20110040 Ver 1_Application_20110425

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
WBS Element Number
County
Description
April 12 2011
2B 200711
Beaufort
EUGENE A CON-R JR
SECRETARY
)II -,-"MWZ =E
< ( _ C)C),-C c) v
Beaufort 314 SR 1721 Little Creek Road Over Little
Creek
MEMORANDUM TO Stephen Lane NCDCM Field Representative
Tom Steffens USACOE Field Representative
Garcy Ward NCDWQ Field Representative
Sonia Canllo NCDWQ Administrative Assistant
FROM Jay Johnson
Division 2 Environmental Officer Id
SUBJECT Permit Modification for Design Change and Sheeting
for De- Watering
Division 2 respectfully request a CAMA Permit Modification of Permit Number 55253
and for USACOE Action ID SAW - 201100279 RGP 31 The original design was
permitted for a I4 x 8 -T x 40 CAPPA The revised design is a proposed 25'-4 x 8 -
7 x 27 CAABC Sheet Piling for DeWatenng and a Proposed Temporary 40 x 24
CMP are also shown on the revised plan Temporary Cofferdams will be driven for
Dewatering Operations and the site will be pumped dry Permanent Sheeting will be
installed and will tie into the proposed Aluminum Box Culvert The Existing Bridge will
then be removed and the Proposed Box Culvert w111 be installed The installation site of
the Proposed Box Culvert will be backfilled and the Temporary Cofferdams Removed
The Temporary 40 x 24 CMP will be removed Embankment Stabilization Sheet Piles
will be driven The Existing Timber Headwalls will be retained for shoulder stabilization
MAILING ADDRESS TELEPHONE [phone] LOCATION
NC DEPARTMENT OF TRANSPORTATION FAX [phone] P O Box 1587
DrvisiwOFMGHwAYs GREENVH.LE NC
P O BOX 1587 WEBsnF wwwarcDoT Gov
GREENVH1.E, NC 27835

The revision will have additional impacts due to the proposed sheeting for De- Watering
The original impacts were 357 Square Feet (0 008 Acres) of Coastal Wetlands and no 404
Wetland Impacts The Proposed Design has 585 Square Feet (0 01 Acres) of Coastal
Impacts No 404 Wetland Impacts and 60 Linear Feet of Stream Impacts and 765 Square
Feet of Temporary Open Water Impacts A Revised Plan Sheet, a Revised DCM-
MP2,DCM -MP5, and a Revised Pages 4 and 5 of the PCN are attached
Your assistance is this matter is greatly appreciated
J13J /ms

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
W1 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
0 Sq Ft
W2 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
0 Sq Ft
W3 ❑ P ❑ T
❑ Yes
❑ Corps
OSq Ft
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
0 Sq Ft
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P [:IT
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
0 Sq Ft
2h Comments No 404 Wetland Impacts 585 Sq ft (Additional 228 Sq Ft) Coastal Impacts
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
Permanent (P) or
intermittent
DWQ — non -404
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ❑ T
Box Culvert
Little Creek
® PER
❑ INT
❑ Corps
® DWQ
30
30
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ® P [:IT
Box culvert
Little Creek
® PER
❑ INT
❑ Corps
® DWQ
30
30
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 [] P [] T
❑ PER
E:1 Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
60 LF
31 Comments 60 Linear Feet of Stream Impacts
Page 4 of 10
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
Buffer impact
impact number—
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
Temporary
Stream name
mitigation
(square feet )
(square feet)
01 ❑ P ®T
Little Creek
De- Watenng
Tributary
270 Sq Ft
02 ❑ P ® T
Little Creek
De- Watenng
Tributary
105 Sq Ft
03 ❑ P ®T
Little Creek
De- Watenng
Tributary
210 Sq Ft
04 ❑ P ® T
Little Creek
De- Watering
Tributary
180 Sq Ft
4f Total open water impacts
765 Sq ft 0 02 Acres
4g Comments 0 02 Acres (765 Sq Ft) Open Water Impacts
5 Pond or Lake Construction
If pond or lake construction proposed then complete the chart below
5a
I 5b 1
5c
5d
5e
Pond ID I Proposed use or purpose
number of pond
Wetland Impacts (acres) Stream Impacts (feet) I Upland
Flooded I Filled I Excavated I Flooded I Filled I Excavated I Flooded
P1
P2
5f Total None
5g Comments None
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes permit ID no
i Expected pond surface area (acres)
51 Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any impacts require mitigation then you MUST fill out Section D of this form
6a
❑ Neuse ® Tar Pamlico ❑ Other None
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
re wred�
131 ❑ P [:IT
❑❑ Nos
0 Sq Ft
0 Sq Ft
B2 ❑P ❑T
DYes
0 S Ft
0 S Ft
B3 ❑ P [IT
0 Nos
0 Sq Ft
OSq Ft
6h Total buffer impacts
0 Sq Ft
0 Sq Ft
61 Comments No Buffer Impacts Coastal Marsh
Page 5 of 10
PCN Form — Version 1 3 December 10 2008 Version

Form DCM MP -2
EXC"ATiON and FILL
(Except for badges 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
Describe below the purpose of proposed excavation and/or fill activities All values should be given in feet
1 EXCAVATION ®This section not applicable
a Amount of material to be excavated from below NHW or NWL in b Type of material to be excavated
cubic yards
c (i) Does the area to be excavated include coastal wetlands/marsh
Access
(CW) submerged aquatic vegetation (SAV) shell bottom (SB)
or other wetlands (WL)? If any boxes are checked provide the
number of square feet affected
Other
❑CW ❑SAV ❑SB
Channel
Canal
Boat Basin
Boat Ram p
Rock Groin
Rock
(excluding
(NLW or
2 DISPOSAL OF EXCAVATED MATERIAL
®This section not applicable
a Location of disposal area
b Dimensions of disposal area
Breakwater
shoreline
c (i) Do you claim title to disposal area?
NWL )
❑Yes ONa ONA
❑Yes ❑No ONA
(u) If no attach a letter granting permission from the owner
(io If yes where?
e (i) Does the disposal area include any coastal wetlands/marsh
stabilization
Length
(CW) submerged aquatic vegetation (SAV) shell bottom (SB)
OYes ❑No ❑NA
or other wetlands (WL)? If any boxes are checked provide the
number of square feet affected
@Q If yes how much water area is affected?
OCW ❑SAV []SB
Width
OWL ❑None
Avg Existing
Depth
NA
NA
Final Project
Depth
N A
NA
1 EXCAVATION ®This section not applicable
a Amount of material to be excavated from below NHW or NWL in b Type of material to be excavated
cubic yards
c (i) Does the area to be excavated include coastal wetlands/marsh
d High-ground excavation in cubic yards
(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
(r) Describe the purpose of the excavation in these areas
2 DISPOSAL OF EXCAVATED MATERIAL
®This section not applicable
a Location of disposal area
b Dimensions of disposal area
c (i) Do you claim title to disposal area?
d n Wig a disposal area be available for future maintenance?
❑Yes ONa ONA
❑Yes ❑No ONA
(u) If no attach a letter granting permission from the owner
(io If yes where?
e (i) Does the disposal area include any coastal wetlands/marsh
f () Does the disposal include any area in the water?
(CW) submerged aquatic vegetation (SAV) shell bottom (SB)
OYes ❑No ❑NA
or other wetlands (WL)? If any boxes are checked provide the
number of square feet affected
@Q If yes how much water area is affected?
OCW ❑SAV []SB
OWL ❑None
(it) Describe the purpose of disposal In these areas

j A 7 - 3 51 - 7 t -3 SIP " ITJ- 2 or 2)
3 SHORELINE STABILIZATION ❑This section not applicable
(If development is a wood groin use MP 4 — Structures)
a i ype of snoreiine staoilization
®Bulkhead EIRiprap ❑Breakwater /Sill ❑Other
c Average distance waterward of NHW or NWL 3
e Type of stabilization material
Class B Mart
g Number of square feet of fill to be placed below water level
Bulkhead backfill Riprap 60' For Pine Bedding
Breakwater/Sill Other Pipe Bedding
I Source of fib material
b Length 180 (90 East And 90 West)
Width 6 10
d Maximum distance waterward of NHW or NWL 5
f () Has there been shoreline erosion during preceding 12
months?
[--]Yes ®No ❑NA
(ii) If yes state amount of erosion and source of erosion amount
information
h Type of fill material
Gramtel
4 OTHER FILL ACTIVITIES ®This section not applicable
(Excluding Shoreline Stabilization)
a (i) Will fill material be brought to the site? ❑Yes El No ❑NA b (i) Will fill material he niaced in coastal watiands /march (rw)
If yes
(ii) Amount of material to be placed in the water
(te) Dimensions of fill area
(iv) Purpose of fill
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
(u7 Describe the purpose of the fill in these areas
5 GENERAL
a How will excavated or fill material be kept on site and erosion b What type of construction equipment will be used (e g dregline
controlled? backhoe or hydraulic dredge)?
Sift Fences and Rip Rap Typical Road and Bridge Construction Equipment
c (i) Will navigational aids be required as a result of the project?
❑Yes ®No ❑NA
(it) if yes explain what type and how they will be implemented
October 1 2010 Revised March 31 2011
Date
Permit Modification Beaufort 314 SR 1721 Little Creek
Road Bridge To pipe Replacement WBS Element Number
2B 200711
Project Name
d Of Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
(a) If yes explain steps that will be taken to avoid or minimize
environmental impacts
Jay B Johnson
Applicant me
Applicant at e

Fero' DON NP-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
❑Commercial ❑Public /Government ❑Pnvate /Community
c Type of bridge (construction material)
e (i) Will proposed bridge replace an existing bridge? []Yes []No
If yes
(it) Length of existing bridge
(ui) Width of existing bridge
(rv) Navigation clearance underneath existing bridge
(v) Will all or a part of the existing bridge be removed?
(Explain)
9 Length of proposed bridge
b Water body to be crossed by bridge
d Water depth at the proposed crossing at NLW or NWL
f n Will proposed bridge replace an existing culvert? ❑Yes El No
If yes
(-u) Length of existing culvert
(ii) Width of existing culvert
(v) Height of the top of the existing culvert above the NHW or
NWL
(v) Will aU or a part of the existing culvert be removed?
(Explain)
h Width of proposed bridge
i Will the proposed bridge affect existing water flow? ❑Yes ❑No l Will the proposed bridge affect navigation by reducing or
If yes explain increasing the existing navigable opening? ❑Yes ONO
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 ❑This section not applicable
a Number of culverts proposed 1
b Water body in which the culvert is to be placed
Little Creek
< Form continues on back>

I I w )t -)
c Type of culvert (construction material)
25 -4 x 8 T x 27 CAABC
d (Q Will proposed culvert replace an existing bridge?
®Yes ❑No
If yes
(u) Length of existing bridge 26
(m) Width of existing bridge 19 2 Clear Roadway 20 1
Out To Out
(iv) Navigation clearance underneath existing bridge 1
(v) Will all or a part of the existing bridge be removed?
(Explain) All of the Existing Bridge well be Removed
f Length of proposed culvert 27
h Height of the top of the proposed culvert above the NHW or NWL
458
l Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? ®Yes []No,
If yes explain The Hydraulic Opening wnil Increase Due
To The Increased Height Of The Proposed Box Culvert
e n Will proposed culvert replace an existing culvert?
0Yes ®No
If yes
(u) Length of existing culvert(s)
(w) Width of exrsbng culvert(s)
(nr) Height of the top of the existing culvert above the NHW or
NWL
(v) Will all or a part of the existing culvert be removed?
(Explain)
g Width of proposed culvert 25 -4
i Depth of culvert to be buned below existing bottom contour
1
Ic Will the proposed culvert affect existing water flow?
0Yes ®No
If yes explain
3 EXCAVATION and FILL [I This section not applicable
a (i) Will the placement of the proposed bridge or culvert require any b
excavation below the NHW or NWL? ®Yes ❑No
If yes
(u) Avg length of area to be excavated 37 For Box Culvert
Bedding
(ui) Avg width of area to be excavated 29 for Box Culvert
Bedding
(iv) Avg depth of area to be excavated 1 0
(v) Amount of material to be excavated in cubic yards 40
Cubic Yards
c
(i) Will the placement of the proposed bridge or culvert require any
high- ground excavation? ®Yes ❑No
If yes
(u) Avg length of area to be excavated 5
(iii) Avg width of area to be excavated 5
(iv) Avg depth of area to be excavated 4
(v) Amount of material to be excavated in cubic yards 4 Cubic
Yards
(i) Will the placement of the proposed bridge or culvert require any
excavation within coastal wetlandstmarsh (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 585 Sa Ft ❑SAV ❑SB
OWL ❑None
(o) Describe the purpose of the excavation in these areas
Sheeting For De- Watering

-- _ ) I W , , T u Lk
d If the placement of the bridge or culvert involves any excavation please complete the following
(i) Location of the spoil disposal area Temporary Spoil Area is in the Exssting Road
(ii) Dimernswns of the spoil disposal area 100 x 200
(iii) Do you claim title to the disposal area? ®Yes ❑No (lfno attach a lettergranting pernyssron 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 i(i) above
(vi) Does the disposal area include any area below the NHW or NWL? ? ❑Yes ®No
If yes give dimensions if different from () above
e (i) Will the placement of the proposed bridge or culvert result in any IF
fill (other than excavated material described in Item d above) to
be placed below NHW or NWL? ®Yes ❑No
If yes
(ii) Avg length of area to be filled 3T
(iii) Avg width of area to be filled 29
(iv) Purpose of fill Pipe Bedding
9
(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 270
(iii) Avg width of area to be filled 40
(iv) Purpose of fill Raise Existing Grade to Accommodate
Proposed Box Culvert
4 GENERAL
a Will the proposed project require the relocation of any existing b
utility lines? ❑Yes ®No
If yes explain
ff thts portion of the proposed project has already received
approval from local authorities please attach a copy of the
approval or certification
n 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 wetlandstmarsh (CW) submerged
aquatic vegetation (SAV) shelf bottom (SB) or other wetlands
(WL)? if any boxes are checked provide the number of square
feet affected
❑CW ❑SAV ❑SB
OWL ®None
(7
Describe the purpose of the excavation in these areas
Will the proposed project require the construction of any temporary
detour structures? ❑Yes ®No
If yes explain
< Form continues on backb

�, I )
c Will the proposed project require any work channels? d How wig excavated or fill material be kept on site and erosion
❑Yes ®No controlled?
If yes complete Form DCM MP 2 Turbidity Curtains and Silt Fences will be used to retain
sediment on site
e What type of construction equipment will be used (for example
dragline backhoe or hydraulic dredge)?
Typical Bridge Construction Equipment
g Will the placement of the proposed bridge or culvert require any
shoreline stabilization? ®Yes []No
!f yes complete form MP 2 Section 3 for Shoreline
Stabilization only
October 1 2010 Revised March 31 2011 WBS Element
2B 200711 Debit $400
Date
Beaufort 314 SR 1721 Little Creek Road Bndge to Box Culvert
Replacement Beaufort County WBS Element Number
2B 200711
Project Name
Jay B Johnson
Applicant Name
Applicant Signa e
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

I I
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