35207_NC DOT_20031201

r7CAMA / ❑ DREDGE & FILL j op
GENERAL PERMIT Pr�viouspermit#
❑New [:]Modification CComplete Reissue CPartial 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 I SA NCAC
❑ Rules attached.
Applicant Name
Address
City State ZIP
Phone #( ) / r /'Fax#( )
Authorized Agent
Affected ❑ CW p,EW NJPTA ❑ ES Q PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Project Location: County
Street Address/ State Road/ Lot #(s) j
Subdivision
City._ ZIP
Phone # ( ) River Basin J: -
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Pier (dock) length_
Platform(s)
- •i
Finger pier(s)
Groin length R
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes;. no
Photos: es no
Y_.. -
Waiver Attached: yes, no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: ) i I
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date ExpiplaftionDate
Planning Jurisdiction Rover c - 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 / 1-888-4RCOAST
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

A�'�
NCDENR
North Carolina Department of Environment and Natural
Division of Coastal Management
Michael F. Easley, Governor
December 2, 2003
NC Department of Transportation
ATTN: Mr. Clay Willis
113 Airport Drive
Edenton, NC 27932
Dear Mr. Willis:
Donna D. Moffitt, Director
Resources
William G. Ross Jr., Secretary
Attached is General Permit #C-35207 to replace culverts with a bridge in Dare County adjacent
to the Slash Canal at NC 12, Hatteras Village, NC.
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
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 \ 10% Post Consumer Paper

>F,CAMA/DREDGE & FILL NO 3520 1
GENERAL PERMIT Previous permit# GP- 3 0) oS
XNew XModification Complete Reissue ❑Partial Reissue Date previous permit issued - r0
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 0 7,q , Z 3 00
NY--
❑ Rules attached.
Applicant Name p��A Project Location: County
Address Street Address/ State Road/ Lot #(s)
City r-kP 14N State A)L ZIP Z7932-
--
Phone # (�-V) 2--%V7 Fax # ( ) Subdivision
Authorized Agent C (ay 5 City Hc� t S �1 j 1 (fit ZIP '/��
Cw {EW PS'
Affected PTA -4ES gPTS Phone # ( _) River Basin Yc-S "
OEA ❑ HHF ❑ IH ❑ UBA N/A 1/
AEC(s}: Pws. _ FC. Adj. Wtr. Body S�c,-�6� <<cL c /. `at7/man /unkn)
c, �• �
ORW: yes / no) PNA yes /�j Crit. Hab. yes /�ia� Closest Maj. Wtr. Body c —
Type of Project/ Activity /R G,O i"rC'( C('i ( Q*E% 5 to I-i4t C [rid,
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/ Boat]A
Beach Bulldozing
OtherL11vi'+S
Shoreline Length
SAV: not sure yes no
Sandbags: not sure
yes no '
Moratorium: n/a
yes no
Photos:
es no
Waiver Attached:
95) no
A building permit may
be required by:
Notes/ Special Conditions A�e, r`
Agent or" i plicant Printed Name
(Scale: o,% d 'Y)
Signature *'* Please read
ncompliance statement onback ofpermit
��
---L0 c, P C lk 1 �t z 1 1 -
Application Fee(s) Check #
1
See note on back regarding River Basin rules.
I \S' 17/ ,-! r- 1 7-r. ; - I u c c—
Permit Officer's Signat e
lz/ A -�5; // 36/0 `er Issuirik
D to Expilation Date
in(' OCxtZ
Local Planningjurisdiction , Rover File Name

NOV 2 5 2003
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR
November 6, 2003
Division of Coastal Management
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
Attention: Bill Arrington
SECRETARY
The North Carolina Department of Transportation is proposing to build a 60 feet cored slab bridge
across Slash Canal in Hatteras village, Dare County. This bridge will replace three 87-inch pipes that were
blown out of the NC 12 Slash Canal crossing by Hurricane Isabel storm surge. The Slash Canal is a
tributary that drains out of Hatteras Village to the east and the west into the Pamlico Sound. The east end of
the canal is currently crossed by NC 12 with a bridge structure. The west end of the canal has been crossed
by utilizing culvert pipes. After the storm surge event associated with Hurricane Isabel, hydraulic engineers
with NCDOT have concluded a 60 feet bridge structure will replace the blown out pipe culverts. The 60
feet span will not require any interior bents to be placed in the canal. There will be two end bents
constructed on the banks of the canal to support the span. These bents will be precast concrete bents
supported on H-piles. Sheet pile will be driven around the front and sides of the end bents to protect the
bridge abutments from scour during high flow events. The bridge elevation will be approximately 1-2 feet
higher than the existing grade of the road. Elevation details are provided in the work plat. Traffic will be
detoured on an off -site detour during the project construction.
The Slash Canal is located in the Pasquotank drainage basin (03-01-55). The portion of the Slash
Canal within the project area appears to be a man-made canal features that connects to a natural drainage
into the Pamlico Sound. This body of water has been classified as SA HQW by the Division of Water
Quality. SA waters are defined as surface waters that are used for shellfishing or marketing purposes and all
SC and SB uses. All SA waters are also HQW by defmition. Stormwater controls are required under
CAMA. No domestic discharges are permitted in this water. High Quality Waters (HQW) is a supplemental
classification intended to protect waters with quality higher than state water quality standards.
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

NCDOT is requesting a DCM General Permit be issued for the replacement of the culvert pipes
with the bridge structure. Included with this letter are the MP forms, location map and work plat. Notices to
the adjacent landowners were sent on Nov. 4 and their response will be forwarded to DCM. If any
additional information is needed, please call Clay Willis at 252-482-7977.
Sincerely,
Don Conner
Division One Engineer
Clay illis
Division One Environmental Officer
CC: Gretchen Byrum, NCDOT
Ben Williams, NCDOT
Bill Biddlecome, USACOE
Mike Thomas, DWQ
John Hennesy, DWQ
Rob Ridings, DWQ
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

0 1,000 2,000 4,000 Feet
I I I I I I I I I

Form DCM-MP-1
1. APPLICANT
a. Landowner:
It
c
2.
Name N. C. Department of Transportation
Address 113 Airport Road
City Edenton State N.C.
Zip 27932 Day Phone [phone]
Fax [phone]
Authorized Agent:
Name Clay Willis, Environmental Officer
Address 113 Airport Road
City Edenton State N.C.
Zip 27932 Day Phone [phone]
Fax [phone]
b. City, town, community or landmark
Hatteras
c. Street address or secondary road number
NC 12
d. Is proposed work within city limits or planning
jurisdiction? X Yes _ No
e. Name of body of water nearest project (e.g. river,
creek, sound, bay) Slash Canal, Pamlico Sound
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 washed out culvert Dipes with a 60 foot
cored slab bridle.
b. Is the proposed activity maintenance of an existing
project, new work, or both? both
c. Will the project be for public, private or commercial
use? public
d. Give a brief description of purpose, use, methods of
Project name (if any) construction and daily operations of proposed project.
Bridee over the south end of the Slash Canal in If more space is needed, please attach additional
Hatteras on NC 12 pages. The purpose of this project is to maintain
the transportation crossing over Slash Canal. This
will be done by placinp- a 60 feet span across the
9�C7`PE: Permit wi!!6e issued in name of larufowner(s), anrf/or project
canal. This bridee will span the width of the canal
nwne' and will not require interior bents to be placed in
the channel. New end bents will have to be placed
on either end of the 60 feet span to support the
LOCATION OF PROPOSED brifte. The end bents will be precast concrete
PROJECT construction placed on H piles.
a. County
Revised 03/95

4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract the area is approximately 250
feet by 40 feet, includes paved roadway surface
and Slash Canal.
b. Size of individual lot(s) N/A
c. Approximate elevation of tract above MHW or NWL
5 feet
d. Soil type(s) and texture(s) of tract
(DtA) Duckston Fine Sand
e. Vegetation on tract various roadside grasses such
as panic grass, Crab grass, fescue, beggar tick,
and red clover.
f. Man-made features now on tract NC 12
g. What is the CAMA Land Use Plan land classification
of the site? (consult the localland use plan.)
Conservation
X Developed
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 mti. fuate, f apP(kable)
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? _ Yes X No
Coastal (marsh) Other
If yes, has a delineation been conducted?
(Attach documentation, if availadle)
m. Describe existing wastewater treatment facilities.
NONE
n. Describe location and type of discharges to waters of
the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down" and residential discharges.) surface runoff
from NC 12 and surrounding lots.
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

Form DCM-MP-1
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.
Name William Foley
Address P.O. Bog 466
Phone Hatteras N.C. 27943-0466
Name Douglas Sowers
Address 3800 Weatherbury Place
Phone Moseley, V.A. 23120
Name CW West, Estate
Address 220 Hall Drive
Phone Chesapeake, V.A. 23322
Name Ida West O'neal
Address P.O. Bog 243
Phone Hatteras, N.C. 27943
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
Divison Coastal Management GP 23
Permit # 30105A issued in spring of 2003
• 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.
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 b day of 1V e , 2002.
Print Name Clay Willis
Signature - ��n �&X
s�utfwnzeQsigenr
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. Pfease sign and date each attachment in the space
provufed at the bottom of each form.
Revised 03/95

Form DCM-MP-2
EXCAVATION
AND FILL
(Except 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.
Describe below the purpose of proposed excavation or fill
activities. All values to be given in feet.
Access
Channel
(MLW) or (NWL)
Canal
Boat
Basin
Boat
Ramp
Rock
Groin
Rock
Breakwater
Other
(Excluding
shoreline
stabilization)
Average Final
Existing Project
Length width Depth Depth
70 feet 10-15 1 ft. 0
ft.
•
1. EXCAVATION N/A
a. Amount of material to be excavated from below
MHW or NWL in cubic yards None
b. Type of material to be excavated None
c. Does the area to be excavated include coastal
wetlands (marsh), submerged aquatic vegetation
(SAVs) or other wetlands? Yes X No
d. High ground excavation in cubic yards None
2. DISPOSAL OF EXCAVATED
MATERIAL N/A
(See Attachment)
a. Location of disposal area N/A
there will be no disposal of material
b. Dimensions of disposal area N/A
c. Do you claim title to disposal area? N/A
Yes No
If no, attach a letter granting permission from the
owner.
d. Will a disposal area be available for future
maintenance? _ Yes _ No N/A
If yes, where?
Revised 03/95

Form DCM-MP-2
e. Does the disposal area include any coastal wetlands
(marsh), SAVs or other wetlands? N/A
Yes No
f. Does the disposal include any area in the water?
Yes No N/A
3. SHORELINE STABILIZATION
a. Type of shoreline stabilization
X Bulkhead (Sheetpile around endbents)
Rpprap
b. Length Approximately 240 feet total, 120 around
each end bent (20'-front and 401-sides)
c. Average distance waterward of MHW or NWL
sheet pile will be placed at NWL of the canal bank
d. Maximum distance waterward of MHW or NWL
sheet pile will be placed at NWL
e. Shoreline erosion during preceding 12 months
None, stabilized canal banks or bulkheaded
around proiect area
(Source of info -cation)
f. Type of bulkhead or riprap material sheet pile
g. Amount of fill in cubic yards to be placed below
water level
(1) Riprap
(2) Bulkhead backfill 223 cubic yards, backfill is
to recover eroded shoreline from the storm
event
h. Type of fill material
NCDOT will use approved fill material (sandy
clay soil mix)
i. Source of fill material N/A
4. OTHER FILL ACTIVITIES
(Excluding Shoreline Stabilization)
a. Will fill material be brought to site?
X Yes No
If yes,
(1) Amount of material to be placed in the water
None
(2) Dimensions of fill area 160 feet by 40 feet
(3) Purpose of fill raise approaches to the
bridge
b. Will fill material be placed in coastal wetlands
(marsh), SAVs or other wetlands?
Yes X No
If yes,
(1) Dimensions of fill area
(2) Purpose of fill
5. GENERAL
a. How will excavated or fill material be kept on site
and erosion controlled? NCDOT's Best
Management Practices for erosion control will be
implemented
b. What type of construction equipment will be used (for
example, dragline, backhoe, or hydraulic dredge)?
Excavator, Crane, Front end loader, backhoe,
dump trucks
c. Will wetlands be crossed in transporting equipment to
project site? _ Yes X No
If yes, explain steps that will be taken to lessen
environmental impacts.
Clay Willis. Environmental Officer
Anul icant r oject Name
r•
Sign ture
November 6, 2003
Date
Revised 03195

Form DCM-MP-5
BRIDGES AND
CULVERTS
Attach this form to Joint Application for CAMA Major h. Width of proposed bridge 30'
Permit, Form DCM-MP-1. Be sure to complete all other i. Height of proposed bridge above wetlands N/A
sections of the Joint Application that relate to this
proposed project.
1. BRIDGES
a. Public X Private
b. Type of bridge (construction material)
Cored slab concrete brid e
c. Water body to be crossed by bridge
Slash Canal in Hatteras Village
d. Water depth at the proposed crossing at MLW or
NWL
5'
e. Will proposed bridge replace an existing bridge?
Yes X 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)?
X Yes No
If yes,
(1) Length of existing culvert 45 feet
(2) Width of existing culvert 87 inches
(3) Height of the top of the existing culvert above
the MHW or NWL 4-8 inches
(4) Will all, or a part of, the existing culvert be
removed? (Explain) the culvert was removed
during Hurricane Isabel by the storm surge.
g. Length of proposed bridge 60'
Revised 03/95
j. Will the proposed bridge affect existing water flow?
X Yes No
If yes, explain The bridge placement will increase
the channels ability to carry water in and out during
tide cycles. During storm surge events water should be
able to flow underneath the bridge without blowing
the structure out. The preexisting culverts restricted
the flow capacity to the volume of the three 87 inch
culverts.
k. Navigation clearance underneath proposed bridge
1-2 feet
1. Will the proposed bridge affect navigation by
reducing or increasing the existing navigable
opening? Yes X No
If yes, explain
m. Will the proposed bridge cross wetlands containing
no navigable waters? Yes X No
If yes, explain
n. Have you contacted the U.S. Coast Guard concerning
their approval?
Yes X No
If yes, please provide record of their action.

Form DCM-MP-5
2. CULVERTS N/A
a. Water body in which culvert is to be placed
b. Number of culverts proposed
c. Type of culvert (construction material, style)
d. Will proposed culvert 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)
e. Will proposed culvert replace an existing culvert?
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)
f. Length of proposed culvert
g. Width of proposed culvert
h. Height of the top of the proposed culvert above the
MHW or NWL
Will the proposed culvert affect existing water flow?
Yes No
If yes, explain
j. Will the proposed culvert affect existing navigation
potential? _ Yes No
If yes, explain
3. EXCAVATION AND FILL
a. Will the placement of the proposed bridge or culvert
require any excavation below the MHW or NWL?
Yes X No
If yes,
(1) Length of area to be excavated
(2) Width of area to be excavated
(3) Depth of area to be excavated
(4) Amount of material to be excavated in cubic
b. Will the placement of the proposed bridge or culvert
require any excavation within: NO
Coastal Wetlands _ SAVs _ Other Wetlands
If yes,
(1) Length of area to be excavated
(2) Width of area to be excavated
(3) Amount of material to be excavated in cubic
yards
c. Will the placement of the proposed bridge or culvert
require any highground excavation?
Yes X No
If yes,
(1) Length of area to be excavated
(2) Width of area to be excavated
(3) Amount of material to be excavated in cubic
yards
d. If the placement of the bridge or culvert involves any
excavation, please complete the following: N/A
(1) Location of the spoil disposal area
(2) Dimensions of spoil disposal area
(3) Do you claim title to the disposal area?
Yes No
If no, attach a letter granting permission from
the owner.
(4) Will the disposal area be available for future
maintenance? Yes No
(5) Does the disposal area include any coastal
wetlands (marsh), SAVs, or other wetlands?
Revised 03/95

Form DCM-MP-5
Yes No
If yes, give dimensions if different from (2)
above.
(6) Does the disposal area include any area below
the MHW or NWL? Yes _ No
If yes, give dimension if different from No. 2
above.
e. 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 MHW
f.
or NWL? X Yes No
If yes,
(1) Length of area to be filled 70 feet
(2) Width of area to be filled 10-15 feet
(3) Purpose of fill reclaim area washed out by
storm surge for the purpose of establishing
the road shoulder and submaterial.
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: NO
Coastal Wetlands SAVs Other Wetlands
If yes,
(1) Length of area to be filled
(2) Width of area to be filled
(3) Purpose of fill
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 160 feet
(2) Width of area to be filled 30 feet
(3) Purpose of fill place fill to raise the bridge
approaches to establish vertical alignment
with the road and the bridge structure
4. GENERAL
a.
Will the proposed project involve any mitigation?
Yes X No
If yes, explain in detail
If yes, explain in detail A water line will have to be
addressed.
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? Using NC DOT Best
Management guidelines for Soil and Erosion
Control established by Division of Land Ouality:
f. What type of construction equipment will be used
(for example, dragl.ine, backhoe or hydraulic
dredge)? excavator, pile hammer, dump truck,
grader, etc.
g. Will wetlands be crossed in transporting equipment
to project site? Yes X No
If yes, explain steps that will be taken to lessen
environmental impacts.
h. Will the placement of the proposed bridge or culvert
require any shoreline stabilization?
X Yes No
Clav Willis. Environmental Officer
Applicant or Project Name
Signatur
Date
b. Will the proposed project require the relocation of
any existing utility lines? X Yes No
Revised 03/95

RECOMMEND STRUCTURE
160' CORED SLAB WITH VERTICAL ABUTMENTS
THE SLASH
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■ Complete Itm* '101 at+d
Item 4 if Restricted Delivery is
■ Print your name and address on the reverse
so that we can return the card to you. ec
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
p "' `. °4•` Agent
C] Addressee
by (Prfited Nam C. Date of Delivery
t? ❑ Yes
D. Is delivery address 011TW rlt from Item
1. Article Addressed to:
if YES, enter delivery address below: No
t.
C. W. West Estate
220 Hall Drive
Chesapeake, VA 23322
3. Sivice Type
M Cert"1041Mail ClAPress Mail
❑ Registered �Bf'Retum Receipt for Merchandise
❑ insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
7000 1680 0001 9E47 0114
(Transfer froM service label]
PS Form 8811, August 2001
Domestic Return Receipt 102595.02-M-1540

a
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
William Foley
PO Box 466
Hatteras, NC 27943-0466
A. Signature
❑ Agent
X (i �t 0,. —Te. ❑ Addressee
B. Received by (Printed Name) DfjIfVJJ
D. Is delivery address ditrent from item 1? ❑t)t s
It YES, enter delivery address below: ❑ T40
3. SjfteType
Ed certified MW Mail
[3 Registered Registered e( Return Receipt for Merchandise
❑ Insured Mall ❑ C.O.D.
4. Restricted DER F:xba Fee) ❑ Yes
2. Article Number 7003 1680 0001 9247 2121
(rranster`from sbrvfce /abO
Ps Form 3811, Augusts 2001 . Domestic Return Receipt tUS95-02-M-154
■ 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 mafipiece,
or on the front if space permits.
1. Article Addressed to:
Dow4las Sowers
Susan Sowers
3800 Weatherburg Place
Moseley, VA 23120
In's
�to-
.'M
R,
W—:� I
C. Date of DelivD. is delivery address different from item1? ❑ Yes
if YES, enter dWhwy address below: ❑ No
3. Sjh4ce Type
ED Certified Mai! ❑less Mail
❑ Registered Return Receipt for Merchandis
❑ Insured Marl ❑ C.O.D.
4. Restricted Delivery? Xxfra Fee) ❑ Yes
2. ArticleNumber
from
7003 1680 0001 9247 2138
(transfer from service /aloe!)
PS Form 3811, August 2001 Domestic Return Receipt t 02ss5-o2-M-1 s,

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Douglas Sowers
Susan Sowers
3800 Weatherburg Place
Moseley, VA 23120
A.
X
❑ Agent
B. Received b (Printed Name) C. Date of Delivery
f� Q GLl �j2�a
D. is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. S ivice Type
Certified Mail OAxpress Mail
❑ Registered 13 Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2, Article Number
(Transfer from service label 7003 1680 0001 9247 213 8
i PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVI7PN9 Vq
P M
• Sender: Please print � r pqe
Clay Willis
NC Dept. of Transportation
113 Airport Drive, Suite 100
Edenton, NC 27932
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
0;
-ess, an4�IPy
1 1 11 11 li I} } i}
}?tl?i}??!li? ?!??Ili!t 413?!}?I!}t? }?
C"
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all
0

■ 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.
j ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
William Foley
PO Box 466
Hatteras, NC 27943-0466
A. Signature
(' J // ❑ Agent
❑ Addre
B. Received by (Printed Name) )C. Dil(cfp li ery
t t_t c y4—rrl T 111-
D. Is delivery address different from Rem 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se ice Type
Iff Certified Mail ",express Mail
❑ Registered E3 Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7003 1680 0001 9247 2121
(Transfer from service label) �
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540

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 •
cn
0
Clay Willis N
NC Dcpt. of Transportation
113 Airport Drive, Suite 100
Edenton, NC 27932
O
Z

::4 AsER. COMPLETE• •r• fzr
•.•�• r
■ Complete items 1, 2, and 3. Also complete A. Sig,
item 4 if Restricted Delivery is desired, X ❑ Agent
■ Print your name and address on the reverse ❑ Addressee +
so that we can return the card to you. B. ceivby (Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits. / ' e
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES, enter delivery address below: ❑ No j
C. W. West Estate
220 Hall Drive
Chesapeake, VA 23322
3. tvice Type
Ldj Certified Mail VReturn
xpress Mail
❑ Registered Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7003 1680 0001 9247 C114
(transfer from service label)
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE _);7()_S--, First -Class Mail
/' , 111 , PoStage.& Fees Paid
ivi USPS
Permit No. G-10
• Sender: Please pd ur narn I e, address, 'and ZIP+4 in thistox •
In
Clay Willis LM
OR
NC Dept. Of Transportation
113 Airport Drive, Suite 100 CD
Edenton, NC 27932 .6--

pti, 1 2003
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR
November 26, 2003
Division of Coastal Management
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
Attention: Bill Arrington
SECRETARY
This is the last green card that I got in for the Slash Canal Bridge Project in Hatteras, Dare County.
I sent you three of the cards with the permit request. You should have all four green cards. If you need
anymore information let me know.
Thanks,
Clay
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

Permit No.-O-10
First -Class Mail
UNITED STATES`POSTAL SERVTCE`1
kage, & Fees Paid
,, P67
USPS
P
• Sender: Please print��bate;," address, al� ZlP � th IS" 60�41 V mice?
Clay Willis
NC Dept. of Transportation
113 Airport Drive, Suite 100
Edenton,
NC 27932

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Ida West O'Neal
PO Box 243
Hatteras, NC 27943
A. Signature
X Ae`� iee
B. Receiv by (Printed Name) ry
D. Is delivery address different from item 1? ❑ YN6+' If YES, enter delivery address below: ❑
DEL 0 1 2003
3. Yvice Type /
U Certified Mail ❑ xpress Mail
❑ Registered Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7003 1680 0001 9247 2107
(Transfer from service label)
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540

11/21/2003 14:49 DIVISION 1 EDENTON 4 82522473330 NO.266 D01
NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
DIVISION ONE OFFICE
113 Airport Dr.
EDENTON, NORTH CAROLINA 27932
TELEPHONE [phone]
FAX NUMBER (252)-482-8722
FAX COVER SHEET"
DATE: /i�i�� TIME:
T
TO'tie, PHONE:
FROM: el-4 y PHONE:
Number of pages including cover sheet:.__I S'

11/21/2003 14:49 DIVISION 1 EDENTON -> 02522473330 NO.266 D02
STATE of Nmki CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
November 6, 2003
Division of Coastal Management
151-B Hwy. 24
Iiestron Plaza 1I
Morehead City, NC 28557
Attention: Bill Arrington
The North Carolina Department ofTrangportation i® proposing to build a 60 feet cored slab bridge
across Slash Canal in ..Hatteras village, Dare County. This bridge will replace three 87-inch pipes that were
blown out of the NC 12 Slash Canal crossing by Hurricome Isabel storm surge. The Slash Canal is a
tributary that drains out of Hatteras Village to the east and the west into the Pamlico Sound The east end of
the canal is currently crossed by NC 12 with a bridge structure. The 'west end of the canal has been crossed
by utilizing culvert pipes. Auer the storm surge event associatsrd with Hurricane Isabel, hydraulic engineers
with NCDOT have concluded a 60 feet bridge structure will replace the blown out pipe culverts. The 60
feet span will not require any interior bents to be placed in the canal, There will be two end bents
constructed on the banks of the canal to support the span. These bents will be precast concrete bents
supported on )-I-piles. Sheet pile will be driven around the front and sides of the end bents to protect the
bridge abutments from scour during high flow events. The bridge elevation will be approximately 1-2 feet
]nigher than ►lte existing grade of the road. Elevation details are provided in the work plat. Traffic will be
detoured on an off -site detour during the project construction.
The Slash Canal is located in the Pasquotank drainage basin (03-01-55). T1te portion of the Slash
Canal within the project area appears to be a man-made canal features than connects to a natural drainage
into the Pamlico Sound. Tlus body of water has been. classified as SA HQW by the Division of Water
Quality. SA waters are defined as surface waters that are used for shelIfiehing or marketing purposes and all
SC and SB uses. All SA waters are also 14QW by defwtion, Stormwater controls are required under
CAMA No domestic discharges are permitted in this water. High Quality Waters (HQW) is a supplemental
classification intended to protect waters with quality higher than state water quality standards,
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

11/21/2003 14:413 DIVISION 1 EDENTON 4 82522473330 NO.266 D03
NCDOT is requesting a DCM General Permit be issued for the replacement of: the culvert pipe&
with the bridge structure. Included with this letter are the MP forms, location map and work plat_ Notices to
tare adjacent landowners were sent on Nov. 4 and their response will be forwarded to DCM, If any
additional information is deeded., please call Clay Willis at 252482-7977,
Sincerely,
Don Cotner
Division One Fn&eer
Clay illis
Division One Environmental Officer
CC: Gretchen Byrum, NCDOT
Ben Williams, NCDOT
Bill Biddlecome, USACOE
Mike Thomas, DWQ
John Hennesy, DWQ
Rob'Kid ngs, DWQ
113 Airport Dr., Suite 100, Edenton, NC 27932 — Phone: [phone] Fax: [phone]

11/21/2003 14:49 DIVISION 1 EDENTON 4 02522473330
NO.266 D04
Form DCM-MP-1
1. APPLICANT
a. Landowner:
Name N, C. ftartment of Transportation
Address 113 Airport Road
City Edenton State N.C.
Zip 27932 Day Phone (257) 4§2-7977
Fax [phone]-$722
b. Authorized Agent
c,
iI
Name Opp Willis, Environmental Officer
Address 113 Airport Road
City Edentoll State N.C.
Zip 27932 Day Phone (252)A -7977
Fax (252) 40?-5722
b. City, town, community or landmark
tiazte as
c. Street address or secondary road number
NC 12
d. Is proposed work within city limits or planning
jurisdiction? X Yes —No
e. Name of body of water nearest project (e.g. river,
creek, sound, bay) Stash Canal. Pamlico Sound
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 washed out culven pipes w0b a 60 foot
co ed slab id e.
b. Is the proposed activity maintenance of an existing
project, new work, or both? both
c. Will the project be for public, private or commercial
use? _ public
d. Give a brief description of purpose, use, methods of
Project name (if any) construction and daily operations of proposed project.
10ridee over the south end of the Slagb GllnlllaA If more space is needed, please attach additional
HAI eras on NC 12 pages. The nowpose of this project is to maintain
the transportation crossing over WeAh Can41,1Ws
a(qM Pont off Be umod n nam of lan�s), w dler prefect will be done by placing a 60 feet Ripon aerass the
canal. This bridge will span the Iddthof the Sgaal
and will not require interior bents to be pl4ccd_ n
the channel. New end bents wdl Bove to be ptg�ed
on g1ther end of the 60 feet span to Aupgo-�be
LOCATION OF PROPOSED pridtc. The end bents will be Precast_concrete
PROTECT construction Placed on II_pflea,
a. County Dare
Revised 03/95

11/21/2003 14,49 DIU15ION 1 EDENTON 4 B2522473330
NO.266 D05
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract the area is aRRroximately 250
feet by 40 feqJa&1Bdes pikygd roadway orface
grid SlAsh Canal.
b. Size of individual lot(s) N/A
c. Approximate elevation of tract above MKW or NWL
S feex
d. Soil type(s) and texture(s) of tract
fDtA) Duckston Fine Sand
C. Vegetation on tract va.rions roadside ernmes such
as panic erasy Crab Brass, fescue, begear tick
4pd red clover.
f Man-made features now on tract NC 12
S. What is the CAMA Land Use Plan land classification
of the site? (C=u(t du fora!(amuse yfm)
— Conservation Transitional
J Developed Community
Rural _ Other
h. How is the tract zoned by local government?
!JCDOT right-of-vway
i. Is the proposed project consistent with the applicable
zoning? X Yes No
(AttVA Zoning conrpfim certificate, : f a"&abfe)
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? Yes X No
Coastal (marsh) Other
If yes, has a delineation been conducted?
(Armth 6oCr WsWtdaq, f azoaWlfr)
m. Describe existing wastewater treatment facilities.
NONE
n. Describe location and type of discharges to waters of
the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial. effluent, "wash
down" and residential discharges.) surface runoff
from NC 12 and suxrroundine low
o. Describe existing drinking water supply source.
Nq,ifte
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 instr=ent under which the
owner claims title, plus written permission from the
owner to carry out the project.
0 An accurate, dated work plat (including plan view
and cross -sectional drawings) drawn to scale in black
ink on an S 1/2" by I I" 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
a4jaceut waterfront (riparian) landowners and
signed return receipts as proof that such owners
have received a copy of the application and plats by

11/21/2003 14:49 DIVISION 1 EDENTON 4 82522473330
NO.266 906
Form DCM-MP-1
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 leas been provided,
Name WITIiatrt_Fol�y
Address P.O. Box 466
Phone Hatteras, N.C. 27943-0466
Name Douglas Sowers
Address 38�VyeaJbMbu Plate_
Phone Mo"lev, V.A. 23120
Name Cff )Yest, l✓sLate
Address 220 Hall .Drive
Phone Chesapeake, V.A- 23322
Name Ida West O'neal
Address P.O. Box 243
Phone Hatterj§, N.C. 27943
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
Divison Caastnl MP,�ge I�ne�t GP 23
Permit 0 30105A issued io spriztp of 2003
• A check for $250 made payable to the Department of
Environment, health, and Natural Resources
(I)FUN t) 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
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.
I certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's
approved Coastal Management Plvgmm 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 L3 day of I od , Z002.
Print Name Clay Willis
Signature
�froizuilfgrnt
Please indicate attachments pertaining to your proposed
project.
_ DCM MP-2
Excavation and Fill Information
DCM MP-3
Upland Development
_ DCM MP4
Structures Information
X DCM MP-5
Bridgea and Culverts
DCM MP-6
Marina Development
NOTE. Please sign and dope wch attachment in the spree
provided a.t die bottom of each form.
Revised 03195

11/21/2003 14:49 DIVISION 1 EDENTON 4 e2522473330
NO.266 D07
lFom ACM-MP-2
EXCAVATION
AND FILL
(Except bridges and culverts)
Attach this form to .joint Application for CAMA Major
Permit, Fortn DCM-MP-1. Be sure to complete all other
sections of the Joint Application that relate to this
proposed project.
Describe below the purpose of proposed excavation or fill
activities. All values to be given in feet.
Access
Channel
(VLW) or (NWL )
Canal
Boat
Rarnp
Rock
Groin
Rock
Breakwater
Other
(?"secluding
shoreline
etabi ligation)
Average Final
Existing project
Length Width Depth Depth
70 feet 10-1 S 1 ft. D
ft.
•
1, EXCA'rVATION N/A:
a. Amount of material to be excavated from below
MB W or NWL in cubic yards Kane
b, Type of material to be excavated None
c, Does the area to be excavated include coastal
wetlands (marsh), submerged aquatic vegetation
(SAVs) or other wetlands? — Yes ,,,& No
d. High ground excavation in cubic yards None
2, DISPOSAL OF EXCAVATED
MATERIAL NIA
(See Attachment)
a. Location of disposal area N/A
there will be no disposal of material
b. Dimensions of disposal area N/A
c. Do you claim title to disposal areal N/A
Yes _ No
if no, attach a letter granting permission from the
owner.
d. Will a disposal area be available for fitture
maimenaace? —Yes —No N/A
If yes, where?
Revised (13/95

11/21/2003 14:413 DIVISION 1 EDENTON 4 82522473330
NO.266 D08
Form DCM-MP-2
e. Does the disposal area include any coastal wetlands
(marsh), SAVs or other wetlands? N/A
Yes No
f. Does the disposal include any area in the water.)
Yea No N/A
3. SHORELINE STABILIZATION
a Type of shoreline stabilization
X Bulkhead (Sheetpile around endbents)
_--ltiprap
b. Length Approximately 240 feet total 120 around
each end berA (20'Front and 40%,sidesj
c. Average distance waterward of MHW or NWL
sheet Rile will be placed at NWL of the canal bank
d. Maxirmurn distance water -ward of MHW or NWL
sheet pile will be placed at NWL
e. Shoreline erosion during preceding 12 months
Nane..stabiliaec� cg�gl baal�c Qr br><ll�head�d
ar.jgdMroject area
(Sour-, of fnfon, 4H0n)
f. Type of bulkhead or riprap material sheet pile
g. Amount of fill in cubic yards to be placed below
water level
(1) Riprap
(2) Bulkhead backfill 223 cubicyarda, backfrll ie
to recover eraded shoreline from the storm
event
h. Type of fill material
N'CDOT will use approved fill matexiaL(sady
clay soil mix)
i. Source of fill material N/A
4. OTHER FILL ACTMTIES
ing Shoreline Stabili2Adon)
a. Will fill material be brought to site?
X Yes — No
If. yes,
(1) Amount of material to be placed in the water
None
(2) Dimensions of fill area 160 Meet by 0 feet
(3) Purpose of fill raise Ppproa¢l.}gg -x4--the
bddte
b. Will fill material be placed in coastal wetlands
(marsh), SAVs or other wetlands?
Yes X No
If yes,
(1) Dimensions of fill area
(2) Purpose of fill
S. GF_NFRAL
a. How will excavated or fill material be kept on site
and erosion controlled? NCDOT'% -Bes
Management Practices for erosion control wM be
implemented
b. What type of construction equipment will be used (for
example, dragline, backhoe, or hydraulic dredge)?
Excavator, Crane, Frout end loader, bjckhoe.
dump trueka
c. Will wetlands be crossed in transporting equipment to
project site? _ Yes X No
If yes, explain steps that will be taken to lessen
environmental impacts.
Clav Willis. Environmental Qflce
Ap leant r taJect Name
6ign re �,r`�
November 6. Z03
Date
Revised 03/95

11/21/2003 14:49 DIVISION 1 EDENTON 4 02522473330
' Form DCM-MP-5
NO.266 D09
BRIDGES AND
CULVERTS
Attach this form to Joint Application for CAMA Major h. Width of proposed bridge 30,
Permit, Form DCM-MP-1. Be sure to complete all other i. Height of proposed bridge above wetlands —NA.
sections of the Joint Application that relate to this
proposed project.
L BRIDGES
a. Public _Private
b. Type of bridge (construction matena.l)
Cored slab EQMI to bridge
c, Water body to be crossed by bridge
Slash Canal in Hatterso Vilinge
d. Water depth at the proposed crossing at MLW or
NWL
5'
e.
Will proposed bridge replace an existing bridge?
Yes X 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 culven(s)?
X Yes Na
If yes,
(1) Length of existing culvert 45 feet
(2) Width of existing culvert 87 inches _
(3) Height of the top of the existing culvert above
the MHW or NWL 4-8 inches
(4) Will all, or a part of, the existing culvert be
removed? (Explain) toe culvert was ,removed
during HgUIcane Isabel by the storm surge
g. Length of proposed bridge 60'
Revised 03M
j. Will the proposed bridge affect existing water flow?
X Yes No
If yes, explain The bridge placement w"11 increase
the channels apidU,ig c*m water in and out duriot
tide eveles. During storm surpe� yr ents—wxUr should he
able to flow underneath the bridge without b QxYD1!
the structure out. ThLpreexigjng eulveM re► rt�cte L
the flow canscity to the volume of the three 97_nch
culverts.
k. Navigation clearance underneath proposed bridge
1-2 feet
Will the proposed bridge
reducing or increasing th
opening? Yes —*—No
If yes, explain
e
affect navigation by
existing navigable
m. Will the proposed bridge cross wetlands containing
no navigable waters? Yes X No
If yes, explain
n. Have you contacted the U.S. Coast G=rd concerning
their approval?
i Yes �Y _ No
If yes, please provide record of their action,

11/21/2003 14:49
Foam I?CM-MP-5
DIVISION 1 EDENTON 4 02522473330 NO.266 D10
j. Will the proposed culvert affect existing navigation
potential? _ Yes —No
No
If yes, explain
2. CULVERTS N/A
a. Water body in which culvert is to be placed
b. Number of culverts proposed
c. Type of culvert (construction material, style)
d. Will proposed culvert 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)
e. Will proposed culvert replace an existing culvert?
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)
f. Length of proposed culvert
g. Width of proposed
h. Height of the top of the proposed culvert above the
MHW or NWL
Will the proposedculvert effect existing water flow?
— Yes No
If yes, explain
3. EXCAVATION AND FILL
a. Will the placement of the proposed bridge or culvert
require any excavation below the MHW or NWL?
Yes No
If yes,
(1) .Length of area to be excavated
(2) Width of area to be excavated
(3) Depth of area to be excavated
(4) Amount of material to be excavated in cubic
yards
b. Will the placement of the proposed bridge or culvert
require any excavation within: NO
_ Coastal Wetlands _ SAVs _ Other Wetlands
If yes,
(1) Length of area to be excavated
(2) Width of area to be excavated
(3) Amount of material to be excavated in cubic
yards
c. Will the placement of the proposed bridge or culvert
require any highground excavation?
Yes X No
If yes,
(1) Length of area to be excavated
(2) Width of area to be excavated
(3) Amount of material to be excavated in cubic
yards
d. If the placement of the bridge or culvert involves any
excavation, please complete the following. N/A
(1) Location of the spoil disposal area
(2) Dimensions of spoil disposal area
(3) Do you claim title to the disposal area?
Yes No
If no, attach a letter granting permission from
the owner.
(4) Will the disposal area be available for future
maintenance? Yes No
(5) Does the disposal area include any coastal
wetlands (marsh), SAVs, or other wetlands?
Revised 03/95

11/21/2003 14:49 DIVISION 1 EDENTON 4 82522473330
NO.266 Dil
Form ACM-MP-5
Yes --No
If yes, give dimensions if different from (2)
above.
(6) Does the disposal area include any area below
the MHW or NWL? Yes _ No
If yes, give dimension if different from No. 2
above.
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 NHIW
or NWL? _X„ Yes No
If yes,
(1) Length of area to be filled 70 feet
(2) Width of area to be filled 1.0-15 feet
(3) .Purpose of fill reclaim area crashed out by
qMM surge for ibe puEgose of establishing
the road shoulder and whmaterial,
f. 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: NO
_ Coastal Wetlands SAVs _Other Wetlands
If yes,
(1) Length of area to be filled
(2) Width of area to be filled-
(3) Purpose of fill
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
bigliground? Yes No
If yes,
(1) Length of area to be filled 160 feet
(2) Width of area to be filled 30 feet
(3) Purpose of fill place fill to raise the bridge
Ayereaches to establish vertical alignment
1h xbe road and the bridog structure
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
MY existing utility lines? _X_ Yes No
Revised 03/95
If yes, explain in detail �► mate li>!te t+viA b v Xg be
addressed.
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, IIow will excavated or fill material be kept on site
and erosion controlled? Using NC DOT Best
Mapageme-yt guideligm for Soil agd E fosiou
Control estabMed bx Division of Land Quality:
f. What type of construction equipment will be used
(for example, dragline, backhoe or hydraulic
dredge)? excavator, pile hammer, dump truck,
grader, eta'
g. Will wetlands be crossed in transporting equipment
to project site? Yes X No
If yes, explain steps that will be taken to lessen
environmental impacts.
h. Will the placemerri of the proposed bridge or culvert
require any shoreline stabilization?
X Yes No
Clan' Willis. Environmental Office
Applicant ar roject Name
Sipatu
/ D
Date

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11/21/2003 14:49 DIVISION I EDENTON 4 82522473330
NO. 266 IP13
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NO. 266 1?14
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11/21/2003 14:49 DIVISION 1 EDENTON 4 82522473330
NO. 266 IP15
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William Foley
PO Box 466
Hatteras, NC 27943-0466
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Douglas Sowers
Susan Sowers
3800 Weatherburg Place
Moseley, VA 23120
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703 1640. onal 9247 2138
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