NCDOT

❑dAMA / ©'6REDGE & FILL NO 70435 ^�
GENERAL PERMIT Previous permit# A —`B �`J °
ElNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality -
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑Rules attached.
Applicant Name _ Project Location: County
Address Street Address/ State Road/ Lot #(s) _
City State ZIP _
Phone # ( ) E-Mail Subdivision
Authorized Agent City __ ZIP
❑i CW AO EW ❑O PTA ElES ❑PTS Phone # ( )_ River Basin" -
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A i
AEC(s): Adj. Wtr. Body (nat)/man /unkn)
El PWS:
/`I M_: \A/a.. D.J..
Agent or Applicant Printed Name
Signature `*Please'read compliance statement on backof permit`K'
i
Application Fee(s) Check#
Permit Officer's Printed Name
Signature
u .h
Issuing Date
Expiration Date

NC Division, of Coastal Mgt. Application Computer Sheet, Page 3 of 4)
Applicant: N CTa�.7Q N �f
Date:. -7-3-) —1 r
Describe below the HABITAT disturbances for the}application. All values should match the name, and units of measurement
found In your Habitat code sheet
TOTAL Sq. Ft
FINAL Sq. Ft
TOTAL Feet
FINAL Feet
-
(Applied for..
(Anticipated tlnal
(Applied for
(Anticipated rrnal
Habitat Name
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
choose'one
Includeseny
Scludeaany
total Includes
Excludes any
-- -
-
anticipated.
;restoration-
anyanticlpated
restoration and/or
.
restoration or
and/or temp
restorflaon er
temp impact
-
tem im'acts)
im act amount)
amount
Dredge Fill c Both Other ❑
1
Dredge 9� FIII[Both S-10(0 r'❑
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Dredge it Fill E �Both lS'Other.❑-
Dredge fRU Both ❑ Other Lj-
-
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-[3. Fill ❑ Both i] Other ❑ -
-
-
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both [I Other ❑
_
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808.2808 :: 1-888.4RCOAST :: www.necoastalmanaaement.net revised: 02115110

RMWI
AFFUCATION ter
malor Development Permit tv
(last revised 12/27/06) y
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
North Carolina Department Of Transportation
Project Name (if applicable)
SR 1343 Pipe Replacement WBS#: 2B.201611
Applicant 1: First Name
Jay
MI
B
Last Name
Johnson
Applicant 2: First Name
MI
Last Name
It additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
1587
City
Greenville
State
NC
ZIP
278361587
Country
USA
Phone No.
252-439-2821
ext.
FAX No.
252-930-3341
Street Address (if different from above)
City
State
ZIP
Email
[e-mail]
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. i
-
- ext.
Phone No. 2
- ext.
FAX No.
Contractor #
Street Address (d different from above)
City
State
ZIP
Email
<Form continues on back> RECEIVED
252.808-2808 .. 1.888-4nGOAS r .. www.nccoastalmanayement.net 13 8
DCM-MHD CITY

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ®Yes ❑No
(11) Are there coastal wetlands on the site? ®Yes ONO
(ill) If yes to either (i) or (it) above, has a delineation been conducted? ®Yes ONO
(Attach documentation, if avalfable)
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? ❑Commerclal ®Public/Govemment
❑Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The 2 existing 81" x 63" corrugated metal pipe arches are failing, and will be replaced be a 49.5' 14'-10" x 4'-10" aluminum
box culvert. The proposed box culvert will keep the roadway from collapsing, thus preventing injury and death.
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, thenumber 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
I. What is the approximate total disturbed land area resulting from the proposed project? 1720 ®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
I. Will wastewater or slonnwater be discharged into a wetland? ❑Yes ®No ❑NA
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.
<Form continues on back> RECEIVED
252-808.2808 :: 1.888.4RCOAST :: www.nccoastalmanagement." 1
DCM-MHD CITY

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
Other
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
❑WL ❑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.
c. (i) Do you claim We to disposal area?
d. (i) Will a disposal area be available for future maintenance?
[]Yes []No ❑NA
❑Yes ❑No ❑NA
(h) If no, attach a letter granting permission from the owner.
(ii) If yes, where?
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
or other wetlands (WL)? If any boxes are checked, provide the
(ii) If yes, how much water area is affected?
number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of disposal in these areas:
RECEIVED
252-808.2808 :: 1-8884RCOAST revised: 12/26/06
DCM-MHD CITY

Form 0CM MP-5
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 ❑PubliclGovernment ❑Private/Community
c. Type of bridge (construction material):
e. (i) Will proposed bridge replace an existing bridge? ❑Yes ❑No
If yes,
(it) Length of existing bridge:
(!it) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
g. 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)
It. 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: I. 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:
2. CULVERTS ❑This section not applicable
a. Number of culverts proposed: 1
b. Water body in which the culvert is to be placed:
U!T The Straits
< Form continues on back>
RECEIVED
252-808-2808 :: 1.888.1RCOAST :: www.rlccoastalmanagement—net revised: 10/26/06
DCM-MHD CITY

Four 0CM YI% P-5 (®ridges and Culverts, Page 3 of A)
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 leftover will be taken back to maintenance
area.
(ii) Dimensions of the spoil disposal area: N/A
(Ili) Do you claim title to the disposal area? ®Yes ONO (lino, attach a lettergranting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? ❑Yes ®No
(v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (SB)?
❑CW ❑SAV OWL ❑SB ®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 ®No
If yes, give dimensions if different from (it) 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 NHW or NWL? ❑Yes ®No
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? ❑Yes ®No
If yes,
(Ii) Avg. length of area to be filled:
(Ili) Avg. width of area to be filled:
(iv) Purpose of fill:
(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 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
feel affected.
❑CW ❑SAV ❑SB
OWL ®None
(ii) Describe the purpose of the excavation in these areas:
a. Will the proposed project require the relocation of any existing b. Will the proposed project require the construction of any temporary
utility lines? ❑Yes ®No detour structures? ❑Yes ®No
If yes, explain: If yes, explain:
If this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification.
< Form continues on back>
RECEIVED
252-808-2808 :: 1-888-4RCOAST :: www_nccoastalmara3ement.net revised: 10/26/06
DCM-MHD CITY

PIPE REPLACEMENT
N SR 1343 (PIGOTT RD)
OVER U/T THE STRAITS
W E HARKERS ISLAND USGS QUAD MAP
BOGUE-CORE SOUNDS 03020106
S
WHITE OAK RIVER BASIN
WBS ELEMENT NUMBER 2B.201611
Pipe JUNE 25, 2018
Replacement
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Pipe Replacement
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RECEIVED
1,000 500 0 1,000 Feet JUL 13 2018
DCM-MHD CITY

PIPE REPLACEMENT v
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W E HARKERS ISLAND USGS QUAD MAFO N
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1,000 500 0 1,OOO Feet

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