20090323 Ver 1_CAMA Application_20090326

09-0323
CDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
C 0Vv
March 23, 2009 .'
MEMORANDUM:
DENR TO: Cyndi Karoly, Supervisor 1'p.1(,g±JSANDSA0R? ?4?FRBROJvCH
401 Oversight & Express Permits Unit
Division of Water Quality-Surface Water Protection
FROM: Doug Huggett, NC DENR-DCM Major Permits Coordinator
400 Commerce Ave., Morehead City, NC 28557 (Courier 11-12-09)
SUBJECT: CAMA/Dredge & Fill Major Permit Application
Applicant: John E. Dougher
Project Location: 608 & 610 Evelyn Lane, adjacent to Banks Channel, in Topsail Beach,
Pender Co.
Proposed Project: To excavate the existing property and install a five-slip docking facility
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by April 16, 2009. If you have any questions regarding the proposed project, contact Jon Giles
[phone], when appropriate, in-depth comments with supporting data is 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
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: [phone] t FAX: [phone] Internet: www.nccoastalmanagement.net
DATE
An Equal Opportunity', A.ffir!7iative Action Employer
No?rthCarolina
l1tlCrallff
Project Narrative
Dougher Dredge and Dock Project
The applicant's property is located at 610 Evelyn Lane in Topsail Beach, NC. Proposed
activity includes dredging in front of 610 and 608 Evelyn Lane, and 632 Maritime Way,
as well as the construction of a dock at 610 Evelyn. This area was previously dredged in
1970-71, under Department of Conservation and Development permit #238, dated 9-14-
70. Approximately 475 cy are proposed to be dredged currently. The proposed dock will
have 5 slips.

FEB RECEIVED
2 0 2009

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICAiTNT'S NAME: John E. Dougher / Dock and Dredging
2. LOCATION OF PROJECT SITE: The project site is located at 608 & 610 Evelyn Ln., adjacent to Banks
Channel, in Topsail Beach, Pender County.
Photo Index-2006: 25-6587: N(5-6) 2000: 25-325: K(19-20) 1995: 25-307: J-K(12)
State Plane Coordinates - X: 2414118 Y: 228656 GPS File: P03121 IA
Lat:34°22'13.39745"N Long: 77°37'39.69421"W
3. INVESTIGATION TYPE: CAMA / D & F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 03/12/09
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received - Complete on 02/20/09
Office - Wilmington
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Town of Topsail Beach
Classification From LUP - Developed
(B) AEC(s) Involved: EW, PT
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - N/A
Planned - N/A
(F) Type of Structures: Existing - two single family dwelling, retaining wall and dock
Planned - excavation and new 5 slip dock
(G) Estimated Annual Rate of Erosion: N/A Source - N/A
7. HABITAT DESCRIPTION: [AREA]
np,pnc.pn FTf.T,RT) OTHER
(A) Vegetated Wetlands (coastal)
(B) Non-Vegetated Wetlands - open water 4,800 ft.- 549 ft .2
(incorporate)
(C) Other (Highground) 4,900 ft Z
(D) Total Area Disturbed: 10,249 ft?
(E) Primary Nursery Area: No
(F) Water Classification: SA Open: Yes
8. PROJECT SUMNIARY: The applicant is proposing to excavate in front of their property and install a
5-slip docking facility.
John E. Dougher
Page Two
9. PROJECT DESCRIPTION:
The project site is located at 608 & 610 Evelyn Ln., adjacent to Banks Channel, in Topsail Beach, Pender
County. To get to the site from Wilmington, take US Hwy 17 North to NC Hwy 210. Turn right onto NC Hwy
210 and continue to NC Hwy 50. Take a right onto NC Hwy 50. Travel across the swing bridge to the stoplight.
Take a right onto NC Hwy 50. Travel approximately six miles. Take a right on Haywood Ave. Take the second
left which is Evelyn Drive. The applicant's properties are located on the right. The combined properties are
approximately 19,500 ft.2. The current elevation of the property ranges from 0' above normal water level to
approximately 6' above normal high water. The project site is adjacent to Evelyn Lane to the east, residential
property to the north and the south, and Banks Channel to the west. There are currently two residential
dwellings on the lots, a bulkhead that runs the length of both lots and a dock on the lot southern lot (608 Evelyn
Lane). The existing pier at 606 Evelyn Ln. measures approximately 4' in width and 36' in length with a T-head
that measures 16' in width and 16' in length. There is a ramp that connects the dock to a floating dock that
measures approximately 8' in width by 16' in length and a 12' x 12' boatlift located on the southern side of the
floating dock. There is an existing bulkhead that is located landward of the coastal wetlands and runs the width
of both properties. The highground portion of the property is vegetated primarily with lawn grasses and
ornamental plants. Coastal wetlands are present at the site. There is high marsh that measures approximately 5'-
10' in width and consists of Salt Meadow Grass (Spartina Patens), and Salt Marsh Cordgrass (Spartina
alterniflora). There is a low marsh consisting of salt marsh cordgrass that measures approximately 20' in width
and runs the width of the properties.
After reviewing the aerial photography from 2006 appears to be an area of submerged aquatic vegetation (SAV)
located in the area in front of 610 Evelyn Ln. This was confirmed during a site visit performed in May of 2005
for a bulkhead and pier permit. The NC Division of Marine Fisheries subsequently confirmed that there were
SAV's on site. Considering the potential impacts to SAV's and SAV habitat their request to dredge this area
was elevated from a general permit to a major permit
The Topsail Beach Land Use Plan classifies the upland areas of this project as Developed. The waters of the
project site are classified as SA by the NC Division of Water Quality. The NC Division of Marine Fisheries has
NOT designated Banks Channel as a Primary Nursery Area, and the waters adjacent to the proposed project
are open to the harvesting of shellfish.
PROPOSED PROJECT:
The applicant is proposing to excavate an area measuring approximately 120' in length and 40 ` in width to a
final depth -4' @ NLW. The spoil material would be transported via barge to 1009 N Anderson Blvd and placed
on the highround landward of the 30' buffer. The applicant is also proposing to install a 5-slip docking facility.
The docking facility would consist of a fixed pier starting at the bulkhead and extending waterward at 610
Evelyn Ln. The proposed fixed pier would measuring 6' in width by 22' in length and would be access to a
floating dock measuring 6' in width by 30' in length. The proposed floating dock would have two finger piers
attached perpendicular to it and one would be located at the end of floating dock, measuring 6' in with by 20'
and the other would be located approximately 15' landward of the outermost finger pier, measuring 4' in width
by 20' in length. The outermost finger pier would measure 6' in width by 20'in length. The applicant is also
proposing to install a boatlift on the north side of the 6' x 30' floating dock that would measure 13' x 13'. The
water depths at the end of the proposed structure would be approximately -4' @ Normal Low Water.
John E. Dougher
Page Three
10. ANTICIPATED IMPACTS
The proposed dock would incorporate approximately 549 ft.2 of public trust waters. The proposed excavation
would disturb approximately 4,800 ft.2 of shallow bottom and the disposal of the dredged material would
disturb approximately 4,900 ft.2 of highground. The proposed dredging would also impact an area of SAV's, the
total impacts to SAV's / SAV habitat is unknown since the area has not been delineated. The dock construction
and excavation would likely result in a temporary increase in turbidity.
Submitted by: J. W. Giles Date: March 20, 2009 Office: Wilmington
DO MP-1
APPLICHIONror
09-0323
MaJor Development Permit
(last revised 12/27106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name Project Name (if applicable)
Gr (}

Applicant 1: First Name MI F Last Name
R 0

Applicant 2: First Name
Mt
Last Name P"
/
r
?v?5 4R "k . .
1
I '2
?
4
If additional applicants, please attach an additional page(s) with names listed. h
Mailing Address PO Box City State r
ZIP Country Phone No. FAX No.
-27611 - - ext. 705 /2-7q
Street Address (if different from above) City State ZIP
Email
2. Agent/Contractor Information
Business Name

Agent/ Contractor 1: First Name
I MI Last Name
/TGt ? f f,'h tt,r'?
Agent/ Contractor 2: First Name MI Last me
Mailing Address 7
41
1-kt1'-01W

Ct, PO Box City J? State

ZIP
-1 Phoolne No.. I
V/0 - 36 r - s-q ext. Phone No. 2
- ext.
FAX No. Contractor #
3
70 3 ?if
, -
Street Address.(if different from above) City State ZIP
Email

<Form continues on back> FEB 2 0 1009
, NC

Major Development Permit
3. Project Location
County (can be multiple) Street Address State Rd. #
pe"7 l- Eve &
Subdivision Name City State Zip
V ?
%c.Ss,rT•-7 lzr /err4ce'
Iv eat'/ 66a ch
2-elI
Phone No. Lot No. (s) (if many, attach additional page with list)
- - ext.
a. In which NC river basin is the project located? b. Name of body of water nearest to proposed project
r ?/1/ ?Lllirl??t%f
c. Is the water ody identified in (b) above, natural or manmade? d. Name the closest major water body to the proposed project site. .
[Natural QManmade QUnknown f Shit Sv,Jt-,??
e. Is proposed work within city limits or planning jurisdiction? f. If applicable, list the planning jurisdiction or city limit the proposed
(Yes QNo work falls within.
1 ot-vvi e C U• gG / o'er c 4,
4. Site Description
a. Total length of shoreline on the tract (ft.) f entire tract (sq.ft.)
b. Size
o
.J r r /
of
`
c. Size of individual lot(s)
5--l7X 170
3S )? 170 . d. Approximate elevation of tract above NHW (normal high water) or
NWL (nomral water level)
,
(If many lot sizes, please attach additional page with a list) 6 y (jNHW or QNyVL
e. Vegetation on tract
Ctj f ,j 4 d`?h S f _free5

I. Man-made features and uses now on tract

g. Identify and describe the existing land uses adiacent to the proposed project site.
re 5 i et gee fr e_ ?1 oe)i e5
zone the tract?
h. How does local government i. Is the proposed project consistent with the applicable zoning?
L
(
C, Re`iiJle,-,h;c - d,-51r f (Attach zoning compliance certificate, if applicable).
.
J , n/
j. Is the proposed activity part of an urban waterfront redevelopment proposal? QYes JKNo
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. QYes QNo )kNA
If yes, by whom?
1. Is the proposed project located in a National Registered Historic District or does it involve a QYes QNo J4NA
National Register listed or eligible property?
<Form continues on next page>
FEB 2 0 2009
DCM WILMINGTON, NC
t-Vt Ill LIMOM Ivor - l ,/ ayc J VI Tr
Mayor Development Permit
m. (i) Are there wetlands on the site? Yes j]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.
'?L.JV ? L ?L+?IlI
o. Describe existing drinking water supply source.
p. Describe existing storm water management treatment systems.
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ?Commercial [1PubliclGovemment
&PrivateiCommunity
b. Give• a brief description of purpose, use, and daily operations of the project when complete.
/'+'; ????? dock fvr recreehhV-k vi lGj? C{?f?t?ruznf,
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.
- ektm6hefl
bvirke4- A-+ 7? l
iv i.)Se.(.
/
c
ni ?r?l S b W&54-19 t`n Gs/I c,??Yt ?t'rtfl G'iCil 1'11 ?l6tit?? .
d. List all development activities you propose.
s rek
6
2
- 60,g5t?vJ bcx out Gfc 6vetYA
e. Are the proposed activities maintenance of an existing project. new work, or both?
7
f. What is the approximate total disturbed land area resulting from the proposed project? OKSq.F1 or ?Acres

g. Will the proposed project encroach on any public easement, public accessway or other area ?Yes RNo j]NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
1 ??f 7
i. Will wastewater or stormwater be discharged into a wetland? ?Yes ?No NINA
If yes, will this discharged water be of the same salinity as the receiving water? ?Yes ?No NNA
j. Is there any mitigation proposed? OYes ?No RNA
If yes, attach a mitigation proposal.

a"k &. %?' G; I V CU
<Form continues on back> C
VFZO rn 101009
, NC
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP=1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) - (0 are always applicable to any major development application. Please consult the application
instruction booklet on 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, dearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
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.
I. 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 40, 1a f/,' G. -ow, I Phone No. 1& 289-.3`i 2!.
Address j(jr? GKry? ??? xaSZ ( , 2&
S4
Phone No_
Name /?
GLltl(iQM S t'" A a-r- G/c? SJ?az?t /n1,
ZXey
Address Reo ila n)?-e IMP Olitce, 6zrn e i^ .,/c- a 7 52 1
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.
f
1 3 3 7( tJ(/t? JGcJt ?t' f ;0 i? 2 3:7 ? i)(14r?1 ?r-+A q
%,p r
f `?lflr` ?r?r< l?o?- v (ncF 6?; fr
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
N .li
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 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 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 fede.,al 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 best of my knowledge.
Date r?Z or/ Print Name !c/ tit. ?'ui
Signature
Please indicate application attachments pertaining to your proposed project.
eDCM MP-2 Excavation and Fill Information ?DCM MP-5 Bridges and Culverts
?DCM MP-3 Upland Development
[dDCM MP-4 Structures Information O V E
FEB 2 0 2009
DCM WILMINGTON, NC
Form DCM 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.
1. DOCKING FACIU MMARM CHARACTERISTICS
a. M is the docking facility/marina:
[]Commercial OPubrWGovemunerd (XPrivate/Communitll
0TNs section riot applicable
b. (i) Will the facility be open to the general public?
Oyes MNo
c. (i) Dock(s) and/or pier(s)
(ii) Number I I lr+-J)
(i8) Length 0
(tv) Width 6'
b `
(v) Floating ®Yes ONo
e. (i) Are Platforms included? Oyes 1ANO
If yes:
(ii) Number
(iii) Length
(Iv) Width
(v) Floating [jYes [3No
Note: Roofed areas are calculated from dnphne danensiona
g. (I) Number of slips proposed
15-
(ii) Number of slips existing
0
1. Check the proposed type of siting:
? Land cut and access channel
®Open water, dredging for basin and/or channel
QOpen water, no dredging required
00ther, please describe:
k. Typical boat length: 2 G
m. (i) Will the facility have tle pilings?
OYes MM
(ir) If yes number of tie pilings?
d. (i) Are Finger Piers included? )$(Yes []No
if yes:
(a) Number 7
(s' Length -1-01 2 0
(N) Width ,r 'I
(v) Floating 1]c. Yes []No
f. (i) Are Boatlift included? ®Yes []No
if yes:
n Number I
(in) Length 13
('N) Width L_
h. Check all the types of services it o be provided.
? Full service, including travel ift and/or rail, repair or
maintenance service
? Dockage, fuel, and marine supplies
? Dockage ('we( sips') only, number of slips:
[] Dry storage; number of boats:
0 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).
1. 0) Will the facility be open to the general public?
[]Yes (&No

FEB 2 0 2009
GM w6 m G N,
Z DOWNG FACIUTYIMARINA OPERATIONS 'JQ TW 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. () Give the location and number of `No Sewage Discharge' signs proposed.
(ii) Give the location and number of'Pumpout Availabte' signs proposed.
f. Describe the special design, if applcable, 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 channel markers and *No Wake* signs proposed.
L Give the location of fuel-handling facilities, and describe the safety measures planned to protect area water quality.
i. 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 =enty provided? RECEIVED
FEB 2 0 2009
IDC WiLMiNGTON, NC
7. GENERAL
a. Proximity of structure(s) to adjacent riparian property lines p
Note. For buoy or mooring pHing, use arc of swing induclirrg Length
of vessel.
b. Proximity of structure(s) to adjacent docking facilities.
c. Width of water body
for
e. (i) Will navigational aids be required as a result of the project?
OYes CgNo ?NA
(ii) if yes, explain what type and how they will be implemented.
d. Water depth at waterward end of stnxture at NLW or NWL
__e I
& OTHER OTNs section not applicable
a. Give complete description:
r-27-o1
Date
ADUg1 t?; ? o < i ??f? Pte, ?-
Project Na
?? (f yr?1 e /{?(LfT Ct, C. ?7 i?J
Applicant Name, U
Applicant Signature
RECEIVED
FEB 2 0 2009
DCM WILMINGTON, NC
M. is the marinaMocking facility proposed within a primary or secondary nursery area?
OYes ONo
n. Is the marirWdocking facility proposed within or adjacent to any shellfish harvesting area?
OYes ONo
o. Is the marinaldocking facility proposed within or adjacent to 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.
OCW OSAV OSB
OWL ONone
p. Is the proposed marinaldodcing facility located within or within dose proximity to any shellfish leases? OYes 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. (j) Is the boathouse structure(s):
OComMrcial OpubliclGovemment OPrivate/Community
(ii) Number
(iii) Length
(iv) Width
Note: Roofed areas are calctdated from &WIne dimensions.
4. GROIN (e.g., wood, sheetpile, etc. #a rock groin, use MP-2, Excavation and Fill) '(This section not applicable
a. (I) Number
(ii) Length
(Iii) Width
BREAKWATER (e.g., wood, sheetpile, etc.) KThis section not applicable I
a. Length b. Average distance from NHW, NWL, or wetlands
c. Maxirnum distance beyond NHW. NWL or wetlands
16. MOORING PILINGS and BUOYS This section not applicable
a. Is the structure(s):
OCommercial OPublidGovemment OPrivate/Communrly
b. Number
C. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present
d. Description of buoy (color, Inscription, size, anchor, etc.)
.2"X mm -
e. Arc of the swing FEB 2 0 2009
0r, WiLMINGTONP NC
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.
FA ess Other
nnel Rock (excluding
V or Canal Boat Basin Boat Ramp Rock Grain Breakwater shoreline
stabilization
Length ! I Z r
I 0
Width {-f eq r
I
Avg. Existing
Depth NA NA
Final Project ? j f
Depth `7 NA NA
7. EXCAVATION OThis section not applicable
a. Amount of material to be excavated from below NHW or NWL in
cubic yards.
a 70 c v
c. (i) Does the area to be excavated include coastal wetlandsimarsh
(CW), submerged aquatic .vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
OCW OSAV OSB
OWL NNone
(ii) Describe the purpose of the excavation in these areas:
40 rl ICcu ; be, 14 6-4 f"A G
A) k&"" /-v'1/tin^ Ct f'J•1k"
b. Type of material to be excavated.
d. High-ground excavation in cubic yards.
n6 -
2. DISPOSAL OF EXCAVATED MATERIAL ?This section not applicable
a. Location of disposal area.
1100q At
c. (i) Do you claim title to disposal area?
?Yes (gNo ONA
(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.
OCW ?SAV OSB
OWL (NNone
(ii) Describe the purpose of disposal in these areas:
- ?,o lie ire / 80X X517 ,;' ??r slv?5
b. Dimensions of disposal area.
70',,4 70'
d. (i) Will a disposal area be available for future maintenance?
®Yes ONo ONA
(ii) If yes, where?
f. (i) Does the disposal include any area in the water?
CYes (ANo ONA
(ii) If yes, how much water area is affected?
f.w
FEB 2 0 2009
DCN?. WILMINGTON, NC
3. SHORELINE STABILIZATION
(If development is a wood groin, use MP-4 - Structures)
a. Type of shoreline stabilization:
?Bulkhead ?Riprap ?BreakwatedSill ?Other:
c. Average distance waterward of NHW or NWL:
e. Type of stabilization material:
g. Number of square feet of fill to be placed below water level.
Bulkhead backfitl Riprap
BreakwaterlSill Other
h. Type of rill material.
i. Source of rill material.
4. OTHER FILL ACTIVITIES
(Excluding Shoreline Stabiliza(ion)
This section not applicable {
b. Length:
Width:
d. Maximum distance waterward of NHW er NWL:
f. (ii) Has there been shoreline erosion during preceding 12
months?
?Yes ?No ?NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
a. (i) Will fill material be brought to the site? ?Yes (_,)No UNA
If yes,
(ii) Amount of material to be placed in the water
(iii) Dimensions of rill area
(iv) Purpose of fill
section not applicable
_tL_ _(i) Will fill material be placed in 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 ?SS
OWL ?None
(ii) Describe the purpose of the fill in these areas:
5. GENERAL
a. How will excavated or fill material be kept on site and erosion b.
controlled?
r
c. (i) Will navigational aids be required as a result of the project? d.
?Yes RNo ?NA
(ii) If yes, explain what type and how they will be implemented.
What type of construction equipment will be used (e.g., dragtine,
backhoe, or hydraulic dredge)?
??a?ltet't 6J?K?? u`
'5feo! & `?
(i) Will wetlands be crossed in transporting equipment to project
site? ?Yes VSNo ?NA
(ii) if yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Date Applicant Name
Project Na a Applicant Signature
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