20170822 Ver 1_More Info Received_20170831

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 and/or fill activities. All values should be given in feet.
Access Other
Channel Canal Boat Basin Boat Ramp Rock Groin Rock (excluding
(NLW or Breakwater shoreline
stabilizatior
Width
Avg. Existing N
Depth A NA
Final Project
Depth NA NA
9. EXCAVATION 56 This section not applicable
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated,
cubic yards.
c. (i) Does the area to be excavated include coastal wetlands/marsh d. High -ground excavation in cubic yards.
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
2. DISPOSAL OF EXCAVATED MATERIAL -This section not applicable
a. Location of disposal area. b. Dimensions of disposal area.
c. (i) Do you claim title to disposal area?
[]Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner
e. (i) Does the disposal area include any 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
(ii) Describe the purpose of disposal in these areas:
d. (i) Will a disposal area be available for future maintenance?
❑Yes [:]No ❑NA
(ii) If yes, where?
f. (i) Does the disposal include any area in the water?
[]Yes ❑No ❑NA
(ii) If yes, how much water area is affected?
383 1R°" 0�1' _, ;�.,. ...__ _a.3Fd�,_..,.,i<� •. en t..

Form DCVI NIT -2 .;Excavation and Fill, F'age 2 of 2,
3. SHORELINE STABILIZATION
(If development is a wood groin, use MP -4 — Structures)
a. iyp of shoreline stabaization:
[93ulkhead ❑Riprap ❑Breakwater/Sill ❑Other:
b.
C. Average distance waterward of NHW or NWL: d.
El This section not applicable
Length: i5-6
Width:
Maximum distance waterward of NHW or NWL:
e. Type of stabilization material: f, (i) Has there been shoreline erosion during preceding 12
months?
❑Yes DNo ❑NA
(ii) It yes, state amount of erosion and source of erosion amount
information.
q. Number of square feet of fill to be placed below water level. h. Type of fill material.
Bulkhead backfill -7qJn2j Riprap r
Breakwater/Sill Other --
— -
i. Source of fill material.
t i7C6wGwC RC1
4. OTHER FILL ACTIVITIES
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? ❑Yes ❑No ❑NA b.
If yes,
(ii) Amount of material to be placed in the water
(iii) Dimensions of fill area
(iv) Purpose of fill
'This section not applicable
(i) Will fill material be placed in 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
(ii) Describe the purpose of the fill in these areas:
5. GENERAL
a. How will excavated or fill material be kept on site and erosion b. What type of construction equipment will be used (e.g., dragline,
controlled? backhoe; or hydraulic dredge)?
C. (i) Will navigational aids be required as a result of the project?
❑Yes []No *A
(ii) If yes. explain what type and how they will be implemented.
A Date
Project Name
!--6S:i .�? _ ASP
d. (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
ptx1l tp-
Applicante
licant Signature

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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 and/or fill activities. All values should be given in feet.
Access Other
Channel Canal Boat Basin Boat Ramp Rock Groin Rock (excluding
(NLW or Breakwater shoreline
NWLI ' stabilization)
Length
Width
Avg. Existing
Depth NA NA
Final Project
Depth NA NA
!. EXCAVATION This section not applicable
a. ' Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
C. (i) Does the area to be excavated include coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
2. DISPOSAL OF EXCAVATED MATERIAL
a. Location of disposal area.
C, (i) Do you claim title to disposal area?
❑Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner
e. (i) Does the disposal area include any 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
(ii) Describe the purpose of disposal in these areas:
d. High -ground excavation in cubic yards.
10 This section not applicable
b. Dimensions of disposal area.
d (i) Will a disposal area be available for future maintenance?
❑Yes ❑No DNA
(ii) If yes, where?
f. (i) Does the disposal include any area in the water?
❑Yes ❑No DNA
(ii) If yes, how much water area is affected?
-3[33 sit=+��; a,�n ^-(:evJa�'�!rx •�:���;-�ent.net a'v�s2-d 1G �fi,;;:.

Form SCM N,P.2 a Fi;?,
3. SHORELINE STABILIZATION
(If development is a wood groin, use MP -4 — Structures)
a. TyT of shoreline stabilization:
I Bulkhead ❑Riprap ❑ Brea kwater/Sill ❑Other:
c. Average distance waterward of NHW or NWL:
e. Type of stabilization material:
g. Number of square feet of fill to bpl"o6 below water level.
Bulkhead backfill 106 Riprap
Breakwater/Sill Other
Source of fill material.
4. OTHER FILL ACTIVITIES
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? ❑Yes ❑No [ tNA
If yes,
(ii) Amount of material to be placed in the water
(iii) Dimensions of fill area
(iv) Purpose of fill
El This section not applicable
b. Length:
Width: TO
d- Maximum distance waterward of NHW oALP
f. (i) Has there been shoreline erosion during preceding 12
months?
❑Yes [SNo EJ NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
h. Type of fill material
, t1
This section not applicable
b. (i) Will fill material be placed in coastal wetlands/marsh (CW),
submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (WL)? It any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the fill in these areas:
5. GENERAL
a. How will excavated or fill material be kept on site and erosion b. What type of construction equipment will be used (e.g., dragline,
controlled? backhoe, or hydraulic dredge)?
ti ;•� 1 �?�'tK-SII � �� 1� ` .L� ��ct civ �v cZ
c. (i) Will navigational aids be required as a result of the project?
❑Yes [�No ❑NA
(ii) If yes, explain what type and how they will be implemented.
d. (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes E!No ❑NA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
,17
Date
pplicant Name
Project Name
AppI scant Signature

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