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Home My WebLink About58376_NC DOT_20111216Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin. channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bul Other Shoreline Length 1`)Cl— ❑CAMA / [--'DREDGE & FILL SAV: not sure 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 yes ❑ Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) CityState ZIP no Phone # () Fax # ( ) Subdivision Authorized Agent City ZIP ❑ Cw ❑ EW D -PTA ❑ ES ❑ PTS Phone # ( ) River Basin Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn� ❑ PWS: El FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin. channel cubic yards Boat ramp Boathouse/ Boatlift Beach 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 A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name (Scale: ) I ❑ See note on back regarding River Basin rules. Permit Officer's Signature Signature ** Please read compliance statement on back of permit * Issuing Date Application Fee(s) Check# Local PlanningJurisdiction 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 complywith 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: 919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (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: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 ftAMA / &6REDDE & FILL N? 58376 G�eNERAL PERMIT Previous permit # -- w OModiflcation ❑Complete Reissue ❑Partial Reissue Date, previous permit issued ^J As authorized by the State of North Carolina, Department of Environment and Natural Resourcesy� t�iD a and the Coastal Resources Commission In an area of environmental concern pursuant to 15A NCAC 0 ! / ules attached. Project Location: Count) ._. pm-'� Street Address/ State Road/ Lot #(s) Affected El CW :9M &0117A ff4d ❑ PTS AEC(s): L1 OEA Cl HHF ❑ IH ❑ UBA 0 N/A El PWS: QFC: ORW: yes / ® PNA yes / ® Crit.Hab. yes / no Subdivision City. �/% �-✓� yl J _ ZIP x'74 Phone # (�) River Basin_pwrot..dLz..k Adj. Wtr. Body UT �O Q/irJ4-n C`tk(nat- n - unkn Closest Maj. Wtr. Body • .V •-0" of Project/ Activity i�-f��t C �`� 4w- ew/�^> IN X � r G+^ e-t4lverFj a4 ocrf.r-).-f"� /n%•�1^fnacfiK/.c . Pier (dock) length '- Piatform(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_ abM Other '/ ps-e' A (Scale: /V/A ) A building permit may be required by: w,., e !`�I �If J� ❑ See note on back regarding River Basin rules. Notes/ Special Conditions ° !r-vfa' ✓' v✓•rk lr •l�•�c.0 r�t.j +r +o �,✓i�l•aKfi rloriGhve.�1eujvei� J �0,rox 1 �+� ti�tYaulo n , ftJJI• �l W �/6 X17 7 .rX7 �-r�J �MI7 AWMI •N�n ,(f•'�- �}a /— %�/Y. Lane, Stephen From: Shook, Ryan L Sent: Friday, January 13, 2012 3:02 PM To: Lane, Stephen Subject: Dare SR 1217 permit mod. Attachments: permit mod.pdf NCDOT is requesting a permit modification to GP .2300, no 58376, for pipe replacements on SR 1217 Colington Rd in Dare County. The permit was issued to replace the existing 2 @ 24" x 50' CMP's with the proposed 3 @ 30" x 55' CAP's. It has been determined that the proposed 3 -30" pipes cannot be installed due to a conflict with the existing waterline located under the pipes. NCDOT is proposing to install 3 @ 24" x 55 CAPS instead of the 30" pipes that were originally permitted. Attached are updated drawings. Let me know if you need any additional information. Thanks, Ryan Ryan Shook Environmental Specialist NCDOT - Division 1 113 Airport Dr., Suite 100 Edenton, NC 27932 Office 252-482-7977 Fax 252-482-8722 Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties. 1 COLINGTON RD. (SR 1217,) DARE COUNTY FLOATIN RBIDITY CURTAIN JODY LANE BEASLEY 82 BROTBERS LANE WANCHESE, NC 27981 SHEET PILE CANAL DB 772 P 743 ------- TEMPORARY SILT FENCE / PROPOSED 3Q *X 55' CAA 7'0 DEAD END R COLINGTON D.(SR 1217) w.nr .wvwa Ar TEMPORARY SILT FENCE SHEET PILE CARSON LEE BEASLEY 1440 COLINGTON RD. CANAL KILL DEVIL IIILLS, NC 27948 DB 454 P 461 FLOATING TURBIDITY CURTAIN FINISHED EARTH SLOPE AS REQUIRED PROPOSED ELF RAP FOR SHOULDER STAEMYATION w ,p - EXISTING PIPE 2024"X 5D' CMP TO BE REMOVED WT WI I HAROLD E, GESSFORD PO BOX 3719 KILL DEY1L SILLS, NC 27948 DB 402 P 194 DA VIE L. FLOYD 234 SOU2VDVEIW DR. KILL DEVIL HILLS, NC 27948 DB 1845 P 233 2075' TO MIDGE y X•075.69349 Y.36.01489 NC DEPARTMENT OF TRANSPORTATION DIVISION OF HIGHWAYS COUNW- DARE COUNTY QUAD: KITTY IL4WIC BASIN: PASQUOTANK PROJECT: PIPE REPLACEMENT SCALE 1 30' DRAWN., JGC DATE ;10-25-2011 COLINTON RD. (SR 1217) CL SR 1217 ELEV. 99.85 EXISTING RIP RAP PROPOSED RIP RAP AT END OF PIPE ON NEW PIPE PROPOSED RIP RAP EXISTING RIP RAP ON NEW PIPE 99 8 98.9 99 5 AT ENO OF PIPE 89.4 NWL 98.4 EXISTING STREM BED ELEV.97.1' EXISTING PIPE 2Q24"X50' CMP PROPOSED 3Q*X55' CAA INV ELEV 7 TO BE REMOVED ate° DETAIL SECTION CROSS SECTION NOTE: CLASS B STONE TO BE.PLACED AROUND END OF PIPES t ; EXISTING PIPE NOTE: BOTTOM OF NEW PIPE TO BE PLACED — 8" TO 1' BELOW SILT LINE O PROPOSED PIPE NC DEPARTMENT OF TRANSPORTATION SR 1217 _ _ _ _ _ _ _ _ _ CL ROAD ELEV. 99.88— _ _ _ _ _ _ — _ _ DIVISION OF %AYES +HIGH ^OI INTY : DAli�.'i CO(JN7 Y COUNTY: �r V — — — NWI 98.4 EXISTING STREM BED ELEV.97.V EXISTING PIPE 2024"X50 CMP PROPOSED 3@ W' X55' CAA QUAD, ISI= HAWK TO BE REMOVED PROPOSED RIP RAP d�} AT END OF PIPE BASIN a PASQUOTANK PROJECT -PIPE REPLACEMENT SCALE a 199 10' LINE AA DETAIL END SECTION VEIN EIRAWN e JGC DATE .10-25-2011 .-e _. .. ,... Applicant: c Date: J Z— 14— 11 6-esy37 6 Describe below the HABITAT disturbances for the application. All valuos should rriatch the name, and units of measurement found in your Habitat code sheet. Habitat Narne DISTURB TYPE: Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or ternp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or tem im acts) FIPdAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge 2' Fill 0' Both [r Other ❑ I.ro Dredge, 9- Fill [r Both ['' Other ❑ b / 'r Dredge ❑ Fill ❑ F3olh ❑ Olher ❑ 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 ❑ e '�i2•:3vtr•'?�v'; .. i•'�;:3:'.•�:;?CUA>i .. +.n_v'.�r.nor_:_�ssia!.a•,:o:�ar_s�•:^.��sy4_r.�x� •rs,.s�n..a, r^�!e�n;.t,r ��A �+�� NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Governor Director December 16, 2011 NCDOT c/o Clay Willis 113 Airport Dr., Suite 100 Edenton, N.C. 27932 Dear Mr. Willis: Dee Freeman Secretary Attached is General Permit #58376 C to replace the two existing 24" X 50' culverts with three 30" X 55' culverts at SR 1217, Kill Devil Hills, North Carolina. In order to validate this permit, please sign the permit as indicated. Retain the white copy for your files and return the signed yellow and pink copies to us in the enclosed, self-addressed envelope. If the signed permit copies are not returned to this office before the initiation of development, you will be working without authorization and will be subject to a Notice of Violation and subsequent civil penalties. We appreciate your early attention to this matter. Sincerely, Stephen Lane Coastal Management Representative rcb Enclosures 400 Commerce Ave., Morehead City, NC 28557 Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastaimanagement.net An Equal Opportunity 1 Affirmative Action Employer NorthCarolina Naturallrf STATE OF NORTH CAROLINA DEPARTNIENT OF TRANSPORTATION BEVERLY EAVES PERDUE GOVERNOR November 30, 2011 Stephen Lane NC Division of Coastal Management 400 Commerce Ave. Morehead City, NC 28557 Dear Mr. Lane, RECEIVED DEC 09 2011 DCM-mRD CITY EUGENE A. CONTI, JR. SECRETARY This letter is requesting a general permit .2300 be issued for a pipe replacement on SR 1217 Colington Rd, 2.07 miles west of US 158, in Kill Devil Hills, Dare County. The current pipes were damaged by Hurricane Irene and are failing and need to be replaced to ensure safe public travel. The existing pipes (2 @ 24" x 50' CMP) will be replaced with the proposed pipes (2 @ 30" x 55' CAP). 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 # is DF13201.2028010. If any additional information is needed please contact Ryan Shook 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 (252)-482-7977, Fax (252)-482-8722 ON MP -1 IVED APPLICATION for --.. 011 Major Development Permit DEC 0 9 77 p (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 1217 Colington Rd 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, Suite 100 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 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. 1Phone - - ext. No. 2 - - ext. FAX No. Contractor # Street Address (if different from above) City State ZIP Email <Form continues on back> 11 1 11, ,-. 4 . .. x .' ,..... Qt'.x1am.1tr'AgeMent-net RECEIVED Force DCM MP -1 (Page 2 of 5) APPLICATION for DEC 0 9 2011 Major Development Permit 3. Project Location D' • . i. CITY County (can be multiple) Street Address State Rd. # Dare SR 1217 Colington Rd, 2.07 miles west of US 158 SR 1217 Subdivision Name City State Zip e. Vegetation on tract Kill Devil Hills NC 27948 - Phone No. Lot No.(s) (if many, attach additional page with list) - - ext. i. Is the proposed project consistent with the applicable zoning? a. In which NC river basin is the project located? b. Name of body of water nearest to proposed project Pasquotank UT to Colington Creek c. Is the water body identified in (b) above, natural or manmade? d. Name the closest major water body to the proposed project site. ❑Natural ®Manmade ❑Unknown Roanoke 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. n/a 4. Site Description a. Total length of shoreline on the tract (ft.) b. Size of entire tract (sq.ft.) 75' 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) 1.5 ❑NHW or ®NWL e. Vegetation on tract Various roadside grasses on a maintained shoulder, phragmites, and arundinaria gigantea . f. Man-made features and uses now on tract SR 1217 g. Identify and describe the existing land uses adiacent to the proposed project site. Residential and commercial. 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 [INA 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 .. i-888-4RC A S -f nruvw,rtcc�a�e�:�tis,r� �t �er� k.rae�t 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 RECEIVED nEc Q 9 2011 5. Activities and Impacts a. Will the project be for commercial, public, or private use? ❑Commercial ®Public/Government ❑Private/Comm unity b. Give a brief description of purpose, use, and daily operations of the project when complete. The purpose of this project is to replace the existing pipes that were damaged by Hurricane Irene and are structuarlly failing on SR 1217. 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 the existing pipes 2 @ 24" x 50' Corrugated Metal Pipe with 3 @ 30" x 55' Corrugated Aluminum Pipe with riprap on both ends. This project will be conducted in the dry. 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? 675 ®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 SR 1217. i. Will wastewater or stormwater be discharged into a wetland? ❑Yes ®No [:]NA It yes, will this discharged water be of the same salinity as the receiving water? []Yes ❑No ❑NA j. Is there any mitigation proposed? ❑Yes ®No ❑NA If yes, attach a mitigation proposal. <Form continues on back> 6. Additional Information In addition to this completed application form, (MP -1) the following items below, if applicable, must be submitted in order for the application package to be complete. Items (a) — (0 are always applicable to any major development application. Please consult the application instruction booklet on how to properly prepare the required items below. a. A project narrative. b. An accurate, dated work plat (including plan view and cross-sectional drawings) drawn to scale. Please give the present status of the proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish between work completed and proposed. c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site. 252-808-Z80l9 ,. '-BOB-F3ECOA.ST .. vvwwvo. cccrast 9rsa n re€s rsi.ra t Forrn 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 Jody Lane Beasley Phone No. RECEIVED Address 82 Brothers Lane Wanchese, NC 27981 DEC U 9 2011 DC1,14," Name David L. Floyd Phone No. Address 234 Soundview Drive Kill Devil Hills, NC 27948 Name Harold E. Gessford Phone No. Address PO Box 3719 Kill Devil Hills, NC 27948 Name Carson Lee Beasley Address 1440 Colington Rd Kill Devil Hills, NC 27948 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 that the information provided in this application is truthful to the best of my knowledge. 1898-4 cg: OAST .. www. ticcoastalmanagernerit.net Foran DCM MP -1 (Page 5 of 5) Date i Print Name _Clay Willis, Environmental Officer Signature 342; 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 RECEIVED ❑DCM MP -4 Structures Information DEC 0 9 2011 2-52-808-2808 ., 888-4RCOAS.w .. wvwwv.nccoastaimanagement .net Form DCM MP -2 Ri (; VED EXCAVATION and FILL 1 ; 9 2011 (Except for bridges and culverts) Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1. Be sure to complete all otherQs'd idns cf'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. 1. EXCAVATION ®This section not applicable a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated. cubic yards. c. (i) Does the area to be excavated include coastal wetlands/marsh d. High -ground excavation in cubic yards. (CW), submerged aquatic vegetation (SAV), shell bottom (SB), or other wetlands (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: 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? d. (i) Will a disposal area be available for future maintenance? []Yes [:]No ❑NA ❑Yes ❑No [INA (ii) If no, attach a letter granting permission from the owner. (ii) If yes, where? e. (i) Does the disposal area include any coastal wetlands/marsh 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 number of square feet affected. (ii) If yes, how much water area is affected? ❑CW ❑SAV ❑SB OWL []None (ii) Describe the purpose of disposal in these areas: Access Other Channel (NLW or Canal Boat Basin Boat Ramp Rock Groin Rock Breakwater (excluding shoreline NWL) stabilization) Length Width Avg. Existing NA NA Depth Final Project NA NA Depth 1. EXCAVATION ®This section not applicable a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated. cubic yards. c. (i) Does the area to be excavated include coastal wetlands/marsh d. High -ground excavation in cubic yards. (CW), submerged aquatic vegetation (SAV), shell bottom (SB), or other wetlands (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: 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? d. (i) Will a disposal area be available for future maintenance? []Yes [:]No ❑NA ❑Yes ❑No [INA (ii) If no, attach a letter granting permission from the owner. (ii) If yes, where? e. (i) Does the disposal area include any coastal wetlands/marsh 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 number of square feet affected. (ii) If yes, how much water area is affected? ❑CW ❑SAV ❑SB OWL []None (ii) Describe the purpose of disposal in these areas: RECEIVED r� 3. SHORELINE STABILIZATION pThis section not applicable (If development is a wood groin, use MP -4 — Structures) D E C ® 9 i ' 0, This Type of shoreline stabilization: b. Length: 45' ❑Bulkhead ®Riprap ❑Breakwater/Sill []Other: Width: 5' DC` R -"D CITY c. Average distance waterward of NHW or NWL: 3' d. Maximum distance waterward of NHW or NWL: 3' e. Type of stabilization material: f. (i) Has there been shoreline erosion during preceding 12 riprap months? []Yes ®No ❑NA (ii) If yes, state amount of erosion and source of erosion amount information. g. Number of square feet of fill to be placed below water level. h. Type of fill material. Bulkhead backfill Riprap 135 riprap Breakwater/Sill Other i. Source of fill material. 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, Division Environmental Officer Date Applicant Name /L SR 1217 Colington Rd pipe replacement ! ` Applicant Signature Project Name Form DCM MP -5 BRIDGES and CULVERTS RECEIVED DEC 09 2011 Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1. Be sure to complete all other sectigtls of the Joint Application that relate to this proposed project. Please include all supplemental information. 1. BRIDGES ®This section not applicable a. Is the proposed bridge: b. Water body to be crossed by bridge: ❑Commercial ❑Public/Government ❑Private/Community 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) (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) 9• Length of proposed bridge: h. Width of proposed bridge: i. Will the proposed bridge affect existing water flow? ❑Yes []No j. Will the proposed bridge affect navigation by reducing or If yes, explain: increasing the existing navigable opening? ❑Yes [--]No If yes, explain: k• Navigation clearance underneath proposed bridge: I. 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: 2. CULVERTS E] This section not applicable a• Number of culverts proposed: 3 b. Water body in which the culvert is to be placed: Unnamed tributary to Colington Creek. < Form continues on back> c. Type of culvert (construction material): 3 - 30" x 55' Corrugated Aluminum Pipe 252-808-2808 :: 1-88&4€1C AST :: v+rvuw ��cc a a.iro� rear er_r ce t, ti c revised: 101'2&.06 , F0rr ` 1§ '-• i ridges and C diverts, Pages 2 csi 4) 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) f• Length of proposed culvert: 55' h. Height of the top of the proposed culvert above the NHW or NWL. 0.5' j. Will the proposed culvert affect navigation by reducing or increasing the existing navigable opening? ❑Yes ®No If yes, explain: e. (i) Will proposed culvert replace an existing culvert? ®Yes ..f❑No If yes, Za 1I (ii) Length of existing culvert(s): 50' (iii) Width of existing culvert(s): 2 (�4' , (iv) Height of the top of the existing culvert above the NHW or NWL: 0' (v) Will all, or a part of, the existing culvert be removed? (Explain) All 9• Width of proposed culvert: 3(a 30„ I. Depth of culvert to be buried below existing bottom contour. 1' k. Will the proposed culvert affect existing water flow? ❑Yes ®No If yes, explain: 3. EXCAVATION and FILL E] This section not applicable a. (i) Will the placement of the proposed bridge or culvert require any b. (i) Will the placement of the proposed bridge or culvert require any excavation below the NHW or NWL? ®Yes []No excavation within coastal wetlands/marsh (CW), submerged If yes, aquatic vegetation (SAV), shell bottom (SB), or other wetlands (WL)? If any boxes are checked, provide the number of square (ii) Avg. length of area to be excavated: 55' feet affected. (iii) Avg. width of area to be excavated: 15' ❑CW ❑SAV ❑SB (iv) Avg. depth of area to be excavated: 2' OWL ®None (v) Amount of material to be excavated in cubic yards: 61.11 (ii) Describe the purpose of the excavation in these areas: 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: 45' (iii) Avg. width of area to be excavated: 15' (iv) Avg. depth of area to be excavated: 2' (v) Amount of material to be excavated in cubic yards: 50 252-808-2808 :: 1-888-4RCO S`F :: vvvyw.nccoastainianagemetit nei revisea. 10026/06 ;"� r `MIN! - (113ridges and Gulverts, Page 3 irif 4) 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)? RECEIVED ❑CW ❑SAV OWL ❑SB ®None If any boxes are checked, give dimensions if different from (ii) above. DEC 0 9 ?0111 (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 fill (other than excavated material described in Item d above) to be placed below NHW or NWL? ®Yes [:]No If yes, (ii) Avg. length of area to be filled: 45 (iii) Avg. width of area to be filled: 22=3' (iv) Purpose of fill: Bank stabiliztion. 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 utility lines? []Yes ®No 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. (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 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 ❑SB ❑WL ❑None (ii) Describe the purpose of the excavation in these areas: b. Will the proposed project require the construction of any temporary detour structures? ❑Yes ®No If yes, explain: < 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. �"5�W6f2Ss 486 :: i at4fS-te t# �5 :: u�vm :r� rascc a;# sirraarsas ernc a#.saet revised: 10126"06 • ' FOr(O' -5 ( rt es; and C iaive rts, Pi9e4 of 4) 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 ' I -/ SR 1217 Colington Rd Pipe Replacment Project Name Clay Willis, Environmental Officer plicant Name plicant Signature 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. ECEIVED Dc' 1_1,1'.,.,1 ` _ T 252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmangement.net revised: 101'2&0fi Dare County SR 1217 Colington Rd USGS Quad - Kitty Hawk N Pasquotank River Basin 0 0.15 0.3 0.6 Miles WE S COLINGTON RD. (SR 1217) DARE CO LINTY PIPE REPLACEMENT JODY LANE BEASLEY 82 BROTHERS LANE WANCHESE, NC 27981 DB 772 P 743 �k_ � TELEPHONE LINE CANAL PROPOSED 30 30" X 55' CAA COLINGTON RD.(SR 1217) \� _--- TO DW END IR TMW F RAP AT QA IPC - CARSON LEE BEASLEY / 1440 COLINGTON RD. CANAL KILL DEVIL HILLS, NC 27948 DB 454 P 461 ' PDIISHED EARTH SLOPE AS REQUIRED W PROPOSED RD' RAP POR SHOULDER STAELIZAITON W I� w 1 EXISTING PIPE 2024"X 50' CMP TO BE REMOVED ----TELEPHONE LINE � I I I I WT DR I HAROLD E. GESSFORD PO BOX 3719 KILL DEVIL HILLS, NC 27948 DB 402 P 194 RECEIVED DEC 0 9 2011 DCM T,AI lD CITY DAVIE L. FLOYD 234 SOUNDVEIW DR. KILL DEVIL HILLS, NC 27948 DB 1845 P 233 20O BRIDGE X:075.69349 Y.36.01489 NC DEPARTMENT OF TRANSPORTATION DIVISION OF HIGHWAYS COUNTY,", DARE COUNTY QUAD K177'Y HAWK I BASIN PASQUOTANK PROJECT. PIPE REPLACEMENT SCALE 1"= 30' DRAWN: JGC DATE o 10-25-2011 COLINTON RD, SSR 1217) CL SR 1217 ELEV. 99.88 EXISTING RIP RAP PROPOSED RIP RAP AT END OF PIPE ON NEW PIPE PROPOSED RIP RAP EXISTING RIP RAP ON NEW PIPE99.6 99.5 AT END OF PIPE 98.9 _ N_W L 98.4 WATERLINE _ EXISTING STREM BED 2 ELEV.97.1' 2 TELEPHONE LINES 5j jS I ING PIPE 2[24"X50' CMP INV ELEV ? PROPOSED 330"X55' CAA TO BE REMOVED 3 TELEPHONE LINES DETAIL SECTION CROSS SECTION NOTE: CLASS B STONE TO BE PLACED AROUND END OF PIPES / I EXISTING PIPE NOTE: BOTTOM OF NEW PIPE TO BE PLACED - 8" TO 1' BELOW SILT LINE O PROPOSED PIPE NC DEPARTMENT OF TRANSPORTATION SR 1217 CL ROAD ELEV. 99.88 DIVISION OF HIGHWAYS _ _ _ _ 4 '5�0' NWL98.4 V COUNTY,, DARE COUNTY CIISTIIN7G STREM BED T ' PROPOSED 3@ 30" X55' CAA QUAD KITTY HAWK EXISTING PIPE 2024"X50' CMP PROPOSED RIP RAP TO BE REMOVED AT END OF PIPE BASIN.- PASQUOTANK PROJECT °PIPE REPLACEMENT SCALE � 1" - MO' LINE AA DETAIL END SECTION VEIW DRAWN. JGC DATE - 10-25-2011 STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION BEVERLY EAVES PERDUE GOVERNOR November 15, 2011 Jody Lane Beasley 82 Brothers Lane Wanchese, NC 27981 To Whom It May Concern: RECEIVED DEC o9 2011 DCM-MHD CITY EUGENE A. CONTI, JR. SECRETARY CERTIFIED MAIL The NC Department of Transportation is proposing to replace 2 metal pipes on SR 1217 Colington Rd. The site is located approximately 2.07 miles west of the intersection of US 158. The existing pipes are 2 @ 24" x 50' and the proposed pipes are 3 @ 30" x 55' with the inlet and outlet ends of the pipe stabilized with riprap. All work will be conducted within NCDOT right-of-way. The Division of Coastal Management (DCM) considers the project to be located 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 is included with this letter. If you have any questions concerning the proposed work you can contact Ryan Shook at 252-482-7977. 113 Airport Drive, Suite 100, Edenton, NC 27932, Phone (252)-482-7977, Fax (252)-482-8722 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 RECEIVED 400 Commerce Ave Morehead City, NC 28557 DEC 0 9 ?n,,, i No response within ten (10) days will be construed to mean you have no objectionRcr ,.-- - Thank you for your cooperation. Sincerely, Jerry Jennings, P.E. Division Engineer, Division One Clay Willis d4- Environmental Officer, Division One .'✓ED ADJACENT RIPARIAN LANDOWNER STATEMENT (Dare County: SR 1217, 2.07 miles west of US 158) DEL 0 9 2011 DCM-1,11-TD CITY am an adjacent riparian property owner and am aware of the North Carolina Department of Transportation's plans for the pipe replacement on SR 1217. 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 15, 2011 Davie L. Floyd 234 Soundview Drive Kill Devil Hills, NC 27948 To Whom It May Concern: EUGENE A. CONTI, JR. SECRETARY CERTIFIED MAIL The NC Department of Transportation is proposing to replace 2 metal pipes on SR 1217 Colington Rd. The site is located approximately 2.07 miles west of the intersection of US 158. The existing pipes are 2 @ 24" x 50' and the proposed pipes are 3 @ 30" x 55' with the inlet and outlet ends of the pipe stabilized with riprap. All work will be conducted within NCDOT right-of-way. The Division of Coastal Management (DCM) considers the project to be located 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 is included with this letter. If you have any questions concerning the proposed work you can contact Ryan Shook at 252-482-7977. 113 Airport Drive, Suite 100, Edenton, NC 27932, Phone (252)-482-7977, Fax (252)-482-8722 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 RECEIVED DEC 09 2011 DCM-MHD CITY ADJACENT RIPARIAN LANDOWNER STATEMENT (Dare County: SR 1217, 2.07 miles west of US 158) I, , am an adjacent riparian property owner and am aware of the North Carolina Department of Transportation's plans for the pipe replacement on SR 1217. 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: RECEIVED DEC 0 9 2011 DCM ?N^_HD CITY SrA7[ o STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION BEVERLY EAVES PERDUE GOVERNOR November 15, 2011 Harold E. Gessford PO Box 3719 Kill Devil Hills, NC 27948 To Whom It May Concern: RECEIVED DEC 0 9 2011 DCM-W-11) CITY EUGENE A. CONTI, JR. SECRETARY CERTIFIED MAIL The NC Department of Transportation is proposing to replace 2 metal pipes on SR 1217 Colington Rd. The site is located approximately 2.07 miles west of the intersection of US 158. The existing pipes are 2 @ 24" x 50' and the proposed pipes are 3 @ 30" x 55' with the inlet and outlet ends of the pipe stabilized with riprap. All work will be conducted within NCDOT right-of-way. The Division of Coastal Management (DCM) considers the project to be located 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 is included with this letter. If you have any questions concerning the proposed work you can contact Ryan Shook at 252-482-7977. 113 Airport Drive, Suite 100, Edenton, NC 27932, Phone (252)-482-7977, Fax (252)-482-8722 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: RECEIVED Stephen Lane NC Division of Coastal Management D E C d 9 2011 400 Commerce Ave Morehead City, NC 28557 13CM-1,111D CITY 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 Of I er, Division One ADJACENT RIPARIAN LANDOWNER STATEMENT (Dare County: SR 1217, 2.07 miles west of US 158) I, , am an adjacent riparian property owner and am aware of the North Carolina Department of Transportation's plans for the pipe replacement on SR 1217. 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: RECEIVED DEC 0 9 2011 DCM T,,= CITY STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION BEVERLY EAVES PERDUE GOVERNOR November 15, 2011 Carson Lee Beasley 1440 Colington Road Kill Devil Hills, NC 27948 To Whom It May Concern: EUGENE A. CONTI, 3R. SECRETARY CERTIFIED MAIL RECEIVED DEC d 9 2011 The NC Department of Transportation is proposing to replace 2 metal pipes on SR 1217 Colington Rd. The site is located approximately 2.07 miles west of the intersection of US 158. The existing pipes are 2 @ 24" x 50' and the proposed pipes are 3 @ 30" x 55' with the inlet and outlet ends of the pipe stabilized with riprap. All work will be conducted within NCDOT right-of-way. The Division of Coastal Management (DCM) considers the project to be located 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 is included with this letter. If you have any questions concerning the proposed work you can contact Ryan Shook at 252-482-7977. 113 Airport Drive, Suite 100, Edenton, NC 27932, Phone (252)-482-7977, Fax (252)-482-8722 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. RECEIVED DEC d 9 2011 Sincerely, Jerry Jennings, P.E. nCM "-SID CITY Division Engineer, Division One Clay Willis Environmental Officer, Division One ADJACENT RIPARIAN LANDOWNER STATEMENT (Dare County: SR 1217, 2.07 miles west of US 158) I, , am an adjacent riparian property owner and am aware of the North Carolina Department of Transportation's plans for the pipe replacement on SR 1217. 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: RECEIVED DEC 0 9 2011 DrV_NIND CITY 'M � For delivery intormation visit our website at Ot 01, www.usps.com,,,, M rl- , Postage $ `'l M Certified Fee M Postmark O p Return Receipt Fee (Endorsement Required) V Here Restricted Delivery Fee (Endorsement Required) o ru Total Postage & Fees `L' to • r'' Jody Lane Beasley Ser I' 82 Brothers Lane M---- o F Wanchese, NC 27981 ----------- -- j Cir} I i Certified Mail Provides: • A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postai Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Mails,.'! ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. • Foran additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return I Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is req:vred. ■ For an additional fee, delivery may be restricted to the addressee or , addressee's authorized agent, Advise the clerk or mark the mailpiece with the endorsement "Restricted IJelivery". ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047 u^ tt (Domestic Mail Only; Provided) ------------ Q Ir ;-. r- Postage $ 1 Q M Certified Fee / Rl 17-1 O Return Receipt Fee (Endorsement Required) Postmark , ! 3 d + Restricted Delivery Fee (Endorsement Required), .. r"11 � Total Postage 8 Fees $ � 3 C 69 1! ' ru � Ir Sent To H VSs rd.n �, /, ED sum,. _-._._ a� :.........:. ..... or PO Box No. o_ -..Sax ----.-.-2.7)-9_----- ---------------------=--- ----------------------- City State, ZIPW ►�i peil� ,��s 079Y9 Certified Mail Provides: ■ A mailing receipt " IN A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Maile or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt may be requested to Provide proof of '+ delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the feg. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPSe postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent, Advise the clerk or mark the mailpiece with the endorsement "RestrictedDelivery". ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail 1 receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047 !m (Domestic Mail . •. . Ir Ir For delivery info�rnation visit out, website at www.usps.coM.',-, Ir O A L NPostage $ m Certified Fee 11 +a M Postmark n O Retum Receipt Fee p (Endorsement Required) O Here Restricted Delivery Fee o (Endorsement Required) Rf-C t- 2 niWED co Total Postage & Fees ifJ - J / ru Davie L. Floyd Sent 1 it 234 Soundview Drive o---- — ............ o Pt Kill Devil Hills, NC 27948 crry, _.Y ---------- Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece IS A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Maile or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For ; valuables, please consider Insured or Registered Mail. ■ Fwan additional fee, a Return Receipt may be requested to Provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "RestrictedDelivery". ■ Ifa postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry, -02-000-9047 PS Form 3800, August 2006 (Reverse) PSN 7530 ru Sent To Carson Lee Beasley Er�� 0 1440 Colington Road _ Street, f QrPOB Kill Devil Hills, NC 27948 cay' sia (Domestic ro o -For delivery , n visit our website at ' al �.� 17— Postage $ m Fee -, 1WCertified J M = Postmark O Return Receipt Fee Here E::] (Endorsement Required) C v O Restricted Delivery Fee Required) .— O(Endorsement I RJ co Total Postaqe & Fees ru Sent To Carson Lee Beasley Er�� 0 1440 Colington Road _ Street, f QrPOB Kill Devil Hills, NC 27948 cay' sia Certified Mail Provides: . • A mailing receipt • A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail®. ■ Certified Mail is not available for any class of international mail. • NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For .i valuables, please consider Insured or Registered Mail. ■ For,an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is relwred. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT. Save this receipt and present it when making an inquiry. PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. i ■ 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. Article Addressed to: Carson Lee Beasley 1440 Colington Road Kill Devil Hills, NC 27948 A. Signature X j Agent O Addressee B. Rece"�/j/// by (Print ame) C. Dat/g/ of Delivery A/'iY/LNC A-.,-e1LIGi' 1 1/ �?-3!lII D. Is delivery address differe,of from item 1? U Yes If YES, enter delivery -address, below: PNo 3. S rvice Type ZCertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes i 2. Article Number 7009 2820 0003 3736 9986 (Transfer from service label) PS Form 3811, February,2004 Domestic Return Receipt 102595-02-M-1540 J' UNITED STATES amirs w • Sender: Please print your name, address, and ZIP+4 in this box • NC DEPT OF TRANSPORTATION DIVISION OFFICE 113 AIRPORT DRIVE, SUITE 10C EDENTOKNC 27932 COURIER: 10-51-02 MJJJ:- ■ 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. Article Addressed to: Davie L. Floyd 234 Soundview Drive Kill Devil Hills, NC 27948 A. xc/ X'A✓— El Agent ❑ Addressee B. Received bTinted Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No RECEIVED 3. Se ice Type ertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes ' 2. Article Number (Transfer from service label) 7009 2820 0003 3736 9993 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITEDSTATf ��'"�� NC DEPT OFTRANSPORTATION DIVISION OFFICE 113AIRPORT DRIVE, SUITE 1OO EDENTON NC 27832 COURIER: 10-51-02 � { ■ Complete items 1, 2, and 3. Also complete -Rem 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse ,I 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 1. Article Addressed to: Iy Lane Beasley 3rothers Lane nchese, NC 27981 A. Signatures X CJ �/nt Addressee I 02 ceive (Printed Name) C. Dat of slivery 1 o 3. Is del ery address differeni from item 1? Yet If YES, enter delivery address below: L, ❑ No l s 9 2011 a ;yy 3. Se ice Type h Wertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes icle Number 7009 2820 0003 3737 0005 infer from service label) rm 3811, February 2004 Domestic Return Receipt 102595-02 M-1540 UNITED STATE�t?gSE�11T' Vii', , PS e. Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • NC DEPT OF TRANSPORTATION DIVISION OFFICE 113 AIRPORT DRIVE, SUITE 100 EDENTON,NC 27932 COURIER: 10-51-02 ■ 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 F r oyyou. ■ Attach this card to t t� t4 `�ailpiece or on the front if a permits. S , 1. Article Addressed 1g DEC NU�CO��S NC 21') '?,o X7! 4 S A. Sin ure X ❑Agent ❑ Addressee B. Received by ( Printed Name) C. ate f Delivery D. Is delivery address different from item 1 ? ❑ Yes If YES, enter delivery address below: ❑ No i2E Ccd VED nr^ v 9 2011 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 7009 2820 0003 3736 9979 (transfer from service label) _ _.___ PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES PO�Qw;vk;f'r' t .a °t:.•s t�,; : - z -z: ;.:a it No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • NC DEPT OF TRANSPORTATION DIVISION OFFICE 113 AIRPORT DRIVE, SUITE 100 EDENTON, NC 27932 COURIER: 10-51-02