EFTA00796602.pdf

U.S. ARMY CORPS OF ENGINEERS Form Approved - APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OMB No. 0710.0003 33 CFR 325. The proponent agency is CECW-CO-R. Expires: 30-SEPTEMBER-2015 Public reporting for this collection of information is estimated to average 11 hours per response, including the time for reviewing instructions, searching existing data sources. gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters, Executive Services and Communications Directorate. Information Management Division and to the Office of Management and Budget, Paperwork Reduction Project (0710.0003). Respondents should be aware that notwithstanding any other provision of law. no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of those addresses. Completed applications must be submitted to the District Engineer having jurisdiction over the location of the proposed activity. PRIVACY ACT STATEMENT Authorities: Rivers and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research. and Sanctuaries Act, Section 103.33 USC 1413: Regulatory Programs of the Corps of Engineers; Final Rule 33 CFR 320.332. Principal Purpose: Information provided on this form will be used in evaluating the application for a permit. Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local government agencies, and the public and may be made available as part of a public notice as required by Federal law. Submission of requested information is voluntary, however, if information is not provided the permit application cannot be evaluated nor can a permit be issued. One set of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this application (see sample drawings and/or instructions) and be submitted to the District Engineer having jurisdiction over the location of the proposed activity. An application that is not completed in full will be returned. (ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS) 1. APPLICATION NO. 2. FIELD OFFICE CODE 3. DATE RECEIVED 4. DATE APPLICATION COMPLETE (ITEMS BELOW TO BE FILLED BY APPLICANT) 5. APPLICANTS NAME 8. AUTHORIZED AGENT'S NAME AND TITLE (agent is not required) First • Erika Middle - A. Last - Kellerhals First - Amy Middle • Claire Last - Dempsey Company • Great St. Jim, LLC Company • Bioimpact, Inc. E-mail Address • E-mail Address 6. APPLICANT'S ADDRESS: 9. AGENT'S ADDRESS: Address- 9053 Estate Thomas Suite 101 Address- P.O. Box 132, Kingshill City - St. Thomas State • VI ZIP - 0802 Country - USA CRY • St. Croix State - VI Zip • 0085 Country - USA 7. APPLICANT'S PHONE NOs. w/AREA CODE 10. AGENTS PHONE NOs. w/AREA CODE a. Residence b. Business c. Fax a. Residence b. Business c. Fax STATEMENT OF AUTHORIZATION 11. I hereby authorize, Amy Claire Dempsey to act in my behalf as my agent in the processing of this application and to fumish. upon request, supplemental information in support of this permit application. SIGNATURE OF APPLICANT DATE NAME, LOCATION. AND DESCRIPTION OF PROJECT OR ACTIVITY 12. PROJECT NAME OR TITLE (see instructions) Access Dock, Dock/Barge Ramp and Temporary Barge Ramp 13. NAME OF WATERBODY, IF KNOWN (if applicable) 14. PROJECT STREET ADDRESS (if applicable) Pillsbury Sound - Great St. James Northern Bay Address Parcel A 15. LOCATION OF PROJECT Latitude: °N 18° 18.745' Longitude: oW 64° 49.589 City • Great St. James State VI Zip- 00802 16. OTHER LOCATION DESCRIPTIONS, IF KNOWN (see instructions) State Tax Parcel ID 109801010100 Municipality Section - Great St. James Township - Range - ENG FORM 4345, DEC 2014 PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of 3 EFTA00796602 17. DIRECTIONS TO THE SITE From Red Hook, St. Thomas proceed south in Pillsbury Sound to Great St. James, the dock is located in the northeast bay. 18. Nature of Activity (Description of project, include all features) Great St. Jim, LLC is seeking to construct two docks, one of which is a combination dock/ barge landing, and a temporary barge landing to provide access to Great St. James Island. There is currently a small pile•supported dock located within Shallow Bay on the north side of the island. The bay is very shallow and vessels accessing the dock have damaged the shallow seagrass beds within the bay. At one time, there had been a concrete bulkhead at the shoreline with a small floating dock. The previous owner submitted an application for the existing dock which was approved by DPNR's Division of Coastal Zone Management, but was not approved by the U.S. Army Corps of Engineers due to objections by National Marine Fisheries because of the shallowness of the bay. The dock was constructed by the previous owner despite not receiving the federal permit and notices were issued by the USACE requesting the removal of the unpermitted structure. The dock however was never removed. The applicant, understands the issues with the existing dock and is proposing to remove the dock as soon as another dock is constructed and usable. (cont.) 19. Project Purpose (Describe the reason or purpose of the project, see instructions) The purpose of this application is to provide access to the island of Great St. James. Great St. Jim, LLC is proposing to construct a temporary barge landing to be used during the construction of the other docks, an access dock on the western side of the island to be used for worker and guest access to the island, and a combination barge landing/dock on the southeast side of the island on the point closest to Little St. James. The existing dock in Shallow Bay will be removed as soon as one of the docks is functional. USE BLOCKS 20-23 IF DREDGED AND OR FILL MATERIAL IS TO BE DISCHARGED 20. Reason(s) for Discharge No discharge is proposed. 21. Type(s) of Material Being Discharged and the Amount of Each Type in Cubic Yards: Type Type Type Amount in Cubic Yards Amount in Cubic Yards Amount in Cubic Yards 0 0 0 22. Surface Area in Acres of Wetlands or Other Waters Filled (see instructions) Acres 0 or Linear Feet 0 23. Description of Avoidance, Minimization, and Compensation (see Instructions) The docks have been located so that they avoid all ESA listed corals and minimize the size of the structures as much as possible while still achieving sufficient depth to prevent bottom disturbance. All corals within the dock footprints and in the area of impact will be transplanted prior to construction. A reef buildings structures is proposed as part of the dock structure to compensate for unavoidable impacts. ENG FORM 4345. DEC 2014 Page 2 of 3 EFTA00796603  24. Is Any Portion of the Work Already Complete? X Yes Okto IF YES, DESCRIBE THE COMPLETED WORK The previous owner built the existing dock without USACE permits. The applicant will remove the dock as soon as the a new dock is permitted and constructed. A emergency ramp is Christmas Cove. The ramp was built after hurricane Irma to bring emergency supplies to the island for employees and their families who had lost their homes and for people staying on the island. The applicant would like to keep this ramp until the proposed ramp is permitted and constructed. 25. Addresses of Adjoining Property Owners, Lessees, Etc.. Whose Property Adjoins the Waterbody 0 more roan can be erOved Fere. pies° allach a supplemental 1st). a. Address- Great St. Jim, LLC, do Erika A. Kellerhals, 9053 Estate Thomas Suite 101 City • St. Thomas State - Vi Zip • 00802 b. Address- City • State - Zip - c. Address. City • State - Zip - d. Address- City • State • Zip - e. Address- City • State • Zip - 26. List of Other Certificates or Approvals/Denials received from other Federal, State. or Local Agencies for Work Described in This Application. IDENTIFICATION AGENCY TYPE APPROVAL' DATE APPLIED DATE APPROVED DATE DENIED NUMBER DPNRJCZM Major Water concurrent DPNWDEP Water Quality Cert. concurrent • Would include but is not restricted to zoning. building, and flood plain permits 27. Application is hereby made for permit or permits to authorize the work described in this application. I certify that this information in this application is complete and accurate. I further certify that I possess the authority to undertake the work described herein or am acting as the duly authorized agent of the applicant. SIGNATURE OF APPLICANT DATE SIGNATURE OF AGENT DATE The Application must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly authorized agent if the statement in block 11 has been filled out and signed. 18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false. fictitious or fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both. ENG FORM 4344 DEC 2014 Page 3 of 3 EFTA00796604