20140750 Ver 1_CAMA Permit Application_20140718

All A 20140750
OHNEWR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
July 16, 2014
MEMORANDUM
UO3
John E. Skvada, III
Secretary
Karen Higgins, Compliance and Permitting Unit Supervisor
DWR - Water Quality Program
FROM: Daniel Govoni
Assistant Major Permits Coordinator
Division of Coastal Management
SUBJECT
Applicant:
Project Location:
Proposed Project:
CAMA Permit Application Review
Sharon Burtner
123 Otter Way, in the Rivers Edge S/D in Perquimans County
IL�C�C�QdL� p
I D
JUL 1 8 2014
D" - WATER QUALITY
fill non - coastal wetlands & construct a pier, platform, & walkway
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 08/06/14 to 400 Commerce Avenue, Morehead City, NC 28557 (fax: 252 - 247 - 3330).
If you have any questions regarding the proposed project, please contact Lynn Mathis at (252)
264 -3901. When appropriate, in -depth comments with supporting data are requested.
REPLY:
SIGNED
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.
DATE
1367 US 17 South, Elizabeth City, NC 27909
Phone: 252 - 264 -3901 1 FAX: [phone]; Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer

,DIVISION OF COASTAL MANAGEMENT
FIELD `INVESTIGATION REPORT
1. APPLICANT'S NAME- Sharon P. Burtner
2. LOCATION OF PROJECT SITE: 123 Otter Way, Rivers Edge Subdivision in New Hope Township,
Perquimans County, North Carolina
Photo Index: 2006. N/A 2000:162-1736 Q14 & R14 1995: 1'62-1664'Q19 1989: 1'21-14 H15 & 115
1984. 118 -828 J18 & K18
State Plane Coordinates: X: 3200 281,41'05.225ftUSE Y: 885621.269ftUSN
3. INVESTIGATION TYPE: CA-MA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit. July 1, 2014
Was Applicant Present: No
5. PROCESSING PROCEDURE, Application Received Complete: Julyq,'2014
Office: Elizabeth City
6. SITE DESCRIPTION.
(A) Local Land Use Plan Perquimans County
LUP Land Classification: Residential, Agricultural
(B) AEC(s) Involved. Estuarine Water, Public Trust Water and Estuarine Shoreline
(C) Water Dependent: Yes: Pier and Platform and, No: Non - coastal wetland fill
(D) Intended Use- Private Residential
(E) Wastewater Treatment Existing: Septic
Planned None
(F). Type of Structures Existing- House
Planned Pier and,platform
(G) Estimated Annual Rate of Erosion: N/A
7. HABITAT DESCRIPTION- [AREA]
DREDGED FILLED SHADE
,(A) Vegetated Wetlands:
Dirtfill 2,000sf
(Non - Coastal)
(B) Non - Vegetated Wetlands
Pier & Platform 384sf
(Open Water)
(C) Other, (High Ground)
Grading 2,178sf
Walkway to Pier 60sf
(D) Total Area Disturbed 4,622sf (A 1 Acre)
(E) Primary Nursery Area. No
(F) Water, Classification: SC Open- No
8. PROJECT SUMMARY- The applicant proposes to fill 2,000sf of non- coastal`wetlands in order-to obtain direct
access to a proposed 6'x 32' pier with a 12'x 16' platform in the Little River. Project will also include a 6'x
10' access walkway tote pier and an additional 2,178sf of grading adjacent to the wetland fill, area.

Sharon Burtner
Field Investigation Report
Page 2 -
Project Setting
The subject property is l6cated4at'123 Otter Way, Rivers Edge Subdivision (a small waterfrontresidentiahcommurnty), adjacent
to the Little River, in New Hope Township, Perquimans County, North Carolina. The1ot is 53,530 square feet upon which the
owner has constructed a single family residence with associated i nfrastructu re'app roxi mate ly 175' landward of normal water
level
Located to the north of the applicant's property is the Little River, to the east and west are undeveloped,residential lots, and to
the,south is a private residential street (Otter Way). On March 22, 2012, `General Permit #58757A was'issued to the, applicant
to placed nprap along 153' of shoreline for erosion control. The alignment ties into nprap on the adjacent property to the west
and into -a bulkhead on the east side of the property
Vegetation of, the property is predominantly domestic grasses,with the exception of an area of delineated non - coastal wetlands
located adjacent to the Little River in the northwest corner of the applicant's property. Vegetation in this area includes, but is
not limited to, broad = leaved cattail (Typha latifolia), narrow;leaved cattail (Typ`ha angust►folia), crimson eyed rose mallow
(Hibiscus palustns), wax myrtle (Mynca cerifera), poison ivy (Toxicodendron radicans)i pennywort (Hydrocotyle umbellate),
smart weed (Polygonum ssp ), spike rush (Eleochans tuberculosa), pnckley sow thistle (Sonchus asper), and catbner (Smilax
bona -nox)
The average elevation of the applicant's propertyls 3' above normal water level, general flat and located'withm the AE Special,
Flood Hazard Area. There are no unusua4geologic.formations on the property, and no identified archeological or historical
sites on or near the property.
Development'Proposal
The- applicant proposes to construct a 6'x32' pier with a 12'x 16' platform in the Little,River that.will be accessed,by a 6' wide
walkway approximately 10' in lengft that will cross the existing nprap alignment The pier, as'proposed, will,be located in the
center of the lot and will have a small area of non - coastal wetlands between the dwelling and the pier. The,applicant proposes
to fill 2,000sf of noncoastal wetlands to provide a straight access from the dwelling to the proposed pier An additional 2,1,78sf
of high ground will we fill in�conlunction with the wetland fill activity if approved:
High Ground Shading. 6'x 10' =
60sf
Non - coastal Wetland Fill
2,000sf
High Ground Disturbance
(in conjunction with wetland fill)
2,178sf
Open Water Shading- Pier 6'x 32' =
192sf
'Platform 12'x 16' =
192sf
Total:
4,622sf
Anticipated Impacts
1) Shading of 384sf of water bottom from the proposed pier and platform
2) Shading of,60sf,of high ground.
3) Loss.of 2,000sf of non - coastal wetlands.
4) High ground disturbance 2,178sf.
5) Installation of,the proposed pierrand platform will result in temporally suspending, sediments in the water.
Submitted by: Lynn W Mathis
Date: July 14, 2014

P,
MAJOR PERMIT FEE MATRIX
Applicant: Sf{AROnS rtVFZ-(NE72
c14t-ck Na. 2'9s /'= z,S--�- 2CceiVF.0
Selection
Development Type
Fee
DCM °/,
DWQ'%
t Al
i'E�
(14300 1601 4351000931625 6253)
(24300 1602 435100095 2341)
Private, non - commercial
F]
development that does not
$250
100%($250)
00/0.($0)
involve the filling or
excavation of any wetlands
or open water areas
II iPubliclor commercial
development,that does not
$400
100% ($400),
0%($0)
involve'the filling or
excavation of any wetlands
or open water areas
Ill, 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)
6010(,$0)
General Water Quality
Certification No 3490 (See
attached ) can be applied
-7/,57/ / —
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,Certrfication No
$400
60%($240)
40%($160)
3490 (see attached) cannot
be applied
IV For development that
in the filling and /or
$475
60%($285)
40%($190)
excavation of more than
one acre of wetlands, and /or
o en water areas.
} c_-)-, &?C90
1P
Nils J CUV) S j4L
kl?- 7-74,0NV
f i 1/� w
t Al
i'E�

Project Narrative for Partial Fill of Wetlands on 123 Otter Way, Hertford, NC, Lot #48
I seek permission to fill half of the wetlands on my property I believe this is the best way to both
respect the environment and secure more usable land The wetlands leading into the water will be
unaffected, thus providing a natural filter and other wetlands benefits The half extending further onto
my property and leading to my proposed pier I would like to fill 'When I was sold,the property I was
assured that it was all solid land Although you are not responsible for what, has been told me, I do
believe that thi's compromise of letting half remain as is; particularly as that half "is the most important -
half to retain the benefits of the wetlands, and filling the other half, which doesn't even look like
wetlands most,of'the year =, is an appropriate plan of'action Actually, the entire wetlands on my
property is of negligible consequence, given its size and location
Please let me know if you have any further questions or if I can be of service in any way.
Thank you for carefully considering this request
Respectfully,
Sharon Burtner
12035 W,aples Mill Road
Oakton, VA 22124 -2117
703 - 380 -8337
sharon @sharonburtner.eom
JUN 30 2014 �

DCm NP -1
E•I �,� it v� ,.,,� ' u �'I "� � �" t�, ✓'�' ?�
i
JUN 30 2014e
,r Permit �,-j lJ - - - T
(lest revised 12127/06) j
North Carolina DIVISION OF`COA§tAL MANAGEMENT
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Business Name
MI
Prolect'Name (if applicable)
N //,A
MI
N/A
Applicant 1 First Name °
MI
Last Name
Sharon
P
Burtner
Apphcant,2 First Name
MI
Last Name,
If additional applicants, please attachian addiGonaPpage(s) with names listed
Street Address (if different from above)
City
State
City
Email
Mailing Address
PO Box
State
12035 Waples MITI Road
Virginia
Oakton
E-
ZIP
Country
Phone No
FAX No
22124 21'17
US
703 = 380 - 8337 ext
-
Street Address (If different from above)
City
State
ZIP
Email
sharon @sharonburtner com
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Business Name
N/A
Agenit Contractor 1- First Name -
MI
Last Name
Agent/ Contractor 2- 'First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No 1
Phone No 2
e d,
FAX No
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
<For'm continues on back>
252 - 808 -2808 .. 1 - 88'15- 4111CO AS E ulrv�pv �cc�asfiaEeaca ,r�,s�E�reeosf,,,�eet

Form DCU MP -1 (Page lofl) APPLICATION f9r
Major, Development Permit
JUN 3 a 2014
ect,Loca ton.
J
w
a
Total length of shoreline on the tract (ft ),
b Size of entire tract ( §q ft')
1'36 61'
53,530
County (can be,multiple)
Street Address
State,Rd 4
Perquimans
123,OfterWay
None-Private
Subdivision Name
City
State
Zip
Rivers Edge 11
Hertford
NC
27944 -
Phone No
Lot No (s) (if many, attach additional page with list)
703— 380 - 8337 ext
48,
a In which NC river,basin,is the project located?
b Name of body of water nearest to proposed project
Pasquotank,
Little River,
c Is the water body:identifie� in (b) above, natural or manmade?
d' 'Name the, closest major water body to the proposed project site
ZNatural ❑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
ZYes ❑No
work falls,within
j
Perquimans Co
<Form continues on next p9ge>
252 - 608 -2808 , : I -888-4RCOAST -.: vvwW .,nccoastaima,nagement.ne-t
w
a
Total length of shoreline on the tract (ft ),
b Size of entire tract ( §q ft')
1'36 61'
53,530
c
Size of individual lots)
d Approximate elevation of tract above NHW (normal high or
water)
53,530,
NWL,(normal water level)
(If many lot sizes, please attach raddttional page with a, list)
4-6' ❑NHW or NNWL
e
Vegetation on tract
Domestic grass and ornamentals, and 404 wetland vegetation
f
Man-madeJeatures and uses now on tract
House and required infrastructure
g
Identify and describe the existing land uses ad acent to the proposed Project site
Residential
h
How does local government zone the tract?
I Is the proposed project consistent with the applicable z6injng'�
RA-43
(Attach zoning compliance certificate, if applicable)
ZYes ❑No ❑NA
j
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ONo
k
Has a professional archaeological assessment been do-ne for the tract? If yes, attach a copy 10 Yes ZNo ❑NA
If-yes,lby whom?
I
Is the proposed project located in a National Registered Historic District or does d involve a ❑Y6s ZNo ❑NA
National Register listed or eligible property?
<Form continues on next p9ge>
252 - 608 -2808 , : I -888-4RCOAST -.: vvwW .,nccoastaima,nagement.ne-t

Form DCM MP -1 (Page_3 of4y)
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
(n) If yes to either,(i) or (u) above, has +a delineation been conducted? ®Yes []No
(Attach documentation, if available)
n Describe existing, wastewater treatment facilities
Septic
o Describe existing dnnking,watet supplysource
'County,water
p Describe existing storm water mariagement,or treatment systems
Ditch along front of °property
:S:,Aciii✓ides�andlm p acai`s, _ -- .,'r
"s .; - 3 s
� .,, >, ua -; - JI
'
a Will the protect be for commercial, public, or,private,use? 1
❑Commercial ❑Pubhc/Government
®Private /Community
b Give a brief description of purpose, use, and daily operations ofithe protect,when complete
I will fill 0 05 acres of non - coastal wetlands adjacent to the Little River, in addition to'constructirfg a 384 sq ft pier with T -head
for residential,use
(y 2 :truce r) , ELL i iv wEt- IAt,4raS 04 S-i irC
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
Excavator, backhoe, vanous1hand and power tools
d List'all development activities you propose
1 Fill a portion of 404 wetlands
2 Bdild'a pier with T -head
e Are the proposed activities maintenance of'an existing protect, new work, or both?
New
f What is the approximate,total` disturbed landtarea resulting from the proposed,project,?
_4"_ ❑Sq Ft on ®Acres
. oq sq
g Will,the proposed,protect encroach on any public easement, public accessway or other,area
❑Yes, ®No DNA
that the public has established use of?
h Describe location and type of existing and proposed discharges'to waters of the state
None
i Will wastewater or stormwater be discharged into a wetland?
❑Yes ®No ❑NA
Ifryes; will this discharged water be of the same salinityas the receiving water?
[]Yes ❑No ❑NA
t Is there any mitigation proposed?
❑Yes ®No ❑NA
If yes, attach a mitigation proposal
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.. 1- 68,6- 41RCOkST ., www,.no ova stvIn- .,ama?gemenrt, net

Form DCM MP -1 (Pagel,ofd)
APPLICATION fpr
Mayor Development Permit
-r-,, }'' ='
�- _ — '�
In aifdrtron,toahis coinpleted'apphcahohtf rm,,(Af` '1) h6'Yollowrn _u. i `' - ' i le ;'ffust - f y ~_b l -,t e
o P- t e,_ g' items;( ielow, ifappllcable,: musFbe" sutimrttedrn' orderfo '�tifeapplrcadontarv:=t.',
package "to complete- Items, (t)tare'alwaysapplrcable'to any major,developmen p
_ ;
f a plrcabonr Please consult theapph
,rnstriictron booklet on iiow'to piopeitypiejiare'ti►e required rfeiris 6eloiv '
�� r,s„'', y t'
a A project- narrative
b An accurate, dated work plat (includmg,plan view and cross - sectional drawings) drawn to scale Please gtve.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'locatton map that tssufficiently 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
r
f A list of the names and complete addresses of the adjacent waterfront (riparian), andowners and signed return recetpts�as proof that such
owners have received a copy of the application and plats by certified mad Such landowners must be advised that they have 30 days to
which to submit comments on the proposed project to the Division of Coastal Management
yr�Q,Phone,Noi`'
,.._ _ , s„n_ �^ — ,':r i! R �..�'' _' 2fi _ an.,'��M1, mk = 'r,• =} ca 7 _ _ .a -
�yha:_ _ _ti.. - - _ � a} '�,4,'c_` _' • ,.t , �.�t_,f,",< Y� '_ ~'I r ��' ^' � "'_ z � -' ^k: :�` ' h � � t,t �c,�. _. ;;FE, -x_ j "`_x'y,,. a: ;
10=�01, 4 fi A='- L ee t� C � ~Lr:Aax ' -NC ^2Add W6,i±, Ci
_
Name Glenn and Connie LambA r Phone No
Address 1242 Lake Road, Herford, NC 27,944
am _ _r tea,+ :3` �y ,y y__ _ - ',fie
= r'Ne - :. -4.. ` 2;sx.r t hone No
„r<i 44_ ;�`" bE1_ � ^rte ,_z','k a ,Fa,� " _•.�'r' ' ..7 r ";3 ;- _'4'', ....IrF {,,. ,A r�� - zL3 .c; =a°ri = -'i:.c = ;a l'`�i -�r ;-0i'1�_ ' � S
:s _ =�'-,
ddressl'r . ,Y ,u
_
g .A list of previous state or federal permits issued,for work on the project tract Include permit numbers „permittee, and issuing dates
GP#58757A
s -
h Signed consultant or agent authorization form, if applicable
i Wetland delineation, ff necessary
l 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 PohcyAct (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 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 reviewragencies 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 rprovided in this application is truthful- to,the best of my, knowledge
Date June 24, 2014 Print Name _Sharon Burtner
Signature
r - J ,
Please indicate application attachments pertaining to your proposed protect
®DCM MP -2 Excavation and Fill Information ❑DCM MP -5 Bridges and ulve
®DCM MP -3 Upland Development JUN 3 0 2014
®DCM MP -4 Structures Information
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Form DCM MCA' -2
EXCAVATMON and 'F_I LL JUN 3'0 2014,
(Except for bridges and culverts) - — --
i i f
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1 Be sure to complete -att other- seettens 0 -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
a Amount of material to be,excavaf:ed from below NHW or NWL m
cubic yards
C (i) Does the area'to be excavated include coastal'wetlands /marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
,orother- wetlands (WL)? If any boxes are checked, provide the
number of square,feet affected - - — - - - - - -w- --
❑CW ❑SAV ❑SB
❑WL ❑None
(n) Describe the purpose of the excavation in these areas
a Location of`disposal area
C (i) Do you)claim,title,to disposal area?
❑Yes ❑No. ❑NA
(n) If no, attach a letter, granting permission from the owner
b, Type of material to be excavated
d High- ground excavation in-cubic yards
b Dimensions-of disposal area
d (i) Will a disposal area be available for future maintenance?
❑Yes [:]No, ❑NA
(n) If yes, where?
e (i) Does the disposal are2anclude,any +coastal wetlands /marsh f (i) Does the, disposal include, any area in the,water?
(CW), submerged aquatic vegetation (SAV), shell'bottom (SB), ❑Yes ❑No ❑NA
or other Wetlands (WL)? If any`boxes are checked, provide the
numberof square feet affected (n) If yes, how much water area is affected?
❑CW ❑SAV ❑SB
❑WL ❑None
(n) Describe the purpose of,disposal in these areas_
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Access
Other
Channel
Rock
(excluding
Canal
Boat Basin
Boat Ramp
Rock Groin
(NLW or
Breakwater
shoreline
NWL)
stabilization)
Length
Width
Avg. Existing
^''�aY- _:f:,NA =• _ '
`
Depth
i,-
Final Protect
,£i;
Depth
I�,�r.�
�•s
a Amount of material to be,excavaf:ed from below NHW or NWL m
cubic yards
C (i) Does the area'to be excavated include coastal'wetlands /marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
,orother- wetlands (WL)? If any boxes are checked, provide the
number of square,feet affected - - — - - - - - -w- --
❑CW ❑SAV ❑SB
❑WL ❑None
(n) Describe the purpose of the excavation in these areas
a Location of`disposal area
C (i) Do you)claim,title,to disposal area?
❑Yes ❑No. ❑NA
(n) If no, attach a letter, granting permission from the owner
b, Type of material to be excavated
d High- ground excavation in-cubic yards
b Dimensions-of disposal area
d (i) Will a disposal area be available for future maintenance?
❑Yes [:]No, ❑NA
(n) If yes, where?
e (i) Does the disposal are2anclude,any +coastal wetlands /marsh f (i) Does the, disposal include, any area in the,water?
(CW), submerged aquatic vegetation (SAV), shell'bottom (SB), ❑Yes ❑No ❑NA
or other Wetlands (WL)? If any`boxes are checked, provide the
numberof square feet affected (n) If yes, how much water area is affected?
❑CW ❑SAV ❑SB
❑WL ❑None
(n) Describe the purpose of,disposal in these areas_
252-60&-2808 :: 1- 8882- 41RCO&ST :. %i rw,.r:ccoasta4bmagagement.net - revir --& 12/26/06

Form DMA KR -0G2 (Erccav'a:tEon and MEL r0ase 2 cos 2)
3, - 'Sp00RELINE �TABl►1Z�'TiOiY = =_' �,. , = " ?' _ tk - :.: Y= = ®T►iis =section tdt:�applicaFle`_.
T ' • - - ., a. _.j _ _ ��.. - - = '' _hv:. � : y • .ny V ^5" _ 1�N4.;. y ,':� �",'�: � -
`" y�3 '�Ifdevelo�merit'isa:woodgrorn use�'MP- 4�- "Structures)��-_ _ ;�-`,_, �Y - - � ����^ - _.�� - - __�'- ,_�},• _���_,,.,,:�_ __
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a Type of shoreline stamlization
[-]Bulkhead ❑Riprap ' ❑Breakwater /Sill ❑Other
c Average distance waterward of NHW or NWL
e Type of stabilization material
g Number of square feet of filPto,be placed below water level
Bulkhead backfill Riprap
Breakwater /Sill Other
I Source,of fill material
o t_engtn
Width
- d Maximum distance waterward of NHW or NWL
f (i) Has there,been shoreline erosion during preceding 12
months?
❑Yes ❑No r-1 NA
(u),If yes, state amount of erosion and source of erosion amount
information
h Type of fill,matgrial
f ys - _ r� 4r z _ ° r; = - `=� ` ,r'�., ".- µ,;'+tr' �,,.i� '_ "_`S�s:`.I' :i'r x�.:": F.'ri: ,.y�.`_ - - =.._Cow,";'_ k- `•' v "_ a' - - -
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=� � �:�._ Ezclirdrn = StiofG'llne StBblllZat101i) -,- -�,�4 -,! c�K 2 , �s =�' :.�(,- � r, -'a Y ^., -;;�sn � ;,,,-�t�.. �.��.,f; $' ° f s, �r _ �,a €'zr.� y} �=;•��:v. r "�.�i= y .{s.�izxw.k
4 {" � i, —! a rK s� ` ^�'�-,,•�srrNti G(._ ?,yi'. � a'�.��• :i � �v ^'� ' �`'��y K,� -,, '4 "'�: ='1 'C�= '. —`.,i : "':F b:t. j.` ,s�7.., �t^�'<�, +'.. _
a (i) Will fill material be brought to,,the site? ®Yes ❑No El NA b (i) Wdl'fill material be placed in coastal wetlands /marsh (CM,
If yes,
(n) Amount of material to be placed in,the water None
(iii) Dimensions,of fill area irregular
(iv) Purpose of fill
See b (u)
a How will excavated or fill material be kept on site and erosion
controrled�
Seed and vegetate Silt Fence
c (i) Will navigational aids be required as a result of the project?
❑Yes ❑No ®NA
(n) If yes, explain what type and how they wdl'be implemented
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
OWL 00 05 resres ❑None
(u) Describe the purpose of the fili,m these areas
improved access to pier
b What type of construction equipment will be used (e g , dragline,
backhoe, or hydraulic dredge)?
Bulldozer for grading Fill
d (s) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
(u) If yes,.explain steps that will be taken to avoid or Mimm¢e
environmental impacts
— - - ---- r`e�252 - 808 -2808 1- 8B; -41RCO ST :: www.nceoastalmanagerfoent.net 12126106

UPLAND DEVELOPMENT [JUN -:)0 1014 �
(Construction, and/or lame disturbing actfirkles) _ - -_-- - - -_�
Attach this form to Joint Application for CAMA Major Permit, Form DC ^M MP -1 Be sure- to-comolete -all other- sectrons`,of the Joint
Apphcabon'that'relate to this proposed project Please include all supplemental, information
:Y' P _ _ - -- a � `,�� _ ... arc Vii- -• ,__+ r� _- .0 ^t'I a - "s" V�t�,r ¢: � i' - _ .�f - t.; �Y�v ''n •� "'LI' ..��"� {��..k'�� r _
fGEAIERA_L OLi�iil® -
� __ - .'t' - r -45... }.i -_�:" = "i- ,rr��, d.�•�'�'-_t �5`l - � 's` _ _•y` --_ 'yl�' ~n;'� "'__ _
a Type and number of buildings, facilities, units or structures b Number of lots or parcels
proposed 1
C
N
c Density (give the number ofresidential units`and the units per
acre)
1
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 Division of Land Resources?
❑Yes ❑No ®NA
(u) It yes, list the hate -`sdbM_ itted
d Size of area to be graded, filled, or disturbed including roads,
di�tches, etc d. Vq O
S- -A-1�j acre'total, including•& -96,to be'filled - (24W-9-SF) and
0 05 of surrpunding land to be graded (2,178 SF)
f List,the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces
N/A
g Give the percentage of the tract within the; coastal shoreline AEC to h Projects that require a CAMA Major DevelopmenVPermit may also
be covered by impervious and /or built -upon surfaces, such as require a Stormwater Certification
pavement, building, rooftops, or to be used forvehicular driveways (i) Hasa site development plan been submitted to the Division of
or parking Water'Quality for review?
0 ❑Yes ❑No ®NA
i Give the percentagenof the entire,tract to`be=vered by impervious
and /or built -upon surfaces, such as-pavement, building,_ rooftops,
onto be used`for vehicular driveways or parking
Existing house and drive, no new impervious surfaces
j Describe proposed method of sewage,disposal
Existing septic
(u) If yes, listjhe date�submitted
k Have the,facilities described in Item (i) received state or local
'approvah
- ❑Yes ❑No ®NA
If yes,,,attach appropnate-1 documentation .
I 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, sanitarymastewater, industrial% design?
commercial effluent, "wash down" and residentialAischarges) []yes ❑No ®NA
N/A If yes, attach appropriate documentation
252 -€OB -28062 :: 1- 886- 4RCOAST :: iitwvv,nccoa:sta6et anageme:?if.nef- , revised-A246/06

Fat.t" DCV V P¢a OJPL'a€ d Devatovfil, 't&p-it� Fage 2 ref, 2)
m Describe proposed drinking water supply source (e g , well, n (i) Will water be impounded? ❑Yes ®No ❑NA
community, Public system, etc) (n) If yes, how many acres?
Existing -
o When was the lot(s) platted and`recorded? p If proposed development "is a subdivision, will additional utilities be
2004 installed for this upland development?
❑Yes ❑No ®NA
i
0 2014
)JUN 3
252-806-2806 .: 1- 88"PCQAST n www .nccoalstatk management. net 6evised! IZ/26106

' g -
Form DCM MP-4
I f
STRUCTURES JU N 3 0 2014 iI
(Construction within Public Trust Arees) - ----
i rt -
Attach this form to Joint Applicaticin'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
- yam- - - T�;'I�' .tC' cdv 3v77k iz.rP _
�. "DOCKJNGrFACILITYIMAPINA`_.C_ HARACTE ISTlCSt : ❑This sechori'not appl►cable ,
Is. _ kr r =r4 _ -',f' _ `Sri - vH.`- __ •.,;5 -�. _ y1P.� -
-., tit`_ ._._�. �.__ � .. ..... �" t:. t„__�r _ —�.v -�... '7.2' —�_.a ..i '�"a. LL -.. � [ - .•'�.� - .. _ _tt- Y i5'�:" ..
a (i) is the docking facility /manna b (i) Will the facility be open to the general public?
❑Commercial '❑Public(Government ®Private /Community []Yes ®No
c (i) Dock(s) and /or pier(s)
d (i) Are Finger Piers included? []Yes ®No
(ii) Number 1
If yes
(iii) Length 32'
(n) Number
(iv)' Width 6'
(ni) Lengthl
(v)tFloating ❑Yes ®No,
(iv)'Width
(v) Floating ❑Yes ❑No
e (i) Are Platforms included? ®Yes ❑No
f (i) Are Boatlift-s included? []Yes ®No
If yes
If yes
(ii) Number 1
(n) Number
(ui) Length, 12'
(ui) Length
(iv),Wdth 16'
(iv) Width
(v) Floating ❑Yes. ®No
Note Roofed areas are calculated from dnpline dimensions
g (i) Number of slips proposed
h Check all'the typesoof services to be provided
Q
❑ Full service, including travel lift and /or'rail, repair or
(n) Number of slips existing
maintenance service
0
❑ Dockage, fuel, and marine supplies
❑ Dockage ( "wet slips ") only, number of slips
❑ Dry storage, number of boats
❑ Boat ramp(s), number of boat ramps
❑ Othef, please,describe
N/A
i Check the proposed type of siting
❑ Land cut and access channel
❑Open water, dredging for basin and /or channel
®Open water, no dredging required
❑Other; please describe
k Typical boat length- N/A
m (i)'Will the facility have tie pilings?
❑Yes ®No
(n) If yes,number of tie pilings?
Descnbe,thevtypical.boats to be}served,(e g , opemrunabout,
charter boats, sail boats, mixed types)
N /P,
I (i)'Will the facility'be open to the,general public ?'
❑Yes ®No
252 - BOB -ZSOE : I- 6884ROGA T e: wrr vv.nccoasta[,mami geirent.neti revised- 12127106

Form - OCM FAV-4 (Structures, Pa -ce 2 of 4,
- - t' '' >: P;,y "•.rtai..�? -!.', -_ . +.'- !t -'t' �� - t" - °, -.. F;. 7`.`r+,s r_ � "''fir r <„w;f <_
',rr: 'u s -' -- ' -{�y ty_ _ .a n {Wc �'F �!`.- `.'�! _ ' <'S.'•.= � :t_Y_ °%'.: s.'.�`' r �F' rc�4 ;a .?..: '`' - }':
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
N
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
(u) Give the location and number of " Pumpout Available" signs proposed
f Describe the special design, if applicable, for containing >ndustrnal',type ;pollutants, such as paint, sandblasting waste and petroleum,products
A
i
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,descnbe the safety measures planned to protect area water quality
What will he the marina policy on overnight and'live- aboard dockage?
k Describe design measures that promote boat basin flushing?
I If this project is an expansionrof an existing manna,what types of +services- are,currently provided?
m Is the,,manna /docking facility proposed within a primary or secondary nursery area?
❑Yes ❑No
252 - 808 -28 06 :: 1- 888- 4RCOAST :- v: n�vu .ricceastai-- nanaaemeent.iae¢ revised: 12127/06

n Is the marina /docking facdity'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), oe 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 nameland address of the leaseholder(s), and,give the proximity to the Iease
J�tp 1 �
U N /2014 1
i �-r. ,.. _ , - - -t``r r :)�,,''- T«^'4j- •_- :4 -.FSy' '`ice:. vy .- � �ti�.;w;_a - 'h "� d ,1, .?� e :+�<i�rr� "'..
3'B®iT6dOUSEm�ncliiding +
cove
red „l�ftsj
a (i) Is the boathouse, structu re(s) { -
❑Commercial ❑Public/Government ❑Private /Community_,-_______
(ii) Number
(w) Length 1
(iv) Width
Note Roofed areas are calculated from dnplrne dimensions
- - - - - �, -- •-e.Ea - ; ,� - '• •;.', =•t• = ' -�,- ^ . �
;�.VGROIN,(e;g wood, sheetptle; etc.. lf_a:rock gmrn; use_MP 2;'=Excavatron and Fill j= `� ' - =� {,r _- y ®This =sechomnot gpphcable ,
a (i) Number
(u) Length
(iii) -Width
a Length _
c Maximum distance beyond NHW, NWL or wetlands
b Average distance from NHW, NWL, or wetlands
�:;;fl900141Nf9 °PlL�iVGS said. �U ®YS. `� al ` ' °' ;_,, i - , �Tliis'secti n
ot_applicable`;
i+ti, <.. stf .. ,�^ - ..�_ _ ”: _r,+_, - - �: 1� - - ? - - �%'�i'` -,- i• ",'ice � ,�f ice_ �i :r' ��.z � Er.�+h.^i:.�� ;` - �;��.''J __ _ _ -.'x rk7,r, �,.z- e;;�` -a� � Y. '":.v` ^Jk _
a Is the,structure(s)
❑Commercial ❑Public/Government ❑Private /Community
c Distance to be placed beyond shoreline
Note This should be measured from marsh edge, if present
e Arc,,of the swing
b Number
d Description of buoy (color, inscription, size, anchor, etc )
.,,� :i"A- - _ 'e I _a��n, _ ;ir ^'�'s'a'- ;�i, �i. - 'P, _ _ _ - , } �.,,,_< °f � - -:a ;_� ;,-;� -`< _ f_.,,,.,_ _ , „ }`-"•' -' � -,F�L' ;.�. _
�-;� V���i=t_/"16 '1 t�.. i, C'~ - - -tivr `:1 +'s.� .u6a ^4 .,+`y ✓lei ft .p_ -,� -t�j: `�� _ s,i, _ _ _ �r _''$,
_ _ xa,'r ': j ” -�" ` ` ^ -�i ^� tl - - - - i•�'.�+ - ; J,' .: Y,o. _ "B`� - - J''': wi. �- ^�- ti:- .�'1", >;.ri�;
:,`7
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252 - 808 -2805 ;- I -88S- RCOAS C e: ��ur. r�cccs ,�sta��trtaraaca�ri�eca>4.ave�
revised, 12/27106

Form . aCFVT VAP-4, Fzig.e 4 of 41
a Proximity of structures) to adjacent riparian propertylines
60'
Note For buoy or mooring piling, use arc of swing including length
of vessel
c Width of water body
>1 mile,
e (i) Will navigational aids be required as a result of the project?
❑Yes ❑No ❑NA
(n) If,yes, explain what type and how they will be implemented
a Give complete description
r
b Proximity of structure(s) to adjacent docking - facilities
>50'
d Water depth at waterward end of structure at NL>'W or NWL
2' approximately
yr t r j - �a „z ° ,_' a n,y -se ctro'n -not a LL lrcable,-
I
1110 2014 a
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