Form DCM MP-4 Structures (Construction Within Public Trust Areas) - North Carolina

Form DCM MP-4 or the "Structures (construction Within Public Trust Areas)" is a form issued by the North Carolina Department of Environmental Quality.

The form was last revised in December 27, 2006 and is available for digital filing. Download an up-to-date Form DCM MP-4 in PDF-format down below or look it up on the North Carolina Department of Environmental Quality Forms website.

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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 FACILITY/MARINA CHARACTERISTICS
This section not applicable
a. (i) Is the docking facility/marina:
b.
(i) Will the facility be open to the general public?
Commercial
Public/Government
Private/Community
Yes
No
c. (i) Dock(s) and/or pier(s)
d. (i) Are Finger Piers included?
Yes
No
If yes:
(ii) Number
(ii) Number
(iii) Length
(iii) Length
(iv) Width
(v) Floating
Yes
No
(iv) Width
(v) Floating
Yes
No
e. (i) Are Platforms included?
Yes
No
f. (i) Are Boatlifts included?
Yes
No
If yes:
If yes:
(ii) Number
(ii) Number
(iii) Length
(iii) Length
(iv) Width
(iv) Width
(v) Floating
Yes
No
Note: Roofed areas are calculated from dripline dimensions.
g. (i) Number of slips proposed
h. Check all the types of services to be provided.
Full service, including travel lift and/or rail, repair or
maintenance service
(ii) Number of slips existing
Dockage, fuel, and marine supplies
Dockage (“wet slips”) only, number of slips:
Dry storage; number of boats:
Boat ramp(s); number of boat ramps:
Other, please describe:
i. Check the proposed type of siting:
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
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:
l. (i) Will the facility 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?
::
:: www.nccoastalmanagement.net
revised: 12/27/06
252-808-2808
1-888-4RCOAST
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 FACILITY/MARINA CHARACTERISTICS
This section not applicable
a. (i) Is the docking facility/marina:
b.
(i) Will the facility be open to the general public?
Commercial
Public/Government
Private/Community
Yes
No
c. (i) Dock(s) and/or pier(s)
d. (i) Are Finger Piers included?
Yes
No
If yes:
(ii) Number
(ii) Number
(iii) Length
(iii) Length
(iv) Width
(v) Floating
Yes
No
(iv) Width
(v) Floating
Yes
No
e. (i) Are Platforms included?
Yes
No
f. (i) Are Boatlifts included?
Yes
No
If yes:
If yes:
(ii) Number
(ii) Number
(iii) Length
(iii) Length
(iv) Width
(iv) Width
(v) Floating
Yes
No
Note: Roofed areas are calculated from dripline dimensions.
g. (i) Number of slips proposed
h. Check all the types of services to be provided.
Full service, including travel lift and/or rail, repair or
maintenance service
(ii) Number of slips existing
Dockage, fuel, and marine supplies
Dockage (“wet slips”) only, number of slips:
Dry storage; number of boats:
Boat ramp(s); number of boat ramps:
Other, please describe:
i. Check the proposed type of siting:
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
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:
l. (i) Will the facility 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?
::
:: www.nccoastalmanagement.net
revised: 12/27/06
252-808-2808
1-888-4RCOAST
Form DCM MP-4
(Structures, Page 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.
(i) Give the location and number of “No Sewage Discharge” signs proposed.
(ii) 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.
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.
j.
What will be the marina policy on overnight and live-aboard dockage?
k.
Describe design measures that promote boat basin flushing?
l.
If this project is an expansion of an existing marina, what types of services are currently provided?
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net
revised: 12/27/06
Form DCM MP-4
(Structures, Page 3 of 4) ) ) )
m.
Is the marina/docking facility proposed within a primary or secondary nursery area?
Yes
No
n.
Is the marina/docking facility proposed within or adjacent to any shellfish harvesting area?
Yes
No
o.
Is the marina/docking 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.
CW
SAV
SB
WL
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 lifts)
This section not applicable
a. (i) Is the boathouse structure(s):
Commercial
Public/Government
Private/Community
(ii) Number
(iii) Length
(iv) Width
Note: Roofed areas are calculated from dripline dimensions.
4. GROIN
(e.g., wood, sheetpile, etc. If a rock groin, use MP-2, Excavation and Fill.)
This section not applicable
a. (i) Number
(ii) Length
(iii) 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
6. MOORING PILINGS and BUOYS
This section not applicable
a. Is the structure(s):
b. Number
Commercial
Public/Government
Private/Community
c. Distance to be placed beyond shoreline
d. Description of buoy (color, inscription, size, anchor, etc.)
Note: This should be measured from marsh edge, if present.
e. Arc of the swing
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net
revised: 12/27/06
Form DCM MP-4
(Structures, Page 4 of 4) ) ) )
7. GENERAL
a. Proximity of structure(s) to adjacent riparian property lines
b. Proximity of structure(s) to adjacent docking facilities.
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body
d. Water depth at waterward end of structure at NLW or NWL
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
This section not applicable
a. Give complete description:
Date
Project Name
Applicant Name
Applicant Signature
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net
revised: 12/27/06

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