I guess my big issue is.. now that you're PAST the MAP (DMYHL) MDA "should" no longer apply and the instrument portion of the approach is over ,(since you're now navigating "visually").
MDA altitude still applies even beyond DMYHL. You may only commence descent once the required visual indicators are identified. This may take place at or before DMYHL, but it may also take place beyond DMYHL. As I stated before, coming off the 041 out of Carnarsie, you would begin to follow the lead-in lights until the runway environment is in sight. The lead-in lights serve the same purpose as the electronic radial. The lead-ins are sort of like a "bending" of the radial to follow. An extension of the 041 which helps guide you to the runway via a transition from the navigational signal to a visual signal. Even though you are navigating visually, this in and of itself does not permit a descent out of MDA if the field is not in sight. Would you begin descend out of MDA prior to reaching your calculated VDP even if the field were in sight? Probably not. Similar thing here.
As per the reg, the Missed approach procedure is no longer valid IF you continue BEYOND the MAP. Now if you are at 800' (the MDA) and have the lead in lights in sight you're authorized to continue. Once PAST the MAP logic would say you're now on a Visual approach and can initiate a descent (since you may not be able to make out the runway "environment" until you roll out on final (and will be WAY too high to make a safe landing) to intercept a normal glidepath. The runway is over 35 degrees off your heading throughout most of your maneuvering.
Actually, if you read the plate the MAP instructs are as follows:
"
At or beyond MAP, climbing right turn to 4000 via heading 100 degrees and V-16 to DPK VOR/DME and hold."
So as you can see, the missed approach CAN take place either before (climb only), at or after DMYHL. You may continue via the lead-in lights without the runway environment yet in sight. IF you have the lead-in lights at DMYHL, you continue. If you lose the lead-in lights during the visual transition you go missed. You can go missed if you never acquire the lead-ins, if you acquire them and subsequently lose them, or if you follow them but pick up the runway too late to descend at a normal rate.
That you are going "visual" only means you are visually tracking the lead-ins, it is not a "visual approach" as defined in the AIM. This would be accomplished under a different set of criteria. And for one, it would require at least basic VFR - 1,000 and 3. As you can see on the approach plate for the VOR 13L, the MDA and weather is 800-2. Obviously far below any visual approach minimums.
Also, the lead-in lights help to assist in mantianing compliance with noise abatement procedures, so even when one does acquire the runway environment while following the lead-ins, you must still track the lights in order to remain clear of noise sensative areas.
As far as the runway being 35 degrees off to the right, that is not necessarily a constricting angle. You should be able to acquire the runway environment before rolling out on final. Once you have it in sight, then you may begin descent out of MDA.