77068D - NCDOT

DR-CAMA / ❑ DREDGE & FILL
W 77068 A B C ODD
GENERAL PERMIT
Previous permit# r--
[%<ew ❑Modificatlon ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality D H (00 , a 7 0 O
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC_ 1
r-'
O
I�ilules attar ed.
Applicant Name N
Project Location: County 8,-Ha,rwr�i
Address ��� �c'r��R's �lVd/•
Street Address/ State Road/ Lot #(s)
G�1"�ff� 'L� nc State /JC a8�f2q
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Phone#(910) 3%y�- s�i E-�Mail r<96 rarfwC1f1 q.V
Subdivisiona
Authorized Agent �n / of /xff
City /ff�/ N ZIP
Affected OCW SEW &fTA [I ES r�rS
Phone# (_) `� River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑WA
AEC(s):
�..w CAW fWnn.�
Adj. Wtr. Body _ - _ Inat- lman- nkn
❑ PWS:
ORW: yes / ® rt�' PNA yes /
Closest Mal. Wtr. Body (A/Rc c a yala t.a/' k f vaa"
Type of Project/ Activity ��d'f^ice �"� bfI'f � jri/ye t rt 7-7lwl/e jr /YZ Ions 4a,J
Pfa6 'br%�jz, cN.i alYoclaf' ln'{r<r'%n..a}xrLy (ncfH��) p'ciocc//oy c .e%cotr. s�hINY.j' Scale: NIA )
Pier (dock) length
Fazed PlaNrt on(s) 1I — lI
Floating Platform(s)
Finger Pieria).
Groin -length
number
Bulkhead/ftiprap length Nj' -
avgdistanceoffshore
max distance onshore _ i
Basin, channel — -+
rr77yyr Ile GaYp'iT
cubic yards
Boat ramp
Boathouse) Boadik-
_
Beach Bulldozing
Other ? fXpr br•r/y< -___'_ '- --.-_ - - _•_.`-'-'- a_... - ---- - - -____ LLL 1
_ _ I
Shoreline Length
SAV: not sure yes I
Moratorium: n/a yes {I I
Photos: yes
Waiver Attached: yes
A building permit may be required by: OP N n % W k k
uK�l ❑See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) C t �L
AANotes/ Special Conditions h� -r�l"� �T'I i+z-✓'e:.Mov'sQ �� j`I! P.�'�`�r `*-
C j"N C `e`at/nq Sri Pz IC �: � fang!/.i��%ur b(�!')'y d.cnrRt%tnl arty e71�+' ry�.wit♦r•V .J'l.at/ �i�
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seew FHrre 1
Ag�ennnttt o'r'Ap'p,�i Jo��-t'QH-ntte'd�/yne
Slgnaivre , Please read compliance statememon backofpermit"
—ryyDO. oo f✓i3f•lb ofB'IRl.I
Application Fee(s) Check #
f,}-vKpl.�-o. L-ne
Pennit0(ficer's Pnnfto Name
Signature
3 z `1-1L�
Issuing Date
Expiration Date

1�t AMA / ❑ DREDGE & FILL O
.., N . 77068 A B C
GENERAL PERMIT Previous permit# r
Cyiqew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality .� H. % 6 pd yZ D dl
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC � 7
ules attacked.
Applicant Name N C / Project Location: County Bi^nrw�`K
Address 1// Street Address/ State Road/ Lot #(s) � 2 b'/ 9 G
City �c1%'z /T�y„e State NGZIP �11 oi, rg13ot 0-YAJlcfIV- 10c-re-130
Phone#(q10) E-Mail rc tr.1/Etncsi*.�ov Subdivision
Authorized Agent J ertr ra✓ -f_I City kf_A N ZIP ;1JOY"
d LiCW ❑EW LfTA ❑ ES Nifirs Phone# ( ) `^ River Basin
Affected LUrr.��4r
Affecte LlOEA ❑HHF ❑IH ❑UBA ❑N/A C..w Ccw rw.r .4 /
ElPWS:
ORW: yes / ® PNA yes / (5
Mi.Wtr. Body (nat main nk�n
Closest Maj. Wtr. Body w"c c' �"�" w /� t Je ✓
Q i lrit D, brt✓a 33twi�e
Type of Project/ Activity .a
// �� a" b ��` i 9
A.9 i�j. G b_I N AiJ CiG')��� lA'1TLP7rNl�NrZ� 1„cIN�%Af r(/OCti!'N' 6 tlttuiY� ttif1
Pier (dock)length Y /
r
Fixed Platform(s) --i
Floating Platform(s)
Finger pier(s)
Groin length -
number -
Bulkhead/ Riprap length
avg distance offshore L i
max distance offshore -
/Y451 /oAq 40eM
Basin, channel
%nCOrflor-:'��c�
cubic yards
Boat ramp
Boathouse/ Boatlift—-
-rJ
Beach Bulldozing -
Other ?3'X/}O` J11115c
<�¢ t _. ..
q IU •�'f�.ec.sn 11. ,I
Shoreline Length ►.i 9 r
SAV: not sure yes too 1 - -
Moratorium: n/a yes
Photos: yes
i
Waiver Attached: yes Q°
A building permit may be required by: tt' f� /•JJ}� �` �f
( Note Local Planning Jurisdiction)
Notes/ Special Conditions �T� z - r��f'� 9 b r
z rc�tjli•�yr),l�i7Ar�r`��ay
sm I�1>7 o-c<or%(..ht.e. w,H. cHH �7
.ice of A%'t c l r- rt. a W% o.+' f ✓' <,N a
Agent or Applicant Printed Name
Signature � ** Please read compliance statement on back of permit**
y er 00. 0 0 t,✓ >'3r •�t "f d' 1'11.1.1
Application Fee(s) Check #
❑ See note on back regarding1 River Basin rules.
i..11 A11-
11 r�r S9�ftc c c�� •%1' i nro :� P,. r b v..T r+r r"`/'t-'i ..'. ,L,,.:'t,
f�-c,,frl.en.. (one
Permit=�eName
Signature Gryµ
3-_3-
Issuing Date
Expiration 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, certify that this project is consistent with 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 howto complywith 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, Pasquotank and Perquimans
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://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/I7

a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER J. ERIC BOYETTE
GOVERNOR SECRETARY
March 10, 2022
Mr. Stephen Lane
Coastal Management Representative, Transportation Projects
Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28557
Subject: CAMA General Permit Application for B-5996 Brunswick Bridge No. 126 Replacement on SR
1300 Ash Little River Road over Cawcaw Swamp WBS number: 48191.1.1
Dear Mr. Lane:
The North Carolina Department of Transportation is proposing to replace Brunswick County
Bridge No. 126 on Ash Little River Road (SR 1300) over Cawcaw Swamp. Existing bridge No.
126 is a 3-span bridge measuring 121 feet in length with a deck width of 29 feet. The replacement
structure will be a 3-span cored slab bridge measuring approximately 130 feet in length providing
a minimum of 30 feet, 10 inches clear roadway width. The bridge will include two 11-foot lanes
and 4-foot 5-inch paved shoulders. The approach roadway will extend approximately 375 feet
from the north end of the bridge and 295 feet from the south end of the bridge. The bridge length is
based on preliminary design information and is set by hydraulic requirements. Top -down bridge
construction methodology will be utilized to minimize impacts. Replacement of the bridge will
require 354 sq. ft. of fill impacts and 410 sq. ft. of mechanized clearing impacts to non -coastal
wetlands. The bridge replacement will require relocation of ATMC line telephone/cable line to be
directionally bored under Cawcaw Swamp. Traffic will be detoured offfsite approximately 8.5
miles during construction.
Please find enclosed:
1. MP-1 and MP-5 CAMA permit Application Forms
2. Copies of the letters sent to the adjacent riparian property and Certified Mail Return Receipts
3. Vicinity map and permit drawings.
4. CE Document and PJD Package
The department anticipates that a permit fee of $400.00 will be charged to the subject WBS element
number. Please let me know if I can provide any further information.
Sincerely,
Sean Farrell
NCDOT Division 3
Division Environmental Officer
ec: Mason Herndon (NCDOT)
Enclosures

IBM NP-1
APPLICATION for
Major Development Permit
(last revised 12127/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Nodot Highway Division 3
Project Name (if applicable)
B-5996, Brunswick Bridge 126
Applicant 1: First Name
Sean
MI
Last Name
Farrell
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
5501 Barbados Blvd.
PO Box
City
Castle Hayne
State
NC
ZIP
28429
Country
USA
Phone No.
910-341-2033 ext.
FAX No.
- -
StreetAddress(if different from above)
City
State
ZIP
Email
[e-mail]
2. Agent(ContractorInformation
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
-
- ext.
Phone No. 2
- - ext.
FAX No.
Contractor #
Street Address (if different from above)
City
Slate
ZIP
Email
<Form continues on back>
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Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Brunswick
Ash Little River Road at Cawcaw Swamp
1300
Subdivision Name
city
State
Zip
N/A
Ash
NC
28420 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
N/A - - ext.
N/A, I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Lumber
Cawcaw Swamp
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural []Manmade [_]Unknown
Waccamaw River
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
❑Yes ®No
work falls within.
Brunswcik County
4.
Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
129 feet
0.5 acre (21,780)
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
n/a, I I
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
12 ft ❑NHW or ®NWL
e.
Vegetation on tract
Vegetation within the project area consists of riverine swamp forest, successional/clearcut areas, and an existing dirt
maintenance road.
f.
Man-made features and uses now on tract
Existing 2 lane 29' wide by 121' in length, 3 span bridge on Ash Little River Road (SR 1300).
g.
Identify and describe the existing land uses adiacent to the proposed project site.
Land uses adjacent to the project and in the project vicinity are rural residential areas, forested lands, and agricultural fields.
h.
How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
RR - Rural/Low Density Residential
(Attach zoning compliance certificate, if applicable)
[]Yes [:]No ®NA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? []Yes ®No
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ®Yes [-]No ❑NA
If yes, by whom? NCDOT HEU
I.
Is the proposed project located in a National Registered Historic District or does it involve a []Yes ®No ❑NA
National Register listed or eligible property?
<Form continues on next page>
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Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ®Yes ❑No
(if) Are there coastal wetlands on the site? []Yes NNo
(iii) If yes to either (i) or(H) above, has a delineation been conducted? ®Yes ❑No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
No wastewater treatment facilities area located within the project area.
o. Describe existing drinking water supply source.
No water supply source is present in the project area.
p. Describe existing storm water management or treatment systems.
Roadside vegetated ditches and bridge stormwater drains directly into Cawcaw Swamp.
5. Activities and Impacts
a.
Will the project be for commercial, public, or private use? ❑Commercial ®PubliGGovernment
❑Private/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
The project will replace the existing bridge on SR 1300 (Ash Little River Road).
c.
Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
The proposed project will replace the existing bridge on Ash Little River Road (SR 1300) over Cawcaw Swamp in Brunswick
County. The project will replace the existing reinforced concrete (RC) floor with RC caps and timber piles bridge with a cored
slab bridge at the same location. The project work will consist of grading, widening, drainage improvements, bridge
replacement, and pavement markings. The work will be conducted using standard road construction equipment. Equipment
will be stored and staged on -site in upland areas.Top-down bridge construction methodology will be utilized to minimize
impacts.
d.
List all development activities you propose.
Replacement of existing 3 span RC floor with RC caps and timber piles bridge measuring 29' in width by 121' in length with a
3 span cored slab bridge measuring 33' in width by 130' in length.
e.
Are the proposed activities maintenance of an existing project, new work, or both? Maintenance
f.
What is the approximate total disturbed land area resulting from the proposed project? 0.5 ❑Sq.Ft or NAcres
g.
Will the proposed project encroach on any public easement, public accessway or other area ®Yes []NO ❑NA
that the public has established use of?
h.
Describe location and type of existing and proposed discharges to waters of the state.
Fillslope for roadway proposed in NW quadrant. Proposed Bridge will NOT have deck drains. Stormwater runoff will be
collected from bridge and discharged on land. Proposed stormwater outfall in NW quadrant will discharge to wetlands.
I.
Will wastewater or stormwater be discharged into a wetland? NYes ❑No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? NYes ❑No ❑NA
j.
Is there any mitigation proposed? ❑Yes NNo ❑NA
If yes, attach a mitigation proposal.
252.808.2808 :: 1-888-4RCOAST :: www. nccoastal management. net

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
<Form continues on back>
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package lobe complete. Items (a) — (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
I. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Falcon Retreat, LLC Phone No.
Address 1461 Ash Little River Road, Ash, NC 28420
Name Kimry V Long Phone No.
Address 1516 Ash Little River Road NW, Ash, NC 28420
Name Victoria Gale Norris Phone No.
Address 1424 Ash Little River Road, Ash, NO 28420
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
h. Signed consultant or agent authorization form, if applicable.
i. Welland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date 02/17/2022 Print Name Sean
Signature
Please indicate application attachments pertaining to your proposed project.
❑DCM MP-2 Excavation and Fill Information ®DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
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Form DCM MP-5
BRIDGES and CULVERTS
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1- BRIDGES ❑This section not applicable
a. Is the proposed bridge:
b. Water body to be crossed by bridge:
❑Commercial ®PubliclGovemment ❑Private/Community
Cawcaw Swamp
c. Type of bridge (construction material):
d. Water depth at the proposed crossing at NLW or NWL:
cored slab
5 ft NWL
e. (i) Will proposed bridge replace an existing bridge? ®Yes ❑No
f. (i) Will proposed bridge replace an existing culvert? ❑Yes ®No
If yes,
If yes,
(11) Length of existing bridge: 121.3 ft.
(it) Length of existing culvert:
(iii) Width of existing bridge: 29 ft
(iii) Width of existing culvert:
IN) Navigation clearance underneath existing bridge: 8.8 ft
(iv) Height of the top of the existing culvert above the NHW or
(v) Will all, or a part of, the existing bridge be removed?
NWL:
(Explain) Yes, all of the existing bridge will be
(v) Will all, or a part of, the existing culvert be removed?
removed and replaced.
(Explain)
g. Length of proposed bridge: 130'
h. Width of proposed bridge: 33'
I. Will the proposed bridge affect existing water Bow? []Yes ®No
j. Will the proposed bridge affect navigation by reducing or
❑Yes ®No
increasing the existing navigable opening?
If yes, explain:
If yes, explain:
k. Navigation clearance underneath proposed bridge: 9.0 ft
I. Have you contacted the U.S. Coast Guard concerning their
❑Yes ®No
approval?
If yes, explain:
m. Will the proposed bridge cross wetlands containing no navigable
n. Height of proposed bridge above wetlands: N/A
waters? ❑Yes ®No
If yes, explain:
2. CULVERTS ®This section not applicable
a. Number of culverts proposed: b. Water body in which the culvert is to be placed:
< Form continues on back>
252-808.2008 :: 1.888.4RCOAST :: www.nccoastalmanagemen4.net revised: 10126106

Form DCM MP-5 (Bridges and Culverts, Page 2 of 4)
c. Type of culvert (construction material):
d. (i) Will proposed culvert replace an existing bridge?
❑Yes ❑No
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
f. Length of proposed culvert:
h. Height of the top of the proposed culvert above the NHW or NWL.
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? []Yes ❑No
If yes, explain:
e. (i) Will proposed culvert replace an existing culvert?
❑Yes ❑No
If yes,
(it) Length of existing culvert(s): _
(III) Width of existing culvert(s): _
(iv) Height of the top of the existing culvert above the NHW or
NWL: _
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
g. Width of proposed culvert:
i. Depth of culvert to be buried below existing bottom contour.
k. Will the proposed culvert affect existing water flow?
If yes, explain:
❑Yes ❑No
3. EXCAVATION and FILL []This section not applicable
a.
(i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ❑Yes ®No
If yes,
(ii) Avg. length of area to be excavated:
(III) Avg. width of area to be excavated:
(iv) Avg. depth of area to be excavated:
(v) Amount of material to be excavated in cubic yards:
c. (i) Will the placement of the proposed bridge or culvert require any
high -ground excavation? ®Yes []No
If yes,
(ii) Avg, length of area to be excavated: 5 ft (south side). 6 ft.
(north side)
(iii) Avg. width of area to be excavated: 66 ft (south side). 58
ft. (north side)
(iv) Avg. depth of area to be excavated: 2 ft (south side). 2 ft.
(north side)
(v) Amount of material to be excavated in cubic yards: 24
CY(south side). 26 CY (north side)
b. (1) Will the placement of the proposed bridge or culvert require any
excavation within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
❑CW ❑SAV ❑SB
OWL ®None
(it) Describe the purpose of the excavation in these areas:
252.808.2808 :: 1.888-4RCOAST :: wwuv.n ccoastalmananement. net revised: 10/26/06

Form DCM MP-5 (Bridges and Culverts, Page 3 of 4)
d. If the placement of the bridge or culvert Involves any excavation, please complete the following:
(i) Location of the spoil disposal area: TBD
III) Dimensions of the spoil disposal area: M
(iii) Do you claim title to the disposal area? ®Yes []No (If no, attach a lettergranting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? ❑Yes NNo
(v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (SB)?
[]CW ❑SAV ❑WL ❑SB ®None
If any boxes are checked, give dimensions if different from (it) above.
(vi) Does the disposal area include any area below the NHW or NWL? ? ❑Yes ENO
If yes, give dimensions if different from (ii) above.
e. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed below NHW or NWL? ❑Yes NNo
If yes,
(III Avg. length of area to be filled:
(III) Avg. width of area to be filled:
('w) Purpose of fill:
g. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed on high -ground? ®Yes ❑No
If yes,
(it) Avg. length of area to be filled: 640 ft.
(iii) Avg. width of area to be filled: 5 ft.
(iv) Purpose of fill: Roadway Embankment
(i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed within coastal wetlandslmarsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
❑Cw ❑SAV ❑SB
NWL 354 ❑None
(ii) Describe the purpose of the excavation in these areas:
Roadway Embankment
a. Will the proposed project require the relocation of any existing b. Will the proposed project require the construction of any temporary
utility lines? NYes []No detour structures? ❑Yes [ENO
If yes, explain: Telephone line will be relocated If yes, explain:
underneath Cawcaw Swamp (see drawings)
If this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification.
< Form continues on back>
252.808.2808 :: 1.888.4RCOAS7' :: www.ncconstaimanagen)ent.net revised: 110/26106

i
Form DCM MP-5 (Bridges and Culverts, Page 4 of 4)
c. Will the proposed project require any work channels? d. How will excavated or fill material be kept on site and erosion
❑Yes ®No controlled?
If yes, complete Form DCM-MP-2. NCDOT sediment and erosion control BMPs will be used to
contain on -site fill material.
e. What type of construction equipment will be used (for example,
dragline, backhoe, or hydraulic dredge)?
Standard roadway construction equipment
g. Will the placement of the proposed bridge or culvert require any
shoreline stabilization? ❑Yes ®No
If yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
03/24/2022
Date
B-5996, Brunswick Bridge 126
Project Name
NCDOT
Applicant Name
Sean Farrell
Applicant Signature
f. Will wetlands be crossed in transporting equipment to project site?
❑Yes ®No
If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
252.808-2808 :: 1-888-4RCOAST :: www.nccoastalmananement. net revised: 10/26/06

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
ROY COOPER ERIC BOYETTE
GOVERNOR SECRPPARY
February 17, 2022
Falcon Retreat, LLC
1461 Ash Little River Road
Ash, NC 28420
Re: Replacement of Bridge 126 on Ash Little River Road over Cawcaw Swamp
Brunswick County, North Carolina
The North Carolina Department of Transportation (NCDOT) Highway Division 3 is submitting a CAMA
General Permit application to the North Carolina Division of Coastal Management (DCM) for the
replacement of Bridge 126 on Ash Little River Road (SR 1300) over Cawcaw Swamp in Brunswick
County, North Carolina. The proposed construction will consist of the replacement of the existing
reinforced concrete floor bridge with a cored slab bridge at the same location. DCM requires that all
adjacent landowners be notified of this application. The attached permit application package describes the
proposed plan for the bridge replacement project. The General Permit will allow for the replacement of the
bridge within Areas of Environmental Concern that are under the jurisdiction of DCM.
If you have any questions, please contact me at 910-341-2033. Should you have objections to the proposed
construction, please check the appropriate statement below, sign, date, and return as soon as possible to:
Mr. Stephen Lane, Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557
or call [phone].
Written comments must be received by the Division of Coastal Management within 10 days of receipt of
this notice. NO RESPONSE WITHIN 10 DAYS of receipt of the correspondence will be INTERPRETED
AS NO OBJECTION.
Sincerely, �q
5"ffl 'F ld7 4 '
Sean Farrell
NCDOT Division 3 Environmental Officer
I have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
Mailing Address:
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
5501 BARBADOS BOULEVARD
CASTLE RAYNE, NC 29429-5647
(Signature)
(Date)
Telephone: [phone]
Fax: [phone]
Customer Service: 1-977-368-4968
Website: ~x.ncdot.gov
Lo mion:
5501 BARBADOS BOULEVARD
CASTLE RAYNE, NC 29429-5647

a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER ERIC BOYETTE
GOVERNOR SECRETARY
February 17, 2022
Victoria Gale Norris
1424 Ash Little River Road
Ash, NC 28420
Re: Replacement of Bridge 126 on Ash Little River Road over Cawcaw Swamp
Brunswick County, North Carolina
The North Carolina Department of Transportation (NCDOT) Highway Division 3 is submitting a CAMA
General Permit application to the North Carolina Division of Coastal Management (DCM) for the
replacement of Bridge 126 on Ash Little River Road (SR 1300) over Cawcaw Swamp in Brunswick
County, North Carolina. The proposed construction will consist of the replacement of the existing
reinforced concrete floor bridge with a cored slab bridge at the same location. DCM requires that all
adjacent landowners be notified of this application. The attached permit application package describes the
proposed plan for the bridge replacement project. The General Permit will allow for the replacement of the
bridge within Areas of Environmental Concern that are under thejurisdiction of DCM.
If you have any questions, please contact me at 910-341-2033. Should you have objections to the proposed
construction, please check the appropriate statement below, sign, date, and return as soon as possible to:
Mr. Stephen Lane, Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557
or call [phone].
Written comments must be received by the Division of Coastal Management within 10 days of receipt of
this notice. NO RESPONSE WITHIN 10 DAYS of receipt of the correspondence will be INTERPRETED
AS NO OBJECTION.
Sincerely, �q
watt, �C�i22 ¢eYi
Sean Farrell
NCDOT Division 3 Environmental Officer
I have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
Mailing Address:
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
5501 BARBADOS BOULEVARD
CASTLE HAYNE, NC 28429-5647
(Signature)
(Date)
Telephone: [phone]
Fax: [phone]
Cusl Omer Service: 1-877-368-4968
Websue: w ncdoi.gov
Location:
5501 BARBADOS BOULEVARD
CASTLE HAYNE, NC 28429-5647

a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER ERIC BOYETTE
GOVERNOR SECRETARY
February 17, 2022
Kimry V. Long
1516 Ash Little River Road NW
Ash, NC 28420
Re: Replacement of Bridge 126 on Ash Little River Road over Cawcaw Swamp
Brunswick County, North Carolina
The North Carolina Department of Transportation (NCDOT) Highway Division 3 is submitting a CAMA
General Permit application to the North Carolina Division of Coastal Management (DCM) for the
replacement of Bridge 126 on Ash Little River Road (SR 1300) over Cawcaw Swamp in Brunswick
County, North Carolina. The proposed construction will consist of the replacement of the existing
reinforced concrete floor bridge with a cored slab bridge at the same location. DCM requires that all
adjacent landowners be notified of this application. The attached permit application package describes the
proposed plan for the bridge replacement project. The General Permit will allow for the replacement of the
bridge within Areas of Environmental Concern that are under the jurisdiction of DCM.
If you have any questions, please contact me at 910-341-2033. Should you have objections to the proposed
construction, please check the appropriate statement below, sign, date, and return as soon as possible to:
Mr. Stephen Lane, Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557
or call [phone].
Written comments must be received by the Division of Coastal Management within 10 days of receipt of
this notice. NO RESPONSE WITHIN 10 DAYS of receipt of the correspondence will be INTERPRETED
AS NO OBJECTION.
Sincerely,
JP-CLN/
Sean Farrell
NCDOT Division 3 Environmental Officer
I have no objection to the proposed project as described in this correspondence.
I have objection to the project as presently proposed and have enclosed comments.
Mailing Address:
NC DEPARTIAENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
5501 BARBADOS BOULEVARD
CASTLE HAYNE, NC 28429-5647
(Signature)
(Date)
Telephone: [phone]
Faa:[phone]
Customer Service: 1-877-368-4968
Websue: a .ncdot.gov
Location:
5501 BARBADOS BOULEVARD
CASTLE RAYNE, NC 28429-5647

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1. Article Addressed to:
Kim V• Luna
Iq(o`)sh U+iVe Oftrbt],4 NW
Ash, NC' ZS4w
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9590 9402 4465 8248 8254 22
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PS Form 3811, July 2015 PSN 7530-02-000-9053
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2. Article Number(frensferfromsewicelebell
7019 2280 0001 4396 3359
PS Form 3811, July 2015 PSN 7530-02-D00-9053
IN Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
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■ Attach this card to the back of the mailpiece,
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PS Form 3811. July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

DocuSign Envelope ID: 65087D7A-98D8-4476-92BD-3E804A52F368
Type I or II Categorical Exclusion Action Classification Form
STIP Project No.
WBS Element
Federal Project No.
A. Project Description:
B-5996
48191.1.1
BRZ-1300(019)
The STIP description of the project is to replace Bridge 126 over Cawcaw Swamp on Ash Little River
Road (SR 1300) in Brunswick County.
The existing structure is a 121-foot long reinforced concrete (RC) deck with 1-beams that was
constructed in 1966. The structure includes reinforced concrete caps with timber piles and consists of
three spans: 1 @40 feet, 6 inches, 1 @40 feet 4 inches, and 1 @40 feet 6 inches and has a deck width
of 29 feet.
NCDOT proposes to replace the existing structure with a new 3 span 130-foot cored slab structure that
has a 30-foot, 10-inch clear roadway deck that includes two, 11-foot lanes with 4-foot 5-inch paved
shoulders. Project construction will extend approximately 375 feet from the north end of the bridge
and 295 feet from the south end of the bridge.
B. Description of Need and Purpose:
NCDOT Bridge Management Unit records indicate Bridge No. 126 has a sufficiency rating of 21.51 out
of a possible 100 for a new structure.
Bridge No. 126 has timber elements that are 55 years old and is classified as structurally deficient.
Timber components have a typical life expectancy between 40 to 50 years due to the natural
deterioration rate of wood. Components of both the concrete superstructure and wooden substructure
have experienced an increasing degree of deterioration and are no longer feasible to address through
maintenance activities.
The purpose of this project is to replace the current, structurally deficient bridge with a new structure at
the same location to minimize impacts and costs.
C. Categorical Exclusion Action Classification:
Type I(A) - Ground Disturbing Action
D. Proposed Improvements:
28. Bridge rehabilitation, reconstruction, or replacement or the construction of grade separation
to replace existing at -grade railroad crossings, if the actions meet the constraints in 23 CFR
771.117(e)(1-6).
NOTE: The following Type I(C) Actions (NCDOT-FHWA 2019 CE Agreement, Appendix A) only
require completion of Sections A through D to substantiate and document the CE classification: 1,
5, 8 (signs and pavement markings only), 11, 13, 14, 15, 16, 17, 19, and 20; or several other Type 1
Action subcategories identified in past NCDOT-FHWA CE Programmatic Agreements (see
Appendix D). Pre -approval as a CE does not exempt activities from compliance with other
federal environmental laws.
v2019.1 B-5996 Type I(A) CE Page 1

DocuSign Envelope ID: 650B7D7A-98D8-4476-928D-3E804A52F368
E. Special Proiect Information:
Replacing the existing structure in place would require the use of an off -site detour, from Ash Little
River Road (SR 1300) to No. 5 School Road (SR 1305) to Pea Landing Road NW (SR 1304) to
Hickman Road (SR 1313) back to Ash Little Road. The length of the proposed off -site detour is 8.5
miles. Brunswick County Schools has indicated that three buses take 24 trips over Bridge 126 each
day. The detour route will increase travel time to and from schools. They have requested that
NCDOT contact them well in advance of closing the road. Brunswick County Emergency
Management System (EMS) has indicated that the proposed detour will have a low impact on their
response time.
Streams and wetlands in the project area are shown in Figure 3 from the Natural Resources Technical
Report (NRTR). Based on slope stake limits plus 25 feet, the proposed project would impact less than
0.1 acre of Wetlands WA and WB. As the facility would cross Cawcaw Swamp with a bridge, no
stream impacts are anticipated. While the US Army Corps of Engineers (USACE) will make the final
determination as to the permit required, at this time it is anticipated that an Individual Permit will not be
required and that the project would qualify as a Nationwide Permit 3 and corresponding Section 401
Water Quality General Certification. The project is not anticipated to have floodplain or floodway
impacts.
In coordination with the Division of Coastal Management (DCM), it has been determined that Cawcaw
Swamp is a CAMA Area of Environmental Concern (AEC), therefore a CAMA Permit will also be
required for the construction of this project. Impacts to the AEC are not anticipated to be substantial.
Estimated Cost: Based on the current design, the following costs are anticipated for this project:
• Construction:
$900,000
• ROW:
$10,000
• Utilities:
$60,000
• Total:
$970,000.
Public Involvement: NCDOT notified area landowners as well as the Brunswick County School and
Emergency Management System. County comments are summarized above. No landowner
comments were received with regards to the project.
Traffic Data: Based on data from NCDOT, average daily traffic on Ash Little Road was
approximately 1,600 vehicles per day in 2015 and is estimated to be 3,200 vehicles per day in 2025.
Approximately 6 percent of the traffic was estimated to be trucks/duals.
v2019.1 B-5996 Type 1(A) CE Page 2

DocuSign Envelope ID: 650B7D7A-98D8-4476-928D-3E804A52F368
F. Proiect Impact Criteria Checklists:
F2. Ground Disturbing Actions — Type I (Appendix A) & Type II (Appendix B)
Proposed improvement(s) that fit Type I Actions (NCDOT-FHWA CE Programmatic Agreement,
Appendix A) including 2, 3, 6, 7, 9, 12, 18, 21, 22 (ground disturbing), 23, 24, 25, 26, 27, 28, &/or 30;
&/or Type II Actions (NCDOT-FHWA CE Programmatic Agreement, Appendix B) answer the project
impact threshold questions (below) and questions 8 — 31.
• If any question 1-7 is checked "Yes" then NCDOT certification for FHWA approval is required.
• If any question 8-31 is checked "Yes" then additional information will be required for those questions
in Section G.
PROJECT IMPACT THRESHOLDS
Yes
No
(FHWA signature required if any of the questions 1-7 are marked "Yes".)
1
Does the project require formal consultation with U.S. Fish and Wildlife Service
El
(USFWS) or National Marine Fisheries Service (NMFS)?
2
Does the project result in impacts subject to the conditions of the Bald and Golden
❑
Q
Eagle Protection Act (BGEPA)?
3
Does the project generate substantial controversy or public opposition, for any
❑','
Q
reason, following appropriate public involvement?
4
Does the project cause disproportionately high and adverse impacts relative to low-
El
Q
income and/or minority populations?
5
Does the project involve a residential or commercial displacement, or a substantial
❑ ,
Q
amount of right of way acquisition?
6
Does the project require an Individual Section 4(f) approval?
❑
Q
Does the project include adverse effects that cannot be resolved with a
7
Memorandum of Agreement (MOA) under Section 106 of the National Historic
❑
Q
Preservation Act (NHPA) or have an adverse effect on a National Historic
Landmark (NHL)?
If any question 8-31 is checked "Yes' then additional information will be required for those questions in
Section G.
Other Considerations
Yes
No
8
Is an Endangered Species Act (ESA) determination unresolved or is the project
Q
❑
covered by a Programmatic Agreement under Section 7?
9
Is the project located in anadromous fish spawning waters?
❑
Q
Does the project impact waters classified as Outstanding Resource Water (ORW),
10
High Quality Water (HQW), Water Supply Watershed Critical Areas, 303(d) listed
❑
Q
impaired water bodies, buffer rules, or Submerged Aquatic Vegetation (SA ?
Does the project impact Waters of the United States in any of the designated
❑
Q
11
mountain trout streams?
12
Does the project require a U.S. Army Corps of Engineers (USACE) Individual
❑
Q
Section 404 Permit?
13
Will the project require an easement from a Federal Energy Regulatory
❑
Q
Commission FERC licensed facility?
v2019.1 B-5996 Type I(A) CE Page 3

DocuSign Envelope ID: 650B7D7A-98D8-4476-928D-3E804A52F368
Other Considerations for Tvoe I and II Ground Disturbinq Actions (continued)
Yes
No
Does the project include a Section 106 of the National Historic Preservation Act
14
(NHPA) effects determination other than a No Effect, including archaeological
❑
0
remains?
15
Does the project involve GeoEnvironmental Sites of Concerns such as gas
❑
stations, dry cleaners, landfills, etc.?
Does the project require work encroaching and adversely affecting a regulatory
16
floodway or work affecting the base floodplain (100-year flood) elevations of a
❑
0
water course or lake, pursuant to Executive Order 11988 and 23 CFR 650 subpart
A?
17
Is the project in a Coastal Area Management Act (CAMA) county and substantially
❑
0
affects the coastal zone and/or any Area of Environmental Concern (AEC)?
18
Does the project require a U.S. Coast Guard (USCG) permit?
❑
0
19
Does the project involve construction activities in, across, or adjacent to a
❑
0
designated Wild and Scenic River present within the project area?
20
Does the project involve Coastal Barrier Resources Act (CBRA) resources?
❑
0
21
Does the project impact federal lands (e.g. U.S. Forest Service (USFS), USFWS,
❑
0
etc.) or Tribal Lands?
22
Does the project involve any changes in access control or the modification or
❑
0
construction of an interchange on an interstate?
23
Does the project have a permanent adverse effect on local traffic patterns or
❑
0
community cohesiveness?
24
Will maintenance of traffic cause substantial disruption?
❑
0
25
Is the project inconsistent with the STIP, and where applicable, the Metropolitan
El
0
Plannin Or anization's MPO's Transportation Improvement Program (TIP)?
Does the project require the acquisition of lands under the protection of Section 6(f)
of the Land and Water Conservation Act, the Federal Aid in Fish Restoration Act,
26
the Federal Aid in Wildlife Restoration Act, Tennessee Valley Authority (TVA),
❑
0
Tribal Lands, or other unique areas or special lands that were acquired in fee or
easement with public -use money and have deed restrictions or covenants on the
ro ert?
27
Does the project involve Federal Emergency Management Agency (FEMA) buyout
❑
0
properties under the Hazard Mitigation Grant Program HMGP ?
28
Does the project include a de minimis or programmatic Section 4(f)?
❑
0
29
Is the project considered a Type I under the NCDOT Noise Policy?
❑
0
30
Is there prime or important farmland soil impacted by this project as defined by the
❑
0
Farmland Protection Policy Act FPPA ?
31
Are there other issues that arose during the project development process that
❑
0
affected the proj ect decision?
v2019.1 B-5996 Type I(A) CE Page 4

DocuSign Envelope ID: 650B7D7A-98D8A476-92BD-3E804A52F368
G. Additional Documentation as Required from Section F (ONLY for questions marked 'Yes'):
Question 8.
The US Fish and Wildlife Service has revised the previous programmatic biological opinion (PBO) in
conjunction with the Federal Highway Administration (FHWA), the US Army Corps of Engineers (USACE),
and NCDOT for the northern long-eared bat (NLEB) (Myotis septentrionalis) in eastern North
Carolina. The PBO covers the entire NCDOT program in Divisions 1-8, including all NCDOT projects and
activities. Although this programmatic covers Divisions 1-8, NLEBs are currently only known in 19
counties, but may potentially occur in 11 additional counties within Divisions 1-8. NCDOT, FHWA, and
USACE have agreed to two conservation measures which will avoid/minimize mortality of NLEBs. These
conservation measures only apply to the 30 current known/potential counties shown on Figure 2 of the
PBO at this time. The programmatic determination for NLEB for the NCDOT program is May Affect,
Likely to Adversely Affect. The PBO will ensure compliance with Section 7 of the Endangered Species
Act for ten years (effective through December 31, 2030) for all NCDOT projects with a federal nexus in
Divisions 1-8, which includes Brunswick County, where B-5996 is located.
v2019.1 B-5996 Type I(A) CE Page 5

DocuSign Envelope ID: 650B7D7A-98D8-4476-92BD-3E804A52F368
H. Project Commitments (attach as Green Sheet to CE Form):
NCDOT PROJECT COMMITMENTS
STIP Project No. B-5996
Replacement of BR 126 over Cawcaw Swamp on Ash Little River Road (SR 1300)
Brunswick County
Federal Aid Project No. BRZ-1300(019)
WBS Element 48191.1.1
Division 3 Construction
This project involves construction activities on or adjacent to FEMA-regulated stream(s). Therefore, the
Division shall submit sealed as -built construction plans to the Hydraulics Unit upon completion of project
construction, certifying that the drainage structure(s) and roadway embankment that are located within the
100-year floodplain were built as shown in the construction plans, both horizontally and vertically.
NCDOT will contact Brunswick County Schools [phone] at least one month prior to construction to
coordinate construction activities with school transportation schedules.
v2019.1 8-5996 Type ](A) CE Page 6

DowSign Envelope ID: 650B7D7A-9808A476-92BD-3E804A52F368
I. Categorical Exclusion Approval:
STIP Project No.
WBS Element
B-6996
48191.1.1
Federal Project No. BRZ-1300(019)
Prepared By:
d DocuSipneby:
8/19/2021 � 'o'ia
fiFD/8fiB4S11®196
Date Ken Gilland, Transportation Planning Manager
HNTB, PC
Prepared For: Derek Pielech PE NCDOT Division 3 Bridge Program Manager
Reviewed By: DeeuSl,nedby:
8/25/2021 �tvrk pitlR,ch,
004
Date Derek Pie -lee , P Division 3 Bridge Program Manager
North Carolina Department of Transportation
• If NO grey boxes are checked in Section F (pages 2
0 Approved and 3), NCDOT approves the Type I or Type II
Categorical Exclusion.
• If ANY grey boxes are checked in Section F (pages 2
Certified and 3), NCDOT certifies the Type I or Type II
Categorical Exclusion for FHWA approval.
• If classified as Type III Categorical Exclusion.
Docuftned �t.by:
8/19/2021 wi, iit,Ylnh",
Date for Chad Imes; PE, Division 3 Engineer
North Carolina Department of Transportation
FHWA Approved: For Projects Certified by NCDOT (above), FHWA signature required.
N/A
Date forJohn F. Sullivan, III, PE, Division Administrator
Federal Highway Administration
Note: Prior to ROW or Construction authorization, a consultation may be required (please see
Section VII of the NCDOT-FHWA CE Programmatic Agreement for more details).
v2019.1 B-5996 Type 1(A) CE Page 7

DocuSign Envelope ID: 650137D7A-98D8-4476-92BD-3E804A52F368
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Q Project Study Area* I17 V 11 carohna
whore s Go If R
'Location and extent Is approximate.
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epproxlmatetl by ESl. I $ "l
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nr, e 2 mt suable m, legal o, enameenog Goll Club ° !+len Gernoch
parpases the RlVer V'laleraey Aderrorial
Vicinity Map Project: ER18063.01
c 't Date: Nov 2018
Brunswick 126 Drwn/Chkd: CW/RT
a Brunswick County, North Carolina
Figure: I
Path Pad Nee, 10 rzo+e 12ts35 PM

DocuSign Envelope ID: 65087D7A-98DB-4476-92BD-3E804A52F368

DocuSign Envelope ID: 650B7D7A-98D8A476-92BD-3E804A52F368
Project Tracking No.:
19-01-0021
a?:'. ,4, NO ARCHAEOLOGICAL SURVEY REQUIRED FORM ,?
i Q ni This form only pertains to ARCHAEOLOGICAL RESOURCES for this project. It is not
Q�4W valid for Historic Architecture and Landscapes. You must consult separately with the
1 Historic Architecture and Landscapes Group. 9_p
PROJECT INFORMATION
Project No: B-5996
WBS No: 48191.1.1
F.A. No: BRZ-1300(019)
Federal Permit Required?
County:
Document:
Brunswick
Federal PCE
Funding: ❑ State ® Federal
® Yes ❑ No Permit Type: USACE
Project Description: The project involves the replacement of Bridge No. 126 over Cawcaw Swamp on
SR 1300 (Ash -Little River Rd NW) in Brunswick County, North Carolina. The archaeological Area of
Potential Effects (APE) encompasses all areas of potential ground disturbing activity as depicted on the
attached GIS mapping. It measures approximately 800ft in length (400ft from each bridge end -point) and
150ft in width (75ft from the SR 1300 center -line).
SUMMARY OF CULTURAL RESOURCES REVIEW
Brief description of review activities, results of review, and conclusions:
Permitting and funding information was reviewed for determining the level of archaeological Input required by
state and federal laws. Based on the submitted "request for cultural resources review" form, the project Is
federally -funded with federal permit interaction. As such, Section 106 of the National Historic Preservation Act will
apply and the Federal Highway Administration (FHwA) will serve as the lead federal agency. Next, construction
design and other data was examined (when applicable) to define the character and extent of potential impacts to
the ground surfaces embracing the project locale.
Once an APE was outlined, a map review and site file search was conducted at the Office of State Archaeology
(OSA) on Friday, February 8, 2019. No NRHP eligible archaeological sites or any other previously documented
archaeological sites are located within or adjacent to the APE.
Examination of National Register of Historic Places (NRHP), State Study Listed (St.), Locally Designated (LD),
Determined Eligible (DE), and Surveyed Site (SS) properties employing resources available on the NCSHPO website
is important in establishing the location of noteworthy historic occupations related to a perspective construction
Impact area. A cross-check of these mapped resources concluded that none of the above properties with possible
contributing archaeological components are situated within or proximal to theAPE.
In addition, historic maps of Brunswick County were appraised to Identify former structure locations, land use
patterns, cemeteries, or other confirmation of historic occupation in the project vicinity. Archaeological/historical
reference materials were inspected as well. In general, the cultural background review established that no
previously recorded archaeological sites, cemeteries, or NRHP listed archaeological sites are located within the
APE. Based on cultural -historical factors, the APE is considered to have a low potential for the documentation of
archaeological resources.
Further, topographic, geologic, flood boundary, and NRCS soil survey maps were referenced to evaluate
pedeological, geomorphological, hydrological, and other environmental determinants that may have resulted in
past occupation at this location. Aerial and on -ground photographs (NCDOT Spatial Data Viewer) and the Google
Street View map application (when amenable) were also examined/utilized for additional assessment of
disturbances, both natural and human induced, which compromise the integrity of archaeological sites.
"No ARCHAEOLOGYSURVIiY REQUIRED"form fovlheAmendedMoior Transponaliml Projects as Qeeliftedin the 1015rrogm muaticAgreem"a.
1 of 2

DocuSign Envelope ID: 650B7D7A-98DBA476-92BD-3E804A52F368
Project 7YackingNo.:
19-01-0021
Environmental/impact factors do not suggest a heightened potential for archaeological resource recovery.
Brief Explanation of why the available information provides a reliable basis far reasonably predicting
that there are no unidentified historic properties in the APE,
The entire project study area is within an area of very poorly drained soils. Archaeological site potential is remote.
There are no existing NRHP eligible archaeological sites within the projects APE, and it is unlikely to contain
significant, Intact, and preserved archaeological deposits. As currently proposed as a federally -funded project with
federal permits, no further consultation Is advocated. A finding of "no archaeological survey required" Is
considered appropriate.
SUPPORT DOCUMENTATION
See attached: ® Map(s) ® Previous Survey Info ❑ Photos ❑Correspondence
❑ Photocopy of County Survey Notes Other:
FINDING BY NCDOT ARCHAEOLOGIST
NO ARCHAEOLOGY SURVEYREOUIRED
NCDOT
"No ARCHAF.OLOCYSURVEY REQUIRED"form for Ike Amended Minor 7iwisportal/on Projecls as Qualifiedin the 2013 Progmnunalic Agreement.
2 of

DocuSign Envelope ID: 650B7D7A-98DB-4476-92BD-3EB04A52F368
19-01-0021
tiRJ HISTORIC ARCHITECTURE AND LANDSCAPES
Y' NO SURVEY REQUIRED FORM
This form only pertains to Historic Architecture and Landscapes for this project. It
is not valid for Archaeological Resources. You must consult separately with the
Archaeology Group.
PROJECT INFORMATION
Project No:
B-5996
County:
Brunswick
WBSNo.:
48191.1.1
Document
T e:
Fed. Aid No:
BRZ-1300(019)
Funding:
State X Federal
Federal
Permits :
X Yes No
Permit
T e s :
USACE
ProiectDescription: Replace Bridge No. 126 on SR 1300 (Ash -Little River Road NW) over
Cawcaw Swam no off -site detour or ROW acquisition planned).
SUMMARY UN' H1STURIC AKCHlTEUTURE AND LAINLINUAMJ KEVIEw
Description of review activities, results, and conclusions: HPOWeb reviewed on 20 February
2019 and yielded no NR, SL, LD, DE, or SS properties in the Area of Potential Effects (APE).
Brunswick County current GIS mapping, aerial photography, and tax information indicated a
wooded, undeveloped APE with one residential property dating to the 2010s (viewed 20
February 2019). Built in 1966, Bridge No. 126 is not eligible for listing In the National Register
as it is neither aesthetically nor technologically significant. Google Maps "Street View"
confirmed the absence of significant architectural and landscape resources in the APE (viewed
20 February 2019).
No architectural survey is required for the project as currently defined.
Wiry the available information provides a reliable basis for reasonably predicting that there
area: The APE extends 500 feet from either end of the existing bridge (NE -SW) and 200 feet to
either side of the SR 1300 (Ash -Little River Road NW) (SE -NW) to encompass anticipated
construction activities and possible project Impacts. Comprehensive architectural survey of
Brunswick County (2009-2010), as well as other investigations, recorded no properties in the
APE. County GIS/tax materials and other visuals clearly illustrate the absence of significant
architectural and landscape resources. No National Register -listed properties are located within
the APE.
Should any aspect of the design change, please notify
NCDOT Historic Architecture as additional review may be necessary.
SUPPORT DOCUMENTATION
X Map(s) ❑Previous Survey Info. ❑Photos ❑Correspondence ❑Design Plans
FINDING BY NCDOT ARCHITECTURAL HISTORIAN
Histo c Architecture and Landscapes -- NO SURVEY REQUIRED
ao aol
NCDOT Architectural istorian Date
Ma m, A,,hW any and l.mul.agre, No SURPRY REQUIRED fmm fur Minor Dr igwrlrdimr Prvjecre oa {Inalified in lire 2007 Pi ogranunnlir Agreement.

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2018-02054 County: Brunswick County U.S.G.S. Quad: Calabash
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Applicant:
Address:
Size (acres)
Nearest Waterway
USGS HUC
NCDOT-Division 3
Attn: Mr. Mason Herndon
5501 Barbados Blvd.
Castle Havne, NC 28429
+/+/=2
Caw Caw Swamn
03040206
Nearest Town Calabash
River Basin Lower Pee Dee
Coordinates Latitude: 33.9412819190796
Longitude:-78.6104602750136
Location description: The nroiect (B-5996) is located alone SR 1300 (Ash Little River Road) where it crosses Caw
Caw Swamp north of Calabash, Brunswick County,
Indicate Which of the Followina Apply:
A. Preliminary Determination
X There are waters, including wetlands, on the above described project area, that may be subject to Section 404 of the
Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). The
waters, including wetlands, have been delineated, and the delineation has been verified by the Corps to be sufficiently
accurate and reliable. Therefore this preliminary jurisdiction determination maybe used in the permit evaluation process,
including determining compensatory mitigation. For purposes of computation of impacts, compensatory mitigation
requirements, and other resource protection measures, a permit decision made on the basis of a preliminary JD will treat all
waters and wetlands that would be affected in any way by the permitted activity on the site as if they are jurisdictional
waters of the U.S. This preliminary determination is not an appealable action under the Regulatory Program
Administrative Appeal Process (Reference 33 CFR Part 331). However, you may request an approved JD, which is an
appealable action, by contacting the Corps district for further instruction.
There are wetlands on the above described property, that may be subject to Section 404 of the Clean Water Act
(CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). However, since the
waters, including wetlands, have not been properly delineated, this preliminary jurisdiction determination may not be
used in the permit evaluation process. Without a verified wetland delineation, this preliminary determination is merely an
effective presumption of CWA/RHA jurisdiction overall of the waters, including wetlands, at the project area, which is
not sufficiently accurate and reliable to support an enforceable permit decision. We recommend that you have the
waters of the U.S. on your property delineated. As the Corps may not be able to accomplish this wetland delineation in a
timely manner, you may wish to obtain a consultant to conduct a delineation that can be verified by the Corps.
B. Approved Determination
_ There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act (CWA)(33 USC
§ 1344). Unless there is a change in law or our published regulations, this determination may be relied upon for a period
not to exceed five years from the date of this notification.
_ There are waters of the U.S., including wetlands, on the above described project area subject to the permit requirements
of Section 404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
_ We recommend you have the waters of the U.S. on your property delineated. As the Corps may not be able to
accomplish this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that
can be verified by the Corps.
Page 1 of 4

SAW-2018-02054
_ The waters of the U.S., including wetlands, on your project area have been delineated and the delineation has been
verified by the Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be
reviewed and verified by the Corps. Once verified, this survey will provide an accurate depiction of all areas subject to
CWA jurisdiction on your property which, provided there is no change in the law or our published regulations, may be
relied upon for a period not to exceed five years.
_ The waters of the U.S., including wetlands, have been delineated and surveyed and are accurately depicted on the plat
signed by the Corps Regulatory Official identified below on . Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
_ There are no waters of the U.S., to include wetlands, present on the above described project area which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
_ The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMA). You should contact the Division of Coastal Management in Morehead City, NC, at [phone] to
determine their requirements.
Placement of dredged or fill material within waters of the US, including wetlands, without a Department of the Army permit
may constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material,
construction or placement of structures, or work within navigable waters of the United States without a Department of the
Army permit may constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC § 401 and/or 403).1f
you have any questions regarding this determination and/or the Corps regulatory program, please contact Brad Shaver at
[phone] or Brad.E.Shavert7a usace.armv.mil.
C. Basis For Determination: N/A. An Approved JD has not been completed.
D. Remarks: The site was field verified on October 25, 2018.
Corps Regulatory Official:
Date: October 29, 2018 Expiration Date: None
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete our Customer Satisfaction Survey, located online at
http://corpsmapu.usace.army.mil/cm a12ex/f?p=136:4:0.
Copy Fumished(electronic):
Ms. Joanne Steenhuis, NCDEO-DWR
Page 2 of 4

S.AN%-2018-0205a
NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
Applicant: NCDOT-Division 3 File Number: SAW-2018-02054 Date: October 29, 2018
Attached is: E
See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter ofpermission)
A
PROFFERED PERMIT Standard Permit or Letter ofpermission)
B
PERMIT DENIAL
C
APPROVED JURISDICTIONAL DETERMINATION
D
PRELIMINARY JURISDICTIONAL DETERMINATION
E
`SECTION I - The following identifies you rights and options regarding an administrative appeal of the above decision.
Additional information may be found at http://www.usace.aroiv.mil/Missions/CiviIWorks/Re ulatorvProammandPermils.asmx or
Corps regulations at 33 C_,R Part 331 :.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the
permit be modified accordingly. You must complete Section II of this form and return the form to the district engineer. Your
objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to appeal
the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the
permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit
having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer
will send you a proffered permit for your reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form
and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of
this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the division engineer. This form
must be received by the division engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of
this notice means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section li of this form and sending the form to the division engineer. This form must be received by
the division engineer within 60 days of the date of this notice.
Page 3 of 4

SAW-2018-02054
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved
JD (which may be appealed), by contacting the Corps district for further instruction. Also you may provide new
information for further consideration by the Corps to reevaluate the JD.
SECTION Il - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your
objections to an initial proffered permit in clear concise statements. You may attach additional information to
this form to clarify where your reasons or objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps
memorandum for the record of the appeal conference or meeting, and any supplemental information that the
review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps
may add new information or analyses to the record. However, you may provide additional information to clarify
the location of information that is already in the administrative record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
If you only have questions regarding the appeal process you may
appeal process you may contact:
also contact:
District Engineer, Wilmington Regulatory Division,
Mr. Jason Steele, Administrative Appeal Review Officer
Attn: Brad Shaver
CESAD-PDO
69 Darlington Ave
U.S. Army Corps of Engineers, South Atlantic Division
Wilmington, NC 28403
60 Forsyth Street, Room IOM15
Atlanta, Georgia 30303-8801
Phone: [phone]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day
notice of any site investigation, and will have the opportunity to participate in all site investi ations.
Date:
Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: Brad Shaver, 69 Darlington Avenue, Wilmington, North
Carolina 28403
For Permit denials, Proffered Permits and approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Jason Steele,
Administrative Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 10M15, Atlanta, Georgia 30303-8801
Phone: [phone]
Page 4 of 4

PRELIMINARY JURISDICTIONAL DFTFRMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 10/29/2018
B. NAME AND ADDRESS OF PERSON REQUESTING PJD:
NCDOT Highway Division 3
5501 Barbados Blvd
Castle Hayne, NC 28429
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: B 5996, SAW-2018-02054, Wilmington
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
Brunswick County bridge # 126 over Cawcaw Swamp on Ash Little River Road SR 1300)
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC
RESOURCES AND/OR AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Brunswick City:
Center coordinates of site (lat/long in degree decimal format):
Lat.: 33.941320 Long.: 78.61038'
Universal Transverse Mercator:
18S 291259 3858775
Name of nearest waterbody: Cawcaw Swamp
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
® Field Determination. Date(s): 10/25/2018

TABLE OF AQUATIC RESOURCES INREVIEW AREA WHICH "MAYBE" SUBJECT
TO REGULATORY JURISDICTION.
Site
Latitude
Longitude
Estimated
Type of aquatic
Geographic authority
Number
(decimal
(decimal
amount of
resources (i.e.,
to which the aquatic
degrees)
degrees)
aquatic resources
wetland vs, non-
resource "may be"
in review area
wetland waters)
subject (i.e., Section
(acreage and
404 or Section
linear feet, if
10/404)
applicable
WA
33.94118
-78.61013
0.12 acres
Wetland
Section 404
WB
33.94151
-78.61062
0.11 acres
Wetland
Section 404
WC
33.94098
-78.61030
0.16 acres
Wetland
Section 404
WD
33.94092
-78.61101
0.13 acres
Wetland
Section 404
Cawcaw
33.94127
-78.61017
317 ft
Non -wetland water
Section 404
Swamp
(perennial stream)
TC
33.94114
-78.61068
450 ft
Non -wetland water
Section 404
(tributary)

1) The Corps of Engineers believes that there may bejurisdictional aquatic resources in the
review area, and the requestor of this PJD is hereby advised of his or her option to request
and obtain an approved JD (AJD) for that review area based on an informed decision after
having discussed the various types of JDs and their characteristics and circumstances when
they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a Nationwide
General Permit (NWP) or other general permit verification requiring "pre- construction
notification" (PCN), or requests verification for a non -reporting NWP or other general permit,
and the permit applicant has not requested an AJD for the activity, the permit applicant is
hereby made aware that: (1) the permit applicant has elected to seek a permit authorization
based on a PJD, which does not make an official determination of jurisdictional aquatic
resources; (2) the applicant has the option to request an AJD before accepting the terms and
conditions of the permit authorization, and that basing a permit authorization on an AJD could
possibly result in less compensatory mitigation being required or different special conditions;
(3) the applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can accept
a permit authorization and thereby agree to comply with all the terms and conditions of that
permit, including whatever mitigation requirements the Corps has determined to be necessary;
(5) undertaking any activity in reliance upon the subject permit authorization without
requesting an AID constitutes the applicants acceptance of the use of the PJD; (6) accepting a
permit authorization (e.g., signing a proffered individual permit) or undertaking any activity in
reliance on any form of Corps permit authorization based on a PJD constitutes agreement that
all aquatic resources in the review area affected in any way by that activity will be treated as
jurisdictional, and waives any challenge to such jurisdiction in any administrative orjudicial
compliance or enforcement action, or in any administrative appeal or in any Federal court;
and (7) whether the applicant elects to use either an AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AID, a proffered individual permit (and all terms and
conditions contained therein), or individual permit denial can be administratively appealed
pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it becomes appropriate to
make an official determination whether geographic jurisdiction exists over aquatic resources
in the review area, or to provide an official delineation ofjurisdictional aquatic resources in
the review area, the Corps will provide an AJD to accomplish that result, as soon as is
practicable. This PJD finds that there "may be" waters of the U.S. and/or that there "may be"
navigable waters of the U.S. on the subject review area, and identifies all aquatic features in
the review area that could be affected by the proposed activity, based on the following
information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources below where
indicated for all checked items:
® Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:
® Data sheets prepared/submitted by or on behalf of the PJD requester.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:_
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name: Calabash. NC 1:24000
® Natural Resources Conservation Service Soil Survey. Citation: NRCS Digital Soil Survey
of Brunswick County. North Carolina, 2009
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
❑Photographs: ❑Aerial (Name & Date):
or ❑Other (Name &
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily been
verified by the Corns and should not be relied upon for later jurisdictional
determinations.
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MMlFxll&%1a13
Otk pXWSinawmmmt
M
osi vu.owuu
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Signature and date of Regulatory
staff member completing PJD
Digitally signed by Mason Herndon
P DN:m=Mason Herndon, o=NCDU,
/" //ar^- �Cee• 4--- m Dw1,r, erndon@nrdotgov,
r-us
Date: 2018.10.2616:1052-04'00'
Signature and date of person
requesting PJD (REQUIRED,
unless obtaining the signature
is impracticable)'
Districts may establish timeframes for requester to return signed PJD forms. If the requester does not respond reithin the
established time frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing
an action.

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'Location and extent W approximate.
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Project Study Area Map Project: ER18063.01
Brunswick 126 Date: Oct2018
Drwn/Chkd: CW/RT
Brunswick County, North Carolina
Figure: 2
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(Version 3.00; Released August 2021)
North Carolina Department of Transportation
Highway Stormwater Program
STORMWATER MANAGEMENT PLAN ----
FOR NCDOT PROJECTS
WBS Element: 48191.1.1
TIP/Proj No: B-5996 Coun (ies): Brunswick Page 1 of 3
General Project Information
WBS Element:
48191.1.1 ITIP Number: B-5996 I Project Typo: I Bride Replacement I Date: 12/13/2021
NCDOT Contact:
Mason Hemdon - Division Environmental Program Supervisor
Contractor / Desi net:
HNTB North Carolina, P.C. / James A. Byrd, PE
Address:
5501 Barbados Blvd.
Castle Hayne, NC 28429
Address:
343 E. Six Forks Road
Suite 200
Raleigh, INC 27609
Phone:
910 341-2036
Phone:
[phone]
Email:
_
tmhemdon ncdot. ov
Email:
jab rd hntb.com
City/Town:
Coun ies :
Brunswick
River Basin(s):
Lumber
CAMA County?
Yes
Wetlands within Project Limits?
Yes
Project Description
Project Length lin. miles or feet):
0.15 Surroundin Land Use: Rural, Residential, and Agriculture
Proposed Project
Exist Site
Project Built -Upon Area ac.
0.5 lac.
0.4 ac.
Typical Cross Section Description:
2 - 10' asphalt paved lanes with 2' paved shoulders and 4' grass shoulders.
2 - 11' paved lanes with 2' paved shoulders and 2' grass shoulders. Wetlands are
present along this project and will be impacted.
Annual Avg Daily Traffic (veh/hr/day):
Design/Future] 3780 1 Year: 2042
Existin : 2060 Year: 2022
General Project Narrative:
(Description of Minimization of Water
Quality Impacts)
State project B-5996 involves the replacement of 1 @ 40'6", 1 @ 40'4", 1 @ 40'6" reinforced concrete floor with RC caps and timber piles bridge on SR 1300 (Ash Little River RD)
that conveys Cawcaw Swamp with 2 @ 40'-0", 1 @ 50'-0" 21"Cored Slab bridge.
There are JS and wetlands present within the project. This project includes 0.127 miles roadway improvements of SR 1300. The proposed bridge does not contain deck drains. All
storm water from the bridge and approaches will be collected by storm drainage systems and discharge into Rip -Rap pads at Sta.17+65 LT and Sta.19+60 LT.

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I ligim,ay North Carolina Department of Transportation
Stormwatcr Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 3.00; Released August 2021) FOR NCDOT PROJECTS
WBS Element: 48191.1.1 TIP/Proj No.: B-5996 County(ies): Brunswick Page 2 of 3
General Project Information
Waterbody Information
Surface Water Body 1 : Cawcaw Swamp
NCDWR Stream Index No.:
15-23
NCDWR Surface Water Classification for Water Body
Primary Classification:
Class C
Supplemental Classification:
Swamp Waters Sw
Other Stream Classification:
Impairments:
Aquatic T&E Species?
comments:
NRTR Stream ID:
Buffer Rules In Effect: N/A
Project Includes Bridge Spanning Water Body?
1yes
Deck Drains Discharge Over Buffer? INo
Dissi ator Pads Provided in Buffer? I N/A
Deck Drains Discharge Over Water Body?
INo
(If yes, provide justification in the General Project Narrative)
(If yes, describe in the General Project Narrative, if no, justify in the
General Project Narrative)
(If yes, provide justification in the General Project Narrative)
Surface Water Body 2 :
NCDWR Stream Index No.:
_
NCDWR Surface Water Classification for Water Body
Primary Classification:
Supplemental Classification:
Other Stream Classification:
Impairments:
Aquatic T&E Species?
comments:
NRTR Stream ID:
Buffer Rules in Effect:
Project Includes Bridge Spanning Water Body?
Deck Drains Discharge Over Buffer?
Dissipator Pads Provided in Buffer?
Deck Drains Discharge Over Water Body?
(If yes, provide justification in the General Project Narrative)
(If yes, describe in the General Project Narrative; if no, justify in the
General Project Narrative)
(If yes, provide justification in the General Project Narrative)
Surface Water Body 3 : 1
NCDWR Stream Index No.:
NCDWR Surface Water Classification for Water Body
Primary Classification:
Supplemental Classification:
Other Stream Classification:
Impairments:
Aquatic T&E Species?
Comments:
NRTR Stream ID:
Buffer Rules in Effect:
Project Includes Bridge Spanning Water Body?
IlDeck
Drains Discharge Over Buffer? I
Dissi ator Pads Provided in Buffer?
Deck Drains Discharge Over Water Body?
(If yes, provide justification in the General Project Narrative)
(If yes, describe in the General Project Narrative; if no, justify in the
General Project Narrative)
(If yes, provide justification in the General Project Narrative)

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i hwa North Carolina Department of Transportation`
gstori'hwater Highway Stormwater Program
STORMWATER MANAGEMENT PLAN
(Version 3,00; Released August 2021) FOR NCDOT PROJECTS
WBS Element: TIP/Pro' No.: B-5996 Count ies : Brunswick Page 3 of 3
Preformed Scour Holes and Energy Dissi ators
Sheet
No.
Line
Station
Location
(LT,RT,CL)
Latitude
Longitude
Surface Water Body
Energy Dissi ator Type
Riprap Type
Drainage
Area
ac
Conveyance
Structure
Pipe (in) / Structure
Dimensions (ft)
Q10
(cfS)
V10
(f s
BMP
Associated w/
Buffer Rules?
4
L
17+65
LT
33.941152
-78.610632
i Cawcaw Swamp
Rip Rap Pad
Class'B'
0A
Pie
15
0.4
5.8
N/A
4
L
19+60
LT
33.941605
-78.610287
(1)Cawcaw Swamp
Rip Rap Pad
Class'B'
0.1
Pie
15
0.6
7.5
N/A
Additional Comments
Refer to the NCDOT Best Management Practices I oolbox (2014), N(;DO 15tanoaras, me Federal rugnway,vomimsirauon trnvvv,) nyarauiic Engineering Circular No, -iv )new- w), Third Eonion, nyaiaunc Design ui eneiyy Dissipawjs for wrveris and Dnanne6 tarry 2006), as
applicable, for design guidance and criteria.

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See Sheet 1A For Index of Sheets
See Sheof 18 for Symbology Sheet
1303
1301
VICINITY Al"
-- TO SR 1303
STATE OF NORTH CARO1LI A
DIVISION OF HIGHWAYS
BRU11tSWICK COUNTY
z
LOCATION. REPLACE BRIDGE NO.126 OVER CAWCAW SWAMP
ON SR 1300 (ASH -LITTLE RIVER ROAD)
TYPE OF WORK. GRADING, DRAINAGE, PAVING AND STRUCTURE
R
WETLAND AND SURFACE WATER IMPACTS PERMIT
BEGIN BRIDGE
IT,STA.17 + 95.55
BEGIN PROJECT B-5996
—L— POT STA.15+00.00
v
NOTES:
1. CLEARING ON THIS PROJECT SHALL BE PERFORMED TO THE LIMITS ESTABLISHED BY METHOD III (MODIFIED).
2. THIS PROJECT IS NOT WITHIN ANY MUNICIPAL BOUNDARIES.
END PROJECT B-5996 T
—L— POC STA. 23+00.00
\ � 1
,, �1�' � END *\BRIDGE
—L— P T STA.19+28.45
GRAPHIC SCALES
DESIGN DATA
PROJECT LENGTH
PREPARED IN THE OFFICE OF:°ApDLapol p.°.
RaRa eXOfls
ADT 2022 = 2060
HNTv la+�lni,%R rt": i=11p111 A. "e°e
25 0 50 7p0
ADT 2042 = 3780
FOR NCDOT DIVISION 3
zme snUmenu srscreicnnoxs
K = 10 °k
LENGTH OF ROADWAY PROJECT B-5996 -
- 0.127 MILES
PLANS
D = 60 %
BRIAN BLACKWELL PE
25 0 50 100
= %
T 6
V = 60 MPH
• TTST =2% DUAL 4%
LENGTH OF STRUCTURE PROJECT B-5996 0.025 MILES
TOTAL LENGTH OF PROJECT B-5996 - 0.152 MILES
RIGHT OF WAY DATE:
JANUARY 20. 2022
FROAU ENG06HR
AND"REW McOMBER El
PROFILE (HORIZONTAL)
>acr numx axc�EN
5 0 10 20
FUNC CLASS =
RURAL COLLECTOR
SUB -REGIONAL TIER
LETTING DATE:
JUNE 16, 2022
DEREK PIELECH, PE
PROFILF NFRTICALI
NCUUT CONTAC
HYDRAULICS
ROADWAY DESIGN
ENGINEER
B-5996 1
PERMIT DRAWING
SHEET 1 OF 5
r'L CS�,,ti
TO NC 90A
INCOMPLETE PLANS
M HM U Pop R/F AMUI61T1°N
OOCVMENT NOT GONa1DENEO FINAL
UNLESS ALL SIGNATURES COMPMEO

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7 WETLAND & STREAM IMPACTS76
HNTB 'IKNC1e I G P PIG NP:NCB 1554Pe0zi 0e2pp
+ 30' Public must +
Shoreline AEC R
\ "CVVrIC6 (NR1511AN �H
KIRMY VNIAN LONG -W><— Ra [OVERT CENTER NC N' M1.-
O ' FILL IN WETLANDS = 0.008 Ac/354 SF
\ MECHANIZED CLEARING IN WETLANDS = 0.009 Ac7410 SF
30' Public Trust \ L \ '
--� Shoreline AEC {
X ffJ ECT B-5996 3 , g 06
P S$3QB.00 .. �•K �: �' „�•`tla 'E\ -- l/ I -•'nI
� 'X ,# - e Orb• Cw x000s a �iV aij
--------
LIMIT
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= -
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f( ,� FiPPRox. Lour '
EW ti s
P Ro LDulwx or 1 ~ �"Z-APE"'K''ENC o eoxs IFCEND
I* DE clrt slorE �ilz'RFOL'CER / M vA'TI I '.�! ` I . DENOTE FILL IN
•K., Ee DEAN _ a-/ \ \ / /VL R\ \..�// !r rK `KVKTJ�RM EIALE NORRIS wE1 OTE
DENOTES MECHANIZED 1
CLEARING 1
ATMCL4'x4'x4'
\. I NICKS L CARBONELL ��"�� `l�°4G \ B0R E t P I T
1 o
VICTORIA GALE NgM15 30' Public Trust ; SKI�
ATMC- \ Shoreline AEC _____R I
H a n d h o l e 30' Public Trust \ .��us !x
JACKIE C. THWA6
ATMC-
Handhole
DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
PERMIT DRAWING
SHEET 2 OF 5
53.07 I
6; ¢,1124+14 u ;
NT F �\
Shoreline AEC \ -- —( --- - -- ®.- -1. - _;�-- --- -
_. _ _ ...__ SR IJCO ASM-11/II£ RNfP (qp9 e'2BSI
j ATMC- 4 ' x 4'x4' ---- - ---- -----
BORE PIT \ € y 2E`k`�i't, f y
MATERIAL TO BE REMOVED k ./:---F'sQ { 1 /,A Ye
It { !7 { {
j Ij}}� I ,1 '-7{il 1 J� �__r 1I}� ti_ �I• .1 �-I � 1 1-, �-�1I �1 ��} �{'1Ll- ��� te1ll 1 ��t'1 tl i
tt t 1 j{ 1 } f BRIDGE HYDRAULIC DATA
�. I
� aLDESIGN DISCHARGE - 2100 CFS
' - A ! f� �r Ti {_ +_ t 7J t 1 t r - i - +! +{ ,i,a ' I DESIGN. FREQUENCY = 25 YRS
e32 FT
*1 1 1' - t; BASE Dl//ARGEAT/ON = 3100 CFS
11 1 f I #$ { $ t I BASE FREQUENCY = 100 'YRS
41 #' 50'
If } BASE hW ELEVATION = 23.9 FT
50' i+ -4 OVERTOPPING DISCHARGE = 2200 CFS
ITT
1 1 j- -t N * ' Pi = 16+65 00 OVERTOPPING FREOIIENCY= J25 YRS -
I O✓ERTOPPING ELEVATION = 233 FT
BM#3 RR SPIKE IN BASE OF 19' GUM -
40' 1' 1_t 41 V PI = 16+6000 K = 166 L 5TA 19+70.68, 9993 LT DATE Of SURVEY = 06 24-202J 40'
T 7 EL 25 76' - YC = 200' ELEV.- 27.34'
} kt WS.f.IEVATION
i' K =. 192 AT GATE' OF SURVEY = l5l FT
--BEGIN GRADE VC = 150'
30' L-5TA 15+00 BEGIN BRIDGE END GRADE
3Or
ELEV. = 26.24 -L- 5TA 17+95.5 END I BRIDGE -
(+)0.4800 r�6�R"
1 STA 19+28.45 L- STA 23+00
F.LL
__-_____________________-- (-)0.7264% ELEV. 23.59
7(-)0.31000% (110.4800%
20' EXCAVATE TO I.ATE TO 20'
MATERIAL TO 0�-6• OL ' �B[ R[MO,V[DOVED 10'
(IYP.1 /Han[
10, 151 SI OPE (IYP) /NOPL i0 CRP' CAP`ICL II RIP RAP) PT / 2 v
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n �
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IONPI PpNL
P' UppEP
Ptl B[p
12+00 13+00 14+00 15+00 16+00 17+00 18+00 19+00 20+00 21+00 22+00 23+00 24+00 25+00 26+00

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0496EN06EX PANOI:O.E' Bvl[v R00 IROIECi RFN11FNCF NO. SHER NO.
WETLAND &STREAM IMPACTS NNTB XORL love vv°No C ;66:n° �i809
RM' SHE" NO.
ROADWAY DESIGN HYDMULKS
ENGINEER ENGINEER
+ \ 0' Pu lic Trust +
eline. AEC N
\\ w / RRIINSWICK Cpggg]11q
KRNY VNIAN LONG �' \i VN2 RECOVERY CENiEHVNC
O \\ \ (\ �� i FILL IN WETLANDS = 0.008 Ac/354 SF 5(
30' Publlc Trust \ / MECHANIZED CLEARING IN WETLANDS 0.009 AO/410 SF W 5
-"a �„ Shoreline AEC ��� jLLG
CBE N ECT 1)-5996�b \g R -.
DOCUMENT NOT CONSIDERED FINAL
'r - �1 � UNLEWI ALL:
COMPLETED
.J f3 0 17 pL7
\ J WOKE L
ATMC-
Handhol
, EP" 1 PERMIT DRAWING
P � 1 f- - 7t
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'+ as -L Lc TLvtn rroro "'A xROTNL Is' R
--
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INC � AS cl `
/ vOOy iQPROX LOCAIIo or ax REOu Po $ -+moos A T M C -
�J c1i ADE clsi slorc ! "� `� \_I� LEGEND H 8 fl tl h 0 1 0 Q
3.pw�H 1 / `� �. •K �� 'rwlG u�SRLE RGRIUB \ ® WETUNo FILL IN 4h i •�`
OL.,nc MECHwrzE°
cEN_D.-PRO ECT B-5996
MCL4'x4'x4r '
B 0 R E 1 IT - POT STA. 23+ 00.00
VICTORIA GALE NGRRIS( ';V 30' Public Trust 's ST CH O 0 PAVE NT 'k
Shoreline AEC R TI SHP TO PAVEMENT `T V' �
I
30' Public Trust , is -_!sr At
Shor ellne AEC
\ \
N & g
ATMC- 4'x4'x4'
BORE PIT
1 MATERIAL TO BE REMOVED
BRIDGE HYDRAULIC DATA -
_.I DESIGN DISCHARGE = 2/00 CFS
DESIGN FREOUENCY = '-5 YRS
DESIGN HW ELEVATION = 232 FT
i I BASE DISCHARGE = 3/0 CIS
BASE FREQUENCY = 100 .YRS
50' BASE HW ELEVATION = 239 FT
( OVERTOPPING DISCHARGE = 22W CFS 50
1 - PI ie+6500 OVERTOPPING FREQUENCY= >25 .YRS
BM#3 RR SPIKE IN BASE OF 19' CUM OVERTOPPING ELEVATION = 233 FT
- ) PI = 16+60.00 K = 166 - -L- STA 19+70.68 99.93 LT
40' DATE OF SURVEY = 05-24-202/ 40'
EL - 25.76' ELEV. = 21.34'
K =. 792 WS.ELEVATION
AT DATE OF SURVEY = 15J FT
BEGIN GRADE VC = 150'
30' -L- STA 15+00 BEGIN BRIDGE 30'
ELEV. = 26.24 -L- STA 17+95.5 END BRIDGE END GRADE
(+)0.A800% -L- STA 19+28.45 -L- STA 23+00
(-10.3000% (+)0.4800% _ 9
20' —' ELEV. 235 _.._._
F%CAVATE i0 EXCAVATE 20
\ MATERIAL TO I FL I S..U'
` BE 0.NAOVEO m•Pl � j / (IVF.1 BE REMOVED
10' \ 15a SLOPE j1YP1 \ I5i SLOPE IT" /XTRc- 10'
` NORMAL TO CAP NORMAL TO CAP /
\ ICL II RIP RAP) (CL 11 RIP RAP) / eM1°le
x �I0�0. ' IES / SAP -II LONEO
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Or `'S W5 EL.- IS.P
SURVEY Eb Ul1 / Q'
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-10, - POLL PSpPP-II
-10'
FCi]OA'AL
el UA'4EPP
Si PLAY BEp
12+00 13+00 14+00 15+00 16+00 17+00 18+00 19+00 20+00 21+00 22+00 23+00 24+00 25+00 26+00

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WETLAND AND SURFACE WATER IMPACTS SUMMARY
WETLAND IMPACTS URFACE WATER IMPACTS
Site
No.
Station
(From/To)
Structure
Size / Type
Permanent
Fill In
Wetlands
(ac)
Temp.
Fill In
Wetlands
(ac)
Excavation
in
Wetlands
(ac)
Mechanized
Clearing
in Wetlands
(ac)
Hand
Clearing
in
Wetlands
(ac)
Permanent
SW
impacts
(ac)
Temp.
SW
impacts
(ac)
Existing
Channel
Impacts
Permanent
(ft)
Existing
Channel
Impacts
Temp.
(ft)
Natural
Stream
Design
(ft)
1
L Sta. 19+49 to 20+30 LT
21" CORED SLAB BRIDGE
0.008
0.009
TOTALS*:
0.008
0.009
0
0
0
*Rounded totals are sum of actual impacts
NOTES:
Permanent Fill in Wetlands: 354 SF
Mechanized Clearing in Wetlands: 410 SF
(Revised 2018 Feb SHEET 5 OF 5

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Lane, Stephen
From: Farrell, Sean C
Sent: Thursday, March 24, 2022 8:30 AM
To: Lane, Stephen
Cc: Herndon, T. Mason
Subject: RE: B-5996 Brunswick Bridge 126 CAMA General Permit Application
Attachments: B-5996_mp_5p.revised.pdf, B5996_ROW_X Sections.pdf
Stephen,
Thanks so much for taking a look and providing the comments. Attached is a revised MP-5 and additional cross -sections
that include the proposed bridge and roadway fill. NCDOT authorizes the $800 debit from WBS No. 48192.1.1 to cover
the two GP permit fees from DCM. Please let me know if you need any additional information in order to process this
application.
Thanks!
Sean Farrell
Division Environmental Officer
Division 3
NCDOT- Division of Highways
910-341-2033 office
910-599-1184 mobile
[e-mail]
5501 Barbados Blvd
Castle Hayne, NC 28429
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Lane, Stephen <[e-mail]>
Sent: Wednesday, March 23, 2022 4:11 PM
To: Farrell, Sean C <[e-mail]>
Cc: Herndon, T. Mason <[e-mail]>
Subject: RE: B-5996 Brunswick Bridge 126 CAMA General Permit Application
Hi Sean,

I was able to get to the application today and look it over.
We need authorization to debit the $400 for the bridge and $400 for the utility relocations, so a total
of $800 for the bridge and utility relocation.
On MP-5 form:
- (1)(e)(iv) revise number to indicate vertical clearance under existing bridge
- (1)(k) revise number to indicate vertical clearance under proposed bridge
- (3)(g) complete this section for the roadway work on each end of the bridge
Please provide at least one cross section of the proposed bridge. Typically I like to see more cross
sections of the road, however, since there is only on area with fill extending into wetlands I will
accept the cross section at Sta: 20+00.
I appreciate the follow up. Let me know if you need additional information on anything.
Thanks,
Stephen
From: Farrell, Sean C <[e-mail]>
Sent: Tuesday, March 22, 2022 8:41 AM
To: Lane, Stephen <[e-mail]>
Cc: Herndon, T. Mason <[e-mail]>
Subject: RE: B-5996 Brunswick Bridge 126 CAMA General Permit Application
Stephen,
Just want to see if you need any additional information for this GP application.
Thanks,
Sean Farrell
Division Environmental Officer
Division 3
NCDOT- Division of Highways
910-341-2033 office
910-599-1184 mobile
[e-mail]
5501 Barbados Blvd
Castle Hayne, NC 28429
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