20030861 Ver 1_COMPLETE FILE_20030703

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Michael P. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
September 4, 2003
Mr. Matthew Naugle
Dockside Adventures, LLC
916 Welland Court
Raleigh, NC, 27614
Re: Dockside Marina, Warren County
DWQ #03-0861; USACE Action ID. No. 200320471
Dear Mr. Naugle:
Attached hereto is a copy of Certification No. 3431 issued to Dockside Adventures, LLC, dated September
4, 2003. In addition, you should get any other federal, state or local permits before you go ahead with your project
including (but not limited to) Solid Waste, Sediment and Erosion Control, Stormwater, Dam Safety, Non-discharge
and Water Supply Watershed regulations.
If we can be of further assistance, do not hesitate to contact us.
AW K/cbk
Attachments
Si cerely, I r
Alan W. Klimek, P.E.
cc: Jean Manuele, U.S. Army Corps of Engineers, Raleigh Regulatory Field Office
Steve Mitchell, DWQ, Raleigh Regional Office
File Copy
Central Files
030861
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands)

NORTH CAROLINA 401 WATER QUALITY CERTIFICATION
THIS CERTIFICATION is issued in conformity with the requirements of Section 401 Public Laws 92-500 and 95-
217 of the United States and subject to the North Carolina Division of Water Quality (DWQ) Regulations in 15 NCAC
21-1, Section .0500 to Dockside Adventures, LLC to construct a pier and 20 additional boatslips on Lake Gaston for
the purposes of a commercial marina, located in the northwest corner of Eaton's Ferry Bridge (SR 903), northwest of
Littleton, Warren County, North Carolina, pursuant to an application filed on the 2nd day of July of 2003 and in
additional correspondence received by the Division on August 1, 2003. Neither dredging nor the placement of fill
material has been proposed for this project.
The application and supporting documentation provides adequate assurance that the proposed work will not
result in a violation of applicable Water Quality Standards and discharge guidelines. Therefore, the State of North
Carolina certifies that this activity will not violate the applicable portions of Sections 301, 302, 303, 306, 307 of PL
92-500 and PL 95-217 if conducted in accordance with the application, the supporting documentation, and
conditions hereinafter set forth.
This approval is only valid for the purpose and design submitted in the application materials and as described
in the Public Notice. If the project is changed, prior to notification a new application for a new Certification is
required. If the property is sold, the new owner must be given a copy of the Certification and approval letter and is
thereby responsible for complying with all conditions of this Certification. Any new owner must notify the Division
and request the Certification be issued in their name. Should wetland or stream fill be requested in the future,
additional compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h) (6) and (7). If any
plan revisions from the approved site plan result in a change in stream or wetland impact or an increase in
impervious surfaces, the DWQ shall be notified in writing and a new application for 401 Certification may be
required. For this approval to be valid, compliance with the conditions listed below is required.
Conditions of Certification:
Sediment and Erosion Control:
1. All sediment and erosion control measures placed in wetlands and waters shall be removed and
the original grade restored within two months after the Division of Land Resources has released
the project;
2. Appropriate sediment and erosion control practices which equal or exceed those outlined in the
most recent version of the "North Carolina Sediment and Erosion Control Planning and Design
Manual" or the "North Carolina Surface Mining Manual whichever is more appropriate (available
from the Division of Land Resources (DLR) In the DENR Regional or Central Offices) shall be in
full compliance with all specifications governing the proper design, installation and operation and
maintenance of such Best Management Practices in order to assure compliance with the
appropriate turbidity water quality standard;
Continuing Compliance:
3. Dockside Adventures, LLC, shall conduct its activities in a manner consistent with State water quality
standards (including any requirements resulting from compliance with section 303(d) of the Clean
Water Act) and any other appropriate requirements of State law and federal law. If the Division
determines that such standards or laws are not being met (including the failure to sustain a
designated or achieved use) or that State or federal law is being violated, or that further conditions
are necessary to assure compliance, the Division may reevaluate and modify this Certification to
include conditions appropriate to assure compliance with such standards and requirements in
accordance with 15A NCAC 21-1.0507(d). Before modifying the Certification, the Division shall notify
Dockside Adventures, LLC and the US Army Corps of Engineers, provide public notice in accordance
with 15A NCAC 21-1.0503 and provide opportunity for public hearing in accordance with 15A NCAC
21-1.0504. Any new or revised conditions shall be provided to Dockside Adventures, LLC in writing,
shall be provided to the United States Army Corps of Engineers for reference in any Permit issued
pursuant to Section 404 of the Clean Water Act, and shall also become conditions of the 404 Permit
for the project;
Other conditions:
4. Measures shall be taken to prevent live or fresh concrete from coming into contact with waters of the
state until the concrete has hardened;
5. An in-water work moratorium shall extend from April 1 through June 1 to minimize impacts to
spawning fish and to enhance survivability of young fish;
6. Waste or borrow sites shall not be located in streams or wetlands;
7. The Shoreline Management Plan shall be adhered to;
8. The Wildlife Resources Commission recommends the installation of native vegetation under the fixed
portion of the marina to provide complex aquatic life habitat. These could be constructed and
maintained in a manner to enhance fish habitat. We encourage you to consider this
recommendation and contact Mr. T. Wayne Jones, NCWRC District Fisheries Biologist at (252) 443-
3536 for further information;
9. The Wildlife Resources Commission recommends an alternative design whereby the new marina
would wrap around the shoreline, noting that this configuration would provide a safer configuration
and better utilization of open water space. We encourage you to consider this recommendation;
10. The use of pesticides, herbicides, fertilizers and cleaners near or over open waters shall be avoided
to the extent practical;
11. All mechanized equipment operated near surface waters must be regularly inspected and maintained
to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids and other toxic
materials;
12. Violations of any condition herein set forth may result in revocation of this Certification
and may result in criminal and/or civil penalties;
13. Upon completion of the project, the Applicant shall complete and return the enclosed
"Certificate of Completion" form to notify the Division when all work included in the §401
Certification has been completed. The responsible party shall complete the attached form
and return it to the 401/Wetlands Unit of the NC Division of Water Quality upon
completion of the project. Photographs upstream and downstream of each culvert site
must be included to document correct installation along with the Certificate of Completion
form;
14. This Certification shall expire upon expiration of the 404 Permit.
If this Certification is unacceptable to you, you have the right to an adjudicatory hearing upon written request within
sixty (60) days following receipt of this Certification. This request must be in the form of a written petition
conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative
Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. If modifications are made to an original
Certification, you have the right to an adjudicatory hearing on the modifications upon written request within sixty
(60) days following receipt of the Certification. Unless such demands are made, this Certification shall be final and
binding.
This the 4th day of September 2003
DIVISION OF WATER QUALITY
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AI ??n W. Klimek, I?rE.
3431
AW IVcbk
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63-OM(
NETLANDS/401 GROti?
LAJACR950
111 ? ;?h
WATER QUALITY SECTION
® North Carolina Wildlife Resources Commission 9_
Charles R. Fullwood, Executive Director
MEMORANDUM
TO: Boyce Hudson, 404 Coordinator
rtmept of EnviYZronq-tqntQ and Natural Resources
0 -A-
FROM: Danielle . Pen Piedmont Region Coordinator
Habitat Conservation Program
DATE: 30 July 2003
Subject: Public Notice for Mr. Matthew Naugle of Dockside Adventures, LLC, Warren
County, North Carolina, Roanoke River Basin. Action ID No. 200320471
Biologists with the North Carolina Wildlife Resources Commission (NCWRC) have
reviewed the subject document, and we are familiar with the habitat values of the area. Our
comments are provided in accordance with provisions of the Clean Water Act of 1977 (as
amended), the Fish and Wildlife Coordination Act (48 Stat. 401, as amended; 16 U.S.C. 661-
667d), North Carolina General Statutes (G.S. 113-131 et seq.), and the North Carolina
Administrative Code 15A NCAC 10I.0102.
The proposed project consists of the construction of a pier and 20 additional boat slips on
Lake Gaston for the purposes of a commercial marina. The proposed pier and rental slips will be
connected to an existing pier located on the eastern side of the property. The proposed plans
indicate that the addition will extend 84 feet water ward from the existing pier and 100 feet west
of Eaton Ferry's Bridge (SR 903). The new pier will extend 118 feet in length and have 20
covered boat slips attached on both sides of the pier. The project will not involve dredging or
the placement of fill material, and the applicant has not requested a fueling facility. It is our
understanding that there is an alternative plan to what was submitted with the Public Notice. An
alternative design shows the marina wrapping around closer to the shoreline, which we consider
a preferable option.
Should the permit be issued, we recommend that the following conditions be
incorporated into the permit to reduce impacts to aquatic and terrestrial wildlife resources.
We recommend that the alternative design where the new marina wraps around closer to
the shoreline be implemented in preference to the design included with this Public
Notice. We feel that this is a safer configuration and a better utilization of open water
space.
We recommend the installation of suitable trees and brush under the fixed portion of the
marina to provide complex aquatic life habitat. These should be constructed and
Mailing Address: Division of Inland Fisheries - 1721 Mail Service Center - Raleigh, NC 27699-1721
Telephone: [phone] ext. 281 - Fat: [phone]

Page 2
30 July 2003
Dockside Adventures
Action ID No. 200320471
perpetually maintained (for the life of the pier) in a manner as to tie "Fish-Friendly" as
has been previously defined (see attachment). Please contact T. Wayne Jones, NCWRC
District Fisheries Biologist at [phone] if you would like further information on
this matter.
3. We recommend that an in-water work moratorium take place during 1 April to 1 June to
minimize impacts to spawning fish and to the survivability of young fish.
4. Avoid the use of pesticides, herbicides, fertilizers, and cleaners near or over water.
5. The applicant should abide by the Shoreline Management Plan.
Thank you for the opportunity to provide input in the early planning stages for this
project. If we can be of further assistance, please contact our office at [phone].
cc: Garland Pardue, USFWS
John Dorney, DWQ
Jean Manuele, USACOE
Kathy Matthews, EPA
Attachment: sent with original letter
O?0F W AT?RpG Michael F. Easley, Governor
co y William G. Ross Jr., Secretary
C North Carolina Department of Environment and Natural Resources
y
O Alan W. Klimek, P.E. Director
Coleen H. Sullins, Deputy Director
Division of Water Quality
July 18, 2003
Mr. Matthew Naugle
Dockside Adventures, LLC
916 Welland Court
Raleigh, NC 27614
Re: Fee request for the following application:
Dockside Marina DWQ # 03-0861
Attention: Mr. Naugle,
On 07/03/03, The N.C. Division of Water Quality received your application for a 401 Water Quality
Certification for the purpose of the expansion of the current Dockside Marina in Warren County. Your
application is being put on permanent hold since you did not include the application fee and did no
provide us with (7) copies of the Individual Permit Application (along with site plans and vicinity map).
Please note that beginning January 1, 1999, the N.C. General Assembly passed legislation requiring
payment of a fee for all 401 applications, as indicated on page two of the PCN application form. The fee
for applications is $200 for projects impacting less than an acre of wetland and less than 150 linear feet of
streams. For projects impacting one or more acres of wetland or 150 or more feet of streams, the fee is
$475. In order for DWQ to review and process your request, you must send a check in the appropriate
amount made payable to the N.C. Division of Water Quality attached to your application.
Please submit a full submittal , which includes (7) copies of the Individual Permit Application, site plan,
vicinity map and correct application fee. Make sure copies are collated.
Please call me at 919-733-3575 or visit our web site at http://h2o.enr.state.nc.us/ncwetlands if you have
any questions regarding this letter.
Sincerely,
Michael Horan
Environmental Tech .
N. C. Division of Water Quality 127 Cardinal Drive Extension [phone] Customer Service F*4
Wilmington Regional Office Wilmington, NC 28405 [phone] Fax [phone]
Plan Detail Incomplete
? Please provide a location map for the project.
? . Please show all stream impacts including all fill slopes, dissipators, and bank stabilization on the site plan.
? Please show all wetiand Impacts Including fill slopes on the site plan.
? Please Indicate all buffer impacts on the site plan.
? Please indicate proposed lot layout as overlays on the site plan.
? 'Please indicate the location of the protected buffers as overlays on the site plan,
DA11-1 4111 /'YJ'
0'3 _b`,1? l
?. Please locate all Isolated or non-isolated wetlands, streams and other waters of the State as overlays on the site plan.
?. Please provide cross section details showing the provisions for aquatic life passage.
C1 Please locate any planned sewer lines on the site plan.
? Please provide the location of any proposed stormwater management practices as required by OC _
? Please provide detail for the stormwater management practices as required by QC
C1. Please specify'the percent of project Imperviousness area based on the estimated built-out conditions.
-C2 Please indicate all stormwater outfalle on the site plan.

P e< Se
? Please Indicate the diffuse flow provision measures on the site plan.
? Please indicate whether or not the proposed Impacts already been conducted.
Avoidance and/or Minimization Not Provided
0 The.___AWVodU on the plane does not appear to be necessary. Please eliminate the or provide additional Information as to why
It Is necessary.for this project
? This Office belfevbs that the labeled on the plans as can be moved or reconfigured to avoid the impacts to the Please
revise the plans to avoid the Impacts,
This Offloe believes that the laliwladon the plane ar . can be moved or reconfigured to minimize the Impacts to the Please
revise the plena to minimize the Impacts
The stormwater discharges at the location on the plane labeled will not provide diffuse flow through the buffer because . Please
revise the plants and provide calculatfona to show that diffuse flow will be achieved through the entire buffer. if it is not possible to achleve. difftwo
flow through the entire buffer then. it may be necessary to provide stormwater management pfactices that remove nutrients before the stormwater -
can be dlsohatged through the buffer.
ether %
I The application fee was insufflclent because over 150 feet of stream and/or over 1 acre of wetland Impact was requested. Please provide $
This additional fee must be received before your application can be reviewed.
Please complete Section(s) on the application.
Please provide a signed copy of the applcaflon.
Please provide copies of the application, copies of the site plans and other supporting Information.
tlgation
of compensatory mitigation Is required for this project. Please provide a compensatory mitigation plan. The plan must conform .
to the requirements In 15 A NCAC 2H .0500 and must be appropriate to the type of Impacts proposed.
Please Indicate which 404 Permit the USACE would use to authorize this project.
A\
NETLAN DS/401 p?1
C? ?\ DEPARTMENT OF THE ARMY Alt
Wilmington District, Corps of Engineers ??p????)
Post Office Box 1890 Il TYS'E'CTION
Wilmington, North Carolina 28402-1890
Action ID No. 200320471 July 2, 2003
PUBLIC NOTICE
Mr. Matthew Naugle of Dockside Adventures, LLC, 916 Welland Court, Raleigh, North
Carolina, 27614, has applied for a Department of the Army (DA) permit TO CONSTRUCT A
PIER AND 20 ADDITIONAL BOAT SLIPS ON LAKE GASTON FOR THE PURPOSES OF A
COMMERCIAL MARINA, LOCATED IN THE NORTHWEST CORNER OF EATON'S
FERRY BRIDGE (SR 903), NORTHWEST OF LITTLETON, WARREN COUNTY, NORTH
CAROLINA.
The following description of the work is taken from data provided by the applicant and
from observations made during a site visit by a representative of the Corps of Engineers. Plans
submitted with the application show the proposed location of the pier and additional slips in
relation to the existing structures on the property. The additional pier and rental slips will be
connected to an existing pier located on the eastern side of the property. The proposed addition
will extend approximately 84 feet water ward from the existing pier and approximately 100 feet
west of Eaton Ferry's Bridge (SR 903). The new pier will extend approximately 118 feet in
length and have 20 covered boat slips attached on both sides of the pier. Neither dredging nor
the placement of fill material has been proposed for this project. Also, this proposal did not
include a request for a fueling facility. The preliminary site plan showing the proposed work is
included with this public notice.
The State of North Carolina will review this public notice to determine the need for the
applicant to obtain any required State authorization. No Department of the Army (DA) permit
will be issued until the coordinated State viewpoint on the proposal has been received and
reviewed by this agency, nor will a DA permit be issued until the North Carolina Division of
Water Quality (NCDWQ) has determined the applicability of a Water Quality Certificate as
required by PL 92-500.
This application is being considered pursuant to Section 10 of the Rivers and Harbors Act.
Any person may request, in writing within the comment period specified in the notice, that a
public heap ;-lg be held to consider this application. Requests for public hearing shall state, with
particularity, the reasons for holding a public hearing.
The District Engineer has consulted the latest published version of the National Register of
Historic Places for the presence or absence of registered properties, or properties listed as being
eligible for inclusion therein. Based on the best available evidence, it has been determined that
no sites within the vicinity of the project are registered or listed as being eligible for inclusion in

the Register. Examination of the National Register of Historic Places constitutes the extent of
cultural resource investigations by the District Engineer, and he is otherwise unaware of the
presence of other such resources. Presently, unknown archeological, scientific, prehistorical, or
historical data may be lost or destroyed by work under the requested permit.
The District Engineer, based on available information, is not aware that the proposed
activity will affect species, or their critical habitat, designated as endangered or threatened
pursuant to the Endangered Species Act of 1973.
The decision whether to issue a permit will be based on an evaluation of the probable
impacts, including cumulative impacts, of the proposed activity and its intended use on the public
interest. Evaluation of the probable impacts, which the proposed activity may have on the public
interest requires a careful weighing of all those factors which become relevant in each particular
case. The benefits, which reasonably maybe expected to accrue from the proposal must be
balanced against its reasonably foreseeable detriments. The decision whether to authorize a
proposal, and if so the conditions under which it will be allowed to occur, are therefore
determined by the outcome of the general balancing process. That decision should reflect the
national concern for both protection and utilization of important resources. All factors, which
may be relevant to the proposal, must be considered including the cumulative effects thereof.
Among those are conservation, economics, aesthetics, general environmental concerns, wetlands,
cultural values, fish and wildlife values, flood hazards and flood plain values (in accordance with
Executive Order 11988), land use, navigation, shore erosion and accretion, recreation, water
supply and conservation, water quality, energy needs, safety, food and fiber production, mineral
needs, considerations of property ownership, and, in general, the needs and welfare of the people.
For activities involving the placement of dredged or fill materials in waters of the United States,
a permit will be denied if the discharge that would be authorized by such permit would not
comply with the Environmental Protection Agency's 404(b)(1) guidelines. Subject to the
preceding sentence and any other applicable guidelines or criteria, a permit will be granted unless
the District Engineer determines that it would be contrary to the public interest.
The Corps of Engineers is soliciting comments from the public; Federal, State and local
agencies and officials; Indian Tribes and other interested parties in order to consider and evaluate
the impacts of this proposed activity. Any comments received will be considered by the Corps of
Engineers to determine whether to issue, modify, condition or deny a permit for this proposal.
To make this decision, comments are used to assess impacts on endangered species, historic
properties, water quality, general environmental effects-and the other public interest factors listed
above. Comments are used in the preparation of an Environmental Assessment (EA) and/or an
Environmental Impact Statement (EIS) pursuant to the National Environmental Policy Act
(NEPA). Comments are also used to determine the need for a public hearing and to determine
the overall public interest of the proposed activity.
Generally, the decision whether to issue this Department of the Army (DA) permit
modification will not be made until the North Carolina Division of Water Quality (NCDWQ)
issues, denies, or waives State certification required by Section 401 of the Clean Water Act. The
2
NCDWQ considers whether or not the proposed activity will comply with Sections 301, 302,
306, and 307 of the Clean Water Act. The application and this public notice for the Department
of the Army (DA) permit serves as application to the NCDWQ for certification.
Additional information regarding the Clean Water Act certification may be reviewed at the
offices of the Wetlands /401 Unit, North Carolina DENR, Division of Water Quality, 2321
Crabtree Boulevard, Raleigh, North Carolina. Copies of such materials will be furnished to any
person requesting copies upon payment of reproduction costs.
All persons desiring to make comments regarding the application for Clean Water Act
certification should do so in writing delivered to the North Carolina Division of Water Quality
(NCDWQ), Wetlands/401 Unit, 1650 Mail Service Center, Raleigh, North Carolina, 27699-
1650, on or before October 5, 2001, Attention: Mr. John Dorney.
Written comments pertinent to the proposed work, as outlined above, will be received in
this office, Attention: Ms. Jean Manuele, until 4:15 p.m., August 4, 2003, or telephone (919)
876-8441, extension 24.
3
Vicinity Map
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2003 WpOuest.com, Imp 02003 QD o.
Sheet 1 of 4

Location Map

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Photograph of existing pier/ slips and location of
proposed addition
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Proposed Addition I N 17'33' 4o-,E S66. Bl' r rota I)
78,34'
ang! c iron 174. 1 Z' - - - - - -
74. 35' e i P
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boat docks to 3? /G
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Proposed Pier and Slip
Addition
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890 ?/\\?•? ??
IN REPLY REFER TO V®
July 2, 2003
Regulatory Branch
Action ID No. 200320471
Mr. John Dorney
North Carolina Department of Environment
and Natural Resources
Division of Water Quality
Wetland/401 Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Dear Mr. Dorney:
1,6by
o ??
n TADS/401MoUF
JUI AATEAQUauTy*M0N
Enclosed is the application submitted by Mr. Matthew Naugle of Dockside Adventures, LLC for
Department of the Army authorization and a State Water Quality Certification to authorize the proposed
construction of a pier and 20 additional boat slips on Lake Gaston for the purposes of a commercial
marina, located in the northwest corner of Eaton's Ferry Bridge (SR 903), northwest of Littleton, Warren
County, North Carolina.
We are considering authorizing the proposed activity pursuant to Section 10 of the Rivers and
Harbors Act and we have determined that a water quality certification may be required under the
provisions of Section 401 of the Clean Water Act. A Department of the Army permit will not be granted
until the certification has been obtained or waived.
In accordance with our administrative regulations, in most cases, 60 days after receipt of a request
for certification is a reasonable time for State action. Therefore, if you have not acted on the request, or
asked for an extension of time, by Monday, August 29, 2003, the District Engineer will deem that waiver
has occurred.
Questions or comments may be addressed to myself at [phone], extension 24.
Sincerely,
-cam \J . ?\cl?v.??s,??st
Jean B. Manuele
Chief, Raleigh Regulatory
Field Office
Enclosure
r w
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OMB APPROVAL NO. 0710-0003
I33 CFR 3251 Expires December 31 2004
The Public burden for this collection of information is &estimated to average 10 hours per response, although the majority of applications should require
5 hours or less. This includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Service Directorate of Information
Operations and Reports, 1215 Jefferson Davis Highway Suite 1204, Arlington, VA 22202-4302; and to the Office of Management and Budget,
Paperwork Reduction Project (0710-0003), Washington, DC 20503. Respondents should be aware that notwithstanding any other provision of law,
no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control
number. Please DO NOT RETURN your form to either of those addresses. Completed applications must be submitted to the District Engineer having
jurisdiction over the location of the proposed activity.
PRIVACY ACT STATEMENT
Authorities: Rivers and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protection , Research and
Sanctuaries Act, 33 USC 1413, Section 103. Principal Purpose: Information provided on this form will be used in evaluating the application for a
permit. Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local government agencies.
Submission of requested information is voluntary, however, if information is not provided the permit application cannot be evaluated nor can a permit
be issued.
One set of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this
application (see sample drawings and instructions) and be submitted to the District Engineer having jurisdiction over the location of the proposed
activity. An application that is not completed in full will be returned.
ITEMS 1 THRU 4 TO BE FILLED BY HE CORPS
1. APPLICATION NO. 2. FIELD OFFICE CODE 3. DATE RECEIVED 4. DATE APPLICATION COMPLETED
D--00 3 ao?l I 1 MAY l 3 2003 MAY 1 3 2003
//Yf'I/n n
5. APPLICANT'S NAME
?' 8. AUTHORIZED AGENT'S NAME AND TITLE ra n eoenr is not required)

ea-
l u
6. APPLICANT'S ADDRESS 9. AGENT'S ADDRESS

7. APPLICANT'S PHONE NOS. W/AREA CODE 10. AGENT'S PHONE NOS. W/AREA CODE
a. Residence a. Residence
b. Business b. Business
'' STATEMENT OF AUTHORIZATION
I hereby authorize, to act in my behalf as my agent in the processing of this application and to
furnish, upon request, supplemental information in support of this permit application.
APPLICANT'S SIGNATURE DATE
NAME, LOCATION AND DESCRIPTION OF PROJECT OR ACTIVITY
12. PROJECT NAME OR TITLE /.cae lnsrruaions
13. NAME OF WATERBODY, IF KNOWN wappicniv,1
COUNTY 14. PROJECT STREET ADDRESS (,epp-bMy
15. LOCATION OF PROJECT
1 STATE
l ease ( e C-1
G (Hle' fVI l ]& -z
16. OTHER LOCATION DESCRIPTIONS, IF KNOWN, rscr insrrucnonsi
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170c.k??(i P ??oY1wler e4- fa ??- 5 --G f rv] 1J f iCl?
17. DIRECTIONS TO THE SITE
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?D llow l'v' / 1.0i l e. l?l?l?>?c I P ?OL ?? / Sal ? t 1. -i-v //oc rJ
`for/ i?yr? ozg 4 e e?- yw
t-OKM 4345, Jul 97 EDITION OF FEB 94 IS OBSOLETE. ---------
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rya ?s ??% ?? 5 F??

18. Nature of Activity (Ucocri/xrc,n o/ pojcrt, include all /cvt?.resl /
/ (?
t4i C T C L- re- / r? r ?? , j ?1 c? <? 'ar c ( /Z )
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19. Project Purpose (De -ihe ttr rcvsan w f-p- of the /rojcc7, see itlsum-r nm)

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Cep `177
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20. Reason(s) for Discharge
e 41"CAI- Clcc
21. Type(s) of Material Being Discharged and the Amount of Each Type in Cubic Yards
22. Surface Area in Acres of Wetlands or Other Waters Filled [see/nst.ucriomi
23. Is Any Portion of the Work Already Complete? Yes No IF YES, DESCRIBE THE COMPLETED WORK
24. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (If more than can be entered here,
please attach a supplemental list).
25. List of Other Certifications or Approvals/Denials Received from other Federal, State or Local Agencies for Work Described in This Application.
AGENCY TYPE APPROVAI " 1nFNTIFICAT1n?J NI IMnCR nATC Aooi icrl nwTr

26. Application is hereby made for a permit or permits to authorize the work described in this application. I certify that the information in this
application is comple a and accurate. I further t)ertify that I possess the authority to undertake the work described herein or am acting as the
duly a(gh a oft epplica
SIGNATURE OF APPLICANT ATE SIGNATURE OF AGENT DATE
The application must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly
authorized agent if the statement in block 11 has been filled out and signed.
18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States
knowingly and willfully falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or
fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or
fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both.
Vicinity Map
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Warren EMS Arran; { m
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Sheet 1 of 4

Location Map
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Photograph of existing pier/ slips and location of
Sheet 2 of 4 III
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Proposed Addition /Cp
N 17°33' 40 sod. Q2' r rata r
7Q_ 34' angle iron 174. ;Z'
74. 35' e i p 3.
/ f base OF angle iron
boat docks In 3
and pier 73 ?L
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boat se 17'43102'
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\oodcn wa j j: J fa J ^'4 rva\\4r e f e r e n c e s
N 50°07'32' N and decks
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269- 2 S.y 73 a c --es D. B. 502 F' .133
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B. 423 Pg. 13
Led `? , Brava ' ri? P1 P- B.19 Pg. 92
c D. B. 6..9 • Pg. 231
???? 1 t r. D. B. 639 pg. 229
> • ?'C P. C. 1 S1:.74 Pg. 7
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s 19. F : - - I S ,? F? h ti R. C. 1 S1.' 74 Pg. 9
?n lni p \\ of f i %e ',? i P. B.ot g9: 75
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77
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min. 4 - buiIQ
"'and 35'
N SO v, sig - rV 5°?3' ing setbek
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-,is. 00 ?? 32' N - - -L 1_ 24. . 00' rrs? S 19 °11 ' 28 Pp f rom cent -
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_ S i1 °40'0,5, ?-,S Z7? _
S?' ,?? ` ???-Z07• I9' ?S.W i
W 157, 3.S' E. E PP t--60'
F - .:
cP --_ ? 1- _ Earn 7S
`? /1; / tort Fie/ds / `' er1Y Road] ..-.?.` .. c? S 290 1p9.
PSI.

................. ......................................... .._.....__.. _ ............. .__
Proposed Pier and Slip
Addition
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Proposed Addition
August 1, 2003
To whom it may concern,
Enclosed is my application fee of $200.00 for DWQ# 03-0861. Please let me know if
there is anything else tha;need this application.
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Dockside Advertures