NCDOT (6)

r. C AMA / 19DREOGE & FILL
q/
GENERAL
` PERMIT
A B `C' D
Previous permit#
Clew ❑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't�ules attached.
�4
' Applicant Name `
Project Location: 'County
j
'Ad dress3 '"�
Street Address/
State Road/ Lot #(s)
Cityf. State r"v: ZIP`
„Phone # O `r , �y3E-Mail }_': •., a , . ,;�
�,.. �-, tr ,,,.� Subdivision
..
Authorized Agent
City a
€ :, pj r.. ZIP
aoC v Lam]' w
(944A E •ES
❑ PTS
Phone # ( )
River Basin "l r t "
Affected
❑ OEA ❑ HHF
AEC(s):
❑ IH ❑ UBA
❑ N/A�'
Adj. Wtr. Body'
a (nat /manEl
PWS:
ORW yes ft no, l PNA`
no
Closest Mal Wtr. Body
(e�/
Type of Piroject/ Activity
0_.,t ,,y
(Scale: ,N P.k )
Pier (dock) length
Fixed Platform(s) "
Floating Platform(s)
Finger pier(s) _
Groin length
number
Bulkhead/ Popraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boitlift
Beach Bulldozing
Other

1-
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 El 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 Resources. Contact the Division of Water Resources 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
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of 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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastalmanagement.net/
Revised 08/27/ 14

�CAIIVIA / R6REDGE & FILL ® 67485
GFIv'NERAL PERMIT A B c °
Previous permit #
ew ❑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 I SA NCAC s
T ffTRules attached.
Applicant Name Project Location: County cat�^�
Address JP1 Street Address/ State Road/ Lot #(s) V -' -7'a 1
City �- 4-r'a 4/.Z State '` ZIP - �+ r 1 7 ,,r 0,yea r r o ,j?' � � �' :1
Phone # cV2-) q-79 — `E-Mail �'�� °°®'" ' '�t ' Subdivision
Authorized Agent'Citya^�i✓R 1 ZIP g�?�
Affected 14<W' CRVW ETA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWS:
ORW: yes /(n—(3) PNA
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number —
Bulkhead/ Riprap length
avg distance offshore '
max distance offshore
Basin, channel 1
cubic yards
Boat ramp '
Boathouse/ Boatlift
Beach Bulldozing '—
Other '."10 'q" x
Shoreline Length
"Ty
SAV: not sure
yes
no
Moratorium: n/a
yes
Photos:
.e
no
Waiver Attached:
yes
no
pt'S ❑ PTs Phone # ( ) River Basin WA +1e C
❑ USA ❑N/A Adj. Wtr. Body O Ifc ar <�� `nat man n n
no Closest Maj. Win Body �'r� -O"
AR
4)-" X -1-tV It
X ` -W 1 a ' I c la lVA-r-f-' 7'a 'r4Y/4 c-c
(Scale: /p// )
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
� Zf%ct�oll • � � ur,���� C��/vw' a h � d �.ra` VK �sr:..r�`
ccod'Y""'ec<- xwfM trl^c-s.`r if M
Agent or Applicant Printed Name
Signa re Please read compliance state ,lent on back of permit
qOo
❑ See note on back regarding River Basin rules.
Permit Officer's Prinjjted Name %
O'"�L''�" lfcn e_
f04
Signature r )t _ 11
Application Fee(s)
Check #
Issuing Date
Expiration Date

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
April 21, 2015
NCDOT
Attn: Jay Johnson
P.O. Box 1587
Greenville, N.C. 27835
Dear Sir or Madam:
Donald R. van der Vaart
Secretary
Attached is General Permit #67485 to construct two 42" X 44' culvert to replace the existing culvert at US70,
0.3 miles east of SR1373; Sea Level, North Carolina.
In order to validate this permit, please sign the permit as indicated. Retain the white copy for your files and
return the signed yellow and pink copies to us in the enclosed, self-addressed envelope. If the signed permit
copies are not returned to this office before the initiation of development, you will be working without
authorization and will be subject to a Notice of Violation and subsequent civil penalties.
We appreciate your early attention to this matter
Sincerely,
A
Stephen Lane
Coastal Management Representative
SL/rcb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity / Affirmative Action Employer
RECEIVED
APR 9 9 2015
VC--; Mr4P CITY

f
:1,� 1 a , a "of w sc. � t � , � ' L+ J :::� H .� K; t f Y..i a b ..� w 9 ,,, t ' .r�``:ca j _3 of 4
Applican'r: ��
Date:
Describe below the HABITAT disturbances for the application. All value,�; 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)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL. Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
t, 1 de
Dredge ❑ Fill ElBoth 02 / Other ❑
10
1 o
Dredge ❑ Fill 0-� Both ❑ Other ❑
'
r 30
Dredge ❑ Fill ❑ Both [+Other ❑
6 a b
b
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 ❑
RECEIVED
APR 2 9 2015
�a�Na-nNnr,� r��tay
282-808-2808 :: 1-888-4i1t;COAST :: www.roccoastalynanar ment.net revised:02115/10

MrLI
APMUDINfor
lWK INAt hmft
past revised 12127/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Department Of Transportation
Project Name (if applicable)
Sea Level Pipe Replacement - WBS#: 213.110161111
Applicant 1: First Name
Jay
MI
B.
Last Name
Johnson
Applicant 2: First Name
MI
Last Name
if additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
1587
City
Greenville
State
NC
ZIP
278351587
Country
USA
Phone No.
252 - 439 - 2800 ext.
FAX No.
252 - 830 - 3341
Street Address (if different from above)
City
State
ZIP
Email
[e-mail]
2. Agent/Contmctor Information
Business Name
Agentl Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
-
- ext.
Phone No. 2
- - ext.
FAX No.
Contractor #
AP
Street Address (rf different from above)
City
State
ZIP
Email
<Form continues on back>
ECEIVED
2 9 2015
F07mr-I x PITN9
RECEIVED
MAR 2 3 2015
252-808-2808 -. 1-888-4RCOAST .: www.nccoastalmanagement.net I -py yCITY

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Carteret
US 70
Subdivision Name
City
State
Zip
Phone No.
Lot No.(s) (if many, attach additional page with list)
- - ext.
I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
White Oak
Cedar Creek
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural ❑Manmade ❑Unknown
Core Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
❑Yes ®No
work falls within.
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
30'
N/A
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
(lf many lot sizes, please attach additional page with a list)
V ❑NHW or ®NWL
e. Vegetation on tract
Maintained Grasses
f. Man-made features and uses now on tract
Asphalt Road
g. Identify and describe the existing land uses adiaoent to the proposed project site.
Residential Property and Coastal Marsh
h. How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
N/A
(Attach zoning compliance certificate, if applicable)
❑Yes []No ®NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ❑No ®NA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes []No ®NA
National Register listed or eligible property?
<Form continues on next page>
RECEIVED
AR 2 3 7f"-
RECEIVED
APR 2 9 2015
�VA'-Wn�i lal+f.
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement. not

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ®Yes []No
(ii) Are there coastal wetlands on the site? ®Yes []No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ®Yes []No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
N/A
o. Describe existing drinking water supply source.
N/A
p. Describe existing storm water management or treatment systems.
N/A
5. Activities and Impacts
a. Will the project be for commercial, public, or private use?
❑Commercial ®PublictGovemment
❑Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The two existing 44' long 42" RCP's will be replaced by two 44' long 42" CAAP's. The proposed pipe will keep the roadway
from collapsing, thus preventing possible injury and death.
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
Typical roadway construction equipment will be used, including but not limited to tracked excavators, dump trucks, flat-bed
trucks, back -hoes and boom trucks.
d. List all development activities you propose.
Pipe Replacement
e. Are the proposed activities maintenance of an existing project, new work, or both?
Maintenance
f. What is the approximate total disturbed land area resulting from the proposed project?
775 ®Sq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area
[]Yes []No ®NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
N/A
AP
I. Will wastewater or stormwater be discharged into a wetland?
❑Yes ®No ❑NA ot;s.
If yes, will this discharged water be of the same salinity as the receiving water?
❑Yes []No ❑NA
j. Is there any mitigation proposed?
❑Yes ®No ❑NA
If yes, attach a mitigation proposal.
RECEI
<Fonn continues on back>
ECEIVED
' 2 9 2015
M^IKIr14;l "tdl
ED
MAR 2 3 2015
CITY
252.808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.not

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additionallnformadon
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Anthony C & Laura Salter, etux Phone No.
Address 1037 Hwy 70 E, Sea Level NC 28577
Name John Foster Ferretino etal Phone No.
Address P.O.Box 738, Graham NC 27253
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner]
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date March 3, 2015 Print Name Jay B. Johnson
Signature
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ®DCM MP-5 Bridges and Culverts
ODCM MP-3 Upland Development
ODCM MP-4 Structures Information
RECEIVED
APR 2 9 2015
k,thla� �y��lWhaltS,
RECEIVED
MAR 2 ,,3 'i?;
252-808-2808 . 1-888-4RCOAST .: www.nccoastatmanagement. not

Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access
tither
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL)
stabilization
Length
Width
Avg. Existing
NA
NA
Depth
Final Project
NA
NA
Depth
1. EXCAVATION ®This section not applicable
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
c. (i) Does the area to be excavated include coastal wetlands/marsh
d. High -ground excavation in cubic yards.
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
2. DISPOSAL OF EXCAVATED MATERIAL
®This section not applicable
a. Location of disposal area.
b. Dimensions of disposal area.
d. (i) Will a disposal area be available for future maintenance?
c. (i) Do you claim title to disposal area?
❑Yes ❑No ❑NA
❑Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner.
(ii) If yes, where?
RECEIVED
Apra 9- 9 2015
e. (i) Does the disposal area include any coastal wetlands/marsh
f. (i) Does the disposal include any area in the water?
(CW) submerged aquatic vegetation (SAV), shell bottom (SB),
❑Yes ❑No ❑NA
f?Cdn-n'AI !r� f lt�ti
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(ii) If yes, how much water area is affected?
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of disposal in these areas:
RECEIVED
MAR 2 3 2015
e,!TY
252-808-2808 :: 1-888.4RCOAST :: www.nccoastalmanagement.net revised: 12/26/06

Form ®CM MP-2 (Excavation and Fill, Page 2 of 2)
3. SHORELINE STABILIZATION ❑This secfion not applicable
(if development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization:
❑Bulkhead ®Riprap ❑Breakwater/Sill ❑Other:
c. Average distance waterward of NHW or NWL: 2'
e. Type of stabilization material:
RipRap
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill Riprap 60
Breakwater/Sill Other
I. Source of fill material.
b. Length: 31Y
Width: 5'
d. Maximum distance waterward of NHW or NWL: 5'
f. (i) Has there been shoreline erosion during preceding 12
months?
❑Yes ®No ❑NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
h. Type of fill material.
Sand
4. OTHER FILL ACTIVITIES ®This section not applicable
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brouqht to the site? ❑Yes ❑No ❑NA b. (i) Will fill material be placed in coastal wetlands/marsh (CW),
If yes,
(ii) Amount of material to be placed in the water
(iii) Dimensions of fill area
(iv) Purpose of fill
submerged aquatic vegetation (SAV), shell bottom (5B), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the fill in these areas:
& GENERAL
a. How will excavated or fill material be kept on site and erosion b. What type of construction equipment will be used (e.g., dragline,
controlled? backhoe, or hydraulic dredge)?
NCDOT BMP's Typical road construction equipment
c. (i) Will navigational aids be required as a result of the project?
[]Yes ®No ❑NA
(ii) If yes, explain what type and how they will be implemented.
March 3, 2015
Date
Sea Level Pipe Replacement
Project Name
d. (i) Will wetlands be crossed in transporting equipment to project
site? []Yes ❑No ®NA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Jay B. Johnson RECEivFn
Applicant Name
APR 2 9 2015
Applicant Signature
RECEIVED
MAR % 43 2015
fallca+rguMi��r ir, Rlq^ 7W
252-808.2808 :: 1-888.4RCOAST :: www.nccoastalmanag-gment.net revised: 11/26/06

Fora OCNI NP-5
BRIDGES and CULVERTS
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. BRIDGES ®This section not applicable
a. Is the proposed bridge:
❑Commercial ❑PublictGovemment ❑Private/community
c. Type of bridge (construction material):
e. (i) Will proposed bridge replace an existing bridge? ❑Yes ❑No
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
9• Length of proposed bridge:
b. Water body to be crossed by bridge:
d. Water depth at the proposed crossing at NLW or NWL:
f. (i) Will proposed bridge replace an existing culvert? ❑Yes ❑No
If yes,
(ii) Length of existing culvert:
(iii) Width of existing culvert:
(iv) Height of the top of the existing culvert above the NHW or
NWL:
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
h• Width of proposed bridge:
i. Will the proposed bridge affect existing water flow? ❑Yes []No j. Will the proposed bridge affect navigation by reducing or
If yes, explain: increasing the existing navigable opening? ❑Yes ❑No
If yes, explain:
k. Navigation clearance underneath proposed bridge:
1. Have you contacted the U.S. Coast Guard concerning their
approval? ❑Yes ❑No
If yes, explain:
m. Will the proposed bridge cross wetlands containing no navigable n. Height of proposed bridge above wetlands:
waters? ❑Yes ❑No
If yes, explain:
RECEIVED
APR 2 9 2015
t k?kw•+arir� "Tw
2. CULVERTS [I This section not applicable
a. Number of culverts proposed: 2 b. Water body in which the culvert is to be placed: RECEIVED
Cedar Creek
MAR 2015
< Form continues on back>
252-808-2808 :: 1-888.4RCOAST :: www.nccoastalmanagement.net revised: 10/26/06

Form DCM MP-5 (Bridges and Culverts, Page 2 of 4)
c. Type of culvert (construction material):
CAAP
d. (i) Will proposed culvert replace an existing bridge?
[]Yes ONO
If yes,
(11) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
f. Length of proposed culvert: 44'
h. Height of the top of the proposed culvert above the NHW or NWL.
1'
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? []Yes ONo
If yes, explain:
e. (i) Will proposed culvert replace an existing culvert?
®Yes []No
If yes,
(ii) Length of existing culvert(s): 44'
(iii) Width of existing culvert(s): 42"
(iv) Height of the top of the existing culvert above the NHW or
NWL: V
(v) Will all, or a part of, the existing culvert be removed?
(Explain) All of the existing culvert will be removed.
9• Width of proposed culvert: 42"
I. Depth of culvert to be buried below existing bottom contour.
1'
k. Will the proposed culvert affect existing water flow?
©Yes ONo
If yes, explain:
3. EXCAVATION and FILL ❑This section not applicable
a. (i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ®Yes []No
If yes,
(0) Avg. length of area to be excavated: 5' on each end
(iii) Avg. width of area to be excavated: 15'
(iv) Avg. depth of area to be excavated: 1'
(v) Amount of material to be excavated in cubic yards: 5_6
c. (1) Will the placement of the proposed bridge or culvert require any
high -ground excavation? ®Yes []No
If yes,
(ii) Avg. length of area to be excavated: 49
(iii) Avg. width of area to be excavated: 15'
(iv) Avg. depth of area to be excavated: 1'
(v) Amount of material to be excavated in cubic yards: 22.2
b. (i) Will the placement of the proposed bridge or culvert require any
excavation within coastal wetlands/marsh (CM, submerged
aquatic vegetation (SAV), shell bottom ($B), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
OCW 60 []SAV 0S13
OWL []Norte
(ii) Describe the purpose of the excavation in these areas:
Pipe replacement
RECEIVED
APR 2 9 2015
RECEIVED
MAR .2 3 2ol,5
ot'rw�r,", �,",v
252-808-2808 :: 1-888-4RCOAST :: www.necoastaimanpgement.net revised: 10/26/06

Form ®CM MP-5 (Bridges and Culverts, Page 3 of 4)
d. If the placement of the bridge or culvert involves any excavation, please complete the following:
(i) Location of the spoil disposal area: Excavated material will be reused on site, any left over will be taken back to maintenance
area.
(ii) Dimensions of the spoil disposal area: N/A
(iii) Do you claim title to the disposal area? ®Yes ONO (if no, attach a lettergranliing permission from the owner.)
(iv) Will the disposal area be available for future maintenance? OYes ONO
(v) Does the disposal area include any coastal wetlandsimarsh (CW), submerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (SB)?
❑CW OSAV OWL OSB ®None
If any boxes are checked, give dimensions if different from (ii) above.
(vi) Does the disposal area include any area below the NHW or NWL? ? []Yes ONO
If yes, give dimensions if different from (ii) above.
e. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed below NM or NWL? ❑Yes ONO
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
g. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed on high -ground? OYes ONO
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
4. GENERAL
a. Will the proposed project require the relocation of any existing
utility lines? ❑Yes ONO
If yes, explain:
If this portion of the proposed project has already received
approval from local authorthes, please attach a copy of the
approval or ce►tiecation.
(1) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
❑CW ❑SAV OSB
OWL ®None
(ii) Describe the purpose of the excavation in these areas:
b. Will the proposed project require the construction of any temporary
detour structures? ❑Yes ONO
If yes, explain:
Form continues on back:,,
RECEIVED
APR 2 9 1015
RECEI\4i,QW�-kvanw ", I
MAR 2 3 2015
F7<�M-anPAI? F;-;''rH
282-808.2808 :: 1-888-4RCOAST :: www.nccoastalmanaaement.net revised: 10/26/06

Form DCM MP-5 (Bridges and Culverts, Page 4 of 4)
c. Will the proposed project require any work channels? d. How will excavated or fill material be kept on site and erosion
❑Yes ®No controlled?
If yes, complete Form DCM-MP-2. Use BMP's
e. What type of construction equipment will be used (for example, f. Will wetlands be crossed in transporting equipment to project site?
dragline, backhoe, or hydraulic dredge)? ❑Yes ®No
Typical roadway construction equipment will be used, If yes, explain steps that will be taken to avoid or minimize
including but not limited to tracked excavators, dump environmental impacts.
trucks, flat-bed trucks, back -hoes and boom trucks.
g. Will the placement of the proposed bridge or culvert require any
shoreline stabilization? ❑Yes ®No
If yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
March 3, 2015
Date
Sea Level Pipe Replacement
Project Name
Jay B. Johnson
Applicant Name
Applicant Signs
RECEIVED
APR 2 9 2015
RECEIVED
MAR l 3
252-808-2808 :: 1-888-4RCOAST :: wwwmccoastalmananement.net revised: 10/26/06

Pipe Pipe Replacement Sea Level
Replacement
US 70
OVER CEDAR CREEK
DAVIS USGS QUAD MAP
_ t BOGUE-CORE SOUNDS 03020106
CEDAR CREEK SA; HQ W
WHITE OAK RIVER BASIN
WBS ELEMENT NUMBER 2B.101611
MARCH 3, 2015
ATLANT FiELd �
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Pipe
Replacement
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2,000 Feet
Pipe Replacement Sea Level
US 70
OVER CEDAR CREEK
DAVIS USGS QUAD MAP
BOGUE-CORE SOUNDS 03020106
CEDAR CREEK SA; HQW
WHITE OAK RIVER BASIN
WBS ELEMENT NUMBER 2B.101611
MARCH 3, 2015
RECEIVEL,
MAR 2 i ?n-r,

UNITED STATES POSTAL SERVICE First -Class Mail
Postage 8 Fees Paid
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4® in this box*
NC Department of Transportation
Division of Highway
'PO Box.1587
Greenville NC 27835'

■ Complete items 1, 2, and3. 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.
A.
X ❑ Agent
❑ Addressee
mived by nted r e) C. Date of Delivery
bull ��
D. Is delivery address t m item 17
1. Article Addressed to: If YES, enter de' � d ss below:
John Fosse- Ferre-no
(j, I3 oC 7,3 o? I MAR 10 2015
3. Service Type
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❑Registered Return
❑ Insured Mail oils
4. Restricted Delivery? (Extra Fee ❑ Yes
2. Article Number
(Transfer from service iadeq 7 Q 13' 1040, D 1311111 10 0 9 - 4.9 9 2
PS Form 3811, July 2b13 Domestic Return Receipt

UNITEDf_RLAMQf IpMpft%7. <
.,09 MAR .. DJL5 1,
• Sender: Please print your name, address, and ZIP+4® in this box*
J NC Department of Trans o
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PO Box i 587
Greenville NC 278'35-'
oil IIJIll11li1lllll�l�l.iillillllr1,l,11lll1111111111 1111.111111

p 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 mailpiede,
orpn:the front if space permits.
1. Article Addressed to:
}� n -h o ny C t au.#1�.
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2. Article Number, ( i I i s`i i
(transfer from serv6 label) —
A. Signature
X ❑Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3:�.Service Type
IkCertitied•Maile 0 Priority Mail Express,
-❑ Registered ❑ Return Receipt for Merchandise
F7j ❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
PS Form 3811. July 2013 Domestic Return Receipt

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