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.
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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 ! .