* DEQ: Permit application fees required for Virginia Water Protection permits - while detailed 9VAC25-20 = are conveyed to the applicant by the applicable DEQ office in A submit it the instructions Complete the Permit Application Fee Form and per to the address listed on the form. Instructions for fees will be provided to the applicant by DEQ staff. submitting any other * VMRC: An application fee of $300 may be required for projects impacting tidal beaches and/or dunes when VMRC acts as the LWB. VMRC will notify the applicant in writing wetlands, if the fee is required. Permit fees involving subaqueous lands are $25.00 for projects costing or less $100 for projects costing more than $10,000. Royalties may also be required for $10,000 some and The proper permit fee and any required royalty is paid at the time of permit issuance VMRC. projects. VMRC staff will send the permittee a letter notifying him/her of the proper permit fees and by 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 htp/amvimselwhemis: web/guidancellocal wetlands boards.html. FOR AGENCY USE ONLY E G E I VI L Notes: 25050483 MAY 3 0 2025 JPA # 54 By APPLICANTS Part 1 - General Information PLEASE PRINT OR TYPE ALL ANSWERS: Ifa question does not apply to your project, print N/A (not applicable) in the space provided. Ifadditional space is needed, attach 8-1/2 X 11 please inch sheets of paper. Check all that apply Pre-Construction Notification (PCN) PASDO - PGP Self Verification L NWP # (Replaces Regional Permit 17 (ForA Nationwide Permits ONLY - No DEQ- (RP-17) checklist) VWP permit writer will be assigned) County or City in which the project is located: Gloucester Waterway at project site: York River PREVIOUS ACTIONS RELATED TO THE PROPOSED WORK (Include allfederal, state, and local coordination, site visits, previous permits, or applications whetherissued, withdrawn, or denied) pre application Historical information for past permit submittals can be found online with VMRC EEREETR -orVIMS amE Agency Action / Activity Permit/Project number, including any Date of Ifdenied, give reason non-reporting Nationwide permits Action for denial previously used (e.g., NWP 13) Application Revised: August 2023 5 Part 1 - General Information (continued) 1. Applicant's legal name* and complete mailing address: Contact Information: Waterfront Development Corp Home C PO Box 113 Work (804 642-4360 Gloucester Point, VA 23062 Fax Cell (804 832-0297 e-mail waarounma@yahyacm State Corporation Commission Name and ID Number (if applicable) 2. Property owner(s) legal name* and complete address, if different from applicant: Contact Information: William Jones & Sharon Crowder Home 1636 York River Drive Work Gloucester Point, VA 23062 Fax Cell (757 775-9597 e-mail jones79@coxnet State Corporation Commission Name and ID Number (if applicable) 3. Authorized agent name* and complete mailing Contact Information: address (if applicable): Home - Charles Duke II Work (804 )642-4360 PO Box 113 Fax Gloucester Point, VA 23062 Cell (804 832-0297 e-mail waharotemi@y.hoaom State Corporation Commission Name and ID Number (if applicable) 03612389 * Ifn multiple applicants. property owners. and/or agents. each must be listed lande each musts slen the signature page, 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 be accessed and whether tree clearing and/or grading will be required, including the total will If the project requires pilings, please be sure to include the total number, type (e.g. wood, steel, acreage. etc), diameter, and method ofinstallation (e.g. hammer, vibratory, jetted, etc). Ifadditional space is needed, provide a separate sheet ofpaper with the project description. To remove and dispose of existing pier, steps, observation deck and jettys and to construct a new pier approximately 250' x 6' with a 16' x 24' L-head, 5' finger pier around a 32' X 14' boat house also to include a 10,000 Ib. boat lift installed.does not include electrical or plumbing, Also to include shoreline stabilization of approximately 240' to a final elevation of +4 MHW with filter cloth under Class 1 and class 2 stone. Any land disturbed will be seeded. Steep bank disturbance will get Geotextile fabric (Straw netting) Application Revised: August 2023 6 Part 1 - General Information (continued) 5. Have you obtained a contractor for the project? X Yes* No. *If complete the remainder of this question and submit the your answer is "Yes" Applicant's and Contractor's Acknowledgment Form (enclosed) Contractor's name* and complete mailing address: Contact Information: Waterfront Development Corp Home C - PO Box 113 Work (804 642-4360 Gloucester Point, VA 23062 Fax - Cell (804 832-0297 State Corporation Commission Name and D Number (if applicable) email walwriontdewigy.hpacon *If multiple contractors. each must be listed and each must sign the applicant signature page. 6. List the name, address and telephone number ofthe newspaper having general circulation in oft the project. Failure to complete this qucstion may delay local and State processing. the area Name and complete mailing address: Telephone number Gloucester Gazette Journal (804 693-3101 P.O. Box 2060 Glouester, VA 23061 7. Give the following project location information: Street Address (911 address if available)1636 York River Drive LotBlockParcelk0s01 B 4/A: 20//1 RPC #: 32385 Subdivision YORK RMVER PINES SUB BK AI LOT 20 YORK RIVER City / County Gloucester Polnt ZIP Code23062 Latitude and Longitude at Center Point of Project Site (Decimal 37.257179 / -76.506213 Degrèes): (Example: 36416001-7630733) If the project is located in a rural area, please provide driving directions distances from the best and nearest visible landmarks or major intersections. Note: ifthe project giving is in an subdivision orA property, clearly stake and identify property lines and location ofthe undeveloped project. A supplemental map showing how the property is to be subdiyided should also proposed be provided. Google map attached 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 a pier." To proteclt property from tides and wakes and to provide safe access to navigable water Application Revised: August 2023 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 to the maximum extent practicable, to wetlands, surface waters, minimize impacts, associated with any disturbance (clearing, submerged lands, and buffer areas Please be advised that unavoidable losses grading, excavating) during and after project construction. oftidal wetlands and/or aquatic resources may require compensatory mitigation. All work will take place from the water 11. Is this appliçation being submitted for after-the-fact authorization for work which has or been completed? Yes x No. Ifyes, be sure to clearly depict the portions of the already begun are already complete in the project drawings. project which 12. Approximate cost of the entire project (materials, labor, etc.): $TBD Approximate cost of that portion oft the project that is channelward of mean low water: S 13. Completion date of the proposed work:November -2025 14. Adjacent Property Owner Information: List the name and complete mailing address, code, of each adjacent property owner to the project. (NOTE: If you own the including zip the requested information for the first adjacent parcel beyond your adjacent Failure lot, provide this information may result in a delay in the processing of your application property by line.) VMRC. to provide Sudie B. Stafford 1654 York River Dr Gloucester Point, VA 2062 James and Victoria Williams 1624 York River Dr, Gloucester Point, VA 23062 Application Revised: August 2023 8 Part 2 - Signatures 1. Applicants and property owners (if different from NOTE: REQUIRED FOR ALL PROJECTS applicant). PRIVACY ACT STATEMENT: The Department of the Rivers and Harbors Act of 1899, Section 404 of the Clcan Army Water. permit and program is authorized by Section 10 of the Research and Sanctuaries Act of 1972. These laws Act, Section 103 of the Marine Protection and work in or affecting navigable waters of the United require that individuals obtain permits that authorize structures of the United States, and the transportation of States, the discharge of dredged or fill material into waters prior to undertaking the activity. Information dredged material for the purpose of dumping it into ocean waters review process and is a matter of record provided in the Joint Permit. Application will be used in the information is voluntary, but it public once the appiication is filed. Disclosure of the requested permit information requested is not provided. may not be possible to evaluate the permit application or to issue a permit if the CERTIFICATION: I am hereby applying for all permits Local Wetlands Boards for the activities I have described typically herein. issued by the DEQ, VMRC, USACE, and/or representatives of any regulatory or advisory agency to enter Iagree the to allow the duly authorized times to inspect and photograph site conditions, both in upon premises of the project site at reasonable issuance to determine compliance with the reviewing a proposalto issue a permit and after permit permit. In addition, I certify under penalty of law that this document and all direction or supervision in accordance with a system designed to assure attachments that were prepared under my and evaluate the information submitted. Based on my inquiry of the qualified personnel properly gather those persons directly responsible for gathering the information, the person or persons who manage the system or knowledge and beliet, true, accurate, and complete. I am aware that information there submitted is, to the best ofmy false information, including the possibility of fine and imprisonment for knowing are significant violations. penalties for submitting William C. Jones Sharon G. Crowder Applicant's Legal Name (printed/typed) (Use if more than one applicant) daau a - Shoin Applicant's Gla Signature (Use ifmore than one applicant) 04/25/2025 Date Charles Due - Property Owner's Legal Name (printed/typed) (Use ifmore than pne owner) (If different from Applicant) CA Nulit Property Owner's Signature (Use ifr more than one owner) Date 515/a5 Application Revised: August 2023 9 Part 2 - Signatures (continued) 2. Applicants having agents (fapplicable) OF AUTHORIZATION I(we), JoNes CERTEKARONS ejereby certify that I (we) have authorized Charles Duke II S legal name(s)) to act on my behalf and take all actions necessary to the processing, issuance and (Agent's name(s) standard and special conditions attached. acceptance of this permit and any and all Wel hereby certify that the information submitted in this application is true and accurate to the best of our knowledge. H 1 h (Agent's Signature) (Use ifi more than one agent) (Date), 5/5/a5 WD MAL a Shamn s. - (Applicant's Signature) Led (Use if more than one applicant) 04128/2035 (Date) 3. Applicant's having contractors (ifapplicable) CONTRAS OR AFKIOWLEPGEMENT N M oNes I(we), A roA - a roldeshave contracted (Applicant's legal name(s)) to (Contractor's iafPrdpmtly perform the work described in this Joint Permit Application, signed and dated name(s)) 5525 We will read and abide by all conditions set forth in all Federal, State and Local permits as understand that failure to follow the conditions ofthe permits required for this project. We local statutes and that we will be liable for civil and/or may constitute a violation of applicable Federal, state and any criminal penalties imposed these statutes. agree to make available a copy of any permit to any regulatory representative visiting the by to In addition, we compliance. Ifwe fail to provide the applicable permit upon request, we understand that the project ensure permit will the option ofs stopping our operation until it has been determined that we have a representative have in full compliance with all terms and conditions. properly signed and executed permit and are Charles Dukett P.b. Boyc 113 Contractor's name or name of firm Gloueeskriemb VA 23062 Contractor's or firms address CeY dlt - A105IPLD4A Contractor'ss signature'and title Contractor's License Number walnl Applicant's s signature (use ifi more than one applicant) 04124/2075 Date Application Revised: August 2023 10 Part 2 - Signatures (continued) ADJACENT PROPERTY OWNER'S ACKNOWLEDGEMENT FORM I(we),X James R Wyl hans own land next to (across the water (Print adjacent/nearby property owncr's name) from/on the same cove as) the land of w a MA Jones (Print applicant' 's name(s)) Ihave reviewed the applicant' s project drawings dated 55la5 (Daté) to be submitted for all necessary federal, state and local permits. I HAVE NO COMMENT ABOUT THE PROJECT. I DO NOT OBJECT TO THE PROJECT. I OBJECT TO THE PROJECT. The applicant has agreed to contact me for additional comments if the proposal changes prior to construction of the project. (Before signing this form be sure you have checked the appropriate option above). à R Welh Adyacent/nearby property owner's signature(s) $-29-25 Date Note: If you object to the proposal, the reason(s) you oppose the project must be submitted in writing to VMRC. An objection will not necessarily result in denial of the project; however, valid complaints will be given full consideration during the permit review process. Application Revised: August 2023 11 Part 2 - Signatures (continued) ADJACENT PROPERTY OWNER'S ACKNOWLEDGEMENT FORM I( (we), Sudie B. own land to 5tAfford (Print adjacent/nearby next (across the water property owner's name) from/on the same cove as) the land of Willen C. JoNes ANd Sharow Glbr (Print applicant's name(s)) I have reviewed the applicant's project drawings dated 55la5 (Daté) to be submitted for all necessary federal, state and local permits. IHAVE NO COMMENT ABOUT THE PROJECT. II DO NOT OBJECT TO THE PROJECT. IC OBJECT TO THE PROJECT. The applicant has agreed to contact me for additional comments if the proposal prior to construction of the project. changes (Before signing this form, be sure you have checked the appropriate option above). pudie 6, elord Adjacent/nearby property oner's signature(s) 04-/39/2025 Date Note: Ifyou object to the proposal, the reason(s) you oppose the project must be submitted VMRC. An objection will not necessarily result in denial of the project; however, valid in writing to be given full consideration during the permit review process. complaints will Application Revised: August 2023 i Part3. - Appendices Please complete and submit the appendix questions applicable to your project, and attach the map(s) and drawings to your application. If an item does not apply to your project, please write required "N/A" vicinity in the space provided. Appendix A: (TWO PAGES) Projects for Access to the water such as private and community piers, boathouses, marinas, moorings, and boat ramps. Answer all questions that apply. 1. Briefly describe your proposed project. To remove and dispose of existing pier, steps, observation deck and jettys and to construct a new pier approximately 250' X 6' with a 16' x 24' L-head, 5' finger pier around a 32' X 14' boat house also to include a 10,000 Ib. boat lift installed does not include electrical or plumbing, Also to include shoreline stabilization of approximately 240' to a final elevation of +4 MHW with filter cloth under Class 1 and class 2 stone. Any land disturbed will be seeded. Steep bank disturbance will get Geotextile fabric (Straw netting) 2. For private, noncommercial piers: Do you have an existing pier on your property? x Yes No Ifyes, will it be removed? X Yes No Is your lot platted to the mean low water shoreline? X Yes No What is the overall length of the proposed structure? 250 feet. Channelward of Mean High Water? 250 feet. Channelward ofMean Low Water? a a35feet. What is the area of the piers and platforms that will be constructed over Tidal non-vegetated wetlands 2114 square feet. Tidal vegetated wetlands square feet. Submerged lands square feet. What is the total size ofany and all L- or T-head platforms? 384 sq. ft. For boathouses, what is the overall size of the roof structure? 448 sq. ft. Will your boathouse have sides? YesX No. NOTE: All proposals for piers, boathouses and shelter roofs must be reviewedby the Virginia Marine Resources Commission (Commission or VMRC), however, pursuant to $ 28.2-1203 A 5 ofthe Code of Virginia a VMRC permit may not be required for such structures (except as required by subsection D of S 28.2-1205 for than 100 feet in length involving commercially productive leased oyster or clam grounds), provided that piers the greater do not extend beyond the navigation line or private pier lines established by the Commission or the United () States piers Army Corps of Engineers (USACE), (i) the piers do not exceed six feet in widch and finger piers do not cxcced five feet in width, (ii) anyLor T head platforms and appurtenant floating docking platforms do not exceed, in the aggregate, 400 square feet, (iv) if prohibited by local ordinance open-sided shelter roofs or gazebo-type structures shall not be placed on platforms as described in clause (i), but may be placed on such platforms if not prohibited local by ordinance, and (v) the piers are determined not to be a navigational hazard by the Commission. Subject to any applicable local ordinances, such piers may include an attached boat lift and an ppen-sided roof designed to shelter a single boat slip or boat lift. In cases in which open-sided roofs designed to shelter a single boat, boat slip or boat lift will exceed 700 square feet in coverage or the open-sided shelter roofs or gazebo structures exceed 400 square feet, and in cases in which an adjoining property owner objects to a proposed roof structure, permits shall be required as provided in $ 28.2-1204. Application Revised: August 2023 15 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 breakwaters, beach nourishment, groins, jetties, and living shoreline projects. Answer all that backfill, Please provide any reports provided from the Shoreline Erosion questions apply. Advisory Service or VIMS. NOTE: It is the policy ofthe Commonwealth that living shorelines are the preferred alternative for tidal shorelines (Va. Code $ 28.2-104.1). Information on non-structural, vegetative alternatives stabilizing Shoreline) for shoreline stabilization is available at (.e., Living tp.lsrmasimadueastal zone/living shorelinew/indev.htm). 1. Describe each revetment, bulkhead, marsh toe, breakwater, groin, jetty, other or shoreline project separately in the space below. Include the overall length in linear structure, feet, the amount living of impacts in acres, and volume of associated backfill below mean high water and/or ordinary water in cubic yards, as applicable: high Also to include shoreline stabilization of approximately 240' to a final elevation of +4 MHW with filter cloth under Class 1 and class 2 stone. land will be seeded. Steep bank disturbance will get Geotextile fabric (Straw netting) Any disturbed 2. What is the maximum encroachment channelward of mean high water? & 12 feet. Channelward of mean low water? 35 D feet. Channelward ofthe back edge of the dune or beach? 16 feet. 3. Please calculate the square footage of encroachment over: Vegetated wetlands square feet Non-vegetated wetlands 900 square feet Subaqueous bottom square feet Dune and/or beach square feet 4. For bulkheads, is any part ofthe project maintenance or replacement of a previously authorized, currently serviceable, existing structure? Yes No. Ifyes, will the construction oft the new bulkhead be no further than two (2) feet channelward of the existing bulkhead? Yes No. Ifno, please provide an explanation for the purpose and need for the additional encroachment. Application Reviscd: August 2023 17 Part3 - Appendices (continued) 5. Describe the type ofconstruction 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 source; broken concrete core material with Class II quarry stone armor oyer filter cloth). upland NOTE: Drawings must include construction details, including dimensions, design and all materials, including fittings if used. To include shoreline stabilization of approximately 240' to a final elevation of +4 MHW with filter cloth under Class 1 and class 2 stone. Backfill will be sand from upland source. Any land disturbed will be seeded. Steep bank disturbance will get Geotextile fabric (Straw netting) 6. Ifusing stone, broken concrete, etc. for your structure(s), what is the average weight oft the: Core (inner layer) material 25-75 pounds per stone Class size 1 Armor (outer layer) material 75-125 pounds per stone Class size 2 7. For beach nourishment, including that associated with breakwaters, groins or other structures, provide the following: Volume of material cubic yards channelward of mean low water cubic yards landward of mean low water cubic yards channelward of mean high water cubic yards landward of mean high water Area to be covered square feet channelward of mean low water square feet landward of mean low water square feet channelward of mean high water square feet landward of mean high water Source of material, composition (e.g. 90% sand, 10% clay): Method of transportation and placement: Describe any proposed vegetative stabilization measures to be uscd, including planting schedule, spacing, monitoring, etc. Additional guidance is available at - Application Revised: August 2023 18 S 4o* RVEr 4 Ere 4o / $ F 8 EPN a Hia - - > * m à a 3 à a a o 9 3 & N)C E E le a Propose 250 Picrard L K 757 Revehret NOTESI P.B.3, PG.308 -RPC: 32385 (LOT 20> 5R -RPCI 43623 GLOT 21) any YORK RIVER -SURVEY PREPARED WITHOUT bAhCuse A TITLE REPORT, ALL EASE- MENTS MAY NOT BE SHOWN Pagr -CENTERLINE OF FENCE SHOWN ppesg -FLOOD INSURANCE RATE MAP > ZONE: X DEbld - MAP NO. 51073C0195F per PANEL DATE: 10-21-2021 -REFI INST.#240002405 P.B.3, PG.308 VATER VATER nY a to ola Jely5 6 bc re moyed a W MLh - < 240 224't &. D BEACH * a BEACH. BEACH SEACH, N 3 MERS 9 &s M Hw onp BUL C yus BULKFAN wapp BULKHEAD, E 6 BANK BANK & STEEP STEEP 1.6'OFF 6 & IRS * d S d MEER * Q30N 2 RALL FENCE ALONG TOP OF BANK 2 RAIL FENCE ALONG TOP DF BANK BENCHMARK LOT 20 COR LF STEP LOT 21 ELE Va34.47 21,347t Sq.Ft. (1988DATUMD 25,359 Sq.Ft. a # EINE 0.4900 Acres 6t 66 0.5822 Acres 6 6.5 ) MRE PRDRANE CINC VALK PonkE TANK o BAe 0.70FR AC dy 3D a 38.0' 10.87 SCRE ENEI S EINE 38.9 € PERCH ON 1-STY - 20.6' $VINY- PL. HVAC BRICK - RESIDENCE 4 6'VINYL 2 wêLL HVAC 39.3' 3 PSREKC 0 39'- 28.7' 25.7' CONC. VALK &2 4 o GuY 300.00' TEL / ZEP IPF 110T0' CL IPF 100.00' IPF IPF E d& FOREST DR. 35.00' S 01048'00" W S 01°48'00" A-4280 IPF B-6.00- sls/as YORK RIVER DRIVE 5-287 50' R/W w'lliam Sme S 1136) Dr. - Glouces A Syey