71722D - Leland

4 Xt96aD 1544 Y l L
�m/LAMA / ❑ DREDGE & FILL
N�) 71722 A B C (`"
GENERAL PERMIT
�!Aew
Previous permit #
❑Modification [-]Complete Reissue ❑Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality �1 / /oO
Resources I SA NCAC (3
and the Coastal Commission in an area of environmental concern pursuant
to if
1
Applicant Name ?l:N� !(_' Lt'�it Ik f,�� Vid y'r/J�
❑ Rules attached.
Project Location: County .../1SL�jf.�
Addre��ss''��I UL111;1� � ] NA-l.l � /��/�
Street Address/ Staate Road/ Lot #(s) �"jKa!� I ity,/iy
City LAM J _ Stat//eiNG ZIP a0 11
✓b.1t 1� #� 7000 Ocam ilwy
Phone # (f lO) 341 /,241 E-Mail 4 141k (VkMt f; Wild,11#j Subdivision
Authorized Agent tAf .Clt eio PV fltl,r v-s-
City J-e4G1 -ld, ZIP �i4 51
Affected t I eW DEW A PTA f 1 ES ❑PTS
Phone # ( __) ._.. River Basin
AEC s : I i OEA ❑ HHF ❑ IH I I UBA ❑ N/A
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Ad'. Wtr. Body at man lunkn
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PWS:
ORW: yes ! 9PNA yes / ro
'n
Closest Mal. Wtr. BodyISW,/Qfi"
Type of Project/ Activity MOP05
1 de 6Y
Pier (dock) length
Fixed Platform(s) ed
Floating Platform(s)
Finger pier(s)—
Groin length I' Yh/1
number — hol A W.
Bulkhead/ Riprap length --
avg distance offshore --.
max distance offshore
Basin, channel
cubic yards
Boat ramp --
Boathouse/ Boatlift
%0,51W, 100' aio'-' 16'',i6 ?ateoa� . Sc;Ki1c'/tJ srw6,—
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(Scale: Att5
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Other , n
A 'iJl'r
-� '4 yy�� ppe/+y it �J Qir ,' ctL/ beR'i i
Shoreline Length it NO
SAV: of sur yes no L� (•(,(/
i
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes 2Y 1 _ __ __
❑See note on back regarding River Basin rules. A building permit may be required by:
( Note Local Planning Jurisdiction /
Notes/ Special Conditions 4!1/( 5 0/ye+ �yt5 � La1N t&Q ,15 aei&s
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Ag; or Applicant Pnnte4 Name PermitOfficeri noted line — --
Signature "Please read compliance statement on back of permit'" Signature
Application Fee(s) Check # Issuing�ate Expiration Date

YCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
VNew ❑Modification ❑Complete Reissue ❑Partial Reissue
No 71722
Previous permit #_
Date previous permit issued
A B C
As authorized by the State of North Carolina, Department of Environmental Quality //'�� '` 160�
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC V -ff
❑ Rules attached.
Applicant Name/W/) 41� �eh(gd lba{/l &Oi _s Project Location: County W,G
Address To 4& W, Street Address/ State Road/ Lot #(s)mak/
Ciry State NG ZIP &4 51 V-(1'f917Y fff 71w Ocran �w y F "
Phone # (Q/,o 3 u� q E-Mail k /1�fem Subdivision
Authorized Agent 1��p ���J, )PA4 l-� Ciry-P.�Li'((�. ZIP O� 5Q S
❑ Cw
❑ EW X PTA El ES ElPTS
Phone # ( )
River Basin CC/
Affected
AEC(s): EloEA
❑ HHF ❑ IH ❑ USA ❑ N/A
Adj. Wtr. Body ZC tDll<
CW4 JR/man Junkn
❑ PWS:
ORW: yes / ef',
P(Do yes /
Closest Maj. Wtr. Body &n4A41K
' 9
/CI._,�e1'
ch Bulldozing
11
reline Length
yes no
ME
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit"
(� lq cl
Application Fee(s) Check #
1111E/�i,� 4L///4!:2
Permit0(ficer's nnted
ame
Signature
issuiAg ate Expiration Date

tLMG
LAND MANAGEMENT GROUP
a DAVEY company
January 18, 2019
TO: Ms. Debbie Wilson
NC Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405
RE: CAMA General Permit 0.1600 Application
Town of Leland Regional Pump Station; Brunswick County, NC
Applicant: Town of Leland
Dear Ms. Wilson:
On behalf of the Town of Leland, Land Management Group is submitting a CAMA General Permit
application for a public trust waters crossing for the Town of Leland Regional Pump Station project.
As part of their overall sewer expansion plan, the Town proposes to construct a 1.7 MGD pump
station to be located between Hewett Burton and Kay Todd Roads and approximately 12,350' of 16"
force main along the southern US-17 Corridor in the Town of Leland. The sewer line will be servicing
portions of Brunswick Forest and other properties west of Sunny Point Railroad. The sewer line will
be directionally bored under Jackeys Creek (Public Trust Waters) and its adjacent wetlands. The line
will be located within the NCDOT Right -of -Way and the Town will obtain an encroachment agreement
from the NC DOT prior to initiating the work.
This application requests CAMA General Permit 0.1600 to authorize the installation of the new sewer
line underneath this public trust waters via directional drilling. The entry and exit points for the
directional drill would be located in uplands and would not impact the wetlands on either side of the
creek. The pipe would be located a minimum of 4' below the bottom of the creek/wetland substrate.
LMG delineated wetlands within the project area and field -reviewed wetland limits with USACE
representative Gary Beecher. Mr. Beecher issued a Preliminary JD for the site in December of 2018
(Action ID# SAW-2018-02337). In addition to the public trust waters crossing, the sewer line will cross
one other wetland via open cut methodology. The applicant will be submitting a NWP 12 application
to the USACE and a 401 WQC application to the NC DWR shortly for this impact.
The adjacent riparian landowner to the crossing at the location of the directional drill has been
notified and a copy of the notification letter is included in this application. The "green card receipt"
from this certified mail notification will be forwarded to your office once it is received. If you have
any questions, or would like to discuss the application, please do not hesitate to call.. ,
. .C__L� VEL.,
GCM WILMINGTON, NC
www.lmgroup.net • [e-mail] • Phone: [phone] • Fax: [phone]
3805 Wrightsville Ave., Suite 15, Wilmington, NC 28403 JAN 2 3 2019

Thank you for your assistance.
Sincerely,
Kim Williams
Environmental Scientist
Encl.
Cc: David Hollis, Town of Leland
Greg Wayne, Hanover Design Services
C 7'VEC`
DCM WILMiNGTON, NC
JAN 2 3 2019

"'�LMG
LAND MANAGEMENT GROUP
a DAVEY. company
January 18, 2019
TO: Jackeys Creek Land Company LLC
c/o Scott Sullivan
PO Box 3649
Wilmington, NC 28406
RE: Notification of CAMA General Permit 0.1600 Application
Town of Leland Regional Pump Station and Sewer Main; Brunswick County
Applicant: Town of Leland
Dear Mr. Sullivan:
This letter serves to notify you of work proposed by the Town of Leland within their public utility
easement in Brunswick County, NC, adjacent to your property. Specifically, the Town is planning to
install a sewer force main under a public trust waterbody, Jackeys Creek. Because this proposed work
is located within an Area of Environmental Concern as regulated by the NC Coastal Area Management
Act (CAMA), a CAMA Permit is required.
As an adjacent riparian landowner, you are required by the CAMA permit application process to be
notified. I have enclosed the CAMA permit application materials as they have been submitted to the
local Division of Coastal Management office. If you have any questions regarding the enclosed
information, please feel free to contact me at 910-452-0001 or at [e-mail]. Ms.
Debbie Wilson at the NC Division of Coastal Management's Wilmington office is processing the
application and can also be contacted. A notification form is enclosed which you can return to the
NC Division of Coastal Management office (address provided on form). Any objections or concerns
about the work can also be directed to that office.
Sincerely,
Kim Williams
Environmental Scientist
Encl.
Cc: Mr. David Hollis, Town of Leland
Mr. Greg Wayne, Hanover Design Services 'EL,�
Ms. Debbie Wilson, NC DCM "WiNGTON, NC
JAN232019
www.lmgroup.net • [e-mail] • Phone: [phone] • Fax: [phone]
3805 Wrightsville Ave., Suite 15, Wilmington, NC 28403

■ Complete items 1, 2, and 3.
■ 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 mailplece,
or on the front if space permits.
1. Article Addressed to:
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9590 9403 0119 5077 8032 99
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7005 1820 0002 9135 7866
Ps Form 3811, April 2015 PSN 7530-02-000-9053
A. Si"ureX Agent
Addressee
B. R Name) C. Date of Delivery
J�J-f�1 -
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
O PriorityMali E ress®
❑ Adult Signature
0 Registered MallTlTI M
" i Adult Signature Restricted Delivery
Certified Mall®
❑ Registered Mal Restricted
Delivery
)Q
I ! Certified Mail Restricted Delivery
❑ Retwn Recolict for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
0 Signature Confirmation-
❑ Insured Mail
El Signature Confirmation
i ! InsufAd Mall Restricted Delivery
Restricted Delivery
(over VSnO)
Domestic Return Receipt

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
Town of Leland/David Hollis
102 Town Hall Drive
Leland, NC 28451
910-371-1249
[e-mail]
I certify that I have authorized Land Management Group
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Installation of 16" force main
sewer line across Public Trust Waters AEC (Jackeys Creek) via directional bore.
at my property located at NC DOT ROW public utility easement; parallel to Hwy 17
in Brunswick
County.
1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
�I
Signafu
Print or Type Name
,r.
`Kj✓1.,`'j.:-�
Title
Date
This certification is valid through f I / ?- I l E01 " VED
DGM WILMiNGTON, NC
JAN 2 3 2019

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MMap Source: NC Open Street Map D (; i
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Sources: Esri, HERE, DeLorme, USGS, Intermap, INCREMENT P, NRCan, Esri Ja an,
METI, Esri China (Hong Kong), Esri Korea, Esri (Thailand), Mapmylndia, NGCC,
OpenStreetMap contributors, and the GIS User Community
SCALE 1" = 1 mile
Town of Leland
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�;LMG
Regional Pump Station and Sewer Line
o
Brunswick County, NC
cc
LAND NIAN,�(,rA-ENIkA<OUE'
Sheet 1 of 4
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Vicinity Map
January 2019
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3805 Wrightsville Avenue
Wilmington, NC 28403
LMG18.321
Phone:[phone]
Fax:[phone]

*Boundaries are approximate and are not meant to beebsor�'1t�� SCALE 1" — 1200'
Map Source: 2016 NC Onemao D L ±il
Town of Leland
Regional Pump Station and Sewer Line
Brunswick County, NC
January 2019
LMG18.321
LMG
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Z 3805 Wrightsville Avenue
0 Wilmington, NC 28403
Phone:[phone] Fax:[phone]
Sheet 2 of 4
2016 Aerial Photograph

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER
GOVERNOR
May 30, 2019
COUNTY: Brunswick
SUBJECT: Encroachment Contract #E033-010-19-00058 —Town of Leland
David A. Hollis
Town Manager
Town of Leland
102 Town Hall Drive
Leland, NC 28451
Dear Mr. Hollis:
JAMES H. TROGDON, III
SECRETARY
Attached for your files is a copy of the above -referenced Right of Way Encroachment Contract,
properly executed. This contract covers the following:
Installation of 9,456LF of 16-inch C905 DR-18 force main sewer pipe by directional bore, bore
and jack and trenching along the south side of US 17 beginning just west of Kay Todd Road then
ending approximately 580LF west of the West Gate Drive/US 17 Intersection. in Leland.
APPROVED SUBJECT TO: Attached Special Provisions
Carl Barclay, MPA, PE
State Utilities Manager
DocuSigned by
CIAAASBAED54467...
Larry D. Sanders, PE
State Encroachments Engineer
LDS/dhp
Attachment
Mailing Address: Telephone: [phone]
NC DEPARTMENT OF TRANSPORTATION Fax: [phone]
1555 MAIL SERVICE CENTER Customer Service: 1-877-3684968
RALEIGH, NC 27699-1555
Website: www.ncdot.gov
Location:
1000 BIRCH RIDGE DRIVE
RALEIGH, NC 27610

SPECIAL PROVISIONS
R/W 16.2
Town of Leland
E033-010-19-00058
WORK ZONE TRAFFIC CONTROL QUALIFICATIONS AND TRAINING PROGRAM
All personnel performing any activity inside the highway right of way are required to be
familiar with the NCDOT Maintenance / Utility Traffic Control Guidelines (MUTCG). No
specific training course or test is required for qualification in the Maintenance /Utility
Traffic Control Guidelines (MUTCG).
All flagging, spotting, or operating Automated Flagger Assist Devices (AFAD) inside the
highway right of way requires qualified and trained Work Zone Flaggers. Training for
this certification is provided by NCDOT approved training resources and by private
entities that have been pre -approved to train themselves.
All personnel in charge of overseeing work zone Temporary Traffic Control operations and
installations inside the highway right of way are required to be qualified and trained Work
Zone Supervisors. Training for this certification is provided by NCDOT approved training
resources.
For questions and/or additional information regarding this training program please refer
to our web site at https://connect.ncdot.eov/pro*ects/WZTC/Paees/Trainine.aspz or can
J.S. (Steve) Kite, PE at [phone] or skite(a)ncdot.eov or Roger Garrett at (919) 814-
5045 or rmearrett(&ncdot.eov, both with the NCDOT Work Zone Traffic Control Section.
1. The encroaching party shall notify the District Engineer's office at telephone [phone]
prior to beginning construction and after construction is complete.
2. An executed copy of this encroachment agreement shall be present at the construction site at all
times during construction. If safety or traffic conditions warrant such an action, NCDOT reserves
the right to further limit, restrict or suspend operations within the right of way.
3. NCDOT does not guarantee the right of way on this road, nor will it be responsible for any claim
for damages brought about by any property owner by reason of this installation.
4. The encroaching party is required to contact the appropriate Utility Companies involved and
make satisfactory arrangements to adjust the utilities in conflict with the proposed work prior to
beginning construction.
5. The applicant is responsible for all expenses for the full-time NCDOT certified inspector. The
applicant is required to submit the resume of the NCDOT certified inspector at least 30 days
prior to begin of project.
6. NCDOT certified roadway inspector must be on site during the construction of the subject
project to ensure the contractor adheres to the NCDOT Standard Specifications for Roads and
Structures and 2018 NCDOT Roadway Standard Drawings.
Special Provisions Page 2 of 5
R/W 16.2
Town of Leland
E033-010-19-00058

7. Excavation within 1000 feet of a signalized intersection will require notification by the
encroaching party to the Division Traffic Engineer at telephone number [phone]. All
traffic signal or detection cables must be located prior to excavation. Cost to replace orjepair
NCDOT signs, signals, or associated equipment shall be the responsibility of the encroaching
party.
8. The encroaching party shall comply with all applicable Federal, State and local environmental
regulations and shall obtain all necessary Federal, State and local environmental permits,
including but not limited to, those related to sediment control, stormwater, wetland, streams,
endangered species and historical sites.
9. The contractor shall not begin the construction until after the traffic control and erosion control
devices have been installed to the satisfaction of the District Engineer.
10. Trenching, bore pits and/or other excavations shall not be left open or unsafe overnight.
11. The Contractor shall comply with all OSHA requirements and provide a competent person on
site to supervise excavation at all times.
12. All fill areas/backfill shall be compacted to 95% density in accordance with AASHTO T99 as
modified by the NCDOT. All material to a depth of 8 inches below the finished surface of the
subgrade shall be compacted to a density equal to at least 100% of that obtained by compacting a
sample of the material in accordance with AASHTO T99 as modified by the Department. The
subgrade shall be compacted at a moisture content which is approximately that required to
produce the maximum density indicated by the above test method. The contractor shall dry or
add moisture to the subgrade when required to provide a uniformly compacted and acceptable
subgrade.
13. Vegetative cover shall be established on all disturbed areas in accordance with the
recommendations of the Division Roadside Environmental Engineer.
14. Proper temporary and permanent measures shall be used to control erosion and sedimentation in
accordance with all local, State and Federal regulations.
15. All materials and workmanship shall conform to the NCDOT Standards and Specifications for
Roads and Structures.
16. Strict compliance with the Policies and Procedures for Accommodating Utilities on HighwaY
Ejg6 s oLWay manual shall be required.
17. Minimum wall thickness for 36inch steel encasement shall be 0.375 inches.
18. This agreement does not give permission to work on railroads right of way. A separate permit
from North Carolina Railroad Company is needed.
19. The resetting of the Control of Access fence shall be in accordance with the applicable NCDOT
standard and as directed by the District Engineer.
20. Excavation material shall not be placed on pavement. Drainage structures shall not be blocked
with excavation materials. Any drainage structure disturbed or damaged shall be restored to its
original condition as directed by the District Engineer.
Special Provisions Page 3 of 5
R/W 16.2
Town of Leland
E033-010-19-00058

21. Any disturbed guardrail shall be reset according to the applicable standard or as directed by the
District Engineer.
22. All driveways altered during construction shall be returned to a state comparable with the
condition of the driveways prior to construction.
23. Right of Way monuments disturbed during construction shall be referenced by a registered Land
Surveyor and reset after construction.
24. All roadway signs that are removed due to construction shall be reinstalled as soon as possible.
25. The party of the second part agrees to provide traffic control devices, lane closures, road
closures, positive protection and/or any other warning or positive protection devices necessary
for the safety of road users during construction and subsequent maintenance. This shall be
performed in conformance with the latest NCDOT Roadway Standard Drawings and Standard
peci ications for Roads and Structures and amendments or supplements thereto. When there is
no guidance provided in the NCDOT Roadway Standard Drawings and Standard Specifications
for Roads and Structures, comply with the Manual on Uniform Traffic Control Devices or
Streets and Hi—ahways and amendments or supplements thereto. Information as to the above rules
and regulations may be obtained from the NCDOT Division Engineer.
26. All lanes of traffic are to be open during the hours of 6:00 A.M. to 9:00 A.M. and from 4:00 P.M.
to 6:00 P.M., or as designated by the District Engineer. Traffic shall be maintained at all
times.
27. Ingress and egress shall be maintained to all businesses and dwellings affected by the project.
Special attention shall be paid to police and fire stations, fire hydrants and hospitals.
28. Any work requiring equipment or personnel within 5' of the edge of any travel lane of an
undivided facility and within 10' of the edge of any travel lane of a divided facility shall require
a lane closure with appropriate tapers.
29. Work requiring lane or shoulder closures shall not be performed on both sides of the road
simultaneously within the same area.
30. No parking or material storage shall be allowed along the shoulders of any state- maintained
roadway.
31. During non -working hours, equipment shall be parked as close to the right of way line as
possible and be properly barricaded in order not to have any equipment obstruction within the
Clear Recovery Area.
32. The utility shall be installed outside the theoretical 1:1 slope from the edge of pavement to the
bottom of the nearest excavation wall.
33. Directional drilling methods have not been given statewide approval for use on NCDOT right of
way. Under no condition shall jetting alone or wet boring with water of utility pipelines be
allowed. Directional boring using jetting with a Bentonite (or equivalent material) slurry is
approved at a minimum depth of ten (10) feet below the pavement surface [fifteen (15') feet
below the surface of partial and/or full control of access roads] and two (2) feet below any ditch
line. Directional boring is not allowed in embankment material. Directional boring is allowed
beneath embankment material in naturally occurring soil. Any parallel installation utilizing the
directional boring method shall be made at a minimum depth of three (3') feet (cover) below the
ground surface and outside the theoretical 1:1 slope from the existing edge of pavement except
Special Provisions Page 4 of 5
R/W 16.2
Town of Leland
E033-010-19-00058

where the parallel installation crosses a paved roadway. All directional bores shall maintain ten
(10) feet minimum (clear) horizontal distance from the nearest part of any structure, including
but not limited to bridges, footings, pipe culverts or box culverts. All directional bores shall
maintain ten (10) feet minimum (clear) vertical distance from the nearest part of pipe culverts or
box culverts. Directional bores are not allowed beneath bridge footings, culvert wingwall
footings or retaining walls. The tip of the drill string shall have a cutter head. Detection wire
shall be installed with non-ferrous material. Any changes shall be submitted to the District
Engineer for approval prior to construction. For multiple conduit installations (including
perpendicular & parallel installations), install conduits with five (5) feet minimum (clear)
horizontal separation between each conduit or install multiple conduits within a single duct. An
overbore shall not be more than two (211) inches greater than the diameter of the pipe or
encasement. An overbore exceeding two (2") inches greater than the diameter of the pipe
or encasement will be considered if the encroachment agreement includes a statement
signed and sealed by a licensed North Carolina Professional Engineer indicating that an
overbore in excess of two (211) inches of the diameter of the pipe or encasement will arch
and no damage will be done to the pavement or sub -grade. HDPE pipe installed by
directional boring shall not be connected to existing pipe or fittings for one (1) week from the
time of installation to allow tensional stresses to relax.
34. All utility access points, such as manholes, splice boxes and junction boxes shall be located at or
outside the right of way line. Manholes, splice boxes, junction boxes and vaults shall not be
placed in the ditch line, side slopes of the ditches or in the pavement. All manholes, splice boxes,
junction boxes and vaults and covers shall be flush with the ground when located within the
vehicle recovery area.
35. All utility facilities, including manholes, valve boxes, meter boxes, splice boxes, junction boxes,
vaults and access covers, within NCDOT right of way shall have been designed for HS-20
loading rated for continuous traffic. A listing of currently approved manholes and vaults is
available at https://apps.dot.state.nc.us/vendor/approvedproducts. If any proposed structure is
not of a design pre -approved by NCDOT, the encroaching party shall submit details and design
calculations signed and sealed by a Professional Engineer for approval prior to construction.
36. Any pavement replacement or repair required due to this installation shall be the responsibility of
the encroaching party. Pavement repair or replacement shall be in accordance with the
requirements of and to the satisfaction of the District Engineer.
37. Any utility marker required shall be as close to the Right of Way line as possible. If it is not
feasible to install markers at or near right of way specific written approval shall be obtained from
NCDOT prior to installation.
38. Note that this review is intended for the general conformance with the policies and procedures
concerning the protection of current and potential future facilities located within the NCDOT
rights of way and easements. This review and associated plan comments in no way construes any
design, design change, or change in the intent of the design by the Owner, Design Engineer, or
any of their representatives.
Special Provisions Page 5 of 5
R/W 16.2
Town of Leland
E033-010-19-00058

STATE PROJECT STATE OF NORTH CAROLINA
ROUTE US-17 FEDERAL PROJECT COUNTY Brunswick
DEPARTMENT OF TRANSPORTATION RIGHT OF WAY
-AND- ENCROACHMENT AGREEMENT
Town of Leland INTERSTATE AND OTHER CONTROLLED
102 Town Hall Drive; Leland, NC 28451 5/30/2019ACCESS HIGHWAYS
THIS AGREEMENT, made and entered into this the day of 20 by and between the Department
of Transportation, party of the first part; and the Town of Leland
party of the second part,
WITNESSETH
THAT WHEREAS, the party of the second part desires to encroach on the right of way of the public road designated as
Route(s) US-17 located In the southern ROW of US-17 starting 700' +/-
ENE of the Kay Todd Rd/US-17 intersection and ending at approximately 580' WSW of the West Gate Dr/US-17 intersection.
with the construction and/or erection of: 9456' +1- of 16" C905 DR-18 Force Main and appurtenances to be installed at
approximately 12' offset from the southern right of way.
WHEREAS, it is to the material advantage of the party of the second part to effect this encroachment, and the party of
the first part in the exercise of authority conferred upon it by statute, is willing to permit the encroachment within the limits of the
right of way as indicated, subject to the conditions of this agreement;
NOW, THEREFORE, IT IS AGREED that the party of the first part hereby grants to the party of the second part the right
and privilege to make this encroachment as shown on attached plan sheet(s), specifications and special provisions which are
made a part hereof upon the following conditions, to wit:
That the installation, operation, and maintenance of the above described facility will be accomplished in accordance with
the party of the first part's latest POLICIES AND PROCEDURES FOR ACCOMMODATING UTILITIES ON HIGHWAY
RIGHTS -OF -WAY, and such revisions and amendments thereto as may be in effect at the date of this agreement Information
as to these policies and procedures may be obtained from the Division Engineer or State Utility Agent of the parry of the first
part.
That the said party of the second part hereby agrees that access for servicing its facilities will be limited to access via (a)
frontage roads where provided, (b) nearby or adjacent public roads and street, or (c) trails along or near the highway right of
way lines, connecting only to an intersecting road; from any one or all of which entry may be made to the outer portion of the
highway right of way. The party of the second part's rights of access to the through -traffic roadways and ramps shall be subject
to the same rules and regulations as apply to the general public, except ff an emergency situation occurs, and the usual means
of access for service operation as herein provided will not permit the immediate action required by the party of the second part
in making emergency repairs as required for the safety and welfare of the public, the party of the second part shall have a
temporary right of access to and from the through -traffic roadways and ramps as necessary to accomplish the required
emergency repairs, provided that the party of the second part complies with the regulations established by the party of the first
part for policing and control to protect the highway users.
That the said party of the second part binds and obligates himself to install and maintain the encroaching facility in such
safe and proper condition that It will not Interfere with or endanger travel upon said highway, nor obstruct nor interfere with the
proper maintenance thereof, to reimburse the party of the first part for the cost incurred for any repairs or maintenance to Its
roadways and structures necessary due to the installation and existence of the facilities of the party of the second part, and if at
any time the party of the first part shall require the removal of or changes in the location of the said facilities, that the said party
of the second part binds himself, his successors and assigns, to promptly remove or after the said facilities, in order to conform
to the said requirement, without any cost to the party of the first part.
That the party of the second part agrees to provide during construction and any subsequent maintenance proper signs,
signal lights, flagmen and other warning devices for the protection of traffic in conformance with the latest Manual on Uniform
Traffic Control Devices for Streets and Highways and Amendments or Supplements thereto. Information as to the above rules
and regulations may be obtained from the Division Engineer of the party of the first part.
That the party of the second part hereby agrees to indemnify and save harmless the party of the first part from all
damages and claims for damage that may arise by reason of the installation and maintenance of this encroachment.
That the party of the second part agrees to restore all areas disturbed during instalation and maintenance to the
satisfaction of the Division Engineer of the party of the first part. The party of the second part agrees to exercise every
reasonable precaution during construction and maintenance to prevent eroding of soil; silting or pollution of rivers, streams,
lakes, reservoirs, other water impoundments, ground surfaces or other property; or pollution of the air. There shall be
compliance with applicable rules and regulations of the North Carolina Division of Environmental Management, North Carolina
Sedimentation Control Commission, and with ordinances and regulatlons of various counties, municipalities and other official
agencies relating to pollution prevention and control. When any installation or maintenance operation disturbs the ground
surface and existing ground cover, the party of the second part agrees to remove and replace the sod or otherwise reestablish
the grass cover to meet the satisfaction of the Division Engineer of the party of the first part.
That the party of the second part agrees to assume the actual cost of any inspection of the work considered to be
necessary by the Division Engineer of the party of the first part.
FORM R/W 16.2
Rev. July 1, 1977 Page 1 of 3

That the party of the second part agrees to have available at the constriction site, at all times during construction, a copy
of this agreement showing evidence of approval by the party of the first part. The party of the first part reserves the right to stop
all work unless evidence of approval can be shown.
Provided the work contained in this agreement is being performed on a completed highway open to traffic; the party of
the second part agrees to give written notice to the Division Engineer of the party of the first part when all work contained herein
has been completed. Unless specifically requested by the party of the first part, written notice of completion of work on highway
projects under construction will not be required.
That in the case of noncompliance with the terms of this agreement by the party of the second part, the party of the first
part reserves the right to stop all work until the facility has been brought into compliance or removed from the right of way at no
cost to the party of the fret part.
That it is agreed by both parties that this agreement shall become void if actual construction of the work contemplated
herein is not begun within one (1) year from the date of authorization by the party of the first part unless written waiver is
secured by the party of the second part from the party of the first part.
During the performance of this contract, the second party, for itself, its assignees and successors in interest (hereinafter
referred to as the "contractor), agrees as follows:
a. Compliance with Regulations: The contractor shall comply with the Regulations relative to nondiscrimination in
Federally -assisted programs of the U. S. Department of Transportation, Title 49, Code of Federal Regulations,
Part 21, as they may be amended from time to time, (hereinafter referred to as the Regulations), which are
herein incorporated by reference and made a part of this contract.
b. Nondiscrimination: The contractor, with regard to the work performed by it during the contract, shall not
discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors,
including procurements of materials and leases of equipment The contractor shall not participate either directly
or indirectly in the discrimination prohibited by Section 21.5 of the Regulations, including employment practices
when the contract covers a program set forth in Appendix B of the Regulations.
c. Solicitations for Subcontracts. including Procurements of Materials and Eoubment: In all solicitations either by
competitive bidding or negotiation made by the contractor for work to be performed under a subcontract,
including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be
notified by the contractor of the contractor's obligations under this contract and the Regulations relative to
nondiscrimination on the grounds of race, color, or national origin.
d. Information and Reports: The contractor shall provide all information and reports required by the Regulations, or
directives issued pursuant thereto, and shall permit access to its books, records, accounts, other sources of
information, and its facilities as may be determined by the Department of Transportation or the Federal Highway
Administration to be pertinent to ascertain compliance with such Regulations or directives. Where any
information required of a contractor is in the exclusive possession of another who fails or refuses to furnish this
information, the contractor shall so certify to the Department of Transportation, or the Federal Highway
Administration as appropriate, and shall set forth what efforts it has made to obtain the information.
e. Sanctions for Noncompliance: In the event of the contractors noncompliance with the nondiscrimination
provisions of this contract, the Department of Transportation shall Impose such contract sanctions as it or the
Federal Highway Administration may determine to be appropriate, including, but not limited to,
(1) withholding of payments to the contractor under the contract until the contractor
complies, and/or
(2) cancellation, termination or suspension of the contract, in whole or in part.
f. Incorporation of Provisions: The contractor shall include the provisions of paragraphs 'a' through "t' in every
subcontract, including procurements of materials and leases of equipment, unless exempt by the Regulations, or
directives Issued pursuant thereto. The contractor shall take such action with respect to any subcontract or
procurement as the Department of Transportation or the Federal Highway Administration may direct as a means
of enforcing such provisions including sanctions for noncompliance: Provided, however, that, in the event a
contractor becomes involved in, or is threatened with, litigation with a subcontractor or supplier as a result of
such direction, the contractor may request the Department of Transportation to enter into such litigation to
protect the interests of the State, and, in addition, the contractor may request the United States to enter into
such litigation to protect the interests of the United States.
R/W (162) : Party of the Second Part certifies that this agreement is true and accurate copy of the form
RAN (162) incorporating all revisions to date.
IN WITNESS WHEREOF, each of the parties to this agreement has caused the same to be executed the day and year first
above written.
I)E TMENT OF TRANSPORTATION
State Encroachments Engineer
>�1�fiPAhi��B�t�c �lcib�+'
x
David A. Hollis, Town Manager, Town of Leland
102 Town Hall Drive; Leland, NC 28451. 910-371-0148
Second Party

INSTRUCTIONS
When the applicant is a corporation or a municipality, this agreement must have the corporate seal and be attested
by the corporation secretary or by the empowered city official, unless a waiver of corporate seal and attestation by
the secretary or by the empowered City official is on file in the Raleigh office of the Manager of Right of Way. In the
space provided in this agreement for execution, the name of the corporation or municipality shall be typed above the
name, and title of all persons signing the agreement should be typed directly below their signature.
When the applicant is not a corporation, then his signature must be witnessed by one person. The address should
be included in this agreement and the names of all persons signing the agreement should be typed directly below
their signature.
GENERAL REQUIREMENTS
Wherever possible, freeway crossing should be parallel to and within the prevailing right of way of intersecting
roads.
Crossings should be as near as possible normal to the center line of the freeway.
Parallel encroachments will not be permitted except outside of control of access lines.
The Departments Division Engineer should be given notice by the applicant prior to actual starting of
installations included in this agreement.
For Overhead Wire Lines
1. Minimum vertical clearances of overhead wires above all roadways must conform to clearances set out in the
National Electric Safety Code.
2. Supporting poles or structures must be dear of control of access lines, and be at least 30 feet clear of the
edge of shoulders of through lanes and 20 feet clear of the shoulders of Interchange ramps.
For Underground Utilities
1. Open -cut installation for crossings will be permitted only when a highway project is in rough grading stage prior
to paving. Generally, on rough grading projects, open -cut will not be permitted in fills of over 10 feet in depth
and back filled material must be compacted to maximum density meeting Department requirements.
2. Encasements under an existing freeway must be installed by means of tunneling, jacking, or boring and any
voids outside the encasement must be filled with lean concrete grout and the ends of encasements be
satisfactorily dosed.
3. In cut section, encasement must extend continuously from ditch line to ditch line and in fill section,
encasement must extend continuously five feet beyond toe to slopes.
4. Vents for encasement should be extended to the right of way line or as otherwise required by the Department.
5. All pipe encasements as to material and strength shall meet the standards and specifications of the
Department.
6. When trenching is carried down cut slopes, excavation must be backfilled to maximum density and the
disturbed portion of the slope be stabilized and sodded to the satisfaction of the Department's Engineer.
Plans
This Encroachment agreement must be accompanied, in the form of an attachment, by a plan showing the
following:
1. All roadways and ramps
2. Right of way and control of access lines
3. Drainage structures or bridges if affected by encroachment
4. Location of the proposed encroachment
5. Length, size and type of encroachment
6. Dimensions, showing the distance from the encroachment to roadways, shoulders, structures, etc.
7. Location by highway surrey station number. If station number cannot be obtained, location should be shown
by distance from some identifiable point, such as a bridge, road intersection, etc. (To assist in preparation of
the encroachment plan, Department roadway plans may be seen at the various Highway Division Offices or at
the Raleigh Office.)
All encroachment agreements involving the crossing of the right of way, roadways and/or ramps of a freeway, must be
accompanied, in the form of an attachment, by a profile showing the following information:
1. The profile should extend from right of way line to right of way line and show all slopes (cut or fill), ditches,
shoulders, pavements, medians, etc.
2. A vertical dimension from bottom of road ditches and from surface of pavement to encroaching structures.
3. Length, size, and type of encasement where required.
4. Notation of portion to be installed by open -cut_
5. For underground encroachments involving encasements that must be vented, the location of vents must be
shown.
6. Method of installation must be shown in detail on either the plan or profile.
7. Any attachment to a bridge or other drainage structure must be approved by the Department's Bridge Design
Unit
8. Where profile is required, it should be on same sheet with the plan.
SPECIAL PROVISIONS OR SPECIFICATIONS
Any special provisions or specifications as to the performance of the work or the method of construction that may be
required by the Department must be shown on a separate sheet attached to encroachment, provided that such
information cannot be shown on the plan and profile sheet.
Page 3 of 3

CLOY COOPER
Coeernor
MICHAEL S. REGAN
Secretory
S. DANIEL SMITH
Inretfrn Director
NORTH CAROLINA
Environmental Quality
February 25, 2019
LETTER OF APPROVAL WITH MODIFICATIONS
AND PERFORMANCE RESERVATIONS
Town of Leland
AI"IN: David Hollis; PE, Town Manager
102 Town Hall Drive
Leland, NC 28451
RE Project'Name: Town of Leland Pumn Station
Acres Approved: 8.3
Project ID: BRU'�S-2019-059
County: Brunswick, City: Leland
Address: US 17
River Basin: Cape Fear
Stream Classification: tither
Submitted By: Adam Grady, PE, Hanover Design Services, P.A.
Date Received by LQS: February 1, 2019 and February 13, 2019
Plan Type: Other
Dear Mr. Hollis:
This office has reviewed the subject erosion and sedimentation control plan. We End the plan to be
acceptable and hereby issue this Letter of Approval. The enclosed Certificate of Approval must be
posted at the job site. This plan approval shall expire three (3) years following the date of approval, if
no land -disturbing activity has been undertaken, as is required by Title 15.A NCAC 4B .0129.
Please be aware that your project will be covered by the enclosed NPDES Construction Stormwater
General. Permit NCG010000. Please become familiar with all the requirements and conditions of this
permit in order to achieve compliance.
Title 15A NCAC 4B .0118(a) requires that a copy of the approved erosion control plan be on file
at the job site. Also, this letter gives the notice required by G.S. 113A-61.1(a) of our right of
periodic inspection to ensure compliance with the approved plan.
North Carolina's Sedimentation Pollution Control Act is performance -oriented, requiring protection of
existing natural resources and adjoining properties. If, following the commencement of this project,
the erosion and sedimentation control plan is inadequate to meet the requirements of the Sedimentation
Pollution Control Act of 1973 (North Carolina General Statute 113A-51 through 66), this office may
require revisions to the plan and implementation of the revisions to ensure compliance with the Act.
North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
a '4 910 796,7215

Letter of Approval with Modifications and Performance Reservatias
Towrn of Leland
February 25, 2019
Page 3ofE4
_MODIFICATIONS AND PERFORMANCE RESERVATIONS
Project Name: Town of Leland Pump Station
Project 1.D: BRG:NS-2019-059
County: Brunswick
1. This plan approval shall expire three (3) years following the date of approval, if no land -disturbing
activity has been undertaken, as is required by Title 15A NCAC 413 .0129.
The developer is responsible for the control of sediment on -site. If the approved erosion and
sedimentation control measures prove insufficient, the developer must take those additional steps
necessary to stop sediment from leaving this site (NCGS 113A-57(3)). Each sediment storage device
must be inspected after each storm event (NCGS I I 3A-54. I (e)). Maintenance and/or clean out is
necessary anytime the device is at 50% capacity. All sediment storage measures will remain on site
and functional until all grading and final landscaping of the project is complete (15A RCAC 04B .0113)
Any and all existing ditches on this project site are assumed to be left undisturbed by the proposed
development unless otherwise noted. The removal of vegetation within any existing ditch or channel
is prohibited unless the ditch or channel is to be regarded with side slopes of 2 horizontal to l vertical
or less steep (I5A NCAC 04B .0124 (d)). Bank slopes may be mowed, but stripping of vegetation is
considered new earth work and is subject to the same erosion control requirements as new ditches
{? ICGS l I3A-52(6)).
The developer is responsible for obtaining any and all permits and approvals necessary for the
development of this project prior to the commencement of this land disturbing activity. This could
include our agency's Stormwater regulations and the Division of Water Resources' enforcement
requirements within Section 401 of the Clean Water Act, the U.S. Army Corps of Engineers'
jurisdiction of Section 404 of the Clean Water Act, the Division of Coastal Management's CAMA
requirements, the Division of Solid Waste Management's landfill regulations, the Environmental
Protection Agency and/or The L.S. Army Corps of Engineers jurisdiction of the Clean Water Act, local
County or Municipalities' ordinances, or others that may be required. This approval cannot supersede
any other permit or approval; however, in the case of a Cease and Desist Order from the Corps of
Engineers, that Order would only apply to wetland areas. All highland would still have to be in
compliance with the N.C. Sedimentation Pollution Control Act.
If any area on site falls within the jurisdiction of Section 401 or 404 of the Clean Water Act, the
developer is responsible for compliance with the requirements of the Division of Water Resources
(DWR), the Corps of Engineers and the Environmental Protection Agency (EPA) respectively. Any
erosion control measures that fall within jurisdictional wetland areas must be approved by the
aforementioned agencies prior to installation. The Land Quality Section must be notified of a relocation
of the measures in question to the transition point between the wetlands and the uplands to assure that
the migration of sediment will not occur. If that relocation presents a problem or contradicts any
requirements of either DWR, the Corps, or the EPA, it is the responsibility of the developer to inform the
Land Quality Section regional office so that an adequate contingency plan can be made to assure sufficient
erosion control remains on site. Failure to do so will be considered a violation of this approval (NCGS
113A-54.I (b)).

Hanover Design Services, P.A.
Land Surveyors, Engineers, Land Planners
ENCROACHMENT PROJECT NARRATIVE for
Town of Leland
Located in the Town of Leland, Brunswick County, North Carolina
Prepared for:
Town of Leland
102 Town Hall Drive
Leland, NC 28451
910-371-0148
PROJECT DESCRIPTION —
This linear utility project is for the construction of a new regional pump station and force main
in the Town of Leland, Brunswick County, NC. The regional pump station will serve western
portions of Brunswick Forest and various future tracts to the south and west along the US-17
corridor. This pump station will tie into a combination 16"/10" which was just recently
extended from the newly constructed pump Town of Leland Pump Station #10. Planned start
of construction is April/May 2019.
Portions of the force main of will encroach on the southwestern ROW of US-17 beginning just
East of the Kay Todd/US-17 intersection extending east to a tie in location approximately 200'
east of the Progress Energy easement crossing at US-17. Total length of force main encroaching
in the NCDOT ROW is 9,442'. The portion of US-17 where the force main is proposed is
partially controlled. The force main will be located approximately 12' offset from the southern
row, which has been previously discussed with the NCDOT. The purpose of the 12' offset is
there is currently an existing 6" force main approximately 5' offset from the row. Additionally,
the proposed path lines up with a cleared -out corridor of the row, which would mean easier
access for installation and less adverse impacts in the ROW. The projected force main path will
cross two drives, a railroad, and two wetland areas. The crossings at the existing
intersections/driveways will be made by directional bore method. The crossing at the railroad
will be bored and a casing installed per the USACE. The wetland just east of Brunswick Forest
Parkway will be crossed via open cut having only temporary impacts. Nationwide permit has
been applied for and is pending. The other wetland crossing located in the progress energy
easement will be directionally bored having no impacts on the wetland. No traffic impacts are
expected during the utility construction.
Please see the Town of Leland Regional Pump Station preliminary plans and profiles sheets 4
through 10 for further information.
1123 Floral Parkway Wilmington, N.C. 28403 Phone [phone] Fax [phone]
Business Firm License No. C-0597

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hi Growing our futum. Nourishing our roots.
102 Town Hall Drive - Leland, North Carolina 28451
[phone] - Fax [phone]
April 23, 2019
Mr. Patrick Wurzel
NCDOT District 3
300 Division Drive
Wilmington, NC 28401
Re: NCDOT Encroachment Agreement — E033-010-19-00058
Town of Leland Regional Pump Station and US-17 Force Main Extension
Dear Mr. Wurzel:
The Town of Leland is in the process of permitting the Town of Leland Regional Pump Station and
US-17 Force Main Extension project. The Town agrees not to release the contractor's bond until
NCDOT has signed off on and approved the completed work. We understand that in doing so a
separate bond will not be required from the contractor.
Thank you for your assistance with this matter. Please call if you have any questions.
Sincerely,
David Hollis `
Town Manager
Cc: Gary Vidmar, Town of Leland
Adam Grady, Hanover Design Services
Brenda Bozeman
Pat Batleman
Michael Callahan
Mayor
Mayor Pro -Tern
CGtlnellmernber
Bob Campbell
Bob Corriston
David A. Hollis
Councilnmmber
Councilniember
Town Nlana,cr

DocuSign Envelope ID8486A8A0-238F-4CC5-A186-C696937BB4E4
ROY COOPER
Governor
MICHAEL S. REGAN
Secretory
LINDA CULPEPPER
Director
Town of Leland
Mr. David Hollis
102 Town Hall Drive
Leland NC 28451
Subject Property:
NORTH CAROLINA
Environmental Quality
March 7, 2019
Brunswick County
DWR Project: 2019-0113
Town of Leland Regional Pump Station & Sewer Line
Approval of 401 Water Quality Certification with Additional Conditions
Dear Mr. Hollis,
You have our approval, in accordance with the attached conditions and those listed below, to
temporarily impact 0.27 acres of 404 wetlands in order to construct a sewer force main and a pump
station along the US-17 corridor in the Town of Leland as described in the application received by
the N.C. Division of Water Resources (DWR) on January 23, 2019. After reviewing your
application, we have decided that the impacts are covered by General Water Quality Certification
Number 4133 (GC4133).
In addition, you should obtain or otherwise comply with any other required federal, state or local
permits before you go ahead with your project including (but not limited to) Erosion and Sediment
Control, Non -discharge, and stormwater regulations. Also, this approval to proceed with your
proposed impacts or to conduct impacts to waters as depicted in your application shall expire upon
expiration of the 404 Permit. This Certification can also be found on line at:
http://portal.ncdenr.org/web/wg/swp/Ws/40 I /certsandperm its.
This approval is for the purpose and design that you described in your application. If you change
your project, you must notify us and you may be required to send us a new application. If the
property is sold, the new owner must be given a copy of this Certification and approval letter and
is thereby responsible for complying with all conditions. If total fills for this project (now or in
the future) exceed one acre of wetland or 150 linear feet of stream, compensatory mitigation may
be required as described in 15A NCAC 211.0506 (h). This approval requires you to follow the
conditions listed in the attached certification and any additional conditions listed below.
North Carolina Department of Environmental Quality ? Division of Water Resources
Wilmington Regional Office 127 Cardinal Drive Extension Wilmington. North Carolina 28405
k.Qw)
910,796,7215

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Brunswick County
2019-0113
The Additional Conditions of the Certification are:
1. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the Certification. If
you change your project, you must notify the Division and you may be required to submit
a new application package with the appropriate fee. If the property is sold, the new owner
must be given a copy of this approval letter and General Certification and is responsible
for complying with all conditions. Any new owner must notify the Division and request
the Certification be issued in their name { 15A NCAC 02H .0501 and .0502).
2. Any final construction plans for this project must include or reference the application and
plans approved by the Division under this authorization letter and certification. The
applicant will also be required to evaluate all acquired permits to assure that they are
consistent and all relative impacts are accounted for and shown on the construction plans.
[15A NCAC 02H .0502 (b) and 15A NCAC 02H .0506 (4)] The applicant shall require his
contractors (and/or agents) to comply with all of the terms of this Certification and shall
provide each of its contractors (and/or agents) a copy of this Certification.
3. Turbidity Standard
The turbidity standard of 50 NTUs (Nephelometric Turbidity Units) shall not be exceeded
as described in 15 A NCAC 2B .0220. Appropriate sediment and erosion control practices
must be used to meet this standard. Turbidity curtains shall be used as appropriate. Please
notify this Office if any turbidity issues arise at 910.796.7215
4. This General Certification shall expire on the same day as the expiration date of the
corresponding General Permit. The conditions in effect on the date of issuance of the
Certification for a specific project shall remain in effect for the life of the project, regardless
of the expiration of this Certification.
5. The permittee shall require its contractors and/or agents to comply with the terms of this
permit in the construction and maintenance of this project and shall provide each of its
contractors and/or agents associated with the construction or maintenance of this project a
copy of this certification. A copy of this certification including all conditions shall be
available at the project site during the construction and maintenance of this project. [15A
NCAC 02H .0507 (c) and 15A NCAC 02H .0506 (b)(2) and (c)(2)]
6. Continuing Compliance:
7. The applicant/permittee and their authorized agents shall conduct all activities in a manner
consistent with State water quality standards (including any requirements resulting from
compliance with 303(d) of the Clean Water Act), and any other appropriate requirements

DocuSign Envelope ID 8486A8A0-238F-4CC5-A186-C696937BB4E4
Page 3
Brunswick County
2019-0113
of State and Federal law. If the Division determines that such standards or laws are not
being met, including failure to sustain a designated or achieved use, or that State or Federal
law is being violated, or that further conditions are necessary to assure compliance, than
the Division may reevaluate and modify this General Water Quality Certification. [15A
NCAC 02H .0507(d)]
8. All mechanized equipment operated near surface waters or wetlands will be regularly
inspected and maintained to prevent contamination of waters and wetlands from fuels,
lubricants, hydraulic fluids or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill, the permittee/contractor shall immediately contact the
Division of Water Quality, between the hours of 8 am to 5 pm at the Wilmington Regional
Office at 910.796.7215 and after hours and on weekends call [phone].
Management of such spills shall comply with provisions of the North Carolina Oil
Pollution and Hazardous Substances Control Act. [15A NCAC 02H .0506 (b)(3) and
(c)(3), 15A NCAC 02B .0200 (3)(f), and GS 143 Article 21A].
9. Fueling, lubrication and general equipment maintenance should not take place within 50
feet of a waterbody or wetlands to prevent contamination by fuel and oils. [I 5A NCAC
02H .0506 (b)(3) and (c)(3) and 15A NCAC 02B .0200 (3)(f)].
10. This certification grants permission to the director, an authorized representative of the
Director, or DEQ staff, upon the presentation of proper credentials, to enter the property
during normal business hours 15A NCAC 02H.0502(e).
11. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or
applicable Buffer Rules, and any subsequent modifications, the applicant and/or
authorized agent is required to return a completed certificate of completion form to the
NCDEQ DWR 401 and Buffers Unit North Carolina Division of Water Resources, 1617
Mail Service Center, Raleigh, NC, 27699 within ten days of project completion. The
certification of completion is available at:
http://portal.ncdenr.org/web/wq/swp/ws/401 /certsandpermits/apply/forms).
Violations of any condition herein set forth may result in revocation of this Certification and
may result in criminal and/or civil penalties. The authorization to proceed with your proposed
impacts or to conduct impacts to waters as depicted in your application and as authorized by this
Certification shall expire upon expiration of the 404 or CAMA Permit.
This approval and its conditions are final and binding unless contested.
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH). A petition form may be obtained from the OAH at

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Brunswick County
2019-0113
http://www.ncoah.com/ or by calling the OAH Clerk's Office at [phone] for
information. Within sixty (60) calendar days of receipt of this notice, a petition must be filed with
the OAH. A petition is considered filed when the original and one (1) copy along with any
applicable OAH filing fee is received in the OAH during normal office hours (Monday through
Friday between 8:00 am and 5:00 pm, excluding official state holidays). The petition may be faxed
to the OAH at [phone], provided the original and one copy of the petition along with any
applicable OAH filing fee is received by the OAH within five (5) business days following the
faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings
1711 New Hope Church Road
Raleigh, NC 27609-6285
One (1) copy of the petition must also be served to DEQ:
William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
This letter completes the review of the Division of Water Resources under Section 401 of the
Clean Water Act. If you have any questions, please telephone Chad Coburn in the DWR
Wilmington Regional Office at [phone] or Chad.Cobum g,ncdenr.gov.
Sincerely,
E DmuSigmd
by,
E3ABA14AC7DC434...
Morella Sanchez -King, Regional Supervisor
Water Quality Regional Operations Section
Wilmington Regional Office
Division of Water Resources, NCDEQ
Enclosure: GC4133
cc: Kim Williams — Land Management Group, Inc. (via email)
Gary Beecher - USACE Wilmington Regulatory Field Office (via email)

National Pollutant Elimination System (NPDES)
Stormwater Permit Compliance Certification
I Adam H. Grady , a duly authorized representative of
Town of Leland , an industrial/commercial/residential
facility requesting attachment to a North Carolina Department of
Transportation highway drainage system at US-17 in
Brunswick
County, do hereby certify the following:
Check and circle what applies
4 The Industrial / Commercial ! Residential facility does not require
an NPDES stormwater permit.
® The Industrial / Commercial / Residential facility does require an
NPDES stormwater permit. The permit has been obtained, and a
Stormwater Pollution Prevention Plan (SPPP) is in place.
1 JQ1 A/ NGp O S' f-b z`lOk
I understand if the Department of Transportation determines the
facility is not in compliance with NPDES stormwater permit
requirements, the Department will report the noncompliance to the
N.C. Division of Water Quality. I also understand that falsification of
this certification may result in penalty of law against the facility and me
as prescribed in the North Carolina General Statues.
Signature:
Date: 2-1-19
Note: If the applicant has a question as to whether an NPDES
stormwater permit is required, he or she may contact the N.C. Division
of Water Quality in Raleigh at [phone] (ask for Stormwater and
General Permits Unit).

VERIFICATION OF COMPLIANCE WITH
ENVIRONMENTAL REGULATIONS
(Check Appropriate Box)
Permits from the N.C. Department of Environment and Natural Resources and the
U.S. Army Corp of Engineers are not required for this project. However, all applicable
federal and state regulations have been followed.
© The required permits from the N.C. Department of Environment and Natural Resources
and the U.S. Army Corp of Engineers have been obtained for this project. Copies of
permits and Completion Certificates are attached.
*Erosion Control and Nationwide Permit are pending
©All applicable NPDES Stormwater Permit requirements have been met for this project.
(The applicant should contact the N.C. Division of Water Quality in Raleigh to determine
if a stormwater permit is required.)
© The project is in compliance with all applicable sedimentation and erosion control laws
and regulations.
Project Name:
Town of Leland Regional Pump Station
Township:
Leland
Project Engineer:
Adam H. Grady
Project Contact:
Lynn Vetter
......................
Applicant's Name:
Town of Leland
Date Submitted:
2-1-19
Form VCER-t
June 1,2006
County:
Brunswick
Phone No.: 910-332A652
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Plans and Profiles
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