20000314 Ver 2_CAMA Permit Application_20130515

A4*A
NCDENR
North Carolina Department of Environment and Natural Resources,
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
May 13, 2013
MEMORANDUM ��{lk appo 03lLI V3
TO: Anthony Scarbraugh, 401 /Wetlands /Buffers RECEIVED
Division of Water Quality - WaRO
FROM: Doug Huggett MAY 1 5 2013
Major Permits Processing Coordinator
SUBJECT: CAMA Permit Application Review D • WAR®
Applicant: Earth Resources, Inc., c/o Tim Beacham
Project Location: 4200 Bob Perry Road (SR 1210) in Kitty Hawk, Dare County
Proposed Project: Dock/walkway extension, Walkway with viewing platform
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 06/03/13 to 400 Commerce Avenue, Morehead City, NC 28557. If you have any
questions regarding the proposed project, please contact Ron Renaldi at (252) 264 73901. When
appropriate, in -depth comments with supporting data are requested.
REPLY: —Z This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
SIGNEI
ivo wRcq&j, Co"i C_u4rCKC-
Nz" ire)
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 07, f/3
T
1367 US 17 South; ,-ElizaGeth City,hr27909
Phone: [phone] FAX: [phone]; Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer

1
DIVISION OF COASTAL MANAGEMENT
f FIELD INVESTIGATION REPORT.
1. APPLICANT'S NAME: Earth Resources, Inc. c/o Tim Beacham
2. LOCATION OF PROJECT SITE: 4200 Bob Perry Road (SR 1210) within the Town of
Kitty Hawk, in Dare County, adjacent to a man -made canal leading to Kitty Hawk, Bay.
Photo Index —
2006: 184 -7264 (K,L 21) 2000: 184 -2122 (K,L 20) 1.995: 187 -1972 (S -U 9)
1989: 144 -11 (B,C 6) 1984: 137 -494 (D,E 11) 1978-.93-4.15 (V -X 4)
State Plane Coordinates - X: 2968901 Y` 854793
Lat/Long: 36.0546500 °, - 75.7216500° Quadrangle: Kitty Hawk, NC (L.L.)
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit — 5/8/2013
Was Applicant Present -
5. PROCESSING PROCEDURE: Application Received Complete — 5/6/2013
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Kitty Hawk
Land Classification from LUP — Commercial, Conservation
(B) AEC(s) Involved: Public Trust Area (PTA), Estuarine Waters (EW), Coastal,
Wetlands (CW), Estuarine Shoreline (ES)
(C) Water Dependent: Yes
(D) Intended Use: Commercial
(E) Wastewater Treatment: Existing - Septic
Planned - None
(F) Type of Structures: Existing - Commercial buildings, fuel pumps and above
ground fuel tanks, storage shed, gravel
roads /parking, bulkhead, dock, boat ramp,
wetland walkway and platform /kayak launch area.
Planned - Dock along canal, elevated walkways and
elevated wildlife viewing platform.
(G) Estimated Annual Rate of Erosion: N/A
Source — N/A
7. HABITAT DESCRIPTION: [AREA, square feet (SF)]
Fll I Fn
11TPFR
(A) CW AEC (walkway to pond)
±1,886 sf of shading
(A) CW and ES AE C's (walkway along canal)
±996 sf of shading
(B) Shallow Bottom PTA, EW AEC's
±564 sf of shading

Earth Resources, Inc. c/o Tim Beacham
Field Investigation Report
Page 2
(D) Total Area Disturbed: 3,446 sf (.079 acres)
(E) Primary Nursery Area: No
(F) Water Classification: SC Open to Shellfishing: No
8. PROJECT SUMMARY: The applicant proposes to extend an existing dock/walkway
around the end of a canal and construct a walkway with an elevated viewing platform
through coastal wetlands to access an existing pond.
Project Setting
The applicant's property is located at the end of Bob Perry Road (SR1210) in the Town of Kitty
Hawk, Dare County. The property consists of approximately 141 acres and is primarily Coastal
Wetlands. It appears that the high ground areas on the property were created from dredge fill
that was placed on the site through the years. Aerial photography and archive photography
indicate that the fill was placed on the property prior to the Coastal Area Management Act.
Alvis Beacham owned and operated a barge landing at the site for a number of years with his
sons. His sons owned and operated Outer Banks Contractor from the site. In 1999, Mr.
Beacham sold the property to Earth Resources, a company owned and operated by his son,
Tim Beacham. Tim Beacham has continued to operate the barge landing, but has added a
ships store to the property along with a fueling dock, gravel parking areas, boat ramp, an
elevated walkway through wetlands and a platform /kayak launch area. - ,
The following Division of Coastal Management permits have been issued for development on
the property:
1990: CAMA Major Permit #137 -90 was issued to Alvis Beacham to dredge Loving Canal.
1994: The permit was renewed.
1999: The permit was transferred, and renewed, in the name of Earth Resource, Inc.
2004: The permit was refined to allow minor maintenance dredging.
2000: CAMA Major Permit #62 -00 was issued to Earth Resources, Inc. to construct the
current marina store, fuel tanks and docks.
2004: CAMA Major Permit #32 -04 was issued to Earth Resources, Inc. to construct an
elevated walkway through coastal wetlands to a platform with an observation tower
and a floating dock, a gravel parking area within a highground area, an elevated
walkway with an observation platform through coastal wetlands to an existing pond
(not constructed), and an elevated pedestrian bridge across a canal to a highground
hummock (not constructed).
The property has miles of meandering shoreline along Kitty Hawk Bay and there are three
canals entering the property: 1) Jean Guite (Referenced by the Town as High Bridge Creek), 2)
Loving Canal, and 3) Newfoundland Gut. The entire east side of Loving Canal has been
hardened through bulkheading and riprap and is the location of the barge landing area, the
Dock of the Bay Marina and ±210' of docking. The shoreline around the terminal end of Loving
Canal is natural for ±180' and is vegetated with coastal and non - coastal wetland species. It
then transitions to riprap and bulkheading for ±390' on the west side of the canal across from
the marina store. A boat ramp is located on the north side of this hardened section and a
boardwalk and gravel parking area is located on the landward side of the bulkhead. The
remaining shoreline along the applicant's property is natural with a Coastal Wetland fringe that
varies in widths from 50 feet to several hundreds of feet. Coastal Wetland vegetation includes

l -
Earth Resources, Inc. c/o Tim Beacham
Field Investigation Report
Page 3
salt meadow cord grass (Spartina patens), bulrush (Scirpus spp.), big cord grass (Spartina
cynosuroides), and black needle rush (Juncus roemerianus). Other vegetation found on the
high ground hummocks includes, but is not limited to, common reed (Phragmites australis), live
oak (Quercus virginiana), loblolly pine (Pinus taeda), red cedar (Juniperus virginiana), poison
ivy (Rhus toxicodendron), wax myrtle (Myrica cerifera), and false willow
(Baccharis angustifolia). Adjacent uses in the area are residential and are located within areas
of considerable Coastal and non - coastal wetlands.
Water depths within Loving Canal at the project site range from ±1.5' to 7' below normal water
level (NWL) and the bottom substrate is made up of fine silts. Kitty Hawk Bay is classified as
joint waters by agreement between the Marine Fisheries Commission and Wildlife Resource
Commission. The Division of Environmental Management's water quality classification for Kitty
Hawk Bay is SC and it is closed to shellfish taking. Additional review indicates that there are no
known unique geological formations associated with the applicant's property. There is an
identified archeological site within a mile of the site, referenced as DR17, but not within in the
immediate vicinity of the applicant's property.
Development Proposal
The applicant is proposing to provide public access for fishing and crabbing as well as
providing access from the east side of the canal to the west side through the construction of a
260'x6' dock /walkway at the end of Loving Canal. The proposed dock/walkway will extend from
the existing dock on the eastern side of the canal and follow the shoreline contour to the
existing bulkhead and boardwalk on the western side of the canal. Approximately 94' of this
structure will be waterward of NWL along the bulkhead and the remaining ±166' will be
constructed landward of NWL elevated over coastal wetlands. According to the applicant,
additional slips are not part of this proposal.
The applicant also proposes to construct a 300'x6' elevated walkway through coastal wetlands
to access an existing pond. The walkway will extend from a highground area to the pond
shoreline where a 10'x5' stairway and 6'x6' viewing platform will be constructed over wetlands.
This walkway and viewing platform was previously authorized through CAMA Major Permit #32-
04; however, it was not constructed prior to permit expiration.
Anticipated Impacts
• The project as proposed will result in the shading of ±564 sf of PTA and EW AEC's.
• The project as proposed will result in the shading of ±996 sf of overlapping ES and CW
AEC's.
• The project as proposed will result in the shading of ±1,886 sf of CW AEC.
• Temporary localized disturbance in adjacent coastal wetlands and water will occur during
construction.
Submitted by: Ron Renaldi
Date: 5/9/2013

PROJECT NARRATIVE
CAMA Major Permit — Earth Resources — Tim Beacham
Kitty Hawk, North Carolina, Dare County .
f
MAY 2 2013
E_ -'.^
The purpose of the following proposed improvements is to allow public access to an
existing canal for fishing and crabbing as well as access to an existing unnamed pond to
allow the public to observe birds and wildlife that habitat the 141 acre parcel and Kitty
Hawk area. The intention of the owner's proposed improvements is to create a balance
with the commercial site, allowing the public to enjoy the wildlife and resources within
the commercial area and public waterways.
Proposed improvements include: (1) Construction of a 6'x 260' dock at the end of an
existing canal adjacent to the "Dock of the Bay ". The dock will be extension of the
existing dock on the east side of the canal and extend 94' adjacent to the existing
bulkhead. The remaining 166' will be constructed over the coastal wetlands around the
end of the canal to the existing boat ramp. (2) Construction of a 6' x 300' elevated
walkway to and existing pond and construction of an elevated 6' x 6' wildlife viewing
platform at the edge of the pond over the coastal wetlands.
Purpose of the proposed improvements: Construction of access walkway around the
end of the existing canal will provide additional locations for crabbing and fishing as well
as provide access to other side of the canal. Construction of elevated walkway will allow
access through coastal wetlands to allow the public to observe wildlife from the viewing
platform.
DETAILS FOR DISTURBANCE AND IMPACTS:
Proposed structures within the Public Trust Waters (6' x 94') .............. 564 s.f.
Proposed structures within Public Trust Area AEC:
Dock adjacent to canal over coastal wetlands (6' x 166) .................. 996 s.f.
Proposed structures over coastal wetlands outside the AEC:
Walkway to existing pond (6' x 300') ........... ..........................1,800 s.f.
Viewing platform (6'x 6') .......................... .............................36 s.f.
Stairs to platform (5' x 10') .................... ............................... 50 s.f.
Total 1,886 s.f.

Don NP -1
F17,
APPLICATION for
APR 1 8 2013
Major Development Perm
i. C0A.5, i.Zi,l.. in r
(last revised 12/27106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant! Landowner Information
Business Name
Earth Resources, Inc.
Project Name (if applicable)
Dock of the Bay
Applicant 1: First Name
Tim
MI
Last Name
Beacham
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
410
City
Kitty Hawk
State
NC
ZIP
27949
Country
USA
Phone No.
252 - 202 - 8568 ext.
FAX No.
Street Address (if different from above)
City
State
ZIP
Email
dockofthebay @embargmail.com
2. Agent/Contractor Information
Business Name
Atlantic Environmental Consultants, Llc
Agent/ Contractor 1: First Name
MI
Last Name
Doug
A.
Dorman
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
3266
Kitty Hawk
NC
ZIP
Phone No. 1
hone No. 2
27949
252 - 261 - 7707 ext.
T252 - 599 - 2603 ext.
FAX No.
Contractor #
252 261 7707
Street Address (if different from above)
City
State
ZIP
Email
dougdorman @embargmail.com
<Form continues on back>
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Form DCM MP -1 (Page 2 of 4)
APR 1 8 2013 ;
APPLICATION for
Major Development Permit
3. Project Location
j
COATr' ! - -'• ` ` ` ` i `_ ' '" State Rd. #
County (can be multiple)
Street Address
Dare County
4200 Bob Perry Road
- --- 1210
Subdivision Name
City ;... :.. ,...,:. ....
State
Zip
None
Kitty Hawk
NC
27960-
Phone No.
Lot No. (s) (if many, attach additional page with list)
252 - 202 - 8568 ext.
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
needlerush (Juncus romerianus), Gian cordgrass ( Spartina cynosuroides).
Kitty Hawk Bay
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
Albemarle Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes ❑No
work falls within.
Identify and describe the existing land uses adjacent to the proposed project site.
Dare County
4. Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
18,672 feet.
614,631 sf
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
6 feet avg ❑NHW or ®NWL
e.
Vegetation on tract
lawn grass (panicum spp., red bay (Persia borbonia), loblolly pine (Pinus taeda), wax myrtle (Morelia cerifera), Black
needlerush (Juncus romerianus), Gian cordgrass ( Spartina cynosuroides).
f.
Man -made features and uses now on tract
Commercial biuldings (Earth Resources and Dock of the Bay Store); Fuel pumps and above ground fuel tanks, storage
shed, gravel driveway and parking, existing dirt roads. Bulkhead, dock, and boat ramp along canal in front of Dock of the
Bay Store /fuel pumps - (Earth Resources) office building, trailers, concrete bins, concrete ramp to wiegh station.
g.
Identify and describe the existing land uses adjacent to the proposed project site.
State mangaged land, Commercial, Residential
h.
How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
Multi -use
(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?
<Form continues on next page>
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Form DCM MP -1 (Page 3 of 4)
F I APR 1 8 2013
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ®Yes []No
(ii) Are there coastal wetlands on the site? _ =. ®Yes ❑No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ®Yes []No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
On site conventional septic system.
o. Describe existing drinking water supply source.
Dare County public water supply
p. Describe existing storm water management or treatment systems.
None
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ®Commercial ❑Public/Government
❑Private /Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The extension of the walkway around the existing canal will provide additional areas for patrons to crab and fish in the
adjacant canal. Two access walkways to existing canal and pond.
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.
The pilings to support the walkway set by a floating barge by washing in with jet pump. The walkway will be built by hand
using conventional framing practices. All equipment for construction will be stored on site.
d. List all development activities you pUoposye. �Q
The construction of a 6' wide by8 long dock around the end of an exisitng canal over coastal wetlands. A proposed
elevated wood walkway (6'x 300') over coastal wetlands to and existing pond. An elevated wildlife viewing platform (6'x6') is
proposed at the end of the walkway.
e. Are the proposed activities maintenance of an existing project, new work, or both? New
f. What is the approximate total disturbed land area resulting from the proposed project? 5,700 ®Sq.Ft or ❑Acres
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.
existing surface runoff.
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 [DNA
j. Is there any mitigation proposed? ❑Yes ®No ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
252 -8 08 -2808 ,. 1- 888 -4RCO AST www.nccaastalmanagement.net

'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) — (f) 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 NC State (Property Control Section Phone No.
Address 9001 Mail Service Center, Raliegh, NC 27699 -9001
Name TNT Services, Inc Phone No.
Address P.O. Box 296, Powells Point, NC 27966
Name See attachment for additional names. 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.
CAMA Major Permit #32 -04, Issued 2/20/04 401 DWQ Certification Permit #03 -1637, issued 2/23/04
roc' 'Per 6X -00
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
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.
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.
Date 3 -12 -13 Print Name _Douglas A. Dorman
Signature
Please indicate application attachments pertaining to your proposed project.
❑DCM MP -2 Excavation and Fill Information ❑DCM MP -5 Bridges
❑DCM MP -3 Upland Development
❑DCM MP -4 Structures Information
252 - 808 -2808 -. 3-888- 4RCOAST earranruv.,��co��3���saa�ae�e esst.rtiep

Adjacent Property Owner list:
Lee & Holly Nettles
PO Box 278
Nags Head, NC 27959
Robert Perry
7000 S. Virginia Dare Trail
Nags Head, NC 27959
I i
APR
•

Form DCM MP -4
STRUCTURES
(Construction within Public Trust Areas)
APR 1 8 2013 1
Attach this form to Joint Application for CAMA Major Permit, Form DCM.MP -1. Be sure,to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. DOCKING FACILITY /MARINA CHARACTERISTICS
a. (i) Is the docking facility /marina:
®Commercial ❑Public/Government ❑Private /Community
c. (i) Dock(s) and /or pier(s)
(ii) Number
1
(iii) Length
-7f e�Cnlj
(iv) Width
6'
(v) Floating
❑Yes ®No
❑ This section not applicable
b. (i) Will the facility be open to the general public?
®Yes ❑No
d. (i) Are Finger Piers included? []Yes ®No
If yes:
��. (ii) Number
(iii) Length
(iv) Width
(v) Floating ❑Yes ❑No
e. (i) Are Platforms included? ❑Yes ®No
If yes:
(ii) Number
(iii) Length
(iv) Width
(v) Floating ❑Yes ❑No
Note: Roofed areas are calculated from dripline dimensions.
g. (i) Number of slips proposed
none
(ii) Number of slips existing
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: NJA
m. (i) Will the facility have tie pilings?
❑Yes )ONo
(ii) If yes number of tie pilings?
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
❑ 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, mixed types).
I. (i) Will the facility be open to the general public?
CQYes []No
252 - 8+08 -2808 .d 1- 888- 4RCOAST ,. www.ne -c astai manaqement. net revised. 12,127/06

kirm DCM MP-4 (Structures, Page 2 of 4)
2. DOCKING FACILITY /MARINA OPERATIONS This section not applicable
a. Check each of the following sanitary facilities that will be included in the proposed project.
❑ Office Toilets
❑ Toilets for patrons; Number: Location:
❑ Showers
❑ Boatholding tank pumpout; Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater. I
c. Describe the disposal of solid waste, fish offal and trash.
d. How will overboard discharge of sewage from boats be controlled?
e. (i) Give the location and number of "No Sewage Discharge" signs proposed.
(ii) Give the location and number of "Pumpout Available" signs proposed.
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
g. Where will residue from vessel maintenance be disposed of?
h. Give the number of channel markers and "No Wake" signs proposed.
i. Give the location of fuel-handling facilities, and describe the safety measures planned to protect area water quality.
j. What will be the marina policy on overnight and live-aboard dockage?
k. Describe design measures that promote boat basin flushing?
I. If this project is an expansion of an existing marina, what types of services are currently provided?
m. Is the marina/docking facility proposed within a primary or secondary nursery area?
❑Yes ❑No
252-833-2808 :.- '11-88"RCOAST --. net revised- 12121IMS

V
F-6irm dC P -4 (Structures, Page s of 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
(SIB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
❑CW ❑SAV ❑SB
OWL ❑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) -_- - - - -- -- -- WT-his section not applicable
a. (i) is the boathouse structure(s):^` 1
❑Commercial ❑ PubliGGovernment ❑Private /Community a —
(ii) Number
(iii) Length r1F
{ E '
(iv) Width S
Note: Roofed areas are calculated from dripline dimensions. " -
ti.
4. GROIN (e.g., wood, sheetpile, etc. If a rock groin, use MP -2, Excavation and Fill.) 1 This section not applicable
a. (i) Number
(ii) Length
(iii) Width
5. BREAKWATER (e.g., wood, sheetpile, etc.) 3KThis section not applicable
a. Length b. Average distance from NHW, NWL, or wetlands
c. Maximum distance beyond NHW, NWL or wetlands
6. MOORING PILINGS and BUOYS This section not applicable
a. Is the structure(s):
❑Commercial ❑PubliGGovernment ❑Private /Community
C. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing
7. GENERAL
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)
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F6rm DCM P -4 (Structures, Page 4 of 4)
a. Proximity of structure(s) to adjacent riparian property lines
2,788' to the north, 5,612' to the south
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body
70'
e. (i) Will navigational aids be required as a result of the project?
[]Yes ®No ❑NA
(ii) If yes, explain what type and how they will be implemented.
b. Proximity of structure(s) to adjacent docking facilities.
N/A
d. Water depth at waterward end of structure at NLW or NWL
5.0' average.
8. OTHER I] This section not applicable
a. Give complete description:
— Dock is to be constructed at the end of existing canal and will be an extension of the exisitng dock. The proposed dock will
constructed over the coastal marsh were possible.
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4/15/13
Date
Earth Resources, Inc.
Project Name
Tim Beacham agent Doug Dorman
Applicant Name
Applic.wif Signa ure
APP, 1 3 2013
252-808-2808 ;° 1- 888- 41RCOAS'r .e w��vvv .sac�r�as�ai�a�a���e�n#.ry�� rEVised 12;27l06

MAJOR PERMIT FEE MATRIX
Applicant: �4Nojru �,
Selection
Development Type
Fee
DCM %
DWO %
(14300 1601 435100093 1625 6253)
(24300 1602 435100095 2341)
I. Private, non - commercial
development that does not
$250
100%($250)
0%($0)
involve the filling or
excavation of any wetlands
or open water areas:
II. Public or commercial
development that does not
$400
100%($400)
0% ($0y
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:
III(A). Private, non-
commercial development, if
$250
100%($250)
0%($0)
General Water Quality
Certification No. 3490 (See
attached ) can be applied:
III(B). Public or commercial
development, if General
$400
100%($400)
0%($0)
Water Quality Certification
No. 3490 (See attached)
can be applied:
III(C). If General Water
Quality. Certification No.
$400
60%($240)
40%($160)
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
aquatic life:
III(D). If General Water
Quality Certification No.
$400
60%($240)
40%($160)
3490 (see attached) cannot
be applied:
IV. For development that
❑
involves the filling and /or
$475
60%($285)
40%($190)
excavation of more than
one acre of wetlands and /or
open water areas: