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HomeMy WebLinkAbout64956D - Simmons(CAMA / 'Ll DREDGE & FILL `/� / 7956 A B 3"ENERAL PERMIT I Previous permit # New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued_ rized by the State of North Carolina, Department of Environment and Natural Resources -7 � l �b .oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC � ff ❑ Rules attached. t Name Stit^ , ^ ON S Project Location: County �j 6M5 Street Address/ State Road/ Lot #(s) State S Z�P (-1 � A6 ` 1 ,'A <J ( d) dOg b " (� �E-Mail I I G l MA'0\^ S-3 0� nAPOA Subdivision ed Agent- M U►A �y O1A— . l i City O-eckVI nWt & A(ZIP ❑ CW ❑ EW ❑ PTA 'j ES OTS Phone # (`�I a) � 1 D- 000& River Basin L VVv*, ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /i ❑ PWS: yes / 6) PNA yes / Q Closest Maj. Wtr. Body vv •\,� f Project/ Activity rk) IPnoth M VrU I bC" V- I v1 (Scale: ' NEENEENEENE ■ ■■■■ ■■■■■■■M■■ 1►�il ■111111111■1 IIIAIIw�.. 1� • ■■■■■■■■■■■iiiAaL''y'1i`i!!�IlMer �*�' ■1 • - 00 MEN No 11■■1:111:l IIIIW11wrlL C. distance offshore x distance offshore iannel ■■■■■■■■■■■■�■■■■■■■■■■■■■/■■II�J■11rIi ■■■■■■■■■■■■■■■■■■■■■■■■/%■i�ilil■YIICi�'r1Yi0 ■�■■�■■■��, :�'�.:.:na �� C 1�It��:Z����I\�.1...��11�1�=== �•■�■•��r••,��1i1111,iii�ifl�ilti ■nr,l:.:i■i■�i3■` tic yards ■I■■■■■■■■■■!�■■■■■■■■■ /1��■■■■1��■■■tl�lll np— ■►� ■■■w�1■■■■■■■■■■■■■■■�■■w■■■■■■■■liil == ulldozing ��� Gil■!!1■■ ■ - notsure �r■■11■■■■■■■■■■�■■■■�■■■■■■■�■■1 ■N■■11■■■■■■■�■■■■■■■■■■■■■i�■■■■■■■■1 yes ■Fi■0 1 In■■■■■■�■�11�■■■■■■■��■■► ■■■■■■■■1 u� ■E iiillli ■■■ 1►'1MM N■■■■■1■■■111 ■11■■1■■■1�1■.■1��.■� L.?. .r. ■■■■11■■■■■■■�■■■■■■■■■■■■■■■■■■■1 . -- k .J - ng permit maybe required by: -F6,, — J b (O asq Uf( ❑ See note on back regarding River Basin r I ncal Plannino lurkrlirtinnl n NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: ��� S ,,r,,,,, �,� Permit #: Date: 12 /Z k 12 o L (� Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or tempimpacts) FINAL feet (Antio!pated fin disturbance. Excludes any restoration and temp impact amount) Dredge ❑ Fill Both ❑ Other ❑ � i7 6 v ` Do Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge, ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both [] Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both Other ❑ Dredge ❑ Fill 171 Both 0 Other ❑ Payment Proccessing Confirmation Date Received 12/21/2016 Check From (Name) James M. Montgomery Name of Permit Holder Grady Simmons Vendor CresCom Bank Check Number 2027 Check amount $400.00 Multiple Permits No Major/Minor Permit Number/Comments GP 67956D Receipt or Refund/Reallocated SF/3483D AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Grady Simmons Mailing Address: 16 Wilmington Street Ocean Isle Beach, NC 28468 Phone Number: 910-880-4335 Email Address: glsimmons3(tyahoo.com I certify that I have authorized Jim Montgomery Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Install a Red -Rock retaining wall along the canal shoreline at my property located at 16 Wilmington Street, Ocean Isle Beach NC 28468 in Brunswick County. l furthermore certify that l am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property wn r Information: Signature Grady L Simmons Print or Type Name Property Owner Title CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Grady L. Simmons Address of Property: 16 Wilmington Street, Ocean Isle Beach, Brunswick County, NC 28468 (Lot or Street #, Street or Road, City & County) Agent's Name #: Jim Montgomery Agent's phone #: 910470-0006 Mailing Address: PO Box 1373 Murrells Inlet, SC 29576 I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. t� I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at httpJ/www.nccoastaimanapement.net/web/cm/staff-listing or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Prop ner Information) .Signahu e Grady L Simmons Print or Type Name 16 Wilmington Street (Riparian Property Owner Information) Sigllalln'e Neta Stephens Print or Type Name 1504 Jenkins Road AA.i/i— AAA—c AAnilinn drWroce CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Grady L. Simmons Address of Property: 16 Wilmington Street, Ocean Isle Beach, Brunswick County, NC 28468 (Lot or Street #, Street or Road, City & County) Agent's Name #: Jim Montgomery Mailing Address: PO Box 1373 Agent's phone #: 910470-0006 Murrells Inlet, SC 29576 I hereby certify that I own property adjacent to the above referenced property. The individual applying for this ermit has described to me as shown on the attached drawing the development they are pro ing. A description or drawing, with dimensions, must be provided with this letter. _ I have no objections to this proposal. !_ I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available athttp://www.nccoastaimanaaement.net(weblcmlstaff-listin or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION yI understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Prope ner Information) t, A W .Si,�rnuttrre Grady L Simmons Print or Type Name 16 Wilmington Street arian Property Owner Informatio w4u;�� Signature U Sheila Hancock Print or Type Name 1872 Oak Ilarbor Drive Mailinn drkiracc Mailinn Af*irpcc ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: (II'lllll I'II IIIII II II (II' I II�III IIII (IIII III 9590 9403 0474 5173 2832 10 2. Article Number (Transfer from service label) A. Signature X ❑ Agent _ ❑ Addressee B. Received by (Printed Name C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Expresso 0 Adult Signature ❑ Registered MaiITM O Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ Certified Mail® Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTM ❑ Signature Confirmation 7 015 0640 0000 5533 1237 t Delivery Restricted Delivery PS Form 3811, April 2015 PSN 7530-02-000-9053 Domestic Return Receipt ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return .the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1-.-Article Addressed to: ICL - -6W-0 CIA, OCA V, flv ( 0 0rbr: IIIIIIIIIIIIIIIIIIIIII IIIII IIIIIIIIIIIIIIIIII 9590 9403 0474 5173 2832 03 2. F 7CZ5 a64p—Ppapbeq X Agent I Is dellveryt ssglif�eif} 1 tem 1? CT%et If YES, erit live,, d0% low: p N0 \ &I 284kp i . 3. Service Type ❑ Adult Signature ❑ Adult Signature Restricted Delivery ❑ Certified MailO ❑ Certified Mall Restricted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery ❑ Insured Mail nl 5 5 3 nsured Mail Restricted Delivery - --- 122n ❑ Priority Mail Expresso ❑ Registered MailTM Cl Registered Mail Restricted Delivery ❑ Return Receiptfor Merchandise ❑ Signature ConfirmationTM ❑ Signature Confirmation Restricted Delivery DESCRIPTION AND / OR DRAWING OF PROPOSED DEVELOPMENT 1, Grady L Simmons located at 16 Wilmington Street, Ocean Isle Beach NC 1-8468, Will have the existing wooden bulkhead wall removed and replaced with a Red] -Rock retaining wall along the canal shoreline at property listed. Adjacent Lot Canal ' KJ✓Ut-KVl K WALL Adjacent Lot - - - - --------------- Wilmington Street linage: Reference Example Redi-Rock Retaining Wall installed on ;Monroe Street Ocean Isle Beach, NC. Locution: %tourw Strict. (heal 61c Beach No, 11mi, Sta1c: Lunc.touc '"-iii�ir_0 RepIxeti Bulkhead with Rcth-Rtkk CONTRACTOP ;00 W, T 1 ! .