71235A_Dominion Energy North Carolina_20181030

�0CAMA / ❑ DREDGE & FILL N_ 71235
GENERAL PERMIT '� Previous permit#
L�New -Modification ❑Complete Reissue El Partial Reissue Date previous permit issued /
As authorized by the State of North Carolina, Department of Environmental Quality ?.t/
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
I?Rules attached.
Applicant Name w )= , 1.k rCL i4I . c
Address 5 300 I), c Wcxj cl i RA
City Y ,� u w1� State u_�, ZIP ^>-" yq
Phone # ( ) E-Mail
Authorized Agent ?1ja., S- (-%.)
Affected ❑ CW ❑ EW [XPTA ❑ ES PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / L110 PNA ® /no
Project Location: County L. �
Street Address/ State Road/ Lot #(s) 138 E Ho I ly
Subdivision
City ZIP a " b 9
Phone # ( ) River Basin o A-' IC
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Application Fee(s) Check #
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Issuing Date Expiration Date

NC Division of Coastal Mgt. Habitat impact Computer Sheet
Permit #:
Applicant:irv,,,��
Date:
Describe belo'V 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)
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)
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Dredge ❑ Fill ❑ Both ❑ Other
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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 ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmana-gement.net
revised: 02/03/10

Renaldi, Ronald
From: Peter Rascoe <[e-mail]>
Sent: Wednesday, September 05, 2018 11:32 AM
To: Renaldi, Ronald; Dabni Shelton
Cc: Wes Haskett
Subject: RE: [External] Dominion Energy of North Carolina - proposed installation of (1) 4inch
utility conduits (1 of 2)
Ron,
No objection.
Peter Rascoe
Town Manager
From: Renaldi, Ronald <[e-mail]>
Sent: Wednesday, September 05, 2018 10:49 AM
To: Dabni Shelton <[e-mail]>
Cc: Peter Rascoe <[e-mail]>; Wes Haskett <[e-mail]>
Subject: RE: [External] Dominion Energy of North Carolina - proposed installation of (1) 4inch utility conduits (1 of 2)
Yes, they sent them out yesterday. Since Southern Shores claims the canal bottom, I wanted to make sure you
knew. I would consider my email to you as the riparian notification for the projects. Just follow the normal
procedure for no objection/objection, just let me know.
Ron Renaldi
Field Representative
NC Division of Coastal Management
NC Department of Environmental Quality
[e-mail]
[phone] Ext. 237
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
If -
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Dabni Shelton [mailto:[e-mail]]
Sent: Wednesday, September 05, 2018 10:43 AM
To: Renaldi, Ronald <[e-mail]>
1

Cc: Peter Rascoe <[e-mail]>; Wes Haskett <[e-mail]>
Subject: RE: [External] Dominion Energy of North Carolina - proposed installation of (1) 4inch utility conduits (1 of 2)
Thank you Ron. Please continue to copy Peter and Wes on all correspondences pertaining to this
project so that they will also be made aware of the details pertaining to this project.
It appears by the date of the letter from Dominion, that they have notified the APO's? Is that a
correct assumption?
Da6ni Skelton, CZO/Cf=WCAMALFO
Permit Officer
Planning and Code Enforcement
Town of Southern Shores
5375 N. Virginia Dare Trail
Southern Shores, NC 27949
252-261-2394 ext 4 (office)
252-255-0876 (fax)
[e-mail]
www.southernshores-nc.gov
From: Renaldi, Ronald <[e-mail]>
Sent: Wednesday, September 05, 2018 10:33 AM
To: Dabni Shelton <[e-mail]>
Cc: Peter Rascoe <[e-mail]>; Wes Haskett <[e-mail]>
Subject: RE: [External] Dominion Energy of North Carolina - proposed installation of (1) 4inch utility conduits (1 of 2)
I can issue a GP for the subaqueous bore, but all parties in the area should be notified. Let me see if they have
some sort of easement that they haven't given me. I'm not so sure that I can issue a permit for boring on or
under private land without easements.
Ron Renaldi
Field Representative
NC Division of Coastal Management
NC Department of Environmental Quality
[e-mail]
[phone] Ext. 237
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909

K- rlo_
—I—Nothing-,�mpart-s -
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Dabni Shelton [mailto:[e-mail]]
Sent: Wednesday, September 05, 2018 10:26 AM
To: Renaldi, Ronald <[e-mail]>
Cc: Peter Rascoe <[e-mail]>; Wes Haskett <[e-mail]>
Subject: FW: [External] Dominion Energy of North Carolina - proposed installation of (1) 4inch utility conduits (1 of 2)
Ron,
Our Town Manager commented to say that the Town of Southern Shores is unaware of the
proposed work by Dominion Energy and the town is the owner in fee simple of the bottom land
of this canal - it is not Jean Guite Creek.
What is the CAMA procedure in order for them to proceed with this project?
Thanks,
Dabni
Da6ni ,Skelton, C7-O/CFWCAMA LFO
Permit Officer
Planning and Code Enforcement
Town of Southern Shores
5375 N. Virginia Dare Trail
Southern Shores, NC 27949
252-261-2394 ext 4 (office)
252-255-0876 (fax)
[e-mail]
www.southernshores-nc.gov
From: Dabni Shelton
Sent: Tuesday, September 04, 2018 4:57 PM
To:'Renaldi, Ronald' <[e-mail]>
Subject: RE: [External] Dominion Energy of North Carolina - proposed installation of (1) 4inch utility conduits (1 of 2)
I am not aware however, I forwarded your emails to Peter and Wes for their comments.

Da6ni 56elton, CZO/Cf=WCAMALFO
Permit Officer
Planning and Code Enforcement
Town of Southern Shores
5375 N. Virginia Dare Trail
Southern Shores, NC 27949
252-261-2394 ext 4 (office)
252-255-0876 (fax)
dshelton@southernshores -nc. gov
www.southernshores-nc.gov
From: Renaldi, Ronald <[e-mail]>
Sent: Tuesday, September 04, 2018 4:52 PM
To: Dabni Shelton <[e-mail]>
Subject: FW: [External] Dominion Energy of North Carolina - proposed installation of (1) 4inch utility conduits (1 of 2)
Importance: High
FYI. Is the Town aware of this request? I have a second one coming too.
Ron Renaldi
Field Representative
NC Division of Coastal Management
NC Department of Environmental Quality
[e-mail]
[phone] Ext. 237
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
Nothing Compares . .
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Timothy Harris [mailto:[e-mail]]
Sent: Tuesday, September 04, 2018 2:32 PM
To: Renaldi, Ronald <[e-mail]>
Subject: [External] Dominion Energy of North Carolina - proposed installation of (1) 4inch utility conduits
Importance: High

Ron,
Pleasure speaking with you. I have attached Dominion Energy of North Carolina documents for the proposed installation
of (1) 4" utility conduit in Southern Shores, North Carolina. I've attached Jay Crofton Information below. Should you
need any further rinformation feel free to contact me.
Jay Crofton information
Email: [e-mail]
Phone: Office (757)-397-1131
Cell: (757)-636-0036
Thank you,
Tim Harris
Timothy Harris
Draftsman
Office: 757-397-1131
Fax: [phone]
Cell: 757-544-4214
Email: [e-mail]
Crofton Industries
16 Harper Avenue
Portsmouth, VA 23707
www.crofton.com
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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date August 23, 2018
Name of Property Owner Applying for Permit:
Dominion Energy North Carolina
Mailing Address:
5300 The Woods
Kitty Hawk, NC 27949
I certify that I have authorized (agent)
Juan S. (Jay) Crofton
t0 act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Power Cable
at (my property located at) East of Holly Trail, beneath Jean Guite Creek to East of
Q2 ,m^k T,eo Trait
I, ,,..
This certification is valld thru (date)
X - X�2I�S
Property Owner Signature Date

4P CROFTON
757.397•1131 (24 hours)
757.397.8693 (fax)
16 Harper Avenue
PO Box 7756
Portsmouth, Virginia 23707
Dominion Energy North Carolina
Proposed Installation of (1) - 4" Utility Conduits
Horizontal Directional Drilling
Jean Guite Creek
Southern Shores, Virginia
N.C. Division of Coastal Management
Agency Authorization Form

757.397.113, (24 hours)
757.397.8693 (fax)
16 Harper Avenue
PO Box 7756
Portsmouth, Virginia 23707
Dominion Energy North Carolina
Proposed Installation of (1) - 4" Utility Conduits
Horizontal Directional Drilling
Jean Guite Creek
Southern Shores, Virginia
Project Drawings

41 CRorTON N
757.397.1131 (24 hours)
757.397.8693 (fax)
16 Harper Avenue
PO Box 7756
Portsmouth, Virginia 23707
As you review the application documents, we look forward to meeting with you or
speaking with you to further discuss the project.
Please call me at anytime should you have any questions and we will keep you apprised of
our progress during these operations.
Sincerely yours,
Juan S. Crofton
Crofton Diving Corporation
Agent, Dominion Energy North Carolina

757.397•1131 (24 hours)
757.397.8693 (fax)
16 Harper Avenue
PO Box 7756
Portsmouth, Virginia 23707
August 28th, 2018
North Carolina Department of Natural Resources
Division of Coastal Management
Elizabeth City District Office
1367 U.S. Hwy. 17 South
Elizabeth City, NC 27909
Attn: Ronald Renaldi
(District LPO Coordinator)
Topic: Dominion Energy - Southern Shores, North Carolina - Proposed Installation of (1) 4" HDPE
IPS SDR-11 Conduit
Mr. Renaldi,
With the public's demand for added electrical power throughout the geographical
region, Dominion Energy North Carolina is proposing to install (1)4' High -density
polyethylene (HDPE) IPS SDR-11 conduit to facilitate the installation of power cables
across the waterway. The proposed conduit will start east of Beech Tree Trail and span
west under the Jean Guite Creek to the east of Holly Trail in Southern Shores, North
Carolina.
The proposed conduit as shown on the drawings included with this letter, we propose to
start the installation from an entry pit east of Beech Tree Trail road and travel
approximately +/-300' to the edge of Jean Guite Creek. The conduit will then span across
approximately +/-54' beneath the bottom of Jean Guite Creek buried to a depth of 4.
The conduit will then travel upland approximately +/-240' and east of Holly Trail to an
exit pit. The directional bury method will also be utilized for +/-200' of electrical east of
Beech Tree Trail
We propose to install the new conduits by utilizing Horizontal Directional Drilling (HDD),
a method selected due to its minimal environmental impacts.
At the completion of the project, any areas disturbed by the construction efforts in the upland
areas will be addressed with regrading, seeding and strawing.
As you will see within the documents, along with the early visitations with the APO's on both
east and west sides of the project, we have provided registered mail receipts to the owners for
the written notification along with complete drawing packages. We expect the
acknowledgment forms to be signed and returned in prompt fashion and forms that are
returned to our office will be forwarded to your office.

41 CRorTON N
757.397•1131 (24 hours)
757.397•8693 (fax)
16 Harper Avenue
PO Box 7756
Portsmouth, Virginia 23707
Dominion Energy North Carolina
Proposed Installation of (1) - 4" Utility Conduits
Horizontal Directional Drilling
Jean Guite Creek
Southern Shores, Virginia
North Carolina Department of Natural Resources
Letter
� � 1

� CRorTON
757.397•1131 (24 hours)
757.397•8693 (fax)
16 Harper Avenue
PO Box 7756
Portsmouth, Virginia 23707
Dominion Energy North Carolina
Proposed Installation of (1) - 4" Utility Conduits
Horizontal Directional Drilling
Jean Guite Creek
Southern Shores, Virginia
Certified Receipts

4a CRorTON
SAMPLE LETTER
APO Request for Comment
757.397.1131 (24 hours)
757.397.8693 (fax)
16 Harper Avenue
PO Box 7756
Portsmouth, Virginia 23707
The permitting process requires notification of all owners of property adjacent to the project
site and allows these owners the opportunity to comment. Included with this notification is the
"Division of Coastal Management Adjacent Riparian property owner notification / waiver form".
Please fill out this form and return it in the included self-addressed stamped envelope to be
included in the approval process for this permit. A no response is viewed as approval of the
project. Should you have any questions at all and you would like to discuss the project and it's
impacts, please call on me at anytime. It is certainly the goal of Dominion Energy of North
Carolina to conduct all work operations with minimum impact to your property during these
critical construction operations.
I hope that this information meets with your approval and should you have any questions
please contact me at my office and I would also be glad to come and talk with you at any time
on the job site during the course of the application review process.
Thank you for your attention to this critical and strategic project at the Jean Guite creek in the
Southern Shores of North Carolina.
Sincerely yours,
Juan S. Crofton
Crofton Diving Corporation
Agent, Dominion Energy of North Carolina

757.397•1131 (24 hours)
CROFTON
757.397.8693 (fax)
16 Harper Avenue
PO Box 7756
D I V I N G Portsmouth, Virginia 23707
August 22"d, 2018
SAMPLE LETTER
Property Address:
137 beech Tree Trail
Mailing Address:
Cosgrove, Gary A
P.O. Box 943
Kitty Hawk, NC 27949
Subject: Dominion Energy of North Carolina
Jean Guite Creek
Southern Shores, North Carolina
Proposed Installation of (1) - 4" HDPE
Topic: Adjacent Property Owner Notification
Dear Sir or Ma'am,
Please find enclosed a location map and drawings applicable to the above titled project for which
we are proposing.
Crofton Diving Corporation, acting as agent for Dominion Energy of North Carolina in their
ongoing commitment to providing reliable electric power service to this geographical region, is
hereby proposing to install (1) - 4" HDPE in the Southern Shores, North Carolina. The process
will start east of Beech Tree Trail and be buried beneath the Jean Guite Creek to just west of
Holly Trail.
Proiect Description
The work process to conduct these operations is very low in impact with regards to the
environment and property. The work will be performed by way of Horizontal Directional
Drilling (HDD) operations, from an entry pit east of Beech Tree Trail and under Jean Guite Creek
to a receiving pit east of Holly Trail. The (HDD) technique is utilized to minimize disruption of
the project areas and is very low -impact in nature. The direct burial method will also be utilized
for approximately 200' east of Beech Tree Trail. At the completion of the project, any areas
disturbed by the construction efforts in the upland areas will be addressed with regrading,
seeding and strawing. Please find enclosed the drawings applicable to the proposed project.

757.397•tt31 (24 hours)
FTON 757 397 8G93 (fax)
4 CRO tG Harper Avenue
PO Box 7756
D I V I N G
Portsmouth, Virginia 23707
Dominion Energy North Carolina
Proposed Installation of (1) - 4" Utility Conduits
Horizontal Directional Drilling
Jean Guite Creek
Southern Shores, Virginia
Sample letter Sent to Adjacent Property Owners

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7 018 1130 0001 4320
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PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

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PS Form 3811, July 2015 PSN 7530-02-000-9053
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