it is provided protection
under state law. For this reason the NCDOT will apply for a permit from the DCM to
perform the described work. Part of the permit process is notifying the adjacent
landowners of the proposed work. A map depicting the project area, along with a design
plat, and the permit application is included with this letter. If you have any questions
concerning the proposed work you can contact Clay Willis at 252-482-7977.
113 Airport Drive, Suite 100, Edenton, NC 27932, Phone [phone], Fax [phone]

The attached form is submitted to insure that you have an opportunity to comment
on the proposal. The work is depicted on the attached drawings. If you have no objects to
the proposal, please return the form with your response within ten (10) days to this office.
If you do have objections to the project, please forward your comments to:
Stephen Lane
NC Division of Coastal Management
400 Commerce Ave
Morehead City, NC 28557
No response within ten (10) days will be construed to mean you have no objections.
Thank you for your cooperation.
Sincerely,
Jerry Jennings, P.E.
Division Engineer, Division One
Clay Willis
Environmental Officer, Division One

ADJACENT RIPARIAN LANDOWNER STATEMENT
(Hyde: NC 94 Shoreline Stabilization)
I, , am an adjacent riparian property owner and am
aware of the North Carolina Department of Transportation's plans for the shoreline
stabilization on NC 94. I am further aware that this work will occur in an AEC and
therefore will require authorization from the Division of Coastal Management in
accordance with the Coastal Area Management Act (LAMA).
I have no objection to the project as presently proposed and hereby waive
that right of objection as provided in General Statute 113-229.
are attached.
I have objections to the project as presently proposed and my comments
Signature of Adjacent Landowner
Date:

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
April 12, 2011
Clifford Byrum, Jr.
823 Amanda Drive
Matthews, NC 28104
To Whom It May Concern:
EUGENE A. CONTI, JR.
SECRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to stabilize 112' of shoulder
along the east side of NC 94 in Hyde County. The shoulder of the road is eroding away
and needs to be stabilized to prevent further erosion and unsafe driving conditions. The
project is located 0.4 miles north of SR 1307 (Seth Rd), adjacent to the Fairfield Canal
pump house.
The Division of Coastal Management (DCM) considers this to be in an "Area of
Environmental Concern" under their regulations. Therefore, it is provided protection
under state law. For this reason the NCDOT will apply for a permit from the DCM to
perform the described work. Part of the permit process is notifying the adjacent
landowners of the proposed work. A map depicting the project area, along with a design
plat, and the permit application is included with this letter. If you have any questions
concerning the proposed work you can contact Clay Willis at 252-482-7977.
113 Airport Drive, Suite 100, Edenton, NC 27932, Phone [phone], Fax [phone]

The attached form is submitted to insure that you have an opportunity to comment
on the proposal. The work is depicted on the attached drawings. If you have no objects to
the proposal, please return the form with your response within ten (10) days to this office.
If you do have objections to the project, please forward your comments to:
Stephen Lane
NC Division of Coastal Management
400 Commerce Ave
Morehead City, NC 28557
No response within ten (10) days will be construed to mean you have no objections.
Thank you for your cooperation.
Sincerely,
Jerry Jennings, P.E.
Division Engineer, Division One
V"" v
Clay Willis A I
Environmental Officer, ivision One

ADJACENT RIPARIAN LANDOWNER STATEMENT
(Hyde: NC 94 Shoreline Stabilization)
I, , am an adjacent riparian property owner and am
aware of the North Carolina Department of Transportation's plans for the shoreline
stabilization on NC 94. I am further aware that this work will occur in an AEC and
therefore will require authorization from the Division of Coastal Management in
accordance with the Coastal Area Management Act (CAMA).
I have no objection to the project as presently proposed and hereby waive
that right of objection as provided in General Statute 113-229.
are attached.
I have objections to the project as presently proposed and my comments
Signature of Adjacent Landowner
Date:

I
BEVERLY EAVES PERDUE
GOVERNOR
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
April 12, 2011
North Carolina Wildlife Resource Commission
Attn: Dale Davis
132 Marine Drive
Edenton, NC 27932
To Whom It May Concern:
EUGENE A. CONTI, JR.
SECRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to stabilize 112' of shoulder
along the east side of NC 94 in Hyde County. The shoulder of the road is eroding away
and needs to be stabilized to prevent further erosion and unsafe driving conditions. The
project is located 0.4 miles north of SR 1307 (Seth Rd), adjacent to the Fairfield Canal
pump house.
The Division of Coastal Management (DCM) considers this to be in an "Area of
Environmental Concern" under their regulations. Therefore, it is provided protection
under state law. For this reason the NCDOT will apply for a permit from the DCM to
perform the described work. Part of the permit process is notifying the adjacent
landowners of the proposed work. A map depicting the project area, along with a design
plat, and the permit application is included with this letter. If you have any questions
concerning the proposed work you can contact Clay Willis at 252-482-7977.
113 Airport Drive, Suite 100, Edenton, NC 27932, Phone [phone], Fax [phone]

The attached form is submitted to insure that you have an opportunity to comment
on the proposal. The work is depicted on the attached drawings. If you have no objects to
the proposal, please return the form with your response within ten (10) days to this office.
If you do have objections to the project, please forward your comments to:
Stephen Lane
NC Division of Coastal Management
400 Commerce Ave
Morehead City, NC 28557
No response within ten (10) days will be construed to mean you have no objections.
Thank you for your cooperation.
Sincerely,
Jerry Jennings, P.E.
Division Engineer, Division One
Clay Willis
L6&'
Environmental O cer, Division One

ADJACENT RIPARIAN LANDOWNER STATEMENT
(Hyde: NC 94 Shoreline Stabilization)
I, , am an adjacent riparian property owner and am
aware of the North Carolina Department of Transportation's plans for the shoreline
stabilization on NC 94. I am further aware that this work will occur in an AEC and
therefore will require authorization from the Division of Coastal Management in
accordance with the Coastal Area Management Act (CAMA).
I have no objection to the project as presently proposed and hereby waive
that right of objection as provided in General Statute 113-229.
are attached.
I have objections to the project as presently proposed and my comments
Signature of Adjacent Landowner
Date:

ADJACENT RIPARIAN LANDOWNER STATEMENT
(Hyde: NC 94 Shoreline Stabilization)
ye', ,-, r1,(am an adjacent riparian property owner and am
aware of the North Carolina Department of Transportation's plans for the shoreline
stabilization on NC 94. I am further aware that this work will occur in an AEC and
therefore will require authorization from the Division of Coastal Management in
accordance with the Coastal Area Management Act (CAMA).
I have no objection to the project as presently proposed and hereby waive
that right of objection as provided in General Statute 113-229.
are attached.
I have objections to the project as presently proposed and my comments
Signature of Xdjacent Landowner
Date:

UNITED .$TAT . ��,�'S s�> { s ..
• Sender: Please print your name, address, and
NC DEPT OF TRANSPORTATION
DIVISION OFFICE
113 AIRPORT DRIVE, SUITE 100
EDENTON, NC 27932
COURIER:10-51-02
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NC DEPT OF TRANSPORTATION
113 AIRPORT(ON DRIVVE, (SUITE 100
EDENTON, NC 27932
COURIER:10-51-02
UNITED STATES POSTAL SERVICE
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NC DEPT OF TRANSPORTATION
DIVISION OFFICE
113 AIRPORT DRIVE, SUITE 100
EDENTON, NC 27932
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■ 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:
Hyde County Water System
C/O Joseph B. Williams
1966 Newlands Road
Fairfield, NC 27826
A. SignatureLA LJ&
❑ Agent
❑ Addressee
B. R eive by ( Printed Name) C. Date of Delivery
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D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3, ice Type
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❑ Registered 1( Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article(Pans rfromNumb7009 2820 0003 3736 981,8
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

■ Complete items 1, 2, and 3. Also complete A.
item 4 if Restricted Delivery is desired. X
■ Print your name and address on the reverse
so that we can return the card to you. B.
■ Attach this card to the back of the
or on the front if space permits. 0
D.
1. Article Addressed to:
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delivery address different from item I ! u Ttl3
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Clifford Byrum, Jr. < *�eRegistere
823 Amanda Drive
Matthews, NC 2810 pe
d Mail ❑Express Mail
d ❑ Return Receipt for Merchandise
Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2, Article Number 7009 2820 0003 3736 9825
(Transfer from service labeq _
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:
NC Wildlife Resource Commission
Attn: Dale Davis
132 Marine Drive
Edenton, NC 27932
A. Signature
X
❑ Agent
❑ Addressee
B. Refv d tly C P ''nted Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se ice Type
,Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 2820 0003 3736 9801
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

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