20200946 Ver 1_CAMA Application_20200721

ROY COOPER
Governor
MICHAEL S. REGAN
4D Secretary
BRAXTON DAVIS
NORTH CAROLINA Director, Division of Coastal
Environmental Quality Management
July 21, 2020
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)
gregq.bodnar(cDncdenr.gov
SUBJECT: CAMA Major Permit Application Review
Applicant: Marshall Taylor
Project Location: 190 Freshwater Drive Blounts Creek NC 27814
Proposed Project: Proposes to replace existing pier, add a new pier adjacent to existing with 2
boatlifts and install 2 section so riprap.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodnar at the address above by August 11, 2020. If you have any questions
regarding the proposed project, contact Kent Vaughan [phone] when appropriate, in-depth comments
with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
**Additional comments may be attached**
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.
PRINT NAME
AGENCY
SIGNATURE
DATE
State of North Carolina I Environmental Quality I Coastal Management
400 Commerce Ave. Morehead City, NC 28557 [phone]

ROY COOPER
Governor
MICHAEL S. REGAN
Secretory
BRAXTON DAVIS
NORTH CAROLINA Director, Division ojCoasml
Environmental Quality Management
July 21, 2020
MEMORANDUM:
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier04-16-33)
gregg. bodnar(ZDncden r. gov
SUBJECT: CAMA Major Permit Application Review
Applicant: Marshall Taylor
Project Location: 190 Freshwater Drive Blounts Creek INC 27814
Proposed Project: Proposes to replace existing pier, add a new pier adjacent to existing with 2
boatlifts and install 2 section so riprap.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodnar at the address above by August 11, 2020. If you have any questions
regarding the proposed project, contact Kent Vaughan [phone] when appropriate, in-depth comments
with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
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.
PRINT NAM
AGENCY
SIGNATURE
DATE
State of North Carolina I Environmental Quality I Coastal Management
400 Commerce Ave. Morehead City, NC 28557 [phone]

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Marshall Taylor
2. LOCATION OF PROJECT SITE: on Blounts Creek at 190 Freshwater Dr. Blounts Creek, NC in
Beaufort County, North Carolina
Location - 35' 24' 55" N 760 57' 30" W
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit —July 15, 2020
Was Applicant Present - Yes
5. PROCESSING PROCEDURE: Application Received —June 23, 2020
Office - Washington
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Beaufort Co. Land Use Plan
Land Classification From LUP — Water(Conservation) Land (Transition)
(B) AEC(s) Involved: PTA, PTS
(C) Water Dependent: YES
(D) Intended Use: Private
(E) Wastewater Treatment: Existing — On -site septic
Planned - N/A
(F) Type of Structures: Existing - Bulkhead, Pier, Boat slips, Single family home, Barns and
fencing
Planned —±600' Riprap, Replace 90' of existing pier, 6'X 100' new pier,
8'X16' floating dock, (2) 131X13' Boatlifts
(G) Estimated Annual Rate of Erosion: none
Source - N/A
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED OTHER
(A) Vegetated Wetlands
(B)Nnn-Vegetated Wetlands
f3000 sq. Ft.
±1066 sq.Ft.
Creek bottom
(C) Other
Highground
(D) Total Area Disturbed: t 4066 sq. Ft.
(E) Primary Nursery Area: No
(F) Water Classification: SB NSW Open: No
PROJECT SUMMARY: Applicant proposes to replace existing pier, add a new pier adjacent to existing
with 2 boatlifts and install 2 sections of riprap.

Marshall Taylor
190 Freshwater Dr
Blounts Creek, NC
Beaufort Co.
Project settin
Mr. Taylor has submitted a CAMA Major Permit request for shore line development on his
property located at 190 Freshwater Dr. on Blounts Creek in Blounts Creek, NC., Beaufort Co. The Lot
consist of+- 168 contiguous acres with approximately 5000' of shoreline along Blounts Creek. One single
family dwelling is located within the high ground area of the property, along with barns and fencing. The
majority of the lot is in various hardwood trees, pines, shrubs and lawn. Most of the property is +- 25'
above normal water level (NWL). There is an existing 90' pier, with 2 wet slips, that leads to a gazebo.
The water depth and the end of the pier is approximately -5.5' below NWL. The shoreline to the north of
the pier is stabilized by an existing +- 200' bulkhead. There is an area of shoreline approximately 400' in
length, being undercut south or upstream of the existing pier.
Adjacent downstream property is undeveloped woodland and farmland. The adjacent property
upstream is an undeveloped wooded subdivision lot.
Blounts Creek is classified as C; SW NSW by the Environmental Management Commission.
Blounts Creek is designated as inland waters and is in the Tar -Pam River Basin. No SAV was observed on
the site visit on July 9, 2020.
Project description:
The applicant proposes to install two sections of riprap with a 5' max base. One area is a 400,
section waterward of the eroding section of shoreline upstream of the pier. The other section is 200'
and proposed to be waterward of the existing bulkhead. The applicant also proposes to rebuild the
existing 90' pier leading to the gazebo, as well as build a new pier upstream and parallel of the existing
pier. The new pier is proposed to be 100' X 6' with (2)13'X 13' uncovered boat lifts off each side at the
end. A 16'X8' floating pier will be attached landward of the lifts.
Anticipated impact:
The project will create localized turbidity from installing the pier and boatlift pilings. The project
will have a total platform square footage of 728 square feet and 338 square feet of boat lift area. The
existing pier has 400 square feet of platform in the gazebo. New platform total after installation of
second pier will be 1128 square feet. The installation of the 2 boatlifts will bring the total number of
slips to four (4). Riprap installation will also produce localized turbidity and impact approximately 3000
square feet of shallow bottom.
Kent Vaughan
7/17/2020

RECEIVED
UUN 2 3 2020
OCM-WARO
PROJECT NARRATIVE
1. Replace existing damaged pier (90 ft.) out to the undamaged gazebo.
2. Build new 100 ft. by 6 ft. wide pier with 13 ft. by 13 ft. boat lifts on either side at the
end ... eastward and parallel to the existing pier.
3. Floating pier (8 ft. by 16ft.) inland from the boat lifts.
4. Rip Rap
a. Westward at the base of the existing bulkhead (J 200 ft.)
b. Southward along the undermined shoreline (J400 ft.)
All structures will be for the exclusive use of the Taylor family. The construction method
will be traditional marine construction. Equipment used will be backhoe, excavator with
vibratory hammer on barge.

RECEIVE©
M JON
AI r 4..1 I 0Il i _
IuE I,`zf y s„ I.'f3l uii$$k'_4 t et A -ni
i3j _
(last revised 12127106)
North Carolina DIVISION OF COASTAL MANAGEMENT
f. Primary Applicant/ Landowner Information
Businesrs 9me
Projec( Namn(if applicable)
/(1
Applicant 1: First Name
MARSHACL
MI
G
Last Name
TAVLnFL
Applicant 2: First Name
MI
Last Name
If additional appficants, please atlach an additional page(s) with names listed.
Mailing Address
r�l9 2l[vE'IZslye 0906
PO Box
1
City
VIKHInJ1: 1
State
�J.C.
ZIP
27 999
I Country
P 0 FOXT
Phone No.
As-a-q4`(-33y-0 ext.
FAX No.
Street Address (if di/ferent from above)
City
State
ZIP
Email
TOYL0R M V 6
6- M41-
2. Agent/Contractorinformation
Business ame
1` kb
Agent/ wtractor 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 (if different from above)
City
State
ZIP
Email
<Form continues on back>
252.808.2808 :: 1.888.4RCOAST :: www.nocoastaimanagament.net

Form DCM MP-1 (Page 2 of 4)
REC�l�t��
JUN r: 3 2��0
w1AQ0
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
PFAd
Street Address
I q o F-RFS'(avJaTER OR\ve
State Rd. #
SR mo
Subdivision Name
F2 E_
City
&Loui dTS CQC6){
I state
IN. C--
zip
a -1 g ( y
Phone
Lot No.(s) (dmany, attach additional page with list)
l1No. 7 r,4V
'P J d - "I T eM.
,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
1 0JZ - PArML(C0
@Lovn3 -7T CJ?c-67 K
c. Is the water body identified in (b) above, natural or manmade?
(Natural ❑Manmade ❑Unknown
d. Name the closest major water body to the proposed project site.
c
A r,,.� L ) v
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
Dyes KNo
work falls within.
NIA
4.'. Site Description
a.
Total length of shoreline on the tract (ft.)
F*
b. Size of enfire tract
9, 7 t( &,c C3 Co NTIG,r),' AQhCf--
t n o
16
c.
Size of indivi ual t(s)
d. Approximate elevation of tract above NHW (normal high water) or
A
(If many lot stZe, please attach additional page with a list)
NWL (normal water level)
❑NHW or NWL J
e.
Vegetation on tract
VA¢i0IJs 00,2'N 03 P'OD51 Pir�E iNR�gS( (PAS-5
r
I.
Man-made features and uses now on tract
D(fCLi-IIJ6. 3vt-VHC- b Pljgg UJ/6AZ---E&C>1 2.tjE'T SL(tQS
'gpR4J pfMC 1N4r"
g.
Identify, and describe the existing land uses adiacent to the proposed project site.
tloRTp SS(De — FpaM (-, IM&C-JZ r (�6(21Ctr�f-o2E�
.5 ov-r'N C't.16E -- DEV4E*Lc PEA SuPDN)S)oiJ (.)rTN PIFRS
Jr.
How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
W®_ ` �
ry (/A6(-r(M +3n Cc-n
(Attach zoning compliance certificate, if applicable)
❑Yes []No A
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes KNO
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. []Yes No ❑NA
If yes, by whom?
1.
Is the proposed project located In a National Registered Historic District or does it involve a ❑Yes KNo ❑NA
National Register listed or eligible properly?
<Form continues on next page>
-s)
252.808.2808 :: 1.888-4RCOAST :: www.necoastalmanagement.net

RECFwED
Form DCM MP-1 (Page 3 of 4)
JUN a J ZOZU APPLICATION for
Major Development Permit
[)CM-WP►RO
m. (I) Are there wetlands on the site? [yes [:)No
(ii) Are there coastal wetlands on the site? (;'es []No
(iii) If yes to either (i) or (it) above, has a delineation been conducted? ❑Yes KNo
(Attach documentation, /favailable)
n. Describe existing wastewater treatment facilities.
PO -SrT(;� S'rPT(C
o. Describe existing drinking water supply source.
P21v A i 'e Ofcl
p. Describe existing storm water management or treatment systems.
SJRFACC- 903 OF-r
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ❑a�Commercial ❑PubliclGovernment
f1 riv /Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
J7@z i A6 vSF oG RC's(be-07S (off-0-a> RTC I F-If
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.
Pr(_E Ai2t��n
d. List all development activities you propose.
PRo phge 'ro 3rA 1S' i39ATc+�Y�
ta9ITH 0 End r/a0Y I FR
Rr=P(,Acr ({t-PFIfR)Extsrr1.16 ,JPIFR MOM 5 oRF Tp
irocrot-t
6kw iw wArev_ wA-�A orCX, ((.16 (3t1cKN �
e. Are the proposed activities maintenance of an existing project, new work, o ?
_ (3fpR P SooiywhkD oNP�U►f1iiERMItJ � S�JoRFti
I. What is the approximate total disturbed land area resulting from the proposed project? ❑Sq.Ft or ❑Acres
I —2S (a68 F'r RfP+�4iP 3 0mo s r ' T"TAI.- 'f log s FT
g. Will the proposed p oject encroach on an public easement, public access y or er area ❑Yes qNo ❑N
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
502rAe-t: 9rJ),A 'F)rr
i. Will wastewater or stormwater be discharged into a wetland? []Yes ANo ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No (XNA
j. Is there any mitigation proposed? ❑Yes []No 9NA
If yes, attach a mitigation proposal.
<Form continues on back>
:3v
i;C_7
252-808-2808 .. 1-888.4RCOAST .. www.nccoastaimanagement.net

RECEIVED
Form DCM MP-1 (Page 4 of 4) JUN 2 3 2020 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.
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.
A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
VA copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
The appropriate application fee. Check or money order made payable to DENR. W L- 0 p °A
f. 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 MR . .3CY-r- C5 .Phone No() ' -74r6-47f3O_.
Address P:C� Dox 5",2o 129 f'S'I tobA>, p,\)-.O EN . N'..C. ,), ` Z. S (3 (°F ICC
Name Phone No.
Address Ci
Name (y.�J. 7^ 7 /,�..�r�� TEA
M.
p/. ( /� n r+l�Phone .�: a� b(Tr2 .3 { Q33C
Address c2.tf0 i kC5'oW Iq TEA M. f3LC)'J)J 1_5-G--ICeC .�; -7,
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee and issuin dates.
#of90S Au . 7 fqq$ -'_ 1(zo Rf PEC9
LAIt'lA m 1fSoR �f°r-3� �a; tgg8 ? vRQSsJP
C a v,tg -ra t� rr t F
pi C)pL
h. Signed consultant or agent authorization form, if applicable.
I. Wetland delineation, if necessary.
I. A signed AEC hazard notice for projects in oc4anfront and inlet areas. (Must be signed by property owner) A
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10). if necessary. If the pro) ct involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Ad.
FA
7. Certification and Permission to Enter on Land
1 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.
t 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.
1 further certiy the the information vided in this application is truthful to the best of my knowledge.
Dale % �6�0 Print Name fM A a,s f114 i'� l L C . 1 J)"( C. O
Signature
Please indicate application attachments pertaining to your proposed project.
XCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
WCM MP-4 Structures Information
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net

Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
RECEIVED
JUN 2 3 2020
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete aoiner secWnnss ooff 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 olven In feet.
Access
Channel
Other
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Grain
Rock
(excluding
NWL
Breakwater
shoreline
stabilization
isting
g�Fl�nal
NA
NA
ojectepth
NA
NA
I. EXCAVATION
a, Amount of material to be excavated from below NHW or NWL in
cubic yards.
c. (1) Does the area to be excavated include coastal wetlands/marsh
(CW), submerged' aquatic vegetation (SAV), shell bottom (Sal,
or other wetlands (WL)7 If any boxes are checked, provide the
number of square feet affected.
❑CW _ ❑SAV ❑SB.
❑WL _ ❑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 (SS).
or other wetlands (WL)7 If any boxes are checked, provide the
number of square feel affected.
❑CW _ ❑SAV ❑SB _
❑WL _ ❑None
(ii) Describe the purpose of disposal in these areas:
section not applicable
b. Type of material to be
d. High -ground excavation in cubic yards.
section not applicable
b. Dimensions of disposal area.
d. (i) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA
(ii) If yes, where?
f. (1) Does the disposal include any area in the water?
❑Yes [:]No ❑NA
(ii) If yes, how much water area is affected?

r Of'i7.1 3: G;A Pdi'r_y ('E C,1VQ'aan Nnii FIII; Prg<'e 2 of 2)
3..SHORELINE STABILIZATION .
(If development is a wood groiri, use MP-4 — Structures)
a. Type of shoreline stabilization:
❑Bulkhead gRiprap ❑Breakwater/Sill ❑Other:__
c. Average distance waterward of NHW or NWL:
r
❑This section not applicable
b. Length: _do0'ti9ATC'r2usnrz o ^ o/ Ja
Width: c�/ L16O r OtJ EfZ'DwP'ic iJmT'-v 'q4 Qt! (CN&
SHb�ZC- L/nfE
d. Maximum distance waterwardof NHW or NWL:
�
0 y p0"TT�1 2,
a. Type of stabilization material: f. (1) Has there been shoreline erosion during preceding 12
1 P months?
Yes ❑No ❑NA
(11) If yes, state amount of erosion and source of erosion amount
Information.
f (, L)
g. Number of square feet of fill'to be placed below water level, h. Type of fill material. (�
Bulkhead backfill _ Rtprap � D 0 1.�T R ( (> A
I�
r
Breakwater/Sill_ Other_
I. Source of fill material.
npr- s( iF ry)wC
4. OTHER FILL ACTIVITIES This section not applicable
(Excluding Shorellne Stabilization)
a. It) Will fill material be brought to the sile7 ❑Yes ❑No ❑NA b. (i) Will rill material be placed in coastal wetlands/marsh (CW),
If yes, submerged aquatic vegetation (SAV), shell bottom (SB), or
(it) Amount of material to be placed in the water other wetlands (WL)7 It any boxes are checked, provide the
number of square feet. affected.
(tit) Dimensions of fill area ❑CW ❑SAV ❑SS _
(iv) Purpose of rill ❑WL ❑None
(11) Describe the purpose of the fill in these areas:
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., dragllne,
controlled? backhoe, or hydraulic dredge)?
00 LPcl,p D1ST�R I3(�� enck C(uE dredge)?
PircTIU(T"teS
C. (1) Will navigajtonal aids be required as a result of the project?
❑Yes �tNo (]NA(ii) If yes, exxxpiain what type and how they will be implemented.
Dale
Project Name
()1 AfS8Ri L C 7-I-)YcO2
it. (i) Will wetlands to�y rossed in transporting equipment to project
site? ❑Yes IKNo ❑NA
(ti) If yes, explain'sste`ps that will be taken to avoid or minimize
environmental impacts.
Applicant Name
Applicant j

Form DCM MP-4 IRECOVED
STRUCTURES JUN 23 2/0200
(Construction within Public Trust Areas) DCM-WARD
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 docking facility/marina:
❑Commercial ❑Public/Government Private/Community
c. (i) Dock(s) and/or pier(s)
(ii) Number a
(III) Length A) ('00 '
1S')
(iv) Width Ot�
(v) Floating ❑Yes []No
❑This section not applicable
b. (i) Will the facility be open to the general public?
❑Yes ANo
REPLAeC- Cxis7-1�J&d.
9or�
Z t
e. (i) Are Platforms included? ❑Yes p(INo
If yes: /
(ii) Number
(III) Length
(iv) Width _
(v) Floating [-]Yes []No
Note: Roofed areas are calculated from ddpline dimensions.
g. (1) Number of slips proposed
D
(ii) Number of slips existing
_a
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: 6 / a y /
m. (1) Will the facility have tie pilings?
❑Yes KNo
(ii) If yes number of tie pilings?
(i) Are Finger Piers included? WYes ❑No
If yes:
(ii) Number
(iii) Length
(iv) Width
(v) Floating Was []No
f. (i) Are Boatlifts included? trt(Yas ❑No
If yes: /
(ii) Number
(III) Length �� f
(iv) Width t
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:
a- t Y t s i 0 6 Lip i JCL. ( A s
PRoGaSF a u►.1C'rDWAQ ROATL-(Fi C
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
I. (1) Will the facility be open to the general public?
❑Yes To
14. PVPLAC'C Fx t szl-7 6 D�1 r1A6�D
pteRrR6') 0o"r'ro tsfrl�,r�As
4Ax�f�o

FoTrn
2. DOCKING FACILITY/MARINA OPERATIONS This 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:
❑ 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?
I. If this project is an expansion of an existing marina, what types of services are currently provided?
m. Is the marinaldocking facility proposed within a primary or secondary nursery area?
[-]Yes []No

's tea' IA DCM s5•iP.,4 tat 4$
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 vegetatio1
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
im
❑CW ❑SAV ❑SB
❑WL None JUN 2 3 "Old
p. Is the proposed marina/docking facility located within or within close proximity to any shellfish leases? []Yes ❑No ®L` ty1 -W ARo
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lifts) — This section not applicable
a. (i) Is the boathouse structure(s):
[]Commercial ❑Public/Government ❑Private/Community
(it) Number _
(ill) Length _
(iv) Width
Note: Roofed areas are calculated from dripline dimensions.
4 GROIN (e.g., wood, sheetpile, etc. If a rock groin, use MP-Z Excavation and Fill.) NThis section not applicable
a. (i) Number /
(ii) Length
(ill) Width
5. BREAKWATER (e.g., wood, sheetpi/e, etc.) This 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 AThis 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
7. GENERAL
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)

a. Proximity of structure(s) to adjacent riparian property lines b. Proximity of structure(s) to adjacent docking facilities.
1JoRr1451be :f-1400r SodrW''tDc--tIL " Nmf2TW slit Tao {
Note: For buoy or mooring piling, use arc of swing including length SO U T N S l �C—
ofvesseL {
c. Width of water body
l OD
e. (i) Will navigational aids be required as a result of the project?
[]Yes o ❑NA
(if) If yes, exp ain what type and how they will be implemented.
d. Water
/depth at waterward end of structure at NLW or NWL
8. OTHER ❑This section not applicable
a. Give complete description:
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