17-16 Renewal 2022 McCoy & Woolard

Permit Class
RENEWAL
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
Permit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
X Excavation and/or filling pursuant to NCGS 113-229
Issued to Rita B. McCov & Wavne Woolard, 105 Harbor Road, Washineton, NC 27889
Permit Number
17-16
Authorizing development in Beaufort County at ado. to the Pamlico River, at the terminal
end of Mimosa Shores S/D, in Washineton as requested in the permittee's application dated letter dated
12/15/21.
This permit, issued on January 13, 2022 is subject to compliance with the application (where consistent
with the permit), all applicable regulations, special conditions and notes set forth below. Any violation of these terms may
re suo)ect to lines, imprisonment or crvn action: or may cause me permit w oe nun anu vutu.
1) This renewal shall be attached to Permit No. 17-16, which was issued to the permittees on 2/8/16, as
and copies of both documents shall be readily available on site when a Division representative
inspects the project for compliance.
2) All conditions and stipulations of the active permit remain in force under this renewal.
NOTE: The N.C. Division of Water Resources has assigned the proposed project DWR Project No.
15-0929 and 15-0929 V2.
NOTE: The U.S. Army Corps of Engineers has assigned the proposed project SAW Action Id. No.
2015-01937.
NOTE: A permit renewal application processing fee of $100 was received by DCM for this project.
This nermit actinn may he annealed by the nermittee or Siened by the authority of the Secretary of DIED and the
other qualified persons within twenty (20) days of the issuing
date.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2023
In issuing this permit, the State of North Carolina agrees
that your project is consistent with the North Carolina Coastal
Management Program.
of the Coastal Resources Commission.
Braxton C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
W6t`� W C uQ'_ nCj
%�
t. I&I 8 MC C,04
Signature of Permittee

Permit Class
RENEWAL
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
Vermit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
X Excavation and/or filling pursuant to NCGS 113-229
Issued to Rita B. McCoy & Wayne Woolard, 105 Harbor Road, Washington, NC 27889
Permit Number
17-16
Authorizing development in Beaufort County at adi• to the Pamlico River, at the terminal
end of Mimosa Shores S/D, in Washington , as requested in the permittee's application dated letter dated
This permit, issued on January 13, 2022 , is subject to compliance with the application (where consistent
with the permit), all applicable regulations, special conditions and notes set forth below. Any violation of these terms may
re subject to tines, imprisonment or crvu action; or may cause me permit to De nun ana voia.
1) This renewal shall be attached to Permit No. 17-16, which was issued to the permittees on 2/8/16, as
and copies of both documents shall be readily available on site when a Division representative
inspects the project for compliance.
2) All conditions and stipulations of the active permit remain in force under this renewal.
NOTE: The N.C. Division of Water Resources has assigned the proposed project DWR Project No.
15-0929 and 15-0929 V2.
NOTE: The U.S. Army Corps of Engineers has assigned the proposed project SAW Action Id. No.
2015-01937.
NOTE: A permit renewal application,processing fee of $100 was received by DCM for this project.
This permit action may be appealed by the permittee or
other qualified persons within twenty (20) days of the issuing
date.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2023
In issuing this permit, the State of North Carolina agrees
that your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DEQ and the Chair .
of the Coastal Resources Commission.
9�
Braxton C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

DCM Coordinator: Permit
l I "l(o (ZAe,,-.-4:z (
Permittee:
Agents:
DCM Field Offices
Elizabeth City
Morehead City
US ACOE Offices:
Washington:
MAILING DISTRIBUTION SHEET
Z
7_7eci3
Washington to 'T Arn (with revised work plan drawings)
Wilmington (OBJECTIONS )
6J aleigh Bland (11&ufort, Camden, Chowan, Craven, Hertford, Hyde, Perquimans,
Tyrrell)
Josh Pelletier (Bertie, Currituck, Dare, Gates, Pamlico, Pasquotank, Washington)
Tom Steffans (NC DOT- Beaufort, Carteret, Craven, Pamlico)
Bill Biddlecome (NC DOT -Remainder ECity/Washington District)
Wilmington: Greg Curry (Brunswick, New Hanover)
Liz Hair (Carteret, Onslow, Pender)
Brad Shaver (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Cultural Resources:
Public Water Supply:
Marine Fisheries:
NC DOT:
Shellfish Sanitation:
State Property:
DEMLR/DWR:
Renee Gledhill -Earley at [e-mail]
Heidi Cox (WIRO)
Kim Harding
David Harris
Shannon Jenkins / Sharon Gupton
Tim Walton / Mike Moser
Sheri JMWvo / Shelton Sullivan
Clif Whitfield (WARD)
Jimmy Harrison
Washington: Chris Pullinger — 401
Tina Martin - 401
Roger Thorpe-Stormwater
Garcy Ward- (NCDOT-Beaufort, Bettie, Camden, Carteret, Chowan, Craven, Currituck,
Dare, Gates, Hertford, Hyde, Pamlico, Pasquotank, Perquimans, Tyrrell, Washington)
Wilmington: Holley Snider — 401 (Carteret, Onslow, Pender, Brunswick, New Hanover)
John Perry — 401 (TBD)
Christine Hall - Stormwater
Joanne Steenhuis - 401 (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Wildlife Resources:
Natural Heritage Program
LPO:
Maria Dunn (WARD)
Rodney Butler
(NCDOT) Travis Wilson

12/15/2021
Dear Mr. Spivey,
Rita McCoy, Mark McCoy's wife and I would like to renew our permit #17-16.
1. We plan to begin work on the project in the next 60 days and complete
within a reasonable time.
2. Due to the Covid situation, we have not been able to get the labor and parts
for the machinery to complete the job. Things are looking better now and
we would like to get started soon.
3. There is no change in the plans since the issuance of the original permit with
no modifications.
4. There is no change of ownership.
5. The project is in compliance with all conditions of the current permit.
Thanks for your help with this matter.
Wayne W. Woolard
122 Catnip Point
Bath, N.C. 27808
RECEIVED
DEC 16 2021 OUV/U1 INO(I
DCM-WARO 11H 91 J3U
03AI303H
RECEIVE®
DEC 1 7 2021
IMP SECTION MHD

DCM Coordinator: GreP.Q Bodnar
Applicant:
Distributed Yes® No ❑
Distribution Date:
1
AGENCY
WIRO
WA(R� CI
'(0
LPO
YZ
Rachel Love Adrick MHC
Rachel Love Adrick Washnngdn �G
DCM Planner
Mike Christenbury Wilmington
Charlan Owens Eliz City
Raleigh Bland (Beaufort Camden, Chowan,
US COE:
Liz Hair
(Carteret Onslow, Pender)
Craven, Hertford, Hyde, Perquimans, Tyrrell)
Jordan Jessup (TBD)
Josh Peletier — (Bertie, Currituck, Dare, Gates,
Greg Curry (TDB)
Pamlico, Posquotonk, Washington)
US COE (NC DOT)
(Brunswick, New Hanover)
DOT - Tom Steffans — (Beaufort, Carteret,
DOT Brad Shaver
Craven, Pamlico
(Brunswick, New Hanover, Onslow,
Pender)
Mark Zeigler (Onslow, Pender, New
Community Assistance
Hanover, Brunswick)
(Beaufort Carteret Craven, Eliz
Lee Padrick (Beaufort Carteret Craven
City, Pamlico, Washington)
Eliz City, Pamlico, Washington
Cultural Resources
Renee Gledhill -Earley
Renee Gledhill -Earley
Div. of Water
Infrastructure
Heidi Cox Clif Whitfield Alf
Kimberlee Harding Jimmy Harrison
Marine Fisheries
NC DOT
David Harris
Shannon Jenkins &Sharon Gupton
David Harris
Shannon Jenkins &Sharon Gupton XfG
Shellfish Sanitation
State Property
Tim Walton & Mike Moser & Wanda
Tim Walton & Mike Moser & Wanda Hillard
Hillard
DEMLR/DWR:
Sheri A. Montalvo/Shelton Sullivan
Sheri A. Montalvo/ Shelton Sullivan
(NC DOT)
Kristy Lynn Carpenter
Kristy Lynn Carpenter
DEMLR
Sediment & Erosion
Dan Sams A,i1
��_
Sami Dumpor
Storm water
Christine Hall VVV ,`
Roger Thorpe AC
DWR 401
Volley Snider (Cdrteret New Hanover
Anthony Scarbraugh
Onslow, Pender,)
Chad Coburn (Brunswick)
(NC DOT)
Joanne Steenhuis Brunswick, New
Garcy Ward
Hanover, Onslow, Pender
WRC
Maria Dunn (WARO)
ia Dunn (WARO) F;(�
WRC (NC DOT)
Travis Wilson
;TravisWilson
Natural Heritage Program
Rodney Bulter
ney Bulter

0
NORTH CAROUNA
Envrremnantef Quality
December 21, 2021
MEMORANDUM:
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier 0416-33J
areoe.bodnar ftcdenr.00v
SUBJECT: CAMA Major Permit Renewal Review
Applicant: McCoy & Woolard Permit No: 17-16
Project Location: Mimosa Shores SID Pamlico River, Washington
ROY COOPER
MICHAEL S. REGAN
&,m.ty
BRAXTON DAVIS
Davea". Dirmu" efee.' al
Afanagtnrrnl
DCM has determined that no substantial development has occurred since the last permit action, therefore, this
project does not qualify for a renewal under CRC rule 15A NCAC 07J.0404(b). However, subsection (c) allows
the Division of Coastal Management to circulate the request to the state agencies to determine if any changes
in circumstances or in development standards warrant a new application and CAMA major permit
review. DCM is not aware of any proposed changes to the previously authorized project.
Please indicate below your agency's position or viewpoint on the proposed renewal request and return this
fofm to GREGG BODNAR at the address above by January 11, 2022. If you have any questions regarding
the proposed project, contact Kelly Spivey at 252-946-6481. When appropriate, in-depth comments with
supporting data is requested.
REPLY: This agency has no objection to the renewal request as proposed.
"Additional comments may be attached"
This agency has determined that circumstances or development standards have
changed and warrant a new CAMA major permit application review. See attached.
BRINT NAME Wa n.Cko.- 0-%� C1
AGENCY tJ� &kgtpS.t.�,'bt j
SIGNATUR% &-► Gl-"� W4 LL a"
DATE QP A(&/ oava99..
State ofNonh Carolina I En iroamenlal Quality I Coastal ManaBenem
400 Commen:c Ave. Morehead Ciry, NC 28557 [phone]
JAN 1 1 2022
UP SECTION MHD

a
NORTH CAROLINA
Environmental quality
December 21, 2021
MEMORANDUM:
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Co10erO74fd-33j.
gregg. bod na r(a) ncden r.gov
SUBJECT: CAMA Maior Permit Renewal Review
Applicant: McCoy & Woolard Permit No: 17-16
Project Location: Mimosa Shores SID Pamlico River, Washington
ROY COOPER
Gmernnr
MICHAEL S. REGAN
Sr,m.y
BRAXTON DAVIS
Director. D,,w. of Co.,W
Alon.Bemenl
DCM has determined that no substantial development has occurred since the last permit action, therefore, this
project does not qualify for a renewal under CRC rule 15A NCAC 07J.0404(b). However, subsection (c) allows
the Division of Coastal Management to circulate the request to the state agencies to determine if any changes
in circumstances or in development standards warrant a new application and CAMA major permit
review. DCM is not aware of any proposed changes to the previously authorized project.
Please indicate below your agency's position or viewpoint on the proposed renewal request and return this
form to GREGG BODNAR at the address above by January 11, 2022. If you have any questions regarding
the proposed project, contact Kelly Spivey at 252-946-6481. When appropriate, in-depth comments with
supporting data is requested.
REPLY: x This agency has no objection to the renewal request as proposed.
_"Additional comments may, be attached"
This agency has determined that circumstances or development standards have
changed and warrant a new CAMA major permit application review. See attached.
PRINT NAME Shannon Myers
AGENCY
NCDMF- Shellfish Sanitation
and Recreational Water Quality
SIGNATURE ' '7F
. 'v for Shannon Jenkins
JAN 1 0 2022
MP SECTION IHQ
DATE 1 /10/2022
DMF-SSRWQ would also like to be notified'ofspoil disposal site, as requested,
in maintenance_clause530fb onopage.4 ofQthe original permit issued.-','
400 C.00r a Ave. Morehead City, NC 28557 [phone]

0
NORTH CAROLINA
Envimnmantaf Quality
December 21, 2021
MEMORANDUM:
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier 04-16-33)
gregg.bod nar(a)ncden r.gov
SUBJECT: CAMA Major Permit Renewal Review
Applicant: McCoy & Woolard Permit No: 17-16
Project Location: Mimosa Shores SID Pamlico River, Washington
ROY COOPER
Go,m.,
MICHAEL S. REGAN
seoe�,
BRAXTON DAVIS
Meew. r)n u. ofCa=l
:.anagantat
DCM has determined that no substantial development has occurred since the last permit action, therefore, this
project does not qualify for a renewal under CRC rule 15A NCAC 07J.0404(b). However, subsection (c) allows
the Division of Coastal Management to circulate the request to the state agencies to determine if any changes
in circumstances or in development standards warrant a new application and CAMA major permit
review. DCM is not aware of any proposed changes to the previously authorized project.
Please indicate below your agences position or viewpoint on the proposed renewal request and return this
form to GREGG BODNAR at the address above by January 11, 2022. If you have any questions regarding
the proposed project, contact Kelly Spivey at 252-946-6481. When appropriate, in-depth comments with
supporting data is requested.
REPLY: X This agency has no objection to the renewal request as proposed.
"Additional comments may be attached"
This agency has determined that circumstances or development standards have
changed and warrant a new CAMA major permit application review. See attached.
PRINT NAME Lee Padrick
AGENCY NC Commerce 9— VE
SIGNATURE
J AN 4 2022
1-3-22
DATE POP SECTION MHD
SwedNOadlC.H. I FmvovarenWQmrGyl Caa7o1Mam8ement
40CCon eA%v.),fombeadCity,NC28557 (252)8082S03

a
NORTH CAROUNA
Environmental Quality
December 21, 2021
MEMORANDUM:
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier 04-16-33)
aregg.bodnarcDricdenr.00v
SUBJECT: CAMA Major Permit Renewal Review
Applicant: McCoy & Woolard. Permit No: 17-16
Project Location: Mimosa Shores SID Pamlico River, Washington
ROY COOPER
Gaeera ,
MICHAEL S. REGAN
S'wremry
BRAXTON DAVIS
Direcroq Divi.ian ofC'oasra!
d4auogemaru
DCM has determined that no substantial development has occurred since the last permit action, therefore, this
project does not qualify for a renewal under CRC rule 15A NCAC 07J.0404(b). However, subsection (c) allows
the Division of Coastal Management to circulate the request to the state agencies to determine if any changes
in circumstances or in development standards warrant a new application and CAMA major permit
review. DCM is not aware of any proposed changes to the previously authorized project.
Please indicate below your agency's position or viewpoint on the proposed renewal request and return this
form to GREGG BODNAR at the address above by January 11, 2022. If you have any questions regarding
the proposed project, contact Kelly Spivey at 252-946-6481. When appropriate, in-depth comments with
supporting data is requested.
REPLY: X This agency has no objection to the renewal request as proposed.
"Additional comments may be attached"
This agency has determined that circumstances or development standards have
changed and warrant a new CAMA major permit application review. See attached.
PRINT NAME Rachel Love-Adrick
AGENCY DCM
SIGRATURE
L"
DATE
1 /4/2022
State ofNorth Carolina I Environmental Quality I Coastal Management
400 Commerce Ave. Morehead City, NC 28557 [phone]
ZCgEiV1E
JAN 4 2022

ROY COOPER
MICHAEL S. REGAN
55 qu,
BRAXTON DAVIS
rd:c,Jnrt IAvulmt rl Cn,:tcq
ilarta�r✓xe:
December 21, 2021
C.I1, 12,11.01
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier 04-16-33)
Qregg.bod n ar(g)ncdenr.00v
SUBJECT: LAMA Major Permit Renewal Review
Applicant: McCoy & Woolard Permit No: 17-16
Project, Location: Mimosa Shores SID Pamlico River, Washington
DCM has determined that no substantial development has occurred since the last permit action, therefore, this
project does not qualify for a renewal under CRC rule 15A NCAC 07J.0404(b). However, subsection (c) allows
the Division of Coastal Management to circulate the request to the state agencies to determine if any changes
in circumstances or in development standards warrant a new application and CAMA major permit
review. DCM is not aware of any proposed changes to the previously authorized project.
Please indicate below your agency's position or viewpoint on the proposed renewal request and return this
form to GREGG BODNAR at the address above by January 11, 2022. If you have any questions regarding
the proposed project, contact Kelly Spivey at 252-946-6481. When appropriate, in-depth comments with
supporting data is requested.
REPLY: V This agency has no objection to the renewal request as proposed.
"Additional comments may be attached"
This agency has determined that circumstances or development standards have
changed and warrant a new CAMA major permit application review. See attached.
PRINT NAME
AGENCY N (,Jice'
SIGNATURE
DATE 17-21-U7J
StareaMonh Carolina I Environmental Quality l Coastal Management
40D Commerce Ave. Mon:head City, NC 28557 [phone]

From: Thorne. Rooer
To: Bodnar. Grew
Subject: COMA Major - McCoy & Woolard Permit No 17-16, Mimosa Shores, Washington, NC
Date: Wednesday, Deoember 22, 20218:28:33 AM
Greg
We have no objection to the subject renewal request.
Roger
Roger K. Thorpe
Environmental Engineer
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
252-948-3923 office
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
fnw.�i w ew/arrwrtf �`
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

NORTH CAROLINA
Envrmnmentat Quality
December 21, 2021
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead Ci� NC 28557 .
Fax: [phone] MAIN
�'+� T�
- grego.bodnaranedenccov
SUBJECT: CAMA Malo►Permit Renewal Review
Applicant: McCoy & Woolard Permit No:17-16
Project Location: Mimosa Shores SID Pamlico River, Washington
ROY COOPER
Govnnor
MICHAEL S. REGAN
Seaelmv
BRAXTON DAVIS
Dimon DfeGlen ofCouabl
Mmmgvond
DCM has determined that no substantial development has occurred since the last permit action, therefore, this
project does not qualify for a renewal under CRC rule 15A NCAC 07J.0404(b). However, subsection (c) allows
the Division of Coastal Management to circulate the request to the state agencies to determine if any changes
In circumstances or in development standards warrant a new application and CAMA major permit
review. DCM is not aware of any proposed changes to the previously authorized project.
Please indicate below your agency's position or viewpoint on the proposed renewal request and return this
form to GREGG BODNAR at fhe address above by January 11, 2022. If you have any questions regarding
the proposed project, contact Kelly Spivey at 252-946-6481. When appropriate, in-depth comments with
supporting data is requested.
REPLY: _ This agency has no objection to the renewal request as proposed.
.'Additional comments may be attached**
This agency has determined that circumstances or development standards have
changed and warant.a new CAMA major permit application review. See attached.
emwxwwo.Ali Inrhl��rce(�l
A, ANY, C eF SYay� Serpeh
Aft lay ai,ao�l
BtakorNoNt Camlloo I Hnvaonmevt¢1Quo0ryl ComtdMm gement
. 40d Commena Ave. Momheed City, NC2&557 CM)808-2808
EG`I V E D,
DEC 2 1 2021,
ttaaP 13ECTIO.N MHD
L..

ROY COOPER
I,,,,,,,.„,
MICHAEL S. REGAN
�­I,hlll
BRAXTON DAVIS
n,,,,,,..,,,ir
December 21. 2021
MEMORANDUM:
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier 04-16-33)
gregg. [e-mail]
SUBJECT: CAMA Major Permit Renewal Review
Applicant: McCoy & Woolard Permit No: 17-16
Project Location: Mimosa Shores SID Pamlico River, Washington
DCM has determined that no substantial development has occurred since the last permit action, therefore, this
project does not qualify for a renewal under CRC rule 15A NCAC 07J.0404(b). However, subsection (c) allows
the Division of Coastal Management to circulate the request to the state agencies to determine if any changes
in circumstances or in development standards warrant a new application and CAMA major permit
review. DCM is not aware of any proposed changes to the previously authorized project.
Please indicate below your agency's position or viewpoint on the proposed renewal request and return this
form to GREGG BODNAR at the address above by January 11, 2022. If you have any questions regarding
the proposed project, contact Kelly Spivey at 252-946-6481. When appropriate, in-depth comments with
supporting data is requested.
REPLY: This agency has no objection to the renewal request as proposed.
"`Additional comments may be attached"
PRINT
AGENCY
SIGNATURE
DATE
This agency has determined that circumstances or development standards have
changed and warrant a new CAMA major permit application review. See attached.
State of Noah Carolina Environmental Qwlily I Coastal Management
400 Commeme Ave. Morehead City, NC 28557 [phone]

Please refer to the above attachment(s) for materials associated with a renewal request for an active
CAMA permit. It has been determined that "no substantial development" has occurred on site since
the last permit action. Due to this determination, the active permit cannot be renewed under CRC rule,
but the rule does allow for circulation of the request to resource agencies to provide comment to any
changes in circumstances or site conditions, or changes in your agency's rules or
development standards that warrant a new application and CAMA major permit review.
Therefore, DCM is requesting that your agency review the above materials to determine if site
conditions or circumstances, or agency rules would prohibit DCM from issuing a renewal of the CAMA
permit. Please provide comment within 21 days of receipt of this email to any changes in site
conditions or rules that would prohibit DCM from issuing a permit renewal. If no reply is provided
within 21 days of receipt, then DCM will assume that your agency intends a NO COMMENT.

RECE ED
NC Division of Coastal Management DEC 1 7 2021
CAMA Major Permit Renewal Request
District: WaRO Major Permit Staff. GregJARr ZSECTION WID
Applicant
Name: McCoy & Woolard Rita & Wayne Request Date: 12/16/2ttl
Last First
Project Pamlico River, at the Terminal end
Address: of Mimosa Shores SID Washington 27889_
Street Address CIq. 2/P Code
CAMA Permit Permit Expiration Payment
No.: 17-16 Date: 12/31/2021 $ 100.00 43274
Agent's
Name:
District Manager/Field Rep Approve? (Initial YES NO
Appropriate Box) p/ ❑
Olher;lttoi•maHgn .._ .
DWR
Project No: 15-0929 and 15-0929 V2.
If Yes,
Has substantial YES Explain
development occurred? ❑ NO®:
YES
Recommend to Rwevt? xN
If Not Approved,
provide Justification:
H
USACE Action
ID No.: 2015-01937

Permit Class
RENEWAL
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
�Prl�it
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS I I3A-118
X Excavation and/or filling pursuant to NCGS 113-229
Permit Number
17-16
Issued to Rita B. McCoy & Wayne Woolard, 105 Harbor Road; Washington, NC 27889
Authorizing development in Beaufort County at adi, to the Pamlico River, at the terminal
end of Mimosa Shores S/D, in Washington as requested in the permittee's application dated letters
slated 6/3/19 and 8/2/19.
This permit, issued on December 20, 2019 —,is subject to compliance with the application (where consistent
with the permit), all applicable regulations, special conditions and notes set forth below. Any violation of these terms may
be subject to tines, imprisonment or civil action; or may cause the permit to be null and void,
1) This renewal shall be attached to Permit No. 17-16, which was issued to the permittees on 218116, as
and copies of both documents shall be readily available on site when a Division representative
inspects the project for compliance.
2) All conditions and stipulations of the active permit remain in force under this renewal.
NOTE: The N.C. Division of Water Resources has assigned the proposed project DWR Project No.
15-0929 and 15-0929 V2.
NOTE: The U.S. Army Corps of Engineers has assigned the proposed project SAW Action Id. No.
2015-01937.
NOTE: A permit renewal application processing fee of $100 was received by DCM for this project.
This pennit action may be appealed by the permittee or
other qualified persons within twenty (20) days of the issuing
date.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2021
In issuing this permit, the State of North Carolina agrees
that your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DEQ and the Chair
of the Coastal Resources Commission.
fv.' Braxton C. Davis, Director
Division of Coastal Management
This rmit and its conditions are hereby accepted.
CIVD
DEC 1 7 2021
Signature of Permittee

Permit Class
NEW
Permit Number
17-16
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
Permit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
X Excavation and/or filling pursuant to NCGS 113-229
Issued to Mark McCoy & Wayne Woolard,105 Harbor Road, Washington, NC 27889
Authorizing development in Beaufort County at adi. to the Pamlico River, at the terminal
end of Mimosa Shores S/D, in Washington, as requested in the permittee's application dated 10/8/14 (MP-1) &
10/14/14 (MP-2. MP-3, MP-4) incl. attached workplan drawing (1) dated approved by DWR 12/22/15.
This permit, issued on February 8, 2016 is subject to compliance with the application (where
consistent with the permit), all applicable regulations, special conditions and notes set forth below. Any violation
... aiwa. uaana naay va. 0UUJUVL w nuca, nnYuawnlium vi uivta auuvn, vi way uauao uic F. 11111L w uc nuu wiu vvau.
Boat Basin
I) Excavation shall not exceed -5 feet below the normal water level. In no case shall the depth of
excavation exceed the depth of connecting waters.
2) A turbidity curtain shall be left between the upland basin area to be excavated and the existing canal
and a 24 hour period after completion of excavation shall elapse prior to curtain removal to prevent
unnecessary siltation into the adjacent water body.
3) The temporary placement or double handling of excavated or fill materials within waters or vegetated
wetlands is not authorized.
4) No excavation shall take place outside of the alignment of the area indicated on the workplan
drawings.
(See attached sheets for Additional Conditions)
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2019
In issuing this permit, the State of North Carolina agrees that
your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DEQ and the
Chairman of the Coastal Resources Commission.
.a', ' &
Braxtcdi C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

Mark McCoy & Wayne Woolard Permit No. 1746
Page 2 of 5
ADDITIONAL CONDITIONS
Spoil Disposal
5) All excavated materials -shall be confined above normal water level and landward of regularly or
irregularly flooded marsh behind adequate dikes or other retaining structures to prevent spillover of
solids into any marsh or surrounding waters.
6) The spoil disposal area shall be inspected and approved by a representative of the Division of Coastal
Management prior to the commencement of any dredging activities.
7) Any change in the spoil disposal area may require additional authorization from the Division of Coastal
Management.
Upland Development
8) Unless specifically altered herein, this permit authorizes the grading and other land disturbing activities
associated with the development of the above referenced property, including the access road, parking
lot, and other associated infrastructure, all as expressly and specifically set forth in the attached permit
application and workplan drawing.
Boat Ramp
9) Unless specifically altered herein, this permit authorizes one boat ramp constructed with prefabricated
concrete slabs, as indicated on the attached workplan drawing.
10) Placement of fill materials below normal water level shall be limited to the ramp structure.
11) Excavation and ground disturbing activities, associated with the placement of the boat ramp, above and
below the normal water line shall be limited to that absolutely necessary to establish adequate ramp slope
and provide a ramp no greater in size that specified in the attached workplan drawing.
Shoreline Stabilization
12) The alignment of the authorized bulkhead shall be staked by a representative of the Division of Coastal
Management within a maximum of 30 days prior to the start of construction.
13) The bulkhead shall be constructed prior to any backfilling activities.
14) The bulkhead shall be structurally tight so as to prevent seepage of backfill materials through the
structure.
15) The bulkhead shall be solid and constructed of treated wood, concrete slabs, metal sheet piles or other
suitable materials approved by department personnel. No excavation or other land disturbing activities is
permitted except for that which may be required for the construction of the'bulkhead wall, deadmen
cables, etc.
16) The fill material shall be clean and free of any pollutants except in trace quantities.

Mark McCoy & Wayne Woolard Permit No.17-16
Page 3 of 5
ADDITIONAL CONDITIONS
17) All backfrll material shall be obtained from a high ground source or material resulting from excavation
of the basin once properly dried. All material shall be confined behind the permitted bulkhead:
18) All fill material to be placed below normal water level shall be confined behind the permitted bulkhead.
Stormwater
19) The Division of Energy, Mineral, and Land Resources approval of this project under stormwater
management rules of the Environmental Management Commission is covered by way of Stormwater
Permit No. S W7150903. Any violation of the permit approved by the DEMLR shall be considered a
violation of this CAMA permit.
Sedimentation & Erosion Control
20) Appropriate sedimentation and erosion control devices, measures or structures shall be implemented
during new or maintenance excavation to ensure that eroded materials do not enter adjacent wetlands,
watercourses and property.
21) In order to protect water quality, runoff from construction shall not visibly increase the amount of
suspended sediments in adjacent waters.
22) A ground cover sufficient to restrain erosion shall be provided within 30 calendar days of any phase of
grading on cut or filled slopes. At a minimum, a silt fence shall be properly installed immediately
landward of the bulkhead cap immediately following completion of backfilling activities.
Docking Facility and Observation Pier
23) This permit authorizes only the pier, platform, boat basin and other structures and uses located in or over
the water that are expressly and specifically set forth in the permit application. No other structure,
whether floating or stationary, shall become a permanent part of this docking facility and observation
pier without permit modification. No non -water dependent uses of structures shall be conducted on, in or
over Public Trust waters without permit modification.
24) No sewage, whether treated or untreated, shall be discharged at any time from any boats using the
docking facility or observation pier. Any sewage discharge at the docking facility or observation pier
shall be considered a violation of this permit for which the permittee is responsible. This prohibition
shall be applied and enforced throughout the entire existence of the permitted structure.
25) The permittee shall maintain the authorized work in good condition and in conformance with the terms
and conditions of this permit. The permittee is not relieved of this requirement if he abandons the
permitted activity without having it transferred to a third party.
26) The permittee shall install and maintain at his expense any signal lights or signals prescribed by the U.S.
Coast Guard, through regulation or otherwise, on the authorized facilities. At a minimum, permanent
reflectors shall be attached to the structures in order to make them more visible -during hours of darkness
or inclement weather.

1
'.
Mark McCoy & Wayne Woolard Permit No.17116
Page 4 of 5
ADDITIONAL CONDITIONS
27) The observation pier and associated structures shall have a minimum setback distance of 15 feet
between any parts of the structure and the adjacent property owner's riparian access corridor, which is
determined by drawing a line parallel to the channel, then drawing a line perpendicular to the channel
line that intersects with the shore at the point where the upland property line meets the water's edge.
28) This permit authorizes nine (9) formalized boat slips. No formalized boat slips are authorized at the
observation pier.
29) No attempt shall be made by the pennittee to prevent the full and free use by the public of all navigable
waters at or adjacent to the authorized work.
Maintenance Clause
30) ' The Division of Coastal Management shall be notified in writing at least two (2) weeks in advance of
any maintenance work authorized by this permit, and such notification shall include:
A. The number of the original permit.
B. A statement that no dimensional changes are proposed.
C. A copy of the original permit plans with cross -hatching indicating the area to be maintained, the
area to be used for spoil disposal, and the estimated amount of material to be removed. The
location, design and holding capacity of the spoil disposal site shall be approved by a
representative of the Division prior to the initiation of any maintenance dredging activities.
D. The date of map revision and the permittee's signature shown anew on the original plan.
U.S..Army Corps of Engineers Requirements
31) In order to compensate for impacts associated with this permit, mitigation shall be provided in
accordance with the provisions as outlined in the U.S. Army Corps of Engineers, Wilmington District
Compensatory Mitigation Responsibility Transfer Form dated 1/19/ 16. The requirements of this form,
are hereby incorporated as special conditions of this permit authorization.
Division of Water Resources Requirements
32) The N.C. Division of Water Resources authorized the proposed project by way of Water Quality
General Certification 3900 and a Minor Variance per the Tar -Pamlico River Basin Riparian Buffer
Protection Rules and assigned the project DWR Project No. 15-0929 and 15-0929 V2. Any violation of
the permits approved by the D WR shall be considered a violation of this CAMA permit.
General
33) This permit shall not be assigned, transferred, sold, or otherwise disposed of to a third party without the
written approval of the Division of Coastal Management.
34) The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.

Mark McCoy & Wayne Woolard Permit No. 17-16
Page 5 of 5
ADDITIONAL CONDITIONS
35) This permit does not authorize the interference with any existing or proposed Federal project, and the
permittee shall not be entitled to compensation for damage to the authorized structure or work, or injury
which may be caused from existing or future operations undertaken by the United States in the public
interest.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: The U.S. Army Corps of Engineers authorized the proposed project and assigned ORM ID No.
SAW 201501937. -
NOTE: The permittee is advised that any development or land disturbing activity that is considered non -
water dependent is not authorized within 50 feet of the normal water level unless specifically
exempted by Environmental Management Commission (EMC) Tar Pamlico River buffer
regulations in place at the time of such development.
NOTE: An application processing fee of $400 was received by DCM for this project. This fee also
satisfied the Section 401 application processing fee requirements of the Division of Water
Resources.

� %�a
JUL 15 2015
RCN ■FtWARO
APPLICATION for
Major Development PermC
(�nwis",amin)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. PrlmaryApplicandLandowner Information
Business Name
N/A
Project Name (if applicable)
NSA
Applicant 1: First Name
MI
Last Name
MARK
MCC3,1
Applicant 2: First Name
MI
Last Name
WAYNE
W
v0cco"AKD
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
City
State
105 HAR60K RcAA
WA9HIA;6-T1)A
&;�
ZIP
Country
Phone No.
FAX No.
21889
U�;A
25Z-943 - 11ZL. ext.
752',175 -39g8
Street Address (if different from above)
City
State
ZIP
Email
marks �crsiri4C9 ,uricl rn 1� nk _ ne-F
2. Agent/Contractor Information
Business Name
5e I INiA
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#
Street Address (ifdifferent from above)
City
State ZIP
Email
<Form continues on back> RECEIVED
SEP 0 9 90A
kww� Ap'q+w

Form DCM MP-1 (Page 2 of 4)
JUL 15 2015 APPLICATION for
Major Development Permit
3. Pr%ct Locagon
County (can be multiple)
Street Address
State Rd. # '
BEA%JF0,-(
I (4tMotiA 51iot2E5 RaAD
1309
Subdivision Name
city
state
Zip
MtrA06A SHoP.Era
WAsiAlNt'miL )
NC.
Z-1689
Phone No.
Lot No.(s) (ff many, attach additional page with list)
- - ext. AljA
I N/A. ,
a. In which NC river basin Is the project located?
b. Name of body of water nearest to proposed project
TAIZ• FAMI_IC0
PAMIACC At VER /C1119C55 KNEE &0T[Ftu6g5i0E
c. Is the water body identified In (b) above, natural or manmade?
d. Name the closest major water body to the proposed project Wis.
$]Natural 11 Manmade ❑Unknown
PAMt.1CC R1 UE R
e. Is proposed work within city limits or planning jurisdiction?
L If applicable, list the planning jurisdiction or city limit the proposed
G?r es ❑No
work falls whhin.
W J•1SN iNfs-Tbr3
A Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of enure tract (sq.ft.)
Stib,CII
1.05 cicl-05
c. Size of Individual lot(s)
N/A
d. Approximate elevation of tract above NNW (normal high water) a
NWL level)
(normal water
c
(If many lot sizes, please attach additional page with a list)
❑NHW or &TNWL
e. Vegetation on tract
pine, +ree5r wctic,\d Scrub skrtib aarxwth
f. Man-made features and uses now on tract
&roin ctncf brcakujoL+cc
g. Identify and describe the existing land uses adiacent to the proposed project site,
Pc'aidcn4isL—uo+fca rr-,
r=a^ccl 6c&+ 6arb^-r -dot—N-)tcrann a Caro-`
h. How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
r�
n — 1 S
(Attach zoning compliance certificate, if applicable)
ZYea ❑No ❑NA
j. is the proposed activity pan of an urban waterfront redevelopment proposal? ❑Yes ONo
It. Hasa professional archaeological assessment been done for the tract? If yes, sdach a copy. ❑Yes Who ❑NA
If yes, by whom?
1. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes gCo ❑NA
National Register listed or eligible property?
<Form continues on next page>
RECEIVED
M7V9 2M
w—"AtpiSY owV

Form DCM MP-1 (Page 3 of 4)
Li
cm
JUL 15 2015
fly 3
Major Development Permit
m. (i) Are there wetlands an the site?
CrYes ONO
(it) Are there coastal wetlands on the site?
❑Yes 1CNo
(iii) If yes to either (I) or (ii) above, has a delineation been conducted?
)2fYes ONO
(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.
Su''4tcCC rUr�G•FE'
S. Activities and Impacts
a. Will the project be for commercial, public, or private use? ❑Commercial ❑PubliclGovemment
015rivate/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
1-aoJit-h bcokai cu-NiP
I- ar bot- 6cn+5 in a l � ('5
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.
Trcc.+rd wood buikhrad, wrzlkways,and pi lirgrz I Excc.ua+-;on, f, 4k lo%N rccch
excqua4+or/No C-q.;prncn+ s+crrd on prop r+y er<c.cpt
d. List all development activities you propose.
F+(t Fbr r<:ad CLALA hj1Jh cyraunrk
(cnstruckicn abu(klxcd)wr,IkWtiys, sltpc>,ard brcAvin\p
F-XCc,uai -iOn cX bcr,-E bus � r,
e. Are the proposed activities maintenance of an existing project, new work, or both?
new work
f., What is the approximate total disturbed land area resulting from the proposed project? 2fq,Ft or ❑Acres
10, -7 7 5 -124. 2-
g. Will the proposed project encroach on any public easement, public accessway or other area - Oyes ONO ❑NA
that the public has established use of?
In. Describe location and type of existing and proposed discharges to waters of the state.
5u: kcice ruy�of F
I. Will wastewater or stormwaler be discharged Into a wetland? ❑Yes o ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? OYes ONO ❑NA
aj. Is there any mitigation proposed? as ' Jo ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
RECEIVED
SEP 0 91015

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additlonallntformation
In addition to this completed application form, (MP-9 the following items below, B applicable, must be submitted in order for the application
package to be complete. Items (a) — (t) are always applicable to any major development application. Please consult the application
Instruction booklet on how to properly 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, dearly 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 dead (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 ralum receipts as proof that such
owners have received a ropy of the application and plats by candied 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 .elµ rv\�f WrAG KER Phone No.
Address 1r33. HARBeR ROA3) WASH I N C-rOV0 , n1G CIH 4+- 144 It
Name WI: .Rfµ t I<APE pL)"jS Phone No.
Address B-ly r4imM,C. SF.rorCh
Name )-. Phone No.
Address
g. A Bet of previous state or federal permits Issued for work on the project tract. Include permit numbers, permttt", and Issuing dates.
LAMA * 51-rorg i%,ird Ito %n Gott RARk McL"
-CAMA Qcrwfral 53559-B 2'1 APRIt. 20eq '
h. Signed consultant or agent authorization torn, If applicable.
1. Wetland delineation, if necessary.
1. A signed AEC hazard notice for projects In oceanfront and inlet areas. (Must be signed by property owner) N/A
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. N JA
to Enter on
r unuerstano mat any permit issued in response to this application will allow only the development described In the application.
The project will be subject to the conditions and restrictions contained in the permit.
1 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.
Date ocToE3EP, 8t i.ot4 Print Name _MARL 5 MctOY CM
Signature _
JUL 15 2015
Please Indicate application attachments pertaining to your proposed project.
06CM MP-2 Excavation and Fill Information ODOM MP-5 Bridges and Culv rts 9
ODCM MP-3 Upland Development j
UI
BOOM MP-4 Structures Information
WCENED
SEP 0 9 2015
Cak'1r'�7K'!IM

Form DCM MP-2
EXCAVATION and FILL
(Except for 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.
Describe below the purpose of proposed excavation e "-- "I activities. All values should be given in fast.
Access
—�T
Other
Channel
(NLW or
Canal I t lost wasin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL
/
f
stabilization
Length
2-01
Width
3q t
201
Avg. Existing
f si fn SU+
NA
NA
Depth
O in we}tend.
O
Final Project
5 t
$ r
NA
NA
Depth
11. EXCAVATION ❑This section not applicable
a. Amount of material to be excavated from below NHW or NWL in
cubic yards.
,r 1 r -
c. (i) Does the area to be excavated Include 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 ❑3AV ❑SB _
SROL514-1 ONone
(il) Describe the purpose of the excavation in these areas:
excavation {-o CoyvStrUr'* brcL+
bGsin
8atnd and ofCkgnic.rnQt*-
d. High -ground excavation in cubic yards.
N/A
12. DISPOSAL OF EXCAVATED MATERIAL ❑This section not applicable
El
area.
htAh ground on �o�er�u*of48�4edurnp
c. (1) Do you claim title to disposal area?
WYes ❑No DNA
(h) It no, attach a letter granting pennisslon from the owner.
.posal area.
t. S ncirr
d. (1) WIII a disposal area be available for future maintenance?
2ves ❑No DNA
(li) If yes, where?
e. (1) Does the disposal area include any coastal weflandslmamh f.
(CW), submerged aquatic vegetation ($AV), shell bottom (SO),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SS
❑WL ONone
(ii) Describe the purpose of disposal in these areas:
(i) Does the disposal Include any area in the water?
❑Yes IOio DNA
(t) If yes, how much water area Is affected?
VCM
RECEIVED
!` TJ'JL 15 2015 SEP 09 21%
1VVi 1%-57

J. JI7VRCLIIYC J/AO/L/GA/IV/Y
(if development is a wood groin, use MP-4 — Structures)
❑Riprap ❑BreakwateriSill ❑Other: _
c. Average distance waterward of NHW or NWL:
e. Type of stabilization material:
bu l lgvad
g. Number of square feat of fill to be placed below water level.
Bulkhead backfill ay6-4:' Riprap
Breakwater/Sill _ Other
I. Source of fill material.
off 54e- borrow 1p i+
❑This section not applicable
o.
Width: Z r
d. Maximum distance waterward of NHW or NWL:
f (i) Has there been shoreline erosion during preceding 12
months?
®Yes ❑No ❑NA
(il) If yes, state amount of erosion and source of erosion amount
information. - -�
+21 - A-pel;ca, +
h. Type of fill material.
5CAA d
4. OTHER FILL ACTIVITIES ❑This section not applicable
(Excluding Shoreline Stabilization)
a. (1) Will fill material be brought to the site? Yes No ❑NA b. (I) Will fill material be placed In coastal wetlands/marsh iCW).
It yes,
(II) Amount of material to be placed In the water
(ill) Dimensions of fill area
IN) Purpose of fill
rcct L) can Struct-ion
a. How will excavated or fill matedal be
controlled?
5( 1-1- -cc nCe,
c. (1) Will navi_�gtaJjional aids be required as a result of the project?
Oyes 16No ❑NA
(II) If yes, explain what type and how they will be Implemented.
Date
I 0-IL-1- ILI
Project Name
71i I,
r
suomergea aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
a❑CW ❑SAV _ ❑SB
,w•�I y-3 ir(l ❑None
Ili) Desc be the purpose of the fill In these areas:
Y O Gcl and oar ranlap
Mat type of construction
backhoe, or hydraulic dre
excct.ta}of + boh cat
(e.g.. dragiine,
d. (1) Will wetlands be crossed in transporting equipment to project
site? Oyes @No ❑NA
(II) If yes, explain steps that will be taken to avoid or minimize
environmental Impacts.
Applicant Name
MARk RECEIVED
Applicant Signature _/ ...�EP 9 20b
c EttY�irMHN1tu

Form DCM MP-3
UPLAND DEVELOPMENT
(Construction and/or land disturbing actWitles)
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.
GENERAL UPLAND DEVELOPMENT 1
a. Type and number of buildings, facilities, units or structures
proposed.
None, rV/
c. Density (give the number of residential units and the units per
acre).
e. If the proposed project will disturb more then one acre of land, the
Division of Land Resources must receive an erosion and
sedimentation control plan at least 30 days before land -disturbing
activity begins.
(1) If applicable, has a sedimentation and erosion control plan been
submitted to the Division of Land Resources?
ElYes ONo ONA
(li) If yes. list the date submitted: AJ /a
b. Number of lots or parcels.
Ncorr fv/A
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc
Y-3 Y a t F+ .
f. List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for Impervious surfaces.
.� Huai y �ton�
g. Give the percentage of the tract within the coastal shoreline AEC to h.
be covered by impervious and/or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
1 116
I. Give the percentage of the entire tract to be covered by impervious
and/or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking.
13.�tok
J. Describe proposed method of sewage disposal.
N IJA
I. Describe location and type of proposed discharges to waters of the
state (e.g.. surface runoff, sanitary wastewater, Industrial/
commercial effluent, "wash down' and residential discharges).
5�r{ace run o-FF
Projects that require a CAMA Major Development Permit may also
require a Stormwater Certification.
(i) Has a site development plan been submitted to the Division of
Water Quality for review?
C]Yes @No ❑NA
(it) If yes, list the date submitted:
k. Have the facilities described in Item (i) received state or local
approval?
Elyse 2Ko DNA
If yes, attach appropriate documentation.
M. Does the proposed project include an Innovative stormwater
design?
Oyes ®(Jo ONA
If yes, attach appropriate documentation.
RECEIVED
SEP 0 9 2015
WMA& y (!W

m. Describe proposed drinking water supply source (e.g., well,
community, public system, etc.)
o. When was the lot(s) platted and recorded?
6— I"I- 20O9
yo-14- ty
Date
Project Name
M Ft 21 C M c (-O`I
Applicant Name
� S<.7
Applicant Signature
n. (1) Will water be Impounded? OYes &No ONA
(II) If yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for this �up[la'nd development?
OYes []NOONA
RECEIVED
SEP 0 9 2015

Form DCM MP-4
STRUCTURES
(Conatrucgon wkhin Public Trust Areas)
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.
9. DOCKING FACILITMMARINA CHARACTERISTICS
a. (1) Is the docking facility/madna:
❑Commercial ❑Public/Govemment 10Private/community
c. (1) Dock(s) end/or pler(s)
p1Gr
(11)Number
v
(III) Length
WO P+
(iv) Width
5-F+ .
(v) Floating
❑Yes 12rNo
[]This section not applicable
b. (i) Will the facility be open to the general public?
❑Yes GtNO
QO(-K d. (i) Are Finger Piers Included? L+JYes ❑No
Z' S fi . If yes:
sd
(ii) Number
r Ff . (III) Length
4 C-P I (i ++
IN) Width
_l L 4 f'4'
(v) Floating
❑Yes QNo
e. (1) Are Platforms included? dyes ❑No
If yes: enck L* pink
(11) Number
(Ili) Length ((G e
IN) Width 16 k
(v) Floating ❑Yes ErNo
Note: Roofed areas are cakulated from delplina dimensions.
g. (1) Number of slips proposed
(II) Number of slips existing
U
I. Check the proposed type of airing:
❑ Lend cut and access channel
❑Open water; dredging for basin and/or channel
.. t]Open water no dredging required
other; please describe:
e,k.ecwc,+:c., cf op�� we+rr and
wig+iar-, NGH WC-tiand5
k. Typical boat length: 114 ' ` 3 `'
in, it) Will the facility have tie pilings?
ZYes ONO
(II) If yes number of to pilings?
9'3
f. (i) Are Boatlifts Included? ;_ Yes (JNo
If yes:
(I)) Number _
(iii) Length _
IN) Width
h. Check all the types of services to be provided.
❑ Full service, including travel lift and/or ralt, repair or
maintenance service
0 Dockage, fuel, and marine supplies G
L� Dockage ("wet slips') only, number of slips:. 7
❑ Dry storage; number of boats: _
Boat ramp(s); number of boat ramps:
❑ Other, please describe:
I. Describe the typical boats to be served (e.g., open runabout,
chador boats, sail boats, mixed types).
Vern ru A. 13C, '
3z, 4:5htnc( bu+
L (1) WIII the fadlityty be n to the ge erTl-pu I
❑Yes
RECEIVED
2010
SEP 0 9105

Z DOCKING FACILITYINARINA OPERATIONS ZYThls section not applicable
a. Check each of the following sanitary facilities that will be Included in the proposed project.
❑ Office Toilets
0 Toilets for patrons: Number: Location:
N,A Showers
❑ Boatholding tank pumpouf Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater.
Nl,A
c. Describe the disposal of solid waste, fish offal and trash.
dr A
d. How will overboard discharge of sewage from boats be controlled?
IV jA
e. (1) Give the location and number of "No Sewage Discharge" signs proposed,
IV/A (It) Give the location and number of `Pumpout Available" signs proposed.
I. Describe the special design, If applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
N/A
g. Where will residue from vessel maintenance be disposed of?
NjA
h• Give the number of channel markers and "No Wake" signs proposed. _
IVIA. Give the location of fuel -handling facilities, and describe the safety measures planned to protect area water quality.
j. What will be the marina policy on overnight and live -aboard dockage?
N/A
k. Describe design measures that promote boat basin gushing?
r�
41
I. IT this project is an expansion of an existing marina, what types of services are currently provided?
���� SEP 0 9 2015
_, dti►i�t�nw

M. Is the marine/docking facility proposed within a primary or secondary nursery area?
ElYes VNo
n. Is the marinaldocking facility proposed within or adjacent to any shellfish harvesting area?
[]Yes GAo
o. Is the marine/docking facility proposed within or adjacent to coastal wetlandsimarsh (CW), submerged aquatic vegetation (SAV), shell bottom
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
O,�.CW_ OSAV OSS
&(WL 3-UZ ONone
p. Is the proposed marina/docking facility located within or within close proximity to any shellfish leases? OYes lallo
If yea, give the name and address of the leaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lifts) R(This section not applicable
a. (i) is the boathouse structure(s):
[]Commercial OPublic/Government []Private/Community
(Ip Number
(Ili) Length _
(Iv) Width _
Note: Roofed areas are calculated from dripline dimensions.
4. GROIN (e.g., wood, sheatpile, etc. If a rock groin, use 1i Excavation and FIN.) Jq This section not applicable
a. (i) Number
(it) Length yT
(Ili) Width _
5. BREAKWATER (e.g., wood, sheetiode, etc.) ❑This section not applcable
a. Length Z61 b. Average distance from NHW, NWL, or wetlands
c. Maximum distance beyond NHW, NWL or wetlands
ii>h
16. MOORING PILINGS and BUOYS
a. Is the structure(s):
OCommerciai OPubliclGovemment v,rdvatelCommumty
Distance to be placed beyond shoreline _
Note: This should be measured from marsh edge, if present.
e. Arc of the wring _
section not applicable
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)
CM RECEIVED
SEP 0 9 206

7. GENERAL
Proximity of structure(s) to adjacent riparian property tines b. Proximity of structure(s) to adjacent docking facilities.
Wei *1,1 ` - lead` 4T-1 r MJ00*41d0.,3.A-1'; ra4+- -A191
Note: For buoy or moodng piling, use am of swing including length
ofvessel.
c. Width of water body
�iJec—.4/y mi. cc.nal- 1404"'.
e. (i) Will navigational aids be required as a result of the project?
OYes ONo ONA
(R) If yes, explain what type and how they will be Implemented.
d. Water depth at waterward end of structure at NLW or NWL
5`
_ prcpn,a
8. OTHER Cr'i Ns section not applicable
a. Give complete description:
Date
to-l'l `lkf
Project Name
Applicant Name
MARIC S ✓v'IcCo�(
Applicant Signature
warvED
SEP 0 9 2M

ur io cowm wm r.weau
3eaufoi
SEP 0 9106
�V

\:
t Parting launch acces � •
40 0 40 80 120 \ 1 v
1 t � 3 (a•�rrrprde)
GRAPHIC SCALE — FEET a#
1 j/ �>>� Wetlands mt-0isttrficd � �
LAMA Major hermit Drawing Modifications
"Drawing - For Rcview,P�U/iposes Only" I c •�a� >
new drain
a�.
0�8-1.Ya•�L - � ;
Rl
i Sad1001
road construction
0� Q� i
c for vt anav
f f( - dredged wetlands
p _._,' r` . 1.. •.,,,0•„ct•ae.ca�) 59
6 `
rt s 1.058 Acres _.
7.O0FE � � � h n.walaianru r bywm4unmlWtWors "_ " "� - �
/� �� 61P•t•dia � ;j�"�
'LIS Lis
�AFNP � dGfodi 5e�. � - (a•dax8+ki u ti q m �..�< ,. ,r"' 1
iy4r 't} o e'; CAMA\t I'm lil lha gn'mrF.m�, -- -...— i`'• / - a /—'"_ -a`�'.,
. ., ,yj• �� S a.n inv elw _ 5 faro' a
W� 4 Frrtc' fir^
PAP KUJ 159Q sq. P.�. i 'c_ _ a!' n .:rii an � ram•
0ooic,5- Sal �/� i
,at
- r
DWETLANDMUFFER
` � J
APPROVED
d NORTH CAROUNA ENVIRONMENTAL
MANAGEMENT COMMISSION
DIVISION OF WATER RESOURCES
J}/ DATE i
S li
FC o )�i Ns L - '
e' ' OWR Permit No. -
Revised 10 / 30 / 2015 - DWQ changes
,
stilve
ong
Bryant E. Hardison, Jr. PLS NC L-2889, C-3774
yxa J riil'Cs C, W1i z i i 42 South Teach's Point, Bath, NC 27808
C
t, 1:�09 616 Planning for
AMA
�'' Wayne W. Woolard
,/ & Mark S . McCoy
_�-----_� �•'�`y ---f---� `?�` CAMAMi Yumd Man:a3.N.•Sfiaims
�— I•o4ylh——� 0. "gawm,•,. Forgttia+'PurpaoQdY'
Long Acre Township, Beaufort County, North Carolina
Date Surveyed: 12 / 17l2009 Date Drawn ; 2 / 22 / 2015
�._._�' �� ✓ ___/ By: Bryant E. lisrdigon, Jr. PIS By: Bryant E. ltardison, Jr. P1S
PL9: 1`2889; Firm: C-3774 Scale: one inch -forty feet
N, Field Back: #039, 8•fda:WWMQ.lOSA.ad Dcods and maps: 1689 T$PCB
Fat Name: Woolard Waym1MdCcy.dAg 474; 1421/499;PCG/71.7; 1305/60; �7/
x Tmct #: 201P9,C&evaa 9.0.1 396; 1069/602; M62/28; 601/477: 9011