20160471 Ver 1_CAMA Permit Application_20160429

EN�R(�••MF'.T �. `
MEMORANDUM
RECEIVED
APR 2 9 2016
DENR-LAND QUALITY
STORMWATER PERMITTING
TO: Ms. Cyndi Karoly
Env. Biological Supervisor
Division of Water Quality Wetlands Unit
FROM: Cortney Spears
Major Permits Processing Coordinator
Coastal Management Division
400 Commerce Avenue
Morehead City NC 28557
DATE: 26 April 2016
SUBJECT: CAMA Application Review
APPLICANT: Earl and Nancy De Hoog
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Respond to Cortney Spears
Morehead City Office
Secretary
Braxton Davis
PROJECT LOCATION: Project location is off HWY 264 at 23538 HWY 264 East adjacent Broad Creek
near Pantego in Beaufort County, North Carolina.
PROPOSED PROJECT: Applicant proposes to improve small boat access by undertaking excavation of a
boat basin and constructing a boathouse. The applicant proposes to fill a small vehicle (atv or golf cart)
access across wooded wetlands to reach the proposed basin.
Please indicate below your position or viewpoint on the proposed project and return this form by 16 May
2016. 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.
Signed
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.
Date
-�Nothinq Compares`_
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25294664SI
Director

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Earl and Nancy De Hoog
2. LOCATION OF PROJECT SITE: Project site is located off HWY 264 at 23538 HWY 264 East adjacent
Broad Creek near Pantego in Beaufort County, North Carolina.
Photo Index - 2006:N/A 2000: N/A 1995:119-1299;U-18
State Plane Coordinates - X: 2,688,000 Y: 667,400
Pantego Quad. (lower left corner)
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visits — 25 February and 12 April 2016
Was Applicant Present - Yes
5. PROCESSING PROCEDURE: Application Received — 20 April 2016
Office - Washington
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Beaufort County
Land Classification From LUP - Community
(B) AEC(s) Involved: PTA, PTS
(D) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - Septic
Planned - N/A
(F)Type of Structures: Existing — Shop with living quarters
Planned — Bulkhead, boat basin,
proposed basin.
(G) Estimated Annual Rate of Erosion: Unknown
7. HABITAT DESCRIPTION:
RECEIVED
APR 29 2016
DENR_LAND QUALITY
STORMWATER PERMITTING
boathouse and earthen fill access to
[AREA]
DREDGED FILLED QjHER
(D) Total Area Disturbed: 3,560 ft2 (0.08 acres)
(E) Primary Nursery Area: No
(F) Water Classification: SC NSW
Open: No
8. PROJECT SUMMARY: The applicant proposes to improve small boat access by undertaking excavation of a
boat basin and constructing a boathouse. The applicant proposes to fill a small vehicle (utv or golf cart)
access across wooded wetlands to reach the proposed basin.
1,250 ft2
(A) Vegetated Wetlands
(Wooded 404 wetlands)
(B) Non -Vegetated Wetlands
192 ft2
360 ft2 (Boathouse
Broad Creek bottom
shading)
(C) Other
270 ft2
f 1,200 ft2 (Spoil
288 ft2 (Boathouse
shading)
Uplands
disposal)
(D) Total Area Disturbed: 3,560 ft2 (0.08 acres)
(E) Primary Nursery Area: No
(F) Water Classification: SC NSW
Open: No
8. PROJECT SUMMARY: The applicant proposes to improve small boat access by undertaking excavation of a
boat basin and constructing a boathouse. The applicant proposes to fill a small vehicle (utv or golf cart)
access across wooded wetlands to reach the proposed basin.

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Earl and Nancy De Hoog
Broad Creek
Beaufort County
Pantego, NC
Project Setting
The 32 acre project site is located at 23538 HWY 264 east in the Pantego community
adjacent Broad Creek off Pantego Creek and the Pungo River in Beaufort County, North Carolina.
The tract is an upland ridge developed with an access road off HWY 264 to two different shops,
one of which has living quarters. Two different borrow ponds have been dug on the property to
support the development of the property. A home is planned adjacent to the borrow pond and shop
closest to the creek and bottomland swamp associated with Broad Creek. 'Broad Creek is
channelized in this area with a highground spoil bank that filled wetlands leaving an area of
wetlands between the upland ridge and spoil bank. The wetlands still drain and have a hydraulic
surface connection to Broad Creek. The upland ridge is vegetated with various hardwoods and
loblolly pines. The wetland between the ridge and spoil bank is vegetated with wax myrtle, red
cedar, sweet gum and tupelo gum. The spoil bank is vegetated mainly with loblolly pines.
Water depth in the creek range from minus 8' below the normal Water level (NWL) in the
center to minus 4' at the bank. The creek has an average width of 71' in the project location.
Broad Creek at this location is classified as Inland Waters by the Wildlife Resources Commission
and SC NSW by the Environmental Management Commission. Broad Creek is closed to
shellfishing.
Project Description
The applicant proposes to develop small boat access by excavating into the spoil bank a
right triangle shaped upland basin 18' x 30'. The applicant will excavate an area t6' x 32' below
the NWL to have a consistent 6' water depth in the footprint of the proposed boathouse. The
triangle shaped upland basin will be stabilized with 50' of bulkhead. The ±80 cubic yards of spoil
material from the basin excavation will be sloped, graded and seeded on the adjacent existing
upland spoil bank. The proposed boathouse roof will have a dimension of 24' x 36'. There will
be a 4' wide catwalk that will be constructed around the perimeter of the boathouse under the roof.
The boathouse will encroach into the creek channelization 17'.
Access to the proposed basin and boathouse is to be accomplished by filling an area across
the wooded wetlands 25' wide by 50' long. A 1'diameter x 25' long culvert pipe is proposed for
the center of the filled access to maintain surface flow in the wooded wetland. The purpose of the
filled access is for golf cart and utV access to the basin.
Anticipated Impacts
The project will result in the excavation of 270 ft -1 of uplands and 192 ft2 of Broad Creek
bottom for the boat basin. Spoil disposal will result in the disturbance of 1,200 ft of uplands. The

Earl and Nancy De Hoog
Broad Creek
Beaufort County
Pantego, NC
Page Two
filled access will result in the filling of 1,250 ft2 of wooded 404 wetlands. The,boathouse will
shade 360 ft2 of Broad Creek bottom and 288 ft2 of uplands. The project will result in improved
small boat access to the area and their'as'sociated impacts.
Steve Trowell — Washington Regional"Office —19 April 2016
i
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1
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G `

De Hoog Boat House
We propose to build a boat house on Broad Creek according to the enclosed
diagram. Also included in this permit is a fill area across the wetland to gain
access to the higher elevation of land by the canal bank. It would be
approximately 25'x 50'. This would give us access to the strip of land that we
currently cannot access. The boathouse would go on the side of the canal and we
would be digging out a small section of land that is high ground. This would allow
us to build the boathouse we would like to have. My wife has had 8 spinal
surgeries, and I would like to make the boathouse and boat wheelchair accessible
in the event that she would have to use a wheelchair in the future. We would
also like to build the boathouse with 4' wide catwalks for handicap access. Also
by digging out this small strip of land we would not block more than % of the
canal. We appreciate your consideration on this matter.
Earl De Hoog

DO NP -1
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(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
7A
Business Name
Agent/ Contractor 1 First Name
Project Name (!f applicable)
De Hv4pa &4 �ayse
Last Name
Applicant 1 First Name
J o r'
MI
Last Name
Q o a
si
Mailing Address
Applicant 2 First Name
/VcnGI
MI
Last Name
1 .0 qO
State
If additional applicants, please attach an additional page(s) with names listed
Mailing Address
ext
PO Box
City
Contractor #
State
co'.
ZIP
279 0
Country
eQ4` e�e--f
City
Phone No
,9�y yvJ3ext
FAX No
as2-q4y- 3 07
Street Address (if different from above)
City
State
ZIP
Email
2. Agent/Contractor Information
Business Name
7A
Agent/ Contractor 1 First Name
MI
Last Name
Agent/ Contractor 2 First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No 1
ext
Phone No 2
- ext
FAX No
Contractor #
Street Address (if different from above)
_
City
State
ZIP
I
Email
<Form continues on back>
_.,_-b 06-260/, 1-6 bti-41<C 0 F. S I- " IN' 4v 1.:...v i--(a!rn.,n fye rtt an t. n e I

Form DCM MP -1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Be_q (",4
Street Address
3536 �J N,.y ��y��
State Rd #
)y k' { `i
V
c Size of individual lot(s)
d Approximate elevation of tract above NHW (normal high water) or
Subdivision Name
�}
City
P"4 e6
State
/V. L.
Zip
'�7-e60
Phone No
Lot No (s) (if many, attach additional page with list)
J)df_�' ext
!r9h Mec/e b ops
a In which NC river basin is the project located'?
b Name of body of water nearest to proposed project
Tlir An I � ed
1 6-0Q"► Cr,e,e-(q
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
/ V h V R; y ar
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
4. Site Description
a Total length of shoreline on the tr ct (ft)
•
Bro +9"'q
b Size of entire tract (sq ft )
S ori ,y.. uK Cr�c-Jc
c Size of individual lot(s)
d Approximate elevation of tract above NHW (normal high water) or
/AN
WL (normal water level) fel
(If many lot sizes, please attach additional page with a list)
❑NHW or XINWL
e Vegetation on tract II
V11 r i ovS h or�w
f Man-made features and uses now on trach /
Pan41S ¢ Or s «/
!r9h Mec/e b ops
g Identify and describe the existing land uses adjacent to the proposed project site
4- -F4 r rtn
h How does local government zone the tract?
i Is the proposed project consistent with the applicable zoning?
/A
(Attach zoning compliance certificate, if applicable)
/v
❑Yes ❑No RNA
I Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k Hasa professional archaeological assessment been done for the tract? If yes, attach a copy []Yes ,XNo [INA
If yes, by whom?
I Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes NNo [INA
National Register listed or eligible property?
<Form continues on next page>
251-n 0 1-68b-4I<C0A:,I .. vv vv w.nccoast A1r-n arayeInent.net

Form DCM MP -1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m (i) Are there wetlands on the site? MYes ❑No
(u) Are there coastal wetlands on the site? ❑Yes ®No
(m) If yes to either (i) or (u) above, has a delineation been conducted? KYes ❑No
(Attach documentation, if available)
n Describe existing wastewater treatment facilities
'Fy: 5f ."d S �ep I C sy sf
o Describe existing drinking water supply source
(Re -4 L, roil Ca vn i
p Describe existing storm water management or treatment systems
'ah e-
5.
5. Activities and Impacts
a
Will the project be for commercial, public, or private use? ❑Commercial ❑Public/Government
X Private/Community
b
Give a brief description of purpose, use, and daily operations of the project when complete
Prov roil S�c.J+cr4 (&r
P CIS 4ovk b odt+
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 / J
��(Gova��r ¢ S w•�ll Tro�r•� , S+r.c�� 4'1 u►+�p �r�c.k - 5 �w+� (� 9 �C
d
List all developqment activities you propose
9_xCQL's1` bC�04 bis.-.' Qh�i 2y J13�' 600
Ga��S7I��c+
e
Are the proposed activities maintenance of an existing project, new work, or both?
'hew
wo4,1
f
What is the approximate total disturbed land area resulting from the proposed project? JjdSq Ft or ❑Acres
.S, 2 0 s iC;
g
Will the proposed project encroach on any public easement, public accessway or other area []Yes ❑No ERNA
that the public has established use of?
h
Describe location an,
dt type of existing and proposed discharges to waters of the state.
C �(nwt-
ur d4e VN
SC
i
Will wastewater or stormwater be discharged into a wetland? ❑Yes R]No [INA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No ®NA
I
Is there any mitigation proposed? ❑Yes KNo [INA
If yes, attach a mitigation proposal
<Form continues on back>
252-808-2808 .. 1-888-4RCOAST .. www.nccoastaimanagement.net

Form DCM MP -1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP -1) the following items below, if applicable, must be submitted in order for the application
package to be complete Items (a) — (0 are always applicable to any mayor development application Please consult the application
instruction booklet on how to properly prepare the required items below
a A project narrative
b An accurate, dated work plat (including plan view and cross-sectional drawings) drawn to scale Please give the present status of the
proposed project Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed
c A site or location map that is sufficiently detailed to gwde 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 I� • eQ D We. V ^S poi •"� Phone No
Address/ 70 / b✓ ,:!r*h ST ►,✓-cs �� ,pl, c, a 79S ? �,S a 9 y G U 99
fro- 6eftc T. r"q
Name ; ► Q M t or oh e-5 v/ . Phone No
Address P Q- Q OX 7 a•' A h fen 0. )V• 7 0 6 0
Name Phone No
Address
g A list of previous state or federal permits issued for work on the project tract Include permit numbers, permittee, and issuing dates
h Signed consultant or agent authorization form, if applicable
Wetland delineation, if necessary
I A signed AEC hazard notice for projects in oceanfront and inlet areas (Must be signed by property owner)
k A statement of compliance with the N C Environmental Policy Act (N C G S 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 Carohna 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 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 certi thatZl�
information provided In this application is truthful to the best of my knowledge
Date yia�' Print Name 'o r l 0 e- Rip bh
Please indicate application attachments pertaining to your proposed project
®DCM MP -2 Excavation and Fill Information ❑DCM MP -5 Bridges and Culverts
❑DCM MP -3 Upland Development
XDCM MP -4 Structures Information
- .. V ., i .� .. . - V v J ' �d .l � ., , . .� .. . • v , . ,. � - ....� ... t , i � . � � � .: lj c. : 1 1 l: I 1 l . I � �

Form 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.
1. EXCAVATION ❑This section not applicable
a Amount of material to be excavated from below NHW or NWL in b Type of material to be excavated
cubic yards ,
�O CY SQhd,, C )4kk jD�
C (i) Does the area to be excavated include coastal wetlands/marsh d High -ground excavation in cubic yards
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the Q G Y
number of square feet affected
❑CW ❑SAV ❑SB
[]WL RNone
(u) Describe the purpose of the excavation in these areas
To 6c 9 iIr fo p iv4 a b o --r
M V'- c. 4- ( o N '1A.1 %✓ :4 4 A o f Cr- a'1
2. DISPOSAL OF EXCAVATED MATERIAL El This section not applicable
a Location of disposal area b Dimensions of disposal area
f4 4i -, G e J C4 r, o ) 62.q % /'c
c (i) Do you claim title to disposal area?
&Yes []No ❑NA
(ii) If no, attach a letter granting permission from the owner
e (i) Does the disposal area include any coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected
[:)CW []SAV [:]SB
❑WL ,KNone
(u) Describe the purpose of disposal in these areas
y vro ,
d (i) Will a disposal area be available for future maintenance?
$Yes [--]No [DNA
(ii) If yes, where?
�Q M ¢.
f (i) Does the disposal include any area in the water?
[]Yes j4No ❑NA
(ii) If yes, how much water area is affected?
252-808-28ui3 -- 1-888-4RCOAST :: www,nccoastaItitanagemeni.net cuv'st-dt :2,26/06
Access
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL)
stabilization
Length
1 �o
Width
Avg. Existing
. " ►
NA
NA
Depth
f
Final Project
f
i
NA
NA
Depth
1. EXCAVATION ❑This section not applicable
a Amount of material to be excavated from below NHW or NWL in b Type of material to be excavated
cubic yards ,
�O CY SQhd,, C )4kk jD�
C (i) Does the area to be excavated include coastal wetlands/marsh d High -ground excavation in cubic yards
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the Q G Y
number of square feet affected
❑CW ❑SAV ❑SB
[]WL RNone
(u) Describe the purpose of the excavation in these areas
To 6c 9 iIr fo p iv4 a b o --r
M V'- c. 4- ( o N '1A.1 %✓ :4 4 A o f Cr- a'1
2. DISPOSAL OF EXCAVATED MATERIAL El This section not applicable
a Location of disposal area b Dimensions of disposal area
f4 4i -, G e J C4 r, o ) 62.q % /'c
c (i) Do you claim title to disposal area?
&Yes []No ❑NA
(ii) If no, attach a letter granting permission from the owner
e (i) Does the disposal area include any coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected
[:)CW []SAV [:]SB
❑WL ,KNone
(u) Describe the purpose of disposal in these areas
y vro ,
d (i) Will a disposal area be available for future maintenance?
$Yes [--]No [DNA
(ii) If yes, where?
�Q M ¢.
f (i) Does the disposal include any area in the water?
[]Yes j4No ❑NA
(ii) If yes, how much water area is affected?
252-808-28ui3 -- 1-888-4RCOAST :: www,nccoastaItitanagemeni.net cuv'st-dt :2,26/06

FuCm DCC MP -2 (Excavation and Fill, Page 2 of 2)
3. SHORELINE STABILIZATION This section not applicable
(If development is a wood groin, use MP -4 — Structures)
a Type of shoreline stabilization b Length
Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other
Width
c Average distance wLL
aterward of NHW or NWL d Maximum distance waterward of NHW or NW
47 A/W / D
e Type of stabilization material f (i) Has there been shoreline erosion during preceding 12
months2
' �nyc / ❑Yes ❑No ONA
(n) If yes, state amount of erosion and source of erosion amount
information
g Number of square feet of fill to be placed below water level h Type of fill material
Bulkhead backfill Riprap
Breakwater/Sill Other
I Source of fill material
4. OTHER FILL ACTIVITIES This section not applicable
(Excluding Shoreline Stabilization)
a (i) Will fill material be brought to the site? RYes []No []NA,, b (i) Will fill material be olaced in coastal wetlands/marsh (CW).
If yes,
(u) Amount of material to be placed in the water
(w) Dimensions of fill area
(iv) Purpose of /fill
VZ h : e-1110,- 4 Gee, Ss
submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected
❑CW ❑SAV []SB
XWL t.-) � r ❑None
(ii) Describe the purpose of the fill in these areas
1 /711/G.l d Catg ��n s` l
T r7c4or 9Ces.% �y Cph�l g4�l�
5. GENERAL
a How will excavated or fill material be kept on site and erosion b What type of construction equipment will be used (e g , dragline,
controlled?// // A�Js11 backhoe, or hydraulic dredge)? 1
S/open (7r,;Wc �i►,gea Spy j A9ler,-1 LjtCovall�6 Sl�+g/1 TI'cGT�� f"
s'If Fancc iti ��c<< &-n4:/ 6roc...l CCf/� ksfQb, D v^+P Trvcf-4
c (i) Will navigational aids be required as a result of the project? d (i) Will wetlands be crossed in transporting equipment to project
❑Yes ❑No [--INA site? CgYes []No [INA
(n) If yes, explain what type and how they will be implemented (u) If yes, explain steps that will be taken to avoid or minimize
environmental impacts
�Q ✓.' P�..a,.'if 'f0 &,.s7
Se ®e� ►% :t4 -t o►Lc c s
p 1A Rk'
J4 I
Date Applicant Name
4 r e DCa
Protect Name
Ue— 4a% 'goovS c
Applicant Signature �, ^
252-808-2808 :: 1-888-4RCOAST :: vvwv_v_.nccoasialrnz,ri�ge_it,et revised. i2;26 Vu

Form CCM MP -4
STRUCTURES
(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
9. DOCKING FACILITY/MARINA CHARACTERISTICS
a (i) Is the docking facility/marina
❑Commercial ❑Public/Government NPnvate/Community
c (i) Dock(s) and/or pier(s)
(n) Number *11h
(iii) Length ✓✓✓✓
(iv) Width
(v) Floating ❑Yes ❑No
e (i) Are Platforms included? ❑Yes XNo
If yes
(u) Number
(iii) Length
(iv) Width
(v) Floating []Yes ❑No
Note Roofed areas are calculated from dnplrne dimensions
g (i) Number of slips proposed
(n) Number of slips existing
i Check the proposed type of siting
JZ 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 '
m (i) Will the facility have tie pilings?
❑Yes SNo
(n) If yes number of tie pilings?
❑This section not applicable
b (i) Will the facility be open to the general public?
[]Yes ®No
d (i) Are Finger Piers included? AYes ❑No
If yes
(u) Number
(iii) Length
(iv) Width
(v) Floating []Yes ZJNo
f (i) Are Boatlifts included? K]Yes ❑No
If yes.
(u) Number
(w) Length
�6 I
(iv) Width
r
�a
h Check all the types of services to be provided
❑ Full service, including travel lift and/or rail, repair or
maintenance service
L
❑ Dockage, fuel, and marine supplies
R Dockage ("wet slips") only, number of slips
❑ Dry storage, number of boats
❑ Boat ramp(s), number of boat ramps
❑ Other, please describe
I Describe the typical boats to be served (e g , open runabout,
charter boats, sail boats, mixed types)
6 pe t^ v- 0h q Lvvf P 0k, &"n
I (i) Will the facility be open to the general public?
❑Yes ®No
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Forty- DCM IJIP-2+ (Structures, mage 2 of 4)
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
b Describe treatment type and disposal location for all sanitary wastewater
c Describe the disposal of solid waste, fish offal and trash
d How will overboard discharge of sewage from boats be controlled?
e (Q Give the location and number of "No Sewage Discharge" signs proposed
(u) Give the location and number of "Pumpout Available" signs proposed
f Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products
b
g Where will residue from vessel maintenance be disposed of?
h Give the number of channel markers and "No Wake" signs proposed
I Give the location of fuel -handling facilities, and describe the safety measures planned to protect area water quality
What will be the marina policy on overnight and live -aboard dockage?
k Describe design measures that promote boat basin flushing?
I If this project is an expansion of an existing marina, what types of services are currently provided?
m Is the marina/docking facility proposed within a primary or secondary nursery area?
[]Yes [:]No
252-808-280b :: 1-888-4RCOr4ST :: www.nccoastatmanagemei-t_net revised: 12/27106

OCIv'i MVii'-41 (S1ruCWreS, ?aye 3 of A
n Is the marina/docking facility proposed within or adjacent to any shellfish harvest area?
❑Yes ❑No )
o Is the marina/docking facility proposed within or adjacent to coastal wetlands/marsh (CW), submerged aquatic vegetation taAvj, sneu oouum
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected
❑CW [-]SAV ❑SB
OWL ❑None
p Is the proposed marina/docking facility located within or within close proximity to any shellfish leases? ❑Yes ONO
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease
3. BOATHOUSE (including covered lifts) [-]This section not applicable
a (i) Is the boathouse structure(s)
❑Commercial ❑Public/Government ®Private/Community
(u) Number
(m) Length 36
(iv) Width
Note Roofed areas are calculated from dnphne dimensions
4. GROIN (e g, wood, sheetptle, etc. if a rock groin, use MP -2, ,Excavation and Fill) J?]This section not applicable
a (i) Number
(u) Length
(w) Width
5. BREAKWATER (e g, wood, sheetpile, etc) This section not applicable
a Length b Average distance from NHW, NWL, or wetlands
c Maximum distance beyond NHW, NWL or wetlands
5. MOORING PILINGS and BUOYS ,®This section not applicable
a Is the structure(s)
❑Commercial ❑Public/Government ❑Private/Community
c Distance to be placed beyond shoreline
Note This should be measured from marsh edge, if present
e Arc of the swing
7. GENERAL
b Number
d Description of buoy (color, inscription, size, anchor, etc )
252-808.2808 i-888-4RCQAST :: www.nccoastalmanagement_liet rivisou: -12 11,C! 6u

6=Ga`:tn LL:;i:;ttft 711 P- 4 (Structures, Page d of 4)
a Proximity of structure(s) to adjacent riparian property lines b Proximity of structure(s) to adjacent docking facilities
90b r N/esf + .3 Ob ' Iso 5f 4jr40a fu %^��� � � � �c � � f �sr w•y
Note For buoy or moonng piling, use arc of swing including length
of vessel
c Width of water body
e (i) Will navigational aids be required as a result of the project?
❑Yes [lo ❑NA
Qq If yes, explain what type and how they will be implemented
d Water depth at waterward end of structure at NLW or NWL
8. OTHER ,$;1 This section not applicable
a Give complete description
Date
t✓ /O� M
Project Name✓
J)e )4aoS T �vvs e
Applicant Name ��JJ Q Osi
For) Oe
Applicant Signature w
2E2-808.2808 :: 1-888-4RCOAST :: www_nccgastalmaiiagerpent_net rev;sed: :2,27,uc

r
YOUR TRIP TO: Qopww
23538 US Highway 264 E
28 MIN I 24.4 MI
Trip time based on traffic conditions as of 9 48 AM an April 1, 2016 Current Traffic Light
S 1 Start out going west on Washington Square Mall
Then 0 01 miles 0 01 total miles
2. Tum right 10 stay on Washington Square Mall
Good News Chnstian Bookstore is on the left
Then 0 06 miles 0 07 total miles
3 Take the 1 st right onto W 15th St
Wendy's is on the corner
If you reach the end of Jackson St you've gone about 0 1 miles too far
Then 1 40 miles 1 46 total miles
it 4 Turn slight left onto E 12th St
•1 E 12th St is 0 1 miles past E 13th St
I
Then 0 28 miles 1 75 total miles
` 5 Turn left onto John Small Ave/US-264 E Continue to follow US -264 E
LS -264 E isjust past John Small Ave
If you are on Hudneil St and reach Pennsylvania Ave you've gone about 0 2 miles
too far
Then 22 70 miles Y 24 45 total miles
6 23538 US Highway 264 E, Pantego, NC 27860, 23,5538 US HIGHWAY 264 E is -}{� ` /� -{` / i l�l Ai ��
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