88766C - Piedmont Natural Gas

AMA ❑ DREDGE & FILL NY 88766 A aC
a Previous permit
f ENERAL PERMIT Date previous permit issued===_
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized ``daStatia ofgo C Ina Departrnem of Emhonmemal.Qualhy and a Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ' 1 I/% ❑ Rules attached. General Permit Rules avallatde aS,e a follovARg link: wwwdee,Oi; jmy/CAMe ales
ZIP
Project Location
Street Addnem/S
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Access Length
Pier (dock) length
Fixed Platform =.--=
Floating Plajjj=fsZZ—:—_
Finger pier(s)��
Total Platform area
Grain length/N
Bulkhead/ Riprap IengFLi
Avg distance offshore
Breakwater/SIII
Max distance/length
Basin, channel
Cublcyards
Boat ramp
Boathouse/ BoatllRr===�
Beach Bulldozing --�
other shCLfAJ,^A—CLi f1
' rei
SAV observed: yes Un,,"'
Moratorium: n/a yes Site Photos: y Riparian WalverAttached: &e no _
A building permitjzonigg permit may be required
W I\r.tip. U'Li iWS'Ilm
4
(Scale:
❑ TAR7PAMMEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Initial)
statement on

(f1liNew
AMA , I DREDGE & FILL
ENERAL PERMIT
❑ M❑ odification Complete Reissue
As authorized b``ing5tatg otff� lino, Department of Environmental Quality and
ISA NCAC (/}\7T\_ II ❑ Rules attached.
N9 88766 A B
Previous permit
Date previous permit issued
❑ Partial Reissue
Coastal Resources Commission in an area of environmental concern pursuant to:
General
link: www dea nc gov/CANArules
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Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length �—
Fixed Platform1s) =_
Floating Platfotm(s
Finger pier(s)
Total Platform area_
Groin length/g
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ lengtlr�
Basin, channel �J
Boathouse/ Boatlift�
Beach Bulldozing
Other ■ 15a IAo^fJ_G ♦�"'jYPa
llh
SAV observed: yes J
moratorium; n/a yes no
Site Photos: YES o
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(Scale:

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
ElTar - Pamlico River Basin Buffer Rules 1-1 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of In an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/1-888-4RCOASTFax: 252-247-3330.
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

0CAMA ❑ DREDGE & FILL N° 88766 A B C D
GENERALPERMIT Previous permit — Date previous permit issued-
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Statf of.North Carolina, Department of Environmental Quality and Veal pursuant:esources Commission in an area of environmental concern pursuato:
I SA NCAC ❑ Rules attached.eneral Permit Rules available at the following link: www.dea.naeov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
Affected ❑CW EW PTA
AEC(s): ❑OEA IHA ❑uM
s—
ORW: yes/no PNA: yes"
Type of Project/ Activity
Shoreline Length
Access Length
'•---
Pier (dock) length" -
Fixed Platform(s) —
Floating Platfa s
Finger pier(s)
,
Total Platform area
Groin length/p
-..—
Bulkhead/ Riprap length-_-'-�
Avg distance offshore_
Breakwater/Sill
'--
Max distance/ length�__ _ _
Basin, channel—f
Cubic yards
-
Boat ramp
Boathouse/ Boatlift�
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: ;yes no
A building permit/zoning permit may be required by:
Permit Conditions
ZIP
ES ❑ PTS
SPIMA ❑ PWS
Authorized Agent
_ • Project Location (County):
Street Address/Sate Road/Lot #(s)
t '
Subdivision
City
Adj. Wtr. Body
Closest Maj. weir. Body
(Scale: )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit'" Signature
Application Feels) Check N/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
1-1 Tar - Pamlico River Basin Buffer Rules
ElNeuse 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
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 - south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven - north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

❑CAMA ❑ DREDGE & FILL N° 88766 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: w ..dea.nc.gov/CAMArules
Applicant Name
City
Phone # (_ )
Email
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body (naUman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
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Access Length
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Pier (dock) length
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Bulkhead/ Riprap length
E■N®E�O
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NNEMAvg
Mf
■�
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distance offshore
111
91
Max distance/ length
channel AN■NNE■ENOOEM■■'\N��NysIO=O■OECubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
EEIDENWE■AMMMMl1MNME■■■■■N
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Other
MEN
SAV observed: yes no
n/a ye no
Site Photos: yes no
Waiver Attached: yes no
■mEE
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INEM
0moratorium:
.._■_■.
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.■■■.
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MIME■■■■■■Riparian
■O■
IMMERSION
A building permit/zoning permit may be required by:
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Permit Officer's PRINTED Name
Signature
Application Feels)
Check#/Money Order Issuing Date
Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Manacement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

Attached is a CAMA General Permit application for the PNG Brook Lane project located in Newport, Carteret County,
North Carolina.
Could you please let us know the fee associated with the project and the timeline for the permit to be issued.
Please let me know if you need anything else.
Thank you
Timothy O'Halloran, WPIT
Wetland Scientist/Ecologist
9009 Perimeter Woods Drive, Suite E
Charlotte, NC 28216
d 1704.598.1049
m 1980.920.9615
KLE/NFELOER
RECEIV :-
OCT 2 S
DCM-MH,'

KLE/NFELOER
Bright People. Right Solutions,
October 25, 2022
Kleinfelder File No. CLT221_146500
Division of Coastal Management
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
SUBJECT: PNG Brook Lane Newport Remediation
Coastal Area Management Act (CAMA) General Permit
Kleinfelder Project No. 20230972.001A
Dear Heather Styron:
On behalf of Piedmont Natural Gas (PNG), Kleinfelder, Inc. (Kleinfelder) respectfully submits this
request for coverage under a Coastal Area Management Act (CAMA) General Permit. Due to the
size of the project and minimal anticipated impacts to the environment, the proposed project
meets the general permit conditions. The proposed PNG Brook Lane Newport Remediation
project (proposed project) is located in Newport, Carteret County, North Carolina (Figure 1). The
Review Area for the proposed project encompasses approximately 1.5-acres along a portion of
Brook Lane. The proposed project will involve installing a 2" medium -density polyethylene
(MDPE) natural gas line parallel to the southern side of Brook Lane, within NCDOT right-of-way.
A section of the installation will involve horizontal directional drilling (HOD) under Jumping Run to
avoid impacts to the tidally influenced waterway. The HDD will enter on the southwest side of the
review area and will continue northeast towards the exit point past Jumping Run. The drill path
will reach a depth of approximately 32.8 feet below ground surface to avoid the Jumping Run's
stream bed. Past the exit point, additional piping will be installed via open cut in the upland area
and placed a minimum of 3.5 feet below ground surface. Check dams and NAG SC150 matting
are to be installed in the open cut trenches after the pipe is laid and maintained within the limits
of disturbance (LOD) during land disturbing activities. This portion of pipe will be connected to the
line that was installed via HDD. The open trench will be backfilled with topsoil and will be
revegetated with appropriate native species. The total disturbed land area resulting from the
proposed project is anticipated to be approximately 0.3 acre.
Additional attachments to support this request for a CAMA General Permit include 90% Design
Drawings (Exhibit A), Adjacent Riparian Owner Notice Waiver Forms (Appendix A), an NCDOT
Right -of -Way Agreement (Appendix B), and an Agent Authorization Form (Appendix C).
20230972.001A I CLT22L146500 Page 1 of 2 October 25, 2022
® 2022 Kleinfelder w Aleinf Ider.com
KLEINFELDER 9009 Perimeter Woods Dr. Suite E, Charlotte NC, 28216 p 1 704.598,1049

CLOSING
If you have any additional questions, please contact me at tohalloran(cDkleinfelder.com or (980)
920-9615.
Regards,
KLEINFELDER,INC. Q
Timothy O'Halloran, WPIT Sara Duquette
Wetland Scientist/Ecologist Senior Professional/Senior Ecologist
TO/SD:asp
Attachments: Figure 1 — Location and Vicinity Map
Exhibit A — Plan and Profile
Appendix A — Adjacent Riparian Owner Notice Waiver Forms
Appendix B — NCDOT Right -of -Way Agreement
Appendix C — Agent Authorization Form
20230972.001A I CLT221-146500 Page 2 of 2 October 25, 2022
©2022 Kleinfelder w .kleinfelder.wm

Meg Schexnayder
From: Styron, Heather M. <[e-mail]>
Sent: Wednesday, October 26, 2022 1:37 PM
To: Tim O'Halloran
Cc: Sara Duquette; Danielle Kirk
Subject: RE: [External] Request for CAMA General Permit - PNG Brook Lane
External Email
The permit fee is actually 400 and not 200.
Heather Styron
District Manager
Division of Coastal Management 400 Commerce Avenue Morehead City, 28557
252.515.5417 (0) 252.725.3903 (M)
Heather. M.Styron@ ncden r.eov
www.deg.nc.gov ' 1 L1_ . .
Ci t `A em
F
Find a Field Rep (arcqis.com)
�F
lo�?,4J12-z
G Vl r' Vo 1� 1 b-e IoG `�` °LA
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From: Tim O'Halloran <[e-mail]> RECEIVED
Sent: Tuesday, October 25, 2022 4:00 PM
To: Styron, Heather M. <[e-mail]> OCT 2 8 207"
Cc: Sara Duquette <[e-mail]>; Danielle Kirk <[e-mail]>
Subject: [External] Request for LAMA General Permit - PNG Brook Lane DCM-MHD CITY
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Good Afternoon Heather,

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Lynwood A. Bass III
Address of Property: 305 Brook Lane
Mailing Address of Owner: 305 Brook Lane, Newport NC 28570
Owner's email: ZDKOwner'sPhone#: 252-205-i34I
Agent's Name: Ray Lewis - Sr. Dist. Proj Spec.(PNG) Agent Phone#: [phone]
Agent's Email. [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
I DO NOT have objections to this proposal I DO have objections to this proposal.
if you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

APPENDIX A
ADJACENT RIPARIAN OWNER NOTICE WAIVER FORMS
20230972.001A I CLT221-146500 October 25, 2022
0 2022 Kleinfelder www.kleinfeWer.com

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Phyllis Wickezer
Address of Property:
207 Brook Lane
Mailing Address of Owner 207 Brook Lane Newport, NC 28557
I' d O
Owner's email:" ili� �- 'f ' Owner's Phone#: �5 2 � ' 67ke
Agent's Name: Ray Lewis - Sr. Dist. Pro. Spec (Pi Agent Phone#. [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions must be provided with this letter.
/ �I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback/)
-OR-
Signature o A jacent RiparianProperty, O r
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date:
'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners (15A
NCAC 7J.0204(b)(5)). Proof of actual notice (a sign -off by the owner on this form) or certified mail return
receipts (showing delivery of notice) are needed.
The purpose of this notice is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments (or potentially object to) the proposed development,
and to give DCM an opportunity to consider these comments/objections before a permit decision is made.
"Permission" of adjacent Property owners is not necessarily required for DCM to issue a permit; however,
permission must be obtained for certain types of proposed developments if they fall within a 15' setback area
along the riparian access area of the adjacent property, as determined solely by DCM. It is.in the applicant's
best interest to provide comprehensive and accurate notice so that any concerns or objections can be
resolved early in the permit review process. In addition, if the adjacent riparian property owner appeals the
permit decision, insufficient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What is Adjacent? (Note: DCM reads this broadly to ensure comment by potentially impacted neighbors)
• A property that shares a boundary line with the site of proposed development; AND
• A property that fronts a natural or manmade waterbody that is connected to coastal waters and
can support some form of navigation, even a kayak or canoe, including a common canal system
or a manmade basin.
• Easement holders? Yes, if the easement could be impacted by the proposed development.
• Streets/Roads? Only If the street/road could be impacted by the proposed development. This
might include street -ends which might be used for parking and beach access.
• Holders of recognized submerged lands claims/shellfish franchises.
What is Riparian?
Do the boundaries of the adjacent property legally intersect with the water at mean high tide? If there is a
question about whether an adjacent property is considered "riparian," please reach out to DCM Staff -
especially on the oceanfront beach where there may be undeveloped parcels on'the beach or in the water.
WhofWhat is a Property Owner?
For private individuals (or families), send notice to the address listed on the tax card. If the property Is owned
by an Inc. or LLC, please send notice to the person listed as the registered agent on the NC Secretary of
State's Corporations Look Up site: https://www.sosnc.gov/search/index/corp. For Condominiums or
neighborhoods with an owners' association (HOA/POA), send notice to the association (which is usually a
corporation, for which you send notice to its registered agent).
What is Notice, and how do I ensure it is received?
• You can meet with your adjacent.property owner, provide a description or drawing of the
proposed development, and ask them to sign this form and return it to DCM; OR
• You can hand -deliver this form and a description or drawing, and ask your neighbor to return it to
DCM (consider providing them with a stamped envelope); OR
• You can mail this form by USPS Certified Mail, return receipt requested (the Green Card). If you
choose this option, you must provide either the signed & returned green card OR track the
certified mail package number on USPS.GOV's online tracking system, and provide the tracking
print-out as proof of delivery to DCM
If you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel
and we will work to answer your questions.
Revised July 2021

./ t
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Lynwood A. Bass III
Address of Property:
305 Brook Lane
Mailing Address of Owner: 305 Brook Lane, Newport NC 28570
Owner's email: M4et®ol%om6.1elk,toKOwner'sPhone#:2.SZ-20S`-T34
Agent's Name: Ray Lewis - Sr. Dist. Proj Spec.(PNG) Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
i DO NOT have objections to this proposal. I DO have objections to this proposal.
it you nave objections to what is being proposed, you must notify the N.C. Division of coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback / // \ /
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date:
'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Phyllis Wickezer
Address of Property:
207 Brook Lane
Mailing Address of Owner. 207 Brook Lane Newport, NC 28557
Owner'semail:pw J"' Owner's Phone#: d
6
Agent's Name: Ray Lewis -Sr. Dist. Proj. Spec (PNG) Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner}
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions must be provided with this letter.
4/,J I DO NOT have objections to this proposal. I DO have objections to this proposal.
if you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
l DO wish to waive some/all of the 15' setback /
Signature oflAdiabent Riparian rope+ty O r
-OR-
I do not wish to waive the 16 setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

STATE OF NORTH CAROLINA
ROUTE SR1727. SR1728. PROJECT COUNTY OF Carteret
IA141
DEPARTMENT OF TRANSPORTATION RIGHT OF WAY ENCROACHMENT AGREEMENT
-AND- PRIMARY AND SECONDARY HIGHWAYS
THIS AGREEMENT, made and entered into this the 1st day of August 20 22 by and between the Department
of Transportation, party of the first part; and
party of the second part,
WITNESSETH
THAT WHEREAS, the party of the second part desires to encroach on the right of way of the public road designated as
Route(s) SR1727, SR1728, SR1729, SR1730 located in Newport as indicated by attached vicinity map
ames re u
with the Construction and/or erection of: Proposal for 21N MDPE natural gas main along the following roads inside of Bamesfield Subd:
2,93�727 (Brook Ln) 1 434' - SR1728 (Ricky Ln) 383' SR1729 (Grey Ln) 981' SR1730 (Mary Ln) as shown on attached drawing
Also HDD under NC 24 with 100' 21N MDPE naturalgas main apon— x 595' S of SR1265 Mains shall be installed approx. 25' from CA of each
rvw0 roar tl.
WHEREAS, it is to the material advantage of the party of the second part to effect this encroachment, and the party of
the first part in the exercise of authority conferred upon it by statute, is willing to permit the encroachment within the limits of the
right of way as indicated, subject to the conditions of this agreement;
NOW, THEREFORE, IT IS AGREED that the party of the first part hereby grants to the party of the second part the right
and privilege to make this encroachment as shown on attached plan sheet(s), specifications and special provisions which are
made a part hereof upon the following conditions, to wit:
That the installation, operation, and maintenance of the above described facility will be accomplished in accordance with the party of
the first part's latest UTILITIES ACCOMMODATIONS MANUAL, and such revisions and amendments thereto as may be in effect at the
date of this agreement. Information as to these policies and procedures may be obtained from the Division Engineer or State Utilities
Manager of the party of the first part.
That the said party of the second part binds and obligates himself to install and maintain the encroaching facility in such safe and
Proper condition that it will not interfere with or endanger travel upon said highway, nor obstruct nor interfere with the proper maintenance
thereof, to reimburse the party of the first part for the cost incurred for any repairs or maintenance to its roadways and structures
necessary due to the installation and existence of the facilities of the party of the second part, and if at any time the parry of the first part
shall require the removal of or changes in the location of the said facilities, that the said party of the second part binds himself, his
successors and assigns, to promptly remove or alter the said facilities, in order to conform to the said requirement, without any cost to the
party of the first part.
That the party of the second part agrees to provide during construction and any subsequent maintenance proper signs, signal lights,
flagmen and other warning devices for the protection of traffic in conformance with the latest Manual on Uniform Traffic Control Devices
for Streets and Amendments or Supplements thereto. Information as to the above rules and regulations may be obtained
from the Division Engineer of the party of the first part.
That the party of the second part hereby agrees to indemnify and save harmless the party of the first part from all damages a nd
claims for damage that may arise by reason of the installation and maintenance of this encroachment.
That the party of the second part agrees to restore all areas disturbed during installation and maintenance to the satisfaction of the
Division Engineer of the party of the first part. The party of the second part agrees to exercise every reasonable precaution during
construction and maintenance to prevent eroding of soil; silting or pollution of rivers, streams, lakes, reservoirs, other water
impoundments, ground surfaces or other property; or pollution of the air. There shall be compliance with applicable rules and regulations
of the North Carolina Division of Environmental Management, North Carolina Sedimentation Control Commission, and with ordinances
and regulations of various counties, municipalities and other official agencies relating to pollution prevention and control. When any
installation or maintenance operation disturbs the ground surface and existing ground cover, the party of the second part agrees to
remove and replace the sod or otherwise reestablish the grass cover to meet the satisfaction of the Division Engineer of the party of the
first part.
That the party of the second part agrees to assume the actual cost of any inspection of the work considered to be necessary by the
Division Engineer of the party of the first part
That the party of the second part agrees to have available at the construction site, at all times during construction, a copy of this
agreement showing evidence of approval by the party of the first part. The party of the first part reserves the right to stop all work unless
evidence of approval can be shown.
Provided the wont contained in this agreement is being performed on a completed highway open to traffic; the party of the second part
agrees to give written notice to the Division Engineer of the party of the first part when all work contained herein has been completed.
Unless specifically requested by the party of the first part, written notice of completion of work on highway projects under construction will
not be required.

the right to stop all WOrK u
first part.
That it is agreed by both parties that this agreement shall become void if actual construction of the work contemplated herein is not
begun within one (1) year from the date of authorization by the party of the first part unless written waiver is secured by the party of the
second part from the party of the first part.
During the performance of this contract, the second party, for itself, its assignees and successors in interest (hereinafter referred to as
the "contractor'), agrees as follows.
a .....ranrr. with Regulations: The contractor shall comply with the Regulations relative to nondiscrimination in Federally -
assisted programs of the U. S, Department of Transportation, Title 49, Code of Federal Regulations, Part 21, as they may be
amended from time to time, (hereinafter referred to as the Regulations), which are herein incorporated by reference and
made a part of this contract.
b. Non discr_ imp The contractor, with regard to the work performed by it during the contract, shall not discriminate on the
grounds of race, color, or national origin in the selection and retention of subcontractors, including procurements of materials
tM RIW 16.1 (Rev. February 2021)

and leases of equipment. The contractor shall not participate either directly or indirectly in the discrimination prohibited by
Section 21.5 of the Regulations, including employment practices when the contract covers a program set forth in Appendix B
of the Regulations.
c. Solicitations for Subcontracts including Procurements of Materials and Equipment: In all solicitations either by competitive
bidding or negotiation made by the contractor for work to be performed under a subcontract, including procurements of
materials or leases of equipment, each potential subcontractor or supplier shall be notified by the contractor of the
contractors obligations under this contract and the Regulations relative to nondiscrimination on the grounds of race, color, or
national origin.
d, Information and Reports: The contractor shall provide all information and reports required by the Regulations, or directives
issued pursuant thereto, and shall permit access to its books, records, accounts, other sources of information, and its
facilities as may be determined by the Department of Transportation or the Federal Highway Administration to be pertinent
to ascertain compliance with such Regulations or directives. Where any information required of a contractor is in the
exclusive possession of another who fails or refuses to furnish this information, the contractor shall so certify to the
Department of Transportation, or the Federal Highway Administration as appropriate, and shall set forth what efforts it has
made to obtain the information.
e. Sanctions for Noncompliance: In the event of the contractors noncompliance with the nondiscrimination provisions of this
contract, the Department of Transportation shall impose such contract sanctions as it or the Federal Highway Administration
may determine to be appropriate, including, but not limited to,
(1) withholding of payments to the contractor under the contract until the contractor complies, and/or
(2) cancellation, termination or suspension of the contract, in whole or in part.
Incorporation of Provisions: The contractor shall include the provisions of paragraphs "a" through "f' in every subcontract,
including procurements of materials and leases of equipment, unless exempt by the Regulations, or directives issued
pursuant thereto. The contractor shall take such action with respect to any subcontract or procurement as the Department
of Transportation or the Federal Highway Administration may direct as a means of enforcing such provisions including
sanctions for noncompliance: Provided, however, that, in the event a contractor becomes involved in, or is threatened with,
litigation with a subcontractor or supplier as a result of such direction, the contractor may request the Department of
Transportation to enter into such litigation to protect the interests of the State, and, in addition, the contractor may request
the United States to enter into such litigation to protect the interests of the United States.
RIW (161) : Party of the Second Part certifies that this agreement is true and accurate copy of the form
R/W (161) incorporating all revisions to date.
IN WITNESS WHEREOF, each of the parties to this agreement has caused the same to be executed the day and
year first above written.
DEPARTMENT OF TRANSPORTATION
BY:
DIVISION ENGINEER
,,,, *T OR W ESS:
Distribution Project Specialist
Piedmont Natural Gas
Supervisor
Piedmont Natural Gas
Second Party
When the applicant is a corporation or a municipality, this agreement must have the corporate seal and be attested by the corporation
secretary or by the empowered city official, unless a waiver of corporate seal and attestation by the secretary or by the empowered City
official is on file in the Raleigh office of the State Utilities Manager. In the space provided in this agreement for execution, the name of
the corporation or municipality shall be typed above the name, and title of all persons signing the agreement should be typed directly
below their signature.
When the applicant is not a corporation, then his signature must be witnessed by one person. The address should be included in this
agreement and the names of all persons signing the agreement should be typed directly below their signature.
This agreement must be accompanied, in the form of an attachment, by plans or drawings showing the following applicable information
1 , All roadways and ramps.
2. Right of way lines and where applicable, the control of access lines.
3. Location of the existing and/or proposed encroachment.
4. Length, size and type of encroachment.
5. Method of installation.
6 Dimensions showing the distance from the encroachment to edge of pavement, shoulders, etc.
71 Location by highway survey station number. If station number cannot be obtained, location should be shown by distance from
some identifiable point, such as a bridge, road, intersection, etc. (To assist in preparation of the encroachment plan, the
B Department's roadway plans may be seen at the various Highway Division Offices, or at the Raleigh office.)
Drainage structures or bridges if affected by encroachment (show vertical and horizontal dimensions from encroachment to
nearest part of structure).
g. Method of attachment to drainage structures or bridges.
10. Manhole design.
11. On underground utilities, the depth of bury under all traveled lanes, shoulders, ditches, sidewalks, etc.
R. Length, size and type of encasement where required.

GENERAL REQUIREMENTS
t, Any attachment to a bridge or other drainage structure must be approved by the State Utilities Manager in Raleigh prior to
submission of encroachment agreement to the Division Engineer.
2_ All crossings should be as near as possible normal to the centerline of the highway.
g Minimum vertical clearances of overhead wires and cables above all roadways must conform to clearances set out in the
National Electric Safety Code.
q Encasements shall extend from ditch line to ditch line in cut sections and 5' beyond toe of slopes in fill sections.
5. All vents should be extended to the right of way line or as otherwise required by the Department.
g, All pipe encasements as to material and strength shall meet the standards and specifications of the Department.
7. Any special provisions or specifications as to the performance of the work or the method of construction that may be required by
the Department must be shown on a separate sheet attached to encroachment agreement provided that such information cannot
be shown on plans or drawings.
g. The Department's Division Engineer should be given notice by the applicant prior to actual starting of installation included in this
agreement.

Pre -Construction
Contact Offices & Outside Agency issues / contacts / info
1. Approval may be rescinded upon failure to follow any of the provisions in this permit and may be
considered a violation of the encroachment agreement.
2. The Encroaching party or their contractor shall provide the following notices prior to construction
activity within the NCDOT Right of Way:
a. Three (3) business days advance phone call at telephone [phone] or email to
D2D2notiflcationsna ncdot.eov to the District Engineer's office
b. If the construction falls within the limits of an NCDOT managed construction project, five (5)
business days advance phone call to the Division Utility Engineer, Mr. David Kramer at
[phone] or email to dpkramer ncdot.gov.
Failure to provide these notifications prior to beginning construction is subject to the Division
Engineer's discretion to cease construction activity for this encroachment. NCDOT reserves the right
to cease any construction or maintenance work associated with this installation by the encroaching
party until the construction or maintenance meets the satisfaction of the Division Engineer or their
representative.
3. Prior to beginning work, it is the requirement of the Encroaching Party to contact the appropriate
Utility Companies involved and make arrangements to adjust or relocate any utilities that conflict
with the proposed work.
4. It shall be the responsibility of the encroaching party to determine the location of utilities within the
encroachment area. NCGS § 87-115 through § 87-130 of the Underground Utility Safety and
Damage Prevention Act requires underground utilities to be located by calling 811 prior to
construction. The encroaching party shall be responsible for notifying other utility owners and
providing protection and safeguards to prevent damage or interruption to existing facilities and
maintain access to them.
5. The encroaching party shall notify the appropriate municipal office prior to beginning any work
within the municipality's limits of jurisdiction.
6. Excavation within 1000 feet of a signalized intersection will require notification by the encroaching
party to the Division Traffic Engineer at telephone number [phone] no less than one week
prior to beginning work. All traffic signal or detection cables must be. located prior to excavation.
Cost to replace or repair NCDOT signs, signals, pavement markings or associated equipment and
facilities shall be the responsibility of the encroaching party.
7. This agreement does not authorize installations within nor encroachment onto railroad rights of way.
Permits for installations within railroad right of way must be obtained from the railroad and are the
responsibility of the encroaching party.
8. At the option of the District Engineer, a preconstruction meeting including representatives of
NCDOT, the encroaching party, contractors and municipality, if applicable, shall be required.
A pre -construction conference held between a municipality (or other facility owner) and a contractor
without the presence of NCDOT personnel with subsequent construction commencing may be subject
to NCDOT personnel ceasing any work on NCDOT right-of-way related to this encroachment until
such meeting is held. Contact the District office to schedule.
Page11

9. At the discretion of the District Engineer, a NOTIFICATION FOR UTILITY / NON -UTILITY
ENCROACHMENT WITHIN NCDOT R/W form (See corresponding attachment) with the
scheduled pre -construction meeting and associated construction schedule details must be completed
and submitted to the District Engineer's office a minimum of one week prior to construction.
10. At the discretion of the District Engineer, the encroaching party (not the utility contractor) shall make
arrangements to have a qualified inspector, under the supervision of a Professional Engineer
registered in North Carolina, on site at all times during construction. The registered Professional
Engineer shall be required to submit a signed and PE sealed certification that the utility was installed
in accordance with the encroachment agreement.
Legal & Right -of -Way Issues
11. This approval and associated plans and supporting documents shall not be interpreted to allow any
design change or change in the intent of the design by the Owner, Design Engineer, or any of their
representatives. Any revisions or changes to these approved plans or intent for construction must be
obtained in writing from the Division Engineer's office or their representative prior to construction or
during construction if an issue arises during construction to warrant changes.
12. NCDOT does not guarantee the right of way on this road, nor will it be responsible for any claim for
damages brought about by any property owner by reason of this installation. It is the responsibility of
the encroaching party to verify the right of way.
13. Encroaching party shall be responsible for obtaining all necessary permanent and/or temporary
construction, drainage, utility and/or sight distance easements.
14. All Right of Way and easements necessary for construction and maintenance shall be dedicated to
NCDOT with proof of dedication furnished to the District Engineer prior to beginning work.
15. No commercial advertising shall be allowed within NCDOT Right of Way.
16. The encroaching party shall obtain proper approval from all affected pole owners prior to attachment
to any pole.
17. The installation within the Control of Access fence shall not adversely affect the design, construction,
maintenance, stability, traffic safety or operation of the controlled access highway, and the utility
must be serviced without access from the through -traffic roadways or ramps.
Bonds
18. A Performance and Indemnity Bond in the amount of $N%A shall be posted with the District
Engineer's Office by the Party of the Second Part prior to beginning any work within the NCDOT
Right of Way. The bond shall be held for a minimum of one year after a satisfactory final inspection
of the installation by NCDOT. The bond may be held for a period longer than one year after
completion if, in the opinion of NCDOT, the size or complexity of the installation warrants a longer
period.
19. The release of the bond is subject to a final inspection by NCDOT. Contact the District office to
schedule a Final Inspection and to request release of the bond.
Page 12

Work Zone Traffic
20. Traffic control shall be coordinated with the District Engineer and the Division Traffic Engineer, Mr.
Steve Hamilton. at [phone], prior to construction.
21. WORK ZONE TRAFFIC CONTROL QUALIFICATIONS AND TRAINING PROGRAM
All personnel performing any activity inside the highway right of way are required to be familiar with
the NCDOT Maintenance / Utility Traffic Control Guidelines (MUTCG). No specific training course
or test is required for qualification in the Maintenance /Utility Traffic Control Guidelines (MUTCG).
All flagging, spotting, or operating Automated Flagger Assist Devices (AFAD) inside the highway
right of way requires qualified and trained Work Zone Flaggers. Training for this certification is
provided by NCDOT approved training resources and by private entities that have been pre -approved
to train themselves.
All personnel involved with the installation of Work Zone Traffic Control devices inside the highway
right of way are required to be qualified and trained Work Zone Installers. Training for this
certification is provided by NCDOT approved training resources and by private entities that have
been pre -approved to train themselves.
All personnel in charge of overseeing work zone Temporary Traffic Control operations and
installations inside the highway right of way are required to be qualified and trained Work Zone
Supervisors. Training for this certification is provided by NCDOT approved training resources and
by private entities that have been pre -approved to train themselves.
For questions and/or additional information regarding this training program please refer to
https://connect.ncdot.gov/prooects/WZTC/Pages/Training.asp or call the NCDOT Work Zone Traffic
Control Section [phone].
22. The party of the second part shall employ traffic control measures that are in accordance with the
prevailing federal, state, local, and NCDOT policies, standards, and procedures. These policies,
standards, and procedures include, but are not limited to the following:
a. Manual on Uniform Traffic Control Devices (MUTCD) —North Carolina has adopted the
MUTCD to provide basic principles and guidelines for traffic control device design,
application, installation, and maintenance. North Carolina uses the MUTCD as a minimum
requirement where higher supplemental standards specific to North Carolina are not
established. Use fundamental principles and best practices of MUTCD (Part 6, Temporary
Traffic Control).
b. NCDOT Maintenance / Utility Traffic Control Guidelines — This document enhances the
fundamental principles and best practices established in MUTCD Part 6, Temporary Traffic
Control, incorporating NCDOT-specific standards and details. It also covers important safety
knowledge for a wide range of work zone job responsibilities.
23. If the Traffic Control Supervisor determines that portable concrete barrier (PCB) is required to shield
a hazard within the clear zone, then PCB shall be designed and sealed by a licensed North Carolina
Professional Engineer. PCB plans and design calculations shall be submitted to the District Engineer
for review and approval prior to installation.
24. Ingress and egress shall be maintained to all businesses and dwellings affected by the project. Special
attention shall be paid to police, EMS and fire stations, fire hydrants, secondary schools, and
hospitals.
Page13

25. Traffic shall be maintained at all times. All lanes of traffic are to be open during the hours of 7:00
A.M. to 9:00 A.M. and from 4:00 P.M. to 6:00 P.M. Monday through Friday, during any time of
inclement weather, or as directed by the District Engineer. Any violation of these hours will result
in ceasing any further construction by the Encroaching Parry or their contractor.
26. Nighttime and weekend operations will NOT be allowed unless written approval is received from the
District Engineer. If nighttime or weekend work is allowed or required, all signs must be retro-
reflective, and a work zone lighting plan must be submitted for approval prior to construction.
27. Two-way traffic shall be maintained at all times unless designated by the District Engineer. Traffic
shall not be rerouted or detoured without the prior written approval from the District Engineer. No
utility work will be allowed on state holidays from 7:00 PM the night before through 9:00 AM the
day prior to, following or during local events without prior approval from the District Engineer. If the
construction is within 1000 feet of a school location or on a designated bus route, the construction
shall be coordinated with the school start and end times to avoid traffic delays.
28. Work requiring lane or shoulder closures shall not be performed on both sides of the road
simultaneously within the same area.
29. Any work requiring equipment or personnel within 5 feet of the edge of any travel lane of an
undivided facility and within 10 feet of the edge of any travel lane of a divided facility shall require a
lane closure with appropriate tapers per current NCDOT Roadway Standard Drawings or MANUAL
ON UNIFORM TRAFFIC CONTROL DEVICES.
30. At the discretion of the District Engineer, a traffic control plan shall be developed and submitted
under the seal and signature of a Licensed North Carolina Professional Engineer prior to construction.
The plan shall be specific to the site and adequately detailed. Issues such as the close proximity to
intersections shall be addressed.
31. Temporary and final pavement markings are the responsibility of the encroaching parry. Final
pavement markings and sign plans shall be submitted with the encroachment request to the Division
Traffic Engineer prior to construction. Final pavement markings shall be thermoplastic unless
otherwise directed by the Division Traffic Engineer or District Engineer.
32. Any pavement markings that are damaged or obliterated shall be restored by the encroaching party at
no expense to NCDOT.
33. Sidewalk closures shall be installed as necessary. Pedestrian traffic shall be detoured around these
closures and shall be signed appropriately and in accordance with The American with Disabilities Act
Accessibility Guidelines. The encroaching party must adhere to the guidelines for accommodating
pedestrians in encroachment work zones as described in the NCDOT Pedestrian Work Zone
Accommodations Training found at
httus://-,"wv.voutube.com/watchN=AOuYa5I W 3 d e&feature=voutu.be
Roadside Environmental
34. The encroaching party shall comply with all applicable Federal, State and local environmental
regulations and shall obtain all necessary Federal, State and local environmental permits, including
but not limited to, those related to sediment control, stormwater, wetland, streams, endangered
species and historical sites. Additional information can be obtained by contacting the NCDOT
Roadside Environmental Engineer regarding the North Carolina Natural Heritage Program or the
United States Fish and Wildlife Services. Contact the Division Roadside Environmental Engineer's
Office at 252-439-2939.
Page 14

35. When surface area in excess of one acre will be disturbed, the Encroacher shall submit a Sediment
and Erosion Control Plan which has been approved by the appropriate regulatory agency or authority
prior to beginning any work on the Right of Way. Failure to provide this information shall be
grounds for suspension of operations. Proper temporary and permanent measures shall be used to
control erosion and sedimentation in accordance with the approved sediment and erosion control plan.
36. The Verification of Compliance with Environmental Regulations (VCER-1) form is required for all
non -utility encroachment agreements or any utility encroachments when land disturbance within
NCDOT right of way exceeds 1 acre. The VCER-1 form must be PE sealed by a NC registered
professional engineer who has verified that all appropriate environmental permits (if applicable) have
been obtained and all applicable environmental regulations have been followed.
37. All erosion control devices and measures shall be constructed, installed, maintained, and removed by
the Encroacher in accordance with all applicable Federal, State, and Local laws, regulations,
ordinances, and policies. Permanent vegetation shall be established on all disturbed areas in
accordance with the recommendations of the Division Roadside Environmental Engineer. All areas
disturbed (shoulders, ditches, removed accesses, etc.) shall be graded and seeded in accordance with
the latest NCDOT Standards Specifications for Roads and Structures and within 15 calendar days
with an approved NCDOT seed mixture (all lawn type areas shall be maintained and reseeded as
such). Seeding rates per acre shall be applied according to the Division Roadside Environmental
Engineer. Any plant or vegetation in the NCDOT planted sites that is destroyed or damaged as a
result of this encroachment shall be replaced with plants of like kind or similar shape.
38. No trees within NCDOT shall be cut without authorization from the Division Roadside
Environmental Engineer. An inventory of trees measuring greater than 4 caliper inches (measured 6"
above the ground) is required when trees within C/A right of way will be impacted by the
encroachment installation. Mitigation is required and will be determined by the Division Roadside
Environmental Engineer's Office.
39. Prior to installation, the Encroaching Parry shall contact the District Engineer to discuss any
environmental issues associated with the installation to address concerns related to the root system of
trees impacted by boring or non -utility construction of sidewalk, roadway widening, etc.
40. The applicant is responsible for identifying project impacts to waters of the United States (wetlands,
intermittent streams, perennial streams and ponds) located within the NCDOT right-of-way. The
discharge of dredged or fill material into waters of the United States requires authorization from the
United States Army Corps of Engineers (USACE) and certification from the North Carolina Division
of Water Quality (NCDWQ). The applicant is required to obtain pertinent permits or certification
from these regulatory agencies if construction of the project impacts waters of the United States
within the NCDOT right-of-way. The applicant is responsible for complying with any river or stream
Riparian Buffer Rule as regulated by the NCDWQ. The Rule regulates activity within a 50-foot
buffer along perennial streams, intermittent streams and ponds. Additional information can be
obtained by contacting the NCDWQ or the USACE.
41. The contractor shall not begin the construction until after the traffic control and erosion control
devices have been installed to the satisfaction of the Division Engineer or their agent.
42. The contractor shall perform all monitoring and record keeping and any required maintenance of
erosion and sediment control measures to maintain compliance with stormwater regulations.
Page15

STIP (or Division Managed) Projects
43. State Transportation Improvement Project (STIP) tM is scheduled for future construction. Any
encroachment determined to be in conflict with the construction of this NCDOT project shall be
removed and/or relocated at the encroaching parry's expense.
Construction
General
44. An executed copy of the encroachment agreement, provisions and approved plans shall be present at
the construction site at all times. If safety or traffic conditions warrant such an action, NCDOT
reserves the right to further limit, restrict or suspend operations within the right of way.
45. The Encroaching Party and/or their Contractor shall comply with all OSHA requirements. If OSHA
visits the work area associated with this encroachment, the District Office shall be notified by the
encroaching party immediately if any violations are cited.
46. Any REVISIONS marked in RED on the attached non -PE sealed plans shall be incorporated into and
made part of the approved encroachment agreement.
47. All disturbed areas are to be fully restored to current NCDOT minimum roadway standards or as
directed by the Division Engineer or their representative. Disturbed areas within NCDOT Right -of -
Way include, but not limited to, any excavation areas, pavement removal, drainage or other features.
48. The encroaching party shall notify the Division Engineer or their representative immediately in the
event any drainage structure is blocked, disturbed or damaged. All drainage structures disturbed,
damaged or blocked shall be restored to its original condition as directed by the Division Engineer or
their representative.
49. A minimum of 5 feet clearance is required for utility installations beneath or near drainage pipes,
headwalls, and a minimum of two -foot clearance below the flowline of streams. If directional
drilling, a minimum ten -foot clearance distance is required from drainage structures and a minimum
of 5 feet below flowline of streams.
50. At points where the utility is placed under existing storm drainage, the trench will be backfilled with
excavatable flowable fill up to the outside diameter of the existing pipe.
51. Unless specified otherwise, during non -working hours, equipment shall be located away from the job
site or parked as close to the right of way line as possible and be properly barricaded in order not to
have any equipment obstruction within the Clear Zone. Also, during non -working hours, no parking
or material storage shall be allowed along the shoulders of any state -maintained roadway.
52. No access to the job site, parking or material storage shall be allowed along or from the Control of
Access Roadway.
53. Guardrail removed or damaged during construction shall be replaced or repaired to its original
condition, meeting current NCDOT standards or as directed by the Division Engineer or their
representative.
54. The resetting of the Control of Access fence shall be in accordance with the applicable NCDOT
standard and as directed by the Division Engineer or their representative.
Page 16

55. Right of Way monuments disturbed during construction shall be referenced by a registered Land
Surveyor and reset after construction.
56. All Traffic signs moved during construction shall be reinstalled as soon as possible to the satisfaction
of the Division Engineer or their representative.
57. Any utility markers, cabinets, pedestals, meter bases and services for meter reading required shall be
as close to the Right of Way line as possible. If it is not feasible to install at or near Right of Way
line, then written approval shall be obtained from NCDOT prior to installation.
58. Detection tape, where required by NCGS § 87-115 through § 87-130 of the Underground Utility
Safety and Damage Prevention Act, shall be buried in the trench approximately 1 foot above the
installed facility. Where conduit is installed in the right of way and is not of ferrous material, locating
tape or detection wire shall be installed with the conduit.
59. All driveways disturbed during construction shall be returned to a state comparable with the condition
of the driveways prior to construction.
60. Conformance with driveway permit review should be required in conjunction with this encroachment
agreement. In the event there is a conflict between the driveway permit and the encroachment
agreement, the District Engineer should resolve the conflict and notify the parties involved.
61. If the approved method of construction is unsuccessful and other means are required, prior approval
must be obtained through the District Engineer before construction may continue.
Engineering
62. All traffic control, asphalt mixes, structures, construction, workmanship and construction methods,
and materials shall be in compliance with the most -recent versions of the following resources: ASTM
Standards, Manual on Uniform Traffic Control Devices, NCDOT Utilities Accommodations Manual,
NCDOT Standard Specifications for Roads and Structures, NCDOT Roadway Standard Drawings,
NCDOT Asphalt Quality Management System manual, and the approved plans.
63. Prior approval for any blasting must be obtained from the Division Engineer or their representative.
64. Regulator stations, metering stations, cathodic test stations, and anode beds are not permitted within
NCDOT right of way. Header wires are permitted.
65. Non -Utility Communication and Data Transmission installations (ground mounted type or Small Cell
pole -mounted type) must adhere to guidelines in the Utilities Accommodations Manual and, when
located within municipal jurisdictions, are subject to review and approval by municipal ordinances
and any additional municipal approval for proximity to historic districts and landmarks. All wiring
and related telecommunications work shall conform to the latest regulations by the Federal
Communications Commission.
66. All wiring and related electrical work shall conform to the latest edition of the National Electrical
Safety Code.
Location within R/W
Page 17

67. All utility access points, such as manholes, vaults, handholes, splice boxes and junction boxes shall
be located as close to the right of way line as possible and shall not be placed in the ditch line, side
slopes of the ditches or in the pavement. All manholes, handholes, splice boxes, junction boxes and
vaults and covers shall be flush with the ground when located within the vehicle clear zone. Slack
loops for telecommunications in industry standard housing units shall be buried a minimum of 18
inches when buried or meet minimum NCDOT vertical and horizontal clearances when installed
aerially.
68. Fire Hydrants shall be of the breakaway type. Hydrants shall be placed near the right of way line. In
curb and gutter sections with written approval from the District, the hydrants may be placed at 6'
behind the back of the curb or minimum 2' back of sidewalk.
69. Luminaire and/or utility poles and guy wires shall be set as close to the Right of Way line as practical
and outside the Clear Zone in accordance with the latest version of the AASHTO Roadside Design
Guide (See corresponding attachment) or made breakaway in accordance with the requirements of
NCHRP Report 350. Any relocation of the utility poles from the original design due to Clear Zone
requirements shall require a re -submittal for the utility design.
70. Luminaire and/or utility poles shall be set a minimum of 5'-6" behind face of any guardrail or
otherwise sufficiently protected. However, standard placement may be reduced to 3'-6" behind face
of guardrail when posts are spaced 3'-1 ''/2", or where speed limit is less than 55 MPH.
71. Hot box (aka ASSE 1060) or Safe-T-Cover type enclosures covering utility main pipe joints,
backflow preventers, valves, vent pipes, cross connections, pumps, grinders, irrigation assemblies,
transformers, generators, and other similar large appurtenances shall be located outside sight distance
triangles and off of the NCDOT Right -of -Way.
72. Sprinkler heads shall be located a minimum of 10 feet from the edge of pavement, edge of shoulder,
or back of curb whichever is greater and shall be directed so that water does not spray or drain on the
roadway surface, sidewalk, or passing vehicles at any time. Upon completion of the installation and
prior to activation of the system, the Encroacher shall contact the District Engineer to schedule a test
of the system to verify the spray pattern. Sprinkler systems shall not be operated during periods of
high wind or freezing weather, or to the extent that the subgrade adjacent to the pavement structure
becomes saturated. NCDOT reserves the right to require immediate termination and removal of any
sprinkler system which in its judgement and opinion adversely affects safety, maintenance, or
operation of the roadway.
Excavation
73. Excavation material shall not be placed on pavement.
74. It is the responsibility of the encroaching party or their contractor to prevent any mud/dirt from
tracking onto the roadway. Any dirt which may collect on the roadway pavement from equipment
and/or truck traffic on site shall be immediately removed to avoid any unsafe traffic conditions.
75. The utility shall be installed within 5 feet of the right of way line and outside the 5-foot minimum
from travel lane plus theoretical 2:1 slope from the edge of pavement to the bottom of the nearest
excavation wall for temporary shoring. Temporary shoring is required when a theoretical 2:1 slope
from the bottom of excavation will intersect the existing ground line less than 5 feet from the outside
edge of an open travel lane as shown in the figure below or when a theoretical 2:1 slope from the
bottom of excavation will intersect any existing structure, support, utility, property, etc. to be
protected.
0E.]

Traffic in Outside Lane
0
5 it ,,,+++—Existing Ground
min Line
Edge of
Pavement
Traffic Shifted (Outside Lane Closure)
Lane Open to Lane Ctosed
Traffic
5ft
min
VL
Theoretical
2:1 H:V) Slope
'If the 2:1 slope plus 5 feet riquirement above
is met for trams, then temporary shoring is
typkaW only necessary to protect roadvlays
from damage kxhen a theorefical 1:1 slope from
the edge of pavement intersects the nearest
excavaftn. ivatt. This rule of thumb should be
medvefth caLton and noes not apply to all
subsudace cz xe`rti in, surcharge loadings and
excavaricn geometries Additonal guidance
Provided bellgm
'Theoretical
1A (H:V)Slope
(from Edge of
Favement)
Bottom of
Excavation
Theoretical
2:1 (H:V) Slope
RTITIM
Bottom of
Excavation
If the 2:1 slope plus 5 feet requirement above is met for traffic, then temporary shoring is typically
only necessary to protect roadways from damage when a theoretical 1:1 slope from the edge of
pavement intersects the nearest excavation wall. This rule of thumb should be used with caution and
does not apply to all subsurface conditions, surcharge loadings and excavation geometries. Situations
where this 1:1 slope is not recommended include groundwater depth is above bottom of excavation or
excavation is deeper than 10 feet or in Tyne B or C soils as defined by OS14A Technical Manual.
Temporary shoring may be avoided by locating trenches, bore pits, and other excavations far enough
away from the open travel lane, edge of pavement and any existing structure, support, utility,
property, etc. to be protected.
Page 19

Temporary shoring shall be designed and constructed in accordance with current NCDOT Standard
Temporary Shoring provisions (refer to
https://connect.nedot. gov/resources/Specifications/Pages/2018-Specifications-and-Special-
Provisions.asox and see SP11 R002
a. Temporary excavation shoring, such as sheet piling, shall be installed. The design of the
shoring shall include the effects of traffic loads. The shoring system shall be designed and
sealed by a licensed North Carolina Professional Engineer. Shoring plans and design
calculations shall be submitted to the Division Engineer for review and approval prior to
construction. (See NCDOT Utilities Accommodations Manual for more information on
requirements for shoring plans, design calculations, and subsurface investigation report.)
Trench boxes shall not be accepted as temporary shoring and will not be approved for
use in instances where shoring is required to protect the highway, drainage structure,
and/or supporting pavement or structure foundation.
b. All trench excavation inside the limits of the theoretical two -to -one slope plus 5 feet
requirement, as defined by the policy, shall be completely backfilled and compacted at the
end of each construction day. No portion of the trench shall be left open overnight. Any
excavation that is not backfilled by the end of the workday must address any safety and
traveling public concerns including accommodations for bicycles, pedestrians and persons
with disabilities.
c. The trench backfill material shall meet the Statewide Borrow Criteria. The trench shall be
backfilled in accordance with Section 300-7 of the latest NCDOT Standard Specifications for
Roads and Structures, which basically requires the backfill material to be placed in layers not
to exceed 6 inches loose and compacted to at least 95% of the density obtained by
compacting a sample in accordance with AASHTO T99 as modified by DOT.
d. At the discretion of the Division Engineer, a qualified NCDOT inspector shall be on the site
at all times during construction. The encroaching party shall reimburse NCDOT for the cost
of providing the inspector. If NCDOT cannot supply an inspector, the encroaching parry (not
the utility contractor) should make arrangements to have a qualified inspector, under the
supervision of a licensed North Carolina Professional Engineer, on the site at all times. The
Professional Registered Engineer shall certify that the utility was installed in accordance with
the encroachment agreement and that the backfill material meets the Statewide Borrow
Criteria.
e. The length of parallel excavation shall be limited to the length necessary to install and
backfill one joint of pipe at a time, not to exceed twenty-five (25) feet.
76. All material to a depth of 8 inches below the finished surface of the subgrade shall be compacted to a
density equal to at least 100% of that obtained by compacting a sample of the material in accordance
with AASHTO T99 as modified by the Department. The subgrade shall be compacted at a moisture
content which is approximately that required to produce the maximum density indicated by the above
test method. The contractor shall dry or add moisture to the subgrade when required to provide a
uniformly compacted and acceptable subgrade. The option to backfill any trenches with dirt or either
#57 stone or #78 stone with consolidation with a plate tamp and without a conventional density test
may be pursued with the written consent of the District Engineer. If this option is exercised, then
roadway ABC stone and asphalt repair as required will also be specified by the District Engineer.
Directional bore
77. Boring equipment will be provided of a type and size to facilitate boring in the local geologic
conditions and shall be able to facilitate the encroachment work.
78. When Horizontal Directional Drilling (HDD) is used, the following stipulations apply:
a. Use drilling fluids as appropriate for the type soils but use of water alone is prohibited. Pump
drilling fluids only while drilling or reaming. Directional boring using jetting with a
Page110

Bentonite (or equivalent material) slurry is recommended. Monitor flow rates to match the
amount leaving the bore hole and do not increase pressure or flow to free stuck drill heads,
reamers or piping. Open cutting to retrieve stuck drill heads is not allowed without prior
permission from the District Engineer.
b. The minimum depth shall adhere to the table below for transverse (under non -controlled
access, partial controlled access, or limited controlled access roadway) installations and refers
to maximum diameter of hole drilled and not the dimension of the carrier or encasement pipe.
Diameter of Drilled Hole Minimum Depth of Cover
(Backream)
2" to 6" 5 feet
>6" to 15" 12 times hole diameter (e.g. 6-inch hole means 6 feet
minimum depth)
>15" to 36" 15 feet or greater
c. Under fully controlled access roadway installations, the minimum depth for transverse
crossings shall be 15 feet under any pavement (ramps or thru lanes)
d. An overbore (backream diameter) shall not be more than 1.5 times the outside diameter of the
pipe or encasement under any highway for pipes 12 inches in diameter or less. For pipes with
outer diameter larger than 12 inches, the overbore may be no larger than outer diameter of
pipe plus 6 inches. An overbore exceeding 1.5 times greater than the outside diameter of the
pipe or encasement may be considered if the encroachment agreement includes a statement
signed and sealed by a licensed North Carolina Professional Engineer indicating that an
overbore in excess of 1.5 times the outside diameter of the pipe or encasement will
appropriately arch and no damage will be done to the pavement or sub -grade.
e. Directional boring is allowed beneath embankment material in naturally occurring soil.
f. Any parallel installation utilizing the directional boring method shall be made at a minimum
depth of five (5') feet (cover) below the ground surface and outside the theoretical 1:1 slope
from the existing edge of pavement except where the parallel installation crosses a paved
roadway.
g. All directional bores shall maintain ten (10) feet minimum (clear) distance from the nearest.
part of any structure, including but not limited to bridges, footings, pipe culverts or box
culverts. Directional bores are not allowed beneath bridge footings, culvert wingwall
footings, slope protection or retaining walls.
h. The tip of the drill string shall have a cutter head.
i. Detection wire shall be installed with non-ferrous material.
j. HDPE pipe installed by directional boring shall not be connected to existing pipe or fittings
for one (1) week from the time of installation to allow tensional stresses to relax.
Aerial clearances
79. Vertical clearance of overhead power and communication lines shall meet the National Electrical
Safety Code requirements except the minimum vertical clearance shall be 18' for crossings over
NCDOT roadways (24' over Fully Controlled Access roadways) and 16' for parallel installations.
80. In relation to the bridge, the utility line shall be located with minimum clearances as indicated on the
attachment for NCDOT Required Clearances for Aerial Installations by Encroachment Near
Bridge Structures.
Page I I I

Pavement Detail and Repair
81. The paving of this roadway shall be in accordance with the latest version of NCDOT Standard
Specifications, Sections 610, 1012 and 1020. The Contractor shall follow all procedures of the
Quality Management System (QMS) for asphalt pavement - Maintenance Version (see
https://con nect. ncdot. eov/resources/Materia l s/MaterialsResources/2018%20OMS%20Asphalt%20Ma
nual.pdf). The Contractor must adhere to all testing requirements and quality control requirements
specified. The Contractor shall contact the NCDOT Division QA Supervisor prior to producing plant
mix and make the Supervisor aware that the mix is being produced for a future NCDOT road.
Contact the District Engineer to determine the NCDOT Division QA Supervisor. Only NCDOT
approved mix designs will be acceptable. A Quality Control Plan shall be submitted (as Directed by
the District Engineer) to the District Engineer's Office prior to asphalt production utilizing form
QMS-MV 1. Failing mixes and/or densities are subject to penalties including monetary payments or
removal and replacement. To minimize traffic queuing in construction areas, the possibility of traffic
detours may be considered when working on high traffic routes even if traffic control is used. The
District Engineer may require traffic detours.
82. When paving beyond utility installation is involved, a Roadway certification report sealed by a
Professional Engineer shall be submitted to the District Engineer's office indicating the following:
• Pavement thickness by type
• Pavement density, core and/or test locations
• Base thickness
• Base density
• Subgrade density
Test frequency and method shall be in conformance with the NCDOT Materials and Tests Manual.
Test must be performed by a Certified Technician including name and Certification number on report.
83. "Potholing" pavement cores to expose existing utilities shall be made with an 18" diameter keyhole
pavement core. Pavement core locations shall not be placed in the wheel path whenever
possible. Vacuum excavation shall be utilized to expose underground utilities. Pavement cores shall
be repaired within the same working day. The pavement core shall be retained and reused to fill the
core hole.
The excavation shall be backfilled and compacted with select material to the bottom of the existing
pavement structure or as indicated by the District Engineer. The retained core shall be placed in the
hole and secured with a waterproof, mechanical joint. If the pavement core is damaged and cannot be
re -used, the core may be replaced with the surface mix, S9.513. The asphalt patch shall match the
thickness of the existing asphalt or four inches, whichever is greater. All materials must be listed on
the NCDOT Approved Products List (APL) found at:
https://apps.ncdot.gov/vendor/approvedi)roducts/.
84. The minimum pavement design for pavement repair shall be according to NCDOT Standard Drawing
654.01
(hi ps:Hconnect.ncdot.gov/resources/Specifications/2018StandardRdwvDrawings/Division`/"2006%2
OAsplialt%2OBases%20and%20Pavements.Rdf) and shall include a mechanical overlay extent to be a
minimum of 25 feet each side of the pavement repair area OR as directed by the District Engineer.
85. Pavement cuts shall be repaired the same day the cuts are made unless an asphalt patch cannot be
accomplished the same day due to material availability or time restrictions. When the asphalt patch is
not feasible, the following apply:
Page112

a. The pavement cut shall be filled to the surface with ABC stone or Flowable Fill per
NCDOT's Standards and Specifications.
b. Once the out is filled, a minimum'/4-inch steel plate shall be placed and pinned to prevent
moving. Plates shall be designed large enough to span a minimum of I -foot on all sides on
the pavement cut.
c. When flowable fill is used, it shall cure for 24 hours prior to any asphalt material placement.
Flowable fill bleed water shall not be present during paving operations. Paving shall not
cause damage (shoving, distortion, pumping, etc.) to the flowable fill.
d. Install and leave "BUMP" signs according to MUTCD until the steel plate has been removed.
Once the flowable fill has cured, remove the steel plate, and mill/fill according to the
directions of the District Engineer.
e. All pavement cuts must be sealed with NCDOT approved sealant to prevent future pavement
separation or cracking.
86. Any pavement damaged because of settlement of the pavement or damaged by equipment used to
perform encroachment work, shall be re -surfaced to the satisfaction of the District Engineer. This
may include the removal of pavement and a 50' mechanical overlay. All pavement work and
pavement markings (temporary and final) are the responsibility of the Encroaching Party.
Post Construction
Close out/ Inspection
87. The Encroaching party shall notify the District Engineer's office within 2 business days after
construction is complete. The District Engineer may perform a construction inspection. Any
deficiencies may be noted and reported to the encroaching party to make immediate repairs or resolve
any issues to restore the right-of-way to a similar condition prior to construction, including pavement,
signage, traffic signals, pavement markings, drainage, structures/pipes, or other highway design
features.
88. At the discretion of the District Engineer, a final inspection report may be provided to the
encroaching party upon satisfactory completion of the work.
89. A written acknowledgement of the completed work by the District Engineer's office begins the one-
year warranty period associated with the performance bond.
90. If the actual construction differs from the approved plans associated with this encroachment, a copy
of "as -built" plans shall be submitted to the District Engineer's office in a PDF format and in a
current ESRI GIS format within 4 weeks of construction.
91. A copy (in PDF format) of the completed ground water analysis shall be given to the District
Engineer, including detailed drawings of the "as -built' wells showing location, depth and water level
in well.
Page 113

ATTACHMENT FORM
NOTIFICATION FOR UTILITY / NON -UTILITY ENCROACHMENT WITHIN NCDOT R/W
Instructions for use:
This form must be completed in its entirety and submitted directly to the designated personnel in the District Engineer's
office via email fax or hand delivery a minimum of one week prior to construction for the encroachment. If the
designated NCDOT personnel names are unknown by the person completing this form, please contact the District
Engineer's office to determine that contact info.
Date:
Submitted by Name:
To: District Personnel Name:
District Personnel Email:
District Fax No.:
This notification is to inform you that we (encroaching party or their contractor) will begin construction
work on the following project in a minimum of one week.
Encroaehment'numbe
(assigned by NCDOT) for the project:
Construction start date:
Approximate ending date:
Contact NCDOT inspector a minimum of 72 hrs. in advance to set-up Preconstruction meeting in the
District Engineer's office or other location as directed by the District Engineer
Preconstruction meeting date & time:
Preconstruction meeting address:
Type of project:
[Examples: power, telecommunication, water, sewer, gas,
Contact Info for this project:
Contractor Company Name:
Contractor Contact Name:
Contractor Phone Number:
Contractor Email:
other (describe)]
NCDOT Utility Inspector Name:
NCDOT Utility Inspector Phone:
NCDOT Utility Inspector Email:
NCDOT Utility Project Manager Name:
NCDOT Utility Project Manager Phone:
NCDOT Utility Project Manager Email:

NCDOT Hold Harmless Declaration for Private Facility FORM
Private Facility Encroachment
Hold Harmless Declaration
Encroachment Agreement Second Party: Encroachment Number
County
The party of the second part of the above -referenced encroachment agreement agrees to indemnify and
save harmless the North Carolina Department of Transportation from all claims of liability for the
overburdening of right of way easements caused by the installation of private facilities owned by the party
of the second part and installed under the approval of the above -referenced encroachment agreement.
Second Party: Attest or Witness:
Date:
Published by NCDOT Utilities Unit 7/17/2017
Separate Form to be signed by each property owner affected by the installation.

Attachment for Clear Zone Guidelines from AASHTO
Roadside Deyfgn Gidde Clear - Z o fl er ra b f e✓
TABLE3.1 (Cont'd)
[U.S. Customary Units]
FORESLOPES
BACKSLOPES
DESIGN
DESIGN
SPP D
ADT
IV:611
IV:51170
1V:311
1V:311
IV:5HTO
IV:6H
or Ratter
I VAll
1 VAH
or Ratter
40mph
UNDER750
7-10
7-10
"•
7-10
7-10
7-10
or
750-1500
10-12
12-14
••
10-12
10-12
10-12
less
1500-6000
12-14
14-16
°•
12-14
12-14
12-14
OVER6000
14-16
16-18
°°
14-16
14-16
14-16
45-50
UNDER750
10-12
12-14
••
8-10
8-10
10-12
mph
750-1500
14-16
16-20
°•
10-12
12-14
14-16
1500-6000
16-18
20-26
00
12-14
14-16
16-18
OVER6000
20-22
24-28
00
14-16
18-20
20-22
55mph
UNDER750
12-14
14-18
00
8-10
10-12
10-12
750-1500.
16-18
20-24
00
10-12
14-16
16-18
1500-60DO
20-22
24-30
10
14-16
16-18
20-22
OVER6000
1 22-24
26-321
••
16-18
20-22
22-24
60mph
UNDER750
16-18
20-24
O0
10-12
12-14
14-16
750-1500
20-24
26-324
•*
12-14
16-18
20-22
1500-6000
26-30
32-404
••
14-18
18-22
24-26
OVER6000
30-32
36-440
44
20-22
24-26
26-28
65-70
UNDER750
18-20
20-26
••
10-12
14-16
14-16
mph
750-1500
24-26
28-360
O1
12-16
18-20
20-22
1500-60DO
28-320
34-424
O°
16-20
22-24
26-28
OVER6000
30-34•
38-460
40
22-24
26-30
28-30
• Where a site specific investigation indicates a high probability of continuing crashes, or such occurrences are indicated. by crash
history, The designer may provide clear -zone distances greater than the clear-zonc shown in Table 3.1, Clear zones may be limited to
30 R for practicality and to provide a consistent roadway template if previous experience with similar projects or designs Indicates
satisfactory performance.
•• Since recovery is less Il ely on the unshielded; traversable IV:3H slopes, fixed objects should not be present in the vicinity of the toe
of these slopes. Recovery of high-speed vrhicles that encroach beyond the edgy of the shoulder may be expected to occur beyond the
toe or slope. Determination or the width of the recovery area at the we or slope should take into consideration right-of-way
availability, environmental concerns, economic factors, safety needs, and crash histories. Also, the distance between the edge of the
through traveled lane and the beginning of the i V--3H slope should influence the recovery area provided at the toe of slope. While the
application may be limited by several factors, the foreslope parameters which may enter into determining a maximum desirable
recovery area are illustrated in Figure 3.2.

NCDOT Required Clearances for Aerial Installations Near Bridge Structures
Any variation to this detail must be
approved by the Division Engineer
and/or State Utilities Manager.
Published by NCDOT Utilities Unit
June 2020
**Minimum
sag clearance
height (See
Note 2)
Bridge Rail
(design varies)
Bridge
Horizontal
Clearance to
wire nearest
bridge***
Minimum =
8 Feet +Table `A'
for power OR
telecommunications.
Any exception must
be coordinated with
Division Bridge
personnel prior to
Utility Pole (Typical -Power
and/or Telecommunications)
Varies
Energized Phase
Conductor
:w
Power Lines (Typical)*
Neutral Conductor
(Varies in location attached to
E. M Pole)*
NO Telecommunications line(s)
mounted below any power line OR
on dedicated telecommunication
poles without power lines*
*Note 1: Aerial lines extending to
**See
next pole with lowest elevation at sag
Aerial lines drawn as 3-D effect
Note
F point.
to represent typical minimum parallel
2
i installation to bridge. structure.
�- Top of bridge deck extended
Table A - Minimum Horizontal Clearance Distances to POWER Lines
from OSHA
VOLTAGE
MINIMUM CLEARANCE
(nominal, kV, alternating
(feet)
current
Up to 50
10
Over 50 to 200
15
Over 200 to 350
20
Over 350 to 500
25
Over 500 to 750
35
Over 750 to 1000
45
Over 1000
As established by the utility
owner/operator or registered
professional engineer who is a qualified
person with respect to electrical power
transmission and distribution
Distance varies
to ground
where pole is
installed
**Note 2- MINIMUN SAG CLEARANCE
HEIGHT is 25 feet (applies to
telecommunications AND power).
***Note 3: HORIZONTAL CLEARANCE EXCEPTION. If vertical sag clearance height for power above bridge deck is >:
45 feet AND voltage is < 350kV, then Minimum Horizontal Clearance may be reduced to 3 feet. Any telecommunications
attachment to power pole allowed in this exception must have a minimum 25 feet sag clearance height above bridge deck.

IMAP
BROOK LANE, NEWPORT, CARTERET COUNTY, NC
LAT: 34.732016, LONG:-76.868983
ai f... d— W.,
t
f
F
Y`
START
END
O e
i 4
� f _
_ o m
Y.i. to
VICINITY MAP
NTS
OWNER:
DUKE ENERGY
CONTACT: RAY LEWIS
401 EXECUTIVE PARKWAY
NEW BERN, NC 28560
OFFICE: 252-639-7219
CELL: 704-290-7458
RAY. [e-mail]
DESIGN CONSULTANT:
KLEINFELDER
CONTACT: DANIELLE KIRK, PE
3200 GATEWAY CENTRE BOULEVARD, SUITE 100
MORRISVILLE, NC 27560
DKIRK an,KLEINFELDER.COM
SHEETINDEX
SHEET
DRAWING TITLE
REV.
1
COVER SHEET
B
2
GENERAL NOTES AND IEGEID
B
OVERALL KEY IMP
B
4
PIAN SPROFILE
B
5
BORE LOOS
B
S
BORE LOGS
B
7
IR ANALYSIS
B
S
DETAILS
B
11 PIPELINE DATA
DIAMETER (in) TOTAL LENGTH (ft) TEMPORARY DISTURBED AR
2 512 1 0.26

__,....... _...--......... - - ...._....,_.._.,_ .__.__... ... -
MATCHED i0 SURRWNDINGGRAGE AS PER PERTINENT PIEDMONT DESIGN AND CONSTRUCTION
STANDARDS.
0. COHTMCTORISMRF INWITXINCONSTRULTIONMRKINGLIMITB. ACCESS TO AREASOUTSICE
HORNING LIMITS MUST BE COORDINATED NTH THE PIEDMONT PROJECT MANAGER.
]. ALLEXCESSEYCAVATIdJ. C TRMTiMOEMOLRMMJG ISMOUNSWTAB WTERMLSTIMTM
NOT CONTAINASBESTOS MUST BE REMOVED FROM THE SITE AND PROPERLY DSPOSED.IF ASBESTOSIS
ENCOUNTERED, CONTACT END CONSTRUCTION MANAGER IMMEDIATELY TO DETERMINE METHOD OF
DISPOSAL
S. STANDARD SPECIFICATIONS REFERENCED ON THIS SHEET AND CONSTRUCTION PLANE ME Cp1yDEREO
AS PART OF THE CONTRACT DOCUMENTS INCIDENTAL ITEMS OR ACCESSORIES NECESSARY TO
COMPLETE THIS WORK MAY NOT BE SPECIFICALLY NOTED, BUT ARE CONBIOERFD TO BE A PART OF THIS
COMRACi.
B. BEFORE ACCEPTANCE BY THE CANNER AND FINAL PAYMENT, Al WORK MUST BE INSPECTED AND
APPROVED BY PIEDMONT OR COMPANY REPRESENTATIVE. FINAL PAYMENT MUST BE MADE AFTER ALL OF
THE CONTRACTOR'S WORK NW BEEN ACCEPTED AND APPROVED AND IN ACCORDANCE WTH THE
CONTRACT DOCUMENTS.
F 10. WRING CONSTRUCTION. ALL LOOSE MATERIAL THAT IS DEPOSITED IN THE FLOW UK OF GUTTERS,
MANAGE STRUCTURES. DITCHES, ETC. SUM THAT THE NA. FLOW UK OF WAM IS
OBSTRUCTED, MUST SE REMOVED AT THE END OF EACH WORK MY,
II ALL FIELD TILE ENCOUNTERED DURING CONSTRUCTION SHALL BE EXTENDED TO OUTLET IN AN EXISTING
DRAINAGE WAY. A RECORD OF ALL FIELD TILE FOR ONSITE DRAINPIPE ENCOUNTERED MUST BE KEPT BY
SINGS . THE CONTRACTORAND TURNED OVER TO THE PROJECT MANAGER UPON COMFLETINN OF THE PROJECT.
IE
.SE 13. CONTRACTOR IS REQUIRED TO SUNTAN A SET OF ISSUED FOR CONSTRUCTION DRAWINGS AND ALL
SUSING PERMITS AT THE IJBMTE. ANY MODIFICATIONS OR ALTERATIONS TO THE PINKS OR SPECIFICATIONS
MUST BE APPROVED BY THE PROJECT MANAGER.
13. CONTRACTOR IS SOLELY RESPONSIBLE FOR EXECUTION OF III WER WORK IN ACCORDANCE W TH THE
CONTRACT MOMENTS AND SPECIFICATIONS. CONTRACTOR IS RESPONSIBLE FOR THE CONSTRUOTI W
III AND TECHNIQUES. SEQUENCES. TIME OF PERFORMANCE AND ALL SAFETY PRECAUTIONS.
11. µL PIPEUNES BEING CROSBEO ME TO BE MOTECTEDLNM A MIHIMI/M M (J)R FEET X IS FEET
WOODEN MATS.
15. PER FERMENT PIEDMONT DE.. AND CONSTRUCTION STANDARDS FOR OPEN OTCH EXDVATION, A
NIMUM MINIMUM OFTNO FEET OF SEPARATION MUST BE MAINTAINED BETWEEN µL CROSSING STRUCTURES.
SEPARATION BETWEEN CROSSING STRUCTURES AND PIPELINES THAT ARE INSTALLED WA DIRECTIONAL
XJRING DRILLING METHODS IS AT THE DISCRETION OF ENGINEERING
HOER 18. WRING MCKFILLING.ASIX INCH CROWN MUST BE PLACED ON ALL DISTURBED AREAS COMPACTION
REQUIREMENTS MUST BE PER PERTINENT PIEDMONT DESIGN AMC CONSTRUCTION STANDARDS
17. BOLTS FOR FLANGES TO BE FORMED PER PERTINENT PIEDMONT DESCH AND CONSTRUCTION
STANDARDS, INCLUDING BOUTS ON LAUNCHERIXECEM R.
I 1S. LAUNCHERRECEIVER TO BE INCLUDED M HYDROSTATIC TEST.
IT 15 RECOMMENDED THAT A COPY BE KEPT INA PERMITS BOX AND PERMIT BOOK.
4.1 A OUMENNG REPRESENTATIVE HILL APPOINT SOMEONE TO COMPLETE THE SELFJNSPECTION FORMS.
43. THE INOIMIUµ COMPLETING THE SELFJNSPECTION FORMS SHALL BE KNOWLEOOFgBLEpHD KNOW HKANTO
COMPLETEA FORM CORRECTLY.
5. INSTµWTION
81 STRE0%PE
. FUSING. giCMING. PACdMG, ETC. MAY BEGIN
BACKFIILLPIPENOIHG.
TRENCH.
!3. SAC..
..
83.1. BACK.. .---..H NCAAN .K.K. B.K.
K.K.K K AK. .................
J33. H
SUBBdL FIRST. THEN GP NTH iOPBdLIH µLAREABTO MATCH D11dNPL SURFACE
RIONAL
GRACELLWITH
OR ➢ES
53. J. IF WEIIAHO B TOP CF TIE EXCAVATEDTRENCNLNTX TIff 9TOCXMiEG
TI TMWTIE
CH ORIGB
NATIVENETLANDTCONSTRU8ATCX ORIDNµ SURFACE
Wv
ENSMS
URE
EµLBMPS
5-0. TTARTIN
wm
CONSTSS RUCTION BORESTRACTOR ECONTRAC CONTRACTOR IS SIBLEF R CONTAININLACE G
AND
STARTINGBOR BORES THE SLURRY SHALL BE TESTED FORD TO DISPOSAL
RY EACH i
OIBPDRUM
WM
531 DRUMLLT TAKENOFFBVTCHOA PERMITTED LANDFILBETESTY THAT 1R
SLURRYBE
SHALL BE FACILITY THAT ISNRLU1p AND CAN
UNGAND
i0APEAMITTEVUND
O
THE WASTE
ACCEPT THE WASTENCPERMITTEDLTEONSWNBE FOUND Ai
PERMITTED LAN AT
XiiPS /i9E0 NC.CAV/µiIVE-PEflMIiTEDRANDFILLS-MAP
DHE DUE
8. ALL EROSION AND SEDIMENT CONTROL MEASURES SHALL SE INSPECTED AND MAINTAINED, IF NEEDED. AT LEAST
ONCE PER WEEK AND WTHIN b HOURS AFTER ONE -INCH RAINFALL EVENT. CONTRACTOR SIWLL WORK VATH
iNF LEAD ENWRONMENTAL INSPECTOR FOR INSPE0110NMAINTEMNCE.
]. STABILIZE SITE AS AREAS OF CONSTRUCTION ME COMPLETED. SEEDANDMULCXOENUDEDAREASPERGROUND
STASSUATIONTIMEFRAMES.
7.1. TEMPORMYSTABIUZATIONINCLUDES:
TIT TEMPORARY SEEDING PER SEEDING TABLES IN PLANS.
7.12. MULCH IMMEDIATELY AFTER SEEDING.
1121. STRAW AND MULCH SHALL HOT BE USED IN WETLANDS.
73. FERMANENTSTABILUATIONINCLUDES
73.1. REPLACEMENT OF TOPSOL
733 PERMANENT SEEDING.
73.3.1. ADDITION OF SOIL AMENDMENTS
72211, CONTRACTOR TO PERFORM SOIL TESTS IF REQUIRED AND COORDINATE WIN PASS
CONSTRUCTION MANAGER TO DETERMINE APPROPRIATE SOIL AMENDMENTS AND
APPLIMTIOi RATES
T333. APPLY SEED PER SEEDING TABLES IN PLANS
7,333. MULCMNGANOORBIANKETING
S. NO EGGS SHALL BE REMOVED UNTIL MITTEN NOTICE IS RECEIVED FROM THE DUKEENG EFS REGULATING
AGENCY
B. WHEN SITE REACHES SDMWRMMENT VEGETATIOF THE REGULATORS ARM BEINVITED BY END
REPRESENTATIVE TO THE SITE FORM INSPECTION T.APFROVE REMOVAL OF MEASURES. ONCE THE MEASURES
ME REMOVED AND THE REMAINING MEAN HAVE SEEN STABILIZED. THE PERMIT ANAL BE CLOSED FINDING A
SOIL EROSION AND SEDIMENT CONTROL NOTES:
I. CONTRACTOR IS TO CONSTRUCT ALL SOIL EROMON AND SEGMENT CONTROL MEASURES AT THE
WMMENCEMENTOF TEE PROJECT, PROWDE MJUMENANCE ANDASSURE EFFECTIVENESS THROUGHOUT THE
DURATION OF THE PROJECT.
3. CARE MUST BETAKEN TO MINIMIZE DOMSTREAM SILTATION. MWBMKSTOBESEEDEDANDMULCXEOTO
PREVENT EROSION.
J. SILT FENCING MUST BE PLACED MERE NECESSARY TO PREVENT SEDIMENT FROM LEAVING THE WORK AREA.18
INCHCOMMSTFILTERM IMYBEUSEDINPLACEWMLTFENCEININMR EOMFASONLY.
A INLET PROTECTION IS REQUIREDATµL SEWER INLETS, GRATES MOMMEOLES FOR SEDIMENT CONTROL.
5. TOPSOILSTMKPILESMALLBELOCATEDTOAVODEROSIONCFBVDSTMMLEMTOOFFSITEARBAS.
STCCNPIIE MEAB ME TO BE LOCATED AT LEAST 50 FEET FROM SURFACE WATERS AND DRAINAGE AREAS.
0. ALL ENWRONMENTAL MEASURES MUST BE PER PERTINENT PIEDMONT DESIGN AND CONSTRUCTION STANDARDS.
T. CONTRACTOR MUST CONSULT PERMITS FOR THE CLEARING UMITSALLOYMEO By USAGE.
B. PUCE SILT FENCE OUTLETS AT LOW PdM3 ALONG SILT FENCE AS NECESSARY
B. A➢DTIONAL EROMON CONTROL MEASURES, INCLUDING MET FENCE WRETS, ANDOR MODIFICATIONS TO
PROPOSED MEASURES MAY BE NECESSARY CEPENONG ON ACTUAL DATE CONdTWS.
10. CONTRACTOR WILL BE RESPONSIBLE FOR MAINTENANCE OF EXISTING PERIMETER ER0810N AND SEDIMENT
CONTROL.
SO SO
—ll0
IRA
EXISTING TELCO
EXISTING MGM
EXISTING COMMUMCATIONS ST
EXISTING UTILITY POLE
EXISTNG METER BOX
EXISTING FIRE HYDRANT
EXISTING WATER VALVE
EXISTING WATER METER
EXISTING OVERHEAD VARE
EXISTING STORM DRAIN
EXISTING "OR CONTOUR (101
EXISTING MINOR COMTWR (2)
— W— W— W— EXISTING WATER LINE
—• IS •—• R •— EXISTING WATER EDGE
PROPOSED LEGEND
C C—G PROPOSED A' MASI REEL
— — — — — — — PROPOSED HOD PULLBACK
PROPOSED SILT FENCE (OR'
SF —1 FILTER SUCK MAY BE USED
AREAS. SEE DETRL SHEETS;
—LOD—LOO
—LOD—
PROPOSED UMITS OF DISTLN
PROPOSED SILT FENCE WTI

Mr BARNSETELO PARK • i� —
zo
PM!6JJ6049J6B91000 -;EJ
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t2 AU' SQ _ 91 -- �� ♦K, t5n00 'G'" HW E%R 1 PIN 6J460JU420�8000
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wW iE Cr ,_`so� �/ r - 0 �� ExI R (wB) B/RO, , PA E
1] W t<�00 �r 0.Jv1 MEn"R (TrPJ B(. 460 PAL£ 90
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BEN7M I0CNE1r L
BOCK 126), PAC£ 119
K/ZER, PNYLLIS RLN. 6J460J0J096BOW
BOOK
LL
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PIN 63J60i9J9)39000
X/SONG UA[OY O" -
(Tm) �v � & Exrslm�c lEtEcewlNUNrca mKs scN.E: t••3a NORlz
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*. u .. ISOMER"
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(RADIUSS)1300 PT
NN Ohpry ��i 2 i1 Vvi lwu Yl ���� 3N Ox
\1 ir?u 2 N
�NbN RM Wb 1 y� 2i li }�7� CRNIL'tS 5j''� /i
ON �tl bN �n On <� .ELF.. Sn A6
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14" /
PROPOSED r MOPE NATURAL
GAS LINE TO BE INSTALLED
NA OPEN CUT
DRILL PATH GEOMETRY
/ GEOMETRY POINT STATION ELEV. NORTHING I EASTING
%t ENTRY 10 .07 14Ar 38377144 1 263M546AD

1>
AT 1a
MR
GLOUCESTER CT
ix PORTSMOUTH LN

I Equipment: CME55 Nrmrr Type-Dma 1401b.ABEo-3DIn.
I Method: Mud Rotary
Rion Diameter: 3 In. O.D.
tD EXPLORATION
LABORATORY RESULTS
�i6�
• Unwearied N-VALUE
20 �e ee ae
�
�
•Z�
�+
a�
SCE
25,
1T
dum
M
18R
BDE
,T
dark
BO2
3
T
3
W*
7
e
141
}:
7
...1. �....................
l:
1 i
1 i
1 i
--___----
38.0
PWWMMtMW
BC'M/Wo
T
WCN
WCH
L....:.....:.....�.....i....
1
1
I
+ [
a
4
.I... _..... :..... :..... _. ....
1 ;
I
I
I
1T
t
I
I i
I i
I
I i
a
4&1
pasaingsaiii
Marbag Chin
Bled 5:
1r
3
.l...t............:...........
Epdd unem:w
I i
I
I
Fww*hdac 3a
I
I
BCQ
9
1T
7�
XSCTNOL:
BORING LOG B1
3gW3.001A
LWN BY: x
PNG Bmdc late
Hor.-Vart. Datum: WGS 1864-MSL
Drilling EcpApiwar g: CME55
iYtmwTypta-pop:
1401NAM
Plunge:
-90 degrees
Drilling Madw: Mud Rotary
Weather:
—Clear, SS degrees F
Woragan Dl—.Mw 3 in. O.D.
FRELD EXPLORATKM
LABORATORYRl
Eededa 3a.n,eT
Gn,und :-26.eEE
E('ratMAms
AL11n3
Ye
•LAcarxid wvKLEAppr
)
ep■r
g
5 a�C
F§
6
RI
LHnalogic Desaiibon
,7i
Bi
m ,0
aD BO
a
Lean CLAYICLI medium plestidty, gray. vmt wry
soft AIM seashNls
1 ;
grained rorvplaatic. gray, wet medum dense.
a gda a
grained, nmpssdc, fray. moist wry dame. Mgular kj—.n
32
The baring visa terminated at apaoomaeety 50 It
below grouts surface. The boring was baddlled
with grout on Au" 08, 2022.
PROTECT r
20L'tlg/2.r0IA
KLE/NFELOER
DRAWN BY: JK
SO 123.8
1 NFORAMTION:
E,wolnawamrwaswrawwaap AM 7fLt
Sedate at am and of dnllirg.
GENERAL NOTES'
The e�loreBan locatan and elevation an, asaod
estimated by gNnfeWa.
BORING LOG 131
PNG Brook Lase

g Equlpmem:
CME-55
Hammer Type -Drop:
1401o.Auto-301n.
g Memos:
Mud open
atlon Diameter: 31n. O.D.
:LD EXPLORATION
LABORATORY RESULTS
A,a
*I1rlmnatAed
N-VALE
7JECTNO:
fl0aP1001A
WVN BY
x
24.3
4.3
S 1 CM 167.51
BORING LOG B2
PNG Brook Lane
Har: wnt Deturn:
wGs 1994 - MSL
Drilling 6allplvia a:
CME-55
Ha w Type - prep
140 h AM
b Ruge:
-90 degrees
Drilling Metlnat
Mud Rotary
Wse1Mr.
Clear 88 degrees F
EgAoMon Dlamebr: 3 In. O.D.
FIELD EXPLORATION
LABORATORY Rl
m �
S
lmXhds: 36.y3ger°
InpYga:-]6.61Om'
•Unm(bloes
Appa�Ln�ela (]a�ad Suroe Bewllm OLl aS
F$5[(pp
N-VPLUE
(DlpwsR)
J
@6
@�
UMolouglc Description
�w
C9
m so
ۥ
3
G
Ckryal SANg floe mareaurn drovs ckan d.
non -plastic, down,,man me, rgulr
I'urh Cwaam sAro wler sin (sRsq: nrw _ _ _
n 7ai^ed, oompmtic. grey. rtroet � Ianaa. angular
TM OMng was IrminrW 9 approArna" 50 it
ONow tad aurfam. The opdng was DatlAllaci
wflk grout on Night 08, 2022.
8
m
i
o`
3 dD
g a0
SJ
i �
0
o�
o�
PROJECT NO.:
et 20230W2.001A
C < I KL E/NFEL DER DRAWN BY.
x
•
?Giocdwaterwp ataprp me 36e
grouts sonata at the and of ddlllig.
OENERALNOTES.
The mated byon inf6 en entl elewlion ere apprei
eetim.red q Ige�aeldr.
BORING LOG B2
PNG Brook Lane

R ANALYSIS
TO BE PROVIDED ONCE COMPLETED

"Feel
2F . MAC.
:zl­
vNTER
I AS REQUIRED INFIELD
INTO SLOE OF SLOPES
H
I�FABRIC
NANCE, AND REGULAR MOMENT REMOVAL.
LENOAR WEEK AND, AS RECOMMENDED, WITHIN
TON.
IEMELY IMPORTANT. AMUMUUTED SMMEM
H CHECK.
.Y ACROSS DISTURBED AREA. STABILIZE THE
NO THE INSTALLED CHECK. IF EVIDENT REPAIR
HDILO BE REMOVED WHEN THE GRASS HAS
WALE IS GREATER THAN 4%.
H CHECKS SHALL REMAIN IN PLACE RAIL
MISSION 15 RECEIVED.THE ENTIRETY OF THE ROCK
31ON CONTROL MEASURES. THE AREA BENEATH THE
-EASURES.
SEEDING MIXTURE
Sleoaa Rate
Hem Fescue 15lbs'.
SMMgreu 2.5-3.51Ware'
Man Grab iT VW.'
Z
INC
BeBluemm yST ess/acle'
MfmWmbee tS2S IeYleme.
•
MWid Re OA5
VepMWq upm mix Wd, DIMr sporiesE
0.114 ban Cbepter 6 of ITS NC Emslm eansl Wes Panneg aM Depgn Manuel.
Be NC MWnalfla-Hem FBuand qug l-June,
Ining Mourne T. BwXCH Tsxx IMian Greco, Big Blueabm
Dap 1- Apra 15
Plahmnl AM Coastal- SwlXh sxx, IMian Ore, fog
BRNeatn DBc I April
Cor1aA IMlan Wmdoeb aM VIgina Wlld RYw
esa 1-Nw 1
N••be•am��+Min.. W'z rn A.��mr
wewrr...
�r�zaw.asnnwmm.r
YOB
Y !w Ne+m
was ewb•• u we wb e
y m ....M • e
M.w vrVe uweeM wwW
Tensaf. weas
XSIIMeI�xYMf ^�
wmerere
xx­
MNMENMNCE.
•• INSPECT ROLLED EROSION CONTROL PRODUCTS (RECP)AT LEAST NEERY ANO AFTER EACH SIGNIFICANT (I
INCH OR GREATER) AAINFALL EVENT AND REPMR IMMEpATELY.
•• OOOD CONTACT MHT GROUND MUST BE WUNTAIED. AND EROSION MUST NOT OCCUR SENEATN THE
REV
'- ANY MFAS OF THE RE CP PUT ARE OMMGED OR NOT I N CLOSE CONTACT WITH THE GROUND BIULL BE
MANNED AND STAFLE D.
-- IF EROSION OCCURS WE TO POORLY COMRO LLFD ONN IMGE. THE PROBLEM SHALL M FIXED AND ERODED
AREA PROTECTED.
•• MONTORAND R EPAR THE RECP AS NIECE SW Y UNTIL GROUND COVER 18 ESTABLISHED.
NORTH AMERICAN GREEN SC16OBN EROSION CONTROL BLANKET
02 (OR APPROVED EQUIVALENT)
MS
WINTER MO EARLY SPRING
SEEDING MDTVRE
Spa Ras
CanEPFN 51behacm
Irblm WOObttM IS251bil
VROInie Wild Rx, Ale lbNeve'
9aPMMinp upon mu wile di spaces. See table
5.114 Ran Crupper S N the NC Erosion am Beff - a
Cq Planing and Design Manuel.
B lag WW
Clweal or Eastern Piedmont mr Candidate. Santa, I
MRY1
WCoralF Feb15rbnl ter IMan Wpadoeb ant VIrpYYWildRya-s- 5-Ap11 1
Wri 1 - a 15 IWaodlTeb AndrLPnb Wild Ryta.
MtaU 1 wry 15
MNnManp:
Ilehllerrareee: Bgnirint maintenanm may W To ur e! m pNe1n
ns Hand Fatand reOanmarde, lm exon x 5%. deakad mier once cenYpeOe is plwaYO. ACp IM*xAa
Plates Media, a addlrlp.
SEED BEd PREPAMIGN:
x Iammlwbane tt W pN Iwtda/)tl IM ecX Y rM mvn, wee arynmNYl ppcwb pApinuN Ilnwerorw MCYrbaM 1 b 1)bbYeem
teem M1sbmlad beet aulN YdAtlenL Ayy.' R7emm unrcomy ern lrmpvwe wan wmP 4e IndY.ad. aeYwM aglslev
.rrlwae Mba6abrwerePRadMlb MmrRnbl wx mnMwb amm1- bM NPoES anirbreY table.
PmReaby YM terq.YgY Aglyreblrewbedb MaYe1 b all e,rmdwebs. gjpe, bMeev awe.
WLTFENCETOSE
LOW SIDE
EOONTHE
LOW SOE OF 1.00
W
SECTION VIEW
EV.
NOTES
1. COMPACTOR SHALL BE RESPONSIBLE TO UTILIZE PROPER BMPS AGCORDY
CONMTIONS OF EACH BORE HCLE THROUGHOUT THE PROJECT.
2, IF GROUNDWATER IS ENCOUNTERED, CONTRACTOR SHALL USE A FILTER BI
IN THE EROSION CONTROL DETAILS.
3. CONTRACTOR TO DESIGN AND IAI0.EMEM BORE PIT SUPPORTS MR OSHA'.
OS TYPICAL BORE PIT DETAIL
Ms: Page
TEMPORARY SEEDING RECOMMENDATIONS
TEMPORARYSEEDING
TEMPORARYSEEDRNG
FOR IATE WINTER AND EARLY SPRING
RECOMMENDATIONS FOR SUMMER
RECOMMENDATIONS FOR FALL
Seeding Mbrtm
Seeding Mixture
Seeding Mixture
Rye gcain) Rusts,
SPeebY Rave RMacri
BPKb RYM (NauY)
Annual lespedeas(Kobe In yD
German.111M 40
Rye(Brelo) 120
Piedmont and Coeval Plain,
In the Piedmont and MW nine, a
11WIN files
Korearm Mountains)
MNBaslarled Sud.n maybe
MWMMns-Yug. 15-Dec. 15
QMt annual aspefusaen duration of
MIxaMUMd at a We of EO dun.
Coastal Pain and PNdmmtiAuD. 15-Dec 31
temporary cover Is not a extend beyond June.
Seeding Da
Mulch
Beading Date.
Mounlns- May 15 -Aug. 15
APPy 4.0001decs ebaw. Anchor straw by
Mounts na—Above 2500 feel: Feb. 15 - Mry 15
Pbdmmt—May i -Ng. 15
aCKT; wllh MphM1, netting, or a mule
BeWw 2500 feat Feb, I. wry 1
Cw Pan APr. 15 - Aug. 15
anchpdag tool. A disk with bladesset heady
Padrtgnl­an. 1 - 1
Mded,
anQht ran M used as a muloh anchoring ad.
COastel Plain —Dec. I -Apr 15
Apply 4.000 IN. strew. Antlwr straw
i MMnvenanwa
Mu"
by WONrlg elih asphalt, nearg, or a
Repair add refeMli,ce cama0ed areas
Apply 4,000 INacm strew. Anchor Strew by
muold Anchor, tool. A disk WM Medea
immediately. Topohnim with SOIW. of her. .
acli ng with asphalt, noting, or a mulch
set neatly stralght can be used as a
in March. If it is necausery to eXieM temporary
andgdng ad. A disk with badee Set needy
mulch androdhg toot.
wear beyond June 15. oxerseed with W Own e
etra llt wan tea used as a mule andhormt, ted.
MMnrbsna
Kobe(Padda l and Coastal Plain) or Koean
MWnt n
Refablvn If gmwlh a had fury a hequaa.
(Mountains) bspedera in lea February or wady
RaaNi IgmMh is not fully adequate.
Pwawad, maNlYe am mul Immediately
Mamh,
Reseed, Iafnfillas and mulch immediately
following omalon archer dami
fdlwdng amelon Or over damage.
SEED BED PREPAMT1012:
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NC Division of Coastal Management
Cashier's Official Receipt
Received From: -e t A 7 'e le r oii t L a✓ ( {��( Y�1�
Permit No.: C f
Applicant's Name:
Project Address: PN6 Pxeok to.
21680 A sOD
Date: �Q a 20 �Z
$ Uoo�
Check No.: J 2 6 3 `V
County: CGrWeA-
Please retain recei7forur reco s as proof of payment for permit issued.
Signature of Agent or Applicant: Date:
/j��
Signature of Field Representative: 2 , ` Date: 151�2

Date Begin - End:
8/08/2022
Drilling Company: Trigon
Logged By:
D. Cabral
Drill Crew: E. Estep
Hor.-Vert. Datum:
WGS 1984 - MSL
Drilling Equipment: CME-55
Plunge:
-90 degrees
Drilling Method: Mud Rotary
Weather:
Clear, 88 degrees F
Exploration Diameter: 3 in. O.D.
FIELD EXPLORATION
Y
E
X oR
a� n
w
0
m
c
Latitude: 34.73169'
Longitude:-76.86961°
Approximate Ground Surface Elevation (fL): 10.5
Surface Condition: Grass
a
F�
Q)
d
E
m
cis
m w
42
cm
U t:
33
m�
Lithologic Description
_ 1 D
TOPSOIL: 3"
COASTAL PLAIN DEPOSITS
Poorly Graded SAND with Silt (SPSM): fine
BC 5
11
grained, non plastic, yellowish brown, moist, medium
14
dense
BC=6
7
5
_5
Lean CLAYwith Sand (CL): medium plasticity, dark
9
brown, moist, medium stiff, with organic matter
BG=3
1
2
3
1D
Poorly Graded SAND with Silt (SPSM): fine
grained, non -plastic, dark brown, moist, medium
dense, with organic matter
BC-5
7
7
-0
Fat CLAY with Sand (CH): high plasticity, gray, wet,
BC--WOH
WOH
very soft
WOH
BORING LOG B1
Hammer Type - Drop: 140 lb. Auto - 30 in.
Uncorrected N-VALUE
(blows/ft)
20 40 60 80
LABORATORY RESULTS
o
v
a� O
0 o
w,
L c
E
c
o -25
�if f
U E
°' c
-o E
12"
13"
16"
12"
6"
39.0
#200= 59

ly
0
A]
z
W
to
Date Begin - End:
Logged By:
Hor.-Vert. Datum:
Plunge:
Weather:
8/08/2022
D. Cabral
WGS 1984 - MSL
-90 degrees
Clear, 88 decirees F
Drilling Company- Trigon
Drill Crew: E. Estep
Drilling Equipment: CME-55
Drilling Method: Mud Rotary
Exploration Diameter: 3 in. O.D.
FIELD EXPLORATION
Latitude: 34.73087°
u
m
o
Longitude:-76.87069'
a
��
m
E
Approximate Ground Surface Elevation (k): 9.5
>
o
'x 0
ct6i
Surface Condition: Grass
`p. > n.
Q'
E
o m
U o
d w 0
m
(9
to
m�
Lithclogic Description
TOPSOIL: 3"
COASTAL PLAIN DEPOSITS
BC--3
Poorly Graded SAND with Silt (SP-SM): fine
2
grained, non -plastic, brown, moist, loose
6
1
very loose, with organic matter
BC=3
-5 r
1
dark brown, wet BC=2
with organic matter
BC=1
1
2
BORING LOG B2
Hammer Type - Drop: 140 lb. Auto - 30 in.
0 Uncorrected N-VALUE
(blowstft)
20 40 60 80
T
I
1
1
i... .............
i
i
I
i
i
i
I
i
Lean CLAYwith Sand (CL): medium plasticity, gray, I
wet, soft, with sea shells BC=WOH 2
1
I
LABORATORY RESULTS
o
v
m
E.
170
z
p
L C
=
p v
i
V E
_
v E
iY z
a)tx
16"
14"
9"
18"

A & B ARE OF E(]L1AL ELEVATION
V Lv I L^ I ILC rnof\w
CHECK DAM SPACING
TOP OF BANK
1-INCH D50 WASHED STONE
FLOW
-INCH D50
2-FT.
AT CE
2-F,A►�
1-FT. MIN.
OVERFLOW
WEIR
PLAN VIEW
SECTION A -A
12-INCH D50 RIPRAP
2 2-FT. MAX.
I've 11 AT CENTER
CROSS-SECTION VIEW
0.5-FT.
F
LENGTH AS REQUIRED IN FIELD
TO KEY INTO SIDE OF SLOPES
OF DITCH
NON -WOVEN
GEOTEXTILE FABRIC
PLACE STONE OVER
CHANNELBANKS
TOP OF
BANK
NON -WOVEN
GEOTEXTILE FABRIC
MAINTENANCE:
1. THE KEY TO FUNCTIONAL ROCK DITCH CHECK IS WEEKLY INSPECTIONS, ROUTINE MAINTENANCE, AND REGULAR SEDIMENT REMOVAL.
2. REGULAR INSPECTIONS OF ROCK DITCH CHECKS SHALL BE CONDUCTED ONCE EVERY CALENDAR WEEK AND, AS RECOMMENDED, WITHIN
24-HOURS AFTER EACH RAINFALL EVEN THAT PRODUCES 1-INCH OR MORE OF PRECIPITATION.
3. ATTENTION TO SEDIMENT ACCUMULATIONS IN FRONT OF THE ROCK DITCH CHECK IS EXTREMELY IMPORTANT. ACCUMULATED SEDIMENT
SHOULD BE CONTINUALLY MONITORED AND REMOVED WHEN NECESSARY.
4. REMOVE ACCUMULATED SEDIMENT WHEN IT REACHES 1/3 THE HEIGHT OF THE ROCK DITCH CHECK.
5. REMOVED SEDIMENT SHALL BE PLACED IN STOCKPILE STORAGE AREAS OR SPREAD THINLY ACROSS DISTURBED AREA. STABILIZE THE
REMOVED SEDIMENT AFTER IT IS RELOCATED.
6. INSPECT ROCK DITCH CHECKS' EDGES FOR EROSION AND EVIDENCE OF RUNOFF BYPASSING THE INSTALLED CHECK. IF EVIDENT REPAIR
PROMPTLY AS NECESSARY TO PREVENT EROSION AND BYPASSING.
7. IN THE CASE OF GRASS -LINED DITCHES, CHANNELS, AND SWALES, ROCK DITCH CHECKS SHOULD BE REMOVED WHEN THE GRASS HAS
MATURED SUFFICIENTLY TO PROTECT THE DITCH OR SWALE UNLESS THE SLOPE OF THE SWALE IS GREATER THAN 4%.
8. AFTER CONSTRUCTION IS COMPLETED AND FINAL STABILIZATION IS REACHED, ROCK DITCH CHECKS SHALL REMAIN IN PLACE UNTIL
REGULATORY AGENCIES HAVE PROVIDED APPROVAL FOR SITE STABILIZATION. ONCE PERMISSION IS RECEIVED,THE ENTIRETY OF THE ROCK
DITCH CHECK SHOULD BE REMOVED IF VEGETATION WILL BE USED FOR PERMANENT EROSION CONTROL MEASURES. THE AREA BENEATH THE
REMOVED ROCK DITCH CHECK MUST BE ADDRESSED WITH PERMANENT STABILIZATION MEASURES.
CHECK DAM
Specification Sheet — BioNet`o S150BN— Erosion Caret
DESCRIPTION
The chart-:e-m dcui;le net erosion valt 011 h:anket shall be a n'etfnine-
prodoced mat of 1009,c asriceltoral stray with a fun-Venal'iongee.ty
of vp to t2 mcnhs. (:COTE function.-! lurga>ibt mayvary defending
upon dimatt con'tont, soil, geoeraphical location and eicvahon,.
The blanket shall be of onnslsceat thlckness with the st aw evenly
distributed m•er she eltd a area cf the matt b anket Thal. be
C overad on the tap and norl tom sides with. 100% hiodegraeab'e
woven natural fiber netting: The netting shall consist of machine
di, e-tional strands `o-me;1 frond twn I:mert6^^,Cd yarns .vitl Cross
Ide:ticea strands intervcven through tlne twisted mthn!aa strands
{mrnnuiy:efer red to asa &'re u%Vd.O is form an approxrnate
0.50z in. Q.T z 2,54 cm;mesh. The b'anket shell bt sewn teeether
or. 1,50 inch 0 8'tm) centers wi In degradoole thread. The blanKeC
hail he man acture t:tha of re -hread -ti hey' alarg bY.l outer
ehzes(zpFozm ly 2-5 iethes:" I tnl from t t _,.ge) as ae
oaer!ap guide for adlatent mat ­
The 51508N shall meet5'ype 2.0 spec.`icaticr requirements tared-
;:whi.emip.
hed..by the E
si n.ontrc Tochrocgy Co:i i!
CT and Fecera
H ohwey Atlm
to ons{FHt P'1 cam. !cr
1 �,
tlnvcgetaodhsft.
'Metric
'
Si 5lbxJs9vd
VmsyzGrteil YNa
SP.tF15 Shtr,4 wT
0,27k„teh
TopTop, ten x-sxin'12U^a.
,l;sGab4
on
93sL`IIUgsn It
.+ `�: '
n."W': .
NMting
'� rhate
145kRitoO
art. 1W"nbc4c;radabia
7.7 n,snon 19 Ct
m�zmc yrte.
i5.25 kviod h
gope mra(A{()
.Threait
EkP o,bie
'
:'s2D.tt$6mi
¢
I!.20-3afk
whorl
ZVIL 03110 ooff{Z4mi
15jtt{zy ,l ,
r2Se f2 {152ad
deh'M
1n8It{32.2m1 :121, 04'M mj
9cft tzm.t m)
wCght+:10%
64 Y8 ihr:{Y361 kgi tff.Y WcSti9lo;/ .
$2,29ffisjagakth
``Fkrr4epth..
Am.
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IStoo1
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IdIST tan}
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Ch rlrg ad
bavnm
C dfiN
v2Ati {ASR m7
Tersarl sn Ian'r Copeazien y
n r: %Lifte r Tcs Falkvar
kt ; 2L'It0
A".ptae. ,LA 30-99 aergen -mu:
NORTH AMERICAN GREEN' 8G0-TENSAp-1 nmraem�a.
ieria!_do o:-n
MAINTENANCE:
•• INSPECT ROLLED EROSION CONTROL PRODUCTS (RECP) AT LEAST WEEKL
INCH OR GREATER) RAINFALL EVENT AND REPAIR IMMEDIATELY.
•• GOOD CONTACT WITH THE GROUND MUST BE MAINTAINED, AND EROSION
RECP.
• • ANY AREAS OF THE RECP THAT ARE DAMAGED OR NOT IN CLOSE CONTAC
REPAIRED AND STAPLED.
•• IF EROSION OCCURS DUE TO POORLY CONTROLLED DRAINAGE, THE PRIDE
AREA PROTECTED.
•• MONITOR AND REPAIR THE RECP AS NECESSARY UNTIL GROUND COVER 1:
NORTH AMERICAN GREEN SC150BN
02 (OR APPROVED EQUIVALENT)
NTS

V -
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a
LEGEND
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Source: World Street and Open Street Map
. Backdrop
1� USGS 7.5 Minute (1:24K)Index to re Property ed from Boundary
RI represents
b Property Boundary represents 7.5 Minute
Project Location Quadrangle Sheet for Satter Path. and Mansfield,.
North Carolina .
500 250 0 500
Feet
KL E/NFEL OER
Bright People. Right Solutions.
\\
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PROJECT NO. 20230972.001A
Location and Vicinity Map
FIGURE
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Piedmont Natures Gas
Welland Delineation
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Carteret County. North Carolina
FILE NAME:
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PROJECT NO. 20230972.001A
FIGURE
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Project Location Quadrangle Sheet to Salter Path, and Mansfield,
=. ra+nwx�.:�....�`i.•�a w'sc.
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KL E/NFEL OER
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�� wwa. kleinfemer mm
Location and Vicinity Map
1
CREATED: &W2022
CREATED BY: EArias
CHECKED BY: KChristie
Piedmont Natural Gas
Wetland Delineation
Brook Lane
Carteret County, North Carolina
FILENAME:
Sea File Path

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KLE/NFELOER
PROJECT NO. 20230972.001A
Location and Vicinity Map
FIGURE
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CREATED BY: EAriaS
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CHECKED BY: KChristie
Piedmont Natural Gas
Wetland Delineation
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Carteret County, North Carolina
I_ (1:24K) Index were obtained from ESRlBasemap.Back drop
to Property Boundary represents 7.5 Minute
Project Location Quadrangle Sheet for Salter Path, and Mansfield,
l 9
North Carolina.
Bright People. Right Solutions.
w .kleinfeldecmm
FILENAME:
See File Path

I� � UtzL) t�(-%Latq U"/o Utzll
PNG BROOK LAf
BROOK LANE, NEWPORT, (
----------
Wale
"i—vam
Mote
ons!.
R,'An 1 Mad.,
PROJECT LOCATION
LOCATION MAP
NTS
RmeL
cee .
cetrifeck
LAT: 34.732016, LC

OTHERWISE NOTED ON DRAWINGS OR SPECIFICATIONS) INCLUDING EQUIPMENT TRANSPORTATION,
SERVICES AND PERFORM ALL NECESSARY WORK AS SHOWN ON THE DRAWINGS AND SPECIFIED
HEREINAFTER.
2. SURVEY INFORMATION PROVIDED BY PROFESSIONAL PROPERTY SURVEYORS, INC. DATED, JULY 18,
2022.
3. IT SHALL BE THE RESPONSIBILITY OF THE INSTALLER TO VERIFY ALL DIMENSIONS GIVEN ON THE
DRAWINGS. ANY ITEM IN QUESTION SHALL BE BROUGHT TO THE ATTENTION OF THE PROJECT
MANAGER PRIOR TO PROCEEDING WITH THE WORK.
4. CONTRACTOR SHALL BE RESPONSIBLE FOR PROTECTION OF ALL SURROUNDING AREAS.
5. MAINTAIN ENGINEERED VERTICAL CLEARANCE BETWEEN PROPOSED PIPELINE AND OTHER UTILITIES
SPECIFICALLY CALLED OUT ON THE DRAWINGS.
6. THE CONTRACTOR SHALL BE FINANCIALLY RESPONSIBLE FOR THE REPAIR OF ANY EXISTING
UTILITIES DAMAGED DURING CONSTRUCTION.
7. MINIMUM DEPTH OF COVER TO BE 3.5 FT.
8. EXISTING PRIVATE ROADS AND RESIDENTIAL DRIVEWAYS MUST BE KEPT IN PASSABLE CONDITION
FOR USE BY ADJACENT PROPERTY OWNERS THROUGHOUT CONSTRUCTION.
9. ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH ALL LOCAL JURISDICTION, COUNTY, NCDEQ
LAND QUALITY, AND NCDOT STANDARDS AND SPECIFICATIONS.
10. CONTRACTOR TO RESTORE ALL PROPOSED BORE PITS TO ORIGINAL OR BETTER CONDITION.
11. BUOYANCY CONTROL IS THE RESPONSIBILITY OF THE CONTRACTOR.
12. DRILL AND RECEIVING PITS FOR ALL BORES, AND ALL TRENCHING AND EXCAVATION SHALL COMPLY
WITH OSHA STANDARDS, INCLUDING USE OF SHORING FOR ALL EXCAVATIONS 5 FEET DEEP OR
GREATER.
13. ALL INTERFERING STRUCTURES WITHIN PROPOSED LIMITS OF DISTURBANCE ARE TO BE REMOVED
PRIOR TO CONSTRUCTION.
14. CONTRACTOR MUST COMPLY WITH OSHA STANDARDS FOR EXCAVATION SAFETY, INCLUDING USE OF
SHORING FOR ALL EXCAVATIONS 5 FEET DEEP OR GREATER.
HDD CONSTRUCTION NOTES:
1. CURVES SHOULD BE DRILLED AT A RADIUS EQUAL TO OR GREATER THAN THAT LISTED ON THE DRAWINGS.
HOWEVER, IN THE EVENT THAT A STEERING CORRECTION ID NEEDED AND A TIGHTER RADIUS MUST BE
CONSTRUCTED TO STAY IN WITHIN THE ALIGNMENT, THE MINIMUM THREE (OR MORE) JOINT RADIUS SHALL BE
1000 FEET. THE DRILLED RADIUS WILL BE CALCULATED OVER ANY THREE (OR MORE) JOINT SEGMENTS USING
THE FOLLOWING FORMULA:
R-L/A•57.296
WHERE:
R = DRILLED RADIUS LENGTH (L)
L = LENGTH DRILLED, NO LESS THAN 75 FEET AND NO GREATER THAN 100 FEET
A = TOTAL CHANGE IN ANGLE OVER LENGTH (L)
2. THE PREREAMED HOLE FOR INSTALLATION OF THE PROPOSED 2-INCH DIAMETER PIPE SHALL BE A MINIMUM
OF 4 INCHES AND BE SUFFICIENT TO ACCOMMODATE THE PULL SECTION. ANY DAMAGE TO THE PIPE
RESULTING FROM INADEQUATE PREREAMING SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR DURING
PULLBACK, STRAPPING CAN BE USED ON THE ROLLERS TO HOLD CABLES TOGETHER BUT MAY NOT ENTER
THE BORE HOLE.
3. ALIGNMENT SHALL REMAIN WITHIN 5 FEET LEFT OR RIGHT OF CENTERLINE SURVEY.
4. DEPTH OF HDD CAN BE UP TO 2 FEET ABOVE THE DESIGNED DRILL PROFILE OR UP TO 10 FEET BELOW.
5. NO INCREASE IN EXIT ANGLE IS PERMITTED. DECREASE OF EXITANGLE UP TO 2 DEGREES FLATTER IS
ALLOWED.
6. NO DECREASE IN ENTRY ANGLE IS ALLOWED. INCREASE OF ENTRY ANGLE UP TO 1 DEGREE STEEPER IS
ALLOWED.
1. EXISTING OVERHEAD AND BELOW GROUND FACILITIES MAY BE IN THE WORK AREA VICINITY.
1.1. LOCATE STAGING
CONTRACTOR IS RESPONSIBLE FOR HAVING SUCH FACILITIES LOCATED AND IS RESPONSIBLE FOR
AREAS.
MAINTENANCE AND PRESERVATION OF THESE FACILITIES. INSTALLER RESPONSIBLE FOR REPLACEMENT
OF ANY DAMAGED BELOWGROUND UTILITIES OR DRAINAGE STRUCTURES.
2. PER NPDES REQUIRED
2. PER PERTINENT PIEDMONT DESIGN AND CONSTRUCTION STANDARDS, CONTRACTOR IS REQUIRED TO
CONTROL PLAN ARE R
CALL 811 FOR UTILITY LOCATES A MINIMUM OF 72 HOURS PRIOR TO COMMENCEMENT OF WORK NO
RECOMMENDED THAT
EXTRA COMPENSATION WILL BE ALLOWED FOR DELAYS FROM ANY WORK PROVIDED BY OTHER UTILITIES.
CONSTRUCTION HAS I
3. IF EXISTING UTILITIES OF ANY TYPE ARE ENCOUNTERED IN THE FIELD AND DEEMED TO BE IN CONFLICT
3. IF POSSIBLE, INSTALL
WITH INSTALLATION OF FACILITIES, CONTRACTOR MUST NOTIFY THE PROJECT MANAGER IMMEDIATELY
SO THE CONFLICT MAY BE RESOLVED.
3.1. INSTALL PERIMET
3.1.1. ENSURE THA
4. WHEN EXISTING DRAINAGE FACILITIES ARE DISTURBED, CONTRACTOR MUST PROVIDE AND MAINTAIN
TEMPORARY OUTLETS AND CONNECTIONS FOR PRIVATE DRAINS OR SEWERS. RESTORATION OF THESE
4. THE CONTRACTOR, W
FACILITIES IS TO BE PERFORMED ONCE CONSTRUCTION IS COMPLETE AND ARE CONSIDERED INCIDENTAL
OF THE EROSION AND
COSTS OF THE PROJECT.
SELF -INSPECTION FOF
5. ALL DRAWING MEASUREMENTS ARE TO BE TAKEN FROM EXISTING GRADE. FINAL GRADE SHALL BE
(HTTP://DEQ.NC.GOV/A
MATCHED TO SURROUNDING GRADE AS PER PERTINENT PIEDMONT DESIGN AND CONSTRUCTION
IT IS RECOMMENDED -
STANDARDS.
4.1. A DUKE/PNG REPF
6. CONTRACTOR IS TO REMAIN WITHIN CONSTRUCTION WORKING LIMITS. ACCESS TO AREAS OUTSIDE
42. THE INDIVIDUAL C
WORKING LIMITS MUST BE COORDINATED WITH THE PIEDMONT PROJECT MANAGER.
COMPLETE A FOR
7.
ALL EXCESS EXCAVATION, CONSTRUCTION DEMOLITION DEBRIS AND UNSUITABLE MATERIALS THAT DO
5. PROPOSED PIPE INSTi
NOT CONTAIN ASBESTOS MUST BE REMOVED FROM THE SITE AND PROPERLY DISPOSED. IF ASBESTOS IS
ENCOUNTERED, CONTACT PNG CONSTRUCTION MANAGER IMMEDIATELY TO DETERMINE METHOD OF
5.1. STRINGING, BEND
DISPOSAL,
5.2. BACKFILL PIPE TR
5.2.1. ...........
8.
STANDARD SPECIFICATIONS REFERENCED ON THIS SHEET AND CONSTRUCTION PLANS ARE CONSIDERED
5.2.2. BACKFILL WI
AS PART OF THE CONTRACT DOCUMENTS. INCIDENTAL ITEMS OR ACCESSORIES NECESSARY TO
GRADES.
COMPLETE THIS WORK MAY NOT BE SPECIFICALLY NOTED, BUT ARE CONSIDERED TO BE A PART OF THIS
CONTRACT.
5.2.3. IF IN WETL"
NATIVE WET[
9.
BEFORE ACCEPTANCE BY THE OWNER AND FINAL PAYMENT, ALL WORK MUST BE INSPECTED AND
5.3. TRENCHLESS CR(
APPROVED BY PIEDMONT OR COMPANY REPRESENTATIVE. FINAL PAYMENT MUST BE MADE AFTER ALL OF
STARTING CONST
THE CONTRACTOR'S WORK HAS BEEN ACCEPTED AND APPROVED AND IN ACCORDANCE WITH THE
DISPOSING OF TH
CONTRACT DOCUMENTS.
5.3.1. DRILL SLURR
10.
DURING CONSTRUCTION, ALL LOOSE MATERIAL THAT IS DEPOSITED IN THE FLOW LINE OF GUTTERS,
ACCEPT THE
DRAINAGE STRUCTURES, DITCHES, ETC. SUCH THAT THE NATURAL FLOW LINE OF WATER IS
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OBSTRUCTED, MUST BE REMOVED AT THE END OF EACH WORK DAY.
11.
ALL FIELD TILE ENCOUNTERED DURING CONSTRUCTION SHALL BE EXTENDED TO OUTLET IN AN EXISTING
6. ALL EROSION AND SEI
DRAINAGE WAY. A RECORD OF ALL FIELD TILE FOR ONSITE DRAIN PIPE ENCOUNTERED MUST BE KEPT BY
ONCE PER WEEK AND
THE CONTRACTOR AND TURNED OVER TO THE PROJECT MANAGER UPON COMPLETION OF THE PROJECT.
THE LEAD ENVIRONME
12.
CONTRACTOR IS REQUIRED TO MAINTAIN A SET OF ISSUED FOR CONSTRUCTION DRAWINGS AND ALL
7. STABILIZE SITE AS ARI
PERMITS AT THE JOB SITE. ANY MODIFICATIONS OR ALTERATIONS TO THE PLANS OR SPECIFICATIONS
STABILIZATION TIMEFf
MUST BE APPROVED BY THE PROJECT MANAGER.
7.1. TEMPORARY STAI
13.
CONTRACTOR IS SOLELY RESPONSIBLE FOR EXECUTION OF HIS/HER WORK IN ACCORDANCE WITH THE
7.1.1. TEMPORARY
CONTRACT DOCUMENTS AND SPECIFICATIONS. CONTRACTOR IS RESPONSIBLE FOR THE CONSTRUCTION
7.1.2. MULCH IMME
METHODS AND TECHNIQUES, SEQUENCES, TIME OF PERFORMANCE AND ALL SAFETY PRECAUTIONS.
7.1.2.1. STRAW
14.
ALL PIPELINES BEING CROSSED ARE TO BE PROTECTED WITH A MINIMUM OF (3) 4 FEET X 18 FEET
7.2. PERMANENT STAE
WOODEN MATS.
7.2.1. REPLACEMEI
15.
PER PERTINENT PIEDMONT DESIGN AND CONSTRUCTION STANDARDS, FOR OPEN DITCH EXCAVATION, A
722. PERMANENT
MINIMUM OF TWO FEET OF SEPARATION MUST BE MAINTAINED BETWEEN ALL CROSSING STRUCTURES.
7.2.2.1. ADDITIC
SEPARATION BETWEEN CROSSING STRUCTURES AND PIPELINES THAT ARE INSTALLED VIA DIRECTIONAL
7.2.2.1.1. CC
DRILLING METHODS IS AT THE DISCRETION OF ENGINEERING.
CC
16.
DURING BACKFILLING, A SIX INCH CROWN MUST BE PLACED ON ALL DISTURBED AREAS. COMPACTION
- AF
REQUIREMENTS MUST BE PER PERTINENT PIEDMONT DESIGN AND CONSTRUCTION STANDARDS.
7.2.2.2. APPLY
17.
BOLTS FOR FLANGES TO BE TORQUED PER PERTINENT PIEDMONT DESIGN AND CONSTRUCTION
72.2.3. MULCHI
STANDARDS, INCLUDING BOLTS ON LAUNCHER/RECEIVER.
8. NO ECDS SHALL BE RE
18.
LAUNCHERIRECEIVER TO BE INCLUDED IN HYDROSTATIC TEST.
AGENCY.
9. WHEN SITE REACHES
REPRESENTATIVE TO
ARE REMOVED AND TI
REGULATORS WRITTE

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