20140275 Ver 2_DCM Permit_20150521

I fiffi! - wA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Donald R. van der Vaart
Governor pECE VEDINC, g,,P,�c�retary
MEMORANDUM
TO: Mr. Anthony Scarbraugh
DWR Water Quality Programs
943 Washington Regional Office
FROM: Daniel Govoni
Major Permits Processing Coordinator
Coastal Management Division
400 Commerce Avenue
Morehead City NC 28557
DATE: 21 May 2015
SUBJECT: CAMA Application Review
APPLICANT: Tobin J. Tetterton
MAY 21 ' ?0`5;
Wateroan;.:y >yion.•i
Operations 8c „iic'.
WasMngton Regi�nai c, ._
Respond to Daniel Govoni
Morehead City Office
PROJECT LOCATION: SR 1718, Yeatesville Road, in existing farmland adjacent to the Pungo Creek
near Belhaven in Beaufort County, North Carolina.
PROPOSED PROJECT: Applicant proposes to convert cropland into a campground with 106 camping
sites, associated septic systems and campground building with showers, washers and dryers and store.
The applicant also proposes to construct a 66 slip marina in Pungo Creek.
Please indicate below your position or viewpoint on the proposed project and return this form by 11 June
2015. Please contact Steve Trowell at 252- 948 -3854, if you have any questions regarding the proposed
project. When appropriate, in depth comments with supporting data are requested.
REPLY This office has no objection to the project as proposed.
This office has no comment on the proposed project.
Signed
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_�jI //i-
943 Washington Square Mall, Washington, NC 27889
Phone: 252 - 946 -6481 \ FAX: [phone] Internet: www.ncooastaimanagement.net
An Equal Oppodunity \ AffimiaGve Action Employer — Made in pan by recycled paper

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: TJ's Land Development, LLC
2. LOCATION OF PROJECT SITE: Project site is located off SR 1718, Yeatesville Road, in existing farmland
adjacent Pungo Creek near Belhaven in Beaufort County, North Carolina.
Photo Index - 2006:117 -8454; J -6 2000:117 -1473; J -5 1995:117 -1271; K -16
State Plane Coordinates - X: 2,669,200 Y: 646,200
Pantego Quad. (lower left comer)
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit— 29 August 2013
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received - 20 May 2015
Office - Washington
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Beaufort County
Land Classification From LUP — Rural with Services
(B) AEC(s) Involved: PTA, PTS, CW
(D) Water Dependent: Yes
(D) Intended Use: Campground with, associated marina.
(E) Wastewater Treatment: Existing - None.
Planned - Individual Septic
(F) Type of Structures: Existing - None
Planned - 106 camp sites, septic system for camp sites, 66 slip marina with
fuel and pump and haul wastewater system.
(G) Estimated Annual Rate of Erosion: Unknown
HABITAT DESCRIPTION:
(A) Vegetated Wetlands
(B) Non - Vegetated; Wetlands
Pungo Creek bottom
(C) Other
Uplands
(D)
(E)
(F)
[AREA]
DREDGED IF LLED OTHER
1,760 82 (Coastal Wetland
shaded)
2, 600 ftz (Wooded 404
shaded)
9,478 ft2(Shaded Creek
bottom)
Total Area Disturbed: 1,473,969 ft' (33.8 acres)
Primary Nursery Area: No
Water Classification: SC NSW
Open: NO
33.5 acres
PROJECT SUMMARY: The applicant proposes to convert cropland into a campground with 106 camping
sites, associated septic systems and campground building with showers, washer and dryers, and store. The
applicant also proposes to construct a 66 slip marina in Pungo Creek.

NARRATIVE
CAMA Permit
TJ's Land Development, LLC
This project is to build a camp ground with marina on the Yeatsville Road fronting on Pungo Creek in
Beaufort County. The entire tract of land is 46.47 acres with 12.95 acres of undisturbed 404 and CAMA
wetlands: The remainder, approximately 33.52 acres, is farm laud. There will be dockage for
approximately 76 boats and more than 100 camp sites with sewage facilities for both the dockage and the
camp sites.
The wetland area is well defined and has been examined by the US Army Corps of Engineers and The
Division of Coastal Management. No attempt has been made to make the distinction between CAMA and
404 wetlands because the only impact in these wetlands will be limited to pile driving. CAMA wetlands
are along the Pungo Creek shore line.
A pump out for boaters will be provided with disposal of the sewerage at a permitted facility.
Bathrooms and other amenities will be provided at a high ground commercial facility located as shown on
the plans.
Elevations range from sea level to 10 feet. Generally the project area is flat with grades less than one
percent. The entire project area to be disturbed is farm land and the existing excavated pond. Soils are
Augusta and Altavista fine sandy loam.
The project includes the excavation of an approximately 3.6 acre pond that is fed by ground water.
There will be no surface water flow into the pond or natural discharge. The pond will not be connected to
local ditches or streams. The existing borrow pit will be enlarged to construct the pond. A mine permit is
being applied for concurrently with these applications. The purpose of these permits is to construct the
pond and provide a partial place to place fill dirt resulting fromthat construction. The pond will be used for
recreation including swig. Putrefaction will be avoided by periodically decanting by pumping to high
ground with sheet flow of more than 50 feet into ditches.
An after the fact Tar- Pamlico buffer permit has been granted to resolve the road crossing issue at the
head of the designated stream.
Borrow will be used to raise the ground elevation at those camper lots that are below the base flood
elevation, and for raising the ground elevation at the septic tank disposal ground absorption drain fields as
required by ground absorption permits. There will be an estimated surplus of about 114,000 cubic yards of
borrow. The owner, TJ's Land Development, LLC intends do the excavation and construction of the
property. Some of the borrow will be used on properties owned by Toby J. Tetterton who is also the owner
of TJ's Land Development, LLC, and some of the borrow will be sold for use at other sites.
Storm water strategy in these sandy silts is to avoid collecting rainwater into hardened or ditched
conveyances. Roads will be constructed as nearly as possible without ditches. Gentle swales will be used.
The Tar- Pamlico riparian buffer will be protected by sheet flowing all water into the buffer. This is a low
density storm water project.
C��fz��l5 ert�_
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TJ's Land Development, LLC
Pungo Creek
Beaufort County
Project Setting
The 46.5 acre project site is located off SR 1718, Yeatesville road, adjacent Pungo Creek
near Belhaven in Beaufort County, North Carolina. The most common land use near and
adjacent to the project site is agriculture, with some scattered single family residences. The site
consists of 33.5 acres of uplands that is currently used as row crop farmland and 12.9 acres of
wetlands. The farmland has an elevation of f7' above the normal water level (NWL) and consist
of sandy loam soils. At the east end of the field is a borrow pond next to a broad expanse of
scrub shrub wooded 404 wetlands that transition to a Coastal Wetland marsh adjacent Pungo
Creek. This wetland area is approximately 540' wide between the uplands and the normal water
level (NWL) of Pungo Creek. The wooded portion of the wetland is vegetated with bald cypress
Taxodium distichum , red bay (Persa borbonia , dead and stressed loblolly pines (Pinus taida),
wax myrtle (Myrica ceri erra) and red cedar Juni erus vir iniana . The wooded wetlands
transition to an herbaceous Coastal Wetland marsh vegetated with black needlerush Juncus
roemerianus), sawgrass (Cladium iamaicense), and giant cordgrass (Spartina cvnosuroides).
There is an unnamed tributary. off of Banjo Creek, a tributary to Pungo Creek, whose
channelized head waters traverse the existing project site /field. The channelization was
undertaken most likely to improve agricultural drainage. An unimproved dirt road was
constructed through the field to the existing borrow pond during the winter of 2013/14. This
road crossed the channelized stream with a 36" culvert pipe. An "after -the- fact" 401 Water
Quality Certification from the Division of Water Resources and a Nationwide Permit 14 from the
US Army Corps of Engineers authorized this improvement.
The project site has 854' of Coastal Wetland marsh shoreline adjacent Pungo Creek.
Water depths in Pungo Creek range from 3' at the marsh edge to +5' below the NWL
approximately 150' offshore. The Environmental Management Commission classifies Pungo
Creek at this location as. SC NSW and the NC Wildlife Resource Commission as Inland Waters.
This area of Pungo Creek is closed to shellfishing.
Project Description
A pre - application scoping meeting was held for this project on 21 June 2013 in the
Washington Regional Office. The applicant proposes to develop the farmland into a
campground with 106 camping sites, that will include supporting infrastructure such as a 50'.
wide x 150' long building housing full bathroom facilities, laundry mat, store, and a 100 person
reception venue. A 66 slip marina is proposed in Pungo Creek as well as a large groundwater
fed pond to be used for recreational purposes including swimming. A road system will be
constructed to access the camping spaces and other campground and marina facilities. A 90
space parking lot is proposed for the campground building and a 33 space parking lot is proposed
for the marina. Wastewater generated from the campground will be handled by onsite septic

TJ's Land Development, LLC
Pungo Creek
Page Two
systems. The marina will have a pump and haul system that will pump to a holding tank near the
base of the marina pier from which the wastewater will be trucked to local municipality for
disposal. The application did not include any documentation authorizing the proposed methods
of wastewater disposal.
The 66 slip marina will be accessed by an 8' wide pier of which ±50' is over highgr6und,
±300' is over wooded 404 wetlands, ±240' is over Coastal Wetlands marsh and ±140' over open
water. The applicant desires to build the pier 8' wide because of the distance to the slips and the
extra width would allow traffic to pass on the pier. The applicant proposes to mitigate for this
impact by constructing the pier with the decking elevated 5' above the ground level to reduce the
shading impact. The pier will access an 8' wide x 586' long T- shaped dock with 66 slips. The
dock will have a square shaped, roofed, platform 30' x 30' at the intersection of the access pier
and dock. This platform will support the fueling area as well as the marine pumpout. Two 15' x
30' slips will be designated for use by boats fueling or pumping out onboard holding tanks.
There is also proposed 2 -25' x 25' roofed platforms at each end of the dock. There will be 24-
18' x 40' slips with a "stern to" orientation on the offshore side of the dock accessed by 14 -3' x
20' finger piers. The inshore side of the dock will have 40 -10' x 10' boat lifts accessed by 22 -3'
x 20' finger piers providing access to the boatlifts.
The existing borrow pond will be modified and enlarged to 3.6 acres. An area of the
existing pond will be filled ±50' x 250' for more highground space to accommodate camping
spaces and the perimeter road around the campground. Fill generated from the pond excavation
will be used onsite to build up the existing ground elevations where they do not meet the base
flood elevation. Fill dirt will also be sold and trucked offsite. The applicant states that a mining
permit application has been submitted to the Division of Land Resources. The applicant plans to
construct a bulkhead around the perimeter of the pond. An 8' wide pier system with a covered
platform and a 20' x 40' T -head platform are proposed to be constructed in the 3.6 acre pond.
The pond will be pumped out to prevent putrefaction pumping the pond water to highground
with sheetflow of more than 50' into ditches.
Project Impacts
The development of the campground spaces and associated infrastructure including the
pond excavation will disturb 33.5 acres of uplands. The access pier over wetlands will shade
2,600 ft' of wooded wetlands and 1,760 ftz of Coastal wetlands. The proposed dock, platforms
and finger piers will shade 9,478 ft' of Pungo Creek bottom. Construction of the pier, dock and
slips will result in some localized short-term turbidity. The marina will increase boat traffic in
Pungo Creek and their associated impacts.
Steve Trowell — Washington Regional Office — 20 May 2015

72 TATT"T"Iff
1. Primary Applicant( Landowner Information
Business Name n Project Name (if applicable)
1-1�s 1"4w),
Applicant 1: First Name MI r Last Name
-r,) ! 14 -- I
Applicant 2: First Name MI
.'/V
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address PO Box City State
A(IA I / ;z .� c I /i( C
�ZIP Country Phone No. FAX No
270 - I
Street Address if different from above) city state ZIP
C3
Email
2- Agent' n FOAM .4 r F,4 C # -e 0(
Business Name,
Last Name
lt�--Agent/ Cont actor 1; First Name Ml
Agent/ Contractor 2: First Name Ml Last Name
Mailing Address dd PO Box City State
/10 Wes-F1W'q1'Y 5'-71'C-eet -44 1'rV7/7aY IVC
ZIP Phone No 1 Phone No.
7� rZ- 2 - !�-3Y7 ext. Y
I '
FAX No. Contractor #
Street Address (if different from above) city State ZIP '�'YJA —
Email
<Form continues on back>
5
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PIPUCATION for
0810F POWER
Silo IV61000012
(lost raWsed 12r27106)
North Carolina DIVISION OF COASTAL MANAGEME
1. Primary Applicant( Landowner Information
Business Name n Project Name (if applicable)
1-1�s 1"4w),
Applicant 1: First Name MI r Last Name
-r,) ! 14 -- I
Applicant 2: First Name MI
.'/V
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address PO Box City State
A(IA I / ;z .� c I /i( C
�ZIP Country Phone No. FAX No
270 - I
Street Address if different from above) city state ZIP
C3
Email
2- Agent' n FOAM .4 r F,4 C # -e 0(
Business Name,
Last Name
lt�--Agent/ Cont actor 1; First Name Ml
Agent/ Contractor 2: First Name Ml Last Name
Mailing Address dd PO Box City State
/10 Wes-F1W'q1'Y 5'-71'C-eet -44 1'rV7/7aY IVC
ZIP Phone No 1 Phone No.
7� rZ- 2 - !�-3Y7 ext. Y
I '
FAX No. Contractor #
Street Address (if different from above) city State ZIP '�'YJA —
Email
<Form continues on back>
5
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Form DCM MP -1 (Page 2 of 4) APPLICA'nON for
Major Development Permit
3. Project Location
County (can be multiple) �S�treet Address Stale Rd. #
6o.4vFo/4i' Ye.9rJv;lic +Pict 6isko oAAJ 5A171S
Subdivision Name City Slate Zip
140 tie ofdA VR'Y I NC, 278/0
Phone No. Lot No. (s) (d many, attach additional page with list)
a� qy3 6677ext. Lprf,(r.i,Kwl,a6 oA<'fL•y> />1cviel�Gre`•T ron)
a. In which NC river basin is the project located? b. Name of body of water nearest to proposed project
-F,iA— li�lcrg6o CAde,&
c. Is the water body identified in (b) above, natural or manmade? d. Name the closest major water body to the proposed project site.
Watural ❑Manmade ❑Unknown PV-44D Crt e4l<
e. Is proposed ork wthin city, limits or planning jurisdiction? f. If applicable, list the planning jurisdiction or city limit the proposed
❑Yes No work falls within.
4. Site Description
a. Total length of shoreline on the tract (ft.) b. Size of entire tract (sq.ft.)
SsY 6Zer f6, y7 /9C r
c. Size of individual lot(s) �[ d. Approximate elevation of tract above NHW (normal high wateo or
CA -0,A b Pp 414 7 I GA i- ( ci X 70 ra h r' NWL (normal water levelt
(If many lot sizes, please attach additional page with a list) 7L) f 4 Q r" *HW or ❑NWL
e. Vegetation on tract - - *wV Wer /4lat atf .4r%e_: ,PA 1 vf_rA1"e_ /. Itif r
33.SL /Fortes 6 ic �-q re ar t_,gyo i9 rtl%Y`e
i1'4s �wert�p. dyoy4Nn c,+" ti
e,�i„I
rib rr •� .�►
f. Man -made features and uses now on tract
Ic'p}nA..;4'V /i.Yd Frild14r MtPY IN
g. Identify and describe the existing land uses _d acent to the proposed project site.
FAytratHtf A.YO woad 14-44-
h. How does local government zone the tract? I. Is the proposed project consistent with the applicable zoning?
N� � F (Attach zoning ply nce certificate, if applicable)
❑Yes ❑No AA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes KNO
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes KNo ❑NA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes I�No ❑NA
National Register listed or eligible property? / .
<Form continues on next page>
217 ! C: f,! - !`CsGS f_Gl' ,. .2'A V_recc —oP -i .. itr._

Form DCM MP -1 (Page 3 of 4)
m. (i) Are there wetlands on the site?
(i) Are there coastal wegands on the site?
(iii) If yes to either (i) or (ii) above, has a delineation been conducted?
(Attach documentation, if available)
APPLICATION for
Major Development Permit
�f1Yes ❑No
i&
P'Yes ❑No
n. Describe existing wastewater treatment facilities. }"/tesgard -y f�Da+fe
�ti,p�sed fyfre.ms Otte sr-erric J'ro�II s°o yriWV�d .4 6s�ny®rrw.
89�►r �J'"/' oer w ;N bt seArro n s7-01tnyR. r9,414. rOr drep�r��
!'i v� �uNl cr%4reJ fawnyt r�BttYaq.o,vr ,���"�r�
o. Describe existing drinking water supply source. PAv.&,wr`y o4oM5•
oltwKIN wM re t. wdl THC REr,✓�ottr e'O—Afry terAi -Cro.ryr7"
p. Describe Zisting storm water management or treatment systems. 1w4 E.
STo^^i wnre4 wi ll Aiz ^AMI NAJV /y N64RAY14A -OwQr
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? - XCommercial ❑PubliclGovemment
�
°h)gl0en Retarac. %JAvt9 t:W d hIgA r fG /h C'. ❑PrivatelCommunity
b. Give a brief description of purpose, use, and daily operations of the pryj�ct when complete. O g� d
C. - t�I earr.9t- /',9 A/c cviilF p Acs- LIpS/Sr
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.
G0M.I7- it,.Cr P;et:_srST4i1 /P.( KA b7xye, Coa,T��/;
fle,^ 40-1 tddd vSI1%Iy
b.J6Ab1'e . ,4, 4 PiJe
d. List all development activities you propos .
Gea+clrnv<r C� r,7e4 �sanl<
bog? 3-1rkl.
/ 5t.viM IPA r/ /O>wJ /asV cl 4edVr.#I
e. Are the proposed activities maintenance of an existing project, new work, or both?
/I '.t.✓ type tt k
f. What is the approximate total disturbed land area resulting from the proposed project? ❑Sq.Ft or Acres
,33,Sz i3cnes i)v�slrclC. Ccoo; 4e12• n4mAWlaydv AAId 0.111 4oll !va /r�rods
g. Will the proposed project ncroach on any public easement, public accessway or other area ❑Yes o DNA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to Ovate of the state.
�VK>:ACe W� r'Eri /2vq cnrf) s� ®er FLow/
VIII wastewater or storm ter be discharged into a weyand? � es
4 I b? S F4)w. L JP wdetsf)rl ; iv& / 14A w 't.
If yes, will this discharged water be of the same salinity as the receiving water? *es
--_. .... ., .., .,..._ -
Is there any mitigation proposed? . ...... r ❑Yes
If yes, attach a mitigation proposal.
<Form continues on back>
❑No ❑NA
❑No DNA
XNo ❑NA
3
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Form DCM MP -1 (Page 4 of 4) APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP -1) the following items below, if applicable, must be submitted in order for the application
package to be complete. items (a) - (0 are always applicable to any major development application. Please consult the application
instruction booklet on howto property prepare the required items below. -
a. A project narrative. A - /a 1
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. A -r- r/ic,60
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site v PIC hot, K A-/+
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected propertle�,f7M.l
e. The appropriate application tee. 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 d p
Name ( 'mI tjf id /-ifS/. 4-L-c -- -__. ...... Phone No....��_���✓�y� /P
Address 1Y 74 q 1/5 #1 Iq i9/ti y d tt y Sri -Zr, 1! t <f etc ,L$Q �7
Name V �/���N' `2 Mfs �/� �r��r /— 7�p �/ Phone No.
Address YZ OJ JP- V41 k1l OJArf'f, IY.c�.: X!/7 `'/!
Name I Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
E/2vS�t�K.�HO iadt�rrr- �rArc�w CvNTrw/ S
,�f�N ,6-i3 /try 01VR H —OZ75 a/,
_ ...
h. Signed consultant or agent authorization form, if applicable. � - /
Tr /t c,�.n,� r
i. Wetland delineation, if necessary. %- �. �i. -��, J%.
--
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. t 13A 1 -10), if necessary. If the project invoolvvees axpendt ��
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy AcL
7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow -up
monitoring of the project.
I further certify /tj at t /he information provided in this application is truthful to the best of my knowledge.
Date J / �/! Print Name US L.
r
Signature
Please indicate application attachments pertaining to your proposed project.
❑DCM MP -2 Excavation and Fill Information ❑DCM MP -5 Bridges and Culverts
CM MP -3 Upland Development
CM MP -4 Structures Information

4Z
Form ®CM MP -3
UPLAND DEVELOPMENT
(Construction and /or land disturbing activities)
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.
GENERAL UPLAND DEVELOPMENT
a. Type and number of buildings, facilities, units or structures
proposed.
�v✓4 e Tlli%�' �� �� r� n.lr dL S, %2S
lYC W 770 , /', 410h rd9C1(r
c. Density (give the number of residential units and the units per
/ acre).
/v6 CAway/.R14$ ;
Pin- AGn.
a
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.
b. Number of lots or parcels.
ir`ra S� All R 4-+dTPrZ
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the Division of Land Resources?
�(es ❑NO ❑NA {'
(ii)Ify s, list the date submitted: '129 r`4P /
Y 'f /! a a'4-K of W I -IV-2 —
g. Give the percentage of the tract within the coastal shoreline AEC to h.
be covered by impervious and /or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
i. Give the percentage of the entire tract to be covered by impervious
and /or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking.
L? SS T�Ij h� �✓� �"
Describe proposed method of sewage disposal.
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industrial/
commercial effluent, "wash down" / and residential discharges).
5�121'�"�• (/�Arei -t- 11"VA( dic."
3 �.sZ �cn�zs
List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
GrtivC u d fr awe. ,// J, it,
Projects that require a CAMA Major Development Permit may also
require a Stormwater Certification.
(1) Has a site development plan been submitted to the Division of
Water Quality for review?
❑Yes b16 ❑NA W4! it "q )* %Z
,100.4j- 'V evf v-a41-1 0r/ .0" /»
(ii) If yes, list the date submitted: Ak G %/y! ✓W�
N1 p r
j.
k. Have the facilities described in Item (i) received state or local
approval?
❑Yes No ❑NA
If yes, a ch appropriate documentation.
m. Does the proposed project include an innovative stormwater
design?��///
❑Yes o ❑NA
If yes, a ach appropriate.documentation.
J

m. Describe proposed drinking water supply source (e.g., well,
community, public system, etc.) �q/'
b o-u F-01ti1- n(-'64 t y N a' �41,-
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r
o. When was the lot(s) platted and recorded?
R0 /,r'Sj 4V /K eA(4L 'Jig- i4Ut -'
Date
i``'�t
Project Name
Applicant Name 4 1d /
Appli n re
n. (1) Will water be impounded? ❑Yes YfINa [3NA
(ii) If yes, how many acres? OA�rsle� pV" B `, ( j
4 c 1-2s/; -c- t.�d ,e/
d jVgN S lG-V. o j- sv ti�s�ce b✓ds /�
p. If proposed development is a subdivision, will additional utilities be
installed for this upl nd development?
❑Yes ❑N, A
M,

F'�Si ill ��.IYi Pit F" -�1
(Construction within Public Trust Areas)
T J S L/}#J /%z ✓e�o�ra.����LC
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -t. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
9. DOCKING FACILITYIMARINA CHARACTERISTICS
❑This section not applicable
a. (i), Is/the docking facility/marina:
b. (i) ill the facility be open to the general public?
Commercial ❑Public/Govemment ❑Private /Community
rrr,W...
ptlYes ❑No
a (i) Dock(s) and /or Ipier(ss)f K
d. (i) Are Finger Piers included? [files ❑No
(ii) Number J Y e.
n
� ✓'ec1�
� I o�CL � OES i
If yes:
a Number 3
f7 �
(iii) Length Z�/
(iv) Width
(ii) Length /20 fE6 t
(vP�% °wn i u l%m lC 7 ;0'
�ng []Yes No
Gv)Width 3 F6F./
Floating ❑Yes
(v) ANo
e. () Are Platforms included? Ik'es ❑No
I. (i) Are Boatlifts included? X1Yes ❑No
If yes:
If yes: /�
(i) Number 3 /
71 �
(ii) Number O
(ii) Lengths - li
(iii) Length
'30�r�
(v) Width
(iv) Width �%:l /" It 6 %
(v) Floating ❑Yes No
Note, Rooted areas are calculated from dripfine dimensions.
g. (i) of slips proposed
h. Check all the types of services to be provided.
,Nu/mber
66
❑ Full service, Including travel lift and /or rail, repair or
(ii) Number of slips existing
..,,..__ll maintenance service
�p� E _
114Dockage, fuel, and marine supplies `'/
r ")
❑• Dockage Cswet slips only, number of slips: /� /,q
❑ Dry storage; number of boats: /Y//+
❑ Boat ramp(s); number of boat ramps:
❑ Other, please describe:
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: I' r_ t r fi ✓ E K 11', 'Q
m. I) ill the facility have tie pilings?
es ❑No
(ii) If yes number of be pilings?
`i� I
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types). "
f7o WBrL 4-rn d rf ^l� �J.4 TS
I. (1) Wil e facility be open to the general public?
Yes ❑No
7
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f',..rte1 DCM MP -r$ (Structures, Page 2 of 4)
2. DOCKING FACILITY /MARINA OPERATIONS ❑This section not applicable l
a. C each of the following sanitary facilities that will be included in the proposed project.
Office Toilets ) /
/Toilets for patrons; Number: �; Location: OK h 1,6 k ` �� d �°i F R 15 r Pi �po'en 96A, K STv��,
,ty Showers // J) 1
Boatholding tank pumpout; Give type and location: PiI14P,�/(j r0 hl r),A VVid F/r.0 M 7-#'e C..eKr4tt ,pe c/<
b. Describe treatment type and disposal location for all sanitary wastewater.
/
1� ,�lr 6Q v"h ,Se ��d'�V oowy. � e wV ll Je' ZZ
Tiu t m&wr nuli .
C. Describe he disposal of so 4d waste, figh offal and trash. II // l
rMFS4 C AKJ 11,- I/l 6,e OK rNc �i�cX , %/eJe. A.,i ag -(4;2 icaci
Srgf�F. All 7Kft rk ,1vt'llII. J,koofz.0 r/% in( AN o in/LO ✓_ /A.rcl �rl�
d. How will overboard discharge of sewage from boats be controlled?
e. (i) Give the location and number of "No Sewage Discharge" signs proposed.
Z- Ar
z,
(ii) Give the location and number of "pumpout Available" signs proposed.
-r 7- fRM.Q
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
� � B�•t' /t-EAr�,ns nllvwa� F)nrl� ,R..t- t.eoa.4PVC� .enlvr„/.¢ c✓u/zK,
N Ay m* 0t4mrf To � A.er+i ✓td dy lxtu'oM rr�Hl�i�r� �ta�9 /lcl�
g. Where will resi ue from ve Sal maintenance be disposed of?
Q u4 y zm oayAw e 19 // ate Arj e ro (..k lj,—J &^AJ
�F�= SY AA �IerLdoy iv?AKrncf, �zPArres t
h. Give t e number of chann I markers an No Wake" signs proposed. i
I. Give the location of fuel - handling facilities, and describe the safety measures planned to protect area ,water quality.
. e B K r wW,4& /� aw 4 "0 k O✓ d / Ze rA_ L
w f ro P to t To T;C*_ t /)I /
j. What will be the marina policy on overnight and live -a and dockage?
/t o tJ, e v e -1 Ai i 4.� � t1p 7�
i.�Nfec uric d�vs o2tn+t�9,J�
k. Describe design measures that promote boat basin flushing?
rA-.e. is Nat A 6m-li� t- d gsl:>< ,
I. If this project is an expansion of an existing marina, what types of services are currently provided?
HAA✓ fit�T�
0
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T J :f �R� d 1✓a ✓mil a�r�� --i r^�c
m. Is the marina/docking facility proposed within a primary or secondary nursery area?
[]Yes No
n. Is the marina /docking facility proposed within or adjacent to any shellfish harvesting area?
[-]Yes [ N0
o. Is the marinaidocking facility proposed within or adjacent to coastal wetlandslmarsh (CM submerged aquatic
_.
vegetation (SAV), shell bottom
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
CW !�'
�(A ❑sAv _ ❑s6 _
A
WL �°" ❑None
L
p. Is the proposed madna/docking facility located within or within close proximity to any shellfish leases? ❑Yes
111���rrr
No
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lifts) -
XThis section not applicable
a. O Is the boathouse structure(s):
❑Commercial ❑Public /Govemment ❑Private /Community
(ii) Number
(iii) Length
(iv) Width
Note: Roofed areas are calculated from ddpline dimensions.
4. GROIN (e.g., wood, sheetpile, etc. If a rock groin, use MP -2, Excavation and Fill.) (This section not applicable
a. (i) Number
(i) Length
(iii) Width
5. BREAKWATER (e.g., wood, sheetpile, etc.) This section not applicable
a. Length b. Average distance from NHW, NWL, or wetlands
G. Maximum distance beyond NHW, NWL or wetlands
6. MOORING PILINGS and BUOYS
a. Is the structure(s):
❑Commercial ❑PublidGovernment ❑Private /Community
C. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing _
This section not applicable
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)
N
20 z 0 ,:.. i1 Z,-41: C.C' " ��7: , -evc .,arc ._ S,.-. a L ms' I ts --, C , o ,fsc ! -c v " F ca "/"-.• !GC;

Form DCM MP -4 (Structures, Page 4 of 4)
7. GENERAL
a. Proximity of structure(s) to adjacent riparian property lines
15-0 ` fttowit eitt;4 91J -dw-k
Note: For buoy or mooring piling, use am of swing including length
of vessel.
c. Width of water body
v
e. (i) Will navigational aids be required as a result of the project?
❑Yes ptrvo ❑NA
(ii) If yes, a lain what type and how they will be implemented.
8. OTHER,
a. Give complete description:
b. Proximity of structure(s) to adjacent docking facilities.
Esc 7 #,09' oo -dtf.. ftvr� J HG
g/(rtS, I- QR
d. Water pth at waterward end of structure at NLW or NWL
S-
This section not applicable
Date
Project Name
T� bl;'' . J: fe fTe n stay jYIFt orfr�e/t .
Applicant Name -
�Bc7�
Apphcew I/
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