Simmons, Daniel 84334C

0 1*°``°A`V CICAMA ❑ DREDGE & FILL M) 84-334 A B C D
Previous permit
i 3 GENERAL PERMIT Date previous permit issued
J
New ❑ Modification [-]Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ❑ Rules attached. ❑General Permit Rules available at the following link: wvnv.deq.ncgov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: Yes/no
Type of Project/ Activity
Shoreline Length " I
,i
Access Length �) �� ),� )ii L w ._ _...
I
Pier (dock) length q r'Mf _ -
�/
Fixed Platform(s)
Floating Platform(s)
_.
Finger pier(s)
Total Platform area
Groin length/#
--'
—
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length"
V
Basin, channel
T-
--
-i
Cubic yards
Boat ramp
i
Boathouse/ Boatlift
?
j
Beach Bulldozing
Other 1` yGi; . I
"+
SAV observed: yes 'b
Moratorium: n/a yes o F
Site Photos: yes t
Riparian Waiver Attached: yes no-
6 '
A building permit/zoning permit may be required by: J :(
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions ' I - )
l
} �14/ �� t LC 1� l(l Y ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's, PRINTED Name
Signature "Please read compliance statement on back of permit" Signature f
Application Feels) Check #/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules F] Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

-oN%°``°"Sr4lI EICAMA ElDREDGE & FILL Na 84334 A B C D
J Previous permit
y 3 GENERAL PERMIT Date previous permit issued
New ❑ Modification [:]Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email Subdivision
Affected ❑,CW
AEC(s): ❑ OEA
ORW: yes/no
❑EW PTA
❑ IHA ❑ UW
PNVyes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length `
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
❑ ES ❑ PTS
❑ SPIMA ❑ PWS
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
k)
[Scale.,,'` )
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no — - -- -- t -
Riparian Waiver Attached: yes no -
1
A building permit/zoning permit may be required by.
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signat re s
Application Fee(s) Check #/Money Order Issuin Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules F] Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

Styron, Heather M.
From: David Anderson <[e-mail]>
Sent: Tuesday, October 26, 2021 3:39 PM
To: Styron, Heather M.
Subject: [External] Permit #79617 Renewal / Modification
Attachments: 2021-10-26_151824.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hey, Heather.
We're doing the dock for Mr. Simmons at 2304 Country Club Rd. in Morehead. He
already had obtained a CAMA permit for it, but it just expired about two weeks ago.
We're looking to get a renewal, as well as have it modified to reflect a floating dock.
I've attached the paperwork - expired permit, plans for floating dock, and ARPOs for the
addition.
Let me know if you need anything else or if there are any issues.
Thanks!
Ashley
5568 US--70, Suite C
Newport, NC 2 570

www.ezdocksolutions.com
www.nautimetal.com

CA A / ❑ DR erm A FILL N9 79617 A B D
ENERAL PERMIT Previous permit #
i ' evv []Modification 0Complete Reissue CPartlal Reissue Date` p evious permit issued
As authorized by the State of North Carolina, Department of Environmental Quality r
and the Coastal Resources Commission in a • rea of environmental concern pursuant to I SA N. ]]] (((
Rules ched.
Applicant Name_ _ Project Location: County
Address
City f_i
Phone #
Authorized Agent
1 W A 0 ES C PTS
Affected
AEC(s): 0 OEA
O HHF 0 fH ^ UBA J N/A
ZIP
Street Address/ State Road/ Lot (s)
Siihrllvicinn !�1 m. i.
City I.
Phone #
Adj. Wtr. Body_- / f1
Closest Maj. Wtr. Body

q
SFt

,,
>.
•� t

DIVISION OF COASTAL
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
�, t•r: 777: 1
f
WAWER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or dprep revetments), (if you wish to waive the setback, you Myg,419n
the appropriate blank below.)
Signature of Adjacent Riparian Property
Revised May 2021

I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMVAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion is be completed by owner or their agent)
1 hereby certify that I own property adjaoent to the above referenced property. The Individual applying for this
permit has descrjbed to me, as shown on the attached drawing, the development they are proposing. A
DO NOT have objections to this proposal. I DO have objections to this proposal.
If yod have objections to what Is being proposed, you must notify Me N.G. Division or coastal
Management (®CM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. ®CM representatives can also be contacted
at [phone]. No response Is considered the same as no objection If you have been notified by
Certified Mail,
1
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you Must slgp
the appropriate blank below.)
I DO wish to waive somelall of the 16 setback
of AcUacent Riparian Property
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
Mailing Address of ARPO: ...:312UO2 :1C2 ;�t e2j! 4 , //
ARPO's Phone#:
Date, !!f*waiver Is valid for up to one year from ARPO's Signature*
Revised May 2021

0