20081674 Ver 1_CAMA Application_20110301

r`?
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
MEMORANDUM
TO: Ms. Cyndi Karoly
Env. Biological Supervisor
Division of Water Quality Wetlands Unit
FROM: Doug Huggett Respond to Doug Huggett
Major Permits Processing Coordinator
Coastal Management Division Morehead City Office
400 Commerce Avenue
Morehead City NC 28557 t4e
11
DATE: 25 February 2011 SUBJECT: CAMA Application Review MAR 2Q]1 APPLICANT: Carlton G. Hardee and R A 04 tUa? r.
PROJECT LOCATION: Beaufort County off SR 1190 at 1 Bay Drive in the Bay Hills Subdivision on
the Pamlico River near Chocowinity, North Carolina.
PROPOSED PROJECT: Applicant proposes to construct single-family residence, driveway, bulkhead,
groins, pier, boathouse, two wet-slips and retaining wall.
Please indicate below your position or viewpoint on the proposed project and return this form by 17
March 2011. Please contact R. Kelly Spivey at 252-948-3853, if you have any questions regarding the
proposed project. When appropriate, in depth comments with supporting data are requested.
REPLY This office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the proposed project only if the recommended changes
are incorporated. See attached.
This office objects to the proposed project for reasons described in the attached
comments.
Signed
943 Washington Square Mall, Washington, NC 27889
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
Date
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
?Wurall?
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
Y
1. APPLICANT'S NAME: Carlton G. Hardee
2. LOCATION OF PROJECT SITE: Beaufort County off SR 1190 at 1 Bay Drive in the Bay Hills Subdivision
on the Pamlico River near Chocowinity, North Carolina
Photo Index -1995; 99-1046, J-17 2000; 99-1124, K-4 2006; 99-8174, N-21
State Plane Coordinates - X: 2,588,900Y: 637,800
Hackney Quadrangle - Upper Right Corner
3. INVESTIGATION TYPE: CAMA, Dredge & Fill
4
5
INVESTIGATIVE PROCEDURE: Dates of Site Visit - 23 February 2011
Was Applicant Present - No
PROCESSING PROCEDURE: Application Received - 11 February 2011
Office - Washington
6. SITE DESCRIPTION:
(A) Local Land Use Plan -1997 Beaufort County Land Use Plan
Land Classification From LUP - Conservation (water), Rural (land)
(B) AEC(s) Involved: Estuarine Water, Public Trust Area and Coastal Shoreline
(C) Water Dependent: Yes
(D) Intended Use: private
(E) Wastewater Treatment: Existing - none
Planned - Pumped to offsite disposal location
(F) Type of Structures: Existing - bulkhead
Planned - bulkhead, pier, platform, boathouse, 2 wet-slips, single-family
residence, groins, retaining wall
(G) Estimated Annual Rate of Erosion: 2.0'
(H) Source - applicant
7. HABITAT DESCRIPTION: [AREA]
nPTMC_L1n UTT T UTl r. rrrrT,

(A) Vegetated Wetlands
(404) --- V 111L1\
±560 ft' (shaded
by residence)
B Non-Vegetated Wetlands
( )
±100 ft' (groins) ±1,632 ft2

River Bottom
±270ft2(bulkhead) (pier and

boathouse)
(C) Other (Uplands)
covered ±2,040 ft2 ±2,700 ft2
(residence and (bulkhead backfill)
driveway)
(D) Total Area Disturbed: ±7,302ft2 (0.17 acres)
(E) Primary Nursery Area: No
(F) Water Classification: SB NSW Open: No
8. PROJECT SUMMARY: The applicant proposes to construct single-family residence, driveway,
bulkhead, groins, pier, boathouse, two wet-slips and retaining wall.
NARRATIVE
CARLTON G.HARDEE
CAMA MAJOR PERMIT
December 29, 2010
Mr. Hardee proposes to construct a 36 foot by 36 foot dwelling on a 0.99 acre lot at Bay Hills
Subdivision on the south side of the Pamlico River at its confluence with Chocowinity Bay.
The majority of this lot is 404 wetlands. There is no CAMA marsh on the lot. Construction activities
also include shore line stabilization (a bulkhead) and groin, a pier and boat house, a driveway, and a
bulkhead to protect 404 wetlands. Sewage will be pumped off site. There will be no hardened collection
system for rain water. All storm water will be sheet flow.
The buildable part of this lot is at the water along a strip of wooded, sandy loam high ground with an
average elevation of less than 4 feet. The construction of the dwelling and driveway require a bulk head to
protect 404 wetlands. Part of the dwelling (about 25 percent) will be on pilings over the 404 wetland.
Drive way access will be across the lot Mr. Hardee presently owns on the north side of the 0.99 acre lot.
Only about 0.2 acres of land will be disturbed to accomplish all construction activities
n
Carlton G. Hardee
Bay Hills
Beaufort County
Proiect setting
The project site is located off SR 1190 at 1 Bay Drive in the Bay Hills Subdivision on the
Pamlico River near Chocowinity in Beaufort County, North Carolina. The lot is approximately 1.0
acres (43,560 ft2) in size and has approximately 205 linear feet of shoreline. This lot is owned by
Mr. Carlton G. Hardee who also owns a single-family residence immediately adjacent on the
upstream side. The only man-made features on the lot is a bulkhead and a small amount of rip rap
which measures approximately 80 feet in length. High ground exist immediately landward of
Normal Water Level (NWL). This high ground transitions into a Section 404 Wooded Wetland that
has been delineated by the US Army Corps of Engineers approximately 70' landward of NWL. The
high ground on the property is approximately 4' above NWL. The lot is mostly vegetated with pines,
mixed hardwoods, and 404 wetland species.
The upstream (northwest) side is owned by the applicant and is a developed lot with a single-
family residence, pier, boathouse, bulkhead and boat ramp. The downstream (southeast) side is an
undeveloped lot which is of similar vegetation and elevation as the project site.
The Pamlico River is classified as SB NSW by the Environmental Management Commission
at the project site. The Pamlico River at this location is Coastal Waters and is not open to shell
fishing.
Proiect description
The applicant proposes to install 135 linear feet of bulkhead an average of 2' water ward of
Normal Water Level. The applicant has indicated in the application that 2.0 feet of erosion has
occurred during the preceding 12 months. The bulkhead will have two groins projecting 25'
waterward in the Pamlico River. The applicant also proposes to construct a 160' long by 6' wide
pier with a 16' by 24' T-Head platform at the terminal end. A 12' by 24' boathouse (dripline) will be
located on the upstream side of the platform. A 14' by 16' wet-slip with 3 pilings will be located on
the terminal end of the structure and a 14' by 24' wet-slip with 3 pilings will be located on the
downstream side of platform. An additional 30' of 6' wide pier/access will be landward of NWL.
A 100' retaining wall/bulkhead will be located on the landward edge of the Section 404 Wooded
wetlands. A 40' by 40' (includes drip line) single-family dwelling will be located approximately 50'
landward of NWL. A portion of the proposed dwelling (roof drip line) is proposed within the Tar-
Pamlico River Basin Buffer administered by the NC Division of Water Quality. Approximately
560ft2 of the residence will be pile supported over the Section 404 wooded wetlands. This structure
is being relocated from a lot within Bay Hills subdivision. The applicant proposes to pump sewage
from this residence to an offsite location. The proposed sewage disposal method has not received
any state or local approval at this time. A 10' wide by 100' long asphalt driveway is proposed
immediately landward of the Tar-Pamlico River Basin Buffer.
Anticipated impacts
The project will result in localized turbidity as a result of the construction activities. The
construction of the proposed docking facility will result in a total river bottom shaded impact of
±1,632ft2. The construction of the bulkhead will result in the filling of approximately 270 ft' of
shallow river bottom. The construction of the single-family residence and the driveway will result in
±2,030 ft2 of impervious surface within the Coastal Shoreline AEC, which is approximately 16%.
Approximately 560ft2 of delineated Section 404 Wooded Wetlands will be shaded as result of the
construction of the pile supported dwelling.
Kelly Spivey - 23 February 2011
4
DO 011
APPLICUION for s
Major Development Permit 7
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name Project Name (if applicable)
Applicant 1: First Name
C/:; Y1. i- ro MI
('. Last Name
/Z- d
Applicant 2: First Name MI Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
-1 6m O?; ve PC Box City
C/ 'J CO wi -'Y i State
?c
ZIP P

7 0 l
Z 7 Country

Utz v l= D IL ?' Phone No.

LrZ 1l - 7 / ext. FAX No.

?'-
Street Address (if different from above) City State ZIP
-14-
Email
Z. Agent/Contractor information
Business Name ))
Agent/ Contractor 1: First Name
49 J J MI
4. Last Name
?'0'? h dso
AgenU Contractor 2: First Name MI Last Name
Mailing Address
llesT Secv, 5? PC Box
- city
' j-vw State
NC
ZIP -7
X7 9/9 hone No, 1

s7- ! ;Y?Aext. ?--- -
: Phone No. 2

?/' + ext.
FAX No. Contractor
#
Street Address (if different from above) City State ZIP
Email
<Form continues on back>
f2 8 <-tit18 ?, 1-8 t 3-4R# 0 4xST <;r,,nc: rs•e " eatananagCi rrae- n' -ae
Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project' Location
County (can be multiple)

ae?? i=ce ,? r Street Address

1 BA DAB v L
State Rd. #
Subdivision Name
'514 City State Zip
-27117
Phone N
Z 3_z- 71 - Y 7 I ext. Lot No.(s) ( many, attach additional page with list)
WtJ T Xi 9.c l/r" * Z 0
a. In which NC river basins is the project located? b. Name of body of water nearest to proposed project
YL - f'?4 r"? ?? C o ?/4m /fir' 14
c. I
ater body identified in (b) above, natural or manmade? d. Name the closest major water body to the proposed project site.
Vat,ral
?Manmade ?Unknown M k r ') /` p! ?p/1 '
C h DCv 4v, N /
e. Is proposed work within city limits or planning jurisdiction?
?Yes
. f. If applicable, list the plannin jurisdiction or city limit the proposed
work falls within
Y
((?` . /
?/
4. Site Description
a. Total length of shoreline on the tract (ft.) b. Size of entire tract (sq.ft.)
2° or r o. 14GK?Q
C. Size of individual lot(s)a
,7 CAC
Q • d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water l
l
1 )
eve
(If many lot sizes, please attach additional page with a list) y- ?NHW AWL
e. Vegetation on tract

f. Man-made features and uses now on tract
V/Ake d ok-,( 14sr
.5-1 e
g. Identify and describe the existing land uses adjacent to the p
/lQsrd-C Kr;? ?r-? ro•,-.? roposed pro ect e.
Ala, S2 L'k rs ?.? vr
h. How does local government zone the tract? i. Is the proposed project consistent with the applicable zoning?
c
oj + (Attach zoning compliance certificate, if applicable)
_ ?Yes ?No A
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ?Yes o
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. ?Yes RNo ?NA
?`
If yes, by whom?
I. Is the proposed project located in a National Registered Histo ric District or does it involve a ?Yes o ?NA
National Register listed or eligible property?
<Form continues on next page>

2908 t-ttLg 4.RCf3 A IS?' v ff CE, O'nstattrt2?r?_iyrrr, r?t.neI
Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? Yes ?No
(ii) Are there coastal wetlands on the site? ?Yes (Jo
T
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? E]No
es
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
?? ? ? j po,,,, ? s r t ? s.? ?,.?,? y.e. we'll 6?. ? v,•???0.? ? ? o?? s irp
is pis A L q rt .e CA- /le-AA4 I
o. Describe existing drinking water supply source.
p. Describe existing storm water management or treatment systems.

5. AO.Vyides antl Impacts
a. Will the project be for commercial, public, or private use? _ ?Commercial ?Public/Govemment
rSIXivate/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
c. Describe the proposed construction methodology, types of construction equipment to be used during constr ctio the number of each type
oequipment V"and L whT-AxQ se 1o d
Sire. llSe. Loy914dDae?s A TK?c1cl
d. List all development activities you propose.
?. co Acs rM ?c f I? 6-`1<k e r,. dS -r-J T? r r y? ©c? e%-Sr
lsf w,:?c
wv,-„y,?-,o3 l ? y R KS Qv y ,11ar?r? 'eu.-1'?Gi-So ?.7?
e. Are the proposed activities maintenance of an existing project, new work, or both?
/T Q (,/ lvo
f. What is the approximate total disturbed land area resulting from the proposed project? ?Sq.Ft or Acres
Q , 7/
g. Will the proposed project encroach on any public easement, public accessway or other area ?Yes No ?NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
?JOF l/rt.At4 6
i. Will wastewater or stormwater be discharged into a wetland? S'H F (O L',t 40--V f/ Yes ?No ?NA
O tn/q 5 Te-Lev} r,0/l , !
If yes, will this discharged water be of the same salinity as the receivin t ? W Q ?Yes ?No NA
j. Is there any mitigation proposed? ?Yes No ?NA
If yes, attach a mitigation proposal.
<Form continues on back>
i •: 4;"u` t'V Ti C' c t,,` it s f .1 1 )1'3 :A „7. a,,-- i4? 4' f7 t
l
Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additionallnformation
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order forthe application
package to be complete. Items (a) - (t) are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below,
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross-sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, 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 l1? ? 'V'F? VJ Phone No '?/f -34 3 -? L.LL L
Address , /OF GO !(. t_ CJ I+,j i°r I t / X 7f ??
Name 4 T T: k/ 1? p/1 fr R--'" A/.5/ f> t A.10 Phone No.,Z)' L"
Address D . 'e-) I ZO ,W rq S k h? 9 ,-0 ?, '46 'Z 7/YY/ l
Name C-
Address 6G/ ( /VC K3 /JPTV ;At-e*I Vi //,e
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
No t4 4?,
h. Signed consultant or agent authorization form, if applicable,
h(
i. Wetland delineation, if necessary.
Er??,' l ?e n ? ?' ? N Uf C? h s E'..,c r ?`e.?.,,.
j. A signed AEC hazard notice for projects in oce nfront and inlet areas. (Mus be signed by property owner) r AM
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 Ac
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.
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.
Date Print Name C11YLO-JAI C? 11A?Ld ?ee-
Signature I fC??Z
PI ase indicate application attachments pertaining to your proposed project.
UM MP-2 Excavation and Fill Information EIDCM MP-5 Bridges and Culverts
CM MP-3 Upland Development
DCM MP4 Structures Information
252.1.108-2800 t,B T-4R"C? `'•"T" ., ..ska,sJ,ncca21!;( a Imrt r::'.arr:, .;.;R
C /-} vL L. Tj ky &. 1Y I-plo- d -C4
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
(NLW or Canal Boat Basin Boat Ramp Rock Groin Rock (excluding
Breakwater shoreline
NWL stabilization
Length
Width
Avg. Existing A

Depth N NA
Final Project

Depth NA NA
1: EXCAVATION his section notapphcable
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
?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 (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.
Y-This 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. (i) Does the disposal include any area in the water?
?Yes ?No ?NA
(ii) If yes, how much water area is affected?
?2.3t3'J-<9'JP. :: 7-SQB-vfCCu?S?_ Lti°rtY <.Ud, i?Ers,?rF?gemcrz4.,??t

c
v
Form DCM MP-2 (Excavation anid Fill, Page 2 of 2)
k--, rlr?L.i writ V ` &'--I^<a44_
,3. SHORELINE STA'BILIZATION' OThis section not applicable.
(if development is a wood groin, use MP-4 - Structures)
a. Typy of shoreline stabilization: b. Length:
[?$ulkhead ?Riprap ?Breakwater/Sill ?Other:
c. Average distance waterward of NHW or NWL:
2 F-4q-
e. Type of stabilization material:
Width: L--fv?
d. Maximum distance waterward of NHW or NWL:
g. Number of square feet of fill to be placed below water level. gz gc h.
Bulkhead backfill Riprap
Breakwater/Sill Other
i. Source of fill material.
6 F F Si't
(i) Has there been shoreline erosion during preceding 12
mo ths?
es ?No ?NA
If yes, state amount of erosion and source of erosion amount
information.
2 ?'?t 7 r041? ?iG1-?R8051?n1 F?Lr+^On?a,.? l
Type of fill material. J
4. OTHER FILL ACTIVITIES his section not,appbcatile.
(Excluding Shoreline Stabilization)
a (i) Will fill material be brought to the site? ?Yes ?No ?NA b. 6) Will fill material be nlar-nd in rnastal wat?an ic/ a <r /rw\
If yes, submerged aquatic vegetation (SAV), shell bottom (SB), or
(ii) Amount of material to be placed in the water other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(iii) Dimensions of fill area ?CW
?SAV
(iv) Purpose of fill ?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)? /
•???s r V L !? /`f Q /3 S Q? z e rg. it v c. K b A c, c ?-2
c. (i) Will na ga tonal aids be required as a result of the project? d. (i) Will wetlands be cr ssed in transporting equipment to project
?Yes / No ?NA site? ?Yes o ?NA
(ii) If yes, plain what type and how they will be implemented. (ii) If yes, explain t? eps that will be taken to avoid or minimize
environmental impacts.
/A
l Cn?r()? G /?qAC(Q.`
Date
Ap Icant Name
CA rt-L Td K ?•' l?a.t.?l. e? ! '
Project Name Applicant Signature
252 108-',?S''08 :: 1-888-ARCOAST :; rnV1

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.
JERAL UPLAND DEVELOPMENT
a. Type and number of buildings, facilities, units or structures
proposed.
ONE p,? 0 WJZ_ !/1 tir f ??e)rg ?,?t?
J1&k,a)ae,2 Ski r 1.u Tt <. b Tr ?ci4 t?oL rJp
v9'4.a 4? Rrc :•.,- veu ? +ivnsoti? 1
c. Density (give the number of residential units and the units per
acre).
O N e_ a Q rL Iq C-17p
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
vision of Land Resources?
Dyes ?No A
submitted to th lesubmitted:
(ii) If yes, list the da 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.
90
/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.
`?- 7 7.)
j. Describe proposed method of sewage disposal
b. Number of lots or parcels.
OAf F
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
0 , 2 14 «e.
f. List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
C /? ys J ro Ke C kin
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 ality for review?
?Yes No ?NA
(ii) If yes, list the date submitted:
k. Have the facilities described in Item (i) received state or local
approval?
?Yes If yes, ?t?capnNA
h propriate documentation.
Describe location and type of proposed discharges to waters of the m. Does the proposed project include an innovative stormwater
state (e.g., surface runoff, sanitary wastewater, industrial/ design?
commercial effluent, "wash down" and residential discharges). ?Yes `l0 ?NA
S_, R r-A C e wit j re n h Jh! 01-1- If yes, a appropriate documentation.

7
Form DCM MP-3 (Upland Development, Page 2 of 2)
m. Describe proposed drinking water supply source (e.g., well,
community, public system, etc.)
eAw:orst ?Kry eren
o. When was the lot(s) platted and recorded?
17. q Y?
// 2- ? ///
Applicant Signature
n. (i) Will water be impounded? ?Yes ?o ?NA
(ii) If yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
?Yes ?No y A
:'NC?t3 :: 1-'?138.4,RCCA ST :; tw ratN,t c, n t ?r;f.? .t
rvv;rv-'; 12'26e( s

G? w? i z? hr ? ??i? ??-d .c-?
Form 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 L1 This section not applicable
a. (i) Is the docking facility/marina:
[]Commercial ?Public/Government Xprivate/(
c. (i) Dock(s) and/or pier(s)
(ii) Number t
(iii) Length
11 Ir^4Y,?
lJo
(iv) Width 6'
(v) Floating []Yes ?lo
4
d roc 4-4,44
e. (i) Are Platforms included? []Yes []No
If yes:
(ii) Number
(iii) Length ;_I f
(iv) Width t .
(v) Floating []Yes o
Note: Roofed areas a e calculated from dripline dimensions.
g. (i) Number of slips proposed
(ii) Number of slips existing
v
i. Check the proposed type of siting:
? Land cut and access channel
[]Open water; dredging for basin and/or channel
pen water; no dredging required
[]Other, please describe:
b. (i) Will the facility be open to the general public?
?Yes?* o
d. (i) Are Finger Piers included? []Yes
o

If yes:
(,
/
(ii) Number
(iii) Length
(iv) Width
(v) Floating
f. (i) Are Boatlifts included? ?Yes ?No
If yes:
(ii) Number
(iii) Len
th
F
g rr-L
/2
(iv) Width -
T
h. Check all the types of services to be provided. Ala T
? 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, mixe types).
k. Typical boat length: 4 y rzL"+ I (i) Will the faCjilityy be open to the general public?
m. (i) Will the facility have tie pilings? []Yes ?10
?Yl es ?No
(ii) I yes number of tie pilings?
'C2 B18-2809 ?-;Sit; -0 v r d 12

• Form ®CM MP-4 (Structmres, page 2 of 4)
G /? rLL ro u G. 146w J ee-
2. DOCKING FACILITY/MARINA OPERATIONS
rh s section not apphca6le'
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?
1. If this project is an expansion of an existing marina, what types of services are currently provided?
:57 303-2 808 .
. ? ,},,',.f A v '1L3 'tGCT3 r`il t rt¢ r., .A ..
!0
- Form 0OM MP-4 (Structures, Page 3 of 4)
C 4 /2'- T'LD h` (5" CvI A rt. 0)5"C
m. Is the manna/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 manna/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) ?This section not applicable
a. (i) Is the boathouse structure(s):
?Commercial ?Public/Govemment rivate/G marneni4y.
(ii) Number //
(iii) Length ??TLr
(iv) Width 17-
T T
Note: Roofed areas are calculated from dripline dimensions.
4. GRO1N (e.g:, wood, sheetpile, etc., If a rock groin, use MP-2, Excavation and`Fill,) ?This section not applicable
a- (i) Number
(ii) Length F 1
(iii) Width -4L-f 04 j'
5. BREAKWATER (e.g., wood, sheetpile, etc.) ?Thissection 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 notapphcable
a. Is the structure(s): b. Number
?Commercial ?Public/Government ?Private/Community
c- Distance to be placed beyond shoreline d. Description of buoy (color, inscription, size, anchor, etc.)
Note. This should be measured from marsh edge, if present.
e. Arc of the swing
?_-8t3$.{vflia :: r ? -; ..,,. .: ,, vvvw.a?+ce?:?:?4C^stralat??? <u;-. r?zt
I/
Form DCM MP-4 (structures, Page 4 of 4)
C, H rl-I- 1 U +Y U • t7 4 r%
7 GENERAL
a. Proximity of structure(s) to adjacent riparian property lines b. Proximity of structure(s) to adjacent docking facilities.
&3 ^ r f L' p S ;4 0 FA--.. . .Sv ?S ••t d H?tip •? 1/d J M f ` `7`vJ-2. / S 5-0
/tA,4Az f"& 7+) /4Jr`11`1'"•1 ~
Note: For buoy or mooring piling, use arc of swing including length / C. (-Of 4.J -r,
/? d A f < v ?-?
of vessel.
c. Width of water bedy
?_ Yvl1 L E l AY u ws 4ax 400 0
rUc•l?ansa,4 )
d. Water depth at waterward end of structure at NLW or NWL
f -C-
e. (i) Will navi atonal aids be required as a result of the project?
?yes o ?NA
(ii) If yes, explain what type and how they will be implemented. S. OTHER ?This section not applicable.
a. Give complete description:
Date
Project Name cl,
Applicant Name
Applicant Signature
252-308-280E
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