20080005 Ver 1_CAMA Application_20071227

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North Carolina Department of Fnvir~nment and Natural Resource:::
Ui~i~~i<}n c.i C:vuS~a( Niurtiac~r;lcle~~~~
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
December 19, 2007
MEMORANDUM: ~ ~ ~~~ lJ C~
U~ ~ 2 7 2007
TO: Ms. Cyndi Karoly
Environmental Biological Supervisor QENR' WATER QuAUTy
Division of Water Quality ~~Q~s""Yi68Rgp~{
FROM: Doug Huggett
Major Permits Processing Coordinator
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Asa Dail
Project Location: on Upper Broad Creek in Pamlico County at 81 & 97 North Berne Landing
Road off of Lees Landing road, near Reelsboro
Proposed Project: The applicant isproposing toconstruct afour-slip docking facility to serve two
neighboring lots.
Please indicate below your agency's position or viewpoint on the proposed project and return this form by
1/9/2008. If you have any questions regarding the proposed project, please contact
Brad Connell at [phone]. When appropriate, in-depth comments with supporting data are
requested.
REPLY: This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached comments.
SIGNED Ar1r1 rnmmnrnn n„o„„o ~a~ ri+~;;-~lerth ~ar~lina 2R~~?
Phone: [phone] FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer - 50°o Recycled \ 10°% Post Cons..Ter Paper

Major Permit Application
Form DCM MP-1
Item 6 - (a) -Project narrative.
The proposed dock will have four (4) slips be used as dockage for our
personal boats and watercraft and the crafts of our guests. No other services
will be offered at this facility.
The dock will be floating concrete sections 10 ft x 10 ft times eight (8) units.
The pier will be constructed of steel beams, supported by mono steel pile
construction and decked with concrete hog slats.
This type of construction will have the least impact on the marsh and
wetlands.
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Water Depths
Water depths taken on 9-16-2007 at 5 :OOpm with a NE wind.
Distance from shore Depth
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NQV i ~I)i~ .: ~

ASA & BEVERLY DAIL
LOT 4 & LOT 5 LEE LANDING
DATF/O /7 o~SH 7 OF 7
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Asa Dail
November 26, 2007
Page 3 of 3
NOTE: Permanent reflectors should be attached to the structure in order to make it more
visible during hours of darkness or inclement weather.
NOTE: The permittee is cautioned that this permit does not authorize the placement of tie
piles in association with the docking facility. The permittee shall not hold the
State of North Carolina or the United States liable for any damage to the structure
or moored boats.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or
local permits, approvals or authorizations that maybe required.
NOTE: Future development of the permittee's property may require a modification of this
permit. Contact a representative of the Division at [phone] prior to the
commencement of any such activity for this determination.
CC: Tere Barrett, DCM
Ted Tyndall, DCM
Tracy Wheeler, USACE

Asa Dail
November 26, 2007
Page 2 of3
corridor, which is determined by drawing a line parallel to the channel, then drawing a
line perpendicular to the channel line that intersects with the shore at the point where the
upland property line meets the water's edge.
5 Any portion of the permitted access pier and docking facilities built over wetlands must
not exceed six feet in width and must be elevated a minimum of three feet over the
wetland substrate as measured from the bottom of the decking.
6 No attempt will be made by the permittee to prevent the full and free use by the public of
all navigable waters at or adjacent to the authorized work.
7 The permittee will maintain the authorized work in good condition and in conformance
with the terms and conditions of this permit. The permittee is not relieved of this
requirement if he abandons the permitted activity without having it transferred to a third
party.
8 The permittee must install and maintain at his expense any signal lights or signals
prescribed by the U.S. Coast Guard, through regulation or otherwise, on the authorized
facilities. At a minimum, permanent reflectors should be attached to the structure in
order to make it more visible during hours of darkness or inclement weather.
9 This permit authorizes a maximum of four boat slips. At no time shall more than four
vessels be moored or docked at the facility. The restriction of the number of vessels shall
apply to all marine vessel types, including but not limited to motorboats, sailing vessels
and personal watercraft.
10 The permittce will maintain the authorized work in good condition and in conformance
with the terms and conditions of this permit. The pcrmittee is not relieved of this
requirement if he abandons the permitted activity without having it transferred to a third
party.
1 1 In order to protect water quality, runoff from the construction must not visibly increase
the amount of suspended sediments in adjacent waters.
12 The permitted activity will be conducted in such a manner as to prevent a significant
increase in turbidity outside of the area of construction or construction-related discharge.
Increases such that the turbidity in the waterbody is 25 NTU's or less in all saltwater
classes are not considered significant.
13 Appropriate sedimentation and erosion control devices, measures or structures must be
implemented to ensure that eroded materials do not enter adjacent wetlands, watercourses
and property (e.g. silt fence, diversion swales or berms, sand fence, etc.).
14 Any development or land disturbing activity that is considered non-water dependent is
not authorized within 50 feet of the normal water level unless specifically exempted by
Environmental Management Commission (EMC) Neuse River buffer regulations in
place at the time of such development.

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~-
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, DlreCtor William G. Ross Jr., Secretary
MEMORANDUM
DATE: November 26, 2007
TO: Doug Huggett
THRU: Tere Barrett
FROM: Brad Connell ~~
SUBJECT: Comments and Recommendations - CAMA Major Permit -Asa Dail,
Pamlico County
The following is my assessment and consequent recommendations of the above
referenced proposal: The project, as proposed, will have minimal environmental
impacts. The proposed docking facility is 50' waterward into the 200' wide waterbody,
and side-to dockage- may pose a threat to navigation. This proposal is not in conflict
with the current usage of Upper Broad Creek, and this waterbody should not be
deleteriously affected. There was not any observable submerged aquatic vegetation at
the time of the field investigation. However, it should be noted that the presence of SAV
is in the immediate vicinity. Assuming that state and federal agencies concur with the
proposal, I recommend the project be authorized as proposed, contingent upon the
following conditions:
No sewage, whether treated or untreated, shall be discharged at any time from any boats
using the docking facility. Any sewage discharge at the docking facility shall be
considered a violation of this permit for which the permittee is responsible. This
prohibition shall be applied and enforced throughout the entire existence of the permitted
structure.
2 The authorized stntctures and associated activity must not cause an unacceptable
interference with navigation, and shall not exceed 50' waterward of the nwl.
3 This permit authorizes, only the docks, piers, and other structures and uses located in or
over the water that are expressly and specifically set forth in the permit application. No
other structure, whether floating or stationary, may become a permanent part of this
docking facility without permit modification. No non-water dependent uses of structures
maybe conducted on, in or over public trust waters without permit modification.
4 The pier and associated structures shall have a minimum setback distance of 1 S feet
between any parts of the structure and the adjacent property owner's riparian access
400 Commerce Avenue, Morehead City; North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper

65' long. Upper Broad Creek is about 200' wide at this location and the docking
facility will be about 50' from the centerline of the creek.
11. Anticipated Impacts:
The fixed pier leading down to the floating docking facility will shade 600 square
feet of coastal vegetation and 456 square feet of Section 404 wetlands. The floating
docking facility will shade 60 square feet of shallow bottom habitat and 890 square
feet of open water habitat. Although the presence of submerged aquatic vegetation
was not observed at the time of the field investigation, the presence of SAV was
observed in the nearby vicinity. Water depths in the docking facility project area
range from -0.5' to -20.5' nwl.
This docking facility will be shared by two waterfront lots with a total platform area
of 800 square feet and four wet slips and will be 50' waterward of the 200' wide
waterbody (nwl). The side-to slip on the outside is to accommodate a 65' long and
17' wide vessel. Thus, the wet slip will extend farther than '/a of the width of the
waterbody and could possibly be a hazard to navigation.
Brad Connell November 2G, 2007 Morehead City, NC

Field Investigation Report:
Asa Dail
Page 02
9. Narrative Description:
The property is 2.8 acres that is currently divided up into two lots (Lot #4 & #5) on N.
Berne Landing Road off of Lees Landing Road near Reelsboro, Pamlico County. The
combined property has 299' of shoreline. As a part of the purchase agreement with
Weyerhaeuser Real Estate and Development Company, the applicant wishes to develop
the property with afour-slip docking facility on the southwest side of the property on
Upper Broad Creek, a tributary of Neuse River in Pamlico County.
The property is currently undeveloped with no existing man-made features. North
Berne Landing Road is a gravel road used to access the Weyerhaeuser tract, directly
northwest of the WRC Lees Landing public boat ramp. The property consists of a
post-harvest upland pine plantation bordered by wooded Section 404 and coastal
wetlands to the southwest. Along the shoreline, there is a span of approximately 0.5
acres of coastal wetlands and 0.3 acres of Section 404 wetlands. The elevation of the
tract is +8.0' nwl. The width of Upper Broad Creek at its most constrictive point on
the property is approximately 200' across. Water depths in the project area range
from -0.5' to -20.5' nwl. None of the project area has submerged aquatic vegetation,
however SAV was observed in the immediate vicinity. There are no permanent
mooring facilities adjacent to this property. The adjacent lots in this new subdivision
are also currently undeveloped.
The Pamlico County Land Use Plan has classified this area as Rural with Services, with
CAMA AEC's classified as Conservation. The headwaters of Upper Broad Creek are
inland waters and are not designated as Primary Nursery Area and are closed to
shellfish harvesting. These waters carry a water quality classification of SC; Sw, NSW.
There is no evidence of a shellfish resource.
10. Proposed Development:
The request is for a private four-slip docking facility to serve the owner of two
adjoining lots. The construction of the docking facility will take place within Upper
Broad Creek on the southwestern portion of the property, sharing the property line
for Lot #4 & #5. An elevated pier will connect the high ground through the Section
404 and coastal wetlands to the docking facility platform.
The fixed pier will be 220' long and 6' wide with a 3' minimum elevation over
coastal wetlands. The "T" section of floating docking platform will be 70' long
and 10' wide. There will be a 10' by 10' section of floating platform that will
support the gangway that is connected to the pier. There are no mooring pilings
associated with this docking facility. This docking facility will be 50' waterward of
the nwl and at least 40' from the adjacent riparian lines. The total platform area
will be 800 square feet. This docking facility will accommodate four boats, up to

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Asa Dail
2. LOCATION OF PROJECT SITE: On Upper Broad Creek in Pamlico County at 81 &
97 North Berne Landing Road off of Lees Landing Road, near Reelsboro.
Photo Index - 2006: 214-6259 grids J-5, J-6; 2000: 214-927 grids K-5, K-6.
State Plane Coordinates - X: 500651.042 Y: 2617757.028 Rover #
M062213A
Longitude: 35 06 28.692 Latitude: 76 56 03.330
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 6/22/07
y Was Applicant Present -Yes
5. PROCESSING PROCEDURE: Application Received - 11/7/07
Office - MHC
6. SITE DESCRIPTION:
(A) Local Land Use Plan -Pamlico County
Land Classification From LUP -Rural with Services/Conservation
(B) AEC(s) Involved: CW, ES, PTA
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing -None
Planned -None
(F) Type of Structures: Existing -Gravel Road
Planned -Docking facility
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION:
DREDGED FILLED OTHER
(A) Coastal Wetlands 600 sf shaded
(B) Section 404 Wetlands 456 sf shaded
(C) Other-Shallow Bottom
Open Water 60 sf shaded
890 sf shaded
(D) Total Area Disturbed: 2,006 sf
(E) Primary Nursery Area: No
(F) Water Classification: SC Open: No
8. PROJECT SUMMARY: The applicant wishes to construct afour-slip docking
facility to serve two neighboring lots.

MAJOR PERMIT FEE MATRIX
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Selection Davalapr;-~an', Typa Fee DCM °~o D4VQ G/a
____ (14300 1601 435100093 1625 6253) (24300 1602 43510009:12341)
I. Private, non-commercial ~~~
development that does not $~j0 100% ($250) 0% ($0)
~~ involve the filling or
_ -~xc va a~_n of any wetlands
or o en water-
II. Public or commercial
development that does not $400 100% ($400) 0% ($0)
involve the filling or
excavation of any wetlands
or o en water areas:
III. For development that
involves the filling and/or
excavation of up to 1 acre
of wetlands and/or open
water areas, determine if A,
B, C, or D below a lies:
III(A). For Private non-
commercial development, if $250 100% ($250) 0% ($0)
General Water Quality
Certification No. 3301 (see
attached can be a lied:
tll(B). For public or
commercial development, if $400 100% ($400) 0% ($0)
General Water Quality
Certification No. 3301 (see
attached can be a lied:
III(C). If General Water
Quality Certification No, $400 60% ($240) 40% ($160) .
3301 (see attached) could
be applied, but DCM staff
determined that additional
review and written DWQ
concurrence is needed
because of concerns
related to water quality or
aquatic life:
III(D). If General Water
Quality Certification No. $400 60% ($240) 40% ($160)
3301 (see attached) cannot
be a lied:
IV. For development that
involves the filling and/or $475 60% ($285) 40% ($190)
excavation of more than
one acre of wetlands and/or
o en water areas

Q~~~0~~5
96M MP-1
~~ ~ 2 7 Za07

nreuc~nox gar
Ma1or D®ooiopment Permit ~ ~,sA,~RQ~A~„~
(last revised 12/27106) ~~~""'vx~i
North Carolina DIVISION OF COASTAL MANAGEMENT
7. Primary Applicant/ Landowner Information
Business Name Project Name (if applicable)
Applicant 1: First Name MI Last Name
Asa B Dail
Applicant 2: First Name MI Last Name
Beverly C Dail
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address PO Box City State
P-O. Box 1656 1656 New Bern NC
ZIP Country Phone No . FAX No.
28563 US 252 - 633 -1404 ext. 252 -633 - 1224
Street Address (if different Irom above) City State ZIP
Email
!~'~
. ~ ; w
.t r r,/ ~~
~~~~~
~ ~ ~
Agent/Contractorlnformation
2 M%;"
~ ,
. . „
Business Name ~4 ~' ` ``
~~'

Ayent/ Contractor 1 First Name MI Last Name ~ ~ `~'~~"
~~d~r ~;
Ayent/ Contractor 2: First Name MI Last Name t_w'
-
~
,
l
... ~ ~'
Mailing Address PO Box City State
ZIP Phone No. 1 Phone No. 2
- - ext. - - ext.
FAX No. Contractor #
Street Address (if different 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 multiple) Street Address State Rd. #
Pamlico 81 & 97 North Berne Lan 1110
Subdivision Name City State Zip
Lee Landin Reelsboro N 285
Phone No. Lot No.(s) (if many, attach additional page with list)
- - ext. 4 5 ,
a. In which NC river basin is the project located? b. Name of body of water nearest to proposed project
Neuse Broad Creek
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 Neuse River
e. Is proposed work within city limits or planning jurisdiction? f. If applicable, list the planning jurisdiction or city limit the proposed
Yes ^No work falls within.
Pamlico County
4. Site Description
a. Total length of shoreline on the tract (ft.) b. Size of entire tract (sq.ft:)
299.09 feet 122,041 sq ft
c. Size of individual lot(s) LOt # 4 - 5 7 9 3 5 S f t
q d. Approximate elevation of tract above NHW (normal high water) or
~
Lot #5 - 64 106 sq ft
( NWL(normalwaterlevel) g feet

j
W
vith a list)
(ll many lot sizes, please attach additional page ~N
^NHW or
L
e. Vegetation on tract
~
trees, grass, waxed myrtle & marshgrass ~i~
°~.
,~.~ lizr
~
~ya *~
,
f. Man-made features and uses now on tract
w''',R~ ~7 ~ '~ ~'~
`
'
. ~,
none ~ L ., ~`~:
,
,
Ors ~ -;,~ . ,~
g. Identify and describe the existing land uses adjacent to the proposed project site. (y
~
;~y
.~
Residential lots v` R,?~
h. How does local government zone the tract? i. Is the proposed project consistent with the applicable zoning?
(Attach zoning compliance certificate, if applicable)
n/a ^Yes ^No ANA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ^Yes ®No
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. ^Yes i~No ^NA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a ^Yes ®No ^NA
National Register listed or eligible property? i
<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 ^No
(ii) Are there coastal wetlands on the site? [Yes ^No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ®Yes ^No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
none
o. Describe existing drinking water supply source.
county system
p. Describe existing storm water management or treatment systems.
none
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ^Commercial ^Public/Government
~jPrivate/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
This project will be construction of pier and dock for personal
watercraft and watercraft of guests of the owners. It will
accommodate craft from 18 feet to 65 feet. No services other
c. Describe the propose construction methodology, types of construction equipment to be use
of equipment and where it is to be stored d during cons uc~~ory the number of each type
~~ J ~ i;~r
. r.,
(1) floating crane,
(1) crawler crane ~,+ ~.~"`~ I~c...~[~' "''~,( _'; /'~~'

'
1 ;
,

d.
List all development activities you propose. ~,~ .
~ ~ ;~~ ~ ~~
~%, '4.
~
Build pier & floating dock r~~~~~~,f ~-,,
6~`
.~' ,~~~~
,
e. Are the proposed activities maintenance of an existing project, new work, or bath? ~'
new work
f. What is the approximate total disturbed land area resulting from the proposed project? )~q.Ft or ^Acres
2 600
g. Wilt the proposed project encroach on any public easement, public accessway or other area ^Yes ~No ^NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
none
i. Will wastewater or stormwater be discharged into a wetland? ^Yes ~No ^NA
If yes, will this discharged water be of the same salinity as the receiving water? ^Yes ^No ^NA
j. Is there any mitigation proposed? ^Yes ^No ~JNA
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 addition to this completed application form, (MP-1) the following items below, i/ applicable, must 6e submitted in order for fhe application
package to 6e complete. Items (a) - (T) are always applicable to any major development application. Please consult the application
instruction booklet on how to property prepare the required items below.
a. A project narrative. attached
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. NOt started, awaiting necessary permits.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such Landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Phone No.
Weyerhaeuser Real Estate & Development Co. 8,0 -617-5598
Address 1 41 2 Eaton Hw Suite ~'
Name Phone No. r~1,y `
f
Address ~
Name Phone No. ni~ l; ,~
Address y Z~~~
g A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, an i
Stormwater permit #7070304 March 2~, ?nn7
h. Signed consultant or agent authorization form, i( applicable.
n a
i. Wetland delineation, if necessary. On survey plats
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by properly owner)
n a
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 the North Carolina Environmental Poficy Act.
1
r1
~i~i~
. ~:
3'~
`~~9
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 that the information provided in this application is truthful to the est of my knowledge.
Date ~~ '" ~ ~"! ` ~ ~ Print Name S ~ ~~
Signature ~ ~C+-~
Please indicate application attachments pertaining to your proposed project.
^DCM MP-2 Excavation and Fill Information ^DCtit MP-5 Bridges and Culverts
^DCM MP-3 Upland Development
(~DCht ti1P-4 Structures Information

Form DCM MP-4
STRUCTURES
(Construction within Public Trust Areas)
No~ ~~aa~
Mereh4ad City DAM
Attach this Form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete afl other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. DOCKING FACILITY/MARINA CHARACTERISTICS
a. (i) Is the docking facility/marina:
^Commercial ^Public/Government $]Private/Community
^This section not applicable
b. (i) Will the facility be open to the general public?
^Yes []~No
c. (i) Dock(s) and/or pier(s)
(ii) Number
(iii) Length 2 2 0 f t
(iv) Width ~~'t
(v) Floating ^Yes ~No
e. (i) Are Platforms included? ~JYes ^No
If yes:
(ii) Number 1
(iii) Length 70
(iv) Width 1~
(v) Floating g]Yes ^No
Note: Roofed areas are calculated Irom dripline dimensions.
g. (i) Number of slips proposed
~_
(ii) Number of slips existing
0
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: 1 $' - 65'
d. (i) Are Finger Piers included? ^Yes X10
If yes:
(ii) Number
(iii) Length
(iv) Width
(v) Floating ^Yes ^No
f. (i) Are Boatlifts included? ^Yes i~No
If yes:
(ii) Number
(iii) Length
(iv) Width
h. Check all the types of services to be provided.
^ Full service, including travel lift and/or rail, repair or
maintenance service
^ Dockage, fuel, and marine supplies
[~ Dockage ("wet slips") only, number of slips: 4
^ 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).
mixed types
I. (i) Will the facil~itY be open to the general public?
^Yes ~No
m. (i) Will the facility have tie pilings?
^Yes ®No
(ii) If yes number of tie pilings?

2. DOCKING FACILITY/MARINA OPERATIONS ^This section not applicable
a. Check each of the following sanitary facilities that will be included in the proposed project.
^ Office Toilets
^ Toilets for patrons; Number: ;Location:
^ Showers ~,~~
^ Boatholding tank pumpout; Give type and location: ~~ f~>
b. Describe treatment type and disposal location for all sanitary wastewater. >(~ ~`.~ ~~~'
Not allowed ~C~ yC%'- '*'f
> ~~ -~
':~
c. Describe the disposal of solid waste, fish offal and trash. ~.j.
County trash pickup
~_
d. How will overboard discharge of sewage from boats be controlled?
Type II marine sanitation device
e. (i) Give the location and number of "No Sewage Discharge" signs proposed.
n/a
(ii) Give the location and number of "pumpout Available" signs proposed.
no pumpout allowed
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
not allowed
g. Where will residue from vessel maintenance be disposed of7
not allowed
h~ Give the number of channel markers and "No Wake" signs proposed. ~
i. Give the location of fuel-handling facilities, and describe the safety measures planned to protect area water quality.
no fuel-handlina facilities
j. What will be the marina policy on overnight and live-aboard dockage?
private dock, guests only
k. Describe design measures that promote boat basin flushing?
no boat basin, located on flowing creek
I. If this project is an expansion of an existing marina, what types of services are currently provided?
new dock, no services

_. i~ n - i ~ ( 1 ~.
m. Is the marinaldocking facility proposed within a primary ar secondary nursery area?
^Yes ~]No
n. Is the marinaldocking facility proposed within or adjacent to any shellfish harvesting area?
^Yes ~Vo
o. Is the marinaldocking facility proposed within or adjacent to coastal wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom
(SB), or ot~eawoetlands (WL)? If any boxes are checked, provide the number of square feet affected.
/J ®CW ~-^SAV ^SB
®WL ~!p ^None
~~/ For construction
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. i30ATHOUSE (including covered lifts) ~~Th~~ection not applicable
a. (i) Is the boathouse structure(s): (~ ~ ~ r''~% ~,.
~~ ~~ ~~
^Commercial ^Public/Government ^PrivatelCommunity .~ 11f
(ii) Number ~~ 'y~~. ~~
(iii) Length '~~~q ~~ ~ ~ ~~~'1~
(iv) Width `~ ~-;~,~ ~ j~~
.tom .
Note: Roo%d areas are calculated from dripline dimensions. ~~~=' ~ ~~
~'~
4. GROIN (e.g., wood, sheetpile, etc. If a rock groin, use MP-2, Excavation and Fill.) ]This sa nol applicable
a. (i) Number
(ii) Length
(iii) Width
5. BREAKWATER (e.g., wood, sheetpile, etc.) ®This section not applicable
a. Length
b. Average distance Irom NHW, NWL, or wetlands
c. Maximum distance beyond NHW, NWL or wetlands
6. MOORING PILINGS and BUOYS ®This section not applicable
a. Is the structure(s):
^Commercial ^PubliclGovernment ^Private/Community
c. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, it present.
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)
e. Arc of the swing

T. GENERAL
a. Proximity of structure(s) to adjacent riparian property lines b. Proximity of structure(s) to adjacent docking facilities.
75' to lot 5 & 6 line, greater than one mile
83 to of 3 & 4 ine
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body
~Q Q ~
d. Water depth at waterward end of structure at NLW or NWL
15_5 ft
e. (i) Will navigational aids be required as a result of the project?
^Yes $]No ^NA
(ii) If yes, explain what type and how they will be implemented.
8. OTHER $jThis section not applicable
a. Give complete description:
f rr
. ~• ~~;~
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Date ...~,:, ~,~.~
'~%~ ~' _
Project Name t0 ,i
r~~ , ~~
~~ ~~
Applicant Name „~.
Applicant Signature "

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