89916A - NCDOT - US HWY 64-Manteo Culvert Repair

DREDGE & FILL N9 89916 A B C D
GENERAL Previous permit 3f3o8
PERMIT
' Date previous permit issued O� ' oiq
❑New ❑Modification dComplete Reissue ❑ Partial Reissue
As authorized by the State
wolf North Carolina, Department of Environmental Quality and the Coastal Resources Commission In an area of environmental concern pursuant to:
I SA NCAC v ' � • "300 ❑ Rules attached. dGeneral Permit Rules available at the following link: www.degnc.gov/CAMArules
Project Location (County):
City MA—NTC-0 ZIP
Affected 1XCW ❑ EW gPTA ❑ ES W PTS Adj. Wtr. Bodv&60AEP �& '-10 V-QkPfOQ 5?4(D(nat�na�'unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body R,oAmOKE Jo%P;Jb
ORW: ye no PNA: ye no
Type of Project/ Activity
Access Length i i (,t�� �jf �,Q(7 Q� r�j'`^t {� vr�J�� j
Pier(dock)length IV)�3�5 \I' �1�TfJ1— toK dz+\TF-D -1'9 ro 1 G9MI1 �
Fixed Plaffonn(s) = J� " TVIO(JI pA,�D 03I I oO , %,,2,)X5
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/p
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other .64
I0MP CAPIU914 DIM
SAV observed: yes n
Moratorium: n/a yes o
Site Photos: yes /no
Riparian Waiver Attached: yes (4f0
• r�Err' nLE Asspz4Am9 tufTF Ti E F901fei- 1549N&ID� 4%,
t'o�h¢� ANo q BE P v -u pi-r w f—i No LO► Wk:
►JFE!>E� V oft W�11104 00710-- Fr-"M r>

ac0""+[CAMA [DREDGE & FILL N° 89916 A B C D
Previous permit f3a8
GENERAL PERMIT Date previous permit issued off
❑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:
I SA NCAC v ' • � � ❑ Rules attached. dGeneral Permit Rules available at the following link: wwwden.nc.gov/CAMArules
Applicant Name © T Authorized Agent P&L (%'ll-LI�fyS
Address i A A-1KPo I--r bK . - Sy l / E 100 Project Location (County): E p ` ',I 1 � ,`
City ��e:.JroI't State NL ZIP _��StreetAddress/StateRoad/Lot#(s)US ! I 'PARE, lisu�,a>,I
I
Phone #Q__q) a M. �PP"►._A_ 0.)AMlle5 EAs d' PC 315 _
Email i W i Atgj d. Q A(,,A4 qb4 Subdivision I
City AN% ZIP C�7q9q
Affected gCW ❑EW gPTA ❑ES VPTS Adj. Wtr. Bedy. XAAEDQNM§t 10s�:lTJO� SWtoI�D(nat unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body KoAmOKE 5oublb
ORW: ye no PNA: ye no
DOLp(-
Acc
ss Length
Pier e(d (dock) length — tJ NJ D �s f t aKF0P-A .D T:9' P P69Mf 1
Fixed Platform(s) *Tvjo0L)DA1y�D 0310%I,,20-25
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length`
Basin, channel
Cubic yards
Boat ramp •�
Boathouse/ Boatlift
Beach Bulldozing
Other 5y"A 1%0 CAP F14DV litj
fEMP ti�F EciQILf DIl`�
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
yes
yes
yes
yes
g0
no
0
1LSIlfrTria i,.45ouA�tED WIT►� Tf�f FgUfa ►Slu►✓SIDr '4
o Po�R.� MAD _Au-gE P-FMG JU pill ,Ff,`.�/ m0i,4 N'0 bod6r)z
NF4F-D bC UPIl witilr�I f4OTICt- FTaM rV
❑ 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)
646 D�ISE-1
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name_.
Signature **Please read compliance statement on back of permit** Signature
%+�oa.00 wss doa3cP%D1.o.�,.10�,8�,'j of��►to1.10 � I�I�al�o��
Application Feels) Check p/Money Order Issuing Dater— Expiration bate .I—_—�

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 El 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 Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

❑DREDGE & FILL N9 89916 A B C D
Previous permit ,1_a�;,�7:�
GENERAL PERMIT Date previous permit issued 0F1 ' t" "i
❑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:
I SA NCAC ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc Rov/CAMArules
Applicant Name r"} " i, :'�U ) y
Address I t J f�il� }�Ti '•.`� 11 ., . t P•� t / t. 00
City 11`[G- ;..i •i ja A� State N, ii ZIP L 7
Phone#(•g_.�) {
Email W 1 t , �•n', <�. �� n C 5 ti z�,+:•�
Affected 'e+ CW ❑ EW � PTA ❑ ES WPTS
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS
ORW: yes6ii PNA: yes i oJ'
Type of Project/ Activity
Authorized Agent i ;�lU �. tF' :I-i.. AfAcc
Project Location (County): _.,A IZ C `1'�
Street Address/State Road/Lot #(s)i! � I I> q (f,ei (IC o \14,k'k
Subdivision f
City /' �n+{\`"a (i? ZIP
Adj.Wtr.Bod 1'�tllt "Iv '=00W.,;)(nat% ,aounk)
Closest Maj. Wtr. Body ka J Am G Ki- '-?o UP) U
y i�-/L`���LI �I•
(Scale: L jA )
Shoreline Length .,,
r
S.._
`
S"
�i"
'
t
; C
i
� r i �I
,.�
-
_a^r
Access Length
I--
-- -
-
---
-
--
Pier (dock) length
is
+
v t.iV
!
1.
t'I"'/I
➢�
^
!Ye
��
T
Fixed Platform(s)
-
-
L
1_-
--
T
""'
Floating Platform(s)
f
Finger iers
i
Total Platform area
~
Groin length/it4-
_
Bulkhead/ Rlprap length-
Avgdistanceoffshore
Breakwater/Sill-
Max distance/ length `"'
4--
Basin, channel
Cubic yards
H
Boat ramp •••
- _
__
-
�__
,
!
Boathouse/Boatliff-j-
_ --
-�
_�
l
!_
Beach Bulldozing ^'"`
{
f ..
�r c7 Ct ' Fhlny, U
Other
_
--
._.---
r,1F:
i
-
"'�
-
F
tZ
s
1_!{
SAV observed: es
Y
Moratorium: n/a yes mo}
Site Photos: ,yes no
�!�
)
__
_
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by I)'Ai E W. l i+n AFA rV
Permit Conditions .' i -J OffI ('tt s.1 �A"f: i i)f rJY i',.-i -'9'!\ � J
❑ TAR/PAM/NEUSE/BUFFER (circle one)
i�lr;J Uh fi-Cf, 1.-�j.i('{ j-{,"u;/�tl�)�`3� 4 �h�l/� !''. ❑ See note on back regarding River Basin rules
nr
�D
/ ❑ See additional notes/conditions on back '�CENIF� �C',u,,f.t.f I R•.,[>t eNl" f(AtA,'jtC�ie}L`a u� �),".) lr.s-i`i/ <''� ('�.... "-�t.i1"�>".•
I AM AWARE OF STATUTES, CRC RULESAND 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 compliances tatement on back of permit-* 1 Signature
n I,... L
Application Feels) Check g/Money Order Issuing Date I— Expiration Date I

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 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

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER
GOVERNOR
August 3, 2023
Greg Daisy
NC Division of Coastal Management
401 S. Griffin St., Ste. 300
Elizabeth City, NC 27909
Subject: Request for a CAMA General Permit for culvert replacement on US 64
on Roanoke Island in Dare County. WBS # 2023CPT.01.01.10281.1
Dear Mr. Daisey,
J. ERIC BOYETTE
SECRETARY
The North Carolina Department of Transportation is requesting the issuance of a GP
.2300 permit for the replacement of a culvert on US 64 on Roanoke Island in Dare County. The
culvert is located approximately 0.22 mi. east of NC 345 on an unnamed canal to the Roanoke
Sound. The existing 36" X 120' CMP will be removed using NCDOT's guidelines for culvert
removal. The proposed 54" X 110' CAP with endwalls will be placed on the existing alignment
as shown in the permit drawings. This culvert was permitted back in 2019 under GP No. 73828,
but a funding shortfall delayed the project.
NCDOT is also coordinating with the USACOE and NCDWR to acquire a nationwide permit for
culvert replacements. Included with this letter are the location map, permit drawings, MP-1 and
MP-5 forms and adjacent landowner information. If you have questions, please contact me at
[e-mail] or [phone]. The permit fee can be charged to ABS #
202 3 C PT.01.01.102 81.1.
Mailing Address:
NC DEPARTMENT OF TRANSPORTATION
DIVISION ONE
113 AIRPORT DRIVE, SUITE 100
EDENTON, NC 27932
Sincerely,
Clemmon W. "Win" Bridgers, Jr., PE
Division One Engineer
DocuSgned by:
C>� 41 .
Paul Williams ] 0D2941F47E..
Division One Environmental Officer
Telephone:[phone]
Fax: [phone]
Customer Service: 1-877-368-4968
IVebsite: www.ncdot.gov
Location:
113 AIRPORT DRIVE, SUITE 100
EDENTON, NC 27932

�� ga`1
Resurfacing Project 2023CPT.01.01.10281.1
Pipe Replacement on US 64
Dare County Quad Name Manteo
`/t 4al
J f�
_ ought
Sandy Point
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\ Sh.&'llowbag Bay
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O -
- - - �Hdmmo
O mrviBaat _
sv
a v-
Q • • aS`o� �JzS`0 $ _ -_ - VS-64.264
\-Existing 36" X 120' CMP
BY - Proposed 54" X 110' CAP -
_ - w/ headwalls
64 a _ 35.8903W _ ...
— o a 75.657387°
Memos 'A° I \ems/�'/PrRa is ,BM-
(
Aahbee Harbor..-�s,P��.. Skyco $'a i .. %�0 4
Pk, 671n:$ ,S SkY
a NCDOT GIS' Unit, North Carolina Cen$er for Geographic �-i
- Information and Analysis ,.Copyright:© 2013 National _
Geographic Society, -cubed - -
0 0.5 1
2 Miles
I

ON MP-1
APPLICATION for
Major Development Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
N.C. Department Of Transportation
Project Name (if applicable)
US 64 - Pipe Replacement
Applicant 1: First Name
Paul
MI
C
Last Name
Williams
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
113 Airport Road, Suite 100
PO Box
City
Edenton
State
NC
ZIP
27932
Country
Phone No.
252-482-1861 ext.
FAX No.
252-482-8722
Street Address (if different from above)
City
State
ZIP
Email
[e-mail]
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
-
- ext.
Phone No. 2
- - ext.
FAX No.
Contractor p
Street Address (if different from above)
City
Slate
ZIP
Email
<Form continues on back>
2 5 2 - 8 0 8 - 2 8 0 8

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Dare
US 64, approx. 0.22 mi. east of NC 345
US 64
Subdivision Name
City
State
Zip
Manteo
NC
27954-
Phone No.
Lot No. (a) (if many, attach additional page with list)
ext.
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Pasquotank
Unnamed canal to the Roanoke Sound
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
❑Natural ®Manmade []Unknown
Roanoke Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes ❑No
work falls within.
Town of Manteo
4. Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
100,
2,000 sq. ft.
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
6' ®NHWor❑NWL
e.
Vegetation on tract
Various roadside grasses on the maintained road shoulder
I.
Man-made features and uses now on tract
US HWY 64
g.
Identify and describe the existing land uses adjacent to the proposed project site.
Coastal Wetlands, conservation
h.
How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
Conservation
(Attach zoning compliance certificate, if applicable)
[]Yes ❑No ®NA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? []Yes ®No
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ®No ❑NA
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ®No ❑NA
National Register listed or eligible property?
<Form continues on next page>
232-808.2808 .. 1-888-4RC 0.`.

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (1) Are there wetlands on the site? ®Yes ❑No
(ii) Are there coastal wetlands on the site? ®Yes ❑No
(III) If yes to either (i) or (ii) above, has a delineation been conducted? ❑Yes NNo
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities,
none
o. Describe existing drinking water supply source.
none
p. Describe existing storm water management or treatment systems.
none
5. Activities and Impacts
a.
Will the project be for commercial, public, or private use? ❑Commercial NPubliclGovernment
❑Private/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
This project will allow the continuance of safe transportation along US Highway 64 by replacing the existing damaged culvert.
c.
Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
The culvert will be replaced using NCDOT best management practices and construction techniques for culvert replacements.
The culvert will be replaced on the existing alignment. The culvert will be installed using an excavator, dumptrucks, and
various other types of equipment.
d.
List all development activities you propose.
The culvert will be entirely removed using NCDOT guidelines for pipe removal. The existing 36" X 120' CMP will be replaced
with a 54" X 110' CAP with headwalls, as shown in the provided permit drawings. Once the culvert is in place and back filled,
a new roadway surface and grassed shoulder will be established. The banks will be stabilized following NCDOT erosion
control bmp's.
e.
Are the proposed activities maintenance of an existing project, new work, or both? maintenance
f.
What is the approximate total disturbed land area resulting from the proposed project? 2,000 NSq.Ft or ❑Acres
g.
Will the proposed project encroach on any public easement, public accessway or other area ❑Yes []No NNA
that the public has established use of?
h.
Describe location and type of existing and proposed discharges to waters of the stale.
Surface runoff from US HWY 64. This runoff is not concentrated and generally runs through the grassed shoulder in a diffuse
manor.
I.
Will wastewater or stormwater be discharged into a wetland? ❑Yes NNo ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No ❑NA
j.
Is there any mitigation proposed? ❑Yes NNo ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
252-808�2808 .. 1.888.4RCOAST .. www.nccoastalmanagement.net

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package lobe complete. Items (a) — (f) are always applicable to any major development application. Please consult the application
instruction booklet on how to property prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name STATE OF NC, NC WILDLIFE RESOURCES COMMISSION Phone No.
Address 1321 MAIL SERVICE CENTER, RALEIGH, NC 27699
Name IAN PAUL SNIDER Phone No.
Address 111 SEABREEZE CT., MANTEO, NC 27954
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
CAMA GP no. 73828
h. Signed consultant or agent authorization form, if applicable.
I. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
to Enter on Land
I understand that any permit issued in response to this application will allow only th
The project will be subject to the conditions and restrictions contained in the permit.
the application.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
nRinsnros
Date
Print Name Paul
Dmuftne by:
Signature a�L_
1C79BOD2941 F47E...
Please indicate application attachments pertaining to your proposed project.
❑DCM MP-2 Excavation and Fill Information ®DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
252-808-2808 .. 1-888.4RCOAST .. www.nccoastalmanagement.net

Form DCM MP-5
BRIDGES and CULVERTS
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. BRIDGES ®This section not applicable
a. Is the proposed bridge: b. Water body to be crossed by bridge:
❑Commercial ❑Public/Government ❑Private/Community
c. Type of bridge (construction material):
e. (i) Will proposed bridge replace an existing bridge? ❑Yes ❑No
If yes,
(ii) Length of existing bridge:
(III) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
g. Length of proposed bridge:
d. Water depth at the proposed crossing at NLW or NWL:
f. (i) Will proposed bridge replace an existing culvert? [_]Yes [--]No
If yes,
(it) Length of existing culvert: _
(iii) Width of existing culvert: _
(iv) Height of the top of the existing culvert above the NHW or
NWL: _
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
In Width of proposed bridge:
i. Will the proposed bridge affect existing water Flow? ❑Yes ❑No j. Will the proposed bridge affect navigation by reducing or
If yes, explain: increasing the existing navigable opening? [-]Yes ❑No
If yes, explain:
k. Navigation clearance underneath proposed bridge: _
I. Have you contacted the U.S. Coast Guard concerning their
approval? ❑Yes [-]No
If yes, explain:
m. Will the proposed bridge cross wetlands containing no navigable n. Height of proposed bridge above wetlands:
waters? ❑Yes ❑No
If yes, explain:
2. CULVERTS El This section not applicable
a. Number of culverts proposed: 1
b. Water body in which the culvert is to be placed:
Unnamed canal to the Roanoke Sound
< Form continues on back>
252-808-2808 :: 7-888-4RCOAST :: www.nccoastalmanageirent.net revised: 10�2G06

Form DCM MP-5 (Bridges and Culverts, Page 2 of 4)
C. Type of culvert (construction material):
Corrugated Aluminum Pipe
d. (i) Will proposed culvert replace an existing bridge?
❑Yes ONO
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
f. Length of proposed culvert: 110'
h. Height of the top of the proposed culvert above the NHW or NWL.
-6"
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? ❑Yes ONO
If yes, explain:
e. (i) Will proposed culvert replace an existing culvert?
®Yes ❑No
If yes,
(ii) Length of existing culvert(s): 120'
(iii) Width of existing culvert(s): 36"
(iv) Height of the top of the existing culvert above the NHW or
NWL: -18"
(v) Will all, or a part of, the existing culvert be removed?
(Explain) All
9 Width of proposed culvert: 54"
i. Depth of culvert to be buried below existing bottom contour.
12"
k. Will the proposed culvert affect existing water Flow?
®Yes LINO
If yes, explain: Hydraulic flow will be increased.
3. EXCAVATION and FILL ❑This section not applicable
a. (1) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ®Yes [:]No
If yes,
(ii) Avg. length of area to be excavated: 20'
(iii) Avg. width of area to be excavated: 10'
(iv) Avg. depth of area to be excavated: 2'
(v) Amount of material to be excavated in cubic yards: 15
C. (i) Will the placement of the proposed bridge or culvert require any
high -ground excavation? ®Yes []No
If yes,
(it) Avg. length of area to be excavated: 110'
(iii) Avg. width of area to be excavated: 10'
(iv) Avg. depth of area to be excavated: 12'
(v) Amount of material to be excavated in cubic yards: 489
to. (i) Will the placement of the proposed bridge or culvert require any
excavation within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
❑CW ❑SAV ❑SB
OWL ®None
(it) Describe the purpose of the excavation in these areas:
252-808-2808 :: 1-888-4RCOAST :: e www.nccoastalmanaR_ ment.net revised: 10,26;06
..- - _— ___ ..._

Form DCM MP-5 (Bridges and Culverts, Page 3 of 4)
d. If the placement of the bridge or culvert involves any excavation, please complete the following:
(i) Location of the spoil disposal area: NCDOT approved waste area site.
(ii) Dimensions of the spoil disposal area: N/A
(iii) Do you claim title to the disposal area? ®Yes ❑No (If no, attach a letter granting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? ®Yes []No
(v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (SB)?
❑CW ❑SAV OWL ❑SB ®None
If any boxes are checked, give dimensions if different from (ii) above.
(vi) Does the disposal area include any area below the NHW or NWL? ? ❑Yes ®No
If yes, give dimensions if different from (ii) above.
e. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item of above) to
be placed below NHW or NWL? ❑Yes ®No
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
f. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
❑CW ❑SAV ❑SS
❑WL ®None
(11) Describe the purpose of the excavation in these areas:
g. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed on high -ground? ❑Yes ®No
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
a. Will the proposed project require the relocation of any existing b. Will the proposed project require the construction of any temporary
utility lines? ❑Yes ®No detour structures? []Yes ®No
If yes, explain: If yes, explain:
If this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification.
< Form continues on back>
252-808-2808 :: 1-888-4RCOAST :: www.iicepas-talmonagemeiit.net revised: 10 26106

FOrnl DCM MP-5 (Bridges and Culverts, Page 4 of 4)
c. Will the proposed project require any work channels?
❑Yes ®No
If yes, complete Form DCM-MP-2.
e. What type of construction equipment will be used (for example,
dragline, backhoe, or hydraulic dredge)?
tracked excavator, dumptruck, backhoe
g. Will the placement of the proposed bridge or culvert require any
shoreline stabilization? ❑Yes ®No
If yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
08/03/2023
Date
US 64 - Pipe Replacement
Project Name
Paul Williams
Applicant Name
(,,7DacuSl9nW by:
�Ze ��.�fa, s
pplicant S-i nature
7C]989 41 F4]E...
d. How will excavated or fill material be kept on site and erosion
controlled?
Using NCDOT best management practices for erosion and
sediment control.
f. Will wetlands be crossed in transporting equipment to project site?
❑Yes ®No
If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
252-808-2808 :: 1-888-4RCOAST :: www.nccolstahnanagement.net revised: 1012WO6

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER
GOVERNOR
June 24, 2022
Ian Paul Snider
III Seabreeze Ct.
Manteo, NC 27954
To Mr. Snider:
J. ERIC BOYETTE
SECRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to replace a deteriorating culvert on
US 64 on Roanoke Island in Dare County. The existing 36" X 120' corrugated metal
pipe will be replaced by a 54" X 110' corrugated aluminum pipe with headwalls. The
culvert will be replaced in the same location, as shown in the provided permit drawings.
This culvert was permitted back in 2019, but a funding shortfall delayed the project. The
original CAMA General Permit expired, and NCDOT is in the process of applying for a
new permit.
The Division of Coastal Management (DCM) considers the waters at this location to be
"Public Trust Waters" under their regulations. Therefore, it is provided protection under
state law. For this reason, the NCDOT will apply for a permit from DCM to perform the
described work. Part of the permit process is notifying the adjacent landowners of the
proposed work. A map depicting the project area, along with a design plat and permit
application is included with this letter. If you have any questions concerning the proposed
work, you can contact Paul Williams at pcwilliams22ncdot.gov or 252-482-1861.
The attached form is submitted to ensure that you have an opportunity to comment on the
proposal. The work is depicted on the attached drawings. If you have no objects to the
proposal, please return the form with your response within ten (10) days to this office. If
you do have objections to the project, please forward your comments to:
Mailing Address:
NC DEPARTMENT OF TRANSPORTATION
DIVISION ONE
113 AIRPORT DRIVE, SUITE 100
EDENTON, NC 27932
Greg Daisey
NC Division of Coastal Management
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
Telephone:[phone]
Fax: [phone]
Cnstaner Service.: 1-877-368-4968
Website: www.ncdot gov
Location:
113 AIRPORT DRIVE, SUITE 100
EDENTON, NC 27932

No response within ten (10) days will be construed to mean you have no objections.
Thank you for your cooperation.
Sincerely,
Clemmon W. "Win" Bridgers, Jr., PE
Division Engineer, Division One
EUocu3i9neA by:
.11
1G�98OD294IF47E...
Paul Williams
Division Environmental Officer, Division One

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER
GOVERNOR
June 24, 2022
NC Wildlife Resources Commission
Attn: William Ridgeway
1133 Don Juan Rd.
Hertford, NC 27944
To Mr. Snider:
J. ERIC BOYETTE
SECRETARY
CERTIFIED MAIL
The NC Department of Transportation is proposing to replace a deteriorating culvert on
US 64 on Roanoke Island in Dare County. The existing 36" X 120' corrugated metal
pipe will be replaced by a 54" X 110' corrugated aluminum pipe with headwalls. The
culvert will be replaced in the same location, as shown in the provided permit drawings.
This culvert was permitted back in 2019, but a funding shortfall delayed the project. The
original CAMA General Permit expired, and NCDOT is in the process of applying for a
new permit.
The Division of Coastal Management (DCM) considers the waters at this location to be
"Public Trust Waters" under their regulations. Therefore, it is provided protection under
state law. For this reason, the NCDOT will apply for a permit from DCM to perform the
described work. Part of the permit process is notifying the adjacent landowners of the
proposed work. A map depicting the project area, along with a design plat and permit
application is included with this letter. If you have any questions concerning the proposed
work, you can contact Paul Williams at ocwilliams2na ncdot.gov or 252-482-1861.
The attached form is submitted to ensure that you have an opportunity to comment on the
proposal. The work is depicted on the attached drawings. If you have no objects to the
proposal, please return the form with your response within ten (10) days to this office. If
you do have objections to the project, please forward your comments to:
Mailing Address:
NC DEPARTMENT OF TRANSPORTATION
DIVISION ONE
113 AIRPORT DRIVE, SUITE 100
EDENTON, NC 27932
Greg Daisey
NC Division of Coastal Management
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
Telephone:[phone]
Fm: [phone]
Customer Service: 1-877-368-4968
Website: www.ncdot.gov
Locwton
113 AIRPORT DRIVE, SUITE 100
EDENTON, NC 27932

No response within ten (10) days will be construed to mean you have no objections.
Thank you for your cooperation.
Sincerely,
Clemmon W. "Win" Bridgers, Jr., PE
Division Engineer, Division One
Docuslgaed by:
7C]eBOD2941F47E...
Paul Williams
Division Environmental Officer, Division One
■ Complete Items 1, 2, and I■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailplece,
X
B. fie Iv by (Pont
or on the front if space permits.
/
1. Article Addressed to:
D. Is delivery address dif
if YES, enter delivery
NC Wildlife Resources Commission
Attn: William Ridgeway
1133 Don Juan Rd.
Hertford,.NC 27944
111111111 IN III 111111111111111111111111111111 El Adult Signature
0 Ceng ed WHO Restricted Delivery
9590 9402 7537 2098 8092 88 0 Certified Mall Restricted Delivery
❑ Collect on Delivery
title Number frransfer front s&mlce label) ❑ Collect on Delivery Restricted Delivery
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7020 0090 0000 2639 8743 tan Restdcted Delivery
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PS Form 3811, July 2020 PSN 7530-02-000-9053 Domestic Return Receipt I

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: North Carolina Department of Transportation
Address of Property: US 64 aporox 0.22 mi east of NC 345
Mailing Address of Owner: 113 Airport Dr., Edenton, NC 27932
Owner's email: pcwilliams2([e-mail] Owner's Phone#: [phone]
Owners Representative: Paul Williams Agent Phone#:
Agent's Email:
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 novey me iv.t;. urwsion or c oasrar
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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 (Choose only one)
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 Rip n Prop y Owner
-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: t f-\,fu ` v V t✓vv
Mailing Address of ARPO:
�qq�ARPO's_�ghone#:
ARPO's email: C.l�r��iawl'l��iU y
Date: �� (� *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

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.
WholWhat 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/corn. 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 1 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 August 2022

FAQs >
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70200090000026399399
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August 2, 2023
Departed USPS Regional Facility
GREENSBORO NC DISTRIBUTION CENTER
July 31, 2023, 9:00 pm
Arrived at USPS Regional Facility
GREENSBORO NC DISTRIBUTION CENTER
July 31, 2023, 7:38 pm
Forwarded
MANTEO, NC
July 21, 2023, 1:25 pm
Rescheduled to Next Delivery Day
MANTEO, NC 27954
July 19, 2023, 8:51 am
Departed USPS Regional Facility
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RALEIGH NC DISTRIBUTION CENTER
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70200090000026398750
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August 3, 2023, 12:57 pm
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EDENTON, NC 27932
August 2, 2023, 4:01 pm
Out for Delivery
EDENTON, NC 27932
August 2, 2023, 8:59 am
Arrived at Post Office
EDENTON, NC 27932
August 2, 2023, 8:48 am
In Transit to Next Facility
IJuly 30, 2023
iArrived at USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
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Arrived at USPS Regional Facility
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July 11, 2023, 6:24 pm
Forwarded
MANTEO, NC
June 23, 2023, 10:22 am
Rescheduled to Next Delivery Day
MANTEO, NC 27954
June 23, 2023, 8:34 am
Rescheduled to Next Delivery Day
MANTEO, NC 27954
June 23, 2023, 8:33 am
Departed USPS Regional Facility
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HARBINGER LAND & TIMBER,LLC TIC
PO BOX 402
KITTY HAWK, NC 27949
DB 1954 / PG 78
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IIISEABREEZE CT
MANTEO,NC 27954
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NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
PROPOSED 540 x 110' S� DIVISION ,
(n 113 AIRPORT DR.
CORRUGATED ALUMINUM PIPE NORTH CAROLINA STATE EDENTON, NC 27932 [phone] vE o
C/O STATE PROPERTY OFFICE
WITH ENDWALLS I 1321MAIL SERVICE CTR
RALEIGH, NC 27699
DB 1320 / PG 394 COUNTY: DARE WBS#: 2023CPT.01.01.10281.1
EXISTING 36" x 120' QUAD: MANTEO DATE: MARCH 6, 2023
CORRUGATED ALUMINUM PIPE BASIN: PAQUOTANK SHEET #: EC-3
REPLACE PIPE CULVERT ON US HWY 64 (CROATAN HWY)
LAT. = 35.890389 N LONG. = 75.657387 W
DRAWN BY: BKB / S. P. FENWICK SCALE: 1" = 40'

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113 IRPORT DRIVE, SUITE 100 IAI IUN IIIII IIIIIII�IIIIIII
DIVISION OF HIGHWAYS
EDEIITON NC 27932-8900 7020 0090 0000 2639 8750
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■ Complete Items 1, 2, and 3. 1 "'
■ Print your name and address on the reverse
so that we can return the card to you
■ Attach this card to the back \\\'�,�.\
or on the front If span, \r
1. ArdoleAddre=•'\6gZ�6. A1\
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PS Form 3811, July 2020 PSN 7530.02-000-9053
Ian Paul Snider
111 Seabreeze Ct.
Manteo, 14C 27954
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❑ Agent
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address different from item 17 ❑ Yes
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H. Restricted DeMery
Restricted Delivery
Domestic Return Receipt
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