* 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. deg.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 ofthe 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 hup/cemvimsadwhemitz web/guidançe/local wetlands boards. html. FOR AGENCY USE ONLY DEGETVE Notes: 25050484 MAY 3 0 2025 JPA# # 914A By APPLICANTS Part 1 - 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 8-1/2 X 11 inch sheets of paper. Check all that apply Pre-Construction Notification (PCN) Regional Permit 17 (RP-17).1 NWP # (For Nationwide Permits ONLY-1 No DEQ- VWP permit writer will be assigned) County or City in which the project is located:G Gloucester, Waterway at project site: North River PREV7OUS.ACTIONS RELATED TO THE PROPOSED WORK (Include allfederal, state, andlocal pre application coordination, site visits, previous permits. ord upplications whetheri issued, vithdrayn, ordenied) Historical information for past permit submittals can be found online with VMRC https:/ webapps. EMEPRICRIKINUETE or VIMS httpllccrm.vims. cdulpermsinewpemis. htm! 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 5 Part 1 - General Information (continued) 1. Applicant's legal name* and complete mailing address: Contact Information: Ingeborg Marie Katharina Glasel Home Work 7791 Berkshire Lane Fax Gloucester, VA 23061 Cell e-mail Elmingons78@ymati.com State Corporation Commission Name and ID Number (if applicable) 2. Property owner(s) legal name* and complete address, if different from applicant: Contact Information: Home Ingeborg Marie Katharina Glasel Work 7791 Berkshire Lane Fax Gloucester, VA 23061 Cell e-mail State Corporation Commission Name and ID Number (if applicable) 3. Authorized agent name* and complete mailing Contact Information: address (if applicable): Home Jeff Watkins/Shoreline Structures, LLC Work P.O. Box 515 Fax Gloucester, VA 23061 Cell 804 815-0813 e-mail Jwatxins49@cox.net State Corporation Commission Name and I Number (if applicable) * If multiple applicants. property owners. and/or agents. each must bel listed and each must sign the applicant signaturer 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 of 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. -170 L.F. of headland breakwater - 1,650 c.yds of sand nourishment - 85 L.F. of marsh sill - spartina plantings Application Revised: October 2019 6 Part 1 - General Information (continued) 5. Have you obtained a contractor for the project? X Yes* No. "Ifyour answer is "Yes" complete the remainder oft this question and submit the Applicant's 's and Contractor's Acknowledgment Form (enclosed) Contractor's name* and complete mailing address: Contact Information: Home Shoreline Structures, LLC Work Jeff Watkins Fax P.O. Box 515 Gloucester va 23061 Cell 804 815-0813 email Jwatkins49@cox.net State Corporation Commission Name and ID Number (if applicable) * Ifn multiple contractors. each must bel listed and each must sign the applicant sighature page. 6. List the name, address and telephone number of the newspaper having general circulation in the area oft the project. Failure to complete this question may delay local and State processing. Name and complete mailing address: Telephone number Gloucester Gazette Journal 804 693-3101 7. Give the following project location information: Street Address (911 address if available). 7791 Berkshire Lane Lot/Block/Parcel#, T.m. 27-30. RPC 22429 Subdivision NA City / County Gloucester ZIP Code 23061 Latitude and Longitude at Center Point of Project Site (Decimal Degrees): / (Example: 36.41600-7630733) Ifthe project is located in a rural area, please provide driving directions giving distances from the best and nearest visible landmarks or major intersections. Nole: 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. State route 14 East of Gloucester Courthouse approximately 3 miles. Elmington lane is on right. 7791 Berkshire Lane is to the left of 8718 Elmington Lane project We will park at 8718 and view the two contiguous projects. Call agent for appointment. 804-815-0815 8. What are the primary and secondary purposes ofand the needj 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." Erosion Control Application 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. NA 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 of the entire project (materials, labor, etc.): $: >500k Approximate cost of that portion of the project that is channelward of mean low water: $1 Tbd 13. Completion date of the proposed work: TBD 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 ofy your application by VMRC. Left side: tax map 27-28 The Richard D. Zima and Sue Ann Zima Revocable Living Trust 7835 Berkshire Lane, Gloucester, VA 23061 Right side: t.m. 26-88, Tiger Enterprises Inc., 7791 Berkshire Lane, Gloucester VA 23061 Right side: Lindsay W. South Trust. 4804 Courthouse st., Williamsburg, VA 23188 Application Revised: October 2019 8 Part 2 - Signatures 1. Applicants and property owners (if different from applicant). NOTE: REQUIRED FOR ALL PROJECTS PRIVACY ACTSTATEMENT 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 of the United States, and the transportation of dredged material for the purposelof 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 appliçation 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 Ihave described herein. Iagree 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 jssue 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 thei 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. Glasel Applicant's Legal Name (printed/typed) (Use ifn more than one applicant) V sep Marel ApplicantsSignature (Use if more than one applicant) / 5-23 Date Property Owner's Legal Name (printed/typed) (Use if more than one owner) (If different from Applicant) Property Owner's Signature (Use if more than dne owner) Date Application Revised: October 2019 9 Part2 - Signatures (continued) 2. Applicants having agents (f applicable) CERTIFICATION OF AUTHORIZATION I( (we), Glasel hereby certify that I (we) have authorized Watkins (Applicant's 's legal name(s)) (Agent's name(s)) to act on my behalf and take all actions necessary to the processing, issuance and acceptance of this permit and any and all standard and special conditions attached. We hereby certify that the information submitted in this application is true and accurate to the best of our knowledge. 40 (Agerf's Signature!' (Use ifmore than one agent) 5-15.25 (Date) - - - (Applicant's Signature) (Use if more than one applicant) 5-15-25 (Date) 3. Applicant's having contractors (if applicable) CONTRACTOR ACKNOWLEDGEMENT Glasel 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 1 :2 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 constitute 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 ofany permit to any regulatory representative visiting the project to ensure permit compliançe. If we fail to provide the applicable permit upon request, we understand that the representative will have the option of stopping 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 Gloucester va 24061 <1 / WO C& Conéractor's signaturéand title Contractor's License Number Applicant's signature (use ifmore than one applicant) 5-15-25 Date Application Revised: October 2019 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 tpsmaimilumul zone/living shorelines/nder.htm, 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 cubic yards, as applicable: 170' of headland breakwater 1,650 c.yds. sand nourishment 85 'of marsh sill Spartina plantings 2. What is the maximum encroachment channelward of mean high water? 58 feet. Channelward of mean low water?] 33 feet. Channelward of the back edge of the dune or beach? NA feet. 3. Please calculate the square footage of encroachment over: Vegetated wetlands square feet Rock 1190 Non-vegetated wetlands 4400 square feet- SAHB a 170 * 3040 = 32/0 Subaqueous bottom 74-40 square feets Rock 4080 Dune and/or beach square feet SA 3360 4. For bulkheads, is any part of the project maintenance or replacement ofa previously authorized, currently serviceable, existing structure? Yes No. Ifyes, will the construction of the new bulkhead be no further than two (2) feet channelward oft the existing bulkhead? Yes No. Ifno, please provide an explanation for the purpose and need for the additional encroachment. Application Revised: October 2019 17 6. Part 3 - Appendices (continued) 5. Describe the type of construction and all materials to be used, including source ofbackfill 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 materials, including fittings if used. Class II & III armor stone, A1 & gabion stone as core. 6. Ifu using stone, broken concrete, etc. for your structure(s), what is the average weight ofthe: Core (inner layer) material 5-50 pounds per stone Class size age5es Armor (outer layer) material 150-1,500 pounds per stone Class size /1 #11 7. For beach nourishment, including that associated with breakwaters, groins or other structures, provide the following: Volume of material 1100 cubic yards channelward of mean low water 530 cubic yards landward of mean low water 1650 cubic yards channelward of mean high water cubic yards landward of mean high water Area to be covered 3300 square feet channelward of mean low water 3210 square feet landward of mean low water 6570 cubie-yards channelward of mean high water cubie-yards landward of mean high water Source of material, composition (e.g. 90% sand, 10% clay): Lecelpil Method of transportation and placement: Tauck, herry eG244 Describe any proposed vegetative stabilizatibn megsures to be used, including planting schedule, spacing, monitoring, etc. Additional guidance is available at hssmsisnassanamasdcsaacaiais Aerargf 24'.e SparTina peteurt Application Revised: October 2019 18 Joins Map 8348 : - : 4 37'261 SONXOO B 5 a - 9 2 C & e 49 d 2 - 5 6 4 a à E I C - B - e 3 $ 3 ARE e RiR Faa MECE - - S0io 3 % E & 4 24, far A 6o A I a / CRE - s C A a / e a € 6 s Ra E do EETAO LA - 6 B Dly $ S 4 S 4 / 4 LA C B 3 3 a a A E S 4 & t - 1 $ a : - 1 9 E a a € 9 N 0 E sa A32 5 C 2 & ? : - S 3 % - 1 A b - % * * 6 3 te / E A a F 0 e / voN SH MI TBie N 3751L aaid ESIZ 3,21198SS 499 35475 sodeL eap'esDd 4 vreas OVOdBLLIBG 2SUds 791280 - K , 96 0b1 VWP2 zode V BAS'EDARZHIRR 25 Daebeas c2rod o 4 Buo'61god - a : & 1, a B 3 / Breakwater Section Sand fill continues to the upper edge class II stone of wetlands/lawn grass interface 3' wide crest @ +2.5' MHW 4 4 Wetland plantings 1.5:1 2:1 2.5' MHW Sand Fill 2.6' MLW 11.5 Existing substrate 1-2' apron 22-24' base Section view fill behind breakwaters Existing marsh scarp Proposed wetlands planting on sand fill Existing lawn - y - - M 12.5 MHW Sand Fill 12.6 Existing vegetation 1.5-MLW Approx 20' Approx 30' Thin layer of fill to raise elevation of existing wetlands Existing substrate 3 E o S I a NV 8 3 4 / de