20110122 Ver 1_Application_20110203

apo?Q??
NC 101, Carteret County o
From the Craven County Line to SR 1163, Lae (
Road
??
Pipe and Box Culvert Extensions For Wid 60% t?
D
0
Project
WBS Element Number 45221 ?R
October 21, 2010

All Planning documents have been completed including the Programmatic Categorical Exclusion Form
Reeulatorv Authorization Options for this Activity
Federal: Section 404(F)(1xb) Exempt Activities-Maintenance of Transportation Structures.
State: Activities Deemed to Comply with Water Quality Standards.
Local: None
Federal: USACE Nationwide General Permit 3 - Maintenance
State: General Water Quality Certification #3687
Local: None
Project Description
Extend existing pipes and box culverts from Site 1 to Site 21 as shown on the attached maps for the
project. NCDOT requests a NWP 3 and WQC 3687 for Site 1 Through Site 21. Site 20 and site 21 are
CAMA Jurisdictional as per Mr. Stephen Lane,NCDCM on September 14, 2010. Length of the existing
box culverts and pipes dictate the need for extension of the existing box culverts and existing pipes. The
longer culverts and pipes will accommodate the existing pavement widening of NC 101 and proposed
shoulder construction. This project does not involve Section 10 (Rivers and Harbors Act) navigable waters.
This project does not require the completion of a formal PCN but notification to the Corps is being
provided to be included in their database. This conveyance is shown on the Newport and Core Creek
USGS Quad Maps and Sheet Numbers 12 and 13 of the Soil map taken from the Soil Survey of Carteret
County. The project is located in the White Oak River Basin,therefore, no Riparian Buffer Rules Apply.
The adjacent land use is primarily woodland and agricultural . No federally protected species or historic
resources are immediately adjacent to this location. In order to ensure compliance with best management
practices, all attached General and Regional Conditions associated with Nationwide Permit 3 and Water
Quality Certification #3687 must be followed.
Keep demolition and construction debris out of the stream. Riprap will not be placed below the
plane of ordinary high water for stabilization. Excavation should be confined to the right of way,
and limited to the minimum amount required to excavate in high ground for the construction of the
extension of the existing box culverts and pipes. All excavated material should be removed from the
site, placed on existing spoil piles, or disposed of in farm fields. Any waste material disposed of off-
site shall have a reclamation plan.
All Erosion and Sedimentation measures and Maintenance Best Management Practices should be
implemented. I am forwarding a copy to Mr. Andy Blankenship in Roadside Environmental for his perusal
in E&S inspections. The project supervisor should always have this permit package, including the attached
General and Regional Conditions associated with the Nationwide Permit 3 and Water Quality Certification
#3687 on site during the existing box culvert and pipe extensions. The project supervisor should notify me
immediately if any questions or concerns should arise before and during construction.
Betty Arm Caldwell, an
Division 2 Project Manager
NCDOT Division 2
[phone]
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NOV-14-2007 04:21 NCDOT HEU-BRG
tuui .y 1 d3$.
919 715 1501 P.13
f-'TM
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7

Prnjrr: 7i:ur:t V,. (Jn:erm:f Use)
09-09-0008
NO PRLIIISTORIC OR HISTORIC PROPERTIES
PRESENUAFFECTED FORM
PROJr(:'Y INFOR.It:\'rION
Project N'0 CounlY: Carteret
IVBS No.. 45221 Docnmunt: Minimum Criteria Sheet
/•'A.:Vo. Fandbti?: X State ? Federal
Federal /USA CE) Permit Regaire•il? X Yes ? Na Pernrir Tvpu: NWP 3/14
Pi=njccf Description: Widen existing pavement, three (3) feet each side, and extend/replace
pipes and box culverts on NC 101 from the Craven County line to SR 1163 (Laurel Road).
SU-NDIARY OF FINDINGS
The Ninth Carnthu; Deparmtcnf o/ Transportation A'CD07 revietred the slilyecv pre ject and determined:
Histore Arehiteenuc9andscapcs
(here are no National Rcgistcr-fisted or Study Listed properties within the project's area of potential
effects. -
there are no properties less than fitly years old which are considered to meet Criteria Considernion G
within dtc project's area of potential effects.
? '['here are no properties within the projcct's area of potential effects.
? There arc properties over fifty years old within the area of potential effect;, but they do not meet the
criteria fi>r listing on the National.Register.
? All properties greater than 50 years of a e locateif.in the A1jE have been considered and all compliance
for historic architecture with Section 106 of the National Historic Preservation Act and GS 121-12(a) has
been aunplcial for this project.
X There arc no historic propcrt ics present or affected by this project. (:•. true[' rat_t' nnna• or dnctrmenec u.c
needed)
Archacole y
? There are no National Re_ister-listed or Study Listed properties within the project's area of potential
effects.
? No subsurfacca:chaeoloitical investigations are required for this project.
? Subsurface investigations did riot reveal the presence pf any archaeological resources.
? Sullsurfacu,.invt?tigations did not reveal the presence of any archaeological resources considered eligible
For the National Register. -
? All identified Archaeological cites located within the.APF have been considered and all compliance fiir
archaeological resources with Section 106 of the National Historic Preservation Act and GS 121-12(a)'
has been completed for this project.
There.areno historic properties present or affected by this project. (:1 tract) acct nquts tic dociimeitt.'s rri
needed)
'.1ni::noitl••o,^.rrrtrs!}.-n.nr':unn roc 4L•a..'r rutvr:rrian)Yrim:am{h.:d''un:m:hri 09: Ao?TU+emcti.dy.:ar<v.
SY'COT.irrnur:r'o,Qti S fl'nhe@ Ird:itxner C' I'm
SUMMARY OF CULTURAL RESOURCES RFVIEW
BrieJ'descrilniri/1 v evulls o/,revie,+•• and ca+ednsions: HPO quad maps, historic
designations roster, and indexes reviewed on:25 September 2009 and yielded no NR, DE, or LD
properties, but three SS. properties, including two on the SL, in the Area of Potential Effects (APE). The
APE is centered on existing NC 101 and extends 250 feet to either_side and at each terminus (see
attached map). Carteret County current GIS mapping,' aerial photography, and tax information (viewed
25 September 2009) revealed a fairly even mixture of woodlands, cultivated fields, and developed (mostly
domestic) properties, and a concentration of pre-1960 buildings in the western third of the APE. The
presence of the surveyed sites, as well as the absence of a comprehensive county study, indicated an
architectural survey, conducted on 6 October 2009. The survey included investigation of 1006/h of the
APE by automobile and on foot, and the identification, photographing, and mapping of all above-ground
resources over fifty years of age in the APE (see attached survey map and inventory). The survey
recorded thirty-eight resources, including the Harlow Canal (CR 565 and CV 1338-SL), originally
constructed between 1813 and 1827 as the Clubfoot and Harlow's Creek Canal, which is bridged by and
runs parallel to a section of NC 101 (see Property 49). It will remain unaffected by the proposed
construction. The nearby Benjamin Borden House (CR 558) and Rufus Bell House (CR 555-SL) both date
to the first half of the nineteenth century (see Properties n 10A and I OB). The. houses and their attendant
outbuildings stand well beyond the extent of work proposed for k 101, and their historic landscape
features are similarly removed from planned construction. As the project is state funded, GS 121-12(a)
applies; in addition, its Federal, Nationwide 3/14 permit areas are subject to Section 106 review. A
finding of "no. historic properties affected" will satisfy.both GS 121-12(a) and Section 106 compliance
requirements. Should the design, funding, or permit requirements bf the project change,
please notify NCDOT Historic Architecture as additional review may be necessary.
SUPPOR-1- DOCUMENTATION
Sce atached: Survey map and inventory; photographs on file, NCDOT Historic Architecture

Cultural Resources Socciali;i• NCDOT
' NO l..?um::c .^.un..n.:: /sr1: m•. /drn fo, Aluw: 'Lanl,anrmion Y.u;'n:u 1, pw:Rrrd ra iL, : pp: pmh::ninmmic,?e¢..... .
lCDOrAr'dirdl,?y: .4'/fi:rnrir,lzbi:anirr G:euN -

Historic Architectural Resources
NC 101, Carteret County
WBS # 45221
ADDRESS/
SURVEY# NAME Pm aru FS 11 AI-r.* C-r.t+riC
1 #2534 1639904832393000 1.613 1947
1 Highway 1
101
2 #2535 639904830224000 ' 1.56 1920

Highway 1
101 _ l
3 #109 Old 1639901494102000 0.239 1946 -
Stanton 1
j Road _
4 I #4153 638901185164000 1.63 1950
Highway 1 1
101
5 4#4161 163890118415800,0 1.036 1950
Highway I 1 I
j 101 j _
1 6 -#4173 368901182220000 1 2.89 1945
j Highway
j 101 j
7 1,4216 638901089531000 1.997 1923
1
Highway
101
8 #4262 637902977504000 15.95
Highway
101 1
Harlowe
United
/Methodist
Church
and
r 1
Cemetery
I
j
9. Harlow CR 565
Canal (also;CV
1338
(SL
10 A & B Highway 101 1 637902880465000 22.79. CR'558
Benjamin 6379027871700001 8:29
Borden
House (A)
(
637900279718000
1203.53
CR.555
and Rufus (SL)
Bell House 1
B
Historic ArOitectural Resources
NC 101, Cadt ret Ccun,;
WBS 445221
11 #4558 637902791026000 1 4.78 1910
Highway 1 1
_ 101 I
12 #4722 647004507881000 a 946 1945
Highway I 1
101 _--
_
13 #4762 647004517490000 1 4.04 1950

Highway
101
i 1
14 is
Highw
01ay
1 1 647004514886000 12:29 1958 -

j

15
1

#4846

647004522434000 _

16.13

1950
Highway 1 1
_ 101
16 #4865 '647003423199000 1.147 1940
j Highway
i
i 101
17 44891 647003420214000 16.79 1958
Highway
101
_
18 #4919 !647003326459000 7.0 1945
Highway I
101 __? . --- --
19 I #4936 647003435339000 3.22 1910

Highway 1
i
101
20 #4937 1 647003329910000 0.876 l 195.8
Highway
101 _ j
21 #4994 1 647003336735000 0.493
Highway 1
101
22 1 #5006 647003335836000 0.565
Highway
j 101 _
23 45012 ! 647003334994000 0.259 I 1942
Highway

24 #5016 647003344050000 0.242 1942
Highway 1
101
25 #5022 647003344015000 0.256 1942
Highway I
i 101
Histcric AmNte'tum; RMourccs
NC 101, 6deret County
WES 245221

26 i #5036 647003343118000 0.475 1929
_I - -- -
Highway
101
27 #5048 .. 647003342302000 0.83 1940
-
Highway I
101 j
28 I #5124 64700,1259417000 12.34 I 1910
Highway
101
29 #5149 647001254440000 1.341 1952 -
' Highway
101 _
30 ;5187 647001253811000 0.452 1951
Highway
101
31 #5194 647001264044000 1.3 1955
Highway
101 _
32 #5207 ! 647001261034000 0.778 1955
Highway j
101
33 :5212 647001263263000 0.293 1945
Highway
101 _
34 #5217 647001260195000 0.673 1948
Highway
101
35 #5300 647001263524000 1.988 1910
Highway I
101 _
36 #5307 647001260348000 0.469 I 1945 -
Highway I
101
37 #5319 6647001168448000 1.061 1948
f Highway
101
38 #5323 647001167537000 0.912 1944 I I
Highway +
101 I
'from current Carteret County taz records
NCD0 r NiVonc Architecture. October 2009
Historic Nihitectural Resources Z
NC 101, Carteret Guvrity
Wss 045221 '

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PIPE 18
PIPE 19
PIPE 20
PII PE 21 I
Ln
NC 101, CARTERET COUNTY
PIPE EXTENSIONSIREPLA CEMENTS
NEWPORT USGS QUAD MAPAND
SHEET NUMBER 12 OF THE SOIL SURVEY OF CARTERET COUNTY
CORE CREEK USGS QUAD MAPAND
SHEET NUMBER 13 OF THE SOIL SURVEY OF CARTERET COUNTY
WBS ELEMENT NUMBER 45221 SEPTEMBER 16.2010
1 inch = 4,000 feet
0 1,700 3,400 6,800 10,200 13,600
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NC 101. CARTERET COUNTY
PIPE EXTENSIONS/REPLACEMENTS
NEWPORT USGS QUAD MAPAND / r A = r'-
SHEET NUMBER 12 OF THE SOIL SURVEY OF CARTERET COUNTY ! ' e'?8 ,? °^Yan
CORE CREEK USGS QUAD YZAPAND aTl- `'
SHEET NUMBER 13 OF THE SOIL SURVEY OF CARTERET COUNTY +
WBS ELEMENT NUMBER 45121
1 SEPTEMBER 16, 2010 1, ,? tux-}+??.C
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1 inch 4,000 feet
? 0 1,700 3,400 6,800 10,200 13,600
Feel
4 M..:

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Office Use Only:
Corps action ID no.
DWQ project no.
)ERggpKp Form Version 1.3 Dec 102008
Pre-Construction Notification C Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the
Corps:
®Section 404 Permit ? Section 10 Permit
tb. Specify Nationwide Permit (NWP) number. 14 or General Permit (GP) number.
tc. Has the NWP or GP number been verified by the Corps? ® Yes ? No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

? Yes ® No
If. Is payment into a mitigation bank or iMieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in4ieu
fee program. ? Yes ® No
I g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ® Yes ? No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)7 ? Yes ®No
2. Project Information
2a Name of Droll NC 101 Widening Existing Pavement and Extending Existing Pipes and Box Culverts
From The Craven County Line to SR 1183,Laurel Road SAW 2010-02108
2b. County. Carteret
20. Nearest municipality / town: Beaufort
2d. Subdivision name: WA
2e. NCDOT only, T.I.P. or state
project no: 45221
3. Owner Infomrafion
3a. Name(s) an Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. WA
3c. Responsible Party (for LLC if
applicable): WA
3d. Street address: 105 Pactolus Highway NC 33 P.O. Box 1587
3e. City, state, zip: Greenville, NC 27835
3f. Telephone no.: 252-830-3490
3g. Fax no.: 252-830-3341
3h. Email address: jbjohnsm ncdotgov
Page 1 of 11
PCN Form -Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
la. Which sections were completed below for your project (check all that apply):
? Wetlands ? Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary (r)
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWO

W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Pemranent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (IN-1)? other) (feet) feet)
St ®P ? T S7 Box Culvert U/r Eastman
. ® PER ? Corps 20' 8'
Extension Creek ? INT ® DWQ
S2 ® P ? T S8 Box Culvert U/f Eastman ® PER ? Corps 20' 7'
Extension Creek ? INT ® DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWO

SS ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWO
3h. Total stream and tributary impacts 72 LF
3i. Comments: 72 Linear Feet Of Stream Impacts
.Tq
Page 4-of-l1r
PCN Form -Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then Individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (d applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
49. Comments:
6. Pond or Lake Construction
If po!xJ or lake construction pmposed, then complete the chart below.
Sa. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number ofpond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5E Total None
5g. Commends: None
Sh. Is a dam high hazard permit required?
? Yes ? No if yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
Sk. Method of construction:
6. Buffer Impacts (for DWG)
ff project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. H impacts any ire mitigation, ' then you MUST fill out Section D of this forth.
6a.
? Neuse ?Ter-Pamlico ? Other. White Oak
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary impact required?
B1 ?P?T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments: No Buffer Impacts White Oak River Basin
Page 6 of 11
PCN Forth - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing pmject.
Then: are 0 Sq. Ft. of 404 Welland Impacts for this Project Therefore,The Wetland Impacts have been minimized to the
greatest extent feasible, with just those stream impacts occurring for the pipe and box culvert extensions for the project
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Use of existing roadway to operate construction equipment; no equipment will enter wetlands.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ®No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this

pro
project? ? Mitigation bank

? Payment to in lieu fee program

? Permittee Responsible Mitigation
3. Complete If Using a Mitigation Bank
3a. Name of Mitigation Bank
3b. Credits Purchased (attach receipt and le tw) Type Quantity
3c. Comments:
4. Complete If Making a Payment to In4leu Fee Program
4a. Approval letter from in4leu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? tool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete If Using a Permittee Responsible Mitigation Plan
Sa. If using a pemdttee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form -Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
68. Will the project result in an impact within a protected riparian buffer that requires ? Yes ® No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required: None
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
pemrittee responsible riparian buffer restoration, payment into an approved in4leu fee fund).
WA
6h. Comments:
Page 8 of 11
PCN Form -Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Vegetated Shoulders will provide Filtration for Stormwater Run-Off From ? yes ®No
the Roadway Surface.Turbidity Curtains,Sand Bags,Class B Stone,and DeWatering
Methods will be used for Pipe and Box Culvert Extensions.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? WA Roadway/Bridge Project %
2b. Does this project require a Stormwater Management Plan? ® Yes ? No
2c. it this project DOES NOT require a Stormwater Management Plan, explain why:
2d. it this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Vegetated Shoulders will provide Filtration for Stormwater Run-Off From the Roadway Surface.Turbidity Curtains,Sand
Bags,Ctass B Stone,and DeWatering Methods will be used for Pipe and Box Culvert Extensions.
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
® DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local governments jurisdiction is this project? WA
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
E] USMP
apply (check all that apply): ? Water Supply Watershed
? Other. N/A
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ® No
attached?
4. DWQ Stortmvater Program Review
® Coastal counties
? HOW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): ? Session Law 2006246
® Other. NPDES Permit
4b. Has the approved Stormwater Management Plan with proof of approval been
? Yes ® No
attached?
S DWQ 401 UnR Stomnater Review
Sa. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
Ia. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
1b. If you answered yes' to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ®No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c, H you answered yes' to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
? Yes ? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (1 SA NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b. Is this an after-the-fad permit application? ? Yes ® No
2c. If you answered yes' to one or both of the above questions, provide an explanation of the violation(s):
S. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
? Yes No
additional development, which could impact nearby downstream water quality?
3b. if you answered yes' to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered 'no,* provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Marty detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
WA
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
ti. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a: Will this project occur in or near an area with federally protected species or
? Yes No
habitat?
5b. Have you checked with the USFWS oonceming Endangered Species Act
? Yes No
impacts?
? Raleigh
Sc. If yes, indicate the USFWS Field Office you have contacted. ? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NCDMF Arid NCWRC
& Essential Fish-Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NCDMF And NCWRC
7. Historic or Prehistoric Cultural Resources (Corps Requlrement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have. designated as having historic or cultural preservation ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whetter your site would impact historic or archeological resources?
NCDOT Historic Architecture and Archaelogy Natural Environment Unit of PD&EA
& Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No
8b. If yes, explain how project meets FEMA requirements: Bmi Culverts and Pipes designed to noise standards '
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM Maps
Jay B. Johnson
?10 /17 ? February 2,
2011
ApplicantfAgent's Printed Name Ian an ignature Date
(Agent's sign is li only if an a orizalIm letter from the applicant
is m '
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version
CAMA / (9•SREDGE & FILL NY 56365
L?
®GNERAL PERMIT Previous permit # _
eW GModifiation 'Complete Reissue ?Partial Reissue Date previous permit issued
As autf o ed by the State of North Carolina. Department of Environment and Natural Resources t
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC L? --1 1.3c o
__ attached.
Applicant NarneLL - -- --C fli"' f - - --- - - - Project Location: County G? W ? +
L'
Address Street Address/ State Road/ Lot #(s) 1 D (?
{"' r<? vilrc 1'83t i ?,.^.+<IY 0. ?:.,rl., r
City C State < ZIP 0 0-
?fj
3; 3 v? r?? a3 r I
Phone # (?L-ra ,. Fax # (->?) Subdivision "'-
AtitHoriudAgent J Ay City ZIP
-...----I-'---'------------.-__..__ .. -I''
Affected ?EW O PTA C. ES [I PTS Phone# River Basin WINt< UcK
C-eW
1 (-) --
AEC(s): ?0EA 014HF DIN DDBA 0H/A Adi. Wtr. Body Gl-r^ / 4. C"l", &-<•"ina[ marl unkn
0 PWS: OFC: J' W L'.?
ORW: yes / ? PHA (y-e3, / no Crit.Hab. yes I no Closest Maj. Wtr. Body
Type of Project/ Act
Pic (dock) IengN
Pbd
Floe
G,oin
Basin
Beat
Beach
Shon
SAV;
S
Phon
Waive
r
(Scale: JVIA )
- -?..-.• _. _ -?.. - ___`_ _ __ ____ ?.:_?.?-___?
r pier(') I
I
numeer
ead/ Rlprap k^id'
n g distance o fd,are
maa dwan'te oRshere

_ E-
._

_ ,. -.
C

, _

-; ;

, , • - ,-_i

-+- 1 -_

-I-,-
-
) L,( ?
tubic nrdt

runp 1 1 I _ 1._ . 1
l ..
p
1-?'"1

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Boatlift
wusd
-
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?
I ?

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n/'
1.", x 7 hit
4' I
r
I
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t i
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i

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i
1
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W1L.gx Y'IJ3Ar' 6 ?-r 1? j
Sri
rrotaure yes ®
Ow n«Iture YO ? - -? --r--- - --- - -? -
I

tarknr,: INa ym no
-FL:LFT
-(1
Bulkh
eaad
Ode
aM
Mon
it may be required by: "4-7 See note on back regarding River Basin rules.
Conditions W ?"I vcr f- it ?lf
ry Guf?r..l J? /1 O? JN' f; n' <j/ !n-N nom/
'rf...e !r„..t' T.... s-.?'h./Ir> .,.?.. <...:1' t,, cF't...?i/ ....? ..?rNiiof ;1t.,. ?i-..-I'c. ?% ?".. L..
Notes/ SF
1:2? 'r-
-J, ,1, _J akin 5v
Agent or Printed Name
w. C11''.? vv_
St.
S read CO.. y..?..`.. S[dtgMn[On bMlt OtpVTlt?
A WS-on Fee(s) Chedtl

brim Dam Exp'vuion Data -
Xoloto?A
LmIPlarvingJurisdicrien Rorer File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action: and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(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 projectis consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
?Tar- Pamlico River Basin Buffer Rules ?
? Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleisih Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]S
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-8884RCOAST
Fax: [phone]
(Serves: Carteret. Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-2643901
Fax: [phone]
(Serves: Camden. Chowan, Curnn k.
Dare. Gates, Pasquoiank and Perquimans
Counties)
Washington District
943 Washington Square Mall.
Washington, NC 27889
252-946-6481
Fax: [phone]
(serves: Beaufort, Berve._ Hertford. Hyde.
Tyrrell and Washington Counties)
Wilmington Distri
ct
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Reused WM106

N° 56366
LyCAMA / CyGREDGE a FILL
®GENERAL PERMIT Previous pertnit#
?New OModification ?Complete Reissue ?Partlel Reissue Date previous permit issued
As authorized by the Sum of North Carofirm. Departrrett of Emhavrxrn and Natural Resources CJ _7 ff - 2? O b
and the Coastal Resources Commission in an area of environmental corm pursuarrc to I SA NCAC
Appb Name` _?Siiea.aNL- t l??„Yl, r. as .. ?.s Project Location: County e ct v-Ic - z i'
pa ?;g s?7 _sN
Ad r. O. ?X, '-k'-. Street Address/ State Road/ Lt
e•. rr .Xt,„c• 7
'CmiJ3.1?r<fG,sv erm?e,s mftaro'/,wG71P"ta?3. 300' 1161.
ErtW ?EW ?rrA
Affected
uOEA OHHF ?IH
? PWs: OFC:
ORW: yes Is PNA 0/ no
Type of Project/ Activity _
Isar (dock )lailth '-
Plarso m(s) -
Finger I>im (a) _-
Groin leng h
Bulkheadl wprap length -
avgdetvrceaihhora -
mudeonnoedwre -
Stan. dur w
oAic yard, -
Boat amp
Bmthousd BoatGh
Beach 80dming
Cthw r, X ' u t> X 6
; `Plans.' 1 ;. in 1
Waiw Attached: yes, y
A building Perrnk may be reW l irred by: C See note on bads regarding River Basin rules.
Notes/ special Condidona ll? ?. v I vv f-' 1 n 1t f' rlt+ 1( b? !Z .? 11' r, ?•? M:....,1 rT,•<.. b: .l .• I w•:
T,t'a;;;r.J „(<ll r? rw?;a} ?Ir +?p k c ar ; Jl _iI +! 1!
?: ?,..c?<.?'(" Ie.v{Il rs.e.."f '.fem. L-.'{u!w.j .../J .re•.•rr r?e'Nnn.rt easel :.: '--Iei-' -?'? J'?-a"i.<. ??i:r, _._
r-- ES ?rts
? USA ? WA
CritNab. yes I no
Cf- - 3 , "4
I .-F? ylx ..n
Subdivision
City .. ; j_ ; N C- ZIP }' Y.;-/ E
Phone #(_) River Basin tnll`rt? (?<N'
Adj. Wtr. Body X11f: 'arri^ea Cr-«Y(nat 10/uakol
Closest Maj. War. Body f(",. ,
.viCr f1.? n„!'h- tin.( A e 't 4'
6' X Y',.Y :i H' la /port (Scale: NIA )
1 tI
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i
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-
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Statement ofCompliance and consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permitoee 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 officerwhentheproject isInspected forcompliance. The
applicant certifiesbysigning this permit that 1) prior to undertaking any activities authorized by this permit, the applicant: will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
0Tar- Pamlico River Basin Buffer Rules Q
0 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raielgh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headauarters
400 Commerce Ave
Morehead City, NC 28557
252808-2808/ 1-888ARCOASf
Fax: [phone]
New River Inlet- wd Pw dko Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-2643901
F=: 2S2-264-3723
(Ser c Camden. Chcwsih, Curthuck.
Dare, Gaffs, Pasquotank and Perquinons
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax:[phone]
(Serves Beaufort, Bent. Hertford. Hyde.
Tyndl and vvs:dd gmn Cmr(des)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910.796-7215
Fax: [phone]
(Serves: Bnnuwick New Hanover.
Onsl w -below Nev, River Inke- and
Perrier Counties)
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PIPE EXTENSIONS?REPLACEMENTS / •---
NEWPORT USGS QUAD M4PAND -
SHEET NUMBER 12 OF THE SOIL SURVEY OF CARTERET COUNTY l ?°?a^ t n
CORE CREEK USGS QUAD MAPAND i a
SHEET NUMBER 13 OF THE SOIL SURVEY OF CARTERET COUNTY I
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WBS ELEMENT NUMBER 45221 SEPTEMBER 16, 2010
W p
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•
- 1 inch = 4,000 feet
0 1,700 3,400 6,800 10.200 13.600 -
Feet i . i