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HomeMy WebLinkAboutNCDOT 106-12 B-2500 Phase I Authorization (2) o'TA o0 - .1 \, %c QuAM'';o,J • ROY COOPER NORTH CAROLINA Governor Environmental Quality MICHAEL S.REGAN Secretary BRAXTON C.DAVIS Director November 2, 2018 Paul Williams Environmental Specialist N.C. Department of Transportation 113 Airport Dr., Suite 100 Edenton, NC 27966 RE: Letter of Authorization, Relocate Sand, CAMA Major Permit No. 106-12, TIP B-2500 Phase I, Replacement of Herbert C. Bonner Bridge over Oregon Inlet in Dare County. Dear Mr. Williams: This letter is in response to a request from the N.C. Department of Transportation (NCDOT) dated October 4, 2018 to remove sand from an encroaching dune adjacent to Lifeboat Station Road at the south end of the B-2500 Phase I project and relocate it to the existing stockpile in the vicinity of the Old Coast Guard Station at the end of Lifeboat Station Road. The request includes a Cover Letter and nine(9) drawings, all dated as received on October 4, 2018. NCDOT is proposing. NCDOT states that due to the contour of the dune, some sand would have to be removed from outside of NCDOT easement to slope the dune back to a stable contour. This would impact U.S. Fish and Wildlife Service (USFWS) property on Pea Island National Wildlife Refuge. Approximately 17,000 sq. ft. (0.390 acres) outside of the NCDOT easement would be impacted, removing approximately 8,125 cubic yards of sand from the Refuge. Approximately 18,000 sq. ft. (0.413 acres) of the dune within the NCDOT easement would be impacted,removing approximately 7,650 cubic yards of sand from this site. There is currently no vegetation in the proposed work area. The USFWS issued Special Use Permit#2018-006G for the proposed work on 10/12/18. Please be advised that through this Letter of Authorization, the N.C. Division of Coastal Management(DCM) conveys its determination that the relocation of approximately 15,775 cubic yards of material adjacent to Lifeboat Station Road in Dare County, as described in your request dated October 4, 2018, is consistent with existing State rules and regulations and is in keeping with the original purpose and intent of CAMA Major Permit No. 106-12. NA D_E deoQ North Carolina Department of Environmental Quality I Division of Coastal Management Elizabeth City Office 1401 South Griffin Street,Suite 301 I Elizabeth City,North Carolina 27909 252.264.3901 Letter of Authorization Major Permit No. 106-12 B-2500, Phase I, Dare County November 2, 2018 • Page 2 of 2 This Letter shall be attached to the original of CAMA Permit No. 106-12, which was issued on September 19, 2012, as well as all subsequent modifications and Letters of Authorization, and copies of all documents shall be readily available on site when a DCM representative inspects the project for compliance. All conditions and stipulations of the active permit remain in force unless altered herein. This approval does not eliminate the need to obtain any additional permits, approval or authorizations that may be required. Nothing in this permit authorizes any activity that has not received approval from the National Park Service (NPS) and/or the U.S. Fish and Wildlife Service (USFWS)], if required, for work within the Cape Hatteras National Seashore and/or Pea Island National Wildlife Refuge. Please contact Greg Daisey at (252) 264-3901 ext. 249 if you have any questions or concerns. Sincerely, Doug Huggett Major Permits Manager cc: Greg Daisey, DCM Cathy Brittingham, DCM Kyle Barnes, USACE Garcy Ward, DWR MI r yryrvA -' STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION ROY COOPER JAMES H.TROGDON,III GOVERNOR SECRETARY October 4, 2018 RECEIVED Greg Daisy NC Division of Coastal Management OCT 0 4 2018 401 S.Griffin St., Ste.300 Elizabeth City,NC 27909 DCM-RALEIGH Subject: Request for the Modification of CAMA Major Permit No. 106-12 Dune relocation at the B-2500 Bonner Bridge Project in Dare County WBS#32635.1.4 Dear Mr. Daisey, The North Carolina Department of Transportation is requesting a modification to CAMA Permit No. 106-12 to authorize the relocation of sand from an encroaching dune on the south end of the B-2500 project. The adjacent dune to the intersection at the south end of the project has migrated significantly westward since the permits were issued. To construct the intersection, a portion of the dune would have to be removed from this site and relocated down Lifeboat Station Road to NCDOT property at the Old Coast Guard Station. Due to the contour of the dune, some sand would have to be removed from outside of NCDOT easement to slope the dune back to a stable contour. This would impact US Fish and Wildlife Service property on Pea Island National Wildlife Refuge. Approximately 0.390 acres(17,000 sq. ft.)outside of the NCDOT easement would be impacted,removing approximately 8,125 yards of sand from the Refuge. Approximately 0.413 acres(18,000 sq.ft.)of the dune within the NCDOT easement would be impacted,removing approximately 7,650 yards of sand from this site. All removed sand would be placed within NCDOT property located at the Old Coast Guard Station at the end of Lifeboat Station Road. NCDOT is coordinating with the USFWS to acquire a permit for this project. NCDOT will also coordinate with the US Corps of Engineers and NC Division of Water Resources for this work. Included with this letter are a map, drawings,and aerial photos of the proposed work. If you have questions,please contact me at(252)482-1861 or pcwilliams2ancdot.gov. Sincerely, Jerry Jennings, P.E. Division One Engineer DocuSigned by: .9„...„.. 7C79B0D2941 F47E... Paul Williams Division One Environmental Specialist Mailing Address: Telephone:(252)482-1850 Location: NC DEPARTMENT OF TRANSPORTATION Fax:(252)482-8722 113 AIRPORT DRIVE,SUITE 100 DIVISION ONE Customer Service: 1-877-368-4968 EDENTON,NC 27932 113 AIRPORT DRIVE,SUITE 100 EDENTON,NC 27932 Website:www.ncdot.gov • Dune Relocation on B-2500 SR 1257 Lifeboat Station Road Dare County Quad Name Oregon Inlet X,y � �.? - ss % \1/4.. \ \ ! RECEIVED`° • \\,X/ ;' OCT 0 4 2018 \t '.a ` °CM-RALEIGH iliC---H.-11 I \ E' 1 \i‘t.c..\\ Ve`,..! 7 ‘ ,� d� uth Point ! \\ r--\2:\ s.,, : •-nt ' \ \\ r •\ \\ �, \'", J Dune Relocation Site \ \ 'P 4f \ 35.765199° p4 `` `•� wz _��\; "ix �� -75.520106° N I tdiER0A7 '` 4 i �ti./-+—-----�y\\legyoe(C)' , 0 a4 F 4 = Ares \ *0 I. a Snoal ` w �� _ �`d►f i. Area 3 u `�` ' i - G? — - a.�\\ E REFUGE ~ - j : • — - \\� 3; m it. y tb I , I:y., Li 0 ,, • sN. • • C.4S. \,, .•\ NCDOT, GIS Unit,Copyright.©2013 National=G-eographiii •. Society, i-:i b'ed " ~ 0 0.5 1 2 Miles I i i t I 1_ i t I Impacts From Dune Station 1+00 to 4+54 Total Approx. Impacted Area Total Approx. Impacted Area Inside Exisitng Easement (SF) 17,301.79 Outside Existing Easement (SF) 16,854.47 Rounded Area (SF) 18,000.00 Rounded Area (SF) 17,000.00 Total Approx. Impacted Area Total Approx. Impacted Area Inside Exisitng Easement (AC) 0.413 Outside Existing Easement(AC) 0.390 c o n nCP m r m o N n i. 1 ` ! 1 ' ,�.. '''' sa` .• frig: y may ' .. yam' _ '�" a: is P • "'«.,, � � _•�- �. �•s.,- Proposed approximate area to within '.: -�„ �.-. - acmes , "',j - . relocate .w .- _ Z - e X,•. - xisg stockpile land IEx sting R/W 1 • 1lissaiNc - = _.. 2' y. ' �••� -•.• •••z-its airy w: . ' ..Em. k• ..- .,o,, Approximate ` �_ [x.. Existing R/W a , _ ,P0 ram, �� .. Approximate +w y'�CY�� Existing RNV ?► \ '44 le ipt, 1It AIM :r' l , '\ \ '' .-.1•:-.A\. \• ` . Proposed approximate - `•. �_ •,~ } "' area of dune material to ,, AN , > be relocated �, 114 /" a <' -:. � , f", Approximate . 1\0 . B ' �`�' Kist nq f-asemvnf f ✓ { I om: Arse_ 111 ., ,., } ter.. �.. r,- M ` J ��'n , t': ,,,,,,:.,.. i4S a o m i4- s . per,_ yam`t a►,I 1ii• illI -ice;...i;4:;.e0e...1 751.° ....— sue •` �. ,� .. Proposed approximate '7 ,yam .. ++ �� + t ♦ area of dune matey al to . ",›+` 'ft ` •" - _ ;� \ be relocated . sr. . +0 l + �', Approximate at.'�.: _ - • Existing Easement = - - 1' . fi • t - w i► A41 } 4 .44.40 = N. - j .Jfir ham ' * sue - .-�liiW `. - "?' ? .AwOa. 7r �.% r Pr �.ram. 4`, -,. a , -, .. A\ • > ter, • `` , f. IP m o my 0 --• _ ,. ,- -. - • iva.....:a."'"--1:-.,,,,.......... *"..........r4t.or." ...;._.5-"; ....... - -- ....., :Ne....,.........-..1•----Z -:---- ,\A--". ;,74-1• ... — ., ..... I,... -.0.•:,... ...... ....-,„ .....-,IPI ""'"-^n•-• - - 6... ...." '....40%.''''.' ...v. '- ....- .4L''''.9•-*- ...wile.' '''''''''24411r4tew.,a, _• ___ t-41.-- ,:Lilt. - -. Or I, 446 .o.4.4). 4.- 41,,,vet• , .-• ‘'... lim.„ - Proposed approximate ..:-; area to relocate dune material within existing ., .. , stockpile and Existing • -.., . -- -.r. ' • -.. ."."'.4r`1111w ri.: •••A. -. '' .--'4:-.4i-,. - -..".,...... ...,.., o...•.0' f .•,-.1, . ift_"',......t. _,,,.. 110 Y.. .... _=3...,, 1:,` it*/ • N. - .... ...., . , . , '.'1'1141/1V* 'I''Ai* G •--Jib-Z. 41.1*'.4116 .a... 40 - , .., . _..1.- , ..-0-;`,. - -. c.....,....M._ ' . jt.,.... ll'ia- 4 v't,,,ii,.. • - __ — ..._. -41ft.,- •Pr„ - "se... _....... .....1 ..N. '............. ' .... , .... .47.—, .. ..... .. .... C..,.." ..o.r. Jr , . -_. ,, •k- , 4t't ... IV- dillik'' " . Till k ..tr '.%. - .. 4111L114111 00011.bh ... ,--, ,, .4'z, OW.V . . al . qe A...-- , ' -.• , . ./...... . PG • .' .- . - 11111. . .111r.1110k , .... ., . ff.,' .• k /It 41111k. Gs•-.. , v k a \ ,... A,.. -•,„ ‘,. . .4.,e, ,...,. .. ., .,..., ........___ - . . . .....; ..., . . ..._._._,........_______ .• , ..... . . GG- V. '.."---.• .- . .- ,''' - ' ...... ...,_____ •••• •,--,.... ,_,.,,______ ' = , ..., . ., . -.1 1. N. ..._ . 4r:144' , — . . . -_.......:1-....*-.... .,:,-12.,,,... ._.... , 1 ,- -- 0 0 JO" 00.... • ._..... ••••• M N, ni .... ,=, 0 1- 1 1 ��- a ^ • ` Y _n -.vim a *`. - ., _ T.-....a ? w Proposed approximate 74. ,. ,, ,_—?,. .-•y; , _ ti. area to relocate dune — .' r r • ,' IjA f.. �► f material within existing i ''ei r ^'5'� A C ,...s'h..F .,' `• ' 1 .-a'. stockpile and R/W a< . _ 771� -III, itah, "1 c lam' '1, _ } R .,_ .►' - �' r.' ,` .� jiit M ��*11.11/4 - ' .46*.t. 401011.101111141110 - Y o. 11111111114' -401100'- 44/e#lip -., , 11 (4 la . v ,� ; . :. m �o n o m I— 'r' m tv m v T Survey Date8/30/2018 Approximate Cross Sections of Existing Dune Adjacent to Lifeboat Road Dune STA 2+30 30 25 20 82.42,17.83 123.08,17.83 • 182.42,17.83 15 —0—Existing Dune Existing EP 10 Toe 5'East of Existing Easement 5 50,0 0 • 0,0 •/ 0 50 87.42,0 100 _ .... 150 200 250 Dune STA 1+90 30 25 20 82.42,17.83 123.08,17.83 • 15 182.42,17.83 Existing Dune 0 Existing EP —0—Toe 5'East of Existing Easement 50,0 0 50 87.42,0 100 150 200 250 Dune STA 1+00 30 25 20 62.84 15.64 99.12,15.64 15 • 162.84,15.64 ••—Existing Dune Existing EP 10 tToe 5'East of Existing Easement 5 37.67,4.31 0• 63.0 0 50 67.84,0 100 150 200 250 0 n Existing Easement(Typical) y o ►ram _m INJ az 0 Approximate Cross Sections of Existing Dune Adjacent to Lifeboat Road Survey Date8/30/2018 Dune STA 3+60 30 126.73,26.84 25 107.23,19.04 933'26.84 0.93,24.6 97.23,19.04 20 214.83,17.81 15 : t Existing Dune I Existing EP —•--Toe 5'East of Existing Easement 10 0 0-48 0--__. 65.5,0 131.73,0 0 50 100 150 200 250 Dune STA 2+80 30 25 106.88,23.95 159.78,23.95 95.25,18.1� 65.88,23.95 20 86.25,18.14 15 201.77,14.98 t Existing Dune Existing EP -i-Toe 5'East of Existing Easement 10 5 ' 0• 11 54 0 111.88,0 0 50 100 150 200 250 Dune STA 2+30 30 25 102.88,23.95 155.78,23.95 91.25,16.14 61.88,23.95 20 ezzy 82.25,18.14 15 197.77,14.98 t Existing Dune Existing EP -o-Toe S'East of Existing Easement 10 5 O 0 50 100 150 200 250 0 0 xi m Xi o n D m 'i' < m ►v m 0 0 4 X Approximate Cross Sections of Existing Dune Adjacent to Lifeboat Road Survey Date8/30/2018 Dune STA 4+54 30 25 164.85,2 .00 20 150.14,20.06 15 98.85,14.5 —�—Existing Dune 10 --ek--Toe 5'East of Existing Easement 215.29,10.38 5 0 . 0,0 0 50 100 150 200 250 Note:Existing EP not measured at this station. D (--) m m m r m N 0 • • ? -L- POC STA28468.00 _..- +to"- 9ill A"' Z * _6L-.13L21 PINC 206+51.15 z 0Y 4y e W� GRADE w¢Nr -BL- B25002 GPS MON '82500Q'P)NC-i98+83.19'.- BEGIN APPROACH S0.1 � -L- P.00 26+4F.55 -(23-.62"RT) -L- A28f4 3 _,..' * ►N 7 J.P.PROJECT B-2500 fPH !l k . t1 ,Z J, -L-,. -5TA191-50.00 -Y- POT sro.10+00.00 = L PLC Sto.24+4600 '`, ' LT 6 as tcll PUOP0 PIINANRR 61gM 4T --,•� U4.1E ISM j3D' +90.00-1- - ± * r A ,5" i S * * *-- tOTAI t,Et tU 201W; 37.00'LT• C r FF TO WIN.DITCH GRADE , 50d ANGLE ORATE + 50.00'FL ' ' ' . C IRE DETAIL •``, ,� F., p1 INSTALL 14 LF.SHOULDER RE4A GUTTER `+� lls PitOliOSID ��A-�` = - _l ` TAB +3407..1_ ---- -- - 10.,11"------ ::._ � -,, .� �'`\' 'L AA -_ R�alc xIARn eo.00 1T \ r A��' ' .. Approximate Impacted Area Inside Existing y ��, , 1 �r ro� l�` Easement=18.000 SF(0.413 ac) c c i - ff; 00._����. w"""'+� --� Currently Inside Existing Easement=7,650 CY i® 4non q wumnisk��imaq ra�l•�:u�ll•���a� rry�,+,ram_I',,. �� iii �vq- ---_ `' � _ i D r-- �.,��� _ ORSET 3�0�-� -� y �' R DRCM GRADE�'T.- - '-�` \ S. ®� 1 •�TYPE III +^ t► Existt Easement RE DFTML'A' C F F P nterciameo��i�• P/�% y7��L��x 1-STA.2R•96.END • w PROPOSED �\ 092 .� 0 SCOUR HOLE / . r '-^7' MOD RETAlt4I/CONCIIETF gA� VSTRUCTfON SLOPE STAKES f ` S R 180',OFFSET 19 E / ■Apr: Y + ' -Y h +M.1!- _ BEGIN WEATHERING "`�...,�_ R UO' \ \ ''' 5. IlT 4t BT E /. 30.00 RT 30A0'RT GUARDRAIL WITH TM U/LUNG AND RESURFACING ^�. �+ P ��'° F 3' J/�1r`A E R -YQI- Pr Sfo.11468.j PROPOSED PERMANENT CE TEMPORARY DETOURdill `�� -QE�r F ' $ro.l1+6895 ' MARKINGS EIRRIINO R9eRR1111BiE EASEMENT "�wv \ R So• ^ till -YOI- PCC StO.13+ STA18+39.00 ,r �����. _ -L1ET- PQC Sro.!3 5000'L7 -ra- Pc Sto.104/920 ?EGIN TEMPORARY STRUC 421op -y- /5 -L- ',` • :+2r;55 Approximate Impacted Area Outside Existing 3EGIN APPROACH SLAB Easement=17,000 SE(0.390 ac) Approximate Volume of Material to Ile Relocated, -Y- ,r a/rrV Approximate Location of Proposed -L- PCC STA.28+43.83 Currently Outside Existing Easement=8.125 CY EOT TAPED FR. Dune Material to be Relocated "zs,; 14 LP SHOULDER BERM GLITTER d � � k.- •�""`�.� _ � ,M� Y Y- Do-r- 50 00'RI . T T TYPE..OI PI Sro 10+88.03 P/Sto 14+84.96 __ R+ F.D.P.S ��7 ► A = 74'39'24.0'(LTI .6 = 6'50'58.5-(LT) -Y01- POT sta.ID+ODDiO • -_< ,A. „^ D = 57'/7'44B' D = P OD'00.(T -h; Z L = 13030' L = 684.6' _ -Y- POT 5fd.12+63.49 1 ---- Ia 4••• T = 7626' T = 342.89' �aT ___J —L_ I.jLL j � 110'RAY TAPER �.- V = 20PH V = 30 MPH I O `•` >7 e = NC e = NC DB ro Pc 454 �-�'S;5�t Gi Rai 115 GOVERNMENT 0 3 -•P e - -Y01- v -- — ` PI Sto 11+0454 PI Sto 12+36.09 PI Sto /6+3255 A = 68'38'29.4(RT/ L = T12'49B'(L .T1 = 16 39'22.3'(LT I 1:�Xi 0 iTi D 0 rn r m o m v (PHASE I) 19� 4 0B-2500 'sue : 41 FINAL s-.- -W./i OOCUMEMT NOT COMEMOSIME MUSE ALLNOMIITVIIA COMPLETED 3 ♦)'SOS "' /` " KI CHI fw�mnM.Fr. �Oi ; ,a.or n W uw n - am o NC rOI ow.NAa in • W ®Fwba.NC:>ar S. V� -- I it tOFWMDWAU( k0 �` ■ Iz f AI.alkom d NYYIC.M.F011II 6 ` , SEE DETAIL al Na�af .t a ` SflfffF 1` -9W-PI-.Ala HHUB C-,pW 5. -FAY-POT Ste.14#7388 'y1s -mom ,s. ,L NP a OM PG sn SUIT Or HORN COCOAS /ygoelrmtA bdNon of ! 1. 'Pf HtiM abckgM.M 42, 1/IK=Cyr yoWvE bdtbn to.aoAlV Ovj OlINO fGTgN / rangy -°.1 -.- ._ u 1. US mrFwMOMr = 4 O ` a g Z E w- ...ww,ww/MIa1l1,0a0r[ t. . WS,.. ° F_W w 8 n TO CS°OVUEDENT S 8 a o / o r IT-r- Sta e+nm 'WE W _ -Y-PC SNs 817171 H v ```` CD rr sa Sursm I 9 C, ° 0=65a 585'ILT1 w``. 0=roaow `... 8 T aT. G� < 5 V=30 WPM IV D�tSq SPB MT) H c_ e'WC CDT=39B.53' V ` CO R U45A7 sF V. T i 0 MIR M0.70 roe-Y-POOFa! 0 Y10F Pp.30 FOR MI AL General Activites N4l-4. Special Use Permit Station #: 42540 (For Official Use Only) Permit #: 2018-006G Permit Term:From 10/15/18 To 12/31/18 1) Principal Investigator Name/Affiliation: Paul Williams, NC Department of Transportation 2) Permit Status:a)Approved: O If approved, provide special conditions (if any) in the text box below. b)Denied: O If denied, provide justification in the text box below. [Type in additional Special Conditions or Justification for Denied Permit in the space provided) This special use permit provides North Carolina Department of Transportation and designated staff access to Pea Island National Wildlife Refuge for activities described in the previously received General Activities Special Use Permit Application (attached). The main activity involves the relocation of sand from an encroaching dune outside of the NCDOT ROW on the south end of the B-2500 (Bonner Bridge Replacement) project. The dune is to be sloped to a stable contour. All sand is to be placed wtihin NCDOT property located at the Old Coast Guard Station at the end of Lifeboat Station Road. There will be no long-term disturbance or equipment left on site. Refuge and Service conditions apply (attached). 3)Are there additional special conditions attached to the permit? Yes O No O 4)Are licenses/permits required, and have they been verified? Yes O No O N/A O 5)Are Insurance and/or Certification(s) required, and have they been verified? Yes Q No O N/A O 6) Is an Assurance of Animal Care or Institutional Animal Approval form needed? Yes 0 No O N/A Q If yes,is the form attached? Yes O No O 7) Has a Minimum Requirements Decision Assessment been conducted? Yes 0 No O N/A Q If yes, is assessment attached? Yes Q No 0 8) Record of Payments: Exempt O Partial O Full O Amount of payment: Record of partial payment: 9) Is a surety bond or security deposit required? Yes O No O N/A O This permit is issued by the U.S.Fish and Wildlife Service and accepted by the applicant signed below,subject to the terms,covenants, obligations,and reservations,expressed or implied herein,and to the notice,conditions,and requirements included or attached.A copy of this permit should be kept on-hand so that it may be shown at any time to any refuge staff. 10) Permit approved/issued by:(signature and title) 11)Permit accepted by:(signature of permatee) -+— c—DocuSigned by: Date: /0 /2` 1. l Date:fiT9�y�k47E... l b • General Conditions and Requirements 1)Responsibility of Pemiittee:The permittee,by operating on the premises,shall be considered to have accepted these premises with all facilities,fixtures,or improvements in their existing condition as of the date of this permit.At the end of the period specified or upon earlier termination,the permittee shall give up the premises in as good order and condition as when received except for reasonable wear,tear,or damage occurring without fault or negligence.The permittee will fully repay the Service for any and all damage directly or indirectly resulting from negligence or failure on his/her part,and/or the part of anyone of his/her associates,to use reasonable care. 2)Operating Rules and Laws:The permittee shall keep the premises in a neat and orderly condition at all times,and shall comply with all municipal county,and State laws applicable to the operations under the permit as well as all Federal laws,rules,and regulations governing national wildlife refuges and the area described in this permit.The permittee shall comply with all instructions applicable to this permit issued by the refuge official in charge.The permittee shall take all reasonable precautions to prevent the escape of fires and to suppress fires and shall render all reasonable assistance in the suppression of refuge fires. 3)Use Limitations:The permittee's use of the described premises is limited to the purposes herein specified and does not, unless provided for in this permit, allow him/her to restrict other authorized entry onto his/her area;and allows the U.S. Fish and Wildlife Service to carry on whatever activities are necessary for: (1)protection and maintenance of the premises and adjacent lands administered by the U.S. Fish and Wildlife Service;and(2)the management of wildlife and fish using the premises and other U.S. Fish and Wildlife Service lands. 4)Transfer of Privileges:This permit is not transferable,and no privileges herein mentioned may be sublet or made available to any person or interest not mentioned in this permit.No interest hereunder may accrue through lien or be transferred to a third party without the approval of the Regional Director of the U.S.Fish and Wildlife Service and the permit shall not be used for speculative purposes. 5)Compliance:The U.S. Fish and Wildlife Service's failure to require strict compliance with any of this permit's terms,conditions,and requirements shall not constitute a waiver or be considered as a giving up of the U.S. Fish and Wildlife Service's right to thereafter enforce any of the permit's terms or conditions. 6)Conditions of Permit not Fulfilled:if the permittee fails to fulfill any of the conditions and requirements set forth herein,the U.S. Fish and Wildlife Service shall retain all money paid under this permit to be used to satisfy as much of the permittee's obligation as possible. 7)Payments:All payment shall be made on or before the due date to the local representative of the U.S. Fish and Wildlife Service by a postal money order or check made payable to the U.S. Fish and Wildlife Service. 8)Termination Policy:At the termination of this permit the permittee shall immediately give up possession to the U.S. Fish and Wildlife Service representative, reserving, however,the rights specified in paragraph 11 below. If he/she fails to do so, he/she will pay the U.S. Fish and Wildlife Service, as liquidated damages,an amount double the rate specified in this permit for the entire time possession is withheld. Upon yielding possession,the permittee will still be allowed to reenter as needed to remove his/her property as stated in paragraph 11 below.The acceptance of any fee for the liquidated damages or any other act of administration relating to the continued tenancy is not to be considered as an affirmation of the permittee's action nor shall it operate as a waiver of the U.S. Fish and Wildlife Service's right to terminate or cancel the permit for the breach of any specified condition or requirement. 9)Revocation Policy:The Regional Director of the U.S. Fish and Wildlife Service may revoke this permit without notice for noncompliance with the terms hereof,or for violation of general and/or specific laws or regulations governing national wildlife refuges, or for nonuse. It is at all times subject to discretionary revocation by the Director of the Service. Upon such revocation the U.S. Fish and Wildlife Service,by and through any authorized representative,may take possession of said premises for its own and sole use,and/or may enter and possess the premises as the agent of the permittee and for his/her account. 10)Damages:The U.S. Fish and Wildlife Service shall not be responsible for:any loss or damage to property including but not limited to crops,animals,and machinery; injury to the permittee or his/her relatives or to the officers,agents,employees,or any other(s)who are on the premises from instructions;the sufferance from wildlife or employees or representatives of the U.S.Fish and Wildlife Service carrying out their official responsibilities.The permittee agrees to hold the U.S. Fish and Wildlife Service harmless from any and all claims for damages or losses that may arise to be incident to the flooding of the premises resulting from any associated government river and harbor, flood control,reclamation,or Tennessee Valley Authority activity. 11)Removal of Permittee's Property: Upon the expiration or termination of this permit, if all rental charges and/or damage claims due to the U.S. Fish and Wildlife Service have been paid,the permittee may,within a reasonable period as stated in the permit or as determined by the U.S. Fish and Wildlife Service official in charge, but not to exceed 60 days,remove all structures,machinery,and/or equipment,etc.,from the premises for which he/she is responsible.Within this period the permittee also must remove any other of his/her property including his/her acknowledged share of products or crops grown, cut, harvested, stored,or stacked on the premises. Upon failure to remove any of the above items within the aforesaid period,they shall become the property of the U.S. Fish and Wildlife Service. • .„. . General Activities OMB Control#1018-0102 1 Expiration Date:08/31/2020 • Special Use Permit Application Refuge: Pea Island National Wildlife Refuge For Official Use Only: Address: Permit#: Attn: (Refuge Official) Arthur Beyer Station#: E-Mail: arthur_beyer@fws.gov Permit Term:from to Phone #: (252) 473-1131 Note:We do not require all information for each use.See instructions at the end of the notice and contact the refuge identified above to determine applicability of a particular item. Attach additional sheets to the application if the text spaces provided are inadequate. la) Identify the type of Permit you are applying for: New O Renewal °Modification O Other° 1 b) Have you applied,or do you intend to apply, to any other refuges for this same activity?° Yes O No 1c) If yes, which refuges? Applicant Information 2) Full Name: Paul Collins Williams, Jr. 3)Organization: NC Department of Transportation 4) Physical Address: 113 Airport Dr. City/State/zip: Edenton, NC 27932 5) Mailing Address: 113 Airport Dr. City/State/Zip: Edenton, NC 27932 6) Phone#: 252-482-1861 7)Fax#: 252-482-8722 8) E-mail: pcwilliams2@ncdot.gov 9) List known assistants/subcontractors/subpermittees: (Only required if the assistants/subcontractors/subpermittees will be operating on the refuge without the permittee being present.) Name/Business Address Phone# PCL-Joel Conijn (360)630-3100 NCDOT-Pablo Hernandez 349 Water Plant Rd,Manteo,NC 27954 252-473-3637 Activity Information 10a)Choose an Activity: Special Access ° Construction O Event ° Cabins/Subsistence ° Group Visit ° Educational Activity ° Ceremonial Activity O Wood Cutting ° Trapping ° Mapping/Survey ° Other ° 10b)Specify type of activity if'Other'was chosen: FWS Form 3-1383-G Rev.06/2017 • OMB Control#1018-0102 2 Expiration Date:08/31/2020 Note: Depending on the activity for which you are requesting a permit,we may ask you for the following activity information. Please contact the specific refuge where the activity is being conducted to determine what information is required. 11) Describe activity by specifically identify timing(occupancy timeline),frequency, and how the activity is expected to proceed: This is a one time project of approximately 2 weeks. NCDOT requests authorization to relocate sand from an encroaching dune on the south end of the B-2500(Bonner Bridge Replacement)project. The adjacent dune to the intersection at the south end of the project has migrated significantly westward since the permits were issued. To construct the intersection,a portion of the dune would have to be removed from this site and relocated down Lifeboat Station Road to NCDOT property at the Old Coast Guard Station. Due to the contour of the dune,some sand would have to be removed from outside of NCDOT easement to slope the dune back to a stable contour. This would impact US Fish and Wildlife Service property on Pea Island National Wildlife Refuge. Approximately 0.390 acres(17,000 sq.ft.)outside of the NCDOT easement would be impacted,removing approximately 8,125 yards of sand from the Refuge. Approximately 0.413 acres(18,000 sq.ft.)of the dune within the NCDOT easement would be impacted,removing approximately 7,650 yards of sand from this site. All removed sand would be placed within NCDOT property located at the Old Coast Guard Station at the end of Lifeboat Station Road. 12)Specifically identify location(s)and/or attach a map: (GPS location(s)preferred) Lat: 35.765199° Long: -75.520106° 13) If drones will be used, describe why the drone is needed and provide specifics on how it will be used: N/A 14) Inquire with refuge if Plan of Operation is required. Is a Plan of Operation attached?Yes O No O N/A For group, ceremonial, and educational activities provide: 15) Expected number of participants, if applicable: Children(1-18 ) Adults Total 16)Grade level of educational group, if applicable: Grade 17a)Will staff time/assistance be required for group activities? Yes O No O N/A 0 17b) If yes, what's the anticipated time frame? Insurance Coverage/License/Certifications/Permits Note:Contact the specific refuge headquarters office where the activity is going to be conducted to determine if any type of insurance,certification(s),or permit(s)will be required.We may process this Special Use Permit while the applicant obtains them. 18) List and attach a copy of any insurance coverage(s)you have such as general liability, aviation, grounding liability, contaminants applicator, medical evacuation, or others, if required: Insurance Type Carrier Name Policy Number 19)List and attach a copy of any relevant licenses, certifications, and permits, if required: License/Certification/Permit Type Number(if applicable) Issued to: CAMA Permit 106-12 NCDOT USACE Individual Permit SAW-1993-03077 NCDOT NCDWR 20120629 NCDOT FWS Form 3-1383-G Rev.06/2017 OMB Control#1018-0102 3 Expiration Date:08/31/2020 Logistics and Transportation Note: Not all information is required for each use.Please contact the specific refuge where the activity is being conducted to determine what information is required.Attach additional sheets to the application if the text spaces provided are inadequate. 20) Does activity require personnel to stay overnight onsite? Yes O No O 21) List names of personnel involved: List Names List Names List Names 22)Specifically describe all major equipment/gear and materials used, if required: Excavator, Loaders, Dump Trucks 23a)Provide detailed information on the logistics for onsite, intersite, and/or ship-to-shore transportation to or on the refuge, if required: Sand will be removed from encroaching dune by loader(s) and excavator(s), placed in dump trucks, and transported to the end of Lifeboat Station Road, and placed on NCDOT property. 23b)Provide descriptions, license plate, or I.D. numbers of vehicles used for onsite, intersite, and/or ship-to-shore transportation, if required: Type of transportation Equipment Type License/I.D./Registration Numbers (onsite,intersite,or ship-to-shore) 24)Specifically describe onsite work and/or living accommodations: 25)Specifically describe onsite hazardous material storage or other onsite material storage space: Sign,date,and print this form and return it to the refuge for processing. By signing this application, I agree my operations will conform to the information I have provided in this application,and I understand that any deviations or changes to this information must receive prior written approval. DocuSigned by: Vdi 10/4/2018 4 26)Signature of Applicant: .ti�G GC.t,lwy Date of Application: 7C79B0D2941F47E... FWS Form 3-1383-G Rev.06/2017 OMB Control#1018-0102 4 Expiration Date:08/31/2020 NOTICES No Members of Congress or Resident Commissioner shall participate in any part of this contract or to any benefit that may arise from it, but this provision shall not pertain to this contract if made with a corporation for its general benefit. The Permittee agrees to be bound by the equal opportunity"nondiscrimination in employment" clause of Executive Order 11246. PRIVACY ACT STATEMENT Authority: The information requested is authorized by the National Wildlife Refuge System Administration Act (16 U.S.C. 668dd-ee) and the Refuge Recreation Act(16 U.S.C. 460k-460k-4). Purpose: To collect the applicant's information to process permits allowing for general activities such as: woodcutting; miscellaneous events (fishing tournaments, one-time events, other special events); cabin rentals; and education activities. Routine Uses: The information will be used by the refuge's administrative office for processing General Activity Special Use permits. More information about the routine uses maybe found in the Systems of Records Notice, FWS-5 National Wildlife Refuge Special Use Permits. Disclosure: Providing the information is voluntary. However, submission of information is required to process and approve general activity usage on the National Wildlife Refuge System. PAPERWORK REDUCTION ACT STATEMENT We are collecting this information subject to the Paperwork Reduction Act(44 U.S.C. 3501)to evaluate the qualifications, determine eligibility, and document permit applicants and to respond to requests made under the Freedom of Information Act and the Privacy Act of 1974. The information that you provide is required to obtain or retain a benefit; however, failure to provide all required information is sufficient cause for the U.S. Fish and Wildlife Service to deny a permit. False, fictitious, or fraudulent statements or representations made in the application may be grounds for revocation of the Special Use Permit and may be punishable by fine or imprisonment(18 U.S.C. 1001). According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. OMB has approved this information collection and assigned control number 1018-0102. ESTIMATED BURDEN STATEMENT The public reporting burden for this information collection varies based on the requested specific refuge use. We estimate the relevant public reporting burden for the General Activity Special Use Permit Application form to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources,gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,to the Service Information Collection Clearance Officer, Division of Policy, Performance, and Management Programs, Fish and Wildlife Service, Mail Stop BPHC, 5275 Leesburg Pike, Falls Church,VA 22041-3803. Please do not send your completed form to this address. GENERAL CONDITIONS AND REQUIREMENTS 1) Responsibility of Permittee: We shall consider the permittee, by operating on the premises,to have accepted these premises with all facilities, fixtures, or improvements in their existing condition as of the date of this permit.At the end of the period specified or upon earlier termination, the permittee shall give up the premises in as good order and condition as when received except for reasonable wear, tear, or damage occurring without fault or negligence. The permittee will fully repay the Service for any and all damage directly or indirectly resulting from negligence or failure on his/her part, and/or the part of anyone of his/her associates,to use reasonable care. 2)Operating Rules and Laws: The permittee shall keep the premises in a neat and orderly condition at all times, and shall comply with all municipal, county,and State laws applicable to the operations under the permit as well as all Federal laws, rules,and regulations governing national wildlife refuges and the area described in this permit. The permittee shall comply with all instructions applicable to this permit issued by the refuge official in charge. The permittee shall take all reasonable precautions to prevent the escape of fires and to suppress fires and shall render all reasonable assistance in the suppression of refuge fires. 3) Use Limitations: The permittee's use of the described premises is limited to the purposes herein specified and does not, unless provided for in this permit, allow him/her to restrict other authorized entry onto his/her area; and allows the U.S. Fish and Wildlife Service to carry on whatever activities are necessary for: (1)protection and maintenance of the premises and adjacent lands administered by the U.S. Fish and Wildlife Service; and (2) the management of wildlife and fish using the premises and other U.S. Fish and Wildlife Service lands. FWS Form 3-1383-G Rev.06/2017 OMB Control#1018-0102 5 Expiration Date:08/31/2020 4)Transfer of Privileges:This permit is not transferable,and no privileges herein mentioned may be sublet or made available to any person or interest not mentioned in this permit. No interest hereunder may accrue through lien or be transferred to a third party without the approval of the Regional Director of the U.S. Fish and Wildlife Service and the permit shall not be used for speculative purposes. 5) Compliance:The U.S. Fish and Wildlife Service's failure to require strict compliance with any of this permit's terms,conditions,and requirements shall not constitute a waiver or be considered as a giving up of the U.S. Fish and Wildlife Service's right to thereafter enforce any of the permit's terms or conditions. 6) Conditions of Permit not Fulfilled: If the permittee fails to fulfill any of the conditions and requirements set forth herein,the U.S.Fish and Wildlife Service shall retain all money paid under this permit to be used to satisfy as much of the permittee's obligation as possible. 7) Payments:All payment shall be made on or before the due date to the local representative of the U.S. Fish and Wildlife Service by a postal money order or check made payable to the U.S. Fish and Wildlife Service. 8)Termination Policy:At the termination of this permit the permittee shall immediately give up possession to the U.S. Fish and Wildlife Service representative, reserving, however, the rights specified in paragraph llbelow. If he/she fails to do so, he/she will pay the U.S. Fish and Wildlife Service, as liquidated damages, an amount double the rate specified in this permit for the entire time possession is withheld. Upon yielding possession,we will still allow the permittee to reenter as needed to remove his/her property as stated in paragraph 11 below. The acceptance of any fee for the liquidated damages or any other act of administration relating to the continued tenancy is not to be considered as an affirmation of the permittee's action nor shall it operate as a waiver of the U.S. Fish and Wildlife Service's right to terminate or cancel the permit for the breach of any specified condition or requirement. 9) Revocation Policy: The Regional Director of the U.S. Fish and Wildlife Service may revoke this permit without notice for noncompliance with the terms hereof, or for violation of general and/or specific laws or regulations governing national wildlife refuges,or for nonuse. It is at all times subject to discretionary revocation by the Director of the Service.Upon such revocation the U.S. Fish and Wildlife Service,by and through any authorized representative,may take possession of said premises for its own and sole use, and/or may enter and possess the premises as the agent of the permittee and for his/her account. 10) Damages: The U.S. Fish and Wildlife Service shall not be responsible for: any loss or damage to property including but not limited to crops, animals, and machinery; injury to the permittee or his/her relatives, or to the officers, agents, employees, or any other(s)who are instructed to be on the premises; the sufferance from wildlife or employees or representatives of the U.S. Fish and Wildlife Service carrying out their official responsibilities. The permittee agrees to hold the U.S. Fish and Wildlife Service harmless from any and all claims for damages or losses that may arise to be incident to the flooding of the premises resulting from any associated government river and harbor,flood control, reclamation, or Tennessee Valley Authority activity. 11) Removal of Permittee's Property: Upon the expiration or termination of this permit, if all rental charges and/or damage claims due to the U.S. Fish and Wildlife Service have been paid,the permittee may,within a reasonable period as stated in the permit or as determined by the U.S. Fish and Wildlife Service official in charge, but not to exceed 60 days, remove all structures, machinery, and/or equipment, etc., from the premises for which he/she is responsible. Within this period the permittee also must remove any other of his/her property including his/her acknowledged share of products or crops grown, cut, harvested, stored, or stacked on the premises. Upon failure to remove any of the above items within the aforesaid period,they shall become the property of the U.S. Fish and Wildlife Service. INSTRUCTIONS FOR COMPLETING APPLICATION You may complete the application portion verbally, in person, or electronically and submit to the refuge for review. Note: Please read instructions carefully as not all information is required for each activity. Contact the specific refuge headquarters office where the activity is going to be conducted to determine applicability of a particular item.We may add special conditions or permit stipulations to permit prior to approval. la-1c) Identify if permit application is for new, renewal, or modification of an existing permit, whether or not you have or will be applying to another refuge for the same activity, and for which refuge(s). Permit renewals may not need all information requested. Contact the specific refuge headquarters office where the activity is going to be conducted if you have questions regarding the applicability of a particular item. 2-8) Provide full name, organization (if applicable), physical and/or mailing address, phone, fax, and e-mail. 9) Provide known names and addresses of assistants,subcontractors or subpermittees. Names and address are only required if the assistants, subcontractors or subpermittees will be operating on the refuge without the permittee being present. Volunteers, assistants, subcontractors or subpermittees that are accompanied by the permittee need not be identified. 10a)Activity type: check one of the following categories: • Special Access; • Construction; • Event; FWS Form 3-1383-G Rev.06/2017 OMB Control#1018-0102 6 Expiration Date:08/31/2020 • Cabin/Subsistence(subsistence cabins are only allowed on Alaska Refuges); • Educational Activity; • Ceremonial Activity; • Wood Cutting, Firewood Collection; • Trapping(non-commercial); • Mapping/Survey(non-commercial and non-archeological) • Other: 10b) If"other"was chosen for activity type, specify the activity in the space provided. 11) Provide detailed information on the activity, including times, occupancy timeline, frequency, and how the activity is expected to proceed, etc. Permit renewals may not need activity description if the activity is unchanged from previous permit. Most repetitive activities, such as group visits, do not require an activity description for each visit. Contact the specific refuge headquarters office where the activity is going to be conducted to determine if we require an activity description. 12) identify specific location (GPS coordinates preferred) if not at a named facility, and attach a map with location. Most repetitive activities, such as group visits, do not require a location. In addition, permit renewals may not require a location if the activity is essentially unchanged from the previous permit. Contact the specific refuge headquarters office where the activity is going to be conducted to determine if we require a location. 13) If a drone will be used for this activity, describe in detail why the drone is necessary to complete the activity and provide specifics on how the drone will be used. 14) Attach a Plan of Operation, if required. Most repetitive activities do not require a Plan of Operations for each visit. In addition, permit renewals may not require a Plan of Operations if the activity is essentially unchanged from the previous permit. Contact the specific refuge headquarters office listed where the activity is going to be conducted to determine if a Plan of Operations is required. 15-16) Provide an estimate of the number of adults, and children and grade level of group, if applicable. 17a-17b) Identify if group activities will require onsite refuge staff and the anticipated time frame, if applicable. 18) Provide name, type, carrier of insurance and attach copies, if required. Contact the specific refuge headquarters office where the activity is going to be conducted to determine if we require insurance and type of insurance. 19) Specifically identify type(s) and number(s) of other licenses, certifications or permits, and provide copies if required. Contact the specific refuge headquarters office where the activity is going to be conducted to determine the type(s)of licenses, certifications or permits required, and to coordinate the simultaneous application of several types of licenses, certifications or permits. We may or may not issue this Special Use Permit(SUP)while the permittee obtains other licenses, certifications, and/or permits. 20-21) Provide name(s)of any personnel required to stay overnight, if applicable. 22) Identify all equipment and materials that will be used, if required. Most repetitive events, such as group visits, do not require a list of equipment. In addition, permit renewals may not require a list of equipment if the event is essentially unchanged from the previous permit. Contact the specific refuge headquarters office where the activity is going to be conducted to determine if we require a list of equipment. 23a-23b) Provide vehicle descriptions and license plate or identification numbers of all vehicles, including boats and airplanes, if required. We only require motor vehicle descriptions for permittee vehicle, and/or if the vehicle will be operated on the refuge without the permittee being present. Motor vehicles accompanied by the permittee as part of a group (convoy) activity need not be identified if cleared in advance by the refuge supervisor. Specifically describe ship-to-shore, intersite (between islands, camps, or other sites) and onsite transportation mechanisms, and license plate or identification numbers, if required. 24)Specifically describe onsite work and/or living accommodations, if applicable. 25)Specifically describe onsite hazardous material storage, or other onsite material storage space(including on and offsite fuel caches). 26) Sign, date, and print the application. By signing this application, you agree your operations will conform to the information you have provided in this application, and understand that any deviations or changes to this information must receive prior written approval. Click on the Print button to print the application (if using the fillable version). The refuge official will review and, if approved, fill out the remaining information, sign, and return a copy to you for signature and acceptance. THIS APPLICATION FORM IS NOT VALID AS A PERMIT BUT MAY BE USED AS A REFERENCE DOCUMENT ATTACHED TO THE OFFICIAL PERMIT. ONLY OFFICIAL REFUGE PERSONNEL MAY ASSIGN A VALID PERMIT NUMBER AND PERMIT TERM TO THIS APPLICATION FORM AFTER THE PERMIT HAS BEEN APPROVED. FWS Form 3-1383-G Rev.06/2017 Alligator River& Pea Island National Wildlife Refuges CONDITIONS FOR SPECIAL USE PERMITS&AUTHORIZED ACTIVITIES 1. The Permittee or authorized person, and all officers, agents, employees, representatives, and clients of the Permittee or authorized person,shall comply with all Refuge, Federal, State, and local regulations and conditions that apply to the special use activity. Failure to comply with any applicable regulation or condition, and all Federal laws, rules, and regulations governing National Wildlife Refuges and the area described in the Special Use Permit (Permit) or authorizing documents may result in revocation of the Permit or authorized activity and/or criminal prosecution. The Permit is non-transferable. 2. While engaged in a special use activity on the Refuge,the Permittee or authorized person, and his/her officers, agents, employees, or representatives, shall be in possession of a cony of the Permit or authorizing documents(including all attachments that contain conditions) and shall, upon request by an authorized Refuge official or by any authorized local,state, or federal law enforcement officer, display the cony authorizing their presence and activity on the Refuge and shall furnish any other licenses and identification documents as may berequested. 3. Any accident that results in a personal injury(i.e.,an accident that requires professional medical treatment) shall be reported to the Refuge Manager within 24 hours of the accident. 4. Entryon the Refuge during nighttime hours (i.e., %-hour after sunset to%-hour before sunrise) is prohibited, unless authorized in writing by the Refuge Manager. Access to areas closed to the public is not allowed, unless authorized in writing by the Refuge Manager. 5. Vehicle travel shall only be on designated roads or routes of travel, unless authorized in writing by the Refuge Manager. Vehicles, boats,trailers, and other equipment shall be parked in such a manner that roads and trails. including canoe trails and navigable waters. are not to be blocked. Roads and trails need to be accessible to other Refuge visitors and to Refuge staff, cooperative farmers,fire trucks,emergency vehicles, maintenance equipment,and law enforcement patrols. 6. Vehicles with catalytic converters shall be restricted to paved roads, recently maintained gravel or dirt roads, or bare soil areas because of the high fire potential. Vehicles with catalytic converters shall not be parked over high vegetation or other fire hazardous materials. 7. All locked Refuge gates shall be closed and locked upon entering and leaving Refuge property. 1 RF-001 (Revised 05/08/2018) Refuge gates should be left the way they are found (i.e., open,closed,either locked or unlocked as the case may be). All signs describing authorized and unauthorized entry through a gate shall be followed unless entry is allowed by this permit. 8. Refuge gate or building keys shall not be loaned to other agencies, companies, or persons. If there is a need for access by other persons, please have them contact the Refuge Manager. All Refuge keys shall be returned to the Refuge Manager, or a designated staff member, within 10 calendar days, after expiration or termination of the Permit or authorizedactivity. 9. All dogs (or any other pet) must be confined or on a leash while on the Refuge, unless authorized in writing by the Refuge Manager. Leashed pets must be under the immediate control of the Permittee or authorized person, or the leash must be secured to a stationary object.The leash shall not be in excess of 10 feet in length. Dogs are not allowed in areas where dogs are prohibited, unless authorized in writing by the Refuge Manager. 10. Possession or use of firearms,air guns, bows and arrows, cross bows,spears,or gigs; or illegal knives,weapons,or devices;or explosives of any type is prohibited on the Refuge when engaged in a special use activity, unless authorized in writing by the Refuge Manager. 11. Littering is prohibited. All materials brought into the Refuge shall be removed and properly disposed. Drink cans, bottles,candy wrappers,toilet paper, and other garbage and refuse shall not be left on the Refuge. 12. The Refuge Manager shall be contacted before any surface work is done.This includes mowing, road or trail improvements, digging, clearing or trimming of brush or vegetation, installation of structures,etc. 13. The use of herbicides and pesticides on Refuge property is prohibited, unless authorized in writing by the Refuge Manager. Unrestricted, over-the-counter-type, insect repellents may be used on or near the body and clothing to repel biting or stinging insects. 14. No permanent or semi-permanent markings shall be made on any Refuge building,structure, gate, post,sign,fence,tree, vegetation, or soil by either marking, painting, cutting, scratching, blazing, mowing, digging, or other destructive method, unless authorized in writing by the Refuge Manager. When needed, only temporary, removable markers (e.g.,flagging tape, survey stakes, metal/paper/plastic tags, etc.) shall be used to mark site locations, plots, etc. Safety signs, informational signs, and any other signs required by law or regulation for the special use activity being conducted,shall be posted as required, but only with prior authorization by the Refuge Manager.All markers and signs shall be removed upon conclusion of the special use activity or upon expiration or termination of the Permit. 2 RF-001 (Revised 05/08/2018) 15. No permanent or semi-permanent fences, buildings,shelters, docks, piers, or other structures or facilities may be erected, built, or placed on the Refuge, unless authorized in writing by the Refuge Manager. No machinery,equipment,supplies, or materials may be placed or stored on the refuge, unless authorized in writing by the Refuge Manager. 16. All open fires are prohibited, unless authorized in writing by the Refuge Manager. Leaving an authorized open fire unattended or not completely extinguished is prohibited. Setting on fire or causing to be set on fire any timber, brush,grass,or other inflammable material, including camp or cooking fires, is prohibited, unless authorized in writing by the Refuge Manager. The use of cutting torches,arc welders, or any other open flame/sparking devices (which are required to conduct the special use activity)shall be exercised with caution and only with prior authorization from the Refuge Manager or Refuge Fire Management Officer. When use of these devices is necessary,the operator(s)shall have immediate access to appropriate fire control equipment (e.g.,fire extinguishers,shovels,etc.) and immediate communication access to local emergency services (e.g., cellular telephone,two-way radio, etc.).Tobacco smokers shall practice caution when smoking; shall completely extinguish all matches, cigars, cigarettes, and pipes; and shall dispose of same in a proper container(e.g., a vehicle ash tray). 17. The Refuge Manager should be contacted immediately at(252)473-1132 upon discovery of any wildfire or any leak,spill, or break in a pipeline, power line,canal, or dike,or any other accident or incident that has the potential to have an adverse impact on the soil,wildlife, or plants in the area. Any unusual wildlife sightings or suspected illegal activities should be reported to the Refuge Manager. 18. It is unlawful to disturb, destroy, injure, collect, or take any wildlife, plant, natural object, mineral, cultural or historical feature, or public property on the Refuge, unless authorized in writing by the Refuge Manager. State and federal collections or scientific use permit regulations and conditions also apply. 19. Wildlife shall not be harmed or harassed and disturbance shall be kept to a minimum,this includes all snakes (poisonous and non-poisonous snakes), unless authorized in writing by the Refuge Manager. State and federal collections or scientific use permit regulations and conditions also apply. 20. Any research or monitoring activities involving ground disturbance may require historic preservation consultation with the Regional Office and/or State Historic Preservation Office. Researchers must obtain an Archeological Resource Protection Act permit from the Regional Office prior to obtaining a special use permit from the refuge. 21. All researchers will be required to obtain appropriate State and Federal permits for the capture 3 RF-001 (Revised 05/08/2018) and possession of protected species,for conducting regulated activities in wetlands, and for other regulated activities. Researchers may also need to provide an assurance of animal care form or an institutional animal approval form, if applicable. 22. Research collection activities must adhere to the Service's policy regarding disposition of biotic specimens: i. You may use specimens collected under this permit, any components of any specimens (including natural organisms, enzymes,genetic materials or seeds), and research results derived from collected specimens for scientific or educational purposes only, and not for commercial purposes unless you have entered into a Cooperative Research and Development Agreement (CRADA)with us. We prohibit the sale of collected research specimens or transfers to third parties for commercial purposes. Breach of any of the terms of this permit will be grounds for revocation of this permit and denial of future permits. Furthermore, if you sell or otherwise transfer for commercial purposes collected specimens,any components thereof, or any products or research results developed from such specimens or their components without a CRADA,you will pay us a royalty rate of 20 percent of gross revenue from such sales. In addition to such royalty, we may seek other damages and injunctive relief against you (USFWS 2016). U.S. Fish and Wildlife Service. 2016. Director's Order No. 109,Amendment 11: Use of Specimens Collected on Fish and Wildlife Lands. March 31, 2016. 23. The use or possession of traps, snares, or other passive (i.e., unattended)collection devices, which are used to collect wildlife, is prohibited, unless authorized in writing by the Refuge Manager. Each individual trap, snare,or passive collection device shall have a weather-resistant, permanent tag attached with the Permittee's, authorized person's, and/or organization's name legibly marked on the tag or shall have the Permittee's, authorized person's, and/or organization's name legibly marked, imprinted,or engraved on the trap,snare,ordevice. 24. For protection of threatened,endangered, rare, sensitive or commercially desirable species, publication of specific collection locations (latitude/longitude) is prohibited.The Refuge Manager (or designee) must approve the release of this information. Photographic materials (photographs, digital images and videos)that document activities involving threatened and endangered species permitted by this Permit (e.g., handling wildlife, entering refuge during closed hours,collecting of any kind, entering a closed area, disturbing habitat, etc.) may not be posted in any public forum (Internet, Facebook, HerpNation, etc.) unless authorized in writing by the Refuge Manager and will result in the revocation of this Permit. 25. Permittee may use photographic materials in official (University/public agency) publications, including the Internet but must include a statement that the activity was conducted under the 4 RF-001 (Revised 05/08/2018) provision of a Special Use Permit.All data collected on refuge lands will be shared with the U.S. Fish and Wildlife Service. 26. Recreational and commercial uses of unmanned aerial vehicles (drones)are prohibited on the refuge. Permitted research projects using UAS technology will be considered using Federal Aviation Administration (FAA), Office of Aviation Services (OAS), and Department of Interior(DOI) Aviation Policy guidelines. 27. All researchers are required to submit a final report to the refuge upon completion of their work. If the study is long-term, an interim progress report will be required. Failure to provide progress reports and/or final reports could result in the revocation of the current permit or jeopardize the issuance of future permits. 28. Researchers who publish the work in peer-reviewed publications are to provide copies to the refuge.All reports, presentations, posters, articles or other publications will acknowledge the Refuge System and appropriate refuges as partners in the research, provided that the Service does not otherwise deem it appropriate to issue a disclaimer.The acknowledgement recognizes that the research could not have been conducted without the existence of the refuge and its support and cooperation. The research organization/agency or personnel in conjunction with the Service will retain the use and ownership of all data/reports. 5 RF-001 (Revised 05/08/2018) Brittingham, Cathy From: Brittingham, Cathy Sent: Friday, November 02, 2018 2:13 PM To: Paul Williams Cc: Greg Daisey; Kyle Barnes; Garcy Ward;Arthur_Beyer (Arthur_Beyer@fws.gov) Subject: Remove sand from an encroaching dune adjacent to Lifeboat Station Road, B-2500 Phase I Attachments: B-2500 Phase I Lifeboat Sation Rd. LOA.pdf Hello, Please find attached a Letter of Authorization from DCM to remove sand from an encroaching dune adjacent to Lifeboat Station Road at the south end of the B-2500 Phase I project and relocate it to the existing stockpile in the vicinity of the Old Coast Guard Station at the end of Lifeboat Station Road. A paper copy will be sent to NCDOT in Edenton. Please let me or Greg Daisey know if you have any questions or concerns. Sincerely, Cathy Brittingham Cathy Brittingham, Transportation Project Coordinator N.C. Division of Coastal Management (919)707-9149 phone cathy.brittingham@ncdenr.gov Mailing Address: c/o DWR Wetlands Unit 1617 Mail Service Center Raleigh,NC 27699-1617 Physical Address: 512 North Salisbury Street Archdale Building 12th Floor, Room 1204G Raleigh,NC 27604 Please visit https://dea.nc.gov/about/divisions/coastal-management/for more information about the N.C.Division of Coastal Management. E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties 1 Brittingham, Cathy From: Brittingham, Cathy Sent: Friday, November 02, 2018 3:33 PM To: Goebel, Christine A;Young, Sarah; Doug Huggett Cc: Greg Daisey Subject: Notice to SELC, Letter of Authorization, Relocate Sand, B-2500 Phase I Attachments: USFWS Lifeboat Station Road SUP B-2500 Phase I.pdf; B-2500 Phase I Relocate sand, NCDOT request.pdf; B-2500 Phase I Lifeboat Station Road LOA Notice to SELC.pdf; B-2500 Phase I Lifeboat Sation Rd. LOA.pdf RE: Bonner Bridge Settlement Agreement. Notice to SELC about a Letter of Authorization sent by DCM to NCDOT for CAMA Major Permit No. 106-12. Hello, FYI,the attached notice to SELC was mailed to Derb Carter by U.S. Mail today with copies of the DCM Letter of Authorization,the NCDOT request, and the USFWS Special Use Permit. The Letter of Authorization is to remove sand from an encroaching dune adjacent to Lifeboat Station Road at the south end of the B-2500 Phase I project and relocate it to the existing stockpile in the vicinity of the Old Coast Guard Station at the end of Lifeboat Station Road. Please let me know if you have any questions or concerns. Sincerely, Cathy Brittingham Cathy Brittingham,Transportation Project Coordinator N.C. Division of Coastal Management (919)707-9149 phone • cathy.brittingham@ncdenr.gov Mailing Address: • c/o DWR Wetlands Unit 1617 Mail Service Center Raleigh,NC 27699-1617 Physical Address: 512 North Salisbury Street Archdale Building 12th Floor, Room 1204G Raleigh,NC 27604 Please visit httas:Rdeg.nc.aov/about/divisionslcoastal-management/for more information about the N.C.Division of Coastal Management. E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties 1 ?.a ROY COOPER Governor MICHAEL S. REGAN Secretary Coastal Management BRAXTON C. DAVIS ENVIRONMENTAL QUALITY Director November 2, 2018 Mr. Derb Carter Southern Environmental Law Center 601 W. Rosemary St., Suite 220 Chapel Hill,NC 27516-2356 RE: N.C. Department of Transportation, Letter of Authorization, CAMA Major Permit No. 106-12, TIP No. B-2500 Phase I, Replacement of Herbert C. Bonner Bridge over Oregon Inlet, on NC Highway 12, Dare County,NC. Dear Mr. Carter: In accordance with paragraph 4.c. of the Bonner Bridge Settlement Agreement, please find enclosed a copy of a letter by the N.C. Division of Coastal Management(DCM) related to CAMA Major Permit No. 106-12 that was sent to the N.C. Department of Transportation (NCDOT) on November 2, 2018 regarding the above referenced project. The DCM Letter is in response to a request from NCDOT dated October 4, 2018, including a cover letter and nine (9) drawings, all dated as received on October 4, 2018. The DCM letter authorizes NCDOT to remove sand from an encroaching dune adjacent to Lifeboat Station Road at the south end of the B-2500 Phase I project and relocate it to the existing stockpile in the vicinity of the Old Coast Guard Station at the end of Lifeboat Station Road. Please also find enclosed a copy of the NCDOT letter dated October 4, 2018 with nine (9) drawings, and a copy of the Special Use Permit issued by the United States Fish and Wildlife Service (USFWS) for the proposed work on October 12, 2018. Please feel free to contact me if you have any questions or would like additional information. I can be reached via e-mail at cathy.brittinghamncdenr.gov or by telephone at(919) 707-9149. Sincerely, • Cathy Brittingham Transportation Project Coordinator Enclosure CC: Doug Huggett, DCM Sarah Young, DCM State of North Carolina I Environmental Quality I Coastal Management DWR Wetlands Unit 1512 North Salisbury Street 11617 Mail Service Center I Raleigh,NC 27699-1617 919-707-9149 Brittingham, Cathy From: Daisey, Greg Sent: Thursday, October 04, 2018 1:39 PM To: Brittingham, Cathy Subject: FW: Dune Relocation on the B-2500 project Attachments: T po. df; CXMA Request Letter.pdf;) cte Area.pdf; boat Road Dune Aerials.pdf; if oat Road Dune Cross Sections.pdf; if oat Road Intersection Plan Sheet.pdf; OI 'Coast Guard Station Plan Sheet.pdf v We have briefly discussed this situation involving Lifeboat Rd. related to Major Permit 106-12. Greg Daisey fc;C-WTransportation Projects Field Representative U U�� Division of Coastal Management 1 b) 16 I I g North Carolina Department of Environmental Quality 0 C) 252 264 3901, EXT. 249 Greg.Daisev@ncdenr.gov 401 S. Griffin St.,Suite 300 Elizabeth City, NC 27909 - `''Nothing Compares Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. From:Williams, Paul C Sent:Thursday, October 4, 2018 8:11 AM To: Daisey, Greg<Greg.Daisey@ncdenr.gov> Cc: Barnes, Kyle W SAW<Kyle.W.Barnes@usace.army.mil>; Ward, Garcy<garcy.ward@ncdenr.gov> Subject: Dune Relocation on the B-2500 project Greg, Letter of request for permit modification is attached, as well as supporting documents. Let me know if you need anything else. Kyle and Garcy, Even though this is all upland work, I know the whole project has been federalized. NCDOT requests any permit modifications necessary for this work. Please see attached documents and let me know if you need anything else. I have applied for a USFWS permit to impact the Refuge property, and I'll send you that permit when issued. Thanks, Paul C. Williams,Jr. Environmental Specialist 1