20130233 Ver 1_CAMA Application_20130306

4 FWA
20130233
RUNEWR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
March 5, 2013
MEMORANDUM:
TO: Karen Higgins
401 Oversight
DWQ - Surface Water Protection
FROM: Doug Huggett, NC DENR -DCM Major Permits Co
400 Commerce Ave., Morehead City, NC 28557 (Courier 11- 12-09)
SUBJECT: CAMA / D &F Major Permit Application Review
Applicant: Gwendolyn Ward
Project Location: 144 Great Oak Dr., adjacent to the AIWW, in Hampstead, Pender Co.
Proposed Project: to install a single -pole lift, creating a third boat slip and to dredge the area
around the existing boat lift to achieve a depth of 4 at normal low water.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Dou4 HUQQett at the address above by March, 28, 2013. If you have any
questions regarding the proposed project, contact Heather Coats at (910) 796 -7215, when
appropriate, in -depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
SIGNED
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.
DATE
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: 910 - 796 -72151 FAX: 910 - 395 -3964 Internet: www.nccoastalmanaoement.net
An Equal OpportuMy 1 Affirmative Action Employer
@ LTI
. F_• �
MAR v 6 /01
NR Ty

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Gwendolyn Ward
2. LOCATION OF PROJECT SITE: 144 Great Oak Drive, adjacent to the Atlantic Intracoastal
Waterway (AIWW), in Hampstead, Pender County.
Photo Index - 2006: 26 -6637 S -U, 3 2000: 26 -336 D -F, 2 1995: 26 -267 P -R, 13
State Plane Coordinates - X: 220501 Y: 2393462
Lat:34 °20'55.48747 "N Long: 77 °41'47.37278 "W
3. INVESTIGATION TYPE: CAMA/Dredge & Fill ROVER FILE # - Q02141 OA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit — 1/24/13, 2/14/13, 2/19/13
Was Applicant Present — Yes (agent present on 1/24/13)
5. PROCESSING PROCEDURE: Application Received — 2/4/13 (Complete)
Office - Wilmington
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Pender County
Land Classification From LUP - Conservation
(B) AEC(s) Involved: PT, EW
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - Septic
Planned - N/A
(F) Type of Structures: Existing — Single- family residence, bulkhead and 2 -slip docking facility
Planned — Single -pole boat lift and new dredging.
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION: [AREA]
DREDGED MLED OTffER
(A) Vegetated Wetlands (Mixed coastal &
404 -type)
(B) Non - Vegetated Wetlands
240 sq. ft.
48 sq. ft.
(Open water
into orated
(C) Other
1
11
(D) Total Area Disturbed: 288 sq. ft. (0.007 acres)
(E) Primary Nursery Area: No
(F) Water Classification: SA -ORW Open: Yes
8. PROJECT SUMMARY: The applicant proposes to install a single -pole lift to create a third boat slip
and to dredge the area around the existing boat lift to achieve a depth of 4' at normal low water.

Gwendolyn Ward
Page 2
9. PROJECT DESCRIPTION:
The project site is located at 144 Great Oak Drive, adjacent to the AIWW, in Hampstead, Pender
County. To locate the property from the WIRO office, drive north on NC Highway 17, turn right at
Headwaters Drive. Follow Headwaters Drive approximately 0.8 miles to Overlook Drive. Turn left on
Overlook Drive and follow it to Northline Drive near the end of the road. Turn right on Northline Drive
and follow it to the end. Turn right on Great Oak Drive and the property will be located on the left.
The property consists of a 0.87 acre parcel. A single - family residence occupies the highground portion
of the property, which averages approximately 20 feet above mean high water (MEW) and is vegetated
primarily with lawn grasses. The shoreline is stabilized with a bulkhead and mixed coastal and 404 -type
wetlands vegetate the property waterward of the bulkhead. Groundselbush (Baccharis halimifolia),Wax
Myrtle (Myrica cerifera) and Bulrush (Scirpus spp.) are among the species that vegetate the area
immediately waterward of the bulkhead. This area measures approximately 30' in width. Waterward of
this transition zone, Smooth Cordgrass (Spartina alterniflora) vegetates a distance of approximately
180' before reaching a small channel of approximately 25' in width. The marsh then continues again on
the other side of the channel for a distance of approximately 135' before terminating at the AIWW. A
narrow oyster shell berm exists approximately 40' from the waterward edge of marsh, and measures
approximately 20' in width. This area is sparsely vegetated with Glasswort (Salicornia spp.), Sea
Lavender (Limonium carolinianum) and Salt Marsh Cordgrass (Spartina alterniflora). The overall span
of marsh, including the small channel and shell bank, measures approximately 360' in length from the
bulkhead. The width of the waterbody measures approximately 600' from marsh to marsh. The docking
facility extends 103' into the waterbody from the edge of marsh and is located approximately 118'
landward of the federal channel setback. Submerged aquatic vegetation (SAV) is present between the
marsh and the platform, although SAV was not observed within the proposed dredge area or within the
footprint of the proposed lift area during my three site visits, although a thorough investigation was not
possible due to wind and water levels.
The 2 -slip docking facility was authorized under CAMA general permit #15812, issued to Michael
Ward on February 1, 1996. It authorized a pier, T -head, floating dock and boathouse. It was later
modified to reconfigure the floating dock. It appears the boathouse was eliminated in the modification.
A general permit ( #52515) was then issued to Gwendolyn Ward on May 4, 2009 authorizing a boatlift
adjacent to the floating dock. The docking facility consists of a pier leading to an irregularly shaped two -
story platform, measuring approximately 24' in length by 15' in width. The platform leads onto a
floating dock which measures 32' in length by 6' in width. A 12' by 12' boatlift is located on the south
side of the floating dock.
Based on three site visits, the water depth in the location of the floating dock is estimated to be
approximately -2.5 at normal low water (NLW).
The waters of the AIWW are classified SA -ORW by the Division of Water Quality. The project area is
NOT designated as a Primary Nursery Area (PNA) by the N.C. Division of Marine Fisheries and is
OPEN to the harvest of shellfish.

10.
Gwendolyn Ward
Page 3
PROPOSED PROJECT:
The applicant proposes to install a single -pole lift adjacent to the existing gazebo in order to create a
third boat slip and to dredge a 20' in length by 12' in width area under the existing boat lift to achieve a
depth of -4' at normal low water. The spoil site would be identified by the contractor prior to
the initiation of the project. The applicant's agent has stated that the contractor will obtain approval from
the Division of Coastal Management prior to the initiation of work.
ANTICIPATED IMPACTS
The installation of the single -pole lift would result in the incorporation of approximately 48 square feet
of Estuarine Waters and Pubic Trust Area. The dredging would result in the excavation of 240 square
feet of shallow bottom (which is also designated as Estuarine Waters and Public Trust Area). Although
no SAV was observed within the project area, site conditions did not permit a conclusive determination
as to whether there would be any impacts to SAV.
Minimal increases in turbidity occur during construction. The boat lift would not encroach into the
USACE AIWW setback, nor into either 15' riparian setback.
Submitted by: Heather Coats Date: 3/1/2013 Office: Wilmington

CAMA Project Narrative, Ward
Boatlift &maintenance dredging in the
boatlift well.
October, 15 2012
Location, 144 Great Oak Drive, Hampstead NC 28443
Property owner, Michael Ward Agent, Boatzright Inc. / Hobie
Buffington
The Wards wish to add to the existing facility by installing an additional boat lift
installed for the storage and safe berthing of one small water craft. The Wards
also request maintenance bucket dredging under the existing boat lift. The
current and existing structures were authorized by state permit number GP 52515
and 15812 and was issued to the Wards.
The requested additional boat lift is made up of one 8 inch piling and machinery
with a total footprint of 48 square feet. The piling will be driven into the bottom
twelve to fourteen feet. Atop this piling is the housing for the electro mechanical
lifting device. The lower section of the lift known as the cradle shall have two
bunks that would accommodate one small water craft.
The construction is expected to take two days. The piling is to be set with light
barge and the remaining work to be done by hand. The lift will pose no
environmental impact with the exception of shading and six foot by eight foot
section of water two hours a day. The piling is expected to increase marine life
within a year by providing footing for oysters and barnacles and drawing in fishes
attracted by this food source.
-
;,
The area directly below the existing boat lift has silted in and is currently making
the used of the lift difficult. The Wards request a permit to allow for buck et'
maintenance dredging in this twelve foot by siiteen foot area. The total volume

Lf jo 20
to be removed is estimated to 380 cubic foot or if cubic yards. This measure
would restore the depth to � foot at mean low tide.
Written by Boatzright Inc. 817 Berwyn Rd Wilmington NC 28409

M W4
UPUCA1101ftr
Maier Development Permit
PaM M rtse I '11=71M)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (d applicable)
Applicant 1: First Name
Gwendolyn
MI
V
Last Name
Ward
Applicant 2: First Name
MI
Last Name
Hadditional applicants, please attach an addRional pagB(s) **h names fisted.
Mailing Address
144 Great Oak Dr
PO Box
City
Hampstead
State
NC
ZIP
Q%%q 3
Country
USA
Phone No.
910 - 795 - 0228 ext.
FAX No.
Street Address (ifdilfemnt from above)
City
State
ZIP
Email
[e-mail]
2. AgentlContractor Information
Business Name
Boatzright Inc
Agent/ Contractor 1: Fast Name
MI
Last Name
Hobie
L
Buffington
Agent/ Contractor 2: Fast Name
MI
Last Name
Mailing Address
PO Box
City
State
817 Berwyn Road
Wilmington
NC
ZIP
Phone No. 1
Phone No. 2
28409
910-795-0228 ext.
- - ext.
FAX No.
Contractor #
NC 69660
Street Address (d different from above)
City
State
ZIP
Email
boatzrightatmaif.00m
t,
<Form continues on bacb
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Form DCM MP -1 (Page 2 of 4)
APPUCATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Pander
144 Great Oak Dr
Subdivision Name
Cily
State
Zip
DeerField
Hampstead
NC
28455-
Phone No.
Lot No.(s) (rf many, adach additional page with list)
910-795-0228 ext.
116, Deafield Subdivision, I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Cape Fear
Atlantic I C W
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
[]Natural ®Manmade []Unknown
Atlantic ICW
e. Is proposed work within city limits or planning jurisdiction?
f If applicable, fist the planning jurisdiction or city limit the proposed
9Yes Ofto
�
Q C °U t(L C d •
work falls within.
Pander County
4. Site Description
a. Total length of shorerme on the tract (ft.)
b. Size of entire tract (sq.tt.)
150 foot
37,900 sq. ft.
c. Size of individual lot(s)
d. Apprwdmate elevation of tract above NHW (normal high water) or
NWL (normal waterleveq
(H many Jo sized please attach additional page wdh
a fist)
20 foot ®NHW or ❑NWL
e. Vegetation on tract
Ornamental landscape, lavvn grass
f. Manmade features and uses now on tract
House, Dock, timber bulkhead
g. Identify and describe the existing land uses adiaaent
to the proposed project site.
Hose and Dods for residental use
h. How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
Residential
(Attach zoning compliance certificate, if applicable)
®Yes ❑No ❑NA
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?
I. 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?
<Fonn continues on next page>b; j
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Form DCM MP -1 (Page 3 of 4)
APPUCATION for
Major Development Permit
m. @ Are there wetlands on the site?
PlYes
(05) Are there coastal wetlands on the site?
MY" moo
(if) If yes to either M or (1) above, has a delineation been conducted?
❑Yes jgNo
(Attach documentation, if avftle)
n. Describe existing wastewater treatment facilities.
Septic
of equipment and where it is to be stored.
o. Describe existing drinking water supply source.
Hoist barge and water jet
Well
d. list all development activities you propose.
p. Describe existing storm water management or treatment systems.
Install a boat lift maintenance dredging in lift well
NA
e. Are the proposed activities maintenance of an existing project, new work, or both?
5. Activides and Impacts
a. Will the project be for Commercial, public, or private use?
❑Commercial ❑Public/Govemment
®Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
Boadift for residential use
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.
Hoist barge and water jet
d. list all development activities you propose.
Install a boat lift maintenance dredging in lift well
e. Are the proposed activities maintenance of an existing project, new work, or both?
Both
f. What is the approximate total disturbed land area resulting from the proposed project?
NA ❑Sq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public acoessway 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.
NA
L 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 OM ;
j. Is there any mitigation proposed?
❑Yes ❑No' ®NA '
If yes, attach a mitigation proposal.
1.., ', _.
<Fom continues on back>

Form DCM MP -1 (Page 4 of 4)
APPUCATION for
Major Development Permit
6. Addidonallnfonnation
In addition io this comps led appljcoWn form, (MP-1) ft kk w V dams below, riapplicable, must be submMad in order tort the eppl'crcaton
package lo be complete. Items (a) — (0 are always applicable to any major development application. Please consuft Me apyeikaffon
inshucton booldet on how to properly prepare do n qubad dams 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 projecL Is any portion already complete? If previously authorized work, dearly 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 claim 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 waterhont ( 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 Derision of Coastal Management.
Name John Bonitz Phone No. Not available
Address 146 Great Oak Dr.Hampstead NC 28455
Name Gary Lea Phone No. not available
Address 142 Great Oak Dr Hampstead NC 28455
Name Phone No.
Address
g. A fist of previous state or federal permits issued for work on the project tract Include permit numbers, permittee, and issuing dates.
c..4 s 0- s t G . W1%21 s - 'If- 69
G.? ISg1I')- lrhx 9, 11 - ( -9G
h. Signed consultant or agent authorization form, if applicable.
L Welland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and Inlet areas. (Must be signed by property owner)
L A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S.113A 1 -10), If necessary. If the project involves wpenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Ad.
1 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
1 certify that I am authorized to grant, and do in fad grant permission to representatives of state and federal review agencies tD
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 theAst of my knowledge.
Date Oct 17 2012 Print Name Hobie Buffington,
Signature
Please indicate application attachments pertaining to your proposed projeW '
❑DCM MP -2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
®DCM MP-4 Structures Information

Form DCM MP -2
EXCAVATION and FILL
(Except for brldges 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
1. 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 yams. silt/Dluf mud
2® cu.yds. NLW
c. n Does the area to be excavated include coastal wetiandshnarsh
(C11N), submerged aquatic vegetation (SAN), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ®None
(r') Describe the purpose of the excavation in these areas:
Regain depth necessary for use of existing boatiift
2. DISPOSAL OF EXCAVATED MATERIAL
a. Location of disposal area.
Location to be determined by dredging contractor Tommy
Waters. This small amount of material will be combined
with several other small jobs and placed in a permitted and
approved area.
c. 0) Do you daim title to disposal area?
❑Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner
e. () floes the disposal area include any coastal wetlandslmarsh
(CW), submerged aquatic vegetation (SAN), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑Cw ❑sAV ❑SB
OWL []None
(i) Describe the purpose of disposal In these areas:
d. High-ground excavation in cubic yards.
0
❑This section not applicable
of disposal area.
d. 0 Will a dis oral area be available for future maintenance?
[]Yes UNo ❑NA
(i) If yes, where?
n Does the disposal include any area in the water?
❑Yes ®No ❑NA
(7 If yes, how much water area is affected?
Access
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL
stabilization
Length
aZ 0.
Width
12
AAvgp. Existing
-2 NLW
NA
NA
Final Project
Depth
11NLW
NA
NA
1. 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 yams. silt/Dluf mud
2® cu.yds. NLW
c. n Does the area to be excavated include coastal wetiandshnarsh
(C11N), submerged aquatic vegetation (SAN), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ®None
(r') Describe the purpose of the excavation in these areas:
Regain depth necessary for use of existing boatiift
2. DISPOSAL OF EXCAVATED MATERIAL
a. Location of disposal area.
Location to be determined by dredging contractor Tommy
Waters. This small amount of material will be combined
with several other small jobs and placed in a permitted and
approved area.
c. 0) Do you daim title to disposal area?
❑Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner
e. () floes the disposal area include any coastal wetlandslmarsh
(CW), submerged aquatic vegetation (SAN), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑Cw ❑sAV ❑SB
OWL []None
(i) Describe the purpose of disposal In these areas:
d. High-ground excavation in cubic yards.
0
❑This section not applicable
of disposal area.
d. 0 Will a dis oral area be available for future maintenance?
[]Yes UNo ❑NA
(i) If yes, where?
n Does the disposal include any area in the water?
❑Yes ®No ❑NA
(7 If yes, how much water area is affected?

u'd'"ea`uil ca t;8Vd said r'F� jrEIiLa-Jaa.Dog b ;:,Iaad lea z acre& 2 01 7)
I SHORELINE STABILIZATION ®This section not applicable
(If development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization: b. Length:
[]Bulkhead ❑Riprap ❑Breakwater /Sill pother. Wig
c. Average distance waterward of NHW or NWL: d. Maximum distance waterward of NHW or NWL•
e. Type of stabilization material:
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill Riprap
Breakwater /Sill Other
L Source of fill material.
f. () Has there been shoreline erosion during preceding 12
months?
❑Yes ❑No ❑NA
(6) If yes, state amount of erosion and source of erosion amount
information.
h. Type of fill materiat.
4. OTHER FILL ACTMTIES ®This section not applicable
(&duding Shoreline Stabiozatior)
a. (i) W61 fill material be brought to the site? ❑Yes ❑No ❑NA b. () Will fill material be placed in coastal wetlands/marsh (CW),
Wyes,
(ii) Amount of material to be placed in the water
(ii) Dimensions of fill area
(IV) Purpose of fill
submerged aquatic vegetation (s", snen Cottom (uti), or
other wetlands (WQ? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑None
(6) Describe the purpose of the fill in these areas:
& GENERAL I
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? (lfJ/' backhoe, or hydraulic dredge)?
P / � m r�< n. , a� \ T , „ k. Crt l S Bucket Dredge
c. () Will navigational aids be required as a result of the project?
❑Yes CgNo ❑NA
(ii) If yes, explain what type and how they will be implemented.
d. () Will wetlands be crossed in transporting equipment to project
site? []Yes ®No ❑NA
(i) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Jan 28 2013 Boat eight Inc. Agent for Want F;3
Date Applicant Name
Ward boat lift dredge
Ward
Applicant S n
Project Name

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 FACIUTY/MARINA CHARACTERISTICS
a. t1 Is the docking facility/marina:
❑Commercial ❑Public/Govemment OPrfvate/Community
c- (t) Dock(s) and/or piers)
n Number
ui Length
(iv) Width
(v) Floating []Yes ®No
e. () Are Platforms included? ❑Yes ®No
If yes:
(iQ Number
(tt) Length
(v) Width
(v) Floating ❑Yes ®No
Note: Roofed areas are calculated from dnplme dimensions.
g. (i) Number of slips proposed
1
(ii) Number of slips existing
2
i. Check the proposed type of siting:
❑ Land cast and access channel
❑Open water, dredging for basin and/or channel
®Open water; no dredging required
❑Other, please describe:
Proposed dredging is for existing slip
k- Typical boat length: 14'
[I This section not applicable
b. () Will the facility be open to the general public?
❑Yes ®No
d. (i) Are Finger Piers included? []Yes ®No
If yes:
(i Number
(8) Length
(iv) Width
(v) Floating ❑Yes ®No
f. (t) Are Boaf ft included? ®Yes []No
If yes:
(ii) Number T
fi) Length 8'
(iv) Width 6
h. Check all the types of services to be provided.
❑ Full service, induding 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:
Boat Lift
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mbced types).
canoe
I. (i) Will the facility be open to the general public?
❑Yes ®No
m. (i) Will the facility have tie pilings? 7 ,<
[]Yes ®No
(i) If yes number of tie pilings?

Z DOCKING FACIUMAKAR/NA OPERATIONS 13 This secdion 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: NA
❑ Showers
❑ Boatholding tank pumpout; Give type and location: NA
b. Describe treatment type and disposal location for all sanitary wastewater.
NA
c. Describe the disposal of solid waste, fish offal and trash-
NA
d. How will overboard discharge of sewage from boats be controlled?
NA
e. (t) Give the location and number of 'No Sewage Discharge' signs proposed.
NA
(ii) Give the location and number of °Pumpout Available' signs proposed.
NA
t 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?
NA
h- Give the number of channel markers and 'No Wake' signs proposed. NA
i. Give the location of fuel-handling facilities, and describe the safety measures planned to protect area water quality
NA
j What will be the marina policy on overnight and live- aboard dockage?
NA
k. Describe design measures that promote boat basin flushing?
NA
L If this project is an expansion of an existing marina, what types of services are currently provided?
NA P
m. Is the marina/docking facility proposed within a primary or secondary nursery area?
❑Yes ®No

1f-(as- Il :J 01: -6 (SLLff"gcc .70zg pelz' Q. Z 0 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 vegetation (SAV), shell bottom
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
❑CW ❑SAV ❑SS
OWL ❑None
p. Is the proposed marina/docking facility located within or within dose 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 lilts) ®This section not applicable
a. n Is the boathouse strudure(s):
❑Commercial ❑Public/Govemment ❑Private/Communtty
(rd) Number
(ii) Length
(Iv) Width
Note: Roofed areas are calculated from dfgdff a dimensions.
4. GROIN (e.g., wood, sheetpile, etc. If a rock groin, use MP -2, Excavation and Fill.) I@ This section not applicable
a. (i) Number
(b) Length
(iii Width
5. BREAKWATER (e.g., wood, sheetpoe, etc.) ®This section not applicable
a. Length b. Average distance from NHW, NWL, or wetlands
a Maximum distance beyond NHW, NWL or wetlands
6. MOORING PILINGS and BUOYS ®This section not applicable
a. Is the structure(s):
❑Commercial ❑PubliclGovemment ❑Private/Community
c. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, ifpresent:
e. Arc of the swing
7. GENERAL
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)

:5v wn" i ?1 ^iJ J 'i "!° C3 2, Jv'�� .�c'A &" (Z7? 4)
a. Proximity of structure(s) to adjacent riparian property lines b. Proximity of struciure(s) to adjacent docking facilities.
>15' W
Note: For buoy or mooring pdmg, use arc of swing including lengf;
of vessel.
c. Width of water body
577 FT
e. () Will navigational aids be required as a result of the project?
QYes ®No ONA
n If yes, explain what type and how they will be implemented.
8. OTHER
a. Give complete description.
Install of one boatlift to accommodate single canoe
Data
January 07 2013
Project Name
Ward 144 Great Oak Drive
Applicant Name
Boatzright Inc. Hobie Buffington agent n Boatzright
Applicant Signature
d. Water depth at waterward end of structure at NLW or NWL
-2 NLW
[]This section not applicable

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