20141109 Ver 1_CAMA Application_20141020

Pat McCrory
Governor
fIC0
_��gA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
u 1 uE1 It"11►11111u I
Ms. Cyndi Karoly
Env. Biological Supervisor
Division of Water Quality Wetlands Unit
FROM:
Daniel Govoni
Major Permits Processing Coordinator
Coastal Management Division
400 Commerce Avenue
Morehead City NC 28557
DATE:
16 October 2014
SUBJECT:
CAMA Application Review
APPLICANT:
NC WRC/Mr. Steven P. Bailey
John E. Skvarla, III
Secretary
20 1 ,,ti 1 09
Respond to Daniel Govoni
Morehead City Office
oC�C��aMC�
OCT 2 0 2014
DENR -WATER RESOURCES
PROJECT LOCATION: Project site is located off of a gravel farm road at the end of SR 1128 (Weeping
Mary Road) in Lewiston/Woodville Roanoke River in Bertie County, North Carolina.
PROPOSED PROJECT: Applicant proposes to construct a public boat ramp and fishing pier on the
Roanoke River off Weeping Mary Road in Lewiston.
Please indicate below your position or viewpoint on the proposed project and return this form by 6
November 2014. Please contact David Moye at 252- 948 -3852, if you have any questions regarding the
proposed project. When appropriate, in depth comments with supporting data are requested.
REPLY
Signed
This office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the proposed project only if the recommended changes
are incorporated. See attached.
This office objects to the proposed project for reasons described in the attached
comments.
Date
943 Washington Square Mall, Washington, INC 27889
Phone: 252 - 946 -6481 1 FAX: 252 - 948 -0478 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1'. APPLICANT'S NAME: North Carolina Wildlife Resources Commission
2. LOCATION OF PROJECT SITE The project site is located off of a gravel farm road at the
end of SR 1128 (Weeping Mary Road) in Lewiston/Woodville on the Roanoke River in Bertie
County.
Photo Index- 2006: None 2000: None 1995: None
State Plane Coordinates - X: 2,516,600 Y: 859,000
(Palmyra -Upper Right Corner)
3. INVESTIGATION TYPE: CAMA/Dredge and Fill
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 9/15/2014
Was Applicant, Present - No
5 PROCESSING PROCEDURE: Application Received Complete - October 15, 20,14
Office - Washington
6. SITE DESCRIPTION:
(A) Local Land Use Plan - 1998 Bertie County Land Use Plan
Land Classification From LUP- Rural (Land) and Conservation (Water)
(B) AEC(s) Involved: PTA,. EW, CS-
(C) Water Dependent: Yes
(D) Intended Use: Public
(E) Wastewater Treatment: Existing - None
Planned -None
(F) Type of 'Structures: Existing - None
Planned - Boat Ramp, fishing pier, dock, and parking lot
(G) Estimated Annual Rate of Erosion- None
Source - Applicant
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED OTHER
(A) Vegetated Wetlands
Wooded Wetlands
(B) Non - Vegetated Wetlands
z
3,250 ft
a
593ft (shade)
River Bottom
(C) Other
Upland
4.8 acres
(D) Total Area Disturbed: 4.8 Acres
(E) Primary Nursery Area: No
(F) Water Classification: C Open: No
8. PROJECT SUMMARY: The applicant proposes construct a .,public boat ramp and fishing pier on
the Roanoke River off Weeping Mary Road in Lewiston.

Lewiston BAA
NC WRC
Bertie County
PROJECT SETTING
The North Carolina Wildlife Resources Commission (WRC) has submitted a Major CAMA request
to construct a public boating access -,area on the Roanoke River. The 3.3 acre,project site is located,at
838 Weeping Mary Road (SR 1128) Lewiston Woodville in Bertie County. The project site is on
Weeping Mary Road approximately 2 miles ,after the road becomes gravel. The site is down an
existing access easement that runs parallel to a wire fence. The project site is currently used for
hunting and has a thinned forest to the west, an agricultural field and sand pit to the southwest and
forest to the east. There is a relic flood berm that bisects the property that runs parallel to the
Roanoke River. The 263 ft,shoreline is forested (hardwoods and shrubs) with a steep sloping bank to
,an elevation 25ft'above'NWL.
The Roanoke River at the project site is classified as C by the Environmental Management
Commission and as a joint Anadromous Fish Spawning Area by the Marine Fisheries Commission
(MFC) and the WRC. The Roanoke River is 270ft wide at this location.
PROJECT DESCRIPTION
The WRC proposes to construct a 195ft by 3Oft concrete double boat ramp that extends to -5ft below
Normal Water Level,(NWL). Above•NWL.there will be a 2'60ft by 3Oft concrete ramp that provides
access to the ramp. Upstream and adjacent to the boatramp the applicant is proposing to construct an
8ft by 7ft floating .dock for assisting in the launching, and recovery of boats. This portion of the
floating dock will be accessed by an 8ft by 73ft dock above NWL. The uplands will be graded to
allow the boat ramp to be constructed at a slope that will allow boats to be launched and recovered
safely. During the grading process 2,580 cubic yards of high ground will be excavated. In order to
stabilize the proper slopes, rip rap will be placed,along the edge of the ramp and extend below NWL
to the end of theramp. For proper installation of the ramp the WRC proposes excavation,below then
bottom substrate (125 cubic yards). The spoil materialwill`be used on site to reconstruct the existing
berm further landward of its current location.
Upstream of 'the boat ramps the WRC is proposing to construct a fixed handicap accessible 8ft by 7ft
,pier with a 7ft by 74ft fixed fishing platform. The Kft pier is to allow for fishermen to safely ytpass
other fishermen without conflict. There will be a 60ft by 5ft concrete sidewalk that connects to a
I I'Oft by 7ft linch boardwalk above NW, that`provides access to the fishing platform.
The WRC also proposes to create 18 gravel truck and trailer parking spaces, 1 concrete truck and
trailer handicap accessible parking space, 5 gravel car parking spaces, l concrete handicap accessible
parking space, and gravel the existing access drive. In total the project will disturb 4.8 acres
(including the access easement). This construction will create 13% of impervious surface in the
Division of Coastal Management 75ft,Coastal Shoreline AEC.
The WRC has stated that they will be submitting a stormwater permit application and a sediment and
erosion control plan to the Division of Land' Quality.

ANTICIPATED IMPACTS
The project will result in localized turbidity due the installation of the boat rampand fishing pier,and
its associated structures. Approximately 125 cubic yards of river bottom will be removed and
converted to 3,250`ft2 rip rap and concrete and 2,580 cubic yards of high ground will be graded for
the installation of the boat ramp. In total, including the access easement there will be 4.8 acres of
land disturbance associated with this project.
The floating dock, fishing pier and platform will shade 593ft2 of river bottom and public trust area.
Kevin Hart -
15 October 2014
Washington Regional Office

1 �` �
0 North Carolina Wildlife Resources C6mmissi ®n
Gordon Myers, Executive Director
Lewiston Woodville Boat Ac_ cess Area —Roanoke River
83 8 Weeping Mary Road
Lewiston Woodville, NC 27849
IProiect Narrative
The,North Carolina Wildlife Resources Commission proposed to construct a boat access area, fishing pier,
gravel parking lot,.and associated improvements at 83.8 Weeping Mary Road, near'Lewiston Woodville. The
project will provide public access to-the Roanoke River for fishing and boating. The improvements are
proposed to be constructed' on a 33 acre parcel of land owned by�the State of North Carolina. Access to the
site -is provided by a Weeping Mary Road and an access easement across property owned by EWM LLC.
The site is currently a thinned forest, with a grass and shrub understory. There is an existing access road that
generally follows the, access easement to the site. A flood,control berm of undetermined age �crosses through
the middle of the.site, parallel to the.Roanoke River. The Roanoke River experiences large fluctuations in
river level.
The flood control berm will bexrelocated to the south on the site; allowing the parking,lot to be constructed on
the river side of the berm. The proposed access road will ramp up and over the relocated berm. Gravel
parking spaces forwehicles with trailers and single cars will be constructed. Concrete handicap parking areas
will also be provided. Concrete ADA sidewalks are planned from the trailer parking space to the -top of the
boat ramp.and from the single car parking to the fishing pier. The boat ramp is 30' wide to allow
simultaneous launching/recovery of two boats. A floating courtesy dock will be installed on the�upstream
side of the ramp. ,
We request that the floating, courtesy dock be allowed to have an 8' width. The 8' width is requested to allow
users traveling in opposite direction to pass easily on the dock. The additional width also creates a much
more stable dock for users to walk on. It is the NCWRC's experience that floating dock sections narrower
than 8' are not as stable as our users desire.
The proposed fishing pier is approximately 8' wide and 60' long. The, 8' width is proposed to allow room for
users to pass behind active fishermen without conflict. The elevated walkway to the fishing pier is
approximately 7' -wide. This width is proposed to allow easy'access tothe pier by disabled fishermen and
allow users to pass,one another easily.
Mailing Address: N.C. Wildlife Resources Commission a Lake Rogers Depot a 1718 NC Hwy 56 o Creedmoor NC 27522
Telephone:, (919) 707 =0371 Fax:'(919) 528 -2524

C
,
(last revised 12127106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
North Carolina Wildlife'Resources Commission
Project Name (d applicable)
Lewiston Woodville Boat Access Area
Applicant 1 First Name
'Steven
MI
P
Last Name
Bailey
Applicant 2 First Name
MI
Last Name
If addibonal'appl►cants,' please.attach,an,add►bonal page(s),with names listed
Mailing Address
1718 NC Hwy 56
PO Box
City
Creedmoor
State
NC
ZIP
27522
Country
USA
Phone No
919 - 707 - 0371 ext
FAX No
919 - 528 - 2425
Street Address, (d different from above)
City
State
ZIP
Email
steven bailey @ncwildlde.org
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1 First Name
MI
Last,Name
'Agent/ Contractor 2 First Name
iml
Last Name
Mailing Address
PO Box ,City
State
ZIP
Phone No 1
-
- ext
Phone No 2
- - ext
FAX No
'Contractor #
Street Address (►f different from above)
City
State
ZIP
Email
<Form continues on back>
�"!S �, ^R -), -t. 6 Epp ... - -1-2 !1 -s3 r. _: 05 A, 5 { rii °il<xx, r :I - , -,Fs —Ir n -(y,!, a-�c'g e- r.rw?,,.,?. b t Ee7k

Form DCM MP -1 (Page 2 of 4)
APPLICATION for
Major Development Permit
I Project Location
County (can be multiple)
Street Address
State Rd #
Bertie
838 Weeping Mary Road
1128
Subdivision Name
City
State
Zip
Lewiston Woodville
NC
27849-
Phone No.
Lot No (s) (if many, attach additional page with list)
- - ext.
,
a In which NC river basin is,the project located?
b Name of body of'water nearest to proposed project
Roanoke
Roanoke River
ac Is the water body identified in (b)Xabove, natural onmanmade?
d Name, the, closest major water body to the proposed project,sde
®Natural ❑Manmade ❑Unknown
Roanoke River
e Is proposed�work within city limits or planning junsdiction?
f If•applicable, list the planning,junsdiction or cityilimit the proposed
[]Yes ®No
work falls within
4. Site Description
is
Total Iength,of shoreline on the tract (ft )
b Size of "entire tract (sq ft -)
2636
143,937
c
Size of individual lot(s)
d Approximate elevatiomof tract above NHW (normal high water) or
NWL.(normal water level)
(If many lot sizes „please =attach additional, page with,a list)
14' ❑NHW or ®NWL
e
Vegetation on tract
Thinned forest with grass and weed understory
,f
Man -made, features and, uses �now on,tract
Access drive to site, berm parallel to river, fence generally -along east property line Tract is currently uses as a forest and
for hunting.
g
Identify, and describe th&existing land uses adiace nt to the proposed project,site
Land to west along river is a thinned forest. Land to southwest is an agricultural field and sand pit Land to east is forest
h
How, does local; government zone the tract?
i Is the proposed project consistent with Oe,applicable,zoning? i
No,zonmg in unincorporated Bertie County
(Attach zoning compliance certificate, if applicable)
Dyes []No ®NA
j
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k
Has a 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>
i,: F..+` is” 8 _ 24 - A? s5 i t' " :`6' . B" �' C 0 --, � � a ; . "- n :.E "" e s tt .. =p : 3S is

I 41; ti a 11?1� I�
(Except for bridges and culverts)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1 Be sure to complete all other sections of the Joint
Application that relate to this proposed project Please include all supplemental information
Describe below the purpose of proposed excavation and/or fill activities. All values should be,given in feet.
4. EXCAVATION
a Amount of material to be- excavated from below_NHW'or NWL in
cubic yards
3375 CF =125 CY
c `W Does the area to be excavated include coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected
❑CW ❑SAV ❑SB
OWL ®None
(u) Describe the purpose of the excavation in these areas
Excavation is required for rock described in section 4
2. ®ISPOSAL OF EXCAVATED iWEAML
a Location,of disposal area
On site, new berm area
c (i)'Do you claim title to disposal area? _
®Yes []No ❑NA
(u) If no, attach a.letter granting permission from the owner
e (i) Does the disposal area,include any,coastal,wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected
❑CW ❑SAV ❑SB
OWL ®None
(ii) Describe the purpose of disposal in these areas
26-_.'. F >.a:r -21t' Ac .. .. -8'tSS ak «mac °r c_, T .. ati-
❑ -This section not applicable
b Type of material to be excavated
River bank silt
d High- ground excavation in cubic yards
❑This section not applicable
b Dimensions of disposal area
260'x 50'
d (i) Will a,disposal area be available for future, maintenance?
❑Yes ®No ❑NA
(u) If yes, where?
f (i) Does the disposal include any area in the water?
❑Yes ®No ❑NA
(u) If yes, how much water area is affected?
Access
-
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
MAIL )
stabilization
Length
NA
NA
NA
635
NA
NA
NA
Width
NA
NA
NA
30
NA
NA
NA
Avg. Existing
Depth
NA
NA
NA
-5
_ NA
NA
NA
Final Project
NA
NA
NA
-51
NA
NA
NA
Depth
4. EXCAVATION
a Amount of material to be- excavated from below_NHW'or NWL in
cubic yards
3375 CF =125 CY
c `W Does the area to be excavated include coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected
❑CW ❑SAV ❑SB
OWL ®None
(u) Describe the purpose of the excavation in these areas
Excavation is required for rock described in section 4
2. ®ISPOSAL OF EXCAVATED iWEAML
a Location,of disposal area
On site, new berm area
c (i)'Do you claim title to disposal area? _
®Yes []No ❑NA
(u) If no, attach a.letter granting permission from the owner
e (i) Does the disposal area,include any,coastal,wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected
❑CW ❑SAV ❑SB
OWL ®None
(ii) Describe the purpose of disposal in these areas
26-_.'. F >.a:r -21t' Ac .. .. -8'tSS ak «mac °r c_, T .. ati-
❑ -This section not applicable
b Type of material to be excavated
River bank silt
d High- ground excavation in cubic yards
❑This section not applicable
b Dimensions of disposal area
260'x 50'
d (i) Will a,disposal area be available for future, maintenance?
❑Yes ®No ❑NA
(u) If yes, where?
f (i) Does the disposal include any area in the water?
❑Yes ®No ❑NA
(u) If yes, how much water area is affected?

FCL — +n 8 O- ' F_4 C4 t*"'?' 2, t %i
3. SHORELINE STABIL1ZA TIOAI [0 This section not applicable
(if development is a wood groin, use MP - -4 — Structures)
a Type of shoreline stabilization
❑Bulkhead ❑Riprap ❑Breakwater /Sill ❑Other
c Average distance waterward of,NHW or NWL
le Type of «stabilization material
g Number of square feet of fill to be placed below water level
Bulkhead backfill Riprap
Breakwater /Sill Other.
r Sourceiof fill,matenal
b Length
Width
d Maximum distance waterward of NHW or NWL.
f (i) Has there beentshoreline erosion dunng;preceding 12
months?
❑Yes ❑No ❑NA
(n) If yes, state amount of erosion and source of erosion amount
information.
h Type of fill material
A OTHER FILL ACT,IMIES ❑This section not applicable
(Excluding Shoreline Stabilizatron)
a (Q Will fill material be'brought to the site? ®Yes ❑No ❑NA b (i) Will fill material be placedin coastal wetlands /marsh,(CW),
If yes,
(n) Amount of material to,be pYcedm the wate ? I cv
(in) Dimensions of fill area�i6 Iono.,5d' wide
(iv) Purpose of fill
Fill beneath boat ramp where the,ramp is not in cut at the
bottom of the river
submerged aquatic vegetation (SAV), shell bottom (SB), -or
other wetlands (WL)? If -any boxes are checked,, provide the
numberof square feet,affected
❑CW ❑SAV ❑SB
OWL ®None
(n) Describe the purpose of the fill in these,areas
6. GENERAL
a How will excavated or fill material -be kept'on site and erosion b What type of construction�equipment will be used (e g., draglme,
controlled backhoe, or hydraulic dredge)?
Silt fence will be installed along river bank and around'and Long reach track excavator
stockpiled materials
c (i) Will navigational aids be required as a result of the project?
❑Yes ®No ❑NA
(u) If yes „explain, what type and,how they will be implemented
d (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
(n) If yes, explain steps,that will be taken to avoid,or minimize
environmental impacts
OG /4 r _ sod P-O/y NC WildhfepResources Commission - Steven P Bailey
Date Applicant Name
Lewiston Woodville Boat Access Area
ApplicantZignature
Project Name

For0'6'6 ®ECM MP4
UPLAND _ DEVELOPMENT
(Construction,aand /or land disturbing activities)
Attach thisform to Joint, Application for CAMA M a), or Permit, Form DCM MP -1. ,Be,sure to complete alt other sections of the Joint
Application ,'that3relate to this proposed project Please include all supplemental information
GENERAL UPLAO DEVELOPMENT
a Type and number of buddings,,facdities, units ^or structures ;b Number of lots or parcels
proposed, 1 (no,isubdivision of existing parcel)
Boat'ramp, parking lot, sidewalk, driveway, turnaround _
area
c Density,,(give, the, number of -residential,u nits and the units per
adre)
N/A -no residential units
e If the proposed project wil[disturb more than one acre of land, the
Division Uland Resources must receive,an erosion and
sedimentation control plan at,least 30 days before; land - disturbing
activity begins
(i) Ifapplicable,;has,a sedimentation and,erosiop•control plan been
'submitted�to,the Division oft-a_nd Resources)
❑Yes ,ONo ❑NA
(ii) If yes, list the date submitted
d Size of area'to be graded, filled, or disturbed,incl'udingiroads,
ditches, etc,
4,8 acres
f 1istthematenals (such asimarl, paverstone, asphalt, orconcrete)
to be usedfor impervious surfaces
Compacted ABC stone and concrete
,g Give the, pe fcentage,of the tract withim the: coastal shoreline AEC to h Projects that require,a,CAMA Major Development, Permit may also
be covered by` mpervious ;and /or'built- uponisurfaces, such'as require a,Stormwater Certification
pavement, building, rooftops, or to be used forvehicular driveways (i) Has asite development,plan,been submitted tothe Division,of
or parking Water_dualityfor,review?
43% ❑Y,es ®No ❑NA
i_ Give'the�percentage of the entire,tract,to bei covered by, impervious
and /or built =upon surfaces, such as;pavement; budding,, rooftops,
or to;be,used for vehiculardnvewayslor parking
237%
j 'Describe, proposed method of sewage' disposal
N/A - no restroom facilities,, proposed
(ii),If yes;'Iist the date submitted
'k Have`the facilities described in Item (i) received state,or local
approval?
❑Yes ❑No ®NA
Ifyes; -attach appropriate documentation
,I Describe location and itype of, proposed discharges to waters of the m Does the proposed, project include an innovative stonnwater
state (e g_, surface runoff, sanitary wastewater, industrial/ designi
commercial effluent, "wash down" andresidential,discharges) ❑Yes ®No ❑NA
Surface runoff will drain'to,the,Roanoke Riven If yes, attach appropriate documentation
-t,

wq °P f 2
m Describe proposed drinking water supply source (e g, well, n (Q Will water be impounded ❑Yes, ®No ❑NA
community, public system, etc) (n) If yes, how,many- acres?
N/A - not dnnkmg water provided
o When was the lot(s) platted and recordedl p If proposed, development is a subdivision, will additional utilities be
1/17/2014 installed for this upland development?
❑Yes ❑No ®NA
9 //9/�20tY
Date
Lewiston Woodville Boat Access Area
Project Name
NC Wildlife Resources Commission - Steven P Bailey
M a t Name
Applicant Signature

Form DIM MP-4
(Construction within Public Trust Areas)
Attach this form to,Joint Applicatiomfor CAMA Mayor 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
9. DOCKING FACILI,TYIMA'RINA .CFIARACTERIST,ICS []This section not.applrcable
a ,(i), Is the dockingrfacility /manna b (i) Wdl,the,facdity 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
(it) Number 1 1
If yes
(iii) Length '
(u),Number
(iv) Width - 7-j
(iii),Length
(v) Floating ®Yes ®No
(iv) Width
(v) Floating ❑Yes []No
e (i) Are Platforms included? ®Yes []No
f (i) Are Boatlifts included? ❑Yes ®No
If yes
If yes
(u) Number 1
(u) Number
(ni) Length 61'
(in) Length
(iv),Width 8'
(iv) Width
(%iffloating []Yes ®No
Note Roofe&areas are calculated from dnphne dimensions.
g (i) Number of shpsiproposed
h• Check all the types ,,of services,to be provided
0
❑ Full service, including travel lift, and /or, rail, repair or
(ri)'Number°of shps;existing
maintenance, service
0
❑ Dockage, fuel, and marine supplies
❑ Dockage ("wet slipsl only, number of slips
❑ Dry storage, number of boats
® Boat ramp(s), number of boat ramps 2
® Other, please describe
Fishing pier
i Check the proposed type of siting
I Describe the typical boats to be served (e g , open runabout,
❑ Land cut and'access channel
charter boats, sad boats, mixed types)
❑Open water, dredging for basin and /or channel
Fishing boats (bass boat), open runabout, ion boat
❑Open water, no dredging required
®Other, please describe
Upland cut for boat-ramp
k Typical boat length 17' 1 (1)'Wdl the.facility be open to the general public?
®Yes ❑No
m (i) Will the facility have tie,pilings?
[]Yes ®No
(u) If yes number of tie pilings? _

Z DOC6t & ¢A CILITYIMARINA ,®PFRATIONS 0TW section,not applicable
a, Ctieck,each of thefoliowirig sanitary facilities that,will be mcluded'in the proposed�project
' ❑101fice Toilets
❑ Toilets for patrons, Number , Location
❑Showers
❑,Boatholdrngtank;pumpout; Give type �and,location
b Describe treatment- typeland`dispoaal location for all sanitary wastewater
c- Describe the+ disposal 'of solid waste, fish offal and trash
d How,wdl overboard Ascharge 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, dapplicible,efor containmg,industnal,type pollutants, such as paint, sandblasting waste,and petroleurr "piroducts
,g Where williresidue from vessel maintenance -be disposed oO
h Give the number of channel markers and ,No Wake" signs °proposed
i- Grve,the location of fuel- handlingfacildies, and describeAhe safety), measures planned' totprotect;area water quality,
What will be,the,marina,policy omovernight and live-aboard -dockage?
k Describe °design measures'that promote boat`basin,flushrng?
I If thwpro)ect is'an expansion of,an,existmg marina, what types of services are currentlylprovided?
m Is,the)manna/dockrng facility � proposed within a primary orsecondary nursery` area?
❑Yes ❑i No
r3;�,k_�?zvr3q_�,:'� =i`saa2 F:ys�S- ..r.�,E -. t,. °= i�>_-"-_"' a. �5 :��':a���ca.,_�s,E_i.•„':,, >9� -- -- - -- - - gv vo��, �..x��,�''�_

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to _
h Is the manna/docking,facility proposed within or adjacent to any shellfish harvesting area?
❑Yes ❑No
o Is the manna/docking,facddy 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 vothin,close'proximity to any shellfish leases? ❑Y,es []No
If yes, give the name and address of the leaseholder(s), an&give the proximity to the lease
3. BOATHbUSE (including covered lifts) ®This section not applicable
a_ (i) Is the boathouse structure(s)
❑Commercial ❑Public/Government ❑Private /Community
(u) Number
(m) Length
(iv) Width
Note Roofed areas are calculated from dnoftne °dimensions
4. GROIN ,(e.g., wood, sheetpde, etc. If a rock groln, use MP -2, Excavation and 'Fill) ®This section not applicable
a (i) Number
(u) Length
(w) Width
5. BREAKWATER, (e.g., wood, sheetpile, etc.) Whrs,section notapplicable
a Length / b Average distance frorOik , 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 ❑PublictGovernment ❑Private /Community
c Distance to be.placed beyond shoreline
Note This should be,measured from marsh edge, if present
e Arc ofthe swing
7. GENERAL
r ,....3 s'_.�3:Gan 7
b Number
d Description of buoy (color, inscription, size, anchor, etc)

a ProximityW structure(s) to adjacent riparian property lines b Proximity of structure(s) to adjacent docking facilities
64', 26' 100'
Note For buoy or mooring piling, use arc of swing rncludrng'length
of vessel
c Width of water body
270'
e (r) Will navigational aids be required as a result of the project?
[]Yes ®No ❑NA
(u) If yes, explain what type and how they will be implemented
d Water depth at waterward end of structure at NLW or NWL
9'
8. OTHER ®Thrs,section nohapphcable
a Give complete description
9C),N '.AfAr I S v i X 3o i A900: fU _j,L. ftbA11A 9S ; r-`�lt� ` AL&VE A),(,)L,
FISHI>J& PLATYMM 1-6- ft,,JSiSTS e,t A 60/ A!S' ConlCtZi - -n,- SiDfIJAU(- Anli---) A 010'O "o
9?04(
Date
Lewiston Woodville BAA
Project Name
s�e-ven.
Ap7ypl nt Name
Applicant. Signature
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