20072040 Ver 1_CAMA Application_20071206

~~
07-2040
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross, Jr., Secretary
MEMORANDUM
TO: Ms. Cyndi Karoly
Env. Biological Supervisor
Division of Water Quality, Wetlands Unit
FROM: Doug Huggett
Major Permits Processing Coordinator
Coastal Management Division
400 Commerce Avenue
Morehead City NC 28557
DATE: 3 December 2007
SUBJECT: CAMA Application Review
APPLICANT: Beaufort Bluffs, LLC Robert Bilbro
Respond to Doug Huggett
Morehead City Office
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PROJECT LOCATION: End of Southwinds Road offNC 99 on the Pamlico River, just east of SR
1739 near the Town of Bath in Beaufort County, North Carolina..
PROPOSED PROJECT: Applicant proposes to stabilize the shoreline by installing a bulkhead with
riprap, and construct a boat ramp and pier.
Please indicate below your position or viewpoint on the proposed project and return this form by 27
December 2007. 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.
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.
Signed Date
N°ne Carolina
~tura!!y
943 Washington Square Mall, Washington, North Carolina 27889
Phone: [phone] FAX: [phone] Internet: www.ncooastalmanagementnet!
An Equal Opportunihr 1 Aifimiative Action Empbyer- 50% Recycled 110% Post Consumer Paper

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Beaufort Bluffs, LLC for Robert Bilbro
2. LOCATION OF PROJECT SITE: end of Southwinds Road off NC 99 on the Pamlico River, just east of
SR 1739 near the Town of Bath in Beaufort County, North Carolina
Photo Index- 2006: 102-8781; E-13,14,15, 2000: 102-1281; U-10, V-10,11,12
State Plane Coordinates - X: 2,678,200 Y: 617,500 GPS Rover File #U102408B
Ransomville Quad. (lower left comer)
3. INVESTIGATION TYPE: CAMA & D/F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 10/24/2007
Was Applicant Present - NO
5. PROCESSING PROCEDURE: Application Received - 28 November 2007
Office -Washington
6. SITE DESCRIPTION:
(A) Local Land Use Plan -Beaufort County
Land Classification From LUP -Limited Transition (Uplands) Conservation (Water, Wetlands)
(B) AEC(s) Involved: EW, PTA, CS
(C) Water Dependent: YES
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - N/A
Planned - N/A
(F) Type of Stnicttires: Existing -None
Planned -Bulkhead, riprap, boat ramp, pier
(G) Estimated Annual Rate of Erosion: 4'
Source -Applicant
7. HABITAT DESCRIPTION: [AREA]
1~R F.TI('TRT~ FTT ,T ,F:T) OTHER
(A) Vegetated Wetlands
(BjNnn-Vegetated Wetlands =8,663 ft' 11,474 ft2
River bottom shaded by ier
(C) Other
Uplands 124,790 ft2
(D) Total Area Disturbed:.8 acres (34,927 ft2)
(E) Primary Nursery Area: No
(F) Water Classification: SB-NSW Open: NO
8. PROJECT SUMMARY: The applicant proposes to stabilize the shoreline by installing a bulkhead with
riprap, and construct a boat ramp and pier.

Robert Bilbro
Beaufort Bluffs, LLC
CAMA Major Permit Retluest
11 / 2 / 2007
Project Location
Located by driving from Bath, NC on Hwy 92 east, 5.7 miles. Continue on
Hwy 99 for 0.8 miles. Tum left onto Southwinds Lane, go 0.6 miles to the river.
The Bilbro land is on the right at the waterfront and this begins the project area.
Project Overview
Storms have created severe washouts and scalping on the shoreline. The
proposed bulkhead is to protect the farm from more erosion and stop sedimentation
from entering the Pamlico River.
The proposed. new bulkheading will be installed in 3'(not to exceed 5') in
front of and run parallel with the existing normal water level, to minimize fill
needs. The new bulkhead will use railroad crossties with heavy fabric filter in
front and back of the crossties. The crossties are vibrated into the shore bottom a
depth of 4'. The bulkhead is secured by treated lumber bolted across to top and
capped by 2" by 12" treated lumber. Sloping and grading the current embankment
will be used to back fill the bulkhead. Then riprap will be placed on the waterside
to harden and protect from heavy wave action.
~~
The project includes a small boat launch 15' wide with groins and 1 pier yd '~
from shore on the side of the boat ramp. The ramp is for family recreation access
aa~d will .include access road form Southwinds lease, Ramp will be a modest slope
and use slated concrete for road surface.
The landowner plans to back fill the areas with sand from the farm. The
entire 11.236 acres of this tract are sandy/clay farmland allowing the upland area to
be sloped by moving the fill materials to build up next to bulkhead wall. Any
additional fill needed will come from existing permitted mines. The backfill to
the new bulkheading will stabilize the wall. Gentle slope of the fill should
minimize runoff. Seeding the disturbed area with grass and mulch will prevent
runoff of soils.. This project is to be built by Selby Land Concepts.

Beaufort Bluffs, LLC
Beaufort County
The 11.3-acre project site is located off NC 99 on the north shore of the Pamlico
River east of the Bayview Feny between the Rest Haven and Southwinds residential
subdivisions near the Town of Bath in Beaufort County, North Carolina. The site is a
row crop ag field with a rectangle shaped wooded area 50' wide x 400' long located
adjacent the Pamlico River in the southeast corner of the property. Access to the site is
down Southwinds Lane, which borders the property on the east side. The wooded area
adjacent the river is vegetated with various hardwood trees including red maple, black
gum and loblolly pine. The ag field was not planted this growing season and is vegetated
with opportunistic herbaceous grasses/weeds.
The shoreline along the project site is characterized by a sandy estuarine beach
with a 4' to 6' tall erosion escarpment. The erosion of this shoreline is fairly uniform
with the only variable characteristic being the width of the estuarine beach. The wooded
shoreline comprises ±400' of the total 733' of shoreline. The escarpment in this area is
4' tall with both living and dead tress eroded/blown over into the river. The estuarine
beach adjacent the wooded area is narrow (±10' wide). The remaining 333' of shoreline
is part of the ag field. The escarpment is higher along the ag field, ±6' tall. The height of
the escarpment coupled with a slightly higher erosion rate has created a wider estuarine
beach (t20' wide).
The residential lot on the east side of the project site is stabilized with a bulkhead.
This bulkhead has a long return wall that terminates to an area of riprap likely placed to
address the continuous erosion of the project site. The residential lot on the west side of
the project site is stabilized with a combination of a bulkhead and riprap. There is an
existing drainage ditch that drains to the river on the western edge of the ag field
separating the project site from the next property.
Water depths in the river are shallow generally 2.5' or less within 100' of shore.
Depths gradually increase fiirther offshore. There was no evidence of submerged aquatic
vegetation during site visits conducted by DCM staff. The Pamlico River at this location
is classified as SB NSW by the Environmental Management Commission and Coastal
Waters by the Division of Marine Fisheries.
Project Description
The applicant proposes to stabilize this shoreline with a wooden wall armored
with granite riprap. The wooden wall will have an average alignment of 3' with a
maximum of 5' waterward of the normal water level (NWL). The wooden wall will be
constructed to a finished height of 4'. The riprap will be stacked waterward of the wall
with a 2' : 1' slope. The wooden wall will tie into the return wall on the neighboring
property to the east and will terminate at the ditch at the western boundary. Backfilling

of the bulkhead will be accomplished by grading the escarpment to the wall
supplemented with earthen fill trucked from a nearby mine.
A 15' wide x 40' long boat ramp is proposed to be constructed waterward of the
wooden wall. The ramp will either be constructed with a wooden frame with concrete
slats as a surface or with a solid concrete ramp. Vinyl sheet pile is to be driven in place
along the sides of the ramp extending 4' above the NWL. A 3' wide x 42' long launch
pier will service the boat ramp.
The applicant also proposes to construct a 6' wide x 182' long pier with a 16' x
24' T-head platform.
Anticipated Impacts
The proposed shoreline stabilization and boat ramp construction will result in the
filling of ±8,663 ftz of Pamlico River bottom. The new pier will shade 1,474 ftz of river
bottom. Grading of the bank and construction of the boat ramp access will disturb 24,790
fta of uplands. The proposed development will result in localized short-term turbidity.
Steve Trowell -Washington Regional Office - 28 November 2007

07-2040
ACM r!-1
APPLICATION for
Ma,or Development Permit
past nvl..a , ~t~os~ .
North Carolina DIVISION OF COASTAL MANAGEMENT
7. Primary Applicant) Landowner Information
Business Name
`~ d ~ -~ C ~ ~~. ~ Project Name (if applicable)
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Applicant 1: Fit Name

E-r MI Last Name
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Applicant 2: First Name MI Last Name
If additional applicants, please attach art additional page(s) with names listed.
Mailing Address PO Box Ci~i ~ State l //,
ZIP
Z7~c~7-~~~~~ Country
C~, `~, Phone No.
~9 - 7~Z- 3Z97ext. FAX No.
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Street Address (d different from above) City State ZI P
Email
2. AgenbContractor Information
Business Name
Y
Agent/ Contractor 1: First Na
, a M4 Last Name

Agent/ Contractor 2: First Name MI Last Name
Mailing Address PO 13ox City State
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ZIP Phone No. 1 Phone No. 2
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FAX No. Contractor #
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Street Address (rf di/fen3nt from above) City State ZIP
Email

/ /
<Form continues on back>

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be mulfiple) Street Address State Rd. #
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S~ L.t / N 1 d~.l~S 7 "1 CV~~ ~-^-- /~/C.G.~ 9 N
SubdNision Name City State Zip

Phone No. , /
~ ~ ext Lot No.(s) (If many, attach additional page with l(st)
.
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a. In which NC river basin is tha project located? b. Name of body of water nearest to proposed project
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c. Is the wa er body identlfled in (b) above, natural or manmade? d. Name the closest major water body to the proposed project site.
^Natural ^Manmade ^Unknown ~ ~
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e. Is proposed work within city limits or planning jurisdiction? f. If applicable, list the planning Jurisdiction or city limit the proposed
^Yes ®~ work falls within.
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4. Site Description
a. Total length of shoreline on the tract (ft.) b. S¢e of entire tract (sq.ft.)
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c. Size of individual lot(s)
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''~ d. Approximate elevation of tract above NHW (norrna! high water) or
NWl (normal water level)
p
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(If many lot sizes, please attach additional page with a list) i
'~ / ^NHW or ptaWL
e. Vegetation on Vact
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f. Man-made features and uses now on tract
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g. Identify and describe the existing land uses d'ac n to the proposed project site.
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h. How does local government zone the tract? I. is the proposed project consisten# with the applicable zoning?
(Attach zoning compliance ~rtificate, if applicable)
^Y
^N
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es
o
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ^Yes o
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. ^Yes o ^NA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a ^Yes o ^NA
National Register listed or eligible property?
<Form continues on next page>

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ^Yes o

(lI) Are there coastal wetlands on the site?
^Yes ~
~TVO

(iii) If yes to either (i) or (ii) above, has a delineation
been conducted?
^Yes ~
[~No
(Attach documentation, ifavailab/e)
n. Describe existing wastewater tn~atment facilities.
.~~~~ - G~~~ C.ti'f~~
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~z%~c/F'~72j L.'a~la~
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o. Describe existing drinking water supply source.

p. Describe existing stone water manag nt or treatment systems.
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5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ^Commercial ^Public/Govemment
y~ ' '~ ?~ i , ~,~- , ~~a ,9 C- vate/Community
b. Give a brief description of purpo ,use, and daily operations of the project when complete.
7!~ !~ /~L i z c ~~ rC~~ Ciiv ~ -~' 7€'.~a V~ Jam" ? c C i> e'-,4 ~ ~a.~U/ ~~ fl ?'c:-~
c. Describe the proposed construction methodology, types of construction equipment to 6e used during construction, the number of each type
of equipment and where it is to be stored. C,~'O~~ ~ ,~ ~, ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~/ j~ ~ ~~, ~ ,,
i '.°~y
~' ~Ce.4 yF+ l er //~F /~ ~f7,~~y,°~ r'`~L?~r-;' d'~'Y ~~: G,/ ~i vc- ~ ~'•`=" G'1~,:;f~ i%=~~.
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_-~rfi~e~' ~ G i '~: C- <<~/"~" ,fir -:~~~ t,ie'f-r~ ~~ ~ _:~•~L~;~~c~
d. List all development actvtes you ropose.
e. Are the proposed activities maintenance of an existing project, new wori<, or both?
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f. What is the approximate total disturbed land area resulting from the proposed project? .tor ^Acres
g. Will the proposed project encroach on any pubiic easement, public accessway or other area ^Yes [~}No ^NA
that the pubiic has established use of?
h. Describe iecation and type of existing and proposed discharges to waters of the state.
a ~~ ~-~"~ --- S~ ~ff/c'C ~~-/mil ~
i. Will wastewater or stormwater be discharged into a wetland? ^Yes o ^NA
If yes, will this discharged water be of tfie same salinity as the receiving watefi' ^Yes ^No ^NA
j. is there any mitigation proposed? ^Yes o ^NA
If yes, attach a mitigation proposal.
<Form continues on back>

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additionallnformation
In. addltlon to this completed eppllcatlon form, (MP-1) the following llems below, if applicable, must be submitted in order for the application
package to be complete. Items (a) - (~ are always applicable to any major developmenf application. Please consult the applicatlon
Instruction booklet on how to properly prepare fhe required items below.
a. A project narrative. ~~„e K~
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 fs any portlon 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 suffidently 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 tide to the affected propertles.
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 recetpts 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.
Name O/Y/.~I fjN •T.4 %~ 4 ~ N Phone No.
Address ~,~'~~~' ~ct7~fc,c;j.~.tp5 zAi~'Lr - •~+ N /G Z7 bg 'Zsz - qty'-GY£O
Name t: ; ('~,t,y~ r4 y', S Phone No.
Address ~~ l~~ 2 1 dZ °I (~/iJ~?ev,/- ~~<~A,9 n~L Z7i~20 ~~Cc - 7 zZ - ~77b O
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, pennittee, and issuing dates.
/«.~~ .
h. Signed consultant or agent authorization form, if appligble.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice far 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. 113A 1-10), if necessary. If the project Involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with tfie North Carolina Environmental Policy Act.
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 try
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application i truthful to th best of my knowledge.
Date ~ ~~ Print Name ~' - ~ ~ L~
Signature
Please indicate application attachments pertaining to your proposed project.
[~j~~CM MP-2 Excavation and Fill Information pDCM MP-5 Bridges and Culverts
L'~DGM MP-3 Upland Development
L~CM MP-4 Structures Information

Folrm DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
Attach this form to Joint Application for CAMA MaJor Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access Other
Channel
(NLW or Canal Boat Basin Boa# Ramp Rock Gro1n Rock
Breakwater (excluding
shoreline
NWL stabilization
Length ,~~~ ~
Width 1 ~ - /
Avg. Existing
Depth
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NA
NA
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Final Project NA NA
Depth ,
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7. EXCAVATION
a. Amount of material to be excavated from below NHW or NWL in
cubic yarcJs.
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c. (i) Does the area to be xcavated include coastal wetlands/man;h
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (UVL)? f f any boxes are checked, provide the
number of square feet affected.
^cw ^sAV ^sB
^WL one
(ii) Describe the purpose of the excavation in these areas:
lri/~C~ ~f~-fit ~a- .f'~L=~'~ c~-y3
^Thls section not applicable
b. Type of material to be excavated.
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d. High-ground excavation in cubic yards.
C (,(i Ger=. r-~~.c:• ~~- ~~~ ~,l'i~1,"~i`~
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'Vto L~<' ~yr1:~
2. DISPOSAL OF EXCAVATED MATERIA! QThis section not applicable
a. location of disposal area. b. Dimensions of disposal area.
LUIS <i"
c. (i) Do you claim title to disposal area? d. (i) Wili a dispos area be available for future maintenance?
^Yes ^No ^NA ^Yes ~ o ^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 (YVL)? If any boxes are checked, provide the
number of square feet affected.
^CW ^SAV ^SB
^WL ^None
(il) Describe the purpose of disposal In these areas:
f. (i) O~oes~t e disposal include any area in the water?
Iy1Yes ^No ^NA
(ii) If yes, how much water area is affected?
Z; /9 `7 s"cz ~f

~ ,.~17~., ~;.~~L .iry'ul a~u".'~,J r..., ..-JY1 i.~.:~1ei?,f L~.y ~~.~ .^ r.; 7 .f ?1
3. SHORELINE STAB/L1ZATlON ^This section not applicable
(If development Is a wood groin, use MP-4 -Structures)
a, Type f shoreline ate lization: b. .Length: / .~ 5
ulkhead iprep ^Breakwater/SIII Other: Uyfdth; r ~(L,.,«; /.~.,y~~8' /~i~P~Fl~
c. Average distance waterward of NHW o NWL: d. Maximum(-distance watennfard of NHW or NWL:
e. Type of stabilization material: f. (i) Has there been shoreline erosion during preceding 12
~ ~ mon s?
/~3 .~S,P C~~~~'C' t.~J/~N ~ ~3.4'r C es ^No ^NA
~-T C'', ~'~~ ~~ ~ '`r ' ~'`~ ~- ~'''' ~f (li) If yes, state amount of erosion and source of eroalon amount
/~i ~~~ "~ ~ ~i G~. $~dfc-rte a~a 7 %o ~, r Information.
g. Number of square feet of fill to be placed below water level, h. Type of fill material.
Bulkhead backfill ~°/ Rfprap g~`~~
BreakwatedSiB Other ~~ c G ~ ~ ~
i, Source of fill material.
~ / ,
~.Di~i i'v7.JP ~- ~I ~ .~j~'cv~, r,~t-.~°ir7 ~ '~r'~'i7 -~Anii~ fTi ?
v
4. OTHER FILL ACTT IES ^This section not applicable
(Excluding Shoreline Stabilization)
a. (i) Will sill material be brought to the site? ^Yes ONo ^NA b. (i) Will fill material be placed in coastal wetlands/marsh (CW),
If yes, submerged aquatic vegetation (SAV}, shell bottom (SBj, or
(ii) Amount of material to be placed in the water other wetlands (WL)7 If any boxes are checked, provide the
number of square feet affected.
(iii) Dimensions of fill area ~CW ^SAV ^SB
(iv) Purpose of fill WL None
/~' v~- ^
(il) Descr(be the purpose of the fltl in these areas:
S. GENERAL
a. How will excavated or fill material be kept on site and erosion
controlled?
.~
b. What type of construction equip
backhoe, or hydraulic dredge}?
~XCfI ~/1 icfC /~ a n~ r"' i r ~I C ~~ '~ f? ~ +< I+~ c
c. (i) Will navi~gatyi ctat aids lie required as a result of the project? d. (i) Wili wetlands be~cro~ssed in transporting equipment to project
Yes pTlo ^NA site? ^Yes p1~o ANA
(ii) If yes, explain what type and how they will be implemented. (ii) if yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Date
Project Name ~
Applicant Name +~
1,% ~,-
Applicant Signature

Folrm DCM MP-3
UPLAND DEVE-LOPMENT
(Construction and/or land dlaturbing 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.
c. Density (give the number of residential units and the units per
acre).
e. If the proposed project will disturb more than one acre of land, the
Division of Land Resources must receive an erosion and
sedimentation control plan at least 30 days before land-disturbing
activity begins.
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the Divi er~of Land Resources?
^Yes ^No !Ai
(ii) if yes, list the date submitted:
b. Number of lots or parcels.
d. Size of area to be graded, Oiled, or disturbed including roads,
ditches, etc.
r~ ~ -~~; ,
f. List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
~ ~~/ r~
~C.O'fiI ~L~iV C~~riY/~ ~"ti-~ /~L~T~7 -~7/I'f/
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.
j. Describe proposed method of sewage disposal.

Projects that require a CAMA Major Development Permit may also
require a Stormwater Certification.
(i) Has a site development plan been submitted to the Division of
Water Quali for review?
^Yes ~' o ^NA
(ii) if yes, list the date submitted:
Ic. Have the facilities descrvbed in item (i) received state or local
approval?~ /'
^Yes pNo ^NA
If yes, attach appropriate documentation.
Does the proposed project include an innovative stormwater
design? _ /"
^Yes p1~o ^NA
If yes, attach appropriate documentation.
I. Describe location and type of proposed discharges to waters of the m.
state (e.g., surface runoff, sanitary wastewater, indusbfal/
commercial effluent, "wash down" and residential discharges).

m. Describe proposed drinking water supply source (e.g., well,
commun(ty, public system, etc.)
P
o. When was the lots} platted and recorded?

~ t ~ ~ ~~'~
Date
~L~'-~- L~.2 TAI t,D-'o~ "\~ /'~, v
Project Name
. >~~` ,.
Applica t N$~ ~
n. (i) Will water be impounded? ^Yes [T,~No ANA
(ii) if yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for thi upland development?
(]Yes ®iQo ANA
Applicant Signature

Folrlm DCM- MP-4
s~RUCTU~~s
(Construction within Publte Triust 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.
!. DOCKING FACILITY/MAR/NA CHARACTERlST1CS
a. (i) Is the docking facilitylmarina:
OCommerciai OPublidGovemment QF,rivate/Community
^Thls section not applicable
b. (i) Will the facili be open to the general public?
pYes p'No
c. (i) Dock(s) and/or piers} d. (i) Are Finger Piers included? [i]YYes ['jtVo
(ii) Number ~_ If yes:
(iii) Length ~~' ~ pi) Number
(iv) Width (, ~ (iii) Length
(v) Floating []Yes Q~tGo (iv) Width
(v) Floating Yes ®No
e. (i) Are Platforms induded? es ^No f. (i) Are Boatlifts included? ^Yes ~~o I
If yes: If yes:
(ii) Number (
~ (ii) Number ,~
(Iii) Length Ifo (iii) Length __/,'~,.'~~~..'
(iv) Width z'`l ~ (iv) Width ~~
,...,,~/
(v) Floating DYes L(~tvo
Note: Roofed areas are calculated from dripline dimensions.
g. (1) Number of slips proposed h. Check all the types of services to be provided.
I,~~~ ^ Full service, including travel lift and/or rail, repair or
(ii) Number of lips existing
~/ ~~ maintenance service '
^ Dockage, fuel, and marine supplies /(.~ j-r
^ Dockage ("wet slips") only, number of slips:
^ Dry storage; number of boats:
^ Boat ramp(sj; number of boat ramps:
^ Other, please describe:
i. Check the proposed type of siting:
~ Land cut and access channel
~~O water; dredging for basin and/or channel
L`Japen water; no dredging required
Other; please describe:
Describe the typical boats to be servsd (e.g., open nmabout,
charter boats, sail boats, mixed types).
fV ~
k. Typical boat length: N//f
m. (i) Will the facili~ have tie pilings?
^Yes QiaO
(ii) If yes numb r of tie pilings?
r'
I. (i) Wiil the facility pen to the general public?
Yes o

Foiritn DCM MP-4
STRVCTVI~ES
(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.
7. DOCKING FAC/UTY/MARINA CHARACTER/ST/CS
a. (i) Is the docking facilitylmarina: -//
^Commerciai ^PubliclGovemment [j~rivate/Community
^Thls section not applicable
b. (i) Will the facili be open to the general pubNc?
^Yes o
c. (i) Dock(s) and/or pier(s)
(ii) Number ,~_
(iii) Length /~~ ~
(iv) Width C-_>
(v) Floating ^Yes~L}f4o
e. (i) Are Platforms inGuded7 es ^No
If yes:
(ii) Number I
(iii) Length Ilo ~
(iv) Width Z°~ ~
(v) Floating ^Yes Lytvo
(Vote: Roofed areas are calculated from dripline dimensions,
g. (i) Number of slips proposed
f~/~
(ii) Number lips existing
/C~ /~
i. Check the proposed type of siting:
^ Land cut and access channel
^Op~n water; dredging for basin and/or channel
pen water; no dredging required
^Other; please describe:
k. Typical boat length: N//f
m. (i) Will the ~fa~c~i{i~ have tie pilings?
^Yes 1.N1~1o
(ii) If yes numb r of tie pilings?
t'

d. (i) Are Finger Piers included? ['Yes ~No
if yes: i
(ii) Number F
(iii) length ~~
(iv) Width ?
(v) Floating ^Yes ~No
f. (i) Are Boatlifts included? ^Yes ~~o I
If yes:
(ii) Number
(iii) Length
(iv) Width
h. Check all the types of services to be provided.
^ Full service, including travel sift and/or rail, repair or
maintenance service
^ Dockage, fuel, and marine supplies /fir j.T
^ 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}.
`V A
I. (i) Wili the faci~lit,y,~'~pen to the general public?
^Yes L~`Io

n' ... ? .. _.. ._
2. DOCKING FAC/LITY/MARINA OPERATIONS [B'~hls secflon not applicable
a. Check each of the following sanitary facilities that will be included in the proposed project.
^ Offlce Toilets
^ Toilets for patrons; Number. Location:
^ Showers
^ Boatholding tank pumpout; Give type and looation:
b. Describe treatment type and disposal bcation 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
e. (i) Give the location and number of "No Sewage t~ischarge" signs proposed.
(ii) Give the location and number of "Pumpo t 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 channelJEnarkers and "No Wake" signs proposed.
i
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 desig . measures that promote boat basin flushing?
i
I. If this project is an sxpansicn of an existing marina, what types of services are currently provided?

m. Is the marina/docking fadlity proposed within a primary or secondary nursery area?
Yes ^No
n. Is the marina/docking facility proposed within ar adjacent to any shellfish harvesting area?
(]Yes pNo
o. is the marina/dodcing facility proposed within or adjacent to coastal wetlands/marsh {CW}, submerged aquatic vegetation (SAV), shell bottom
(SB}, or other wetlands {INL)? if any boxes are checked, provide the numberof square feet affected.
OCW ^SAV ^SB
AWL ^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.
3. BOATHOUSE (including covered lift's) I*~his section not applicable
a. (i) Is the boathouse structure(s}:
Commercial ^Public/Govemment ^Private/Community
(ii) Number
(iii) Length
(iv) Width
Note: Roofed areas are calculated from dripllne dimensions.
4. GROIN (s.g., wood, sheetpi/e, etc. If a rock groin, use MP-2, Excavation and Fill.) (g'This section not applicable
a• (i) Number
(ii) Length
(iii) Width
5. BREAKWATER (e.g., wood, sheetpile, etc.) p'~hls section not applicable
a• Length
b. Average distance from Nh1W, NWL, or wetlands
c. Maximum distance beyond NHW, NWL or wetlands
~. ~®®RIIY~s Pl~.t11V~s~ ~99C~ ~~®~~
a. is the structure(s):
OCommercial ^Public/Government ^Private/Community
section not applicable
b. Number
c• Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing
d. Description of buoy (color, inscription, size, anchor, etc.)

7. GENERAL
a. Proximity of structure(s) to adjacent riparian property Tines
Note: For buoy or moorfng piling, use an: of swing including length
of vessel.
c. Width of water body
~~ ~ t
e. (i) Will navigation i aids be required as a result of the project?
(]Yes [~iVo QNA
(ii) If yes, explain what type and how they will be implemented.
b. Proximky of structure(s) to adjacent docking facilities.
.~GQ ~~~~ / w ( _
d. Water depth at waterward end of structure at NLW or NWL
~r
8. OTHER [yfhis section not applicable
a. Give complete description:
0 ~~~~
Date '
Project Name
Applicant Name ~'\y'' ~ '
~1:
~-~,ls I`ll -' ~~i~!#
Applicant Signature

• Authorized~Agent Consent Agreement
_.
I ~~ hereby authozze to act on
.{Property •Owner) (Authorized Ag )
' my behalf in obtaining CAMA permits for the location listed below. T'bis agency
authorization is limited to the specific activities descn~ed above,
Property Ad ess: •
~ '
/~ ~- J~1) l~ ... y l
Property Owner`s Mailing Address;
Propf
Aufh~
Date;