Nearshore dredge disposal was performed during the summer of 2005 at Ocean Beach, San Francisco, CA, a high energy tidal and wave environment. This trial run was an attempt to provide a buffer to a reach of coastline where wave attack during the winter months has had a severe impact on existing sewage infrastructure. Although the subsequent beach response was inconclusive, after one year the peak of the disposal mound had migrated ~100 m toward the shore, providing evidence that annual dredge disposal at this site could be beneficial over the long-term by at the very least providing: 1) additional wave dissipation during storms 2) compatible sediment to feed nearshore bars, 3) sediment cover on an exposed sewage outfall pipe, and 4) a viable alternative to the shoaling offshore disposal site. Numerical modeling suggests that despite the strong tidal currents in the region, wave forcing is the dominant factor moving the sediment slowly toward shore, and placing sediment at just slightly shallower depths (e.g. < 8 m vs. > 9 m) in the future would have a more immediate impact.