56367_NC DOT_20110119

z1-
CAMA / ❑DREDGE &FILL VC
,{
GENERAL PERMIT �[% /j/� ! Previous permit #
❑New ❑Modification El Complete Reissue ❑Partial Reissue "6�' JJJ /_ 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 Street Address/ State Road/ Lot #(s)
CityState ZIP
Phone # O Fax # Subdivision
Authorized Agent CityZIP
Affected ❑ Cw ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body '� -i (nat ,/man /unkn)
El PWS: ❑ FC: fy
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body J
IType of Project/ Activity
Pier (dock) length_
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length --
avg distance offshore i
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bul
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
(Scale: ) I
A building permit may be required by: _r U ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on backof permit
Application Fee(s)
Check #
Permit Officer's Signature
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
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

N° 5636'7
IS CAMA / Cjj6REDGE & FILL
6,C
r. GENERAL PERMIT
Previous permit # `
[9<ew ❑Modification ❑Complete Reissue ❑Partial Reissue
yes
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
/ /
0--7l4
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Moratorium: n/a
yes
ules attached.
Applicant Name /V C ' /
Project Location:
County
Address i 13 3�
Street Address/ State Road/ Lot #(s)
City 4-:� State N ZIP
Phone # ( �1j � �� 1? Fax #�
Subdivision
Authorized Agent ='`� 'n! /\ )l ix
City l `
y r. N C ZIP 0
❑ CW N-1CW IfTA E�6 ❑PTs
Phone # ( )
River Basin
Affected
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
r -," (AU ��' `k � �� ©)/man /unkn)
❑ PWS: ❑FC:
� `��' �"''' `�
QRW: yes / no PNA yes / Co)Crit.Hab. yes / no
Closest Maj. Wtr. Body 1 f
Type of Project/ Activity r��/ ff `c.�� C:•
Pier (dock) length
Platform(s) "
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
Dc
avg distance offshore
max distance offshore_
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
•1 J ��-�%.�' (Scale: N%A )
A building permit may be required by:PA J� T i ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions�y1 �/V�,.t'e :' J 1 f /��' / �= f/ Z Z t�[ u G ✓'L Cl" : ! p C d 7'i� J�t /I ul�a•�t�jjJ !Li ii f
;,, 1') 1•! S' "'J Z r/ �, / •-{- •;'•- - ,� Sf /
�/:2_ iii"• }' �,� j -::.y '/Z -µi f , :sem
/Zlj7.i
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
J'qu0 ITC, I.mac)_'/Do) 0
Application Fee(s) Check #
Permit Officer's Signature
j---I--i�
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
1. 1
6,C
Shoreline Length
SAV: not sure
yes
no
Sandbags: not sure
yes
no
Moratorium: n/a
yes
Photos:
tiE`s)
no
Waiver Attached:
yes
(n: )
•1 J ��-�%.�' (Scale: N%A )
A building permit may be required by:PA J� T i ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions�y1 �/V�,.t'e :' J 1 f /��' / �= f/ Z Z t�[ u G ✓'L Cl" : ! p C d 7'i� J�t /I ul�a•�t�jjJ !Li ii f
;,, 1') 1•! S' "'J Z r/ �, / •-{- •;'•- - ,� Sf /
�/:2_ iii"• }' �,� j -::.y '/Z -µi f , :sem
/Zlj7.i
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
J'qu0 ITC, I.mac)_'/Do) 0
Application Fee(s) Check #
Permit Officer's Signature
j---I--i�
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
1. 1

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
January 19, 2011
Clay Willis
NC DOT
113 Airport Dr., Suite 100
Edenton, NC 27932
Dear Mr. Willis:
Attached is General Permit #56367C to construct 260' of riprap for shoreline stabilization along
two sites on SRI 203 in Elizabeth City, 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
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:
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
d
Dredge ❑ Fill Both ❑ Other ❑
) —13
1-73
Dredge ❑ Fill (]Both ❑ Other ❑
10- S
fc,--�s
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 ❑

I
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1;_@,ER: COMPLETE THIS SECTION
I�■ 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:
J
j V.E. Jr & Alice Shepherd ko
955Alma DriveNorfolk, VA 23518 8
A. Signature
/ ❑ Agent 4
X L rc� fid! ZiAddressee
4
B. Received by (Printed Name) C. Date of Delivery
fT-ls.delivery address different from item 1? ❑ Yes
i�y Onter delivery address below: ❑ No
\t7
IT
3. Service Type
Certified Mail ❑ Express Mail }
Registered ❑ Return Receipt for Merchandise }
❑ insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ yes
2. Article Number 7D09 2820 0000 3708 2909
(Transfer from service label)
PS Form 3811, February 2004
Domestic Return Receipt iozsss ve m �avu

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
NO DEPT UI- i RANSHuii TATION
113 AIRPORT( DRIVE. OFF(CE SUITE 1
EDENTON. NO 27932
cniIRI:R

i 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:
N.T. & Dianne 0. Aydiett
522 Driftwood Drive
Elizabeth City, NC 27909
A. Signature �/ 1
_ r
X ❑ Agent
ii , / / / ./ ' 0 Addressee
D. is delivery address different from Item 1? /T7 es
if YES, enter delivery address below: 0 No
3. Service Type
Certified Mail 0 Express Mail
Registered 0 Return Receipt for Merchandise
0 insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2. Article Number ?pp9 28201 0003 3738 2930
(Transfer from service label)
February 2004 Domestic Return Receipt
102595-02-M-7540
PS Form 3811, �NEENNEW

-.1
UNITED STATE
• Sender: Please print your name, address, and Zl-'��
P ' ft4"6ox •
NC DEPT 01- 1 KAIbt-ui,,
DIVISION
113AIRPORT DRIVEOFFICE SU;..
EDENTON, NC 279,ig
-----------------------------

■ 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:
Viki A. Merjos
j 2004 Inland Cove
Virginia Beach, VA 23454
2. Article Number
(Transfer from service label)
I PS Form 3811, February 2004
A. Signatu
�f ❑ Agent
X
`�/� ❑Addressee
B. Received by ( Priv d Name) C. Date of Delivery
Ila,3. 0
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: 11 No
3. Service Type
Certified Mail ❑ Express Mail
Registered ❑ Retum Receipt for Merchandise
❑ insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑Yes
7p09 2820 0003 3738
102595-02-M-1540
Domestic Return Receipt

UNITED STATES
IC ......
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
F;Sender: Please print Your name, address, and ZIP+4 in this box
•
NC DEPT OF THANSPUR I'ATION
DIVISION OFFICE
113 AIRPORT DRIVE, SUITE 100
EDENTON. NC 27932
CnowcR. in -51.02

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CERTIFIED MAIL..RECEIPT
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FU Sent Ti Gene G. & Barbara Anderson
o P.O. Box 5938
o o', Lighthouse Point, FL 33074
cny, s.

■ 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:
Stavros G. Merjos
2004 Inland Cove
Virginia Beach, VA 23454
A. Signa
X ❑Agent
2 ❑ Addressee
B. Received by (Printled Name C. Date of Delivery
Ij- 3-/0
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
1A 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 3738 2916
(rransfer from service /abel)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
January 3, 2011
Stephen Lane
NC Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28557
Dear Mr. Lane,
.JAN 4 2011
M0X0heGdC71t-,DCM
EUGENE A. CONTI, JR.
SECRETARY
This letter is requesting a general permit .1100 be issued for 260' of
shoulder/shoreline stabilization along SR 1203 Driftwood Drive in Pasquotank County.
Site 1 is located 0.05 miles and Site 2 is located 0.28 miles North of SR 1229 Vickie Dr.
The stabilization will occur on an eroded bank that has collapsed along SR 1203 causing
the shoulder of the road and substructure 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 DF12801.2070010. 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)
SR 1203 Driftwood Drive shoreline
stabilization
Applicant 1: First Name
Clay
MI
Last Name
Willis
Agent/ Contractor 2: First Name
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
City
Mailing Address
113 Airport Raod
PO Box
City
Edenton
Phone No. 1
-
State
NC
ZIP
27932
Country
Phone No.
252 - 482 -
7977 ext.
FAX No.
252 - 482 - 8722
Street Address (if different from above)
City
State
ZIP
ZIP
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 .. , s-,-;� , i ,. ww w.nccoastatmanagernent.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. #
Pasquotank
SR 1203, 0.05 & 0.28 mi. N. of SR 1229
SR 1203
Subdivision Name
NWL (normal water level)
State
Zip
e. Vegetation on tract
7EIizabethCity
NC
27909 -
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
Pasquotank
Pasquotank 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
Pasquotank 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.)
260
15,600
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)
2 ❑NHW or ®NWL
e. Vegetation on tract
Various roadside grasses and phragmites australis.
f. Man-made features and uses now on tract
SR 1203 Driftwood Drive
g. Identify and describe the existing land uses adjacent to the proposed project site.
Residential and forested.
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 EINA
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 .. 1-888-4RCOA5T .. www.nccoastaImanagement.net
?/A

Form DCM MP -1 (Page 3 of 5)
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
APPLICATION for
Major Development Permit
4A/
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 SR 1203 by placing rip rap and reclaiming lost shoulder by
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 260' of shoulder along SR 1203.
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?
1300 ®Sq.Ft or ❑Acres
g.
Will the proposed project encroach on any public easement, public accessway or other area
❑Yes ®No DNA
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 SR 1203.
I.
Will wastewater or stormwater be discharged into a wetland?
❑Yes ®No DNA
If yes, will this discharged water be of the same salinity as the receiving water?
❑Yes ❑No DNA
j.
Is there any mitigation proposed?
❑Yes ®No DNA
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) — (f) 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.nccoastaimanagement.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 Stavros G. Merjos
Phone No.
4 RECEIVED
Address 2004 Inland Cove JAN
Virginia Beach, VA 23454 2
MOrGheOd 0v
Name N.T. & Dianne O. Aydlett
Phone No.
Address 522 Driftwood Drive
Elizabeth City, NC 27909
Name V.E. JR & Alice Shepherd
Phone No.
Address 955 Alma Drive
Norfolk, VA 23518
Name Viki A. Merjos
Address 2004 Inland Cove
Virginia Beach, VA 23454
Name Gene G. & Barbara Anderson
Address P.O. Box 5938
Lighthouse Point, FL 33074
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.
252-808-2808 . 1-888-4RCOAST . www.nccoastaIrreanagement.net
SMA

Form DCM MP -1 (Page 5 of 5)
APPLICATION for
Major Development 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 ��>��J Print Name Clay Willis, Environmental Officer JAS
Signature G�'v""� � 2011
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 -Svc -e: :i l3 £b 1-858-4Ra:UAST . www. nccoastalmanagernent.net
1

Form DCM MP -2
EXCAVATION and FILL
JANE, ZO
(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 Jo +�J
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.
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
(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
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
2. DISPOSAL OF EXCAVATED MATERIAL
a. Location 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. High -ground excavation in cubic yards.
®This section not applicable
b. Dimensions of disposal area.
d. (i) Will a disposal area be available for future maintenance?
❑Yes ❑No [INA
(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?
3. SHORELINE STABILIZATION E] This section not applicable
(If development is a wood groin, use MP -4 — Structures)
-d3aais- to :: t- 66 4CU Abi' :. www.nccaastalmanagem+entmet
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
(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
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
2. DISPOSAL OF EXCAVATED MATERIAL
a. Location 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. High -ground excavation in cubic yards.
®This section not applicable
b. Dimensions of disposal area.
d. (i) Will a disposal area be available for future maintenance?
❑Yes ❑No [INA
(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?
3. SHORELINE STABILIZATION E] This section not applicable
(If development is a wood groin, use MP -4 — Structures)
-d3aais- to :: t- 66 4CU Abi' :. www.nccaastalmanagem+entmet

F01 -In 0CM - (Excavation and Fill, Page 2 of 2)
a. Type of shoreline stabilization: b
❑Bulkhead NRiprap ❑Breakwater/Sill ❑Other:
c. Average distance waterward of NHW or NWL: 42' long @ 4' d
waterward of NWL and 218 ft @ 0' waterward of NWL averages
out to be 1' average waterward of NWL for entire project
e. i ype or stabmzation materiae
Class "II" rip rap
g. Number of square feet of fill to be placed below water level
Bulkhead backfill Riprap 173.17
Breakwater/Sill Other
i. Source of fill material.
quarry
Length: 260
Width: 5'- 6'(�
Maximum distance waterward of NHW or NWL: 6' JA Ai
101/
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.
5'- 6' from wave action.
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:
15. 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) vvni navigational aids be required as a result or 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.
1 112gl"U
Date plicant Signature
SR 1203 (Driftwood Drive) shoulder stabilization
Project Name
Clay Willis
plicant Name
252-8138-28E38 % 1-888-4RCOAST :: www.nccoastalman agernent.not revised: 12,126'0f,

Pasquotank County SR 1203 Driftwood Drive
260' of shoreline stabilization
USGS Quad - Wade Point
Pasquotank River Basin
00.126.25 0.5 Miles
I I 1 1 1 1 1 1 1
3�° ►0' `-7. Y-rcL' � N
76' l� 1r�36, W E
3 S• 6 Yo S

SR 1203 Driftwood Dr Adjacent Landowners
Site 1
P132A-185
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P132A-184 Viki
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Gene G. W°Barbara Ande
-
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-
Lhthouse Point, FL 3"
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SR 1203
SHOULDER STABILIZATION
PASQUOTANK CO UNl Y
SITE I
VIKI A. AIERJOS
2004 INLAND COVE
VA. BEACH VA.23454
DB 572 P 14
r —76.072201634287
o ^� Sys 36.1774445499723
o --
O SR 1203
NC DEPARTMENT OF TRANSPORTATION
�— DIVISION OF HIGHWAYS
ter,
SCALE 1"=30'
m
COUNTY PASQUOTANK COUNTY
QUAD: WADE POINT
BASIN o PASQUOTANK
PROJECT. SHOULDER STABILIZATION
DATE 11-03-2010 DRAWN BY o JGC

SR 1203
SHOULDER STABILIZATION
PASQUOTANK COU11l7Y
SITE 1
CL SR 1203
9.2 >1< 9.2 9.5
99.78 99.68 99.30
PROPOSED FILL
PROPOSED RIP RAP
TYPICAL REPAIR SECTION
97.87
NWL
—76.072201634287
36.1774445499723
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
COUNTY. PASQUOTANK COUNTY
QUAD o WADE POINT
BASIN PASQUOTANK
PROJECT; SHOULDER STABILIZATION
DATE 11-03-2010 DRAWN BY - JGC
y
SCALE HORIZ 1"=5'
VERT. 1"=5'
97.87
NWL
—76.072201634287
36.1774445499723
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
COUNTY. PASQUOTANK COUNTY
QUAD o WADE POINT
BASIN PASQUOTANK
PROJECT; SHOULDER STABILIZATION
DATE 11-03-2010 DRAWN BY - JGC

SR 1203
SHOULDER STABILIZATION
PASQUOTANK CO UNl Y
SITE 2
NWL
PASQUOTANK RIVER
V 58.70 SQ.FT. FILL B
SHOULDER POINT
114.47 SQ.FT.\FILL BELOW NWL `\ PROPOSED RIP RAP
SR 1203
PROPOSED RIP RAP
NWL
:13 IN PROPOSED RIP RAP
'W NWL EXISTING RIP RAP
� PROPOSED \P RAP� /
ULDER POINT—
TO SR 1229 -
—76.0735800162032
woods 36.179445763928
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
COUNTY: PASQUOTANK COUNTY
QUAD e WADE POINT
BASIN e PASQUOTANK
®
SCALE 1''=3.�.mA
PROJECT; SHOULDER STABILIZATION
DATE .11-04-2010 DRAWN BY a JGC

SR 1203
SHOULDER STABILIZATION
PASQUOTANK COUNTY
SITE 2
9.2
CL SR 1203
9.2
PROPOSED RIP RAP
TYPICAL REPAIR SECTION
SCALE HORIZ 1"=5'
VERT. 1"=5'
NWL
-76.0735800162032
36.179445763928
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
COUNTY. PASQUOTANK COUNTY
QUAD - WADE POINT
BASIN. PASQUOTANK
PROJECT o SHOULDER STABILIZATION 1
DATE .11-04-2010 DRAWN BY - JGC

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
November 29, 2010
Stavros G. Merjos
2004 Inland Cove
Virginia Beach, VA 23454
To Whom It May Concern,
EUGENE A. CONTI, JR.
SECRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to stabilize approximately
260' of shoreline along the East side of SR 1203 Driftwood Drive in Pasquotank County.
The shoulder of the road is eroding away and needs to be stabilized to prevent further
erosion and unsafe driving conditions. The location of the work will be 35' at 0.05 and
225' at 0.28 miles North of SR 1229 Vickie Drive.
The Division of Coastal Management (DCM) considers the project area to be in
an "Area of Environmental Concern" 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 a copy of
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 } ✓441���i.
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, ivision One

RECEIVE1
JAN 4 2.n
ADJACENT RIPARIAN LANDOWNER STATEMENT
( Pasquotank County: Shoreline Stabilization on SR 1203 Driftwood Drive)
General Statute 113-229 requires that riparian landowners with property adjoining a
proposed development in an Area of Environmental Concern (AEC) be given ten (10)
days in which to comment on the proposed development. This form allows the adjacent
riparian landowner to express either: (1) that he objects to the project; or (2) that he does
not object and desires to waive his/her right to the 10 -day period so that the processing of
the application can progress more rapidly. Of course, the adjacent riparian landowner
need not sign this form at all if he/she so chooses. No response within 10 days
following receipt of this letter and form will be construed to mean the adjacent
riparian landowner has no objections.
I, , am an adjacent riparian property owner and am
aware of the North Carolina Department of Transportation's plans for shoreline
stabilization on SR 1203 Driftwood Drive as proposed on the attached drawings. 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
November 29, 2010
N.T. & Dianne O. Aydlett
522 Driftwood Drive
Elizabeth City, NC 27909
To Whom It May Concern,
at.
EUGENE A. CONTI, JR.
SECRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to stabilize approximately
260' of shoreline along the East side of SR 1203 Driftwood Drive in Pasquotank County.
The shoulder of the road is eroding away and needs to be stabilized to prevent further
erosion and unsafe driving conditions. The location of the work will be 35' at 0.05 and
225' at 0.28 miles North of SR 1229 Vickie Drive.
The Division of Coastal Management (DCM) considers the project area to be in
an "Area of Environmental Concern" 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 a copy of
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
60icer,
EnvironmentaDivision One
W�'

y'
G
ADJACENT RIPARIAN LANDOWNER STATEMENT ✓yam ��
( Pasquotank County: Shoreline Stabilization on SR 1203 Driftwood Drive)
General Statute 113-229 requires that riparian landowners with property adjoining a
proposed development in an Area of Environmental Concern (AEC) be given ten (10)�
days in which to comment on the proposed development. This form allows the adjacent 'Y
riparian landowner to express either: (1) that he objects to the project; or (2) that he does
not object and desires to waive his/her right to the 10 -day period so that the processing of
the application can progress more rapidly. Of course, the adjacent riparian landowner
need not sign this form at all if he/she so chooses. No response within 10 days
following receipt of this letter and form will be construed to mean the adjacent
riparian landowner has no objections.
I, , am an adjacent riparian property owner and am
aware of the North Carolina Department of Transportation's plans for shoreline
stabilization on SR 1203 Driftwood Drive as proposed on the attached drawings. 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:

daw��4
STATE OF NORTH CAROLINA
DEPARTNIENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
November 29, 2010
V.E. JR & Alice Shepherd
955 Alma Drive
Norfolk, VA 23518
To Whom It May Concern,
EUGENE A. CONTI, JR.
SECRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to stabilize approximately
260' of shoreline along the East side of SR 1203 Driftwood Drive in Pasquotank County.
The shoulder of the road is eroding away and needs to be stabilized to prevent further
erosion and unsafe driving conditions. The location of the work will be 35' at 0.05 and
225' at 0.28 miles North of SR 1229 Vickie Drive.
The Division of Coastal Management (DCM) considers the project area to be in
an "Area of Environmental Concern" 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 a copy of
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
( Pasquotank County: Shoreline Stabilization on SR 1203 Driftwood Drive)
General Statute 113-229 requires that riparian landowners with property adjoining a
proposed development in an Area of Environmental Concern (AEC) be given ten (10)
days in which to comment on the proposed development. This form allows the adjacent
riparian landowner to express either: (1) that he objects to the project; or (2) that he does
not object and desires to waive his/her right to the 10 -day period so that the processing of
the application can progress more rapidly. Of course, the adjacent riparian landowner
need not sign this form at all if he/she so chooses. No response within 10 days
following receipt of this letter and form will be construed to mean the adjacent
riparian landowner has no objections.
I, , am an adjacent riparian property owner and am
aware of the North Carolina Department of Transportation's plans for shoreline
stabilization on SR 1203 Driftwood Drive as proposed on the attached drawings. 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:
�s o

�. T
,:w
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE EUGENE A. CONTI JR.
GOVERNOR SECRETARY
November 29, 2010 v
Viki A. Merjos CERTIFIED MAIL
2004 Inland Cove
Virginia Beach, VA 23454
To Whom It May Concern,
The NC Department of Transportation is proposing to stabilize approximately
260' of shoreline along the East side of SR 1203 Driftwood Drive in Pasquotank County.
The shoulder of the road is eroding away and needs to be stabilized to prevent further
erosion and unsafe driving conditions. The location of the work will be 35' at 0.05 and
225' at 0.28 miles North of SR 1229 Vickie Drive.
The Division of Coastal Management (DCM) considers the project area to be in
an "Area of Environmental Concern" 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 a copy of
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]

V
The attached form is submitted to insure that you have an opportunity to comme
on the proposal. The work is depicted on the attached drawings. If you have no objects to 0�
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:s
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
( Pasquotank County: Shoreline Stabilization on SR 1203 Driftwood Drive)
V-
00
General Statute 113-229 requires that riparian landowners with property adjoining a
proposed development in an Area of Environmental Concern (AEC) be given ten (10)
days in which to comment on the proposed development. This form allows the adjacent
riparian landowner to express either: (1) that he objects to the project; or (2) that he does
not object and desires to waive his/her right to the 10 -day period so that the processing of
the application can progress more rapidly. Of course, the adjacent riparian landowner
need not sign this form at all if he/she so chooses. No response within 10 days
following receipt of this letter and form will be construed to mean the adjacent
riparian landowner has no objections.
I, , am an adjacent riparian property owner and am
aware of the North Carolina Department of Transportation's plans for shoreline
stabilization on SR 1203 Driftwood Drive as proposed on the attached drawings. 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:

F
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
November 29, 2010
Gene G. & Barbara Anderson
P.O. Box 5938
Lighthouse Point, FL 33074
To Whom It May Concern,
EUGENE AoNT�JR. `
SECR —Y
V-1 roll
CERTIFIED MAIL
The NC Department of Transportation is proposing to stabilize approximately
260' of shoreline along the East side of SR 1203 Driftwood Drive in Pasquotank County.
The shoulder of the road is eroding away and needs to be stabilized to prevent further
erosion and unsafe driving conditions. The location of the work will be 35' at 0.05 and
225' at 0.28 miles North of SR 1229 Vickie Drive.
The Division of Coastal Management (DCM) considers the project area to be in
an "Area of Environmental Concern" 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 a copy of
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's
6
on the proposal. The work is depicted on the attached drawings. If you have no objects tom,
the proposal, please return the form with your response within ten (10) days to this office I,$ c�
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
( Pasquotank County: Shoreline Stabilization on SR 1203 Driftwood Drive)
General Statute 113-229 requires that riparian landowners with property adjoining a
proposed development in an Area of Environmental Concern (AEC) be given ten (10)
days in which to comment on the proposed development. This form allows the adjacent
riparian landowner to express either: (1) that he objects to the project; or (2) that he does
not object and desires to waive his/her right to the 10 -day period so that the processing of
the application can progress more rapidly. Of course, the adjacent riparian landowner
need not sign this form at all if he/she so chooses. No response within 10 days
following receipt of this letter and form will be construed to mean the adjacent
riparian landowner has no objections.
I, , am an adjacent riparian property owner and am
aware of the North Carolina Department of Transportation's plans for shoreline
stabilization on SR 1203 Driftwood Drive as proposed on the attached drawings. 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:

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Label/Receipt Number: 7009 2820 0003 3738 2893g'py
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• Unclaimed, December 24, 2010, 1:46 pm, POMPANO BEACH, FL
• Notice Left, December 06, 2010, 3:38 pm, POMPANO BEACH, FL 33074
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