20100626 Ver 1_CAMA Permit Application_20100729

AV4111W 2 0 1 00 62 6
..,.... ?'/???
?? L
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
p
MEMORANDUM: July 28, 2010 L9@E0 VP
JUL 2 9 2010
TO: Cyndi Karoly, Supervisor
401 Oversight & Express Permits Unit me-smaNn
Division of Water Quality-Surface Water Protection
FROM: Doug Huggett, NC DENR-DCM Major Permits Coordinator
400 Commerce Ave., Morehead City, NC 28557 (Courier 11-12-09)
SUBJECT: CAMA Major Permit Application Review
Applicant: Ross, Chalmers S. (c/o: J. H. King)
Project Location: 808 Santa Maria Ave., adjacent to Pages Creek, Wilmington, NC,
New Hanover Co.
Proposed Project: Applicant proposes to construct a private docking facility within
Pages Creek to provide docking space for 4 vessels
Please indicate below your agency's position or viewpoint on the proposed project and
return this form by August 23, 2010. If you have any questions regarding the proposed
project contact Robb Mairs [phone], when appropriate, in-depth comments with
supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended
changes are incorporated. See attached.
This agency objects to the project for reasons described in the
attached comments.
SIGNED
400 Commerce Ave., Morehead City, NC 28557-3421
Phone: [phone] FAX: [phone] Internet: Wm.nccoastalmanagement net
An Equal Opportunity 1 Affirmative Action Employer
DATE
North Carolina
Natu&4
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: Chalmers S. Ross
2. LOCATION OF PROJECT SITE: 808 Santa Maria Avenue, adjacent to Pages Creek, in New
Hanover County
Photo Index - 2006: 22-7428: F, 8-9 2000: 22-277: E, 7-8 1995: 22-260: E, 13-14
State Plane Coordinates - X: 193010.691 Y: 2371036.634
Lat:36°16"26.41289"N Long: 77°46"18.85775'W
3. INVESTIGATION TYPE: CAMA ROVER FILE # - 0-042714B
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 4/27/10
Was Applicant Present - Yes (Agent)
5. PROCESSING PROCEDURE: Application Received - 7/7/10
Office - Wilmington
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Wilmington- New Hanover County
Land Classification From LUP - Conservation
(B) AEC(s) Involved: CW, EW, PTA
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - Individual septic tank system
Planned - None
(F) Type of Structures: Existing - Single-family residence
Planned - Construction of an access pier, covered platform,
floating dock, and installation of a boatlift
(G) Estimated Annual Rate of Erosion: N/A Source - N/A
7. HABITAT DESCRIPTION:
[AREA]
nRFnr,Fn FII I Fn r)TPPP
(A) Vegetated Wetlands (Shading) 720 sq. ft.
(B) Non-Vegetated Wetlands
Open water 828 sq. ft.
(C) Other
Highground disturbance
(D) Total Area Disturbed: 1,548 sq. ft.
(E) Primary Nursery Area: No
(F) Water Classification: SA Open: No
8. PROJECT SUMMARY: The applicant proposes the construction of a private docking facility
within Pages Creek to provide docking space for 4 vessels.
Chalmers S. Ross
Page 2
9. PROJECT DESCRIPTION
The project site is located at 808 Santa Maria Avenue. To locate the property from Market Street (NC
Highway17), turn onto Porter's Neck Road and travel approximately 1 mile east. Turn Right on
Edgewater Club Road and continue east for approximately 1 mile until it reaches Sea Shell Lane. Turn
right onto Sea Shell Lane until you reach Arjean Drive. Turn left onto Arjean Drive and travel east
approximately 0.25 miles until it terminates onto Santa Maria Avenue. The property of interest will be
located on the right. The applicant maintains a single-family residence on the 1.11 acre property. The
lot is 200 feet wide and approximately 566 feet in depth from the street to the water. There are currently
no water dependent structures on the property. The property's elevation varies between 6-24 feet
above mean sea level (MSL) and is vegetated with lawn grasses, hardwood trees and ornamental
landscaping. Waterward of the highground, the elevation of the property transitions significantly
towards the shoreline in an area of coastal marsh that ranges from approximately 100 feet to 200 feet
in width. This area of marsh consists primarily of smooth cordgrass (Spartina alterniflora). There is an
area of significant live oyster bed that is located waterward of the marsh on the western portion of the
property. The property is adjacent to a man-made channel, locally known as Everett's Creek, on the
north side of Pages Creek, which measures approximately 91 feet across. There are existing private
docking facilities upstream and downstream of the property within Everett's Creek.
The Wilmington-New Hanover County CAMA Land Use Plan classifies the area as Conservation. There
are no known archaeological sites located within the immediate vicinity of the proposed project. The
waters of Pages Creek are classified as SA, by the NC Division of Water Quality. The waters adjacent
to the project area are designated as a Secondary Nursery Area by the NC Division of Marine
Fisheries, and they are not OPEN for the harvesting of shellfish.
10. PROPOSED PROJECT
The applicant proposes the construction of a private docking facility within Pages Creek to provide
docking space for 4 vessels. A new access pier, measuring 154 feet in length by 6 feet in width would
extend over the marsh towards Everett's Creek. The pier would terminate into a covered platform,
measuring 14 feet in length by 18 feet in width, located entirely over open water. An access ramp
would lead onto a floating dock, measuring 72 feet in length by 6 feet in width that would run parallel to
the shoreline and channel. A boatlift, measuring 12 feet in length by 12 feet in width would be installed
on the western end of the floating dock. According to the application, water depth in the vicinity of the
proposed floating dock and boatlift range from approximately -2 feet to -3 feet at normal low water
(NLW) at the location of the proposed structures. The proposed structures would be located in an
intertidal area avoiding the live oyster bed. The structures would extend approximately 22.5 feet into a
waterbody, which measures approximately 91 feet across. As proposed the docking facility would
provide mooring for four (4) vessels.
11. ANTICIPATED IMPACTS
As proposed, the project would result in the shading of approximately 720 sq. feet of coastal wetlands.
The covered platform, floating dock and boatlift would incorporate 828 square feet of Public Trust Area
and Estuarine Waters. The proposed structures would be located within the applicant's riparian access
area and would be located approximately 18 feet from the adjacent riparian property owner to the east
and approximately 30 feet from the adjacent riparian property owner to the west. The proposed
structures would extend approximately 22.5 feet into a waterbody that measures approximately 91 feet
in width, as proposed the structures would meet, but not exceed the %4 width limitation. Distance of the
waterbody was interpolated between two areas of coastal marsh on the other side of Everett's Creek.
A vessel moored on the lift could increase the potential for restricted navigation and congestion by
extending over the channel portion of the waterbody.
Submitted by: Robb L. Mairs Date: 7/28/10 Office: Wilmington
JA
RCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: 9 ??) 161L 2_0 f C3
Name of Property Owner Applying for Permit
Name of Authorized Agent for this project:
Owner's Mailing Address:
0-f rr^
?94t1
Phone Number (9 (!ajm sS L - ILA A!1
Agent's Mailing Address:
Phone Number ( )
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
(my property located) at
This certification is valid thru (date) r ?rDJ2t - 2 ?.?
Z?LO
J
Property Owner Signature
Date
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: [phone] \ FAX: [phone] Internet: www,nccoastalmanagement.net
An Equal Opportunity \ Affrmalive Action Employer
} f? W '

NorthCarolina
Naturallil
pru?,;ct: _

n ?l 4c?b?1 ,, i t f r
LL 09,
"I tif k-LOE ??V -J t `Z 011 b W 5MQ ._.l__m (?11?
all ZiE ?s -t
?1 V
?-- r

J 1 f O M
T1 ^ I rl I l1 '1 1_ ?? `.l?.n 57 l` 1 ^?L` °'A "al' C^•,:^t`' /
l l? it-^9 C 2 A
CD
1

fEa

YV?LMINGTON, NC
DV(jGz\
r
(( ^r^? ,11^9',l.7L??\ 4?^ r1}"?., /A i:- .n 1t - -tt? -!??t {?s1?+ t1 1 tp Irk.- w-.
-'-? po ? y F? J M I. - ?'4.,

ON MP-1
APPLICATION for 2 0, o o g 2 g
Major Development Permit _
(last revised 12(27106)
1. Primary Applicand Landowner Information
Business Name
North Carolina DIVISION OF COASTAL MANAGEMENT
Project Name (if applicable)
Applicant 1: First Name wii Last Name
CMLN1 Rb
Applicant 2: First Name MI Last Name
If additional applicants, please attach an additional page(s) with names listed.
PO Box Cit
Address City State
riling
?3Qg SPA ??1 "i U Wit ZAM)J h (I
Count, Phone No. FAX No.
6 6 1 ?I ?! Text.
iVW1?
IP
Street Address (if different from above) City State Z
Email
2. Agent/Contractor Information
Business Name M4YDD?L
Agent/ Contractor 1: First Name MI Last Name
Y'y HI
AgenU Contractor 2: First Name MI Last Name
Mailing Address PO Box City
13D 1Pk) ( L1vuNG
ZIP Phone No. 1 Phone No. 2
Vext.
FAX No. Contractor #
Street Address (if different from above)
Email
City
<Form continues on back>
State ,
I)•,J\ L
ext.
State ZIP
L 201
Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
4t.Z lip Street Address
-A State Rd. #
Subdivision Name City
J\)CT__
LA State
? L Zip
2 ?I 11
"
CP?honje?No..
elf -??- ext. Lot No. (s) (if many, attach additional page with list)
a. In which NC river basin is the project located? b. Name of body of water nearest to pr posed proje
QF_k C AtJ L
c. Is the water body identified in (b) above, natural or manmade? d. Name the closest major water body to the proposed project site. .
?Natural j vtanmade ?Unknown
e. Is proposed work within city limits or planning jurisdiction? f. If applicable, list the planning jurisdiction or city limit the proposed
?Yes to ?work falls within.
J)`
o cw?v
4. Site Description
a. Total length of shoreline on the tract (ft.) b. Size of entire tract (sq.ft.) 0

c. Size of individual lot(s) d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
.? VsTP'
VHW or ?NbVL
e. Vegetation on tract. A?b
SNu?.,? r?

f. Man-made features and uses now on tract
ddesc,,be the existing land uses adjacent to the proposed project site.
n
:
:
R7tS; ?? YJC U P5??r N?
F
-E A
w does local government zone the tract? i. Is the proposed project consistent with the applicable zoning?
_ ?[? p?
-t is N ?-it ?? (Attac zoning compliance certificate, if applicable).
[ es ?No ?NA
? ,
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ?Yes V0
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ?Yes o ?NA
If yes, by whom?
1. Is the proposed project located in a National Registered Historic District or does it involve a ?Yes o ?NA
National Register listed or eliqible property?

<Form continues on next page> J UL 7 2010
a
Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ees ?No
(ii) Are there coastal wetlands on the site? 63' es ?No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ?Yes N'No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
o. Describe existing drinking water supply source.
p. Describe existing storm water management or treatment systems.
NUL-
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? []Commercial []Public/Government
rivatelCommunity
b. Give a brief description of purpose, use, and daily operations of the project when complete.
00LI VNG CT t ?t `/ FOR i?z? c?. ??J U? }?A7 D 5 L i
-ACL- -5S wffl?T-R, By rAMLY MIA[` F 1c
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.
a A% ?. ?J
d. List all development activities you propose.
ME
14 LTA tt
e. Are the proposed activities maintenance of an existing project, new work, or both?
I. What is the approximate total distur land area resulting from the proposed project? ?Sq.Ft or []Acres
f Pox 160 ,
g, Will the proposed project encroach on any public easement, public accessway or other area ?Yes o ?NA
that the public has established use of?
h. Descr^ibb?e location and type of existing and proposed discharges to waters of the state.
c?
i. Will wastewater or stormwater be discharged into a wetland? ?Yes o ?NA
If yes, will this discharged water be of the same salinity as the receiving water? ?Yes ?No ?NA
j. Is there any mitigation proposed? ?Yes o ?NA
If yes, attach a mitigation proposal.
<Form continues on back>
JIU 0 7 10iC
`,s?, ,13 ? t t
P' '
Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) - (0 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, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
I. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name r/ LEW)0)( CbbKV1 Phone No.
IN .1 , n(? ?? \T) t ,4 1 ?j
Addressp3? IIIIA?-J? V"? W.YW?{llmk"? EJ /.???` 1 ? ? ?1 1J
k NV-
Name l ?R {? ft Phone No.
Address 60? ?1 1 ?*'1i ?4? l?. P WyV`t,.d ?1G4? fV + ? V?
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S.1 13A 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.
7. Certification and Permission to Enter on Land
I understand that 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.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my kn?wledge.
Date V ?-7 Print Name _? DON ?4 i? r1v3 ,r`
Signature
Please indicate application attachments pertaining to your proposed project.
QDCM MP-2 Excavation and Fill Information ODCM MP-5 Bridges and Culverts
?DCM MP-3 Upland Development
?DCM MP-4 Structures Information

J'? L 2 1

1O
F \
9c STONE
MONUMENT
100 YEAR FLOOD
ELEVATION 11.0'
WELL
HOU5E,---,
-22-
GRAVEL
DRIVE ----
EVERETT5 CREEK
BOOK 1059 PAGE 0558
??
VICINITY MAr
s NO SCALE
GAZEBO
ENCROACHES PROPERTY
E.I.P. LINE BY 0.82' FEET
-24-
WOOD
AINING
---, WALLS
TWO STORY
-BRICK I WOOD
VENEER
?p
00 O
LOT 23
V I to u , 8.463 SF
N r
b.O
?0 N
-?_ L z
S39°j T2'SMF 6" 2 _
00' N. T.5 W
E.I.P.5?°1725- R/W
76 (F)
53(5°57' s STONE
00.C)O E MONUMENT
NOTE: A PORTION OF THIS LOT IS LOCATED i ,
SURVEY REFERENCE
IN AN AREA OF 100 YEAR FLOOD. I L 2013 BOOK 1059 PAGE 0558
MAP BOOK 4 PAGE 28
GRAPHIC SCALE: I'- 100
0 100 200 3.00
DATE: JUNE 14, 2000
Plat of Survey for*
NORTH CAROLINA
CHALMERS 5.R055 and wife w++aw.
NEW HANUVER
JUDITH N. 8055 C GL?. "C"Aq& \

0 100 200 300
Plat of Survey for:
CHALMERS 5.RO55 and wife
JUDITH N. R055
LOT 23
SANTA MARIA
HARNETT TOWNSHIP NEW HANOVER COUNTY
NORTH CAROLINA
Legend:
(D) DEED RffERENCE POWER POLE
(F) FEILD
• PROPERTY COKNEK
E.I.P. EXISTING IRON PIPE
Address: 808 SANTA MARIA AVE
MICHAEL UNDERWOOD and ASSOCIATES, PA
3963 MARKET STREET, SUITE C-3
WILMINGTON, NC 28403
PHONE: 910-815-OG50
FAX: [phone]
E-MAIL: mua(?ISaac.net
DATE: JUNE 1 4, 2000
NORTH CAROLINA
NEW HANOVE`.R C CA
'
,
?
'`
1, MICHAEL N. UN F IS PLAT WAS DI
UNDER MY SUPE `ROM AN A MgRVEY MADE UN
MY SUPERVISION_ ES R TICBEALSHO ONtTHE FACE OF
PLAT ERROR OF URE Afl.2MULATE CU1G COMPUTER IS
1/10,000 + THAI UNOARIES T EYED ARE SH(
BY BROKEN LINE ?y FROM I ?DN REFERENCEG
THAT THIS PLAT NCE WITH "THE
STANDARDS OF PRA F YING IN NORTH
CAROLINA" WITNESS MYN URE, REGISTRATION
NUMBER AND SEAL T HIS 1 DAY OF JUNE
A.D., 2000
MICHAEL N. UNDERWOOD, P.L.S
REGISTRATION NUMBER L-2962
SEAL OR STAMP
2000 MICHAEL UNDERWOOD and ASSOCIA

JU

? ? '? ?-».. ,','p??. ? `,?f ? k'?Y'1f`V ?- r - r.o., 1 t 3 - ? ! !'?. ,,,;.;??". .?-_ }0 •}_• ?/1/1.1 C)
"t .
.'1',.I,Jr'9?.F' 1" ?.e't• .•'??`k ?a+-,a5? !r ..k !€t .. i
TIV i1 ? rr` , 4 ?' ? ! 3 ??`f^.l °' t° , ?!i?11 '? ?CjF ... ? .... _._ ?.,• .? ,. _.
a` t •
1.
{' •?? 1 .,r 7 ! i-kJ
k fl
tY f t{ ? ._ _-
s .
t
..,,.. .
r
io
A '
Oil
i?
r? ( !
''l. 1, .;, '•, (,.?, j
y? t t...; i? '?'?-•!"? .??? i ? t j ,;rte
ICs, 9
.

n •
i=

i?
NLW-
t
f ?
I
It 1f4!ZI1=
'3?lij''( IiLj 1f??{1?rjL( 11 ?.i1,ft lfcffj?2: t
31
it-J1 .?
/f I
JS ?? rte.
f
I
is
i f ,R i? 1 t i ); I ii i
it
! ff 1 ii 1 f ff 1 if I i it 1 it 1 I f+ f, 'r
b j z ;b,q q 3 ?f 9 h 3y 3 11G 1Y
! ?( vt
y ,
i
?1' 1 ;' 1 r,r;l ..r_s. i li _ 1.?; .. ? a .f 1 n + ?• t z ? .
V.- A I- f
f
Al,
1
MA R'
JUL, 0 7 2010

? -4r
Ail

?1
1~?
;Q
cr

i
it
H
i
I
z z
SSG
a
3
a
r' 1"!
l?
f?
T
ci2
13
F-
X' ^
I?
?G
i?
ZQ
G
Q

JUL 0 'jy 2010
1

0
? Z
C
k-?l v
r
7?
7G

1-0
111 ;
vi ? t ? I.n ._. ?..I?T ? .,..?? ? •.. ?-? I i.? ?+ w, ti?'rf ! ?i?iT y/ { a . .
r 1,
t
???+s X21
F?U I V'/CtY°°,dl/
fib t j' S w 43
I
r
l ?
p d
?V
o
h > t y

k) a
JUL 7 1>njo
?wtfo

Forth DCM MP-4
STRUCTURES
(Construction within 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.
1. DOCKING FACILITY/MARINA CHARACTERISTICS
a. (i) Is the dockin____ facility/marina:
?Commercial ?Public/Government V n ate/Community
?This section not applicable
b. (i) Will the facili be open to the general public?
?Yes o
c. (i) Doc s) and/or pier(s)
(ii) Number
?J
(iii) Length
(iv) Width
(v) Floating es ?No
e. (i) Are Platforms included? M (es ?No
If yes: 1
(ii) Number 1
(iii) Length
(iv) Width TV
(v) Floating ?Yes BK"
Note: Roofed areas are calculated from dripline dimensions.
g. (i)(umber of slips proposed
(ii))NnNumber of slips existing
i. Check the proposed type of siting:
? Land cut and access channel
?Open water; dredging for basin and/or channel
?Open water; no dredging required
?Other; please describe:
k. Typical boat length:
m. (i) Will the facility have tie pilings?
?Yes ?No
(ii) If yes number of tie pilings?
d. (i) Are Finger Piers included? ?Yes V!o
If yes:
(ii) Number
(iii) Length
(iv) Width
(v) Floating ?Yes ?No
f. (i) Are Boallifts included? 2Yes ?No
If yes:
(ii) Number
(iii) Length
(iv) Width
h. Check all the types of services to be provided.
? Full service, including travel lift and/or rail, repair or
maintenance service
? Dockage, fuel, and marine supplies
Dockage ("wet slips") only, number of slips:
? Dry storage; number of boats:
? Boat ramp(s); number of boat ramps:
? Other, please describe:
j. Describe the typical boats to be served (e.g., open runabout,
charter boats., sail boats, mixed types).
GPE? RUJ\)/ 1 aJT
1. (i) Will the facility be open to the general public?
?Yes ?No
JUIL 7 2010

2. DOCKING FACILITY/MARINA OPERATIONS his section not applicable
a. Check each of the following sanitary facilities that will be included in the proposed project.
? Office Toilets
? Toilets for patrons; Number: ; Location:
D Showers
? Boatholding tank pumpout; Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater.
c. Describe the disposal of solid waste, fish offal and trash,
d. How will overboard discharge of sewage from boats be controlled?
e. (i) Give the location and number of "No Sewage Discharge" signs proposed.
(ii) Give the location and number of "Pumpout Available" signs proposed. .
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
g. Where will residue from vessel maintenance be disposed of?
h. Give the number of channel markers and "No Wake" signs proposed.
i. 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?
.k. Describe design measures that promote boat basin flushing?
REC11-1VED
1. If this project is an expansion of an existing marina, what types of services are currently provided?
DCNI

P. Is the marina/docking facility proposed within a primary or secondary nursery area?
?Yes ?No
n. Is the marina/docking facility proposed within or adjacent to any shellfish harvesting area?
?Yes ?No
o. Is the marina/docking facility proposed within or adjacent to coastal wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
?CW ?SAV ?SB
?WL ?None
p. Is the proposed marina/docking facility located within or within close proximity to any shellfish leases? ?Yes ?No
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lifts) Qfhis section not applicable
a. (i) Is the boathouse structure(s):
?Commercial ?Public/Government ?Private/Community
(ii) Number
(iii) Length
(iv) Width
Note: Roofed areas are calculated from dripline dimensions.
4. GROIN (e.g., wood, sheetpile, etc. If a rock groin, use MP-2, Excavation and Fill.) S?fhis section not applicable
a. (i) Number
(ii) Length
(iii) Width
5. BREAKWATER (e.g., wood, sheetpile, etc.) &Jfhis section not applicable
a. Length b. Average distance from NHW, NWL, or wetlands
c. Maximum distance beyond NHW, NWL or wetlands
6. MOORING PILINGS and BUOYS his section not applicable
a. Is the structure(s):
?Commercial ?Public/Government ?Private/Community
C. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)
?',f.? iOL t p ?^ g
J UL 0 2010

7. GENERAL
a. Proximity of structure(s) to adjacent riparian property lines b. Proximity of structure(s) to adjacent docking facilities.
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body
d. Waterpepth at waterward end of structure at NLW or NWL
AV e-5-
e. (i) Will navigational aids be required as a result of the project?
j]Yes & o ?NA
(ii) If yes, explain what type and how they will be implemented.
8. OTHER ?This section not applicable
a. Give complete description: ,

0h), V
0M1.
Date
Project Name
C
Applicant Naa,,/me
Applicant Signature

JUL D 7 2010