57958_TOWN OF BEAUFORT_20110519

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
e F -! Rules attached.
t Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) Fax # ( ) Subdivision
Authorized Agent + City ZIP
❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # O River Basin
Affected ❑ OEA ElHHF ElIH ❑ UBA El N/A AEC(s): Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit**
PermitOfficer's Signature
Issuing Date
Expiration Date
Application Fee(s)
Check# Local Plan ningJurisdiction
Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

I
CAPAA 0 ❑ DREDGE & FILL
N° 57958
6iGENERAL PERMIT
Previous permit #
New ❑Modification [-]Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and
Natural Resources f,C)
and the Coastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC
--� /
Applicant Name 1�°^�� C?� 3�`"} 1� 10 A�wel) i AY t,
�` i Rules attached.
Project Location: County (., c7i, 4C-drm�
Address io 7 16,sc ccl � C41 J�,
Street Address/ State Road/ Lot #(s)
City Gree-1 i j' � 1 e State r ZIP
CC;'i Y1c t °` � � � .1� ? � �� t r : ✓t � .
Phone # O Pax'# (_)
Subdivision
4
Authorised Agent �G'� � i�' i 0 PIIl-f .
�1_
City Gc'G � �L' .'•i" ZIP �
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ElCW ElEW ❑ PTA XES ❑ PTS
Affected
Phone # ( ) River Basin / l ��}I �`-
OEA HHF IH ❑ UBA N/A
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AEC(s):
� 4�,
Adj. Wtr. Body .-�''t`�"�- t +U�fr nat�/mean /unkn)
❑ PWS: ❑FC:
ORW: yes (no, � PNA yes no Crit.Hab. yes / no
Closest Maj. Wtr. Body �-xt?
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Agent or Applicant Printed Name Perms`. i is Sign ture
- _ s�l� �l I
Signature "Please read compliance statement on back of permit's Issuing Date Expiration Date
(� j-
Application Fee(s) Check # Local PlanningJurisdiction Rover File Name

A LT -WA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
May 19, 2011
Rivers & Associates, Inc.
c/o Ben Williams
107 E. Second Street
Greenville, NC 27858
Dear Mr. Williams:
Attached is General Permit #57958C.
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Ryan Davenport
Coastal Management Representative
BG/lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer - 50% Recycled \ 10% Post consumer Paper

Applicant:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)_im
(Anticipated final(Applied
FINAL Sq. Ft.[any
disturbance.
Excludes any
restoration
and/or temp
act/amount)
OTAL Feet
for.
Disturbance
otal includes
anticipated
estoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
j S
Dredge❑ Fill4a—Both ❑ Other ❑
12,b0
"VC)
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
•�.i y..fr Vi.�,����� ,. `�•v �.�. �+r•'fr��a�91 .. b�F»;7'.ar. r7Ct�i":]a'i',I;..a...7,Y.... .fir. ...: a.. M.. n::a�t ,•.v.+.;ira.•t.. t^.7 t. 5 .1 i1

ti
avers
&Associates,lnc.
Since1918
TO: Ms. Heather Styron
NCDENR - Div. of Coastal Mgmt
400 Comerece Avenue
Morehead City, NC 28557
RECEIVED
MAY 17 2011
En6ineers
Manners
Survevors
Landscape Architects
DCM-MHD CITY
LETTER OF TRANSMITTAL
Date 5/17/2011 ,Job No. 2010158 D
ATTENTION: Heather Styron
SUBJECT: Town of Beaufort
Sycamore Drive Well
CAMA General Permit
WE ARE SENDING YOU ❑ Attached ❑ under Separate Cover via the following items:
❑ Shop Drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of Letter ❑ Change Order ❑ Other
COPIES DATE I No. DESCRIPTION
1 W-3361 Town of Beaufort - Sycamore Drive Well Improvements (Plans)
1 Check No. 96211 - Permit Fee of $400
1 Agent Authorization Form
1 Adjacent Riparian Property Owner Statements
THESE ARE TRANSMITTED as checked below:
M For Approval ❑ Approved ❑ Resubmit copies for approval
❑ For Your Use ❑ Approved as Noted ❑ Submit copies for distribution
❑� As requested ❑ Disapprovec ❑ Return copies for approval
❑ For Review and Comment ❑ Other
REMARKS
Heather,
On behalf of the Town of Beaufort, we are providing you with the above items for review and approval of
the subject General Permit. Please contact me should you have any questions.
With best regards,
RIVERS AND ASSOCIATES, INC.
COPYTO John Young, PWD - Beaufort SIGNED:
If enclosures are not as noted, kindly notify us at once CBe7nfg—!s, AI C P
rolect Planner
107 East Second Street ' Post Office Box 929 ' Greenville, North Carolina 27835 ' [phone] ' FAX [phone]
8410 Falls of Neuse Road, Suite D " Raleigh, North Carolina 27615 ' [phone] ' FAX [phone]

T
TOWN OF
BEAUFORT may/
o
W BEAUFORT RD
OGEORGE 5
CF�°x 2Rr Sr. \Ss"
PROPERTY OF:
Stanley S. Westfall
121 Ricks Ave. /
Beaufort, NC 28516 /
_os
PROp�RTp.� �OSO,
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wS /t%l/OOWD BL V
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y �� —S—
AEW DR �
5
3.
g 5-
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SITE BEWN BORE gP "" '
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Ap
12
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/ All /
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cl
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END BORE
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0 30' 60'
DRAFT DLC( DATE: 27-APR-11
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CC 1I
PROPERTY OF:
Blue Treasure LLC
100 Matrix Dr.
Cary, NC 27513
Surveyors
8 Associates, Inc. Lic. No. F-0334
sh.191a
107 Easl Second Street 6131 Falls of Neuse Road, Suila 300
Greenville. NC 27858 (252) 7524135 Raleigh. NC 27609 (919) 84813347
—20
- -
PLAN / PROFILE
STA. 26+00 — 35+00
SYCAMORE DRIVE 1t£LL &RAW WATER MAIN
TOWN OF BEAUFORT
CARTERET COUNTY NORTH CAROLINA
SCALE
DRAWING NO.
PROJECT NO.
SHEET OF
1" = 30'
W-331611
2010158
C-6
NDPE 8
�— TRAN51 T/ON D2
TYP. HEADWALL
Z —�
_ ( 15 CP
_ (PARALLEL - SOUTI-�J I
\��\\ 1II 36 CMP
\ 2x
II_ _
6 PVC
(PARALLEL — NORTH)
20 LF �j DIRECTIONAL BORE
RJDIP _____ __---- _________ -205 LF 10 NDPE (DR 9)
15, MIN.
SCALE
HORZ. 1" = 30'
VERT. 1" = 3'
TRANSITION
6" PVC
(PARALLEL — NORTH)
20 LF
RJDIF
RECEIVED
MAY 17 2011
DCM-MHD CITY
28+00 29+00 30+00

RIVERS AND ASSOCIATES, INC.
96211
Invoice Number
Date
Voucher
Amount
Discounts
Previous Pay
Net Amount
5/12/12
5/12/11
28103
I 400.001
0.00
0.00
400.00
NCDENR- Division of Coastal Mgmt.
Totals
400.00
0.00
0.00
400.00
10200 2 1771
RECEIVED
MAY 17 2011
DCM-MHD CITY

44in
NCDENa
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Date 4-26-2011
Name of Property Owner Applying for Permit:
Mailing Address:
Town of Beaufort, NC
215 Pollock Street
PO Box 390
Beaufort, NC 28516
I certify that I have authorized (agent) Ben E. Williams, AICP of Rivers & Associates. Inc.
to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits
necessary to install or construct (activity) 205 Linear Feet directional bore of 10" HDPE
waterline , at (my property located at) within the existing road right-of-way at the southeast
corner of the Sherwood Blvd. and Ricks Ave. intersection
RECEIVED
This certification is valid thru (date) 4-26-2012 MAY j 7 2011
5 ncM-D�IY
Owner SiLrilatilre Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net An Equal opportunity I
Affirmative Action Employer — 501/a Recycled 110'/6 Post Consumer Paper

Zv/otsd-�
WIY N-2011 MON 03;39 PM RIVERS ASSOCIATES IND FAX NO. 2527523974 P. 03
.JIVIISIO V OF COASTAL. IVIANAGEME
AN.AM R FARIAN PMOMONASB NOTIEW—TIO-N Et:3RM
CERTIFIED MAIL - RETURN RECEIPT REQUE$TED
111�araby aceitfy that I own property adjacent to _-� +�i�! of t'IS
(iNonse of Property I)Wn0r)
property located ate ht• f- at tta� Sharwo_nd Nvd gild {dicks 8m intem0on ,
(Addrass, Lot, Bloat,. Road, etc,)
an In _..___.L ��.�?�n�lrart,aPtgrat Coct�ifi�?, NC
Paterliiodv)
(Gityff owna and/or County)
Agrint'3 Name en . WllllMtrls. AICP ___ Mailing > ddmss: Rivers $ �Sucla IQ S, Inc.
Aga Rt's phone 0; _252- b2.41�5 _._w ,� Q Sox 929
, t>~aenvllie, NO 27834
Ho,43he has descrihaad to me as shown bala;ao! the dearEa nprMitt he/she IS propl)aing at that location,
and I have) rao objections to the proposal.
DESCRIPTION ANDI©R DI'WNING OF PROPOSED DEVELOPMENT
(1rfa:frv;fdvs6 proposing devolCipmaM r;nU10 fill in desacrip9ion below or affach o she drawing)
arts:lFa�ilatir:)n of 10" watedine within existing right-of-ways (see aQziched purr sheet).
MA y
►iintC 14��r +ub)�+:#l�rrz to whatds being prafoo-1,00, you (ho Division of ^,oeataliV{airag mant
(vcg) in iwriVrig within 90 dastye of receipt r;I ti�alr, rimUce. t oi7tlar f 1nfbrmatlon forDW offlom is 2vailabhe
st uk 'vt�►.aecos�Asf�l n�nget►�en(.naA/cotafaca�dol;.7 r�Ym orbs ' call:fag 1-898.4RCOAST, No :resp*nee Is
Cori Iffden)ri ,tns same he no objection ifyou ,W4wa been notlflad by Cetwlyed Mail,
(1=irop( o!f owner Information)
PJr'6f) or "r1ips Neme
„1Na,11 ZI-Q L 2 i3 lEo 10c k ,3
08-f,''Or,1 kfdrass
1 � , No, 28516 �.
C9Y'fStM'ant,P
(Riparian Property Owner Information)
Sftynstu
PrInt or Tyke Name
Naming address
c;is�k�s t� �- SYgal
C��ya!�WEVZIP
r5i%aph6m) Number TWephone Number
Date
l4 cogLbztoz6i, Pa i ;uoo U3o�gso mn AV Lveo zL AeA GLoz

ZO/c/S$ = -7—>
pm,pw[gj lCmitod a �_- �u ,e� Fla Shemwd I Wd, t,)fid Mcks Ave. "i 5¢Cion
(Address, L5t Mock, RED .p
QCkl (r( criim Erna, foT cguftl
sus aaE t's Name o den IAl1Bl13AGP _ iWaHinq Adapt ; fRjv®m &. Assgcia9ip.1nc.
P�gw Vs phone 9. M-452-.136 p® Box 929
Flaf&w) has descilbed to me ris moms below the r9swe lofo m* [�'ehhe iS PPDp©Qfn9 MI that bCSVQR,
and I have no., objectlons b the pmp sak
hl y as i l av'!II 04 P 'Afit s 4im, Fri veM E d� l � ?�� �E�p g+�eri ��at�it t�,�iE ® orce-
(IE ollI In Thwww" wtsi th -do day's 0.f recpf cf Mps thtgdexo• CAMW tbA' O)CM, o es es OV&§able
gaffatfi't3ifi d Me Same as no C�jjft9on ffyov narve haep icr�ad by CefliffCd MaY.
" ► �.� . a ��a Il eoa � ---
paynt,3,rType PgeMe
1 215 Pollock Street
AP�iYVi der Aala:P�rs
E://Ic��,u bpr�36 • llC 26
citylasm l'up
_215Z.728.214
Tahph, one Number
1011
Dale
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,WFT,U�rg Ad'diws m
ChI
ci
Telephone Number
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� 1 �
fx EATS
&Associates,lnc.
Since1918
PAY Four Hundred and 00/100 Dollars
TO NCDENR- Division of Coastal Mgmt,
96211
BRANCH BANKING AND TRUST COMPANY
GREENVILLE, NORTH CAROLINA
66-112-531
CHECK DATE May 12, 2011 J
0
Q
0
11'00096 2 1111, 1:0 5 3 10 1 L 2 1,1:000 5 2
AMOUNT $400.00
AND ASSOCIATES, INC.
a h'!
AUTHORIZED S