DEQ: Permit application fees required for Virginia Water Protection permits - while detailed in (http://www.d deqvrgima.govlLocations.spX). Complete the Permit Application Fee Form and submit it per the instructions to the address listed on the form. Instructions for submitting any other VMRC: An application fee of $300 may be required for projects impacting tidal wetlands, beaches and/or dunes when VMRC acts as the LWB. VMRC will notify the applicant in writing ift the fee is required. Permit fees involving subaqueous lands are $25.00 for projects costing $10,000 or less and $100 forj projects costing more than $10,000. Royalties may also be required for some projects. The proper permit fee and any required royalty is paid at the time of! permit issuance by VMRC. VMRC staffwill send the permittee al letter notifying him/her of the proper permit fees and submittal * LWB: Permit fees vary by locality. Contact the LWB for your project area or their website for fee information and submittal requirements. Contact information for LWBs may be found at tp/sem.imsslwemis web/guidancellocal wetlands boards.htm!. 9VAC25-20 - are conveyed to the applicant by the applicable DEQ office fees will be provided to the applicant by DEQ staff. requirements. FOR AGENCY USE ONLY DECEIVEN NOV26202 / Notes: JPA# P24110323 24-2751 APPLICANTS Part1- General Information PLEASE PRINT OR TYPE. ALL. ANSWERS: Ifa question does not apply to your project, please print N/A (not applicable) in the space provided. Ifadditional space is needed, attach 8-1/2x 1linch sheets of paper. Check all that apply PASDO - PGP Self Verification- (Replaces Regional Permit 17 Pre-Construction Notification (PCN) L VWP permit writer will be assigned) Waterway at project site:York River NWP# (For Nationwide. Permits ONLY-No DEQ- (RP-17) checklist) County or City in which the project is located:Gioucester PREV/OUS.ACTIONS RELATED TO THE PROPOSED WORK (Include all federal, state, and local pre application coordination, sites visits, previous permits, or applications whether issued, withdrawn, or denied) Historical information forp past permits submittals can be found online with VMRC-! https:/webapps. mrc. virginia. govipublic'habital or VIMS http:/lccrm. vims. eduperms.newpemis. htm! non-reporting Nationwide permits previously used (c.g., NWP 13) Agency Action/ /Activity Permil/Project number, including any Date of Ifdenied, give reason Action for denial Application Revised: August 2023 5 DECEIVEN NOV 26 2024 Part1- General Information (continued) BY: 1. Applicant'stegal name* and complete mailing address: Contact Information: The Joint Seabury Revocable Trust clo Beau Seabury 9070 Shakopee Trail Mechanicsville, VA23116 Home ( Work Fax Cell (360 )202-7507 e-mail Deauseabury@gmat.com State Corporation Commission Name and ID Number (ifapplicable). 2. Property owner(s) legal name* and complete address, ifdifferent from applicant: Contact Information: Home Work Fax Cell e-mail State Corporation Commission Name and ID Number (ifapplicable) VBOE 3. Authorized agent name* and complete mailing address (ifapplicable): Knee Deep Shoreline Consulting, LLC Chip Neikirk 4364 Gwyn Lane Hayes, VA 23072 Contact Information: Home Work Fax Cell (757 )817-6375 e-mail chpne.n628ymait.com State Corporation Commission Name and ID Number (ifapplicable) Ifmultiple applicants, properlyowners. and/or agents, each must be listed and each must sign the applicant 4. Provide a detailed description of the project in the space below, including the type of project, its dimensions, materials, and method of construction. Be sure to include how the construction site will be accessed and whether tree clearing and/or grading will be required, including the total acreage. If the project requires pilings, please be sure to include the total number, type (e.g. wood, steel, etc), diameter, and method ofi installation (e.g. hammer, vibratory,jetted, etc). Ifadditional space is To construct 36 linear feet of ripap revetment in the footprint of a failing broken concrete and brick revetment and transition the revetment on the upstream end into a 53 linear foot marsh toe sill with a base width of 8 feet and a height of 3 feet. All of the proposed signature page. needed, provide a separate sheet of paper with the project description. construction is located landward of mean low water. 3' bank will be graded landward. No clearing is required. The site will be accessed from the existing road and adjacent upland property. The existing An excavator and skid steer or bobcat will be used during construction. The proposed revetment is intended to tie into a revetment being proposed on the adjacent downstream lot (VMRC #24-2563) Application Revised: August 2023 Part1- General Information (continued) 5. Have you obtained a contractor for the project? Yes*x No. *Ifyour answer is "Yes" complete the remainder of this question and submit the Applicant's and Contractor's Acknowledgment Form (enclosed) Contractor's name* and complete mailing address: Contact Information: Home Work Fax Cell email State Corporation Commission Name and ID Number (if applicable) *Ifmultiple contractors. each must be listed and each must sign the applicant signature page. 6. List the name, address and telephone number oft the newspaper having general circulation in the area ofthe project. Failure to complete this question may delay local and State processing. Name and complete mailing address: Gloucester Mathews Gazette-Journal P.O. Box 2060 Gloucester, VA23061 Telephone number (804 ) 693-3101 7. Give the following project location information: Lot/BlockParcel#: 53-250 (RPC 20227) City/County! Gloucester (Jenkins Neck) Street Address (911 address ifavailable)umdmabpadl lot adjacent to 10664 Heron Point Road Subdivision 37.264979 ZIP Code 23072 Latitude and Longitude at Center Point of Project Site (Decimal Degrees): 76.392602 (Example: 36.416001-76.30733) Ift the project is located in arural area, please provide driving directions giving distances from the best and nearest visible landmarks or major intersections. Note: ifthe project is in an undeveloped subdivision or property, clearly. stake and identify property lines and location ofthe proposed project. A. supplemental map. showing how the property is to be subdivided. should also be provided. Undeveloped lot at 90 degree bend in the road at water prior to reaching 10664 Heron Point Road 8. What are the primary and. secondary purposes ofand the need for the project? For example, the primary purpose may be' "to protect property from erosion due to boat wakes" and the secondary purpose may be "to provide safer access to aj pier." Erosion control Application Revised: August 2023 7 Part1- General Information (continued) 9. Proposed use (check one): x Single user (private, non-commercial, residential) Multi-user (community, commercial, industrial, government) 10. Describe alternatives considered and the measures that will be taken to avoid and minimize impacts, tot the maximum extent practicable, to wetlands, surface waters, submerged lands, and buffer areas associated with any disturbance (clearing, grading, excavating) during and after project construction. Please be advised that unavoidable losses oftidal wetlands and/or aquatic resources may require The existing broken concrete revetment is failing and the roadway is threatened. Removing the concrete, grading the bank and installing a proper revetment with filter fabric in the same footprint should have minimal adverse impacts. The revetment will transition toa marsh toe sill where there is no existing concrete and where the bank transitions to a marsh. A marsh toe sill in front of the wetland area is preferred alternative. 11. Ist this application being submitted for after-the-fact: authorization for work which has already begun or been completed? Yes x No. Ifyes, be sure to clearly depict the portions oft the project which compensatory mitigation. are already complete in the project drawings. 12. Approximate cost of the entire project (materials, labor, etc.): $ uncertain-a awaiting bids Approximate cost of that portion of the project that is channelward ofr mean low water: $0 13. Completion date of the proposed work: ASAP following permiti issuance 14. Adjacent Property Owner Information: List the name and complete mailing address, including zip code, of each adjacent property owner to the project. (NOTE: Ify you own the adjacent lot, provide the requested information for the first adjacent parcel beyond your property line.) Failure toj provide this information may result in a delay in the processing of your application by' VMRC. Upstream (TM 53-249): Post Office Box 286 Saluda, VA 23149 Downstream (TM 53-252): Michael Al Koeppen and Kim L' West 10664 Heron Point Road Hayes, VA 23072 revetment will tie into) Middle Peninsula - Chesapeake Bay Public Access Authority (They have a pending application - VMRC #24-2563 for a revetment that this proposed Application Revised: August 2023 8 Part2-S Signatures 1. Applicants and property owners (if different from applicant). NOTE: REQUIRED FOR ALL PROJECTS PRIVACY, ACTS STATEMENT: Thel Department of the Army permit program is authorized by Section 10 ofthe Rivers and Harbors Act of1899, Section 404 of the Clean Water Act, and Section 103 of thel Marine! Protection Research and Sanctuaries Act of 1972. These laws require that individuals obtain permits that authorize structures and work in or affecting navigable waters oft the United States, the discharge of dredged or fill material into waters of the United States, and the transportation of dredged material for the purpose of dumping it into ocean waters prior to undertaking the activity. Information provided in the. Joint Permit Application will be used in the permit review process and is a matter of public record once the application is filed. Disclosure of the requested information is voluntary, but it may not be possible to evaluate the permit application or to issue a permit if the CERTIFICATION:1: am hereby applying for all permits typically issued by the DEQ, VMRC, USACE, and/or Local Wetlands Boards for the activities! II have described herein. Iagree to allow the duly authorized representatives of any regulatory or advisory agency to enter upon the premises of the project site at reasonable times to inspect and photograph site conditions, both in reviewing aj proposal to issue a permit and after permit Ins addition, I certify under penalty ofl law that this document and all attachments were prepared under my direction or supervision in accordance with as system designed to assure that qualificd personnel properly gather and evaluate thei information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering thei information, the information submitted is, to thel best of my knowledge and belief, true, accurate, and complete. Iam aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. information requested is not provided. issuance to determine compliance with the permit. Beau Seabury Applicant's) gai Name (printed/typed) (Use ift more than one applicant) Applicant's Signature (Use ifmore than one applicant) Date RE2 Property Owner'sl Legal Name (printed/typed) (Ifd different from Applicant) Property Owner's Signature (Use ift more than one owner) (Use if more than one owner) Date Application Revised: August 2023 Part2- Signatures (continued) 2. Applicants having agents (fapplicable) CERTIFICATION OF AUTHORIZATION Beau Seabury (Applicant's legal name(s)) standard and special conditions attached. Knee Deep Shorellne Consulting. LLC, Robert Nelkirk (Agent's name(s)) I(we), hereby certify that I(we) have authorized toa act on my behalf and take all actions necessary to the processing, issuance and acceptance oft this permit and any and all Wel hereby certify that thei information submitted in this application is true and accurate to the best of our knowledge. robertN Neikirk (Agent's Signature) 11/26/2024 (Use if more than one agent) (Usei ift more than one applicant) (Date) F 3. Applicant's having contractors (fapplicable) CONTRACTOR. ACKNOWIEDGEMENT (Applicant's legal name(s)) I(we),. have contracted (Contractor's name(s)) top perform the work described in this. Joint Permit Application, signed and dated We will read and abide by all conditions set forth in all Federal, State and Local permits as required for this project. We understand that failure to follow the conditions of the permits may constitute a violation of applicable Federal, state and local statutes and that we willl be liable for any civil and/or criminal penalties imposed by these statutes. In addition, we agree to make available a copy of any permit to any regulatory representative visiting thej project to ensure permit compliance. Ifwe fail to provide the applicable permit upon request, we understand that the representative willl have the option ofst stopping our operation until it has been determined that we have aj properly signed and executed permit and are ini full compliance with all terms and conditions. Contractor'st name or name of firm Contractor'ss signature and title Applicant' 's signature Date Contractor's or firms address Contractor's License Number (use if more than one applicant) Application Revised: August 2023 10 Part3-Appendices (continued) Appendix B: Projects for Shoreline Stabilization in tidal wetlands, tidal waters and dunes/beaches including riprap revetments and associated backfill, marsh toe stabilization, bulkheads and associated backfill, breakwaters, beach nourishment, groins, jetties, and living shoreline projects. Answer all questions that apply. Please provide any reports provided from the Shoreline Erosion Advisory Service or VIMS. NOTE: It is the policy ofthe Commonwealth that living shorelines are the preferred alternative for stabilizing tidal shorelines (Va. Code $ 28.2-104.1). Information on non-structural, vegetative alternatives (i.e., Living Shoreline) for shoreline stabilization is available at tpcrmsimsadiestal zone/living shorelnes/nder.htm. 1.1 Describe each revetment, bulkhead, marsh toe, breakwater, groin, jetty, other structure, or living shoreline project separately in the space below. Include the overall length in linear feet, the amount of impacts in acres, and volume of associated backfill below mean high water and/or ordinary high water in 36 linear feet of riprap revetment will be constructed in the footprint of a failing broken concrete and brick revetment. The revetment will be 3' high with a base width of 6'. The existing concrete will be removed and broken into appropriate size and used as core material for the new revetment. Any unsuitable concrete will be properly disposed of. Class 2 size stone will be used for the armor layer. on the upriver side the revetment will transition into 53 linear feet of marsh toe sill. The marsh toe sill will have a base width of 8 feet and a height of3 feet. The marsh toe sill will utilize class a-1 stone for the core and class 2 stone for the armor layer. The revetment and the sill will be located above mean low water and will tie into a revetment proposed by the cubic yards, as applicable: downstream neighbor. The revetment and marsh tow sill will both be constructed on filter fabric. 2. What is the maximum encroachment channelward of mean high water?8 feet. feet. Channelward ofr mean low water?0 Channelward of the back edge of the dune or beach? feet. 3. Please calculate the square footage of encroachment over: Vegetated wetlands Non-vegetated wetlands 640 Subaqueous bottom Dune and/or beach serviceable, existing structure? 0 0 square feet square feet square feet square feet 4. For bulkheads, is any part of the project maintenance or replacement ofaj previouslyauthorized, currently Ifyes, will the construction oft the new bulkhead be no further than two (2) feet channelward of the existing Ifno, please provide an explanation for the purpose and need for the additional encroachment. YesNA No. bulkhead? NA Yes NA No. Application Revised: August 2023 17 Part3-Appendices (continued) 5. Describe the type of construction and all materials to be used, including source ofb backfill material, if applicable (e.g., vinyl sheet-pile bulkhead, timber stringers and butt piles, 100% sand backfill from upland source; broken concrete core material with Class II quarry stone armor over filter cloth). NOTE: Drawings must include construction details, including dimensions, design and all Some broken concrete from the site will be used as core material for the revetment and Class A-1 and 2 stone will be used in the revetment and sill. The sill and revetment will be constructed on filter cloth and the filter cloth will be extended up the landward side of both structures. materials, including fittings if used. 6. Ifusing stone, broken concrete, etc. for your structure(s), what is the average weight of the: Core (inner layer) material Armor (outer layer) material pounds per stone Class size A-1 pounds per stone Class size 2 7. For beach nourishment, including that associated with breakwaters, groins or other structures, provide the following: Volume ofmaterial NIA cubic yards channelward of mean low water cubic yards landward of mean low water cubic yards channelward ofmean high water cubic yards landward of mean high water square feet channelward ofmean low water square feet landward of mean low water square feet channelward ofr mean high water square feet landward of mean high water Area to be covered Source of material, composition (e.g. 90% sand, 10% clay): Method oftransportation and placement: Describe any proposed vegetative stabilization measures to be used, including planting schedule, spacing, monitoring, etc. Additional guidance is available at htp:/www.vims.edaboutsear.indexphp/g-plantingtguidelines: Application Revised: August 2023 18 Wiletts'Creek, Branc çeek John Westc Creek Gloucester County. 1217 GNEFENCERD RD MARYUS - River 16 NECKRD TTLE EKCLNO Project Location Ballard Creek (TorkRier PAER Pigeon Quarter York County HestBre Yorktown Power Station Heliport. WATAVIWR RD B VORK COUNTY Seabury Tr York River Gloucester Vicinity Map 11-22-2024 Wormley Creek Back Creek From USGS Topographic Man Narional Rounriarias Daracar RMEPI 3937266lomglat Map 1:2257 GoToXY @ Swipe Print PDF Middle Peninsula PublicAccess Authority Boint Seabury! Rev trust Koeppen and West Project Location End of Koeppen and West Revetment VMRC#24-2563 Seabury Tr York River Gloucester Property Detail 11-22-2024 York River North Middle Peninsula PublicAccess Authority: Seabury Trust Property Koeppen and West Property MLW Koppen revetmentk, VMRC #24-2563. 53' long riprap marsh toe sill 3' high with 8' base 36' long riprap revetment 3' high with 6' base to replace broken concrete revetment Imaçe C2024 Airbus Seabury Tri York River Gloucester Plan View 11-22-2024 50' York River Flood 99ft Google Earth Image Imagery Date: 2/25/2024 lat 37.2654940 lon 76.392 Existing Condition Broken concrete and debris Note: The concrete reused from the site will be broken into picces such that the longest dimension is no more than 31 times the smallest dimension and no picces will be used with exposed rebar or asphalt 3' MHW 2.4' MLW Existing contour Proposed Revetment Class 2 armor layer Grade existing bank landward MHW 2.4' 3' Seabury York River Gloucester Revetment Section View 11-22-2024 Re-use appropriate broken Concrete as core material Filter fabric MLW 18" excavated toe Existing contour 6' Marsh toe sill section view Existing vegetation +I'MHW 1.5:1 slope Mean high water 2.4' Mean low. water 3' Filter cloth under marsh toes sill and up the landward side Existing substrate Existing substrate 8 Marsh toe sill to be constructed with class A-1 core and class 2 armor layer. Seabury York River Gloucester Marsh toe sill Section Vie 11-22-2024 Benchmarks 1 2 3 4 5 Stump Tree 32' 3.5' 6.5' 55' 55' 71' 49' 55' 57 64' North Seabury Trust Property Marked Tree Koeppenand West Property MLW Marked Stum Koppenrevetment. VMRC#24:2563. 53' long riprap marsh toe sill 3' high with 8' base 36' long riprap revetment 3' high with 6' base to replace broken concrete revetment Image 02024 Airbus Seabury Ir York River Gloucester Benchmarks 11-22-2024 50' York River Flood 99f Google Earth Image 1965 lmagery Date: 2/25/2024 lat 37.2654940 lon 76.392