20081065 Ver 2_CAMA Application_20100622

08-i o ?5 v2-
NCD
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
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Lak!:!@,0W19 ?
June 17, 2010 JUN 2 :? 2010
DENR - WATER-QUALITY
WETLANDS AND STORWATER &WO
MEMORANDUM:
TO: Cyndi Karoly
Division of Water Quality
FROM: Doug Huggett
Major Permits Processing Coordinator
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Chester Klimek
Location: The project site is located at 188 Nonsuch Lane, Whortonsville near Merritt,
Pamlico County.
Proposed Project: The applicant is proposing to construct a 10-slip docking facility, a bathhouse
and a
7-space parking lot for commercial use.
Please indicate below your agency's position or viewpoint on the proposed project and return this form by
07/8/2010. If you have any questions regarding the proposed project, please contact
Brad Connell at [phone]. When appropriate, in-depth comments with supporting data are 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 DATE
400 Commerce Ave., Morehead City, NC 285574421
Phorte: 252-808-2808 ; FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 A.fiinnative Action Employer
North Carol na
Naturally
Major Permit Fee Schedule
Circle One
Development Type Fee DCM % DWQ %
1. Private, non-commercial $250 100%($250) 0%($0)
development that does not
involve the filling or
excavation of any wetlands
or open water areas
ll. Public or commercial 400 100%($40 1 0) 0% ($0)
development that does not
involve the filling or
excavation of any wetlands
or open water areas
III. For Development that
involves the filling and/or
excavation of up to 1 acre
of wetlands and/or open
water areas, determine if
A,B,C, or D below applies
111(a), Private, non- $250 100%($250) 0%($0)
commercial development,
if General Water Quality
Certification No. 3490 (See
attached can be applied
III(b). Public or $400 100%($400) 0%($0)
commercial development,
if General Water Quality
Certification No. 3490 (See
attached can be applied
111(c). If General Water $400 60%($240) 40%($160)
-
Quality Certification No.
3490 (See attached) could
be applied, but DCM staff
determined that additional
review and written DWQ
concurrence is needed
because of concerns
related to water quality or
life
f General Water $400 60%($240) 40%($160)
Certification No.
ee attached)
be applied
elopment that
E $475 60%($285) 40%($190)
s the filling and/or
tion of more than
e of wetlands
o
o en water areas
a
Check tt '
l
Amount $ 4 ,, &_1r CC Project Name: 1?
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Chester Klimek
2. LOCATION OF PROJECT SITE: The project is located at 188 Nonsuch Lane in Whortonsville,
near Merritt, Pamlico County.
Photo Index - 2006: 81-8289, grids N-12, N-13; 2000: 81-959, grids K-12, K-13.
State Plane Coordinates - X: 499912.30 Y: 2706593.83 Rover ##: M101713A
Longitude: 35 06 01.79 Latitude: -076 38 14.49
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - several since 10/17/07
Was Applicant Present -No
Pictures Taken -- Yes
5. PROCESSING PROCEDURE: Application Received - cc: 6/10/10
Office - MHC
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Pamlico County
Land Classification From LUP - Rural with Services/Conservation
(B) AEC(s) Involved: PTA, EW, ES
(C) Water Dependent: Yes
(D) Intended Use: Commercial
(E) Wastewater Treatment: Existing - Septic system
Planned - Additional low pressure septic
(F) Type of Development: Existing - Foundation for single family residence & garage, gravel
driveway, 2-slip docking facility, and a rip rap revetment
Planned - Bathhouse, 7-space parking lot, and a 10-slip docking facility
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION:
DREDGED FILLED SHADED
(A) High Ground 5,990 ftZ
(B) Open Water 765 ftZ shaded
19,800 ftZincorp
(D) Total Area Disturbed: 25,790 ftz
(E) Primary Nursery Area: Yes
(F) Water Classification: SA; HQW, NSW Open: No
8. PROJECT SUMMARY: The applicant is proposing to construct a 10-slip docking facility, a
bathhouse, and a 7-space parking lot for commercial use.
Field Investigation Report:
Chester Klimek
Page 2 of 3
9. Narrative Description:
The property is located at 188 Nonsuch Lane near Merritt, Pamlico County. The parcel is a 3.0-
acre tract adjacent to Brown Creek. This site is currently developed with a 2-slip docking facility,
a rip rap revetment for shoreline stabilization, a gravel driveway, and a retaining wall
incorporating the foundation for a single family residence. The adjacent properties are residential.
The average elevation of the high ground of the parcel is +4.5' above the normal water level.
Vegetation on this particular tract mainly consists of woody vegetation, but also includes areas of
Coastal Wetlands along the shoreline. This tract has approximately 350' of shoreline along Brown
Creek. Immediate offshore water depths range from about -1.0' to -5.0' nwl. The subaqueous
substrate is firm without shell.
The waterbody is about 450 feet across at this location. These waters are classified as a Primary
Nursery Area and there is no submerged aquatic vegetation present. This area is closed to shellfish
harvest and is classified as SA, High Quality Waters. There is not a Federal Channel in the
immediate vicinity of the project area.
10. Proposed Development:
The applicant wishes to expand the existing 2-slip docking facility to support a total of ten wet slips
for commercial use adjacent to Brown Creek. The applicant also wishes to construct a bathhouse,
a gravel footpath, and a 7-space gravel parking lot. The parcel is near the end of Nonsuch Lane in
Whortonsville.
The existing "T" platform will be expanded by an additional 5' wide and 105' long concrete
access. There will be four additional finger piers and eleven additional tie pilings to support the
additional eight boat slips. Each of these new finger piers will be 3' wide and 20' long. These
slips can support vessels up to 45' long. These boat slips will be in an average -4.0' nwl depth.
Included in the proposal, are two 10' by 10' covered platforms (gazebos) on the landward side of
the "T" platform.
At the landward terminus of the existing pier, there is a gravel footpath proposed. This pedestrian
pathway will be 5' wide and 158' long. It will head in an east-northeasterly direction connecting
the existing pier to the existing gravel driveway. Restroom facilities (bathhouse) are proposed
within the footprint of the existing garage foundation.
A gravel parking area will be approximately 40' to the east of the proposed footpath. Each parking
space will be 10' wide and 20' long. There will be a total of seven parking spaces.
A low pressure septic system will be installed to support the proposed bathhouse. This system will
be approximately 100' to the southeast of the proposed parking lot. The septic area will be 30'
wide and 60' long.
Brad Connell June 15, 2010 Morehead City
Field Investigation Report:
Chester Klimek
Page 3 of 3
---------------------------
11. Anticipated Impacts:
The docking facility will extend 115' waterward. Brown Creek is approximately 450' across at the
most constrictive point on this parcel. This may pose a hazard to navigation by extending more
than '/a of the width of the waterbody.
The docking facility will shade 765 square feet of Estuarine Waters and usurp 19,800 square feet of
Public Trust Area. This 10-slip docking facility will have 1,325 square feet of platform area along
350' of shoreline. The gravel walkway, gravel parking lot, and septic system will fill 5,990 square
feet of high ground. The waters of Brown Creek are classified as SA Waters and are designated as
a Primary Nursery Area. Water depths in the slips average -4.0' nwl. These waters are closed to
the harvest of shellfish and there are no beds of submerged aquatic vegetation present. The
docking facility is approximately 80' away from the Brown Creek channel.
Brad Connell June 15, 2010 Morehead City
A 1-8; WA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
MEMORANDUM
DATE: June 16, 2010
TO: Doug Huggett
THRU: Ted Tyndall
FROM: Brad Connell
SUBJECT: Comments and Recommendations - CAMA Major Permit - Chester Klimek,
Pamlico County
The following is my assessment and consequent recommendations of the above referenced
proposal: This proposal involves the shading of 765 ft2 of Estuarine Waters and usurps 19,800
ft2 of Public Trust Area. The waters of Brown Creek are closed to shellfish harvest. This
waterbody is a Primary Nursery Area. This proposal may pose a hazard to navigation. The
docking facility will exceed the '/ width of the waterbody. This proposal involves the grading
and filling of 5,990 ft2 of high ground. This proposal may be in conflict with certain deed
restrictions. Assuming that state and federal agencies concur with the proposal and that the
NCDWQ determines this project to be consistent with the Neuse River Riparian Buffer Rules, I
recommend the project be authorized as proposed, contingent upon the following conditions:
1) The outer southwestern most tie piling of Slip #10 (ref. Sheet 2 of 3) shall not exceed
112' waterward of the normal water level;
2) This permit authorizes a maximum of ten boat slips. At no time shall more than ten
vessels be moored or docked at the facility. The restriction of the number of vessels shall
apply to all marine vessel types, including but not limited to motorboats, sailing vessels
and personal watercraft;
3) Any building constructed shall comply with the North Carolina Building Code and the
local flood damage prevention ordinance as required by the National Flood Insurance
Program;
4) In order to protect water quality, runoff from the construction must not visibly increase
the amount of suspended sediments in adjacent waters;
5) Appropriate sedimentation and erosion control devices, measures or structures must be
implemented to ensure that eroded materials do not enter adjacent wetlands, watercourses
and property (e.g. silt fence, diversion swales or berms, sand fence, etc.);
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer - 50% Recycled \ 10% Post Consumer Paper
Klimek
June 15, 2010
Page 2
6) A ground cover sufficient to restrain erosion shall be provided within the shorter of 15
working or 30 calendar days of completion of any phase of grading on cut or filled
slopes;
7) No sewage, whether treated or untreated, shall be discharged at any time from any boats
using the docking facility. Any sewage discharge at the docking facility 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;
8) This permit authorizes only the docks, piers, 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, may become a permanent part of this
docking facility without permit modification. No non-water dependent uses of structures
may be conducted on, in or over public trust waters without permit modification;
9) The 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;
10) The authorized covered platforms (gazebos) shall be single story, and shall not be
designed to allow for second story use;
11) The authorized covered platform/gazebo shall not be enclosed. Any material used on the
sides shall not obstruct view and must be permeable to air and water. Screen or wire on
the sides along with benches and knee walls are permitted. Lattice is specifically
excluded from being used under this authorization;
12) No attempt will be made by the permittee to prevent the full and free use by the public of
all navigable waters at or adjacent to the authorized work;
13) The authorized structure and associated activity must not cause an unacceptable
interference with navigation;
14) The permittee will 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;
15) Prior to construction of any new boat slips or other docking facilities under this permit,
the permittee must apply for and receive an Easement from the Department of
Administration's State Property Office as required under N.C.G.S. 146-12(e);
Klimek
June 15, 2010
Page 3
16) Any development or land disturbing activity that is considered non-water dependent is
not authorized within 50 feet of the normal water level or landward edge of Coastal
Wetlands unless specifically exempted by Environmental Management Commission
(EMC) Neuse River buffer regulations in place at the time of such development.
NOTE: Any proposal to add one or more additional boat slips to the authorized 10 slip
facility will require that the docking facility be classified as a marina, and will
therefore require a review under the N.C. Environmental Policy Act (NCEPA).
NOTE: Permanent reflectors should be attached to the structure in order to make it more
visible during hours of darkness or inclement weather.
NOTE: It is strongly recommended that the permittee exercise all available precautions in
the day-to-day operation of the facility to prevent facility waste from entering the
adjacent waters. Such discharge, either directly or indirectly, to adjacent waters
could contravene state water quality standards, thereby violating state law.
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
high/low water level unless specifically exempted by Environmental
Management Commission (EMC) Neuse River buffer regulations in place at
the time of such development.
CC: Ted Tyndall, DCM
08-?o?S u2-
100 NF4
APPLICATION for
Major Development Permit
(last nvissd 12127106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name Project Name (if applicable)
NA NA
Applicant 1: First Name
C hesf f'v MI
P Last Name
f" I i me k'
Applicant 2: First Name MI Last Name
NA NA
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
-? Sc ntc a Tira'? PO Box
N/? City
o?..k R,cbe State
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ZIP^ t l Q 3 c?
V-1 H Country
U S )"I Phone No.
CJ-13- (01 1 - '99-1 ext. FAX No. NA
- -
Street Address (if different from above) City State ZIP NA

Emai;
2. Agent/Contractor Information
Business Name
bf-00 A Creek
C o n f rr'-C-k%' ( hC.
Agent/ Contractor 1: First Name
A-VO -ve L4? MI
J . Last Name
I-& LA-?
Agent/ Contractor 2: First Name MI Last Name
Mailing Address PO Box
s$ City
1MfYY,:% ff State
r? G
ZIP Q (^
C OSSW Phone No. 1
at.bnet -1LIS L4 ZCQ ext. Phone No. 2 NA
- ext.
FAX No. Contractor #
aSa - -1 L45 • L4 DS 3
Street Address (if different from above) City State
N? ZIP AIA
NA
Email S u?l ?1
1 hero ®brocl-& CX Y-) c, C.? `tY 1 ti . C'D
<Form continues on back>
Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location -
County (can be multiple)
PC,-vy-\ 1', c o Street Address
1 8 N o ??, l.c..v? e State Rd. #
? 3 a S
Subdivision Name
N/O- city ?
I e-rr'l State
KC Zip a g S S (p
-
Phone No. N A-
t Lot No.(s) (if many, attach additional page with list)
NA
- - ex
. I
a. In which NC river basin is the project located?
Ncu-se- b. Name of body of water nearest to proposed project
°3mawh Cre_c k
c. Is the water body identified in (b) above, natural or manmade? d. Name the closest major water body to the proposed project site.
ZNatural []Manmade []Unknown Nt LAse 1\IC-V
e. Is proposed work within city limits or planning jurisdiction? f. If applicable, list the planning jurisdiction or city limit the proposed
RrYes ?No work falls within.
r-
COLA
W 1 I i G
1PGL
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1
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4. Site Description
a. Total length of shoreline on the tract (ft.) b. Size of entire tract (sq.ft.)
c. Size of individual lot(s) -2.). 0 aU('e S d. Approximate elevation of tract above NNW (normal high water) or
NWL (normal water level) LL_ ,
(If many lot sizes, please attach additional page with a list) ?NHW or EJNWL H • O
e. Vegetation on tract
FoasfecQ
f. Man-made features and uses now on tract UL 1" 10-v d • cc) Y% S u-c ti o n 0 f a S 'i ? +??" 1
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g. Identify and describe the existing land uses adiacent to the proposed project site.
LM&'Gk us-e- o'% NVrtV%'SOU.tA^ i cc's- sticks o 41A SL-bJLCfropWFb
to dwe,1-Frne'.'+
h. How does local government zone the tract? i. Is the proposed project consistent with the applicable zoning?

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' 9f 7, i (Attach zoni compliance certificate, if applicable)

N
[]Y
?NA
es bQ
o
j. Is the proposed activity part of an urban waterfront redevelopment proposal? []Yes No
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 No ?NA
National Register listed or eligible property?
<Form continues on next page>
Form DCM MP-1 (Page 3 of 4) APPLICATION for
Major Development Permit
M. (i) Are there wetlands on the site? Rryes ?No
(ii) Are there coastal wetlands on the site? 5?(es ?No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? R?es ?No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities. 1aVt e x isl? f S'y H K = r% l I'Y Chi o vi
?krrch
is
in Place. wt tt 6&r V¢ 41-t pr-val-e: resiidtMCL . A low prc*S"rt s?S1-cw, iS
Proposcd to StXV1- +1" plan.+ed loam/.,~;ft'J' *c; IIFfe-S (etc work p14,f?
o. Describe existing drinking water supply source.
C0vy1VylL4,Ill 'I 11JCL+dy 5
s?'t , oIpC.+'at'cd
?u,vr,I?co
Lowy,
p. Describe existing storm water management or treatment systems.
N?
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? Commercial ?Public/Government
(, Oyn MBYC"0'( Ski r{AA?u ,$ ?Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
I? s(?p fay%I?? Witt be .ppr pc.rvr?ati.?,. f dock) of r, ;SCC1lanccl.4.-s
waf"Craft-• c1ti?I?tcu.sc Fzccll'hcs Witt be gcc.cst?lt b? S(;+4s on a
;LL4Inr basis 1 cla,?.ls pcr Wccic.
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. ?v? f W j I ( LLSGQ cp,,,y/r t .cfte,? a F 61: PS -Pbr $urgc fr?owr+u?t pill ((rlvl•? c??pm
c. radl ui ?rw.} fD be useo[ ?r
(Walkul?C???jw P,c,rs? I yctG? hac; rrlis 8 `? e vi
?ih'fs Gansk'uch'er
la.?.?d Wa,? W hC-KS'- & C i li l'ic5 1 ,,z.. Iw+',/
d. List all development activities you propose.
W0.1)4 S . CO?+s}-rl.ct'
(OnsFru.cf• w?) lcadc! t ?'' o?ockl ?S ? r C? I hi h+.l! sa--? ?? p hc.s r
t(aot .ptLF o-f cop ??e! walks ? hut; l; F? ? t? lac; I i
t,,?a.kuv supp .Cow, pIGFt cowl-r uc?hon 0? loa? L?au.?c. Ir,sf?l 1 C7 ? Swc"+ ? ra vt-I bks?
PfA Yl.1 S CGS.
e. Are the proposed activities maintenance of an existing project, new work, or both?
Nw Work
f. What is the approximate total disturbed land area resulting from the proposed project? ?Sq.Ft or Acres
0-;t fty s t
g. Will the proposed project encroach on any public easement, public accessway or other area ?Yes 21?4o ?NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
t40 n't
i. Will wastewater or stormwater be discharged into a wetland? ?Yes No ?NA
If yes, will this discharged water be of the same salinity as the receiving water? ?Yes ?No DJGA
j. Is there any mitigation proposed? ?Yes o ?NA
If yes, attach a mitigation proposal.
<Form continues on back>
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.
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 frr(driCk W060'
1t n I Phone No.
Address 10-7 07.zl1ard Pr; yc Mtrri ,NC 9&5-57/e pba - PAM. I gaa
Name JWhn A• Ti l tV^ Phone No.
Address a (p d Atoh$;.Gh L.CA¢ 1'1/1 G rrt lT, NC a 6csi ?S a • yy •lS? 9
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.
G14'MP 64,nwa1 061 913 • DIA)& auf&r &-fhoriuh'o,, l?- oog-10ky_ •
J1;?? oycMe?f ?,vv»; ? ?r ?th;?u? ??ci ?i h">;? # I?S'?`?
h. Signed consultant or agent authorization form, if applicable. G.S
i. Wetland delineation, if necessary. AIA
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner) 10
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 I /,.
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 knowledge.
12 V
Date 10 Print Name Ch /f 6k
Signatur
Please indicate application attachments pertaining to your proposed project.
?DCM MP-2 Excavation and Fill Information ?DCM MP-5 Bridges and Culverts
E DCM MP-3 Upland Development
[?DCM MP-4 Structures Information
Form DCM MP-3
UPLAND DEVELOPMENT
(Construction and/or land disturbing activities)
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 I
a. Type and number of buildings, facilities, units or structures
proposed.
b. Number of lots or parcels.
On -e
c. Density (give the number of residential units and the units per
acre).
One,
e. If the proposed project will disturb more than 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.
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the DDii ision of Land Resources?
?Yes ?No IJNA
(ii) If yes, list the date submitted:
g. Give the percentage of the tract within the coastal shoreline AEC to
be covered by impervious and/or built-upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
Lt 55 ?han °7
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.
10 • -I Vo
j. Describe proposed method of sewage disposal.
Por f*(t OUM2 P" F C 5 G
S,!4 ff tf? Mr C ? t4 2
1. 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).
Nonc
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
Zg005u?•
List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
M' l for parkin a. ea s
• Pea am vex( ? r u-n la-n ce
walKw s
h. 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?
LO Yes ?No ?NA
(ii) If yes, list the date submitted: fl7 103 o20D$
k. Have the facilities described in Item (i) received state or local
approval?
2'es ?No ?NA
If yes, attach appropriate documentation.
pvMtf 1,4, goog -!olds
m. Does the proposed project include an innovative stormwater
design?
[]Yes R/o ?NA
If yes, attach appropriate documentation.
m. Describe proposed drinking water supply source (e.g., well,
community, public system, etc.)
01
o. When was the lot(s) platted and recorded?
Date
r
l?m?K
Project Name
' t Nf3 e
n. (i) Will water be impounded? ?Yes MNo MNA
(ii) If yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
?Yes ?No J,NA
ppl' nt nat
Porno 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 docking facility/marina:
Commercial ?Public/Govemment ?Private/Community
?This section not applicable
b. (i) Will the facility be open to the general public?
?Yes MNo
c. (i) Dock(s) and/or pier(s)
(ii) Number I t
(iii) Length

(iv) Width i
F'
(v) Floating ?Yes r-D&o
,
e. (i) Are Platforms included?Ayes ?No
If yes:
(ii) Number
(iii) Length 10
(iv) Width 10
(v) Floating ?Yes %No
Note: Roofed areas are calculated from dripline dimensions.
g. (i) Number of slips proposed
9
(ii) Number of slips existing
Z.
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: AO
M. (i) Will the facility have tie pilings?
.& Yes ?No
(ii) If yes number of tie pilings?
H
d. (i) Are Finger Piers included? Was ?No
If yes:
(ii) Number
(iii) Length
(iv) Width
(v) Floating ?Yes <No
f. (i) Are Boatlifts included? ?Yes )<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
?0 Dockage, fuel, and marine supplies i ? to
Dockage ('wet slips-) only, number of slips: 7 'j
? 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, s it boats, mixed types).
1. (i) Will the facility be open to the general public?
?Yes A?qNo
Z 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
VToilets for patrons; Number: --; Location: yd o- NOH-fx !s? Lahr- a arac e-
Showers C c5(,? w®r t plat
? Boatholding tank pumpout; Give type and location: VA
b. Describe treatment type and disposal location for all sanitary wastewater.
Qs' e akly M Ise. ?realdbLi i,di v;C1ccc_l
4.e, /) c 1-114 4i led 1) fl /, ) Qrk r9le-7'_ c. Describe the disposal of solid waste, fish offal and trash.
D li n u?Sh ?r?, cea^ ill be l oca,f ed a/oh wra
d. How will overboard discharge of sewage from boats be
t V one 51' yh poshd Qt -r- ihfe-secf,&n D;p ma;
e. (i) Give the location and number of "No Sewage Discharge" signs proposed. V
WG.i'kuXJ • One 61- ® 1\100k u,d of M494n werlk? ne S?ti ® WiPJ 6/4, ad pnt sir,
Sow e*, of maie, mAlkw941.
(ii) Give the location and number of "Pumpout Available" signs proposed.
Mon e
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
NA
g. Where will residue from vessel maintenance be disposed of?
Ifwrc w11I lot no Visscl vnaiyj?? ce 0 S rc; ??
h. Give the number of channel markers and "No Wake" signs proposed. A6C
L Give the location of fuel-handling facilities, and describe the safety measures planned to protect area water quality.
Non t,
j. What will be the marina policy on overnight and live-aboard dockage?
k. Describe design measures that promote boat basin flushing?
N oh.Z
I. If this project is an expansion of an existing marina, what types of services are currently provided?
NA-
m. Is t 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 94
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.
pCW ?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) Vhis 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.) 9fhis section not applicable
a. (i) Number
(ii) Length
(iii) Width
5. BREAKWATER (e.g., wood, sheetpile, etc.) phis section not applicable
a. Length b. Average distance from NHW, NWL, or wetlands
c. Maximum distance beyond NHW, NWL or wetlands
16. MOORING PILINGS and BUOYS Vf This section not applicable
a. Is the structure(s):
?Commercial ?Public/Government ?Private/Community
b. Number
c. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
d. Description of buoy (color, inscription, size, anchor, etc.)
e. Arc of the swing

7. GENERAL
a. Proximity of structure(s) to adjacent riparian property lines
?: f s;dc . s 18P?. I.?Ff side is
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body
b. Proximity of structure(s) to adjacent docking facilities.
Ll O`t Norte
d. Water depth at waterward end of structure at NLW or NWL
e. (i) Will navigaati nal aids be required as a result of the project?
?Yes IJN, ?NA
(ii) If yes, explain what type and how they will be implemented.
8. OTHER 07his section not applicable
a. Give complete description:
-W11)
Date
K i rn{,k
Project Name
C-W964,r F-,- -X I'tM
Applican
Applicant Signature
P.O. Box 88
Merritt, NC 28556
-3c-
Broad Creek Contracting
Phone: [phone]
Fax:; [phone]
KLIMEK PROJECT
188 Non Such Lane
Merritt, NC 28556
Based on conversations with Terry Bennett and Brad Connell, I, Andrew Law, do not believe that a ten slip
docking facility at Mr. Klimek's personal residence would require any landward buildings or structures. In
saying this we do not believe the proposed facility would be in any violation of Mr. Klimek's residential
restrictive covenants.
i

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