58369_NC DOT_20110901

❑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
❑ Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City
State ZIP
Phone # ()
Fax # ( )
Authorized Agent
❑ CW
❑ EW ❑ PTA ❑ ES C PTS
Affected
❑ OEA
❑ HHF ❑ IH - UBA ❑ N/A
AEC(s):
❑ PWS:
❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Agent or Applicant Printed Name
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
PermitOfficer's Signature
Signature ** Please read compliance statement on back of permit **
Application Fee(s)
Check #
Issuing Date Expiration Date
Local Planningjurisdiction
Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is 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
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
ter Morehead City, NC 28557
.j8 252-808-2808/ 1-888-4RCOAST
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

� M sr ?Z
RECIRWED
SFP 4 1 Z011
S'FATE OF NORTH CAROL.INA I?CM-MHD CITY
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
August 29, 2011
Stephen Lane
NC Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28557
Dear Mr. Lane,
EUGENE A. CONTI, JR.
SECRETARY
This letter is requesting an emergency permit GP .1700 be issued for emergency pipe replacements on
US 264, 0.869, 2.1 and 4.47 miles south of SR 1 100 (Bayview Drive) in Dare County. The current pipes
were damaged as a result of Hurricane Irene and are failing and need to be replaced to ensure safe public
travel. The existing pipe at each location is (1 @ 50' x 36" CMP) will be replaced with the proposed pipe (1
cis 50' x 48" CAA). The road shoulder at the inlet and outlet of the pipe will be stabilized with rip -rap. The
Division of Coastal Management considers the project area to be within an AEC that requires authorization
for the pipe replacement. Included with this request are the MP-1, MP-2, MP-5 forms, location map,
landowner notices, and permit drawings depicting the proposed work. The WBS element €f is 1.102811. 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]

USGS Quad - Engelhard NE N
Pasquotank River Basin 0 0.2 0.4 0.8 Miles w E
S

fi'11��LF�'v/ Dl•l/>!/ �✓rn"}'�uvist� i,�/���D'i�'rG ���JJ�
J PROPOSED RIP PAP
WOODS AT END OF PIPE
-- TO $ MEHARD
PROPOSED I 48"X 50' CAA-----
CANAL
US SXGBWAY 264 410•MI. TO SR DO Rovkw Zk—
--- EXISTING PIPE 1642° X 54' CMP
TO BE REMOVED
PROPOSED RIP RAP
1° Wr
Ai END OF PIPE
,FMWRD AM]-Lf ,LQVU AS REQVIRED
jPROFOSBD RZPRAP FOR SEfOTiLWLV STARLIZr MX
W
_... _.... ....... -................-............... .............. ....... ......... .......... _....... _
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
COUNTY- DARE COUN7T
QUAD : ENGELHARD NE
BASIN: PAS¢UOTANK
PROJECT. PIPE REPLACEMENT
Drawn By: R. Shook
DATE � iS%`7//t SCALE I" = 30'

DETAIL SECTION -CROSS SECTION
US HIGHWAY 264�
PROPOSED RIP RAP
PROPOSED RIP RAP EXISTING GLA PZ RAIL / AT END OF PIPE
AT END OF PIPE CL ROAD ELEV. 100.61 i
WATER ELEV, 97.0 — — — — — — — — — _ _ _ .,,. ... _ — — — — — — _
_.__.....,.... �.. ...M.... y
EX18T7NI STREM BED _ _ _— — — _— — — '".._ ..`. —'. '— — — — _ _
EEVV a ------ .LAP
L .95. EXISTING PIPE 1942"X50'CMP pROPOSED1@ 48" X60' CAA
NOTE: CLASS B STONE TO BE PLACED AROUND END OF PIPES
EXISTING PIPE
NOTE: BOTTOM OF NEW PIPE TO BE PLACED
BELOW STREAM BED
US HIGHWAY 264 CL ROAD ELEV. 100.61
..-————— — — — — — —
SHOULDER P.LEV.98J _ p OF K
wRTE1�ELEy. W.4 ' PROPOSED RIP RAP
+ _t AT END OF PIPE
EExI.EV.861 STREM BED
EVB
PROPOSED1@ 48" X50' CAA
1 PIPE 1042"X50'CMP TO BE REMOVED
PIPE INVERT ELEV, 95.0
.DETAIL SECTION END VIEW
0 PROPOSED PIPE
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
COUNTY- ,DARE COUNTY
QUAD, ENGELHARD 11tE
BASIN. PASQUOTANK
PROJECT -PIPE REPLACE NT
SCALE o 1" e 101
DATE -. MW I

DCM Mr-1
APPLICATION for
Major Development Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
9. Primary Applicant/ Landowner Information
Business Name
N.C. Department Of Transportation
Project Name (if applicable)
US 264 Pipe Replacement
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 Road
PO Box
City
Edenton
State
NC
ZIP
27932
Country
Phore No.
252 - 482 - 7977 ext.
FAX No.
252 - 482 - 8722
Street Address (if different from above)
City
State
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 #
i
i
Street Address (if different from above)
City
State
ZIP
Email
--
<Form continues on back>

Form DCM MP-1 (Page 2 of 5)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Dare
US 264, 0.869miles south of SR 1100 Bayview Dr
US 264
Subdivision Name
City l State
Zip
Stumpy Point NC
27978 -
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
Unnamed trib. (roadside canal) to the Pamlico Sound.
c. is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
❑Natural ®Manmade ❑Unknown
Pamlico Sound
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)
20
3600
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
At waters edge, spartina patens was present. Various roadside grasses on a maintained shoulder.
f. Man-made features and uses now on tract
US 264
g. Identify and describe the existing land uses adiacent to the proposed project site.
Coastal marsh and Stumpy Point Bay.
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? ElYes No
k. Has a 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 ❑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)

dorm 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 plarpose, use, and daily operations of the project when complete.
The purpose of this project is to replace the existing pipe that was damaged as a result of Hurricane Irene and is structuarily
failing on US 264.
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.
Methods of construction will be concurrent with NCDOT Best Management Practices for the replacement of pipes. A
tracked excavator, backhoe, and dump truck will be used during construction.
d. List all development activities you propose.
Replace existing pipe 1 @ 50' x 36" Corrugated Metal Pipe with 1 @ 50' x 48" Corrugated Aluminum Pipe with rip rap on
both ends of the pipe.
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? 1000 ®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 US 264.
I
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? DYes No ❑NA
If yes, attach a mitigation proposal.
<Form continues on backs
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, dearly 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) 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. I
Name Stephen Beall j
Phone No.
Address 108 US HWY 264
Stumpy Point, NC 27978
Name Mike Bryant, Alligator National Wildlife Refuge Manager
Phone No.
Address P.O. Box 1969
Manteo, NC 27954
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.
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
yyZthat the information provided in this application is truthful to the best of my knowledge.
Date) ( f j' Print Name Ryan Shook, Environmental Specialist
Signature
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ®DCM MP-5 Bridges and Culverts
,. ��, 4t, .a

Form DCM MP-1 (Page 5 of 5)
APPLICATION for
❑DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
Major Development Permit

(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.
i Access
Other
j( 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
9.
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.
d.
High -ground excavation in cubic yards.
(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:
Z. DISPOSAL OF EXCAVATED MATERIAL
®This section not applicable
a.
Location of disposal area.
b.
Dimensions of disposal area.
c.
d.
(i) Will a disposal area be available for future maintenance?
(1) Do you claim title to disposal area?
❑Yes ❑No ❑NA
[]Yes [:]No ❑NA
(ii) If no, attach a letter granting permission from the owner.
(ii) If yes, where?
e.
(1) Does the disposal area include any coastal wetlands/marsh
f.
(i) Does the disposal include any area in the water?
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
❑Yes ❑No ❑NA
or other wetlands (WL)? If any boxes are checked, provide the
(ii) If yes, how much water area is affected?
number of square feet affected.
❑m ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of disposal in these areas:

3. SHORELINE STABILIZATION ❑This section not applicable
(If development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization: b. Length: 22'
❑Bulkhead ®Riprap ❑Breakwater/Sill ❑Other: Width: 5-6'
c. Average distance waterward of NHW or NWL: 4' d. Maximum distance waterward of NHW or NWL: 3'
e. Type of stabilization material:
riprap
g. Number of square feet of fill to be placed below water level
Bulkhead backfill Riprap 66
Breakwater/Sill Other
i. Source of fill material.
f. (1) 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.
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 tSHv/, sneu ootrom toot, vi
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 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.
Ryan Shook, Environmental Specialist _
-------- --- Applicant Name
Date
US 264 pipe replacement, 0.869 mi. S. of SR 1100
App' nt Signature
Project Name

Form DCM MP-5
BRIDGES and CULVERTS
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
9. BRIDGES 0This section not applicable
a. Is the proposed bridge: b. Water body to be crossed by bridge:
[]Commercial ❑Public/Government ❑Private/Comm unity
c. Type of bridge (construction material):
d. Water depth at the proposed crossing at NLW or NWL:
e. (i) Will proposed bridge replace an existing bridge? ❑Yes ❑No f.
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
9• Length of proposed bridge:
I. Will the proposed bridge affect existing water flow?
If yes, explain:
(i) Will proposed bridge replace an existing culvert? ❑Yes ❑No
If yes,
(ii) Length of existing culvert:
(iii) Width of existing culvert:
(iv) Height of the top of the existing culvert above the NHW or
NWL:
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
h• Width of proposed bridge:
❑Yes []No j. Will the proposed bridge affect navigation by reducing or
increasing the existing navigable opening? []Yes []No
If yes, explain:
k. Navigation clearance underneath proposed bridge: 1. Have you contacted the U.S. Coast Guard concerning their
approval? ❑Yes ❑No
If yes, explain:
m. Will the proposed bridge cross wetlands containing no navigable n. Height of proposed bridge above wetlands:
waters? ❑Yes []No
If yes, explain:
L2. CULVERTS [I This section not applicable
a• Number of culverts proposed: 1 b. Water body in which the culvert is to be placed:
Unnamed tributary (manmade canal) to Stumpy Point Bay.
< Form continues on backer
c. Type of culvert (construction material):
1 - 50' x 48" Corrugated Aluminum Pipe

d. (i) Will proposed culvert replace an existing bridge?
❑Yes ®No
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
e. (i) Will proposed culvert replace an existing culvert?
®Yes ❑No
If yes,
(ii) Length of existing culvert(s): 50'
(III) Width of existing culvert(s): 36"
(iv) Height of the top of the existing culvert above the NHW or
NWL: 1'
(v) Will all, or a part of, the existing culvert be removed?
(Explain) All
f• Length of proposed culvert: 50' 9. Width of proposed culvert: 48"
h. Height of the top of the proposed culvert above the NHW or NWL. i. Depth of culvert to be buried below existing bottom contour.
J. Will the proposed culvert affect navigation by reducing or k. Will the proposed culvert affect existing water flow?
increasing the existing navigable opening? ❑Yes ®No ®Yes ❑No
If yes, explain: If yes, explain: Enhance hydrologic flow regimes.
3. EXCAVATION and FILL
a. (i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ®Yes ❑No
If yes,
(ii) Avg. length of area to be excavated: 8'
(iii) Avg. width of area to be excavated: 7'
(iv) Avg. depth of area to be excavated: 2'
(v) Amount of material to be excavated in cubic yards: 4.15
c. (i) Will the placement of the proposed bridge or culvert require any
high -ground excavation? ®Yes ❑No
If yes,
(ii) Avg. length of area to be excavated: 42'
(iii) Avg. width of area to be excavated: 13'
(iv) Avg. depth of area to be excavated: 4
(v) Amount of material to be excavated in cubic yards: 80.1
❑ This section not applicable
b. (i) Will the placement of the proposed bridge or culvert require any
excavation within 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 OSB
OWL ®None
(ii) Describe the purpose of the excavation in these areas:

d. If the placement of the bridge or culvert involves any excavation, please complete the following:
(i) Location of the spoil disposal area: NCDOT approved waste area site.
(ii) Dimensions of the spoil disposal area: N/A
(iii) Do you claim title to the disposal area? ®Yes ❑No (if no, attach a letter granting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? ®Yes ❑No
(v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (SB)?
❑CW ❑SAV OWL ❑S13 ®None
If any boxes are checked, give dimensions if different from (ii) above.
(vi) Does the disposal area include any area below the NHW or NWL? ? ❑Yes ®No
If yes, give dimensions if different from (ii) above.
e. (i) Will the placement of the proposed bridge or culvert result in any
f. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
fill (other than excavated material described in Item d above) to
be placed below NHW or NWL? ®Yes []No
be placed within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SS), or other wetlands
If yes,
(WL)? If any boxes are checked, provide the number of square
(ii) Avg. length of area to be filled: 22'
feet affected.
(iii) Avg. width of area to be filled: 22=4'
NCW 10 ❑SAV �_ ❑SB
(iv) Purpose of fill: Bank stabiliztion.
❑WL ®None
(ii) Describe the purpose of the excavation in these areas:
Rip rap placement on shoulder for bank stabilization.
g. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed on high -ground? ❑Yes ®No
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
4. GENERAL
a. Will the proposed project require the relocation of any existing
b. Will the proposed project require the construction of any temporary
❑Yes ®No
utility lines? []Yes ®No
detour structures?
If yes, explain:
If yes, explain:
If this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification.
< Form continues on back>
c. Will the proposed project require any work channels?
d. How will excavated or fill material be kept on site and erosion
❑Yes ®No
controlled?
If yes, complete Form DCM-MP-2.
Using NCDOT best management practices for sediment
and erosion control.

e. What type of construction equipment will be used (for example,
dragline, backhoe, or hydraulic dredge)?
tracked excavator, dumptruck, backhoe
g. Will the placement of the proposed bridge or culvert require any
shoreline stabilization? ®Yes ❑No
If yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
Date
US 264 Pipe Replacment, 0.869 mi. S. of SR 1100
Project Name
Ryan Shook, Environmental Specialist
plicant Name
p
plicant 1&6nature
f. Will wetlands be crossed in transporting equipment to project site?
❑Yes ®No
If yes, explain steps that will be taken to avoid or minimize
environmental impacts.

BEVERLY EAVES PERDUE
GOVERNOR
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
August 31, 2011
Mike Bryant
U.S. Fish and Wildlife Service
Alligator River National Wildlife Refuge
P.O. Box 1969
Manteo, N.C. 27954
To Whom It May Concern,
EUGENE A. CONTI, JR.
SECRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to replace a metal pipe south
of Stumpy Point on US 264 that was damaged as a result of Hurricane Irene. The pipe is
located approximately 0.869 miles south from the intersection of SR 1100 ( Bayview
Drive). The existing pipe is 50' x 36" and the proposed pipe is 50' x 48" with both of
ends of the pipe being stabilized with riprap. All work will be conducted within NCDOT
right-of-way.
The Division of Coastal Management (DCM) considers the adjacent waters to be
estuarine waters 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 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]
- J

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
( Dare County: US 264, 0.969 miles south of SR. 1100 )
I, _ , am an adjacent riparian property owner and am
aware of the North Carolina Department of Transportation's plans for the pipe'
replacement on US 264. 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 Gener?l 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
August 31, 201.1
Stephen Beall
108 US HWY 264
Stumpy Point, NC 27978
To Whom It May Concern,
EUGENE A. CONI'[, JR.
SU'REIARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to replace a metal pipe south
of Stumpy Point on US 264 that was damaged as a result of Hurricane Irene. The pipe is
located approximately 0.869 miles south from the intersection of SR 1100 ( Bayview
Drive). The existing pipe is 50' x 36" and the proposed pipe is 50' x 48" with both of
ends of the pipe being stabilized with riprap. All work will be conducted within NCDOT
right-of-way.
The Division of Coastal Management (DCM) considers the adjacent waters to be
estuarine waters 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 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
( Dare County: US 264, 0.869 miles south of SR 1100 )
1, , am an adjacent riparian property owner and am
aware of the North Carolina Department of Transportation's plans for the pipe
replacement on US 264. 1 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:

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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue
Governor
September 6, 2011
NCDOT
c/o Ryan Shook
113 Airport Dr., Suite 100
Edenton, N.C. 27932
Dear Mr. Shook:
Dee Freeman
Secretary
Attached is General Permit #58369C to replace an existing 36' X 50' culvert with a 48" X 50' culvert at US
264, South of SR1100, Bayview Drive, Stumpy Point, 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,
��q sd-ce
Stephen Lane
Coastal Management Representative
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Enclosures
400 Commerce Ave., Morehead City, NC 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Afirmative Action Employer
NorthCarohna
Naturally

'Aaplicant: � �
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
ternimpacts)
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
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