51941D - Simmons

LAMA/ ❑DREDGE & FILL e`
iFNERAL PERMIT Previous permit#
Clew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
)astal Resources Commission in an area of environmental concern pursuant to I SA NCAC 2hi. I t e2 a
L;i.eeles attached.
Name k/ /�D ,,�r,TT 5, fn..in e f Project Location: County}.gi,,'s',WiCt
0 0 0 R C rj C 2/Ct>c '-,, ',r , 1 Streetress/State Road/Lot#(s) 3yd �,, 77
r ie ii. State t"C ZIP 2- b�'jo 42 Cu(. V e
( )7s`y- yx Fax#(_) Subdivision
d Agent CAii /fj /9g io n
City L� G L/ Vi ff ZIP 2 7 9
❑CW I ,EW —PTA C4ES ❑PTS Phone# ( ) River Basin 46/,
❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.' Wtr. o r/
❑PWS: ❑FC: BdyGer, �c6ii1 �/ ter v { )11
'es o - PNA yes /? Crit.Hab. yes / no Closest Maj.Wtr. Body /9/ k1/
Project/Activity �d1 S .l 97 L/ 1'7/ 7 U X is 71,,,,,r fa r vir, ie A''VD e C..e*
/ (Scale:/ .
k)length G)c i1I,rf / j_ST'12A,70 /4'x2 '
i
0 - , , . /9 1 i I I
:r(s) I i
gth ..-....... 't © Ciie L'ofLQS /F-6II/ C(ii1 ,V v ''''.' -or'-'
iber 1
/Riprap length ( Ii +
distance offshore ! —
I
! i
:distance offshore ,�Jt r ` j
trine! i
is yards
P
Boatli)/� X I- , • -- —
Ildozing — +------
-,x/31, .2.2.-.1)4y ! : Pr. ilinir"
Length .iv :1j4-!: a Sc•�aZr .l,G y... .......-.-._—
notsure yes Apr. - ,
: not sure yes
I
um: n/a yes doli ®■ ,
yes J - -v,e
r
,ttached: yes , '
Ig permit may be required by:I d(qw.(Ci//ck Co.r'T)r See note on back regarding River Basin I

66-112/531
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07 07:04p Charles Maree 910-842-4049 p.3
grili
NCDENR
No.fth Carolina Department of Environment and Natural :Resources
Division of Coastal Management
lichael F.Easley, Governor Charles S.Jones, Directo• William G. Ross Jr.,Sr
Authorized Agent Consent Agreement
CI• rks f .ee is hereby authorized to act on my beh
(Frinted Name of Agent)
rider to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to
:cific activities described in the attached sketch.
CATION OF PROJECT:
3 O ,ER„, rr-s ea VE
,3o/,vi4, Arc a z5.4.2 a
:OPERTY OWNER MAILING ADDRESS:
0 0 e l-�EDE7 /cam. T.e,G.
S4pdz,y AId a's d
PHONE NO. ?S`f 9 V 9J
ITHORIZED AGENT MAILING ADDRESS:
ir'lC`r /1.6 rce---
up p 11 NC, zV/b 2
PHONE NO. [n la UtSS
nature of Property Owner. sD<-rn�v, /

07 07.05p Charles Maree 910-842-4049 p 4
• P.�
:UN.24.2005 2;41PM NCIENR WIRO NO.p58
DTVISIQa;r QF COAST 1I AGE EI
ADJACENT RIPARIAN PRQPFITY O3VNER NOTIFICATIQWWA1Y FQ_i
Name of Individual Applying For pexmit Z/,vv A 41P.
Address of Property_ 4.2.4 �O✓� -
(Lot or Street#,Street or Road)
v/i ✓/. i% a?S .
(City and County) - -
I hereby certify that I own property adjacent to the above-referenced property. The in.div'tclnmt
applying for this permithas described to me as shown on the attached drawing the developmentthey
- are proposing: A description or drawing, with dimensions,should be provided with this letter,
✓ I have no aft ections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within ID days of receipt of this notice. 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,breakwater,boathouse or boat Lift must be set
bck a minimum distance of appropriate blank below.)unless by me. (If you
wish to waive the setback,you must initial the
Ida wish to waive the 15'setback requirement
I do not writ to waive the 15' setback requirement
sign ne Date
•
Print Nafne -".,����.►
9/ti - .370 9'51 NCDENR

07 07:05p Charles Maree 910-842.4049 p.5
';UN.24.2005 8:41AM NCDEHR WIRO ND. '..
DIVISION OF COASTAL MANAGEMENT FOB
ADJAC NT RIP OPF'.R OWNER 140 VER
For Permit ,t /f 4eirr ifiinv.c1s
Name of Tnsiividtael Applying Address of Property: /de.�� ✓�
(Lot or Street#, Street or Road;
(City and County) _ _. .
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=ached.drawing the development they
are propcsing: A description or drawing, with dimensions,should be provided with this letter,
I have no objections to dais proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, I37 Cardinal Drive Extension, Wilmington,NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no obj ection if
you have been notified by Certified Mad..
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set
bck 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.)
1 do wish to waive the 15'setback requirement
I do nor t wizh to waive the 15' setback requirement.
5;1.N•rne • bite
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