20141138 Ver 1_CAMA Application_20141030

�►' 2 0 1 4 1 1 3 8
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
October 29, 2014
MEMORANDUM
John E. Skvarla, III
Secretary
TO: Karen Higgins, Compliance and Permitting Unit Supervisor
DWR - Water Quality Program r
FROM: Daniel Govoni°° °
Assistant Major Permits Coordinator PFOC ® 2014
Division of Coastal Management
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Kitty Hawk Landing Association, Inc.
Project Location: Adjacent to 3918 Ivy Lane, Kitty Hawk, Dare County
Proposed Project: Repair vinyl jetty /breakwater system; Install rock jetty/breakwater system
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 11/19/14 to 400 Commerce Avenue, Morehead City, NC 28557 (fax: 252- 247 - 3330).
If you have any questions regarding the proposed project, please contact Ron Renaldi 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 \ FAX: 252 - 264 -3723 ; Internet: www.nccoastalmanagement,net
An Equal Opportunity \ Affirmative Action Employer

DIVISION OF COASTAL MANAGEMENT
- FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Kitty Hawk Landing Association, Inc.
2. LOCATION OF PROJECT SITE: Within the waters of the Albemarle Sound adjacent
to 3918 Ivy Lane, Kitty Hawk Landing subdivision, Kitty Hawk, Dare County
Photo Index —
2006: 183 -7182 (I,J 17) 2000: Not Available 1995: 187 -1973 (C,D 14,15)
1989: 144 -11 (V,W 11,12) 1984: 137 -494 (U,V 19,20) 1978: Not Available
State Plane Coordinates - X: 2963145 Y:855425
Lat/Long: 36.0569080 0N, - 75.7410410 °W Quadrangle: Kitty Hawk, NC (L.L.)
3. INVESTIGATION TYPE: CAMA / Dredge & Fill
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit — 5/22/2014; 10/21/2014
Was Applicant Present — Yes; No
5. PROCESSING PROCEDURE: Application Received Complete — 10/21/2014
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Town of Kitty Hawk
Land Classification from LUP - Low Density Residential, Conservation
(B) AEC(s) Involved: Public Trust Area (PTA), Estuarine Waters (EW)
(C) Water Dependent: Yes
(D) Intended Use: Private /Community
(E) Wastewater Treatment: Existing — N/A
Planned — N/A
(F) Type of Structures: Existing — Two jetty /breakwater structures, riprap
Planned — Rock jetty /breakwater system
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION: [AREA, square feet (ft2)]
DREDGED FILLED OTHER
(A) Shallow Bottom PTA, EW AEC's ±14,324 ft2
(B) Non - Vegetated Wetlands
(C) Other
(D) Total Area Disturbed: ±14,324 ft2 (0.33 acres)
(E) Primary Nursery Area: No
(F) Water Classification: SB Open to Shellfishing: Yes

Kitty Hawk Landing Association, Inc.
Field Investigation Report
Page 2
8. PROJECT SUMMARY: The applicant proposes to repair an existing vinyl sheet -pile
jetty and breakwater system and then install a rock jetty & breakwater system at the
same location to reinforce it and stabilize an existing channel.
Project Setting
The site of the proposed development is located within the Kitty Hawk Landing subdivision,
Kitty Hawk, Dare County. Kitty Hawk Landing is located off of West Kitty Hawk Road (SR 1208)
and contains man -made canals that provide access to Kitty Hawk Bay and the Albemarle
Sound. The proposed development site is adjacent to 3918 Ivy Lane within the waters of the
Albemarle Sound at the mouth of the western -most canal referred to as Avery Pond.
A ±300' channel extends from the canal mouth in a westerly direction into the open waters of
the Albemarle Sound. An existing storm damaged solid vinyl sheet -pile jetty and slotted
breakwater system (3" per linear foot) authorized through CAMA Major Permit #78 -97 is located
on the north and the south side of the channel. The northern section consists of a ±245' jetty
that runs parallel to the channel and a ±48' breakwater section that extends in a northerly
direction at the mouth of the canal that ends ±15' from the adjacent property to the north. This
jetty section is missing ±40' at the west end due to storm damage. The southern section
consists of a ±245' jetty that also runs parallel to the channel with a ±51' breakwater section at
the canal mouth that extends in a southerly direction adjoining the shoreline on the adjacent
property to the south.
The adjacent property to the north is a large undeveloped coastal marsh that has ±115' of
riprap along the shoreline adjacent to the mouth. The adjacent property to the south contains a
single - family dwelling and the shoreline has been hardened through a combination of concrete
and bulkheading. A review of available maps indicates that archaeological site DO 7 is located
immediately south of the existing jetties on an area referred to as Shellbank Point.
The waters of the Albemarle Sound are classified as SIB and are open to shellfish taking. Water
depths range from ±1.5' below Normal Water Level (NWL) near the shoreline to greater than
-5.5' within the channel. The bottom substrate within the project area is primarily made up of
sand with clay and /or peat beds exposed in some areas. A Submerged Aquatic Vegetation
(SAV) survey was conducted that identified patchy beds consisting of Stuckenia pectinata
(Sago pondweed), Ruppia maritime (Widgeon grass), and Vallisneria Americana (Wild celery)
along the shoreline of the northern adjacent property; however, no SAV's were found within the
project area. It should be noted that open water fetch ranges from ±3 miles to the northwest to
±50 miles to the west of the project site.
In addition to CAMA Major Permit #78 -97, Major Permit #153 -09 was issued on December 7,
2009 and renewed until January 14, 2015 for maintenance dredging within the subdivisions
,canal system, including portions of the current project area. Additionally, the permit authorized
the placement of the riprap along the shoreline of the adjacent northern property.
Development Proposal
The applicant first proposes to replace the missing ±40' of jetty and repair the existing
jetty /breakwater structures. In an effort to reduce future repairs and stabilize the channel so

Kitty Hawk Landing Association, Inc.
Field Investigation Report
Page 3
dredging occurs less frequently due to shoaling, the applicant proposes to create a rock
jetty /breakwate'r by placing rock on both sides of the sheet -pile jetty ( ±245' each side) and
breakwater ( ±51' and ±48') sections. Maximum widths will be 26' along the jetty sections and
16' along the breakwater sections and will be sloped at 2:1. The proposed rock along the
southern breakwater will connect into the existing riprap along the adjacent shoreline and the
proposed rock, along the northern breakwater section will remain >_15' from the adjacent
shoreline. The applicant also proposes to install a fabric base within the rock footprint
Anticipated Impacts
® The proposed rock jetty and breakwater system will result in ±14,324 ft2 of shallow bottom
fill within the Public Trust Area and Estuarine Waters AEC's.
a The proposed rock jetty and breakwater system will result in ±1,620 yds3 of material to be
placed within the Public Trust Area and Estuarine Waters AEC's.
Submitted by: Ron Renaldi
Date: 10/23/2014

CAMA Major Permit Narrative
Kitty Hawk Landing Association, Inc.
Kitty Hawk, Dare County, NC
October 6, 2014
General
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RE Ei'VED
OCT 7 2014
COASTAL
ELI7_,= ;nfT�i �: QTY
The subject site is located in the Albermarle Sound at the entrance to the Kitty Hawk Landing
area in Kitty Hawk, Dare County, North Carolina. The primary purpose of this proposed work is
to create permanent rock boat channel entrance stabilization in the location of the existing
damaged vertical jetty and breakwater system. The site is at the entrance of the northern Kitty
Hawk Landing Canal, known as Avery Pond. Maintenance of a navigable canal entrance is
essential to allow continued boat use in this area. Much of the existing jetty system is in a
dilapidated condition and some of it is washed out altogether. The existing piling and• sheetpile
jetty system is proposed to be left in place and areas where pilings are gone would involve re-
installation of the washed out pilings prior to the addition of rock. The majority of the washed
out pilings have been saved by Kitty Hawk Landing.
It is the intention of the applicant to use rock at this time to make create permanent channel
stabilization features. Since the time of initial jetty construction, repair and replacement needs
arise on a regular basis due to the high energy nature of this area. Additionally, rock placement
is intended to result in less frequent dredging. Maintenance dredging and original structure
construction has been permitted under CAMA Major 78 -97 and the maintenance dredging
authorization has been renewed and is currently permitted.
The proposed rock jetty rebuild is 245 per side (490 ft total) and the proposed breakwater
alignment is 99 ft (51 ft and 48 ft). See site plan. Included on the site plan are a set of typical
jetty and breakwater construction cross - sections. The maximum width of the jetty rock would be
26 ft and the maximum width of the breakwater rock would be 16 ft. The applicant proposes to
install a fabric base within the rock footprint.
This concept was the point of discussion during a September 23, 2014 inter - agency scoping
meeting at the NCDENR Washington Regional Office. This was a helpful interaction which
allowed us to revise the CAMA plan as presented herein.
Existing Environmental Conditions
Water Depths and Sediment Transport
On 2014, Brian Rubino from Quible performed an in -water existing conditions survey. Water
depths (relative to NWL) were collected and have been plotted on the CAMA plan. In general,
inside of the existing jetty (established channel) water depths are -5.5 ft or greater. Due to
longshore current sand transport along the natural shoreline, shallow banks tend to develop
inside the canal where sand passes through or around the existing breakwater that is generally
perpendicular to shore. This causes the need for systematic maintenance dredging inside the
canal. Observations of sediment transport suggest that in the summer months (with southwest
prevailing winds) there is more sand accumulation on the south side of the canal and jetty
system and in the winter months (northeast prevailing wind) there is more sand accumulation on
the north side. This is consistent with other nearby projects that we have worked on.
QUIBLE & ASSOCIATES, P.C.
ENGINEERING - ENVIRONMENTAL SCIENCES - PLANNING - SURVEYING
WWW.QUIBLE.COM

CAMA Major Narrative
Kitty Hawk Landing Association, Inc.
October 6, 2014
�J
SAV Evaluation
A SAV evaluation was conducted in June 13, 2014 and involved wading, viewing and physically
touching the bottom. The first phase of this evaluation was to cover as much of the shallow
water area adjacent to the project as possible using snorkel and mask. There was poor
underwater visibility (approximately 1 -2 ft), which is typical for this area along the Albemarle
Sound. The surface substrate type is dominantly sand dominated at the surface with clay
and /or peat beds exposed in some areas, especially immediately adjacent to the north side jetty
and marsh. The second phase of the evaluation was to systematically establish transects in the
water perpendicular to the shoreline with sampling stations along each transect. The sampling
stations are the same locations as the plotted water depths. At each station, water depth was
measured, bottom type noted and the bottom was observed for the presence of SAV.
On the north side of the jetty system, starting in water greater than -0.5 ft deep, there was
patchy SAV resources consisting of Stuckenia pectinata (Sago pondweed), Ruppia maritima
(Widgeon grass), Myriophyllum spicatum (Eurasian watermilfoil) and Vallisneria Americana
(Wild celery). The majority of SAV growth'in this area is in water -1.5 ft deep to -3.25 ft deep
where there are significant beds. On the north side, the limiting water depth for SAV growth
was found to be -3.25 ft. The SAV was observed inside the canal and in the Sound. Dashed
lines on the CAMA plan indicate the limits of SAV areas that currently exist.
On the south side of the jetty system, no SAV was identified in June 2014. While there are
water depths sufficient to support SAV, as mentioned above, this side of the canal receives a
high level of sediment movement during the summer months which likely affects the ability for
SAV beds to take hold. Since the species of SAV identified on the north side have a Spring -
Summer growth period in this region, it is unlikely that SAV beds can be found in the winter.
Our proposed jetty and breakwater areas do not appear to regularly support SAV, likely due to
water depths and high energy.
2

DCM MP-11
AP FOLICATION for
Major Development'Permit'-
(last revised 12/27106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. - Prifiiiitv W"Oner a Jon,,,,—,
Business Name
Project Name (if applicable)
Kitty Hawk Landing Association, Inc.
KH Landing Jetty and Breakwater Replacement
Applicant 1- First Name
MI
Last Name
Peter
Collins
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
City
State
Agent/ Contractor 2: First Name
P.O. Box 923
Kitty Hawk
NC
ZIP
Country
Phone No.
FAX No.
27949
USA
ext.
Street Address (if different from above)
City
State
ZIP
Email
2.-:A9 contract&informaffon
Business Name
Quible & Associates, P.C.
Agent/ Contractor 1: First Name
MI
Last Name
Brian
D
Rubino
Agent/ Contractor 2: First Name
Ml
Last Name
Mailing Address
PO Box
City
State
P.O. Drawer 870
Kitty Hawk
INC
ZIP
Phone No. 1
Phone No.
2
27949
252 - 261 - 3300
ext. 240
ext.
FAX No.
Contractor #
252 261 1260
Street Address (if different from above)
City
State
ZIP
8 Juniper Trail
Southern Shores
NC
27949 -
Email
[e-mail]
<Form continues on back>
252-808-2808 :. 1-888-43tC5 AST — www.nccoastaimanagement.net

Form DCM MP-1 (Page 2 of 5)
0C T 2 1 Al
Y
APPLICATION for
Major Development Permit
A
3.� PrdjeO Location
County (can be multiple)
Street Address
State Rd. #
Dare
Ivy Lane
N/A
Subdivision Name
City
State
Zip
Kitty Hawk Landing
Kitty Hawk
NC
27949 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
ext.
N/A, I I I
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Pasquotank
Albemarle Sound
c. Is the water body identified in (b) above, natural or manmade?
cl. Name the closest major water body to the proposed project site.
SNatural ❑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
NYes ❑No,
work falls within.
Residential Uplands and Undeveloped Wetlands
Town of Kitty Hawk
4.
Site.' 6,
§cription
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
N/A
N/A
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
N/A,
NWL (normal water level)
N/A ❑NHW or ❑NWL
(If many lot sizes, please attach additional page with a list)
e.
Vegetation on tract
N/A
f.
Man-made features and uses now on tract
Existing Jetty/Breakwater System, Canal
g
Identify and describe the existing land uses adiacent to the proposed project site.
Residential Uplands and Undeveloped Wetlands
h.
How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning9
N/A
(Attach zoning compliance certificate, if applicable)
❑Yes ❑No ZNA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes SNo
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes SNo ❑NA
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ZNo ❑NA
National Register listed or eligible property?
<Form continues on next page>
252- 8498 -28498 ,. 1-888-4RCOAST :: www.nccoastaimanagement.net

Form DCM MP -1 (Page 3 of 5)
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.
N/A
o. Describe existing drinking water supply source.
j OCT 2 1
�0 14 ,
N/A
!
{
p. Describe existing storm water management or treatment systems.
No SWMP; open water
"„
S. Activities " an"
d maid's
_a -
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 subject site is located in the Albermarle Sound at the entrance to the Kitty Hawk Landing area in Kitty Hawk, Dare
County, North Carolina. The primary purpose of this proposed work is to create permanent rock boat channel entrance
stabilization in the location of the existing damaged vertical jetty and breakwater system. The site is at the entrance of the
northern Kitty Hawk Landing Canal, known as Avery Pond. Maintenance of a navigable canal entrance is essential to allow
continued boat use in this area. Much of the existing jetty system is in a dilapidated condition and some of it is washed out
altogether. The existing piling and sheetpile jetty system is proposed to be left in place and areas where pilings are gone
would involve re- installation of the washed out pilings prior to the addition of rock. The majority of the washed out pilings
have been saved by Kitty Hawk Landing
The proposed rock jetty is 245 per side (490 ft total) and the proposed breakwater alignment is 99 ft (51 ft and 48 ft).
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.
hopper barge, excavator, support barge, vibratory hammer
d. List all development activities you propose.
Piling repair to existing jetty and breakwater system, Rock placement to channel entrance jetty system and breakwater
wingwalls
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? 0 ❑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.
None
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 ®NA
252 - 808 -2808 ., 1- 888- 4RCOAST . www.nccoastalmanagement.net

`
Form DCM MP-1 (Page 4 of 5) APPLICATION for
Major Development Permit
j. Is there any mitigation proposed? E]Yes E]No ZNA
If yes, attach a mitigation proposal.
<Form continues on back>
'iri, a-iditi , oh to , ihis complete , d , appflc�tion'fdrm, -(MP-, 1 the, followirig it6ins below, if applic6ble,-m-u"st-�,§"'S'ub�nitt6dih I 6rd6r for thbapplicaii&n-
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.
brend 'P
Ktty
Name FG Tillett Heirs, C/O Burvell Beacham Phone No.
Address 79 Pagoda Street, Milton, MA 02186
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 78-97 aetties, breakwater and dredging)
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. 11 3A 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.
! certify that |om authorized Vo grant, and doin fact grant permission Vo representatives of state and federal review agencies Vo
enter on the aforementioned lands in connection with evaluating information related 0othis pannh application and follow-up
monitoring cd the pnoject. �im
| further certify that the information provided in this application iu truthful 10 the be�t �. miv*80e���–
Date IiAN124M Print Name
Signature
OCT 2 1 2014
Please indicate application attachments pertai�ingto your pmpouodpnVant.
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Form DCM MP -1 (Page 5 of 5)
❑DCM MP -3 Upland Development
®DCM MP -4 Structures Information
APPLICATION for
Major Development Permit
282.808 -2808 . 1- 888.4RCOA T :, www.nccoastaimanagement.net

Form DCM MP-2
OCT 2 1 1)
and FILL i
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.'• ".. -. 4,
Describe below the purpose of proposed excavation and /or fill activities. All values should be given in feet.
1.'EXCAVATIOM. = 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 yards.
c. (i) Does the area to be excavated include coastal wetlands /marsh d.
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of the excavation in these areas:
High - ground excavation in cubic yards.
2. ":DISP,OSAL OF'EXCAVATED,MATERIAL ®T applica
=
This section not bie
a. Location of disposal area. b. Dimensions of disposal area.
c. (i) Do you claim title to disposal area? d. (i) Will a disposal area be available for future maintenance?
[]Yes []No RNA []Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner. (ii) If yes, where?
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:
f. (i) Does the disposal include any area in the water?
❑Yes []No ❑NA
(ii) If yes, how much water area is affected?
252 - 808 -2808 :: 1.888- 4RCOAS7 :: Wvvw.ncc0asta1ManageMent -net revised: 12126/06
Access
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL)
stabilization
Length
(2) 245
(1) 51, (1) 48
Width
(2) 26
16
Avg. Existing
` NA
Depth
Final Project
NA' =:
Depth
„NA'
1.'EXCAVATIOM. = 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 yards.
c. (i) Does the area to be excavated include coastal wetlands /marsh d.
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of the excavation in these areas:
High - ground excavation in cubic yards.
2. ":DISP,OSAL OF'EXCAVATED,MATERIAL ®T applica
=
This section not bie
a. Location of disposal area. b. Dimensions of disposal area.
c. (i) Do you claim title to disposal area? d. (i) Will a disposal area be available for future maintenance?
[]Yes []No RNA []Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner. (ii) If yes, where?
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:
f. (i) Does the disposal include any area in the water?
❑Yes []No ❑NA
(ii) If yes, how much water area is affected?
252 - 808 -2808 :: 1.888- 4RCOAS7 :: Wvvw.ncc0asta1ManageMent -net revised: 12126/06

a.)' v£j W , ---.nd rF'dNy 'age 2 0 2)
3: SHORECINE`3TABILIZATION `.• , - ®Tliic s'ecfiori no t
app
(If`deve/opmerifis'a tvoodgroin,-use N1P -4 Structures) ;
a. Type of shoreline stabilization:
[]Bulkhead ❑ Riprap ❑Breakwater /Sill []Other:
c. Average 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
i. Source of fill material.
b. Length:
Width:
d. Maximum distance watenaard of NHW or NWL:
f. (i) Has there been shoreline erosion during preceding 12
months?
❑Yes ❑No ❑NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
h. Type of fill material. ,
i
r OCT 2 1 2r'4
,
a
[I 4: OTHER FILL:ACTIVIT %ES '` _Thissectiori not a� licatiie,
pp„
1 ho' S �i
� Exc udiri` �S rel�n'e tabilizaf on
9 ):
a. (i) Will fill material be brought to the site? DQYes LJNo UNA
If yes,
(ii) Amount of material to be placed in the water 1,620 cu yds
(iii) Dimensions of fill area (2) ietties @ 245 ft x 26 ft, (1)
breakwater wingwall @ 51 ft x 16 ft, (1) breakwater winawall @
48 ft x 1 6f
(w) Purpose of fill
channel protection jetty /breakwater
b. (i) Will fill material be placed in coastal wetlands /marsh (CW),
submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (W L)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ®None
(ii) Describe the purpose of the fill in these areas:
N/A
5 N
°GE ERAL
a. How will excavated or fill material be kept on site and erosion b. What type of construction equipment will be used (e.g., dragline,
controlled? backhoe, or hydraulic dredge)?
material to be directly transported to site via barge barges, long reach excavator, backhoe, vibratory hammer
c. (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.
d. (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Project Name 'F
252 - 808 -2808 :; 1- 888- 4RCOAST ;; v+ nwuv .nccoastA!Mg��

Form ®CM MP -4
�-
(Construction within Public Trust Areas) —
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1. Be sure'to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information........
1, DOCKING_ FACILITY /MARINA_ CHARACTERISTICS: ®;This" section' norapp licable,
a. (i) Is the docking facility /marina 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)
(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
(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:
m. (i) Will the facility have tie pilings?
❑Yes ❑No
(ii) If yes number of tie pilings?
d. (i) Are Finger Piers included? ❑Yes ❑No
If yes:
(ii) Number
(iii) Length
(iv) Width
(v) Floating ❑Yes ❑No
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?
❑Yes []No
252 - 808 -2808 :: 1- 888- 4RCOAST :: wrw v.nccoastalmanaolernent.net revised. 12/27/06

Z DOCKING 'FACILITY%MARINA OPERATIONS ® This ^section not'appiicatile
a. Check each of the following sanitary facilities that will be included in the proposed project.
❑ Office Toilets
❑ Toilets for patrons; Number: Location:
❑ Showers '
❑ Boatholding tank pumpout, Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater. ?
c. Describe the disposal of solid waste, fish offal and trash.
d. How will overboard discharge of sewage from boats be controlled?
e. (i) Give the location and number of "No Sewage Discharge" signs proposed.
(ii) Give the location and number of " Pumpout Available" signs proposed.
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
g. Where will residue from vessel maintenance be disposed of?
h• Give the number of channel markers and "No Wake" signs proposed.
i. Give the location of fuel - handling facilities, and describe the safety measures planned to protect area water quality.
j. What will be the marina policy on overnight and live- aboard dockage?
k. Describe design measures that promote boat basin flushing?
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 - 808 -2808 :: 9- 888- 4RCOAST :: www.nccoastalmanagemeoit.net revised: 12127/06

FOK434 B iAfc 5lP- ;Page 3 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
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
❑CW ❑SAV ❑S
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.
S. `BOATHOUSE fihcluding cot%ered lifts) - - „ ` ®This 'seciioh not applicable
a (i) Is the boathouse structure(s):
❑Commercial ❑Public /Government ❑Private /Community j
(ii) Number
V,
(iii) Length
(iv) Width
Note: Roofed areas are calculated from dripline dimensions.
4. GROIN (e.g:> wood, sheetpile, etc: ,If a iock groin, use.'ll!1P -2; Excavation and-Fill .) `' ::': ❑This section not applioable'
r. -
a. (i) Number 2
(ii) Length both are 245 ft (rebuilds)
(iii) Width 26' maximum
5. BREAKWATER (e.g wood sheetpile, etc:) ❑This,section'notapplicab/e.
a. Length 2 wingwalls, (1) 51 ft, (1) 48 ft b. Average distance from NHW, NWL, or wetlands
30 ft
c. Maximum distance beyond NHW, NWL or wetlands
51 ft
S: MOORING.PILINGSaand- B.UOYS S This 'sectlon,nptapplicable
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.)
7c - GENERAL.
252-808 -2808 :: 1- 888 -4RCO AST :: www.nccoastaimanagement.net revised: 12/27106

ti OMd CFi` l, 4 Vf 4'
a. Proximity of structure(s) to adjacent riparian property lines
southern breakwater wingwall to adjoin adjacent property,
northern wingwall will be 15 ft from adjacent property
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body
Albemarle Sound: 8 miles, Avery Pond Canal: 180 ft
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.
private dock +/- 90 ft
d. Water depth at waterward end of structure at NLW or NWL
0.5 ft
8. OTHER p This sectiori`rot a Pp licatie
..
a. Give complete description:
252 - 808 -2808 :: 1- 888.4RCOAST :: www.nccoastalmanagement.net - revised: 12/27/06
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fi ED
,i
Date
i`' ; ;
%
• 3`.,'::' °:,(Qr� :,, ,:.,,,:
l
OCT 2 1 2014
►`•
-. acs':'
P bject Name
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AppGcarit Name -
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APPlicant'Sigriature.
252 - 808 -2808 :: 1- 888.4RCOAST :: www.nccoastalmanagement.net - revised: 12/27/06

J
T
M
MAJOR PERMIT FEE MATRIX
A licant:
<) -,
k,, L L :- ;,; �' S �,c.i�,
Selection
Development Type
Fee
DCM %
DWQ %
(14300 1601 4351000931625 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 o en water areas:
't
II. Public or commercial
i
development that does not,
$400
100% ($400)
0% ($0)
i 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 a lied:
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
E]
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
1('
Quality Certification No.
$400
60%($240)
40%($160)
3490 (see attached) cannot
be applied:
IV. For development that
Ej
involves the filling and /or
$475
60%($285)
40%($190)
excavation of more than
one acre of wetlands and /or
o en water areas:
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