Gull Harbor Yacht Club Inc 78228C

AMA / ❑DREDGE & FILL N9 78228 1 A B 17% D
EMERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue` ❑Partial Reissue Date previous permit issued
0,,thdn,.dby the State of North Carolina, Department of Environmental Quality o
and the Coastal ResourrceJs IC m iion^irn an area f nvironmental c9�cerq pursuant to I SA NCAC r
t �'1 (/b b ��M[Y i 1 ,l JET
�f /_�{� County
Rules att hed.
Applicant Name�tY'1 f✓{� /lL/tt�(1�--/'f/•r�ect Location: Coun
Phone #
Authorized Agent
Affected ew �W )(PTA
AEC(s): ❑OEA HHF nIH
❑ PWS;
ORW: yes / f\do' / PNA yes
Type of Projecat// Activity yIAS
Pier (dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
Lneadollprap length t
avg distance offshore
max distance offshoi
Basin, channel_
Boat ramp
Boathouse/ Boatlift -------
Beach Bulldozing
Other
Shoreline Length r
SAM not sure yes 7o
Moratorium: n/a yes Lno
Photos: yes
Waiver Attached: yes
A building permit may be required
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
D Street Address/ State R4 Lot r )
/U�/„II tMj�y�L�l" %/
• lLMIC10.7,r -
■
Closest Maj. Wtr. Bod
USA EJ N/A Adj.
IA I l
3 Ag e t or Applicant Printed Name
Signatu 'ts'Please d compliance statement on b kof permit**
Z
Application Fee(s) Check#
Issuing
❑ See note on back regarding River Basin rules.
Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
Iandowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑Tar -Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pascluotank and Percluimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
httP:Hportal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to GJ 1 Flu- 1)tr'(C'JJ C IA SA(, 's
,." .. 1 , ,) , , {Name of Property Owner)
property located at
on Dr4tw DOUJJU in M�WVt)!"T / drf�pr"e-b , N.C.
(Waterbody) I (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
i I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
pndlWduel Prop a" devel (n�ent must fill In IAR�i41Ak:,%9C WI ARW
STcllIcdIOQ c, I/7
5P� c..7t AGi
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
I *oQ ji) Lt,__
t0l
0
(Revised Aug. 2014)
`Valid for one calendar year after signature"

•�\fy r
9V ]
� s
4MN]ce
p • •• o
G� E IN°
1 tl, dtl Y • °o�x•+' ram° •. i•
1 :r X' Y • . WC° 1 53 PG. W
1CDJ .•
1 . 1
4[oNont u• n4 ai 1"""� � \ r • 1
4f19LW +,rr r.a .ta ,..
Yr]ooY • mot v .�'� r/'
wetl'A•P•ta4 i �Y'•'" • 1 I
mu wMG YPaM• i"� ° i' •�
q
• I•.d IY I]•Sdf]•Y• �TB•1Y�
MW
ZME-
1
GULL HARBOR YACHT CLUB INC.
BOGLE,SOUND
ea+E rJOIM XCOLLIEN`s ASSOCIATES
] a o a o ro
�e./It„� .Et Kasau ]nets , r.nw auo RiHi
YYYKM EIii, N. C.tWf EIMwCtW'M
tl 114�1 HElIt°-�W INE•NW-.ala __

I hereby certify that I own property adjacent to % u j l 7(L(- h7 Ut l0 J" )C 's
U I(Na�}of Property Owner)
property located at � � �} M/L r l l�A M .J.,
(� (Address, Lot, ck, Road, etc.)
on L�nAiaP .�Un1� in NJeLk) nllr-r Car';erN� , N.C.
IQ ' (Waterbody) (C' /Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
Ioti
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing deV#4#1W Ilt must ffil in description below or attach a site draWng)
7,Lr �,�y Sti�Q P; �,A5
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
not wish to waive the 15' setback requirement.
(Property fOw,,ner Information)
W & W a ul
Print or Type Name
Mailing Address
tNC-MNT ac- 1b51�
Qt StatelZip
252-G�4r�.95`1c jcs�@ly���tr4Gfi�s�Sc,'��5,c:=rn
TelqgUooe Number/email address
Date
(Revised Aug. 2014)
'Valid for one calendar year after signature'

N' O
r'
ree
LINO
GU
u
.
'. ,r
1
-t •v� I
1
1
1 i
e P
M t7"JI
T
1
6„�n,yll�yanY y+•
YH4r. •.v. •n.. vn....... y�1
0.1N
�pLPE tG�r�� i
s .R•°dow
R � je. LC
h
N
ut
O o
GULL HARBOR YACHT CLUB INC.
\
\
\
I.
i
i
BOGUE SOUND
JOHN XCOLLIER R ASSOCIATES
6
31-ao

R. c. POP, L.
W E
un lm ��R a.YYN 3
e m e
VICINITY MAP
p oa
LEGEND 40+°`
Ii.• OCT IRM .PC
IR • REIRA POP
alp• Exi.M. I RM PIPE /•��"
CIO • LNIl11YC IRM RCO 1Y�'
fell • M 79 I N V1 wtL xNY61 /
CCY • COMMCRIRiIIY MNCRf IC YMLKNI (;Q a bm MQPLM—C—,.Jf[IM I RWI C 9.0
P
PPRO.H
%
. raeER OY.[ xer �. N 76^� �' L, a ° e rD /
. WO R TOO TOO LYR[r i
IYL xIM NInM,.I®
v...CPVYiLOIYIN7 / D ® I® /
m. oYvl u[n O ..an 0 9 pPlrP •ty
0.L
CCL1J Ia° � F i�
1 11e O10.1 .1 i° Oj" µNA �R LI✓1RU IxwNReYu 5d'� .
1 , R
�a NI L ° µEPQ WDDI F
%.55
° Wool
1 a
Lo
1 11 1 j01 F 0
REFERENCES Ri • " � j I � °
DEEDSO01( 494 PAGE 257 °
� 1 /
DEEDBOON 1107 PACE 423 l i TO `R 1
MWEI D1( D PAGE 28 /" µpal Y Rlr
NAPBOaf B PAGE s3 �• t • 21•W F 4e
CULL HARBOR MARINA 5
tµ Yal p1•YI nr 14.91' I i 0 daY llll N.
t6n
3 25 3A• 57, / BQ•9Q W Ile el pl o
"I.06 O p I V QO
IN 130 Ba 31W 5 T6 1 III o m
u � r � .
b ell I m
Mh cam.la. comIr (AIEtMT 1 m g al e 1
s 1 II
BtH11W N4ttItKE°tM . RYu. me[u e
•�.JGG[O LCa.1; RRl. 11Yl 1K xY 11 1 1
T RRI .O qIM 1111a.RRlIr ILRIM 1[ YLI60 lR3
Yt 0iRN1T2n[ AYIII1R[1,E,YYYl��a �rM� RLLMOIm. 1 I
4'e..�. Il.a]BeA[L YaoJ YYL Rp,p eL•aL 11 /
6LLIIL. (N I 1
ad' YI.e [S.Le loan ll �
QII /
SLGI1TCt R 1 m III
rule lM Nel{hY1MJL;Y Mel•1 m n II 1 /
lTO, po IY P�...., r y' 1
tLIIR v T4 mexho v MIM. WI[r[l [OPIY. 1 � A II ,
RWtx W0.M. Rel[61 I n III 1 C.P.
in u v[m I I NYrI. n Y u unnm rutR tP IN
M" iYROu Y {Ro Yxo oaa ml W an R mR ` III 9y I 1
m aLWMYR"", aMm
lA Puax .14 To . IaYNaR a W- a-- II /
maRame�IOMRYR1[�1 �'�1.v"
[morxl�.Ymnvaw .. p BPI I 1
Y I 6yn3B y1\ II'I /..........
NAP PREPARED FOR"

ROUTE SR1287 PROJECT
DEPARTMENT OF TRANSPORTATION
STATE OF NORTH CAROLINA
COUNTY OF CARTERET
RIGHT OF WAY ENCROACHMENT AGREEMENT
-AND- PRIMARY AND SECONDARY HIGHWAYS
Gull Harbor Yacht Club, Inc. GULL HARBOR DRIVEIROUTE 1287
104 Marina at Gull Harbor
Newport, NC 28570
THIS AGREEMENT, made and entered into this 9th day of september 20 20 by and between the Department
the _
of Transportation, party of the first part; and Gull Harbor Yacht Club, Incorporated
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) 1287 Gull Harbor Drive , located Beginning at a point on the south side of Route 1287
and running West approximately 120 feet, terminating, then beginning again running south approximately 270 feet on the east
side of Route 1287, then terminating at the point where Route 1287 turns West.
with the construction and/or erection of 12" deep x 18" wide poured -in -place concrete grade beam with associated
existing tie rods new 3/4" tie rods and new rebar two power pahel support posts with footings and associated wiring.
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 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 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 regulations 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

referred to as the 'contractor), agrees as follows: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.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.Solicitations
for Subcontracts including Procurements of Materials and Equipment: 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. 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.
b. Sanctions for Noncompliance: In the event of the contractor's 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.
c. Incorporation of Provisions: The contractor shall include the provisions of paragraphs "a' through'}" 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 in(erests of the United States.

R/W (161) : Party of the Second Part certifies that this agreement is true and accurate copy of the form
R/W (161) 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.
DEPARTMENT OF TRANSPORTATION
1--4
o c Slgnedby:
Gull Harbor Yacht Club, Inc. BY: 1- _rn Sibin J�AJA tY
ATTE T
C OR ITN SS: �n r GULL HARBOR ��1S",ENGINEER
YACHT
Donald C
INSTRUCTIONS
Second Party
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.
This agreement must be accompanied, in the form of an attachment, by plans or drawings showing the following applicable
information:
1. All roadways and ramps.
2. Right of way lines and where applicable, the control of access lines.
3. Location of the existing and/or proposed encroachment.
4. Length, size and type of encroachment.
5. Method of installation.
6. Dimensions showing the distance from the encroachment to edge of pavement, shoulders, 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, mad, intersection, etc. (To assist in preparation of the
encroachment plan, the Department's roadway plans may be seen at the various Highway Division Offices, or at the
Raleigh office.)
8. Drainage structures or bndges if affected by encroachment (show vertical and horizontal dimensions from
encroachment to nearest part of structure).
9. Method of attachment to drainage structures or bridges.
10. Manhole design.
it. On underground utilities, the depth of bury under all traveled lanes, shoulders, ditches, sidewalks, etc.
12. Length, size and type of encasement where required.
13. On underground crossings, notation as to method of crossing - boring and jacking, open cut, etc.
14. Location of vents.
1. Any attachment to a bridge or other drainage structure must be approved by the Head of Structure Design in Raleigh
prior to submission of encroachment agreement to the Division Engineer.
2. All crossings should be as near as possible normal to the centerline of the highway.
3. Minimum vertical clearances of overhead wires and cables above all roadways must conform to clearances set out in
the National Electric Safety Code.
4. Encasements shall extend from ditch line to ditch line in cut sections and 5' beyond toe of slopes in fill sections.
5. All vents should be extended to the right of way line or as otherwise required by the Department.
6. All pipe encasements as to material and strength shall meet the standards and specifications of the Department.
7. 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 agreement provided that
such information cannot be shown on plans or drawings.
8. The Department's Division Engineer should be given notice by the applicant prior to actual starting of installation
included in this agreement.

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER
GOVERNOR
October 7, 2020
Gull Harbor Yacht Club, Inc.
104 Marina at Gull Harbor
Newport, NC 28570
SUBJECT: Encroachment Contract —Carteret County(E022-016-20-00181)
J. ERIC BOYETTE
SECRETARY
Attached hereto, for your files, is a copy of the Right of Way Encroachment Contract, which has
been properly executed. The contract covers the following: 12" deep by 18" wide poured in
Place concrete grade beam with associated tie rods, new %" tie rods, new rebar and 2 power
nanel support post with footings. This EA we reviewed by NCDOT Bridee Maintenance,
Carteret County Maintenance. Division and District Office.
APPROVED SUBJECT TO SPECIAL PROVISIONS:
Specific Requirements:
1. That the parry 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 any
subsequent maintenance. This shall be performed in conformance with the latest
NCDOT Roadway Standard Drawings and Standard Soeciluations for Roads and
Structures and Amendments or Supplements thereto. Where 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 Division Engineer of the party of the first part.
2. All lanes of traffic shall be open on thoroughfares from 6.00 AM until 8.30 AM and
from 4.30 PM until 6.00 PM on weekdays. Approval must be received by the District
Engineer's office at [phone] prior to any lane closure.
3. The encroaching party shall notify the District Engineer's office at [phone] or
by email at D2D2notilicationsancdot rov prior to beginning construction and upon
completion of construction.
4. An executed copy of this encroachment agreement, contract, and plans shall be present
at the construction site at all times during construction. If safety or traffic conditions
Mailing Address: Telephone: [phone] Location:
NC DEPARTMENT OF TRANSPORTATION Fax: [phone] South Glenbumie Road
District 2: Permitting Office Cwtomer Service: 1-877-368-4968 New Bem, 28560
209 South Glenbumie Road
New Bern, 28560 Website: w .ncdot.gov

Page 2 of 5
Carteret County
E022-016-20-00181
warrant such action, NCDOT reserves the right to further limit, restrict, or suspend
operations within the right of way.
5. Once NCDOT's CAMA permits are approved and work can begin. NCDOT Bridge
Maintenance, Carteret County Maintenance and Gull Harbor will finalize plans and
coordinate the installation of a new 36" stub -out drainage pipe with wall. Don
Etheridge has NCDOT contact information.
6. Gull Harbor will provide a detail showing the proposed concrete grade beam location
(horizontal and vertical separation) to NCDOT proposed pipe, wall and appurtenances.
7. Gull Harbor can not store materials within NCDOT Right of Way nor park equipment
within the Right of Way overnight
8. Any damage to asphalt, curb, gutter, guardrail, shoulders, etc. will be the responsibility
of Gull Harbor to repair.
9. The encroaching parry's construction contractor must submit the NCDOT Workforce
Safety Plan for Encroachment Activities. COVID-19 form to the District Engineer
prior to construction.
General Requirements:
1) NCDOT Work Zone Control Qualifications and Training Program. Effective July 1,
2010, all flagging operations within NCDOT Right of Way require qualified and trained Work
Zone Flaggers. Effective July 1, 2011, qualified and trained Work Zone Traffic Control
Supervisors will be required on Significant Projects. Training for this certification is provided by
NCDOT approved training sources and by private entities that have been pre -approved to train
themselves. If you have questions, contact our web site at www.ncdot.org/-wzte, or contact
Roger Garrett with NCDOT Work Zone Traffic Control Unit at (919) 6614809 or
rm anett ncdot.gov.
2) Ingress and egress shall be maintained to all businesses and dwellings affected by the
project. Special attention shall be paid to police, fire stations, fire hydrants and hospitals.
3) Proper temporary and permanent measures shall be used to control erosion and
sedimentation in accordance with all local, State and Federal regulations.
4) 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.
5) All workmanship and materials shall conform to North Carolina Department of
Transportation Standards and Specifications manual.
6) All utilities shall be placed in accordance with the manual on Policies and Procedures for
Accommodating Utilities on the Highway Rights of Way.
7) 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, storm water, wetland,
streams, endangered species and historical sites.

Page 3 of 5
Carteret County
E022-016-20-00181
8) 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.
9) 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.
10) 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.
11) Trenching, bore pits and/or other excavations shall not be left open or unsafe overnight.
The Contractor shall comply with all OSHA requirements and provide a competent person on site
to supervise excavation at all times.
12) 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.
13) 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 100% of that obtained by compacting a
sample of the material in accordance with AASHTO T99 as modified by the Department. The
Contractor shall dry or add moisture to the subgrade when required to provide a uniformly
compacted and acceptable subgrade. All material placed in a maximum of 6" lifts.
14) All earth areas disturbed shall be graded, dressed, seeded, mulched, and tacked with
liquid asphalt or other approved means within 10 days of completion of work in any area.
15) Vegetative cover shall be established on all disturbed areas in accordance with the
recommendations of the Division Roadside Environmental Engineer.
16) Any disturbed guardrail shall be reset according to the applicable standard or as directed
by the District Engineer.
17) All roadway signs that are removed due to construction shall be reinstalled as soon as
possible, but at least by the end of the same workday.
18) Right of way monuments disturbed during construction shall be referenced by a
Registered Land Surveyor and reset after construction.
19) Work requiring lane or shoulder closures shall not be performed on both sides of the road
simultaneously within the same area.
20) All existing structures, pavement, drainage or otherwise, located inside the Right of Way
that are affected by this work shall be restored to meet the NCDOT Standards and Specifications
as directed by the District Engineer. Any and all repairs required for open pavement cuts will
utilize the same thicknesses of asphalt that was existing; no ABC will be used in the filling of
pavement cuts to get the desired finish elevation of the surface asphalt.

Page 4 of 5
Carteret County
E022-016-20-00181
21) All concrete and asphalt driveways within NCDOT right of way shall be crossed by dry
bore methods. Any deviation shall be replaced with like materials and be warranted for three
years to cover all damages resulting from the open cut. Proper Traffic control; Devices, Signs,
etc., shall be installed to insure public safety.
22) Minimum two feet clearance required for utility installations beneath crossline pipes.
Crossline pipe shall be removed to allow for proper installation of utility. If crossline pipe is
damaged it shall be replaced with new pipe. The utility shall be encased if the clearance is less
than four feet.
23) Minimum of two feet clearance below the stream bed or flowline of crossline is required.
The utility shall be encased for a minimum distance of ten feet on each side of the centerline of
the stream. The utility cannot be located closer than five feet from the end of crossline pipe.
24) 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
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 (2") 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 (2") inches of the
diameter of the pipe or encasement will arch and no damage will be done to the pavement or sub-
rg ade. 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.
25) All soils located inside the Right of Way shall be considered a type "C" soil. All
trenching, shoring and excavation shall follow the OSHA guidelines for this type of soil.
26) All shoulder installation shall remain a minimum of 1 foot distance per 1 foot depth (1:1
slope) from the edge of pavement to the nearest inside wall of excavation.
27) An adequate swale (8" minimum) shall be constructed over the proposed pipe to channel
water away from roadway to the outlet ditch or drop inlet.
28) Crossing by bore only no open cuts will be permitted.

Page 5 of 5
Carteret County
E022-016-20-00181
29) Roadway bores shall be installed perpendicular to the centerline.
30) All roadway crossings that exceed 6" shall be encased.
31) All roadway crossings by dry bore method shall be a minimum of 3 feet below the
elevation of the existing roadway and 3 feet below the existing ditch.
32) Pipe encasements shall extend from ditch line to ditch line in cut sections, and 5 (five)
feet beyond toe of slope in fill sections, and 3 (three) feet behind curb sections.
33) Directional boring using jetting with a Bentonite (or equivalent material) slurry is
approved at a minimum depth of 10 (ten) feet below the roadway surface (15 feet for controlled
access roadways) and 5 (five) feet below any ditch line. Any changes shall be submitted to the
District Engineer for approval prior to construction.
34) All splice boxes, manholes, and other appurtenances within the NCDOT right of way
shall be located attoutside the right of way line. Manholes and/or vaults shall not be placed in the
ditch line, side slopes of the ditches, or in the pavement.
35) All manholes and/or vaults within NCDOT right of way shall be of pre —approved design.
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 State of North Carolina registered
Professional Engineer for approval prior to construction. NCDOT Design Services may be
contacted for an approved design list.
36) Minimum vertical clearance shall be 18 feet for aerial crossings over NCDOT roadways
and 15'-6" for longitudinal parallel installations.
37) Where utility is installed in the Right of Way and are not of ferrous material, a locating
tape shall be installed with the pipeline.
38) Any drop off greater than 2" from the edge of pavement shall be made safe by using a 6:1
slope or flatter for a width of 6 feet.
39) 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 the right of way line, written approval specific to the site
shall be obtained from the District Engineer prior to installation.
Sincerely,
CDxuftn" by:
. PYt,i6w tkl�,,4V
EEIBFCEW9PoBl...
R. Preston Hunter, P.E.
Division Engineer

GENERAL NOTES
TEMMNGTIE RODSAND DEAD MAN SYSTEM TO REMAIN-
Y. EXISFWGGUARDRAILPOSTSTOREMAIN '
S. EKISTINGGUARDRAILTOREMAIN. TEMPORARILYREMOVEAND REPLACEAS NEEDED
4. EIUSTINGTIERODTEBNCKPOSTSEMBEDDEDINE STINGCONCRkZEWN.LBELOW
W ASSOCIATEDWOODSHEEFPIUNGTOREMAIN
5. EXISTING CONCRETE CURB (NO GUTFER) TO REMAIN.
S. EXISTINGLIWPOLETOBEREMOVED
7. E"NGCULVERFTOBEREMOVEOANDREPLACEDBYNCDOT(WBSt:P101b11)
12 NEW FINGER PIERS WFFH NEW MID -SPAN DRIVEN PILING BELOW
10 NEW ELECTRICAL PANELMOUNTED ON POST
14. EXISTING FINGER PIER END PIUNGTO REMAIN UNLESS OTHERWISE NOTED
1S STEP DOWNTD FINGER PIER
O O O O O O O O - --
h
15 2¢ 2) 22 21 w 19 1 10 11.
4 'e
-MD.\NEB Si+
•.E �aE.
� ��R-IIEIOII .i11NI1ER�I11gR��=I
_i- -L J_ _i_ J_ _I_ _i_ _L J L
� / BSW LRAL50E/aM N-119 1 _ _
PLAN VIEW IFNOKt1f EuL-4EAt7 -.A:
10•10 %IF5.17.Mzu2(o_ ,.
�_ DMITFAL 7TgE5. _
—_ 05EPC7o �.li4G1T . .

GENERAL NOTES: i
"-STNGDOSYMTO RllN
2. STINOGUARDRAILPTSTORMAN 1 MSTING GUARD RALT0REMAIN. -- --"'
TEMPORED IN REMTING CO ReLACRETE EAL BELED
OW
4. EXISWITH ASSOCNG TIEIATED
TEED TTE-BAWOOD SHEET I ING TO RE EXISTING CONCRETE WALLSELOW
WRHASS CONCRO WOOD SHEETPIMIER)T REMAN
S. EKISTINGDONORETECURB (NO TOBEREMOVEDR)TO REMAIN.
8. EXISTING LIGNTPOLE TO BEMOVEVEO
T. EXISTING GRAIB BEA&II DEEP REPLACED OYNG0 NO
R5•:2201811)
9. NEWCONCREEET PILNG EAM IY YSHO N WIDE ITHBLENGTH NOTED
e. NEWVINYL WIDE
WAUILING(PARTIALLYSHOWN)WRHB'XB'WOOO WALER
IM.t NEW DRWIDE OODPIY(PARNW.Y SHOWN)
It NEW DRNEN WOOD PUH NEW
PAN DRIVEN
t2 NEW FINGER PIERS PANEL
NEW MID ON P DRNEN PILING BELOW
13. NEW FIG FINGER
PIER ENOUNI G ON POST
I& EXISTING FINGER PIER ENO PILING TO REMAIN UNLESS OTHERWISE NOTED
' iS STEP DOWNTO FNGER PIER '
ONE O d -w d d G
i
.. Id, 19
' � 7
� I I
of ouEw Q 0 I o
.O n
IM 2.3� qA�� M
_ Y.3 5_.._ w
Lt. .9 e a V m m o .. Ah4...m � _ :�Y�•
_+c-2T INR
OFLAN VIEW @ WEfMt-W
LL
tJFGYW q/RE4fEWCGE A /�{"� /L�
5U6-0fIRV. L?'Jk"3: I Y I ICI
.33'5ERZeyOt1LWC'

O
O
O
8
7
n
6
1
'GEN ERALNOTES
EXISTINGTIERODSANDDEADMANSYSIIAITOREMAIN'- - "-
2. EXISTINGGUARDRAJLPOSTSTOREIMN
3. EXISRNOGUARDRAILTOREMAIN. TEMPORARILYREMOVEANDREPLACEASNEEOED
4. EXISTINGi ERODTI6BACKPOSTS£MBEDDEDIN£JOSTINGCONCRBTEWNLLBELOW
WNHASSOCIATED WOOD SHEETPILINGTO REMAIN
S. METING CONCRETE CURB (NO GUTTER)TO W W.
0. EXISRNGUGHTPOLETOBEREMOVED
T. EXISRNGCULVERTTOSEREMOVEDANDREPLACEDBYNCDOTryV .Z201011)
B. NEWCONCRETEGRADEBEAMIYDEEPXIS-WIDEXLENGTHNOTED
0. NEW VINYL SHEET OILING(PANIIALLY SHOWN) WRH e'X MOD WAL£li
10. NEW 40' WOE WALKWAY(PARTIALLY SHOWN)
11. NEW DRIVEN WOOD PILINGS ALONG WALXWAY
12. NEW FINGER PIERS WITH NEW MIDBPAN DRIVEN PILING BELOW
13. NEW ELECTRICAL PANEL MOUNTED ON POST
14. FXIS ING FINGER PIER END PILING TO REMAIN UNLESS OTHERWISE NOTED
15. STEPDOWNYO FINGER PIER
O O O Q O
5 4
:vR"
EIPLAH VAEW @ Wr-Sr bULKHLA7 W.a
5LIF5 o1 Im to
511DMNTAI. CYRES:
3' as sGes.2D�Hca2 MP3

- k2Ary'Ro%. o •N'ac. pEMaYE.
'EIp5fF1.1. (e,.II,AS N�GED
tUMLS eitl9lFIR
�,]EV
yYnF•°L
�a9t:th"d��tRal{—�
I E PRK@ 5•
5L1LL MM)r, MARIHAIYP1GAL
( Hcg)
f.:-
Oa
-
WAiKP-rIFIE tPGWEK.' I
1
+A
grGllOtl@pltl�iEl2 pEkz(12)
r�
NA�717 F,NKR3:T@I$2 IN _ b
��'
�3.
Wc�'li"HNr�3zsa�1 ti_ y
INGLI1pN6 M1D5P6N Po9tr A«IT'
✓
' 4°%4PnYi'te WAFNER ��/a�d�
a
maY!S"Mtex.RL. N:2N,
e
loSa�.
F3 .{tXOF .N11E MEy�Law
LP.
i pn5tz,c+ 7sM
�JC pA `1/ I FacE�aFk�W 41Pt{- � a�.�a� R HG� 'LO�mFi
I I

F vl. ��/ `� CfYCtIEAN'2t1F13'f '•4.
yI ��� �VI — ♦ I' �]b QBacMve
• GAY wama5u0bcen •eal GnmH
MY. 760 19' W a149. 05' I pro V ® °M1eL"" "'9"StlwdO
0
esy'� jl..
5 0
a ml U • RAW GULH MARIIb yq dJWN-1LWN
I �I a • m y VICINITY MA C{30(jUE So�«Iv�
¢I ml3 �• CXISTINb •;' IZ
Qlrc N ® GULL HARBOR py
_,. �� • MARINA MA'ZMA 6ULKHEAD REFACING
JI � � • _° S IXQFtL'R: GU YdLy11•LLUFS INL[RPeRA7EtD
LrR:e'a PAL114. J � - INAP761JLL 7k�fBOR
I � Pe "•e 1i� NEWpq�uc 26570
LLR70Li: ilOF! eM1lE➢JGYaE 919fiBA°Aa� don�herlagnadL ca+,
R • i LQIIW+CTA.E�KLt7W5wNGNE DRt1�'•III�ANDCah19fRUCfiaW.LIGEN9E1FNU9TS8
•
Y I z• • i BRY�Bpd'M�5,2522ai •7d12 [e-mail]
xr-__-� / I • y EiJl WEER: EEJIGINEE45
•• RAIEIGp�NL 27b24
• y GARY GRECJS ry41.•18 4k@re¢ne@enPlV+link.net
9UAILRLW ® • y I"C}1i2�•W SCOPE OF WORK
INSTALL -�� BULKHEAD TO REWIN.ILWLUDING CONCRENI TE
D WEST WALL.TWALLS, DEADEXISTINGN. INA,SHEET
EXISTPILING.
G
9 • • r; BULKHEAD TO REMAIN,INCLUDINGCONCRETEWALL,TIERODS,DEADMEN.GWLLPILINGAND
—� DRIVENPILEB.EXISTINGPAVING,CONCRETE CURB,MD WMDCRETE ONG MANi AND
(1. ) I F • • y \� DRNE(TO SUPPORT
POR TOWS.INSTALLWALER,TIERODE.CONCRETEGRADE , MAN. AND
S '/0. 4' 2I' V Epp REBM TO BUPPORT NEW VPM. REPK OE PE BULKHEAD
LKHEAD ELRWNY, FINGER PIERS, PLUI8 LING,
• 8 FI TM G.ANDELECSIM RISY6iF YD GULKHE ORDRIO6 WESTWMATELY IIGLINEM
pPLO^D wIP i• F ROXI WLYMSIOER FEU,FNMYOF OXWH LORDRNE NFEUONTEAD T= ONG
,IV1 •' I, NM
AINEEAS SIMRIGHT-OF-WAY
3POUNE-WAYOF WNHAPPROXDRI%'ELY 2TY LINEM FEET OF THAT 3YDALONG
PLANl THE FAST SIDE RM, A WAYOFGULL IWRBOR DRNE.
r Fill I • INDL^XT I VRf�WIIJG:S Draa,WNar.kEulEwct
&AL6. W 13•5 ouw Y1rYw I • ?I TTLvft'lo 1116F.rLlTioL gccv&r
HM FLAN VI•/l N •cM WUMEob 9L�RIT-7G
I O'23•iy, 60.90' pGu�eeNNNNggLYo -•- MFt rLPwvl¢we��`m��e�uLlNwo�ew
1 S 76 19' 00• W 2.'1Nt�5dUND � � �WxN�I �� �Ls � 1

1a 39 to'GS
az 5 6x6r/ SDOT TO
t' CUR. TYP SOE OVER ROD. REM_2 15 ALL MOUND ROD 10 PL
TF-1'-B' -1
GRADE BEAM SECTION
FM,RE Roos
AltoCONCRETECONCRETE2e oar, 1A=aDGGP:I a s—r—s' MAX cTs�/
GONG. GRADE BEAM
0 SIEEVES AT NEW
AT CONTRACTOR'S ORTON. POUR
BEAM AM NEW RODS IN PUCE
-(!BM STONE FROM ELEV r/ NO SURNES
—3010 EIEV +4.0 PUCE /18 STONE HLL IN I Ft MFIS
M 0 COMPACTED i0 90% MOOIFlED PROCTOR
8�
EASRNO TMOR RE PRES
0 5'-6' MAX CTS.
ANCHORS O T— G' (43') MAX WAGING
BETWEEN ME POSTS
MINIMUM ROD OMMEIER MALL BE
5A'W FOR BOND M INS ROD
MCI
M BeB Ma.1 CRPDEI WALER +2'/5
EIEVAnI 0 FAEE OF 4x4x/(' C WASHER h
BI WASHER (ER Do)
ATTACH WALER i0 MEETING
r/ %'0 BATS —1 PER MEET
SEE WEEP h WEEP HME
DETAIL THIS SHEET
.em s r I 0. 900 MIND.I SHEEi,.15NAPONAL FEET LONG (14Ft MIN)
�ffulu
MINIMUM DP MADON —10.5
WEEP &WEEP HOLE ELEVATION TYPICAL BULKHEAD RE -FACING SECTION
Oz - 1-0'
pBN STONE FROM EIEV
—9.0 i0 EI +4.0
'VIPlp
LANOSIOEIV
WATERSDE
2�0 WEEP HOLE
�00
NNIt SNF£nNG IN NEB DF SHEET
1' MOUNT
JET P1ER a 6O'i CENTERS
MWNi r/ 4 /14 S.S iAPCONS ttP
DRAIN WEEP &WEEP HOLE PLACEMENT PLAN
Ni5
—3.0 NO 0 12' MIN
-AOBSsESS4,,7n,.N,
I � f4h .L i
NTS
WZZ.
a
WW a x
m
hz c p a
4z L
0.0
a 0 m
o r
i
C�
r �
� G
o z
DE
m
U J �
✓I 0 Z ¢
6 Q J S
U Z �
SHEET NO.
�= MS1
OF I

Workforce Safety Plan: COVID-19 NCDOT Encroachment ID#:
E022-016-20-00181
WORKFORCE SAFETY PLAN
FOR ENCROACHMENT ACTIVITIES: COVID-19
EFFORTS THE N.C. TRANSPORTATION INDUSTRY IS TAKING TO STOP THE SPREAD OF COVID-19
The North Carolina Department of Transportation (NCDOT) and their partners expect all parties involved in
the delivery of transportation projects to abide by the guidelines issued from the Centers for Disease
Control and Prevention (CDC) and the North Carolina Department of Health and Human Services (NCDHHS).
Response to COVID-19 is rapidly evolving; new information and guidelines may be issued from the CDC,
NCDHHS, or other state or federal agencies. NCDOT and their partners should review the current CDC and
NCDHHS guidance, including the resources listed at the end of this document, for up-to-date information
on how to respond to COVID-19. Additional guidelines may be issued by state or federal agencies that
should be followed in addition to the guidance included in this document.
Though certain Americans with Disabilities Act (ADA) requirements have been relaxed in response to the
pandemic, employers must still maintain all information about employee illness as a confidential medical
record in compliance with the ADA. If an employee is suspected of having or tests positive for COVID-19, it
is essential that management keep the identity of the employee and details related to the employee's
health confidential.
Below are precautions required by NCDOT and from encroaching parties and their contractors performing
construction within NCDOT Rights of Way. The term employee refers to any person on a job site within
NCDOT right of way for the purpose of constructing or inspecting the work related to construction of a
facility under an approved encroachment agreement and where that employee may or may not be under
employment by or under contract to NCDOT.
EMPLOYEE WELLNESS
• If an employee has not yet reported to work and develops any COVID-19 symptoms (i.e. fever,
coughing, or shortness of breath) — STAY HOME and immediately:
o Call a health care provider
o Self -Isolate
o Communicate with your supervisor
o Remain calm and follow all instructions from your health care provider
• Employees who appear to have acute respiratory illness symptoms (i.e. cough, shortness of breath)
upon arrival to work, or become sick during the day, should be separated from others and sent
home immediately. The potentially affected employees should immediately follow the steps
outlined above, which includes immediately contacting a health care provider.
• Should an employee show symptoms of acute respiratory illness or be diagnosed with COVID-19, all
other employees who have worked in close proximity to the affected employee during the last 14
Updated: 411112020 Page 1

E022-016-20-00181
Workforce Safety Plan: COVID-19 NCDOT Encroachment ID#:
days and all encroachment points of contact indicated at the end of this plan should be notified of
potential exposure to the disease without identifying the affected employee.
• Consideration should be given to employees at "High Risk' of severe illness from COVID-19, who,
per NCDHHS, include employees:
o Over 65 years of age, OR
o With underlying health conditions including heart disease, lung disease, or diabetes, OR
o With weakened immune system
• "High Risk' Employees should be given the opportunity to discuss alternate work
arrangements/duties with their employer or take leave according to their company policies.
• For guidance on confirmed positive tests for COVID-19, refer to the most recent version of the
"COVID-19 Guidance for Employees on Encroachment Job Sites within NCDOT Right of Way"
located on last page of this plan.
PERSONAL HYGIENE
• Clean hands often by washing with soap and water for 20 seconds. If soap and water are not
available and hands are not visibly dirty, an alcohol -based hand sanitizer that contains 60%-95%
alcohol may be used.
• Avoid touching your eyes, nose, mouth, or other parts of your face.
• Do not breathe, cough, or sneeze on another person or into the open air. Employees should cover
their noses and mouth with a tissue when coughing or sneezing (or an elbow or shoulder if no
tissue is available).
• A facemask for covering nose and mouth is encouraged on the job site.
• Appropriate gloves are encouraged while performing functions of the job.
CLEANING/DISINFECTING
• Wash stations and/or hand sanitizer are encouraged on each project site.
• Appropriate cleaning staff should clean frequently touched surfaces and objects with disinfectants
at a minimum of once per day.
o Office/buildings: door knobs, light switches, phones, computers/keyboards, copy machines,
elevator buttons, toilets, faucets, sinks, countertops, paper towel dispensers, desktops,
handrails, folders, vending machines, counters, tables, cabinets/knobs, etc.
o Shop Yard/Jobsite: vehicle/equipment door handles, keys, gear shifts, steering
wheel/operator controls and levers, fuel pump dispensers, touch points on machinery, etc.
o Electronic equipment: cell phones, computers, keyboards, etc.
• Appropriate cleaning staff should sanitize/disinfect facilities and work areas after persons
suspected/confirmed to have COVID-19 have been in the facility or work area.
Updated: 411112020 Page 2

Workforce Safety Plan: COVID-19
GENERAL
NCDOT Encroachment ID#: E022-016-20-00181
o It is recommended to close off access to areas used by the ill persons and wait as long as
practical, 24 hours if possible, before beginning cleaning and disinfection to minimize
potential for exposure to respiratory droplets. Open outside doors and windows to increase
air circulation in the area if possible.
o Appropriate cleaning staff should clean and disinfect all areas used by the ill persons,
focusing especially on frequently touched surfaces.
• Increase communication measures between all parties regarding schedule, daily activities, etc. to
reduce/minimize worker exposure in accordance with but not limited to the requirements below.
• Minimize on -site personnel such as subcontractors, work crews, QC personnel, and inspection staff
to those required for that day's activities. If work is postponed or cancelled, immediately notify
appropriate parties.
• Practice "Social Distancing' whenever feasible. Social Distancing is designed to limit the spread of a
disease by reducing the opportunities for close contact between people. All personnel have the
responsibility to remind each other to stay 6 feet or more apart. Examples of Social Distancing
include:
o Reducing face-to-face exposure by using conference calls and video conferencing
• If an in -person meeting is absolutely required and cannot be rescheduled or
attended remotely, the meeting is limited to a maximum of 10 people while
maintaining Social Distancing of 6 feet or more.
o Avoiding unnecessary travel
• Do not congregate at lunch or breaks. Bringing your lunch is encouraged.
• No communal coolers or drink stations are allowed. Supervisors should confirm with employees
prior to beginning work for appropriate hydration and nutrition availability to employees for the
duration of the employee's shift and without direct contact with others on the job site.
• First line of communication should be by phone, rather than in -person.
• Do not shake hands.
• Do not share Wads, tablets, pens, or clipboards for signing or any other purpose. Take pictures as
proof of attendance at meetings.
• Sharing of Personal Protective Equipment (PPE) is strictly prohibited.
• Vehicles, equipment, and tools
o Limit the number of people riding in a vehicle together.
o Wipe down and disinfect vehicles after each trip.
o As much as possible, do not share tools or equipment. If a tool or piece of equipment must
be shared, the parts of it that are touched should be sanitized between uses.
Updated: 411112020 Page 3

Workforce Safety Plan: COVID-19
RETURN TO WORK
NCDOT EncroachmentID#: E022-016-20-00181
• The following criteria must be followed for an employee who is tested for Covid-19, or asked to
self -quarantine by health officials, or has contact with another employee with a positive test result
to return to work:
o at least a 14-day quarantine; OR
o release by a health care provider.
• In accordance with CDC guidance, the following criteria must be followed for an employee with a
positive test result to return to work:
o at least 14 days from positive test notification; AND
o at least 3 days (72 hours) have passed since recovery defined as resolution of fever without
the use of fever -reducing medications and improvement in respiratory symptoms (e.g.,
cough, shortness of breath); AND
o at least 7 days have passed since symptoms first appeared.
NCDOT may require certification of fitness to work from a health care provider.
ADDITIONAL RESOURCES
NCDOT and their partners should review the CDC and NCDHHS resources listed below for up-to-date
information on how to respond to COVID-19. Additional guidelines may be issued by state or federal
agencies that should be followed in addition to the guidelines included in this document.
• NCDHHS COVID-19 Resources:
o https://www.ncdhhs.gov/divisions/public-health/coronavirus-disease-2019-covid-19-
response-north-carolina
• NCOSHR Communicable Disease Emergency Policy
o https://oshr.nc.gov/policies-forms/workplace-wellness/communicable-disease-emergency
• OSHA Guidance on Preparing Workplaces for COVID-19
o https://www.osha.gov/Publications/OSHA3990.pdf
• CDC COVID-19 Resources:
o https://www.cdc.gov/coronavirus/2019-ncov/index.htmi
AGREEMENT
The encroaching party shall adhere to the requirements of this plan in order to continue work under their
approved encroachment agreement. Violations to this plan could result in the violating entity not being
allowed to continue work or all work ceasing as determined by the NCDOT District Engineer or Resident
Engineer.
PROJECT POINTS OF CONTACT
Updated: 411112020 Page 4

Workforce Safety Plan: COVID-19
NCDOT
Name: J M6{ghe Ew th
Phone #: [phone]
NCDOT EncroachmentID#: E022-016-20-00181
Encroaching Party (Primary Contact)
Name: Don Etheridge GYHC
Phone #: [phone]
Primary Contractor to Encroaching Party
(Point of Contact)
Name: TBD
Phone #:
Updated: 411112020 Page 5

Employee
Direct Contact
Interaction with an
)../acted person
wifhlnCmbdlonger,
than 10 mint..
Secondary
Contact
JPJe,leil. )bird 11, 2020
COVID-19 Guidance for Employees on Encroachment Job sites within NCDOT Right of Way
CONTACT GROUP
What PROJECT SITE Personnel
What YOU Should Do
What your CREW Should Do
Should Do
MMMMMIMM
ILL—
r:gamne wrtmr 6rard borne, mar so rr,rares
Ne erPruure ni 6'util' r(han 10....... i"
You
y
Advise of POSITIVE tea without Identifying
AI or PosTIVtea wanovt identifying the
T
theafFected employee'
affectedem to
p yB:
AIL
worry your supervisor
Directly exposed crewsel/yuannnne for l4
Sea personnel without direct contact may
Selfyuann[ine for la days
days
continue onsife work or follow their cumpa ny
Fogey
Continue hygiene& disinfecting measures
confind, hygiene& disinfecting measures
+ you
Ak Ak
wa Wa Selfyrer uadine for la days
You
Ak A You may continue onstte work or follow
Imo• ` '' •W•`` ,, •�•`` ycurcompanypolicy
CTA I -TA 1-1-i Continue hygiene & dhinfecting measures
SITIVE test wRhout Identifying
employee•
ar follow Advise of POSITIVE fast'
Continue hygiene & disinfecting measures
hygiene & disinfecting measures
hygiene&dienfectingmeasures I Continue hyglene& dislifecting measures
T You
Two or more
Persons
Removed from
Continue hygiene &tlisinf<ding measures
Continue hwbne &disinhcting measures
Continue finance 8disinfecting measures
Contact
NCDOT District Engineer/Resident Engineer notifies Encroaching Party's primary point of contact and Contractor Point of
-Notification
NCDOT employee/agent tests
Contact, CDC and, if Resident Engineer has oversight for the job site, FHWA any Consultant Firms working for NCDOT
Protocol
POSITIVE
Encroaching party representative notifies other Contractors, Sub -Contractors and Suppliers with exposed Employees
([amply with HIPA4
& ADA
Encroaching party representative ar Contractor Point of contact notifies appropriate NCDOT District Engineer or Resident
cooAdendal�ry
Encroaching Party or Contract crew
Engineer and all other Contractors, Sub -Contractors and Suppliers with exposed Employees
requirement)
member on job site tests POSITIVE
NCDOT notifies CDC, and as appropriate, FH WA an any Consultant Firms working for NCDOT
Joint Workforce Safety Plan: COVID-19 Page 6