54522D - Pender

,CAMA / ❑ DREDGE & FILL
.ENERAL PERMIT
New El Modification ❑Complete Reissue :]Partial Reissue
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Previous permit #
Date previous permit issued
54
1K] Rules attached.
t Name f L7Wtk ( r-Afia - V- Ii7l (l �L % /iC Project Location: County ?�
Street Address/ State Road/ Lot #(s) Z. C
State_ ZIPl L 1c- l i
ax # Subdivision
:ed Agent
❑ CW ❑ EW PTA ❑ ES OPTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
City 2-"s
Phone # ( ) River Basin ( AV2�
Adj. Wtr. Body LLC K t�XV.,41- V 1 LL-NS 1 , r
yes / no PNA yes / no. Crit.Hab. yes / no Closest Mal. Wtr. Body err
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not sure yes e�
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Attached: yes
ng permit may be required by:
(Scale:
❑ See note on back regarding River Basin n

CDM
5400 Glenwood Avenue, Suite 300
Raleigh, North Carolina 27612
tel: [phone]
fax: [phone]
July 20, 2010
Ms. Heather Coats
Field Representative
North Carolina Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, North Carolina 28405-3845
Subject: Pender County Utilities
Pender County Surface WTP and Finished Water Transmission Main
CAMA General Permit Fee
Dear Heather:
Enclosed please find a check for the CAMA General Permit fee of $400 for the Pender County
Surface Water Treatment Plant and Finished Water Transmission Main project. You should
already have a set of plans for the stream crossings.
We are proceeding with property owner notifications for the three stream crossings and will
submit confirmation of the notifications to your office. Please call me at [phone] if you
have questions. Thank you for your assistance.
Very truly yours,
duvkov .
Kelly R. Boone, P.E.
Camp Dresser & McKee
Enclosures: Check for Permit Fee

NCDOT Encroachment Agreement
for Finished Water Transmission Main along
US 421

E--7/-moo-or�Y
ROUTE US 421
STATE OF NORTH CAROLINA
COUNTY Pender
DEPARTMENT OF TRANSPORTATION RIGHT OF WAY
-AND- ENCROACHMENT AGREEMENT
Pender County INTERSTATE AND OTHER CONTROLLED
P.O. Box 995 Burgaw, NC 28425 ', LA, q; ACCESS HIGHWAYS
THIS AGREEMENT, made and entered into this the )r6 day of ju. C , 20 jO by and between the Department
of Transportation, party of the first part; and Pender County
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 421 located between the Pender County/New Hanover County
line and Montague Road (SR 1113) 041�
wit e constru lion anq(or erection of: Approximately 36,600 feet of-49aine#�-e 4-inch finished water transmission main
0lLth� 5 V-Vi 4 S. �'��f
to be installed 7 feet from the NCDOT right of way (west side of road) from proposed Pender County Surface Water Treatment
Plant to Montague Road (SR 1113) including one crossing each of SR 1114, SR 1112, and US 421. 7, 6x Zy' Pyc, 5 nm
c 3 wr za— �.�•� c.c_;c_ 1.C.
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 party 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 if 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 alter 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 Installation and maintenance to the

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
1. Wherever possible, freeway crossing should be parallel to and within the prevailing right of way of intersecting
roads.
2. Crossings should be as near as possible normal to the center line of the freeway.
3. Parallel encroachments will not be permitted except outside of control of access lines.
4. The Department's 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 clear 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 16 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 closed.
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 survey 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.

the appropriate regulatory agency or authority prior to beginning any work on the Right
of Way. FAILURE TO PROVIDE THIS INFORMATION SHALL BE GROUNDS
FOR SUSPENSION OF OPERATIONS.
SP 8 Proper traffic control devices, signs, etc. shall be installed to insure public safety in
accordance with the latest edition of the Manual on Uniform Traffic Control Devices
and any supplements.
The Encroachee shall provide traffic control devices, lane closures, road closures,
positive protection and/or any other warning or positive protection devices necessary
for the safety of motorists and workers during construction and any subsequent
maintenance. This shall be performed in accordance with the latest NCDOT "Roadway
Standard Drawings" and "Standard Specifications for Roads and Structures" and
Amendments or Supplements thereto. When there is no guidance provided in the
Roadway Standard Drawings or Specifications, comply with the "Manual on Uniform
Traffic Control Devices for Streets and Highways" and Amendment or Supplement
thereto. Information as to the above rules and regulations may be obtained from the
NCDOT Division 3 Engineer.
The needs and control of all road users (motorists, bicyclists, and pedestrians within the
highway, including persons with disabilities in accordance with the Americans with
Disabilities Act of 1990 (ADA), Title 11, Paragraph 35.130) through a TTC zone shall
be an essential part of highway construction, utility work, maintenance operations, and
the management of traffic incidents.
SP 14 Approval of this Encroachment does not include any portion of the work outside The
North Carolina Department of Transportation's Rights of Way.
SP 16 No lane closures shall be allowed between the hours of 6:00 am to 8:30 am and 4:00
pm to 7:00 pm., Monday thru Friday. (Peak hours restricted) Further restrictions may
apply due to traffic conditions.
SP 19 No lane closures or impediment to traffic shall be allowed on state holidays, weekends
or local events without prior approval"from NCDOT .
SP 20 Any work requiring equipment or personnel within five (5) feet [ten (10) feet on
divided roadways] from the edge of any travel lane shall require a lane closure with
appropriate tapers.
SP 28 Only one lane closure in each direction

shall be restored to the satisfaction of the District Engineer. The same amount of
material that was removed shall be placed back into its place.
SP 43 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.
SP 44 The proposed utility shall be located a minimum of (7) feet from the nearest part of
bridges and, including the toe of wingwalls and scour apron, (5) feet from the end of a
pipe culvert, and a minimum of two (2) feet below streambed.
SP 45 The resetting of the Control of Access fence shall be in accordance with the applicable
standards, and as directed by the District Engineer
SP 46 If existing guardrail is disturbed, it shall be reset back to NCDOT Standards and as
directed by the District Engineer.
SP 47 Any drainage structure disturbed or damaged shall be restored to its original condition
as directed by the District Engineer.
SP 48 No access, parking, or material storage shall be allowed along or from Control of
Access Highways.
SP 49 In bore areas, pavement settlement and pavement buckling shall be repaired as directed
by the District Engineer. This may include removal of pavement, patching a fifty (50)
feet mechanical overlay, pavement markings etc. as directed by the District Engineer.
SP 50 Directional drilling methods have not been given statewide approval for use on
NCDOT rights of way. Under no condition shall jetting alone or wet boring with water
of utility pipelines be allowed. A cutter head shall be used on the tip of the drill string.
Detection wire shall be installed with non-ferrous material. Directional boring using
jetting with a Bentonite slurry is approved for this installation at a ten (10) feet
minimum depth below the surface of the roadway on secondary roads. Fifteen (15) feet
minimum depth on control of access and Primary roads or partial control of access
roads and five (5) feet below the ditch line. Any parallel installations utilizing the
directional boring method shall be placed at a minimum depth of four (4) feet below
the ground surface except where the parallel installation crosses another NCDOT
maintained roadway. All directional bores shall maintain a minimum distance of five
(5) feet from the nearest part of any structure, including but not limited to bridges,
footings, pipe culverts, or box culverts. The utility shall be placed a minimum of three

SP 68 At no time will construction of any kind be done within the right of way on a state
holiday or weekend without prior approval.
SP 69 No access, parking, or material storage shall be allowed along or inside the right of way
line.
SP 76 All Air Release Valves shall be placed on the back side of the ditch. Air Relief Valves
. shall not be alowed in the ditch line, and must be flush with the ground.
SP 91 All traffic control to meet MUTCD standards.
SP 100 Any disturbed storm drain pipe/box shall be replaced with like or better materials

VERIFICATION OF COMPLIANCE WITH
ENVIRONMENTAL REGULATIONS
(Check Appropriate Box)
U 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.
C( The required permits from the N.C, • Department of Environment and Natural
Resources and the U,S,'Amny Corp of Engineers aobtained for this project.
Copies off'permits and Completion Certificates Oelttek4. W-1( bt 5k6vn1W fdar to
COni�ru�+i0vl. '_ .
Will/ be
U All applicable MES Stormwater Permit requirements4**"eea met for this project.
(The applicant should contact the N.C. Division of Water Quality in Raleigh to
determine if a storm)kater permit is required,)
F1 The project is -in compliance with all applicable sedimentation and erosion control
laws and regulations,
Project Name;
Township:
Project Engineer:
peotcek Commf PlptsHi5b WATR TRANSM(sstfla •MAIO
GRAPY County;
z-A 5 o, �,) M<C Phone No.:
q1? -3z5-35Ss7 --
Project Contact: Jksoo gie(K KW 6WO£
Applicants Name; �W_XM,t G. Hack P.E. SEAL
Date Submitted:

=isher, Paul B
From: Beck, Jason L (Raleigh) [[e-mail]
Sent: Thursday, May 20, 2010 6:52 AM
To: Fisher, Paul B
Subject: Pit Depths
ady, per our conversation, all pit depths that exceed 10' on the Pender County Finished Water Transmission
ain drawings need to be changed to 10'.
auks,
son
son L. Beck I CDM 15400 Glenwood Avenue, Suite 3001
i(eigh, NC 276121 T: (819) 787,5620 1 F: (919) 781.57301
vw.cdm.com

Division of Coastal Mgt. Habitat Impact Computer Sheet
(cant: LA M I C 0 — A&f c V-' J��rVI 1T +k j' f � L
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tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d in your Habitat code sheet.
tat 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/oi
temp impact
amount)
2
Dredge ElFill ❑ Both ❑ Other 131
10
0
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SDredge
❑ Fill ❑ Both ❑ Other F''
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(2)
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Dredge ❑ Fill ❑ Both ❑ Other gl
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Dredge ❑ Fill ❑ Both ❑ Other Ej/
` 4110
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Dredge ❑ Fill ❑ Both ❑ Other Fz(
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6
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 0 Other ❑

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WE Bank of America
C=
51-44/119
One Cambridge Place, 50 Hampshire Street
Cambridge, Massachusetts 02139
PAY ;7 ;ugd�ediD 00/100
TO THE NORTH CAROLINA DEPARTMENT OF ENVIRONMEN
ORDER
OF
92817 CAP 5
Pr,)
..........
��'008930 2411■ 1:0 1 1900445i:
Check No. 893024
Check Date
07/12/2010
$CheckAmount
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19466u■ _.

(I X Agent
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t BJ Received W CPrin met 1 C.' Qate of Delivery
piece,
Is delivery address dltSerent from
If YES, enter delivel *Iress below: 1 CIAO
7b_.SOa
3. Service Type
L2frCertified Mail ❑ Express Mail
❑ Registered 2lieturn Receipt for Merchandise
- ❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7003 3110 0005 2474 1420
Domestic Return Receipt 102595-02-M-1540

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
G� bffl P61C
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2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
A. Si?1aiure
❑ Agent
X ' ❑ Addressee
B ceived by (Printed N ) C. Dat of Delivery
Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
JUL L" 1 2010
3. Service Type ' '-4 [ON, NC
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7010 1060 0002 1204 4156
Domestic Retum Receipt 102595-02-M-1540
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
M(-q (-L(
P. 0. 90X 1 %-f
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A. Sig..nff��W
❑ Agent
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B. Receivepy (Pr ted Name) site of Delivery
�LL
D. Is delivery address different from item 1? ❑_, Yeses
If YES, enter delivery address below: U No
jUL 2 1 2010
3. Service Type : ON a
Qk)6ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
.ql'd,orJ Alle�, CkA<r
o. Box �gz
Y
A. -Signature
X ❑ Agent
Addressee
B. Received by (Printed Narp �Q 2Ae)) elivery
D. Is delivery address differed fr* iteVO ❑ Y
If YES, enter delivery adc+resi below: ❑ No
16 2olo
3. rvice Type -
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7010 1060 0002 1204 4132
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
y
7730 Midt-s A✓e.-
WI tj h'► IIly1 j OY1) 1� C, _N 9 o'�
102595-02-M-1540
A. Sin yre
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❑ Addressee
B. R eived by ( r ad Name) C. Date of eliveq(
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D. is de very a ess different from item 1 •
❑ Yes
If YES, enter delivery address below:
❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt
for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Era Fee)
0 Yes