* DEQ: Permit application fees required for Virginia Water Protection permits - while detailed in 9VAC25-20 = are conveyed to the applicant by the applicable DEQ office (http://www. deq.virginia gov/Locations. aspx). Complete the Permit Application Fee Form and submit it per the instructions to the address listed on the form. Instructions for submitting any other fees will be provided to the applicant by DEQ staff. * 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 ifthe fee is required. Permit fees involving subaqueous lands are $25.00 for projects costing $10,000 or less and $100 for 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 staff will send the permittee a letter notifying him/her oft the proper permit fees and submittal requirements. * 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 htpllccrm.vims edu/permits web/guidancelocal wetlands boards. html. 2 EVET FOR AGENCY USE ONLY Notes: MAR 3 1 2025 25030393 SAA JPA # By 25- 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 11 inch sheets of paper. Check all that apply Pre-Construction Notification (PCN) Regional Permit 17 (RP-17) NWP # (For Nationwide Permils ONLY-No DEQ- VWP permit writer will he assigned) County or City in which the project is located: Gloucester County, Waterway at project site: North River PRET IOUS ACTIONS RELATED TO THE PROPOSED WORK (Include all federal, state, and local pre application coordination, sitevisits, previous permits. or applications whetherisued. withdran, Or denied) Historical information for past permit submittals can be found online with VMRC httpswebapps.r MRVTOIRPPPIINNTTA or VIMS sATET Agency Action / Activity Permit/Project number, including any Date of If denied, give reason non-reporting Nationwide permits Action for denial previously used (e. g., NWP 13) Application Revised: October 2019 Part 1 - General Information (continued) 1. Applicant's legal name* and complete mailing address: Contact Information: David L. Williams Home Cedar Bush Construction Work 3614 Cedar Bush Road Fax Hayes, VA 23072 Cell e-mail Catarbunne emihcmuCaaIna State Corporation Commission Name and ID Number (if applicablc), 2. Property owner(s) legal name* and complete address, if different from applicant: Contact Information: The Wanda H. Eberle Trust Home C/O Wanda H. Eberle Work 8099 Newstead Lane Fax Gloucester, VA 23061 Cell e-mail wngpenes48gmal.com State Corporation Commission Name and ID Number (if applicable) ! - 3. Authorized agent name* and complete mailing Contact Information: address (ifapplicable): Home C Jeff Watkins Work P.O. Box 515 Fax Gloucester, VA 23061 Cell 804 815-0813 e-mail Jwalkins49@cox.net State Corporation Commission Name and ID Number (if applicable) * Ifmultiple applicants. property owners. and/or agents. each must bel listed and each musts sign the applicant sienature page. 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 needed, provide a separate sheet of paper with the project description. Shoreline Erosion Control Project. The scope of the project encompasses approximately 900 L.F. of shoreline on the North River and two adjacent coves. Currently the shoreline has 380 L.F. of backshore rock revetment; of which 320 L.F. needs repair. Proposed: the remaining shoreline will be treated with 70 L.F. of new revetment along 550 L.F. of sills with sand nourishment and spartina plantings. "Living Shoreline" Access from land. Application Revised: October 2019 6 Part 1 - General Information (continued) 5. Have you obtained a contractor for the project? X Yes" No. *lfyour answer is "Yes" complete the remainder oft this question and submit the Applicant's and Contractor's Acknowledgment Form (enclosed) Contractor's name* and complete mailing address: Contact Information: Shoreline Structures, LLC Home Jeff Watkins Work P.O.Box 515 Fax Gloucester, VA Cell 804 ) 815-0813 email Jwatkins49@cox.nel State Corporation Commission Name and ID Number (if applicable) * Ifmultinle contractors. each must bel listed land each must sign the apnlicant sienature nage. 6. List the name, address and telephone number ofthe 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: Telephone number Gazette Journal ( 804 ) 693-3101 Gloucester VA 7. Give the following projcct location information: Street Address (911 address if available) 8099 Newstead Lane Lot/Block/Parce!# T.M. 27-11 KPC 34535 Subdivision City / County. Gloucester ZIP Code 23061 Latitude and Longitudc at Center Point of Project Site (Decimal Degrees): / - (Example: 36.41600-76.3073) Ifthe project is located in a rural 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 properly, clearly stake und identify property lines and location ofthe proposed projeci. A. supplemental map showing how the property is lo be subdivided should also be provided. Star route 14 East from Gloucester court house, approximately 3.5 Miles to a right on Toddsbury lane. Turns into Newstead lane. 8099 is on the right. 8. What are the primary and secondury purposes ofund 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 a pier." 99 Control Erosion Appliçation Revised: October 2019 7 Part 1 - 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, to 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 compensatory mitigation. 11. Is 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 of the project which are already complete in the project drawings. 12. Approximate cost ofthe entire project (materials, labor, etc.): $ TBD Approximate cost of that portion of the project that is channelward of mean low water: $ < 10k 13. Completion date of the proposed work: Summer 2025 14. Adjacent Property Owner Information: List the name and complete mailing address, including zip code, of each adjacent property owner to the project. (NOTE: ifyou own the adjacent lot, provide the requested information for the first adjacent parcel beyond your property line.) Failure to provide this information may result in a delay in the processing ofyour application by VMRC. 1. Left side: t.m. 27-10 Joseph R. Jackson, 8281 Newstead Lane, Gloucester, VA 23061 2. Right side: t.m. 27-12 Ole Rad Estate, LLC, 7306 S. Lewis Avenue, Tulsa, OK, 74136. Application Revised: October 2019 8 Part 2 - Signatures 1. Applicants and property owners (if different from applicant). NOTE: REQUIRED FOR ALL PROJECTS PRIVACY ACT STATEMENT: The Department of the Army permit program is authorized by Section 10 of the Rivers and Harbors Act of 1899, Section 404 of the Clean Water Act, and Section 103 of the 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 of the United States, the discharge of dredged or fill material into waters oft 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 information requested is not provided. CERTIFICATION: I am hereby applying for all permits typically issued by the DEQ, VMRC, USACE, and/or Local Wetlands Boards for the activities I have described herein. I agree to allow the duly authorized representatives ofany 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 a proposal to issue a permit and after permit issuance to determine compliance with the permit. In addition, I certify under penalty oflaw that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. David L. Williams Applicant's Legal Name (printed/typed) (Use if more than one applicant) V f Applicant' s Signature (Use ifmore than one applicant) 3-1-23 Date The Wanda H. Eberle Trust CIO Wanda H. Eberle Property Owner' S Legal Name (printed/typed) (Use if more than one owner) (If different from Appljcant) - Lloudio borle Property Owner's! Signature (Use if more than one owner) 3-1-27 Date Application Revised: October 2019 Part 2-S Signatures (continued) 2. Applicants having agents (fapplicable) CERTIFICATION OF AUTHORIZATION I(we), D. Williams hereby certify that I (we) have authorized Jeff Watkins (Applicant's legal name(s)) (Agent's name(s)) to act on my behalf and take all actions necessary to the processing, issuance and acceptance ofthis permit and any and all standard and special conditions attached. Wel hereby certify,t that,the information submitted in this application is true and accurate to the best of our knowledge. (Agent' ignature) (Usei ifmore than one agent) 3-1-25 (Date) C D.L.lesDD w (Applicant's s Signature) (Use ifmore than one appliçant) 3-1-25 (Date) 3. Applicant's having contractors (f applicable) CONTRACTOR ACKNOWLEDGEMENT D. Williams Shoreline Structures, LLC I( (we), have contracted (Applicant's legal name(s) (Contractor' 's name(s) to perform the work described in this Joint Permit Application, signed and dated March 1, 2025 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 ofthe permits may çonstitute a violation of applicable Federal, state and local statutes and that we will be liable for any civil and/or criminal penalties imposed by these statutes. In addition, we agree to make available a copy ofs any permit to any regulatory representative visiting the project to ensure permit compliance. Ifwe fail to provide the applicable permit upon request, we understand that the representative will have the option ofstopping our operation until it has been determined that we have a properly signed and executed permit and are in full compliance with all terms and conditions. Shoreline Structures, LLC P.O. Box 515 Contractor' s name or name of firm Contractor's or firms address / 1 / Gloucester, VA 23061 owner Comtro'ssgpamrahat title Contractor's License Number D,h. Lellieas Applicant's signature (use if more than one applicant) 3-1-25 - Date Application Reviscd: October 2019 10 Part 3 - 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: Iti is the policy of the Commonwealth that living shorelines are the preferred alternative for stabilizing tidal shorelines (Va. Code $ 28.2-104.1). Information on non-structural, vegetative alternatives (ie., Living Shoreline) for shoreline stabilization is available at tamaimsduontal zone/living horeines/nder.htm, 1. Describe each revetment, bulkhead, marsh toe, breakwater, groin, jetty, other structure, or living shoreliné 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 cubic yards, as applicable: 1. 320' of revetment repair. 2. 70' of new revetment 3. 285' of new rock sill w/ nourishment and plantings 4. 265' of oyster bag sill, sand and plantings 2. Whal is the maximum encroachment channelward of mean high water? 25 fect. Channelward of mean low water? 5 feet. Channelward of the back edge of the dune or beach? NA feet. 3. Please calculate the square footage ofe encroachment over: Vegetated wetlands 0 square feet Non-vegelated wetlands 2170 square feet Subaqueous bottom 0 square feet Dune and/or beach NA square feet 4. For bulkheads, is any part ofthe project maintenance or replacement of a previously authorized, currently serviceable, existing structure? Yes No. Ify yes, will the construction of the new bulkhead be no further than two (2) feet channelward ofthe cxisting bulkhead? Yes No. Ifr no, please provide an explanation for the purpose and need for the additional encroachment. Application Revised: October 2019 17 Part 3 - Appendices (continued) 5. Describe the type of construction and all materials to be used, including source of 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 çloth). NOTE: Drawings must include construction details, including dimensions, design and all materials, including fittings if used. Class I quarry stone over core rock and filter fabric. Oyster bags. 6. Ifu using stonc, broken concrete, etc. for your structure(s), what is the average weight of the: Core (inner layer) material 5-10 pounds per stone Class size Gabion Armor (outer layer) material 50-150 pounds per stone Class size I 7. For beach nourishment, including that associated with breakwaters, groins or other structures, provide the following: Volume of material 0 cubic yards channclward of mean low water 375 cubic yards landward of mean low water 285 cubic yards channelward of mean high water 90 cubic yards landward of mean high water Area to be covered square feet channelward of mean low water 2750 square feet landward of mean low water 2062 $ cubic-yards channelward of mean high water 688 eubicyards landward of mean high water Source of material, composition (e.g. 90% sand, 10% clay): 90% sand Method of transportation and placement: Truck, LGP equipment Describe any proposed vegetative stabilization measures to be used, including planting schedule, spacing, monitoring, etc. Additional guidance is available at htp/hoyvimadwibonsashndsalenes Spartina Pattens and alternaflora, 18" O.C. at appropriate elevations Application Revised: October 2019 18 GcE KK / - BER - < F 9 - I - - - > - A N 8 7 E & - N N 0 = 7 > - - & RISE Bse 5 A 6 m] a Zene Redt 6 Ao4 ISo 5 4 BGRTH RWER EMST7N9 Rock MASEAFI Toe fRock 15 STAT"9 78 Fail boclo 6 MAnsh aBing BACk y - ELODING poAT - Rock STAUCTORE has SeHledikpe7s vplant 15 Scooceb 1/ FILTeR Clorh ExposED, / - MAASK FKig e 15 N enobrug at edge. 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