U. S. Army Corps of Engineers – New England District Memo
To: Jennifer Street, NYDOS From: Diane Ray, U. S. Army Corps of Engineers, New England District Date: 12/10/2020 Re: Shore and Country Club NAE-2007-02296
The following documents are attached to initiate NY DOS consistency for maintenance dredging with disposal at the CLDS or WLDS Disposal Site:
1. CT DEEP, Certificate of Permission Application
2. Final Suitability Determination and addendum
3. FCAF & Alternatives Analysis
4. CT GP Memo for the Record (work description and plans)
Please feel free to contact me at 978-318-8831 or at [email protected] if you required anything further.
Diane Ray
1 CONNECTICUT GENERAL PERMITS PCN DETERMINATION OF ELIGIBILITY CHECKLIST/MFR
I. GENERAL INFORMATION Applicant: The Shore & Country Club, Inc. I Application #: NAE-2007-2296 I Project Manager: Diane Ray 1Jurisdiction : ~ § 404 ~ §10 □ §103 Site address & 220 Gregory Boulevard, Norwalk, CT – Charles Creek waterway:
Maintenance dredge an approximately 88,920 square foot area to -8.0’ mean low water. Work Description: A total of approximately 14,970 cubic yards of material will be dredged mechanically and disposed of at either the WLDS or CLDS disposal site, with management.
Choose an item. Marine Subtidal – Resource area(s) affected: Aquatic resource impacts are within the Southwest Coastal service area Relevant history: Date forwarded to Click here to enter a date. Date of Interagency Meeting: 4/1/2020 agencies: Deadline for 4/15/2020 agency comments: II. REVIEW OF TERMS OF GENERAL PERMIT □ GP 1. Aids to navigation, & temporary recreational structures □ GP 2. Repair or maintenance of existing currently serviceable, authorized or grandfathered structures/fills, removal of structures □ GP 3. Moorings □ GP 4. Pile-supported structures & floats, including boat lifts/hoists and other misc. structures & work □ GP 5. Boat ramps and marine railways □ GP 6. Utility line activities ~ GP 7. Dredging, transport & disposal of dredged material, beach nourishment, rock removal & rock relocation □ GP 8. Discharges of dredged or fill material incidental to the construction of bridges □ GP 9. Shoreline and bank stabilization projects □ GP 10. Aquatic habitat restoration, establishment and enhancement activities □ GP 11. Fish and wildlife harvesting activities □ GP 12. Oil spill and hazardous material cleanup □ GP 13. Cleanup of hazardous and toxic waste □ GP 14. Scientific measurement devices □ GP 15. Survey activities □ GP 16. Aquaculture projects and fisheries □ GP 17. New/expanded developments & recreational facilities □ GP 18. Linear transportation projects – wetland crossings only □ GP 19. Stream, river & brook crossings (not including wetland crossings) □ GP 20. Energy generation and renewable energy generation facilities and hydropower projects □ GP 21. Temporary fill not associated with any other GP activities
March 10, 2020
Project Manager Date
12-15-2017 41°05'11.82 N
LOCATION MAP TAX ASSESSORS MAP 3, BLOCK 73, LOT 2 ZONE: A - RESIDENCE
LOCUS MAP 220 GREGORY BOULEVARD PERMITTING AGENT PREPARED FOR JAMES J. BAJEK, LLC THE SHORE & 4570 BOWEN BAYOU RD SANIBEL FL 33957 COUNTRY CLUB, INC. PHONE 603-930-4549 NORWALK, CONN£Cncur [email protected] SCALC: t • = BOO FT. NOVEMBER B, 20 t 8 REVISED DECEMBER 10, 2018 1 inch = 800 ft. WILLIAM W. SEYMOUR & ASSOCIATES, P.C. _1 LAND SURVEYORS rv ZONING &- LAND USE CONSULTANTS 0 800 1600 170 NOROTON AVENUE rv 203-655-3331 rv DARIEN , CONN. © SHEET 1 OF 5 14-13447_0REOG£DWG 41'05'14.554• N 7:S-2J'54. 188• W ~
COMP/LA TION PLAN DEPICTING EXISTING ct- PROPOSED CONDITIONS 220 GREGORY BOULEVARD PHEPAHED FOR THE SHORE & CO UN TR Y CL U B, NORWALK, CONNECTICUT
SCALE: 1• s 60' NOVCMBER B, 2018 REVISCD DCCCMBCR ro, 2018 WILLIAM W. SEYMOUR & ASSOCIATES, P.C. LANO SURVEYORS rv ZONING a: LANO USC CONSULTANTS 170 NOROTON AVENUE rv Z0J-655-JJJI rv DARIEN , CONN.
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Area To Be Maintenance 1 ft. Overdredge Area IMPROVEMENT LOCATION SURVEY Dredged to -8. 0 ML DEPICTING PROPOSED CROSS SECTIONS CROSS SECTION 'C - C' 220 GREGORY BOULEVARD PREPARED FOR THE SHORE & COUNTRY CLUB, INC. HORIZONTAL SCALE: 1 inch = 20 ft. NORWALK, CONNECnCUT PLANS ARE FOR PERMlmNG SCALE: AS-NOTCD NOYEJ/11£11 II, 20111 PURPOSES ONLY, NOT TO BE USED FOR CONSTRUCTION RCVISCD D£C£/1B£R to, 0' I 20' 40• WILLIAM W. SEYMOUR & P.C. DATUM: M.L.W. LAND SURVEYORS rv ZONING 4: LA VERTICAL SCALE: 1 inch = 10 ft. 170 NOROTON AVCNUC rv 203-655-3~1 )NN. © C. J.L. COASTAL JURISDICTION - ELEV. = 9.4 M.H. W. MEAN HIGH WATER - ELEV. = 7.3 1D 11V IOIO'IUDGt MD IDD'. 1H1S MAP IS M.L. W. MEAN LOW WATER - ELEV. == 0.0 ~ Sl.8STAN1W.LY CDllllllef AS NOTED HEltt0N. 0 10 20 SHEET 4 OF 5 • ' 14-13/47_DREDG£DWG ...... :t:: .§ .§ -...J -...J .g,lb .g,lb c:s~ c:s~ CJL MHW
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1/rlPROVC/rlENT LOCATION SURVEY DEPICTING PROPOSED CROSS SECTIONS 220 GREGORY BOULEVARD PREPARED FOR THE SHORE & COUNTRY CLUB, INC HORIZONTAL SCALE: 1 inch = 20 fl NORWALK, CONNECTICUT PLANS ARE FOR PERM/ mNG SCALE: AS-NOTED NOV£Mll£11 II, 2016 PURPOSES ONLY, NOT TO BE USED FOR CONSTRUCTION i REVIS£() DEC£11B£R 10, 2016 0 20 40 WILLIAM W. SEYMOUR ktSSOCIATES, P.C. LAND SURVEYORS ZONING ~ q US CONSULTANTS DA TUM: M. L. W. VERTICAL' SCALE:' 1 inch = 10 ft. ~ C.J.L. COASTAL JURISDICTION - ELEV. = 9.4 170 NOROTON AVENUE rv 203-655 -,,/ ~RlfN, CONN. © M.H. W. MEAN HIGH WATER - ELEV. = 7.3 ; 1D WY ~ Nm IDJEF. 1NS MAP d M.L. W. MEAN LOW WATER - ELEV. = 0.0 ! I ! a.esTANlWJ.Y CCMt:CT AS NCmlJ t«lt£0N. ... No.- 0 10 20 SHEET 5 OF 5 14-13447_DREQG£DWG Information Relating to Proposed Maintenance Dredging by The Shore and Country Club, Inc. 220 Gregory Boulevard, Norwalk, CT
Dredging and Disposal Information
The proposal is for The Shore and Country Club, Inc. to mechanically dredge by clamshell approximately 11,680 cubic yards of material at a private marina located in Charles Creek/Norwalk Harbor at 220 Gregory Boulevard, Norwalk, CT. Maintenance dredging will be conducted to 8 feet below mean low water (mlw) with I foot of overdredging to be allowed to the contractor to ensure the full 8 feet of water depth is obtained. It is proposed to transport the dredged material by barge to either the Western (WLDS) or Central Long Island Sound Disposal Site (CLDS) for disposal, depending on the outcome of the sediment testing. The WLDS is the preferred disposal site since it is the closest disposal site to the dredge site and therefore the most cost-effective site to dispose at. The dredge site conditions and proposed dredging area plans are attached.
Disposal Site Information
The client does not have a sufficient area of upland space needed for containing/dewatering the dredged material. There are no landfills in the area that accept dredged material. Also, there are no known upland locations in Norwalk or the surrounding communities that could accommodate the material. There is a site in North Haven, CT called Tire Pond that is looking for acceptable cover material that would close the site by May 2021. Consultation with the engineer in charge with that site indicates that additional testing would be necessary to satisfy their acceptance criteria. Also, ifwe could meet the site timing requirements which are just 4 months from now, the Shore & Country Club dredging project would need to get authorized before the end of March 2021 so the dredging can be conducted in April 2021, which is beyond the typical Oct-Jan dredge window. Even if the agencies would allow the dredging to occur during April 2021 the cost to dredge, transport the material to New Haven where the material can be offloaded and augmented by mixing in cement powder to stabilize it enough to be trucked to the Tire Pond site would cost in the range of approximately $ I 00 per cubic yard. Based on this scenario, the project would cost at least $1.17 million making it too costly to happen. Due to the lack of feasible upland disposal sites, Long Island Sound is proposed for disposal.
Potential Contamination Sources
The marina was last permitted to be dredged in 2007. A search of the Connecticut DEEP spill records from the time the last dredging occurred to the present for the general project area was conducted and there were no reported spills during that period. There is one storm drain pipe in the vicinity of the marina which discharges surface water storm runoff from the immediate area. CENAE-R-PT 1 7 October 2007
MEMORANDUM THRO
~th M. Ladd, Chief, Policy Analysis and Technical Support Branch
FOR: Diane M. Ray, Project Manager, CENAE-R-PEB
SUBJECT: Suitability Determination for Shore and Country Club, Norwalk Harbor & Charles Creek, Norwalk, Connecticut, Application #2007-1196.
1. Project Description: The applicant is proposing to dredge an area of 85,750 sq. ft. to a depth of -8' MLW (plus 1' overdredge), which will produce approximately 14,300 cu. yds. of dredged material. This material is proposed to be mechanically dredged. The proposed disposal site is either Western Long Island Sound Disposal Site (WLIS) or Central Long Island Sound Disposal Site (CLIS).
A sampling plan for this project was prepared on 25 April 2007. The plan called for 4 cores to be taken from the project area and the samples analyzed for the usual contaminants of concern.
2. Summary: This memorandum addresses compliance with the regulatory evaluation and testing requirements of 40 CFR Section 230.60 and 230.61, subpart G under the Clean Water Act 404(b)(l) guidelines. This evaluation confirms that sufficient information was obtained to properly evaluate the suitability of this material for open water disposal under the guidelines and finds the sediments suitable for disposal as proposed.
3. Clean Water Act Regulatory Requirements: The disposal of sediments waterward of the high tide line in Long Island Sound is regulated under Section 404 of the Clean Water Act. Subpart G of the Section 404(b)(l) guidelines describes the procedures for conducting this evaluation, including any relevant testing that may be required.
§230.60 General Evaluation of Dredged or Fill Material
(a) Further testing was necessary as it could not be determined with the present information that the sediment is not a carrier of contaminants. As the sediments are mostly fines, this exclusion form further testing did not apply.
(b) Spills and Outfalls: The applicants' agent reported no spills since the CENAE-R-PT SUBJECT: Suitability Determination for Shore and Country Club, Norwalk Harbor & Charles Creek, Norwalk, Connecticut, Application #2007-1196.
project was last dredged. There are no fuel docks or marine maintenance facilities in the club.
(c) The material to be dredged and the material at the disposal site are not adjacent, composed of the same materials or subject to the same sources of contaminants. Further testing was therefore required.
(d) This subsection states that further testing may not be necessary if the material to be dredged is constrained to reduce contamination within the disposal site and to prevent transport of contaminants beyond the boundaries of the disposal site. As such constraints in handling are not proposed, this subsection does not apply.
§230.61 Chemical, Biological and Physical Evaluation and Testing
(a) This subsection describes the purpose of §230.61 and does not give any criteria for the evaluation of sediments.
(b) Water column and benthic bioassay testing is not needed as it was determined, on the basis of evaluation of §230.61 (c), that the likelihood of contamination is low.
(c) An inventory of the total concentration of contaminants is of value in comparing sediment at the disposal and dredging sites. Four samples were analyzed for grain size, metals, PAHs, pesticides and PCBs (as congeners). The concentrations of metals were all low or below detection limits, which were acceptable, with the sole exception of copper. The copper concentration was elevated, but still "low", when compared to the classification guidelines of the "Interim Plan" ((NERBC, 1980) Copper is therefore not a concern based upon our experience. The concentrations of PAHs were all below detection limits, or lower than the means plus twice the standard deviations for the PAHs at the reference sites. The concentrations of PCBs were all below or slightly higher than the detection limits, which were acceptable. The concentrations of pesticides were all below or slightly higher than the detection limits, which were acceptable. See the attached spreadsheets for details. Based upon this information, I find the sediments suitable for disposal at either of the proposed disposal site.
CENAE and the federal agencies did not think an analysis of biological community structure was needed for this project.
(d) The physical effects of the disposal of the dredged material at the disposal site should be minimal. Although some benthic marine organisms will be buried by the disposal, the disposal site should be rapidly re-colonized.
2 CENAE-R-PT SUBJECT: Suitability Determination for Shore and Country Club, Norwalk Harbor & Charles Creek, Norwalk, Connecticut, Application #2007-1196.
4. Copies of the draft suitability determination were sent to the State DEP, US EPA, US F&WS and US NMFS for their review. No responses were received from the Federal agencies within the 10-day response period so their concurrences may be assumed.
5. If you have any questions, please contact me at extension 660. GJlll/PUA~ PHILLIP NIMESKERN Project Manager, Marine Analysis Section
3 CENAE-R-PT SUBJECT: Suitability Determination for Shore and Country Club, Norwalk Harbor & Charles Creek, Norwalk, Connecticut, Application #2007-1196.
DREDGE PLAN VIEW c,mm,.,toof'l?rc - "°' a at:e -:~t)J$f 1r..1:Rtt.tn• 4N°#Q 1.Jlf_t,"" ~ "t.lf:\'fil IA Osi-Om::Hllff' 0 0 \, 4tl DAfL'M: .tJ[t',.\' LfJ',V WAJfft f1'; t;.flHiUf!, Cflf.flt. t)fl' Ul)WA'l,1.t H.tRff011 I.UJACEH1 PAl1PF1'1f o·wNili5'' ,4f:- ~:t.Cltfl(.."1A.ff>\Ji'O, l.AS't t«vl~Lr..'. ,1,·.ur,nt1:J C'GWrY. CU'tM:::Cn!."\-1; 1J(Jfl'WAt.itl' cow: MAP.IN/,, .:10>H.◊N' IJAHl,\',t J.:,,;:;oc AP'f'JJ.)C.',TION 6V: THf ,:lHC.M: t c-ov1-rAY l'I V1t t:•t: 4 " Non Normalized Pollutant Concentrations Project: Shore & Country Club Survey: Shore & Country Club USAGE PermiUContract Number: NAE20071196 I Analyte CLIS S1 S2 S3 S4 I Metals (ppm) mean+ 2sd Raw Data Qualifier Comparison Raw Data Qualifier Comparison Raw Data Qualifier Comparison Raw Data Qualifier Comparison Arsenic 6.3 10.1 1.6 11.3 1.79 10.4 1.65 9.8 1.56 Cadmium 0.28 0.07 U OK 0.4 1.43 0.05 OK 0.18 OK 76.5 Chromium 45.1 51.3 1.14 1.7 55.6 ·c,iir,;,,,,,., "'"-~"-1.23 63.6 1.41 I'Tz ·-d-,~- 4-35 190.0 . • •. ;:'.f,5,1 169 .UI 176 Copper 42.1 183 ~;,."' ".;';J.:j • ,,., ■ Wf@J I ]!Ia Lead 82.2 40.3 OK 60.5 OK 41.7 IOK I 58.6 OK Mercury 0.16 0.28 1.75 0.4 2.5 0.26 1.63 0.35 2.19 Nickel 41 26.6 OK 29.9 OK I 25.3 OK I 27.3 OK Zinc 181 169 OK 172.0 OK 157 OK 144 OK I I ¾fines 79 88.8 88.6 79.7 PAH's (ppb) Acenaphthene 22 10 U OK 20.0 OK 10 U OK 7 OK Acenaphthylene 70 10 U OK I 10.0 U OK 10 U OK 7 OK Anthracene 77 26 OK 41.0 OK 21 OK 23 OK Fluorene 29 8 OK 9.0 OK 10 U OK 7 OK Naphthalene I 135 8 OK I 40.0 OK I 8 OK 191 OK Phenanthrene 241 70 OK 104.0 OK 70 OK 74 OK I Benzo(a)anthracene 263 28 OK I 21.0 OK 6 OK 16 !OK Benzo(a)pyrene 327 176 OK 221.0 OK 145 OK 123 OK Benzo(g,h,i)perylene 316 14 OK 13.0 OK 1051 OK 55 OK Chrysene I 287 40 OK 54.0 OK 261 OK 34 OK Dibenzo(a,h)anthracene 23 11.0 OK 13 OK 11 OK Fluoranthene I 436 177 OK 303.0 OK 143 !OK 166 OK lndeno(1,2,3-cd)pyrene 206 18 OK 35.0 OK 99 OK 17 OK Pyrene 613 271 OK 304.0 OK 146 OK 163 OK Total Benzofluoranthenes 630 208 OK 388.0 OK 228 OK 124 OK TOC I 3.2 3.6 3.7 2.81 I I Sum of PAH's 1064 1574.0 1040 846 I Pesticides (ppb) 4,4'-DDD -999 1 U No Ref 1.9 No Ref 1.8 No Ref 3 No Ref 4,4'-DDE -999 1 U No Ref 1.0 U No Ref I 1 U No Ref 1.4 No Ref 4,4'-DDT -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1 U No Ref Aldrin -999 1.1 No Ref 1.0Iu No Ref 1 U No Ref 1 U No Ref Cis-Chlordane -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1 U No Ref Delta-BHC -999 Dieldrin -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1 U No Ref Endosulfan I -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1.1 No Ref Endosulfan II -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1 U No Ref Endrin -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1 U INoRef Heptachlor -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1 U No Ref Heptachlor epoxide -999 1 U No Ref 1.0 U No Ref 1 IU No Ref 1 U No Ref Hexachlorobenzene -999 1 U No Ref 1.0 U No Ref 1 U No Ref I 1 U No Ref Lindane -999 1 U No Ref 1.0 U No Ref 1 U No Ref I 1 U No Ref t Methoxychlor -999 1 U INo Ref 1.0 U No Ref 1 U No Ref I 1 U No Ref Oxychlordane -999 I 1 U INo Ref 1.0 U No Ref 1 U No Ref 1 U No Ref Toxaphene -999 25 U No Ref 25.0 U No Ref 25 U No Ref 25IU No Ref Trans-chlordane -999 1.1 No Ref 1.0 U No Ref 1 U No Ref 2.5 No Ref PCBs (ppb) I I PCB 101 -999 PCB 105 -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1.6 No Ref PCB 118 -999 I 2.4 !No Ref 2.0 No Ref 1.4 No Ref 2.9 No Ref PCB 128 -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1 U No Ref PCB 138 -999 2.7 No Ref 1.4 No Ref 1 No Ref 2.1 No Ref PCB 153 -999 1.3 No Ref 1.7 No Ref 1.3 No Ref 2.2 No Ref PCB 170 -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1 U No Ref PCB18 -999 1.1 No Ref 1.3 No Ref 1 U No Ref 1.8 No Ref PCB 180 -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1 No Ref PCB 183 -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1 U No Ref PCB 184 -999 1 U No Ref I 1.0 U No Ref 1 U No Ref 1 U No Ref PCB 187 -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1.1 No Ref PCB 195 -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1 U No Ref PCB 206 -999 1 U No Ref 1.0 U No Ref 1 U I No Ref 1 U No Ref PCB 209 -999 1 U No Ref 1.0 U No Ref 1 U No Ref 1 U No Ref PCB28 -999 1.3 No Ref 1.7 No Ref 1 U No Ref 2.4 No Ref PCB44 -999 1.3 No Ref 1.5 No Ref 1 U No Ref 2.3 No Ref PCB49 -999 1.8 No Ref 1.9 No Ref 1 U No Ref 2.4 No Ref PCB 52 -999 2.3 No Ref 1.6 No Ref 1 U No Ref 2.5 No Ref PCB66 -999 3.1 No Ref 2.8 No Ref 1 U No Ref 3.9 No Ref PCBB -999 I 2.1 No Ref 1 U I No Ref 1.3 I No Ref PCB87 -999 1.2 I No Ref 1.0 U No Ref 1 U I No Ref 1.5 INo Ref I I Total PCBs 47 48.2 35.4 60.2 I I I I Total PCBs is 2 x [sum of Congeners 8, 18, 28, 44, 52, 66, 101, 105, 118, 128, 138, 153, 170, 180, 187, 195, 206, 209) I I ~llsi!b\Bjbg;J?jiggaat~r:i;than 1OX above reference value Cens:in·Yeliow;aret3'-10X'above reference value I I I I CENAE-PDE 8 December 2020 MEMORANDUM FOR RECORD: SUBJECT: Suitability Determination Addendum for the Shore and Country Club Inc., Norwalk, CT, NAE-2007-01196 In March of 2020 NAE prepared a suitability determination for the Shore and Country Club Inc., dredging project (NAE-2007-01196). In June of 2020 the applicant collected additional sediment samples and analyzed for chemistry (metals, PAHs, pesticides, and PCBs). This data was submitted to the Connecticut Department of Energy and Environmental Protection (CTDEEP). CTDEEP, EPA Region 1, and NAE assessed this data to further delineate the portion of the proposed dredge footprint that was previously determined to be unsuitable for open water disposal but can be disposed with a cap and the material that is also unsuitable but cannot be capped. The results of this evaluation are presented on Figure 1. This assessment was coordinated with CTDEEP and EPA Region 1. 73°24'0"W 73°23'55"W Legend • 2020 Additional Sample Points ~ 2019 Sample Points m Area Not Suitable for Open Water Disposal - Dredge Area Requiring Cap 73°24'0"W 73°23'55"W FIGURE 1 :DREDGE AREA DELINEATION SHORE AND COUNTRY CLUB, NORWALK CT US Army Corps of Engineers NAE 2007-01196 New England District 0 50 100 150 200 ■M■=■M■=■M■====----:===:::Ji i=e el 0-■ ==--=::::::i-----====:::::J20 40 60M e l e rs 1:1,000 2020 ESRI WORLD IMAGERY GCS NAD1983 U.S. Army Corps of Engineers (USACE) Form Approved - APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT 0MB No. 0710-0003 Expires: 01-08-2018 33 CFR 325. The proponent agency is CECW-CO-R. The public reporting burden for this collection of information. 0MB Control Number 0710-0003, 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 the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services. at ws.mc-alex.esd mbx d([email protected]. 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 0MB control number. PLEASE DO NOT RETURN YOUR APPLICATION TO THE ABOVE EMAIL 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~egulatory 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 permil 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. ii 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. System of Record Notice (SORN). The information received is entered into our permit tracking database and a SORN has been completed (SORN #A1145b) and may be accessed at the following website: httQ://dQcld.defeo.s~~gov/Privar,;~,!/S0!3Nslndex/DQD-wid§·SORN-Article-View/Article/570115/a114:ib-ce.aspx (ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS) 1. APPLICATION NO. , 2. FIELD OFFICE CODE 13. DATE RECEIVED 14. DATE APPLICATION COMPLETE (ITEMS BELOW TO BE FILLED BY APPLICANT} 5. APPLICANT'S NAME 8. AUTHORIZED AGENT'S NAME AND TITLE (agent is not required) First- Middle- Last- First - Jim Middle- Last- Bajek Company- The Shore & Country Club Company - James J. B~jek, LLC E-mail Address - [email protected] E-mail Address - jjbajek~comcasr.net 6. APPLICANT'S ADDRESS: 9. AGENT'S ADDRESS: Address- 220 Gregory Boulevard Address- 4570 Bowen Bayou Road City - Norwalk State- CT Zip- 06855 Country - USA City - Sanibel State- FL Zip - 3395i 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 203-952-5 166 203-838-7507 239-312-8960 603-930-4549 STATEMENT OF AUTHORIZATION 11. I hereby authorize, Jim Bajek to act in my behalf as my agent in the processing of this application and to furnish, upon request. s,ppl,mMI• lofo~atlon lo wpportof ~;, pe~it appli~lioo. . $ ~~s [email protected] OF AP ANT D E o NAME, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY 12. PROJECT NAME OR TITLE {see instructions) Maintenance Dred2imr 13. NAME OF WATERBODY, IF KNOWN (if applicable) 14. PROJECT STREET ADDRESS {ii applicable) Charles C reek/Norwalk Harbor Address 220 Gregory Boulevard 15. LOCATION OF PROJECT City - Nonvalk State- Zip- Latitude: •N 41 05' l 1.82" Longitude: •W 73 23'55.76" CT 06855 16. OTHER LOCATION DESCRIPTIONS, IF KNOWN (see instructions) State Tax Parcel ID Map 3; Block 73, Lot 2 Municipality Nonvalk Section - Township- Range- ENG FORM 4345, MAY 2018 PREVIOUS EDITIONS ARE OBSOLETE. Page 3 of 1 17. DIRECTIONS TO THE SITE Heading west on CT 1-95 in Norwalk take exit 16 then go left onto East Ave heading south to Gregory Boulevard south to the site. 18. Nature of Activity (Description of project, include all features) The application is to conduct maintenance dredging at a private Club marina with disposal at CLDS in LIS. 19. Project Purpose (Describe the reason or purpose of the project, see instructions) The marina area has silted in to the point of needing to be maintenance dredged. USE BLOCKS 20-23 IF DREDGED AND/OR FILL MATERIAL IS TO BE DISCHARGED 20. Reason(s) for Discharge The dredged material needs to be disposed off site since there is no available space on the property for its disposal. 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 14,970 cy silt and sand mix 22. Surface Area in Acres of Wetlands or Other Waters Filled (see instructions) Acres n/a or Linear Feet 23. Description of Avoidance, Minimization, and Compensation (see instructions) The sediment will be capped at CLDS in order to confine it from the marine environment. ENG FORM 4345, MAY 2018 Page 3 of 2 24. Is Any Portion of the Work Already Complete? □ Yes IX! No IF YES, DESCRIBE THE COMPLETED WORK 25. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (W more than can be entered here. please attach a supplemental list). a. Address- City- State - Zip- 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 ------I ______------ • 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 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 4345, MAY 2018 Page 3 of 3