20231371 Ver 2_CAMA Application_20240515

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Dare County Tourism Board & Town of Nags Head
2. LOCATION OF PROJECT SITE: 6906, 6900, 6800, 6714, & 6708 S. Croatan Hwy,
Nags Head; adjacent the Roanoke Sound.
Latitude: 35.9164240 Longitude:-75.6053860
Latitude: 35.9168160 Longitude:-75.6073220
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit— 08/10/2021; 07/18/2023
Was Applicant Present — No; No
5. PROCESSING PROCEDURE: Application received 07/07/2023
Application received complete 09/01/2023
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Town of Nags Head
Land Classification From LUP — C2; General Commercial District
(B) AEC(s) Involved: Estuarine Waters (EW), Public Trust Areas (PTA), and
Coastal Wetlands (CW), Coastal Shoreline (CS)
(C) Water Dependent: Yes and No
(D) Intended Use: Public/Government
(E) Wastewater Treatment: Existing — Onsite septic systems at former
restaurants
Planned - None
(F) Type of Structures: Existing — Paved asphalt parking, gazebo, deck(s),
ramp, office building, pier, platform, slips
Planned — Boardwalks, walkway, viewing platforms
(climbing tower),
Pergola, pier to platform/gazebo, 8 slips,
5 finger piers
(G) Estimated Annual Rate of Erosion: N/A
Source — Onsite observation
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED OTHER
Shading:
(A) CW
N/A
N/A
3,195.52 sf
404
11,385.41 sf
Shading:
(B) EW/PTA
N/A
N/A
5,210.87
Disturbed:
(C) CS (High ground)
N/A
N/A
12,159.74

Field Investigation Report: Dare County Tourism Board & Town of Nags Head
Page 2
(D) Total Area Disturbed: 31,951.54 (.74 acres)
(E) Primary Nursery Area: No
(F) Water Classification: SA; HQW Open to Shellfishing
8. PROJECT SUMMARY: Development proposed includes 9' wide boardwalks (8' wide
decking), 6' wide vinyl decking sound access walkway, viewing platforms, pergola, 9'
wide pier to a 1,962.73-sf platform with gazebo; remove 2 slips & create 7 boat slips &
4 finger piers .
Project Setting
The project is proposed on 5 parcels, located at 6708, 6714, 6800, 6900, and 6906 S.
Croatan Hwy in Nags Head, Dare County. These parcels equate to a total of 25.5 acres,
with a -r2,444 linear foot (Ift) shoreline adjacent the Roanoke Sound. Per Dare County
parcel records, each parcel was assessed as follows: Parcel #008795000 at 6708 =
284,882 sf; Parcel #030880000 at 6714 = 175,982 sf; Parcel # 008854000 at 6800 =
407,286; Parcel #012422001 at 6900 = 75,500 sf; and Parcel #012422000 at 6906 =
168,577 sf. The development for 6708 consists of the old Pamlico Jack Restaurant with
associated parking and driveway. The development for 6714 (aka First Flight Adventure
Park) consists of a roofed climbing tower with ziplines, office building, paved asphalt
parking, driveway, elevated ramp and walkway, observation deck, pier, upper platform with
partial roof, steps down to a lower platform, and four pilings for two slips. The upland
development for the current Soundside Event Center consists of paved asphalt parking,
driveways, and a covered pavilion.
The elevation for the properties varies from 0.5' to 3.0' Normal Water Level (NWL). Starting
from the southern parcel going north, the vegetation consists of Coastal Wetland (CW)
plants including Bulrush (Scirpus spp), Black needlerush (Juncus roemerianus), Giant cord
grass (Spartina cynosuroides), Smooth cordgrass (Spartina alterniflora), and Salt meadow
grass (Spartina patens). Non-CW vegetation included indigenous grass, Pennywort,
Phragmites, Sea ox-eye, and Bayberry (Myrica cerifera).
The riparian property to the north is developed as a commercial go kart track with a four-
sided open building, utility shed, deck, paved asphalt parking and driveway (outside of the
AECs). A large area of the property is undeveloped, with approximately ±8 acres of marsh.
The riparian property directly south of the project area is a Town of Nags Head's Harvey
Public Sound Access, developed with a pavilion with restrooms, deck, ramp, and catamaran
racks. The next riparian property to the south is developed with a restaurant with paved
asphalt parking, driveway, deck, pier, platforms, gazebo, finger piers, and slips.
Permit history on file for the parcel at 6714 includes Major Permit (MP) #138-11 issued to
On Trading Corp c/o Nicholas Nuzzi on 11/21/2011 and expired on 02/09/2017. Division of
Water Quality Project No. 11-0733 and USACE SAW-2011-01574 were issued in
association with this permit. The MP authorized upland development (walkway, gazebo,
docking facility with boat slips, pier, and platform. The applicant also confirmed that NCDEQ
Stormwater Permit SW7140809 was issued to Dare County Tourism Board on 09/16/2014.
A virtual scoping meeting was held on 04/25/2022 to discuss the proposal, at which
representative(s) of the Division of Water Resources (DWR) were present.

Field Investigation Report: Dare County Tourism Board & Town of Nags Head
Page 3
The USACE provided a Jurisdictional Determination for the project site dated 08/16/2022.
The water classifications for the Roanoke Sound are Market Shellfishing, Tidal Salt Water
(SA) and High Quality Waters (HQW). The waters are open to shellfishing and are not in a
primary nursery area. The waterbody of the Sound is designated as Coastal Waters and is
in the Pasquotank River Basin. The water depths in the project area of the waterbody vary
from -0.25 to -1.61 NWL in front of the southern -most parcel, -0.50 to -1.52 NWL in the area
of the proposed gazebo, to -0.42 to -2.86 NWL in the area of the existing pier/platform and
proposed finger pier/slips on the northern parcel.
An SAV survey was conducted by George Wood of Environmental Professionals on
09/05/2022, and a copy is included in the application. There were dense areas of Widgeon
grass, (Ruppia maritima) and sparse areas of Common eelgrass (Zostera marina).
Development Proposal
The applicants are requesting to develop the Soundside Event Site to provide pedestrian
access to the Town -owned Harvey Sound access on the south and the length of the
properties to the north, connecting to the First Flight Adventure Park and adjacent property.
The project includes the following:
NOTE: The width of the boardwalks is listed at 9', which includes the 8' wide decking
and the two railings totaling V, for a total of 9' wide. For shading calculations, DCM
only used the 8' wide decking.
6906 and 6900 S. Croatan Hwy
• A 101.8 Ift x 6' wide (610.8 sf) sound access walkway is proposed across CW to
provide access for kite boarding and other water sports activist to the sound. The
height above CW substrate is proposed at 36". The applicants are also proposing to
use vinyl planking that purportedly will allow 50% more sunlight penetration to the
CW vegetation.
• A 473.65 Ift x 10' wide (4736.5 sf) concrete sidewalk is proposed on high ground, and
a 46' retaining wall border is proposed between the CW line and the proposed
concrete sidewalk outside of the 75' AEC (high ground).
• A 145.75 Ift x 9' (1,166.0 sf) wide boardwalk over CW to connect to a 109.18 Ift x 9'
(873.44 sf) boardwalk over the Sound.
6800 S. Croatan Hwy
• An entrance arch welcome sign is proposed at the intersection of the proposed
468.86 Ift x 10' (4,688.6 sf) wide concrete sidewalk on high ground and the 70.25 Ift x
9' wide boardwalk (562.0 sf) over 404 wetlands.
• A 628.32 sf viewing platform is proposed off the boardwalk over 404 wetlands, and
the boardwalk will continue over for another 77.95 Ift x 9' (623.6 sf) over CW.
• A 141.10 Ift x 9' (1,128.8 sf) wide pier will extend off the boardwalk over the Sound,
over a dense coverage of Widgeon grass, and connect to a 1,962.73-sf circular
platform with 1,689.88 sf roofed area for a gazebo.
• A 74.4 Ift x 10' wide boardwalk is proposed west of an existing stormwater basin on

high ground outside of the AECs.
Field Investigation Report: Dare County Tourism Board & Town of Nags Head
Page 4
• Another section of boardwalk, proposed at 77.71 Ift x 9' wide (621.68 sf), will be over
the sound going north, and then connect to 97.02 Ift x 9' (776.16 sf) boardwalk going
over 404 to a 126.55 Ift x 9' (1,012.4 sf) and 412.63 Ift x 9' (3,301.04 sf) boardwalk
also over 404 wetlands. Along the section of boardwalk located on 6800 S. Croatan
Hwy and over 404 wetlands is a viewing platform (640.73sf). This section of
boardwalk transitions from 6800 S. Croatan Hwy to 6714 S. Croatan Hwy.
6714 and 6708 S. Croatan Hwy
• Along the section of boardwalk that transitions from 6800 S. Croatan Hwy to 6714 S.
Croatan Hwy there is a viewing platform over 404 wetlands (625.29sf)
• The final section of boardwalk, proposed at 243.081f x 9' wide (1,944.64sf) is located
on 6708 S. Croatan Hwy and is over high ground.
• 4 pilings will be removed from the existing docking facility, thereby removing 2
existing slips.
• An extension of the existing docking facility will include a 108' x 6' pier, four-20'x4'
finger piers, and 8 pilings to create 7 total slips (for a total shading of 624.22 sf).
o There is a moderate coverage of Widgeon grass in the proposed development
area; however, the water depths range from -2.16' to -2.86' NWL. The slips
are not proposed within the area of SAV.
Anticipated Impacts
The installation of the sound access walkway and sections of boardwalk will shade 3,195.52
sf of CW AEC.
The installation of the viewing platforms and pergola will shade 11,385.41 sf of 404
wetlands.
The installation of the piers, platforms, finger piers, and sections of boardwalk over the
sound will shade 5,210.87 sf of Open Water habitat in the EW/PTA AECs.
The installation of concrete sidewalks, boardwalks, and retaining wall will disturb 12,159.74
sf of High Ground habitat outside of the AECs.
Submitted by: Yvonne Carver
Date: 09/29/2023 Revised by Gregg Bodnar 5/10/24

REGEIVED
DomMP•1 - - qn-a 1 2023
APPLICATION for
Major Development Permit �:ar.�wiw =�
p
(last revised 12127106)
North Caroihia DIVISION OF COASTAL MANAGEMENT
9. Primary Applicant/ Landowner Information
Business Name Dare County Tourism Board
Project Name (if applicable)
(Note: the Town of Nags head shares ovenershlp of poaions of the land)
The Soundside Event Sile Boardwalk I'm)ccr
Applicant 1: First Name
MI
Last Name
Diane
Bognich
Applicant 2: First Name
MI
Last Name
Sce attached for " I mw+of Nags I Iead"
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
City
Stale
One Visitors Center Circle
lhanteo
NC
ZIP
Country
Phone No.
FAX No.
27954
USA
252 - 473 - 2138 ext.
Streel Address (it different from above)
City
Stale
ZIP
Ema€I
bognich@oule ibanks.ofg
2. Agent/Confractorinformatlon
Business Name
Albemarle &Assoclales, Ltd
Agent! Contractor 1: First Name
Nil
Last Name
John
M
DeLuc€a
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO pox
City Stale
PO Box 3989
Kill Devil Hills NC
ZIP
Phone No. 1
Phone No. 2
27948
252 - 441
- 2113 ext. - - exl.
FAX No.
Cont(aclor 0
252.441-0065
Street Address (if different iron? above)
City
State ZIP
115 West St. Clair St.
Kill Devil Hills
NC 27948.
Email
[e-mail]
<Form COIltinues on hack>

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be mufliple)
Street Address 6800 South Croatan Highway
Stale Rd. N
Dare
(underlying parcels have street addresses of 6906, 6900, 6800,
US-168
6714 8 6708 South Croatan Highway)
Subdivision Name
City
Slate
Zip
See attached
Nags Head
NO
27059 -
Phone No. rda
Lot No.(s) (it many, altach additional page with iisf)
- ext.
I I (attached)
a. In which NO river basin is ilia project located?
b. Name of body of water nearest to proposed project
Pasquolank
Roanoke Sound
c, Is the water body identified In (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
©Natural ❑Manmade ❑Unknown
Roanoke Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit Ilia proposed
®Yes ❑No
work fairs within.
Town of Nags Head
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.t.)
2,44411
1 1,115,0133
c. Size of individual lol(s)
d. Approximate elevation of tract above NHW (normal high valet) or
see attached
NWL (normal waler level)
(If many lol sizes, please attach additional page with a list)
0.5' 10 3.0, ❑NHW or RNWL
e. VegelaVon on Iraq
Grassed on uplands, various wetlandlmarsh vegetation in wetlands
I, Man-rnade features and uses now on Tract
parking areas (paved and reinforced grass), sidewalks, a shade slruelure, a rope climbing coarse and two former restaurants
g. Identify and describe the existing land uses admacen to the proposed project site.
North - West I Soundfront - Commercial (go-cart track)
East - Commercial (mini -gold
South - public sound access and pavil(Dn
h. How does local government zone the tract? 1.
Is [lie proposed project consistent with the applicable zoning?
C-2 General Commercial (with hotel overlay)
(Attach zoning compliance cerlificale. If applicable)
❑x Yes ❑No ONA
J. is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ❑x No
k. Has a professional archaeological assessment been done for the tract? Ii yes, attach a copy. ❑Yes ®No ❑NA
If yes, by whorn?
L Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes MNo ❑NA
National Register listed or eligible properly?
Form continues on next pages

Soundside [vent Site Boardwalk
Dare County Tourism Board
CAMA Major Development Permit Application Supplement
DCM MP-1
Section 1 - Applicant 2
Business Name: The Town of Nags Head
First Name: Andy Last Name: Garmen
Mailing Address: 5401 South Croatan Highway, Nags Head, NC, 27959
Section 3 -Subdivision & Lot numbers (6 total)
Forbes Commercial Lots (Lot 1, Lot 2 & Lot 3)
Outdoor Creations (Parcel 1, Parcel 2)
None (formerly "Pamlico Jacks")
Section 4 — Site Description - (c) Size of Individual Lots
Forbes Commercial Lots (Lot 1) :
159,527.05 sf
Forbes Commercial Lots (Lot 2) :
74,786.34 sf
Forbes Commercial Lots (Lot 3) :
397,475,64 sf
Outdoor Creations (Parcel 1):
34,769.95 sf
Outdoor Creations (Parcel 2):
183,803.11 sf
None (former Pamlico Jacks):
264,701.90 sf
JUI. 0 1 W3

Form DCM MP-1 (Page 3 of A)
APPLICATION for
SEP 0 1 2a23 Major Development Permit
m. (i) Are there wetlands on the site? CM1 a xNYes F)No
(i€) Are there coastal wetlands on the site? Oyes [--]No
(Ili) If yes to either (1) or (ii) above, has a delineallon been conducted? OYes ❑No
fAffach documentation, if available)
n. Describe existing wastewater treatment facilities.
on•sl(e septic systems with subsurface drafnfield disposal at former restaurants
o. Describe existing drinking water supply source.
Town of Nags Head Water System
p. Describe existing storm water management or treatment systems.
Slate issued slormwaler management permll SW 71410809 Issued for Event Site includes Infiltration basins and permeable pavement
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? []Commercial ©PubliclGovernmenl
public use ❑PrivalelCommunily
b. Give a brief descripllon of purpose, use, and daily operations of the project when complete.
The public site Is mostly grassed with paved and grassed and parking areas for public use. The primary use Is a place to host a variety of
public events. Boardwalk and platforms will provide access to and views of the Roanoke Sound as wall as connectivity between adjoceal
parcels. B small boat slips are being added to provide boat access and temporary dockage for the site.
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.
Boardwalk will he limber frame with wood or composite deckboards. Pilings will be installed using a vibratory hammer. Standard pourer driven
construction hand tools Y411 be used for frame and deck construction, Small excavator andlor skid steers may be used for Iransitional grading
In upland areas. Staging f storage areas WII be on site In upland areas.
d. List all development activities you propose.
Wooden walkways (6' wide) and boardwalks (10' wide), as well as a platform with gazebo and 8 boat docks are proposed wilhin the CAMA
AEC. Concrete sidewalks, additional wooden boardwalks, a pergola, Iwo vievdng platforms, and a retaining wall are proposed outside of the
AEC to provide access and connectivity to and from existing parking areas and sidewalks.
e. Are the proposed activities maintenance of an existing project, new work, or both?
new work
I. What Is the approximate total disluibed land area resulting from the proposed project? 0.65 ❑Sq.FI or ®Aces
g. Will ilia proposed project encroach on any public easement, public accessway or other area [9]Yes ❑No DNA
that [lie public has established use al?
h. Describe location and type of existing and proposed discharges to waters of the state.
There is an existing drainage easement with a stormwater drainage pipe oulfall to the Roanoke Sound Thal is located approximately in line
wdh the current driveway location. This will not be Impacted by this project.
1. Wit wastewater or stormwater be discharged Into a wetland? ❑Yes ®No DNA
If yes, will this discharged water be of the some salinity as the receiving water? ❑Yes ONO MNA
J. Is there any mitigation proposed? ©Yes pNo DNA
If yes, attach a mitigation proposal.
<Forin continues on back>

Form I)CM MP-1 (Pago 4 of i) APPLICATION for
Major Devoiopment Permit
G. Addltlot) llnformation
In addirlon fo this completed opplicallon form, (AIP--1) Ilia following llelns below, II applicable, mist bo subrrtllfodin order lorlho applicollon
package fo be complete. Ilems (a)-- (1) aro a6vays applkablo to anymofor developmon( applkallon. Ploaso consul? ibe applleallon
Insfnrcllon booklet an how to proparly prepero iho 1equlrod /lams barely.
a. A project narrative. —
b. An uccumto, dated work plat (including plan vloW and c(oss-sectional dfavengs) dra%vn to scale. Pleaso give ilia present status of the
proposed project. is any portion already complete? If previously aulfiorized work, cicat[y indicate on maps, plats, draWngs to distinguish
between work completed and proposed.
e. A silo or location map that Is sufffeionlly detalled to guide agency personnel unfamiliar Wilt the area to Ilia site.
d. A copy of the dead (v4th stoic application onty) or other Instrument under V49ch the applicant dahns title to the affected properties.
e. Tile appropriale application fee. Check or money order made payable [o DENR.
f. A list of [tie names and complete addresses of the adjacent walethont (riparian) lendownors end signed return receipts as proof lisal such
oymers have received a copy of the application and plats by coitl8ed mall. Such landowners must be advised that they have 30 days In
wislch to submit comments an tha proposed project to the Division of Coastal MManagonsent.
Name 16 Mile Post I.LC — — PhoneNo. 262-441-6151
Address PO.IIox 324. Nags )toad, NC, 27059
Name Sandar LLC Phor+o No, 252-423.0400
Address 280 Airporl Road, Marilee , NC, 27954
Noma -- Phone. No.
Address
g. A list of previous state or fedoral permits issued for walk on the project tract. Include permit numbers, permitteo, and Issuing dales.
NCDEQ Stornivraler Permit SWM40000 • (Issued to the Darn County Tourism Board on ollIU2014l)
LAMA Major Poimll JA38.111 Issued 111121/11 ( revised 9130113, 3114114 S Of8115) Issued to On -Trading Corp.
in. Signed consultant or agent aulhodzetion form, If applkablo.
1. Wetland ctellneation, If necessary. W
j. A signed AEC hazard notice for projects In oceanfront and inlet areas. (Must be signed bypropedyolmer) NIA
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 11 3A f-10). It nocoss Dry. If Iho project Involves expenditure
of public funds or use of public lands, attach a statement documonling compliance IM[h the North Carolina Unvfronmonlal Policy Act.
Y. CertlficW#o_ r and Aerinission to Enter on Land
I uiidorstand that any permit Issued In response to this application wilt allow only the development described in the application.
The project will be subject to Ilia conditions and restrictions contained in the permit.
I certify that 1001 authori7.ed to grant, and do in fact grant pormission to repro senlatives of state and federal review agencies to
enter on Ilia aforementioned lands in connection with evaluating Information rolatod to this permit application and follow-up
monitoring of the project.
further cortify that the information provided In this application Is Iruthful to the best of my knowledge.
Date a t`t !' 2r'`L�> Print Name t Gt� (}fit_ f"1vR •ys� f j�) {{
J4
5ignnlurp •'
Please Indic -ale application altachmonts pertaining to your proposed project. SE P j 702
37
j]DCM MP-2 Excavaliort and FI[I information l j[)CM MP ' ridges and Culverts
MDCM MP-3 Upland f)ovolopment (��j r
®I)CM MP•4 Structures Information D C' I L' I" E `, ,
2,B2-000.20ert .. 1.000•AitC0A5'1' is www.n<:uunr ulmriu�rruntont.noi

Form DCM MP-3
Jul. 01208
UPLAND DEVELOPMENT . F 1
yytt , s;t' Fyy t., r/ ,v
(Construction and/or lancl disturbing activities)
Attach this form to Joint Application for CAMA Major Permit, Forin DCM MP-1. Be sure locomplele all other secliom of the Joint
Application that relate to this proposed project. Please include all supplemental information.
l GENERAL UPLAND DEVELOPMENT Ob.
a. Type and number of buildings, facilities, un str e- res Number of lots or parcels.
proposed. '(� q �t�Qc�� I 5
10' wide concrete side walk (943') ,C 9 wi a wooIt d en boa w Ik ft,4 G5 ), - —
rr�� r .
vie in il'orm fie{ ti�g�31
!!LIA porgola f1.134 s11, retaining ,all corme sign R f WI b.,A tk rr+r 4u'l (&,ml
Density (give the number of residential units and the units per o j Size of area to be graded, filled, or
disturbed NrAoding roads,I
acre), ditches, etc]
NIA
0.65 Ac
e. If the proposed project will disturb more than one acre of land, the f, List tho materials (such as marl, paver stono, asphalt, or concrete)
Division of Land Resources must receive an erosion and to be used for impervious surfaces.
sedimentation control plan at least 30 days before lanrbdisturbing
activity begins. concrete
(i) If applicable, has a sedimentation and erosion control plan been
submitted to lire Division of land Resources?
❑Yes ❑No ❑x NA
(0) If yes, list the date submitted' NIA
g. Give the percentage of tine tract within the coastal shoreline AEC to h. Projects that require a LAMA Major Development Permit may also
be covered by impervious and/or built -upon surfaces, such as require a Stormwater Certification.
pavement, building, rooftops, or to a use�for vehicular driveways (1) Has a site development plan been submitted to the Division of
or paiking. Water Quality for review?
I& �y. [AYes ❑No DNA
i. Give line percentage of the entire tract to be covered by impervleus (ii)llf yes, list the (late submitted: `1123/2022
and/or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking.
20.9 %
J. Describe proposed method of sewage disposal. k. Have the facilities described In Item (i) received state or focal
approval?
none
®Yes ❑No ❑NA
If yes, attach appropriate documentation.
1. Describe location and type of proposed discharges to waters of the m. Does the proposed project include an Innovative stoirnwalei
state (o.g., surface runoff, sanitary wastewater, (nduslrlall design?
commercial effluent, 'wash down" and residential discharges). ❑Yes ❑x No ❑NA
NIA if yes, allach appropriate documentation.
252-1100-20007.:: -I4;98- tl{C0AS'r' ::}yWvv,11_rcn�tstnhuarlalfumcat2l.11Efl, rr ised: f 7.!?.G14G

V:iy'uo W. 1A IVIt3..3 (iflilatirl Develolitim,tit, I'srgo l of ?)
m. Oescribe proposed drinking waler supply source (e.g., well, n. (Q Will water be impounded? ❑Yes (]No ❑NA
community, public systern, etc.) 0 Ir yes, liow many acres? NIA
none
o, When was the lot(s) platted and recorded? p. Ir proposed development is a subdivision, will additional utilities be
Lois 1, 2 & 3 Forbes Commercial Lois - PC D. St. M (recorded 81271DG) installed for this upland development?
❑Yes ❑No ®NA
Parcel 1 & 2, Outdoor Creations Amended, PC C. SL 152A (recoded 2126192
Penguin Isle Properly. PC B, SL 269 (recorded W123)1984)
Date ff :1..!,l. r..,f
AKI,
�� pit. t. 0 T 2023
Project Na a
Applicant Name
Applicant
2 52-{i0n•2808 :: I•ti HI-ItW(WiT ::rovhwd: 'I?.?ZGrOf

UP P Q 1 2023
Form DCM MP-4
STRUCTURES
(Construction within Public Trust Areas)
Altach this form to Joint Application for CAMA Major Permit, Form DOM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
?. DOCKING FACILITY/MARINA CHARACTERISTICS
a. (i) is the docking faellityfmarina:
L)Commerclal E PubliclGovernment ❑PrivalelCommunily
c. (i) bock(s) andlor pler(s)
l
(Ii) Number 1 IOB.G' (ascraQc)
(ill) Length 141
(Iv) Widlh ra 6
(v) Floating L1Yes ®No 110
e. (i) Are Plalforms included? ®Yes ❑N`
If yes:
(ii)Number t 11QG3 rn9' 7s'
saHes 'I'M45f total,
(iv) Length Hell XI
earfcs 1.G40m°fare a
(iv) Width R -
(v) Ftoa ling ❑Yes [X]No " Ys'
Note: Hoofed areas are calculated from dripline dimensfo
g. rof i s �o e
�Il' W1�
(if) Number of slips ts'
2
i. Check the proposed type of siting:
❑ Land cut and access channel
❑Open water; dredging for basin andlor channel
x❑Open vialer; no dredging required
❑01her, please describe:
k. Typical boat length: `?o
m. (i) Will the facility havd lie pilings?
[@Yes ❑No
(li) II yes number of lie pilings?
8
❑ This section not applicable
b. (i) Will the facility be open to the general public?
pYes ❑No
d. (!)Are Finger Piers included? ®Yes o1
Ifyes:
"I
(ii) Number
(lit) Lenglh
20
(IV)Vw1h
4Y
(v) Floating
❑Yes NNo
f. (1) Are Boallillsincluded? ❑Yes (DNo
If yes:
(il) Number NIA
(fit) Length NIA
(Iv) Width NIA
h. Check all the types of services Io be provided. NIA
C3 Full service, including travel lift andlor rail, repair or
maintenance service
❑ Dockage, fuel, and marine supplies
❑ Dockage ('%vel slips") only, number of slips:
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
❑ Other, please desuibe:
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
small personalwatercrall
I. (i) Will the facilly be open to the general public?
®Yes ONO
�:1:, ,'.III: .. .. I' � �,I: •II'I:,li'i�lt'S1-ic�llr.f lire

2. DOCKING FACILITY/MARINA OPERATIONS xaThis section not applicable
a. Check each of the following sanitary facilities that vAll be Included in the proposed pfojecl.
❑ Office Toilets
❑ Toilets for patrons: Number: ; Location: NIA
❑ Showers
❑ Boathokling tank pumpoul; Give type and location: NIA
b. Describe Ireatment type and disposal location for all sanitary wastewater.
NIA
c. Describe the disposal of solid waste, fish offal and trash.
NIA
d. How wit overboard discharge of sewage from boals be controlled?
NIA
e. (i) Give the location and number of `No Sewage Discharge" signs proposed.
NIA
(ii) Give the location and numbef of " Pumpoul Available" signs proposed.
NIA
I. Describe the special design, if applicable, for containing industrial type pollutants, such as pairs, sandblasting waste and petroleum products.
NIA
g. Where will residue from vessel maintenance be disposed of?
NIA
h. Give the number of channel markers and "No Wake" signs proposed. NIA
I. Give the location of fuel -handling facilities, and describe the safety measures planned to protect area vialer quality.
NIA
j. What will be the marina policy on overnight and live -aboard dockage?
No overnight or live -aboard dockage will be permitted
k. Describe design measures that promote boat basin flushing?
NIA (open vralers I tidal movements)
L If this project Is an expansion of an existing marina, Mal types of services are currently provided?
NIA

FRECEIVED
m. Is the marinaldocking facility proposed within a primary or secondary nursery area? S E V a j 2423
❑Yes ®No
n. Is the marinaldocking facility proposed within of adjacent to any shellfish harvesting area? ff
®Yes ONO D("If �—EC
o. is the marinaldocking facility proposed within or adjacent to coastal weliandslmarsh (CVJ), submerged aquatle vegetation (SAV), shell bottom
(S13), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
MCW ❑SAV ❑SB
OWL DNone
p, Is the proposed marina ldocking facillly located within or within close proximity to any shellfish leases? OYes ®No
If yes, give the name and address of the leaseholder(s), and give the proximity to Ilia lease.
3. BOATHOUSE (including covered lifts) (RJThiS section not applicablo
a. (i) Is the boathouse structure(s): NIA
❑Commercial ❑Public/Government ❑PrivalefCommunity
(fi) Number N/A
(iii) Length NIA
(iv) Widlh NIA
Note: Roofed areas are calculated from diipfino dimenslons.
a. GROIN (a,g., wood, sheelpile, otc. If a rock groin, use MP-2, Excavation and Fill.) ® This seclion not applicable
a. (i) Number NIA
(it) Length NIA
(Ili) Widlb NIA
6. BREAKWATER (e.g., wood, sireetpile, etc.) ®This section not applicablo}
a. Length NIA b. Average distance from NliW, NWL, or wetlands
N/A
C. Maximum distance beyond NNW, NWL or wetlands
NIA
6. MOORING PILINGS and BUOYS ]This section not appficablo
a. Is the slructure(s):
❑Conimercial x❑Public/Govemmenl DPdvatelCommunily
c. Distance to be placed beyond shoreline 8V
Note: Tlus should be measured front marsh edge, it presonf.
e. Arcof Ilia swing NIA
b. Number
d, nescriplionv of buoy (color, inscription, size, anchor, etc.)
NIA

r"Ul9ii DGIVI IVIP- Pmir- 4 of 4)
7. GENERAL
It. Proximity of slnrchue(s) to adjacent ilparlan properly linos
305,
Note: rot b[toy Ormoortirgpflmy,useetc olsjvtngIncrvdfndlanoilr
ofvossol,
c. WKllh of water body
11,40 a'
e. (i) Will novlgelional alds he required as a result of the project?
❑Yos MNo CINA
pit II yes, explain what lype and how they will be ImplenranIed.
b. Proxlmlly of struelure(s) to adjacent docking fadlilles,
06U
d. Water depth at vralorvrard and of structure al NI.W or NWI.
2.fJ' ( icp r! frngcrplcrs} F� 1.4' {gazeboptatforrn
$. 07IiER MThIssacllorr rlaf app!lcahlo
a. Give coinplelo dosulplion:
Date
ti f. 5 tt uc� t✓v�N� s►, 5il SEA 01 2023
ProjaelNanle Il ([
_ }}f>.LLMUI�W�P`
Applicanlll/I��. 14/ /1I:1
Applicant Signature
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