33156_NC DOT_20030117

UV R,
r_ CAMA DREDGE &FILL ; �; ICJ✓(!y//�
GENERAL PERMIT reviouspermit#
E,4e ✓-1Modification ___Complete Reissue LIPartial 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
Ci Rules attached.
Applicant Name ) L w
Address
City - 1-. State ZIP
r / L
Phone # (_ _) ",j 71 Fax # ( ) --
Authorized Agent
Y
Affected ❑ CW ElEW D PTA ES PTS
AEC(s): ElOEA ❑ HHF ElIH i 7 UBA N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision <
City ZIP
Phone # ( ) _ River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body _-
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore--
Basin, channel
I
/4
/�
�
+f �
1
!
�opi
I
40
F'
.-
!
-
-
-
-
--
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other_ r l�
4-4
j
1
I
i
i
I
1
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no j
Photos: yes .i no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
I
— I
See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
l
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

r
Aia
WCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Donna D. Moffitt, Director William G. Ross Jr., Secretary
January 21, 2003
NC Department of Transportation
ATTN: Mr. Clay Willis
113 Airport Dr., Suite 100
Edenton, NC 27932
Dear Mr. Willis:
Attached is General Permit #C-33156, 33157, and 33158 to replace culverts in Bertie County
adjacent to Albemarle Sound SR 1301.
In order to validate this permit, please sign all three (3) copies 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,
Bill Arrington
NC D.O.T. Field representative
BA/srk
Enclosures
151-B Hwy. 24, Hestron Plaza II, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

LAMA / DREDGE & FILL �' Y 33156
GENERAL PERMIT Previous permit # NA
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit is ued
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 I SA NCAC 074, Z ISO
�1 /� ❑ Rules attached.
Applicant Name , V L bT 1� Project Location: County 12r-b�c
Address 13 i r f o r t r , v`Q Sit Street Address/ State Road/ Lot #(s)
City State ZlP 2 3 Z kVl /.C- $ Q� 5r/--- F SX Z�C, 7 cz I -
Phone
Phone # (2!Z) Llu C- K Z -7?77 Fax # ( ) Subdivision 8T � 6A,-- 'e,I Ct� E!`
Authorized Agent G (� y Gc� i s City ZIP ❑CW ❑EW/ XPTA [I ES ,OPTS Phone # ( ) River Basin VA11
c6,�-C
Affected ❑ OEA ElHHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body e j%tefr- t:. �C,,(- nat Jrman /unkn)
❑ PWS: ❑ FC:
ORW: yes PNA yes no , Crit. Hab. yes / no Closest Maj. Wtr. Body
no
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 rBulldozingl�_
Othe! t v' I I` it ,
Shoreline Length
SAV: not sure
yes
Sandbags: not sure
yes
Moratorium: n/a
yes no
Photos:
es no
Waiver Attached:
es
/L fl
A building permit may be required by:
Notes/ Special Conditions G
P
M
(Scale: 5ev- 14 &�
L)Cr S7 �C� i(D c V I C v�tf
CirC4I
^bef
Agent or A plicant Printed Name Permit
❑ See note on back regarding River Basin
s*f /z &I c: Sher:,-t Gec
a�42
&/o
Signature
ln� * Please read compliance statement on back of permit
�*/*O ? IssGiingglDat€ (/l'ni E:(piration Date
/�L'�C JU lJ /.rtJrl �--c-'�1L ���
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name

DEPARTMENT OF TRANSPORTATION
DIVISION 01 OFFICE
113 AIRPORT DRIVE, SUITE 100
EDENTON, NC 27932
Pay
Pay NCDENR, CAMA
to the 3411 ARENDELL ST.
Order of P.O. BOX 769
MOREHEAD CITY, NC 28557
CJ"
P'
DATE 12/04/2002
66-1059 STATE TREASURER, RALEIGH, NORTH CAROLINA
531 PAYABLE AT PAR THROUGH FEDERAL RESERVE SYSTEM
i1'0000889 3110 l:0 5 3 L LO 594l: 1EEI0001"CA L",
DOLLAR 44-/444444'044 ONE ZERO 2ER0 .PERIOD ZERO ZERO
AUTHORIZED SIGNAI UHE

Fib 5-.TA1
mo2002
AGEMENT
MOREHEAD
STATE OF NORTH CAROLINA C�`°��'�
DEPARTMENT OF TRANSPORTATION �w
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
December 4, 2002
Bill Arrington
Division of Coastal Management
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
Dear Mr. Arrington,
This letter is requesting a general permit .23 be issued for a culvert replacement in
Bertie County within a water body that is classified as Public Trust Waters by the
Division of Coastal Management. The project is located approximately 0.37 miles east of
SR 1307 on SR 1310. The creek that the culvert is being replaced in is Cucklemaker
Creek, which is in the Roanoke Drainage Basin; sub -basin 03-02-10. This creek is
classified by the Division of Water Quality as a class C Sw water. This means that these
waters are protected for secondary recreation, fishing, wildlife, fish and aquatic life
propagation and survival. The supplemental classification of Sw (Swamp waters) refers to
waters that are generally have low flow velocities, low pH and dissolved oxygen. There
are no restrictions on watershed development or types of discharges. Included with this
request are the MP-1 and MP-5 forms along with a location map and drawings depicted
the proposed work. A $100.00 dollar check is also included to cover the cost of the permit
process. I will be glad to meet the DCM representative on site for a project review. This
can be schedule by calling Clay Willis at 252-482-7977. Thanks for you efforts in this
matter, if any additional information is needed please contact me at the provided phone
number.
Sincerely,
Don Conner, P.E.
Division Engineer, Division One
Cla illis
Environmental Officer, Division One
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

z 23b
30' LINka U. Jernigan
CA L E
20', lixiel- Rd.
N-('- 27924
c"N
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Tony G. Jernigan �jj
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1.�4 I-'xtcr Rd.
T
1;tennic G. Jernigan
14() Exter R(I.
0-1,zrainN.C.77924
638 1 KI I
Tony Q. Jernigan
L34 Lver Rd.
CtIleruin (II.C. 27924
1111:193
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PRO.1147
NOTE: i
Replace exi s t ing 10' x V. '
Concrete hex culvert %v.z th
Arched box culvert .
Now culvert to be buried
approximately I.' below
stream bed.
-LAT. 36'07' 59N
LONG. 76"54 - 07 W
North Carnlimi Departmem W'Danspartwif-In
Divi %i(w Of I Ii tIiw.qys
County: Bertic
11.1sin: C.ishic
Projeci- Replace Box UjIve-if
Aug. 29,2002

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Form DCM-MP-1
k
1. APPLICANT
a. Landowner:
Name N. C. Department of Transportation
Address 113 Airport Road
City Edenton State N.C.
Zip 27932 Day Phone [phone]
Fax [phone]
b. Authorized Agent:
Name Clay Willis, Environmental Officer
Address 113 Airport Road
City Edenton State N.C.
Zip 27932 Day Phone [phone]
Fax [phone]
c. Project name (if any)
Culvert Replacement in Cucklemaker
Creek
NO`PF. Permit u4d be issued in name of landowner(s), any!/or project
name.
2. LOCATION OF PROPOSED
PROJECT
a. County Bertie
b. City, town, community or landmark
DEC 12 2002
c. Street address or secondary road number
SR 1310 0.37 miles east of SR 1307
d. Is proposed work within city limits or planning
jurisdiction? Yes X No
e. Name of body of water nearest project (e.g. river,
creek, sound, bay) Cucklemaker Creek
3. DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
a. List all development activities you propose (e.g.
building a home, motel, marina, bulkhead, pier, and
excavation and/or filling activities.
Replace existing reinforced concrete box culvert with
an 21' 10" X 8' 5" aluminum arch box culvert
b. Is the proposed activity maintenance of an existing
project, new work, or both? maintenance
c. Will the project be for public, private or commercial
use? public
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed project.
If more space is needed, please attach additional
pages. The purpose of this project is to maintain
the conveyance of water in Cucklemaker Creek
from the north side of SR 1310 to the south side.
These pipes will serve to keep SR 1310 from
flooding during rain events and maintain a better
hydraulic connectivity. The existing condition is a
perched culvert that will be fixed when the new
culvert is put in. This work will be accomplished
by excavating the old pipes out with backhoes, and
front end loaders. The new culvert will be put in
and the surrounding ground stabilized.
4. LAND AND WATER
CHARACTERISTICS
Revised 03/95

a. Size of entire tract the area is approximately 90 feet
bv'50 feet, includes paved roadway surface.
b. Size of individual lot(s) N/A
c. Approximate elevation of tract above MHW or NWL
d. Soil type(s) and texture(s) of tract
WE (Wehadkee loam), ExB (Exum very fine sand
loam)
e. Vegetation on tract Yellow Pine, Sweetgum. Oaks,
various roadside grasses such as panic grass,
fescue, beggar tick, and red clover.
f. Man-made features now on tract SR 1310
g. What is the CAMA Land Use Plan land classification
of the site? (consult the /vcalland use plan.)
Conservation
Developed
X Rural
Transitional
Community
Other
h. How is the tract zoned by local government?
NCDOT right-of-way
i. Is the proposed project consistent with the applicable
zoning? X Yes No
(Attach zoning compliance certificat,, if applicable)
j. Has a professional archaeological assessment been
done for the tract? Yes X No
If yes, by whom?
k. Is the project located in a National Registered
Historic District or does it involve a National
Register listed or eligible property?
Yes X No
1. Are there wetlands on the site? X Yes _ No
Coastal (marsh) Other
If yes, has a delineation been conducted? Yes
(Attach doaanmWtiory i(available)
in. Describe existing wastewater treatment facilities.
N/A
n. Describe location and type of discharges to waters of
the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial effluent, _"wash
1
down" and residents [discharges.) None'
o. Describe existing drinking water supply source. !
None !
5. ADDITIONAL INFORMATION
In addition to the completed application form, the
following items must be submitted:
• A copy of the deed (with state application only) or
other instrument under which the applicant claims title
to the affected properties. If the applicant is not
claiming to be the owner of said property, then forward
a copy of the deed or other instrument under which the
owner claims title, plus written permission from the
owner to carry out the project.
• An accurate, dated work plat (including plan view
and cross -sectional drawings) drawn to scale in black
ink on an 8 1/2" by 11" white paper. (Refer to Coastal
Resources Commission Rule 7J.0203 for a detailed
description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue -line
prints or other larger plats are acceptable only if an
adequate number of quality copies are provided by
applicant. (Contact the U.S. Army Corps of Engineers
regarding that agency's use of larger drawings.) A site
or location map is a part of plat requirements and it
must be sufficiently detailed to guide agency personnel
unfamiliar with the area to the site. Include highway
or secondary road (SR) numbers, landmarks, and the
like.
•A Stormwater Certification, if one is necessary.
•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. Upon signing this form, the applicant
further certifies that such notice has been provided.

Form DCM-MP-1
Name Tony G. Jernigan
Address 134 Exter Rd.
Phone Colerain, N.C. 27924
Name Lina B. Jernigan
Address 205 Exter Rd.
Phone Colerain, N.C. 27924
Name Ronnie G. Jernigan
Address 146 Exter Rd.
Phone Colerain, N.C. 27924
Name
Address
Phone
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
None
• A check for $250 made payable to the Department of
Environment, Health, and Natural Resources
(DEHNR) to cover the costs of processing the
application.
• A signed AEC hazard notice for projects in
oceanfront and inlet areas.
• A statement of compliance with the N.C.
Environmental Policy Act (N.C.G.S. 113A - 1 to 10)
If the project involves the expenditure of public funds
or use of public lands, attach a statement documenting
compliance with the North Carolina Environmental
Policy Act.
6. 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 conditions
and restrictions contained in the permit.
DEC 1 2002
I certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's
approved Coastal Management Program and will be
conducted in a manner consistent with such program.
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.
This is the '/ day of ,, 2002.
Print Name Clay Willis
Signature 11d,/
Landoww or Agent
Please indicate attachments pertaining to your proposed
project.
DCM MP-2
Excavation and Fill Information
DCM MP-3
Upland Development
DCM MP-4
Structures Information
X DCM MP-5
Bridges and Culverts
DCM MP-6
Marina Development
NOTE: Please sign and date each attachment in the space
provided at the bottom of each form.
Revised 03/95

Form DCM-MP-5
f ,
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.
1. BRIDGES N/A
a. Public Private
b. Type of bridge (construction material)
c. Water body to be crossed by bridge
d. Water depth at the proposed crossing at MLW or
NWL
e. Will proposed bridge replace an existing bridge?
Yes No
If yes,
(1) Length of existing bridge
(2) Width of existing bridge
(3) Navigation clearance underneath existing
bridge
(4) Will all, or a part of, the existing bridge be
removed? (Explain)
f. Will proposed bridge replace an existing culvert(s)?
Yes No
If yes,
(1) Length of existing culvert
(2) Width of existing culvert
(3) Height of the top of the existing culvert above
the MHW or NWL
(4) Will all, or a part of, the existing culvert be
removed? (Explain)
g. Length of proposed bridge
h. Width of proposed bridge
DEC 1 ! 2002
COASTAL MANAGEMENT
i. Height of proposed bridge above wetlands
i
Will the proposed bridge affect existing water flow?
Yes No
If yes, explain
k. Navigation clearance underneath proposed bridge
1. Will the proposed bridge affect navigation by
reducing or increasing the existing navigable
opening? Yes No
If yes, explain
m. Will the proposed bridge cross wetlands containing
no navigable waters? Yes No
If yes, explain
n. Have you contacted the U.S. Coast Guard concerning
their approval?
Yes No
If yes, please provide record of their action.
2. CULVERTS
a. Water body in which culvert is to be placed
Cucklemaker Creek
b. Number of culverts proposed 1
c. Type of culvert (construction material, style)
Aluminium arch bog culvert
d. Will proposed culvert replace an existing bridge?
Yes X No
If yes,
(1) Length of existing bridge
(2) Width of existing bridge
Revised 03/95

r1,
H-E
Form DCM-MP-5
DEC 1 4 200?
(3) Navigation clearance underneath existing
(1) Length of ar to be excavated N/A
bridge
(2) Width of areatto be excavated — N/-4 - -
(4) Will all, or a part of, the existing bridge be
(3) Amount of material to be excavated in cubic
removed? (Explain)
yards N/A
e.
Will proposed culvert replace an existing culvert?
c. Will the placement of the proposed bridge or culvert
X Yes No
require any highground excavation?
If yes,
X Yes No
(1) Length of existing culvert 50 feet
If yes,
(2) Width of existing culvert 10 feet
(1) Length of area to be excavated 50 feet
(3) Height of the top of the existing culvert above
(2) Width of area to be excavated 20 feet
the MHW or NWL 7.6 feet
(3) Amount of material to be excavated in cubic
(4) Will all, or a part of, the existing culvert be
yards 444 cubic yards
removed? (Explain) All of the existing
culvert will be removed
d. If the placement of the bridge or culvert involves any
excavation, please complete the following:
(1) Location of the spoil disposal area
f.
Length of proposed culvert 53 feet
NCDOT borrow nit on SR 1521, Bertie
County
g.
Width of proposed culvert 21 feet and 10 inches
(2) Dimensions of spoil disposal area
h.
Height of the top of the proposed culvert above the
n/a
MHW or NWL 8.6 feet
(3) Do you claim title to the disposal area?
X Yes No
i.
Will the proposed culvert affect existing water flow?
If no, attach a letter granting permission from
X Yes No
the owner.
If yes, explain larger diameter culvert will allow
(4) Will the disposal area be available for future
more water to flow under the roadbed
maintenance? X Yes No
(5) Does the disposal area include any coastal
wetlands (marsh), SAVs, or other wetlands?
j.
Will the proposed culvert affect existing navigation
Yes X No
potential? Yes X No
If yes, give dimensions if different from (2)
If yes, explain
above.
(6) Does the disposal area include any area below
the MHW or NWL? Yes X No
3.
EXCAVATION AND FILL
If yes, give dimension if different from No. 2
above.
a.
Will the placement of the proposed bridge or culvert
e. Will the placement of the proposed bridge or culvert
require any excavation below the MHW or NWL?
result in any fill (other than excavated material
X Yes No
described in Item d. above) to be placed below MHW
If yes,
or NWL? X Yes No
(1) Length of area to be excavated 60 feet
If yes,
(2) Width of area to be excavated 20 feet
(1) Length of area to be filled 16'
(3) Depth of area to be excavated 1 foot
(2) Width of area to be filled 20 feet
(4) Amount of material to be excavated in cubic
(3) Purpose of fill culvert structure
yards 44 cubic yards (1200 cubic feet)
b.
Will the placement of the proposed bridge or culvert
f. Will the placement of the proposed bridge or culvert
require any excavation within: none
result in any fill (other than excavated material
_ Coastal Wetlands SAVs Other Wetlands
T
described in Item d. above) to be placed within: none
If yes,
Revised 03/95

Form DCM-MP-5
_ Coastal Wetlands _ SAVs _ Other Wetlands
If yes,
(1) Length of area to be filled n/a
(2) Width of area to be filled n/a
(3) Purpose of fill n/a
g. 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
highground? X Yes No
If yes,
(1) Length of area to be filled 50 feet
(2) Width of area to be filled 20 feet
(3) Purpose of fill fill on top of the culvert for
the road subsurface and surface
4. GENERAL
a. Will the proposed project involve any mitigation?
Yes X No
If yes, explain in detail
b. Will the proposed project require the relocation of
any existing utility lines? Yes X No
If yes, explain in detail
c. Will the proposed project require the construction of
any temporary detour structures?
Yes X No
If yes, explain in detail
d. Will the proposed project require any work channels?
Yes X No
If yes, complete Form DCM-MP-2
e. How will excavated or fill material be kept on site
and erosion controlled? NC DOT BMP's
f. What type of construction equipment will be used
(for example, dragline, backhoe or hydraulic
dredge)? Excavator, backhoe. dumptrucks
g. Will wetlands be crossed in transporting equipment
to project site? Yes X No
i
� nnnn,,
If yes, explain st s thatDEC wil� be2&n to lessen
environmental imp ctsL
h. Will the placement of the proposed bridge or culvert
require any shoreline stabilization?
Yes X No
If yes, explain in detail
kA27-
Applicant or Project Name
i
Signature
Date
Revised 03/95

N. C. DEPARTMENT OF TRANSPORTATION
113 Airport Drive, Suite 100
Edenton, NC 27932
DEQ I Z 2002
PPPdlll Illllliltlilll II IIfiIIPlII III
Ronnie G. Jernigan
146 Ex r Road
:- - N--
7'��—_:
U.S.Pasimt
ocr - 8102 �,'
/9M'FP d .6 5
t�oo8C5031
z-
Nt
Nc ,ce- 6—
2nd Notice
A 0 INSUFFICIENT ADDRESS
Oc ❑ ATTEMPTED NOT K ER
El No
NO SUCH NUMBER! STREET
S -UNABLE TO FORWARDDDR OT DELIVERABLE AS SED jus
111mm 1111,i11},1#JIM1i�}=# ##, ,llIll ill$diliifIddifli,,}ii,midi,flif]Iffil

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR
October 7, 2002
Ronnie G. Jernigan
146 Exter Rd.
Colerain, N.C. 27924
Dear Mr. Jernigan,
SECRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to replace a 10 feet wide by 8 feet tall
concrete box culvert with a 21 feet wide by 8 feet tall aluminum arched box culvert. This
pipe is located in Bertie County on SR 1310 approximately 2,000 feet east of Elm Grove
in Cucklemaker Creek. The pipe is located in a creek that empties into the Cashie River
approximately 11 miles downstream. The Division of Coastal Management (DCM)
considers this creek as public trust waters. Therefore, it is provided protection under their
jurisdiction. 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. This work is being done to aid in the drainage of the
roadway and shoulder section. During periods of heavy rainfall this area holds water and
floods a portion of the headwater area just above the existing pipe. This causes a hazard
to motorist and damages the structure of the roadway. All work will be performed within
the existing NCDOT right-of-way.
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 thirty (30) days to this office.
If you do have objections to the project, please forward your comments to:
Mr. Bill Arrington
NC Division of Coastal Management
3411 Arendell Street
P.O. Box 769
Morehead City, NC 28557
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

No response within thirty (30) days will be construed to mean you have no objections.
Thank you for your cooperation.
Sincerely,
Don Conner, P.E.
Division Engineer, Division One
4 za"
Clay Willis
Environmental Officer, Division One
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

TI,
Pi pie-
epjacement Loc#tioin
-1. -- -- i—� — -—— L — 1. —.. —
307)
7.9
L

Q
SCALE: 1"= 30'
Tony G. Jernigan
134 Exter Rd.
Colerain N.C.27924
P
I035 ,Sq. Ft
5 r Sg �3p� $r Corcce`egax
o X `V
,ems �xcsll �0
Tony G. Jernigan
134 Exter Rd.
Colerain N.C. 27924
01E/93
Lina B. Jernigan
205 Exter Rd.
Colerain N.C. 27924
89E / 06
5' J
/ % ase 1pp1
�R
To
Ronnie G. Jernigan
146 Exter Rd.
Colerain N.C.27924
638/811
923 Sq. FC WETLAND IMPACT
AA
" I - �� i., �'�qs cT'..�,G! , it �; r ��•�I
I..
.....
M,'We AO'
�
i I j
I,il i 4
I I ' • ; PROF! 4S . 4A
PROJECT '
NOTE:
Replace existing 10'x 8'
Concrete box culvert with
a 21,10" x 81.5" aul.
Arched box culvert.
New culvert to be buried
approximately 1' below
stream bed.
North Carolina Department Of Transportation
Division Of Highways
County: Bertie
Basin: Cashie
Project: Replace Box Culvert
Date: Aug. 28, 2002
11

1'-C SIRUCIURE NO 1-39 HEADWA(
STRUCTURE NO 40-67
BASEWALL WIDTH (ALWAYS 90' F002s"RLICTURIE t) WINCWALL ('•i. .6� ----
(SCE TABLE 4)
(:.3.4)
C.3.4 VARIES ((&_NIE TYPICAL) - T--- -
CORNER CORNER PANEL 1
PANEL (2.3) (:) (-....4)
[NO PANELSCIMTCR PANELS (4'-6" T7 PICAU I
4'-(• (TYPICAL) I� , HCADWALLIB) ADDITIONAL WING PANEL SF'Af: F15(
I CAP C•IR;IG1 I •A LT WIDTH
_ I — N,IuE'I(1•.I IF'._iN � tf'-141 (Fi-IrJ)
FI- ANCH F ROD [LBO CAP(f 14T PI LLCPAIC (IYP CAL)
r I(TrPICAI Oi.
HA [Av- RISC .B. \ WALE (aRQSEI' HEIGHI 4 �(' r' c_ I(• I}- p
�� U 13- 0
MAL SIDE - �:, '/FILLER REINFORCING REIrJI'OkCIrJC! 6EAr4 F I(-- 11 I t - 4 13- 0 1
(,PL RIB 1O BE PUNCHED , RIB I 7 I 1- 4 I • - _ 0
/ AND FITTED TO ROx - -
CULVERI BASEWALL- 14- -
�.\ (EACH SIO[ IF I A Ij 14- 7
,— I REQUIRE U) ��WVCRT PLATE NC EVEL 1C I0- 11 4- 3 14- 7
51DE SLOPE 4 -( 14-
( SPAN "A 1 12 i t - E' 9 14- 7 ,
14 7 14- ' 11
FOOTING PAC- OR CONCREIE INVERT PLATE AN[- SLIPI`L.LMIEN1A; - —
(S) FOOTING AND RECEIVING ANGLE PLATES (WHERE RCQLIIPCDI WILL l/E 11- .! '-IC' 16-
VERTICAL WILL 8E CUT OR CUtJ$7RUC TCD CUT Sc. AS NOT lO INTERFEf•'[ Wl,1 1( I 1 t - t I 3- 7 16-
IC11NT SO AS NOT TCI INTERFERE BASEWALL I 1 1;- _' I 4- ` 16-
fSEE DEIAIL WITH BASEWALL 11
16- I
BELOW) I 19 I t_-, t I C- (•
TYPICAL HEADWALL ELEVATION T 1U) : i
:4 13- IG' j '- 1 7- t.
(9) BASEWALL ANCHOF ROD ?( I<_ ( t9- 4
AL uuirn lu DEADuAN ANCHOP 10 STRU;.IUPE FRC'm CAP I 1<_ . A- .I ta- 4
P(QIII♦•[( It. CENTEP OF CACH
(SEE SECTION A -A) ^h tc_ 1n ._ 1O
P AN[L WITHIN A WINGWALL �G 1`._ I -.6 19- L `.
31 1f_ I t 19- 4 1'
4 BOr CULVERT 3. c F- C Iu- 4 t
\E CROWN RIB- CAPOW � VERIICAL JOINT 1`-'1 }3 1! _ I( (• 20- 10
SEE vEPTICAL 34 1t•- C i 4- 3 :0- 10 1
\j JOINT DEIAIIULLOW
Yp }E. Is. _,
!R - , I 4,Vf.` • it }' I f - f (- ` : 0 - 1 C I
:0-10I''
4Ri 16 ff
6) n
BASEIIALIL a0 i_ - (w41 �<_
/ CA
J , 0
/ ( `t • - E
A, PLAN THROIIGH -( PLAN AT TOP Pq'\'fffR�t Hv+'6f r 44 19- t. 6- 11 ??- 6 it
4S 1
HEADWALLURAL PLAIC OF HEADWALL J' NS JA'C AR Gi 4_ IC 6 .?-
!- 6 1'
CAP S,tRQf OpNJOry ff S(a 46 :0- 3 I 6- 5 :2- C• I_
fC'v Con , . 4N J 4 -
NC:.dD. % &eriF ct�vrY

CERM19WIL
N. C. DEPARTMENT OF TRANSPORTATION
113 Airport Drive, Suite 100
Edenton, NC 27932
DEC 1 2002
COASTAL MANAGEMENT
MOREHEAD
7099 3400 0007 3649 8393
Lina B. Jernigan
JWWW
1J 1i i3O U.SASTAQ 'a
UC1- 8102 =4.65
�'5 Mr .Fa in
C 6063503
x
Water
lst L-1
2nd Notice
Return
❑INSUFFICIENT ADDRESS
c
O
❑ATTEMPTED NOT KNOWN
❑ NO SUCH NUMBER/ STREET
THER
S
❑ NOT DELIVERABLE AS ADDRE
ED
- UNABLE TO FORWARD
.4m
ammoft
Ilf�ti�t!!�jllfiFl1171±�t��!Flilf�iF'fitlll133f/F1�l±tllt�t!}J

�,
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR
October 7, 2002
Lina B. Jernigan
134 Exter Rd.
Colerain, N.C. 27924
Dear Mr. Jernigan,
SECRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to replace a 10 feet wide by 8 feet tall
concrete box culvert with a 21 feet wide by 8 feet tall aluminum arched box culvert. This
pipe is located in Bertie County on SR 1310 approximately 2,000 feet east of Elm Grove
in Cucklemaker Creek. The pipe is located in a creek that empties into the Cashie River
approximately 11 miles downstream. The Division of Coastal Management (DCM)
considers this creek as public trust waters. Therefore, it is provided protection under their
jurisdiction. 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. This work is being done to aid in the drainage of the
roadway and shoulder section. During periods of heavy rainfall this area holds water and
floods a portion of the headwater area just above the existing pipe. This causes a hazard
to motorist and damages the structure of the roadway. All work will be performed within
the existing NCDOT right-of-way.
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 thirty (30) days to this office.
If you do have objections to the project, please forward your comments to:
Mr. Bill Arrington
NC Division of Coastal Management
3411 Arendell Street
P.O. Box 769
Morehead City, NC 28557
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

No response within thirty (30) days will be construed to mean you have no objections.
Thank you for your cooperation.
Sincerely,
Don Conner, P.E.
Division Engineer, Division One
Clay Willis
Environmental Officer, Division One
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

tv
Pi pal Location
Byrn Giro
`jam + �,;. � .r +� �,� •� r I '
_, _ � _'•1 _ O � r fr r �} �•r � . ` '� -!-tip f-iv r•
■ "" ._`' -.`ter u'�, -� �_ �t r

SCALE: 1"= 30'
Tony G. Jernigan
134 Exter Rd.
Colerain N.C.27924
4
Q Lina B. Jernigan
1,035 Sq. ) t 205 Exter Rd.
Colerain N.C. 27924
89E, / 06 l3uXCu`v�``
oS
e6 ,O
p�oP10"1
� 5R
�o
Ronnie G. Jernigan
146 Exter Rd.
Colerain N.C.27924
31 -"
638 / 811
�oX C T923,Vq.
STony G. Jernigan1�t El
WETLAND IMPACT
134 Exter Rd.
Colerain N.C. 27924
01E/93
, I I
} f 1 1 ,I i I f i 1 li pA Z
I
G
' I � I ♦T�. i I I T. I I I ' .-
j i I lip: � It �; i I jll li I I I j
,OMB �h'bF! -4$ ..4A W/4 .4PP.Cy!
Trr 04' W 'AY UIV
i
PROJECT `
NOTE:
Replace existing 10'x 8'
Concrete box culvert with
a 21'10" x 8'.5" aul.
Arched box culvert.
New culvert to be buried
approximately l' below
stream bed.
North Carolina Department Of Transportation
Division Of Highways
County: Bertie
Basin: Cashie
Project: Replace Box Culvert
Date: Aug. 28, 2002
I

(:.3.4
CORNER
PANEL
3_
i
KAIV -
MAL SIDE
MOPE
I'-C STRUCTURE NO 1-39
TRUCTURE NO 40-67
FT4SCWAlI WIDTH (AIWA)'S un°rn CiRll('TI1Rf ['1 WINGWALL
(SEE TABLE 4)
VARIES
(NE) PANELS
CCNT(R PANELS
4-C(IYPICAL)
A
HEADWALL(
CAP
--
_
FIILFP =
ANCH
R ROD
PIAIE
'I/PIC AL
i ----
_ __—
(TYP
CAL)
A F21SC
-CI
FILLER REINFORCING
REIIJFCIhCING
RIB 10 BE PUNCHED
RIB .
/ AND FITTED 10 BOx
_
CULVERT BASCWALL
(EACH 51DE IF
RE UUIRLW
IIJVC RI PLATE
II
SPAN A
,I
n(3
F(1(7TulC. PAD 0R COr4CR[i(
FOOTING AND RECEIVING ANGLE
VCRIICAL(5) WILL BE CUT OR CUNSTRUCiCO
IOINT $0 AS N07 TO INTERFERE
(SEC EMAIL WITH BASCWALL
BELOW)
TYPICAL HEADWALL ELEVATION )0)
i9!
ALUMi111IM (,EAOMAN ArJCHO
R(f:(IIf•C( It- CINIEF' Or EA-H
PAN (L WIIH111 A WINGWALL
B07 CULVERT /
•\E � CRUwN RIF-
�r%`' SCE VERTICAL /.
\) JOIr4f DETAIL
BELOW T /
r
BASEWALL - / HFAIIWALL -
CAT'
_I.
PUN IHROIIGH I PLAN AT TOP
AM STRUCTURAL PLATE OF HEADWALL
HEADWALL CAP
9(='3-9' TYPICAL)
.4)
RNER PANEL
(,. 3.4)
(4'-C TYPICAL)
ADDITI(1NAL WIIV, PANEL
CLBO CAP(f' )
I j 2 OF
WALE CxPOSEtH(IGH1
BEAM
r
(I
A ICVCI�
1E SLOPE
INVERT PLAT( ANF, SUPDI.EMCNIA;
PLATES (WHERE F'EOLIIRED1 WILL OE
CUT SO AS NOT 1(, INIERFEPC WITH
BASEIYALL
BASCWALL A14CHOF ROP
10 SIRV:IURE FROM CAP
(SCE SECTION A -A)
fG.7)
ELBOW
VERTICAL JOINT IS)
o-/
}
u
9 \J
y 'S 7�C p R t
Sc,�Df C.<o 0p�J0 �ffS a
HEADWAI
I�
SI'AI: I F'15E
L.TR;1(1 I •F -E; WIDTH (
NOMB(kl lf'_ Pl (r,-11J1 (r'!-IN)I i
C 13- 0I
A 1 x- 0
4- 1 ( 1- 0
4 L. 13_ (,
13- 0
F ID -II j (- 4 1 N - 0 1
7 1 1 - 4 I 13- O
14-
1U- J_ 14_ 7
It 11- 4
1 4-
1l 1:- 1 C•- 7 14- 7 11
I( I tI-t1 3- 7 16-
)7 I•- 14-
IF
( 7_ G
4- t7- 4!
e.
14- I f- 17-
A
�c 1•._ -.b t_ 4 ..
i0 1`�- 4 o
I .,
(•- _ 10- 4 11
xl
37
33 1E.-I( - (. :0-10
3e
2C,- 10 1;
"0-f01
r-
4'
44 14- S 6- 11 112- b 11
46 .0- 3 b- s :2- 6 1;
% 35kr/E c),),lry

N. C. DEPARTMENT OF TRANSPORTATION
113 Airport Drive, Suite 100
Edenton, NC 27932
CERTIFIED MAIL
flliPilli!'il Iilillll'I!l lil IIIiIIIPiIII!i
j Tony G. Jernigan
DES 1 2t�Q2 1 4 Exter Road
t
7rzr- hENT
U.SASTAL
OCT -a'02 his Q®
4.65
PH METER a
�N C 6068503 `
Ile 4,2-
No
1st rfotic e-
2nd Notice
Return
OA ❑ INSUFFICIENT ADDRESS
❑ ATTEMPTED NOT KNOWN THERJUS
c ❑ NO SUCH NUMBER/ STREET
$ ❑ OT DELIVERABLE AS A
NUNABLETOFORWARDDDRES ED
�iEi!��iE1�f 1It!fflti?!li�f!E'. t3 lii�if!7iit�!i�l�iFi7!If!llil!l11i��iS��lFlil�t

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR
October 7, 2002
Tony G. Jernigan
134 Exter Rd.
Colerain, N.C. 27924
Dear Mr. Jernigan,
SECRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to replace a 10 feet wide by 8 feet tall
concrete box culvert with a 21 feet wide by 8 feet tall aluminum arched box culvert. This
pipe is located in Bertie County on SR 1310 approximately 2,000 feet east of Elm Grove
in Cucklemaker Creek. The pipe is located in a creek that empties into the Cashie River
approximately 11 miles downstream. The Division of Coastal Management (DCM)
considers this creek as public trust waters. Therefore, it is provided protection under their
jurisdiction. 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. This work is being done to aid in the drainage of the
roadway and shoulder section. During periods of heavy rainfall this area holds water and
floods a portion of the headwater area just above the existing pipe. This causes a hazard
to motorist and damages the structure of the roadway. All work will be performed within
the existing NCDOT right-of-way.
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 thirty (30) days to this office.
If you do have objections to the project, please forward your comments to:
Mr. Bill Arrington
NC Division of Coastal Management
3411 Arendell Street
P.O. Box 769
Morehead City, NC 28557
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

No response within thirty (30) days will be construed to mean you have no objections.
Thank you for your cooperation.
Sincerely,
Don Conner, P.E.
Division Engineer, Division One
Clay Willis
Environmental Officer, Division One
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

4
t�lm Gro
I1
•r 1 -
4
�
A
.f 1
Pipel
1
rat
placement Location'+
dF
Xk-
r � ` �' fit• � ` Af •. r . ... � • � i,' f f,. _ -

SCALE: 1"= 30'
Tony G. Jernigan
134 Exter Rd.
Colerain N.C.27924
I,03S Sq. Ft
0
� ,131 Cu
� s o 54 13p� �� Ce�`se�e fox
x
Tony G. Jernigan
134 Exter Rd.
Colerain N.C. 27924
01E/93
Lina B. Jernigan
205 Exter Rd.
Colerain N.C. 27924
89E / 06 Ca\�e�`
Pa\
Q�oP°se
/
�o
i
Ronnie G. Jernigan
146 Exter Rd.
Colerain N.C.27924
638 / 911
OF
923S4 Ft WETLAND IMPACT
i ALE �Stil�lO
�4
i i
ld ", it .I I I _.
iI
_i I ; 1 I � . � , ' l .. � I 1 ; i !Alt>,• b" 2W,'
Qr� 70� ;YC -I
�ri.✓� / Box Cur
it
AS' ..QA i✓/L� �1PAC�; �z'1 �i i��` !
y5T Cc.KVC 'AY LAl�
PROJIiC'F '
NOTE:
Replace existing 10'x 8'
Concrete box culvert with
a 21'10" x 8'.5" aul.
Arched box culvert.
New culvert to be buried
approximately 1' below
stream bed.
North Carolina Department Of Transportation
Division Of Highways
County: Bet -tie
Basin: Cashie
Project: Replace Box Culvert
Date: Aug. 28, 2002

1-G" STRUCTURE NO 1-39
tfrUCTURE NO 40-67
BASEWALL WIDTH (ALWAYS 90°ST NUCTURE
1TO102—,
�)
(SEE (ABLE 4)
(: 3.4 VARIES
CORNER (2.3) (2)
PANEL CENTER PANELS
i ENPANELS
_ 4'-(• (TYPICAL)HEADWAEE(9)
3 � / CAP
Llf =�
;r15CD' \` �fILLEP -- ANCH F ROD
r I11 PLATE (TYP CAL)
IfIrPILAI \
[if AM - A RISE [I-
MAL SIDE �� `I rFILLER REINFORCING REINf0RCR4G
.,(LPL RIB TO BE PUNCHED RIB
/ AND FITTED TO BOa
I. CULVERT BASEWALL-
(EACH SIDE If �.uivlkt PLATE
� REOUIRLU) _
I '�PAII 'A' I
i�
f00TrNC• PAp 0R CONCRETE
4 (J) FOOTING ANO RECEIVING ANGLE
VERTICAL WILL BE CUT OR CONSTRUCTED
InINT SO AS NOT 10 INTERFERE
ISEE DETAIL WITH BASEWALL
BELOW)
TYPICAL HEADWALL ELEVATION ( ID)
WINGWALL
3 4
(4'-9 TYPICAL)
CORNER PANEL
(:.'.4)
(4'-6" T)PICAl1
AD )iTIONAL WING PANEL
\[LBO CAPE-)- -- ---
1) 2 OF
` WALE C><PC".L f' HEIGHT
BEAM
t4[t.F
SIDE
(I
1CVEL„
SLOPE
,
_
INVERT PLATE ANCI SLIP L.CMCNIA;
PLATES (WHERE REOUIPED, WILL NC
CUT SO AS NOT 10 INIERFERE WIIH
BASEWALL
(91
Alt)Mlrl— D[ACIMAN Ar!(HOP
BASEWALL ANCHOF ROD
Ill STRV-IURC FROM CAP
k(Goo.[( II. CI.NIEP LIF [A, -?I
(SEE SECTION .'.-A)
PANEL vnlI 1r! A wiNGWALL
t B0, CULVERT
(E,7)
\FELB
CROWN kl(-.-
VE RIICAL JOINT I`_)
CAP
✓�
JOI v[RtI
4•
JUlr/l UC TAILAIL
BLLOW
I
p,4
^'(C' III _ f•
r4Ri
I
16 f(
BASEWALL --/
HEATIWALL
—_
CAI'
nl�O
PLAN 1H14011GH
AM
PLAN AT TOPSTRUCT
f( 6(•
HEADwA�RA( PLATE
I Or HEADWALL
CAP
Dp)/�
9CCSi°f
Sc.CVF Con
HEADWAL
WIDTH
N.IM HC III IF' -IN'
,_ 1 1,
4 Il•-j-"
4 1}7 _
14-
u- 7
<- 3 1A- 7
11 t 1- 4 •.- 0 t4-
1. , 1- t• 9 14-
3_ 7 Iig_
0 t.11C.
(•- 16- 1
I7- r. `
24 13- 1C' j �- 17- c
1<_ � I 4- •1 to_ 4
2F 1<-In ._li1 19- < I
IQ_ < ..
ID 4
9- 4 II
IQ- 4 1'
3: 19- 4 1
33 1=-1( - (• 2G-t0
.1.1(.- ( 4- I 20- 10 !
3t, 1/._ _ I . _ i 20_ 11' ,.
1G 1(- t I --- ` 2(,-1C. t
41 Ih- I <- _ ( r
4; F -
43 1`- O < 1 22- 1!,I(
44 15.- 1 (._ 11 22- G 11
46 20- 3 F- t, 22- E t
4-
N C. d. 0. T &;vrxE ay vey
S.41EET .coo. 2 off' .2

■ Complete items 1, 2, and 3. Also complete
1 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:
Ronnie G. Jernigan
146 Exter Load
Colerain, NC 27924
Article Number (Copy from service label)
7©q9 3400
S Form 3811, July iggg
A. Received by (Please Print Clearly) I B. Date of Delivery
C. Signature
X ❑ Agent
Cl Addressee
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Serves Type
Certified Mail �❑ EE ress Mail
❑ Registered eturn Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
90 7 36 q-9 Y-/d
Domestic Return Receipt 102595-00-M-0952

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 •
Clay Willis
NC Dept. of Transportation
113 Airport Drive, Suite 100
Edenton, NC 27932

Y ■ Complete items 1, 2, and 3. Also complete
(I item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
j so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
t or on the front if space permits.
� 1. Article Addressed to:
Lina B. Jernigan
134 Exter Road
Colerain, NC 27924
A. Received by (Please Print Clearly) I B. Date of Delivery
C. Signature
X ❑ Agent
❑ Addressee
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se ce Type
IM Certified Mail ❑ press Mail
❑ Registered Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy from service label)
70gq �3Yoo 6©©7 �q p j9 �
PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952

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 •
Clay Willis
NC Dept. of Transportation
113 Airport Drive, Suite 100
Edenton, NC 27932

•COMPLETE THIS SECTION
--------------
■ 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.
S 1. Article Addressed to:
Tony G. Jernigan
134 Exter Road
Coleraln, NC 27924
A. Received by (Please Print Clearly) I B. Date of Delivery
C. Signature
X ❑ Agent
❑ Addressee
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. SServi�Type
L-XGertified Mail �❑ EE ess Mail
❑ Registered W eturn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy from service label)
3gDe) 0007 36gq
PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952
-- - -- -- — -- - --- - �

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
Sender: Please print your name, address, and ZIP+4 in this box •
Clay Willis
NC Dept. of Transportation
113 Airport Drive, Suite 100
Edenton, NC 27932