Simmons, Daniel 88361C

d"str NCAMA El DREDGE & FILL
tj GENERAL PERM17
❑New ❑Modification CA
Complete
As authorized by the State of North Car*Z m Oapartment of Envlronen
I SA NCAC 5 "�• 542 - - ❑ Ru
No 88361 A s 6
previous permit TqnL-J
Date previous permit Issued i 1 %)� ;
❑ Partial Reissue
R,,,,, s Con ms ion in an area of wMmmr entai concern pursuant to:
eral Permit Rules available at the follovdng link: ,••••�.•�^ •,�,..,.a-....�N•.JreM.e� Alec
�a
Affected! NCW
ES
pTS
Adj. Wor. Body ..
[I UW
EClosest
Maj. Wtr. Body
Clawl b ..t.
Type of Project/ Activity
Shoreline
Access Le
Pier(docl
Finger pleQs)
Total Platform area
Grolnlength/10
Bulkhead/ Rip2p length
Avg distance offshore �•�
Breakwater/SIR
Max distance/ length
Basin channel
Cublcyards-�'"'
Boat ramp
Boathouse/ Roatifft
Beach Bulldozing_.,-�—�*
other J0120 (j,Yg�L=aieS6 jA5
SAV observed: - yes
Moratorium: Us yes
She Photos: yes
Riparian Waiver Attached: yes
A building permit/zoning permit may h'e required to s _ [] TAR(PAMjNEUSEMUFPER(circle one) -
Permit Conditions t
,,..' El see note on back regarding River Basin rules
-- See additional notes/conditions an back

"`°°`r4 NCAMA ❑ DREDGE & FILL N° 88361 A B �D
tA a Previous permit Tq 33�
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.de nc gov/CAMArules
Applicant Name ' K Authorized Agent ��'/p��� V
Address — _ j'� ry Project Location (County): c a
City e State ZIP St re tAddress/State Road/Lot#s)
Phone #V,) —e 'A.A
Email Subdivision
City ZIP
Affected SW W PTA ❑ ES ❑ PTS Adj. Wtr. Body ,/� - it/ an/unk)
AEC(s): ❑ OEA ❑ IHA' ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr, Body I Ct A_Za I.
ORIN: yes/© PNA e o — W—
Type of Project/ Activity
(Scale: )
Shoreline Length ' r
Access Length
Pie, (dock) leng
axobed Platform(s) r • �--p
Floatin Platfor (st)
Finger piers) t, J �[S �-CA/ �
Total Platform area -Age ecly��Inj
Groin length
Bulkhead/ Riprap length o '
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubicyards--�'
Boat ramp 1
Boathouse/ Boatlift
Beach Bulldozing
Other ry--CA
SAV observed: yes o
Moratorium: n/a yes (n.Site Photos: yes o
Rinnrinn Wnivpr Attnrhpd- vac n
I AM AWARE OF STATUTES. CRC RULES AND CONDITIONS THAT
or Aoolicant PRINTED Name
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
Initial)
Signature compliance statement on back of permit'��.,
AppTication Feels) Check #/•/JMoonney Order
Date

titer .-vim v
o(O�rrq� LAMA ❑ DREDGE & FILL'
vc �U To 84334 A B �
Previous permit
ENERAL PERMIT �`I� � p P
J S C
xDate previous ermit issued
New ❑Modification El Complete Reissue ❑Partial Reissue
As authorized ythis State f North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
ISA NCAC �Htt`ko ❑ Rules attached. JJ General Permit Rules available at the following link:wwwdea.nc&cy1CAMAnrles
Applicant
Address_
City
Phone #
Email
Affected NCW
AEC(s): ❑OEA
ORW: yes/0
Authorized Agent _< T CI.
Project Location (County):
ZIP Street Ad4re;s/State Road/Lot #(s)
INEW PTA ❑ES ❑PTS
❑IHA ❑UW ❑SPIMA ❑PWS
Type of Project/ Activity
Shoreline Length
Pier
Length _
Pier(dock)length
Fixed Piatfgrm(s) 6LVY1iN�
Finger pier(s)
Total Platform area ' '"7�J
Groin length/# ' —
Bulkhead/ Riprap length
Avg distance offshore --
Breakwater/Sill
Max distance/ length ^
Basin, channel '�'
Cubic yards"---
Boat ramp'
Boathouse/ ath
Beach tB+unlld'o'zi`ng
Other1' rev >_ iO
.A1., n:X A
SAV observed:
yes
Moratorium: n/a
yes o
Site Photos:
yes o
Riparian Waiver Attached:
yes o
A building permit/zoning permit may be
Permit Conditions
by:
APPLY TO
Subdivision
City
Adj. Win Body
Closest Maj. Wtc Body
, 0`-
'I13tligo/a-a`�Q/�
IM,
m
t xa14b'
RECEIVED
MAR 0 8 2022
! DCM-MHD CITY
❑ TARfPAM/NEUSE/BUFFER (circle one)
r�� ( ❑ See note on back regarding River Basin rules
t ❑ See additional notes/conditions on back
Si nature 64 ase read compliance statement on back of permit--
3

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. �Pi�1\tom . S\� >.ti ll�Lys
Address of Property: ZZ
Mailing Address of Owner. 531 "\rg,N -zw. I l�4C iC-IIA1 �`
Owner's email: td P;v4wh C1ees Phone#: l rL5 t1 �y2-y�5$
XII
Agent's Name: Y \`t C al ! Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Ownerl
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
I DO NOT have objections to this proposal. I DO have objections to this proposal,
IF you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing withln 10 days of receipt of this notice. Correspondence should be
matted to 400 Commence Ave., Morehead City, MC 28557. DCM representafhres can also be contacted
at [phone]. No response is considered the some as no objection ff you have been notlNed by
Certffted Mail.
WAIVER 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 riprep revetments). (If you wish to waive the setback, you must slan
the appropriate blank below.)
I DO wish to waive somelall of the 16 setback
-OR- Signature of Adjacent Riparian Property Owner
I do not wish to waive the 16 setback requirement pnlital the blank) �.
Signature of Adjacent Riparian Property
TypediPrinted name of ARPO: C)LI U t tWWL9 `'-
Mailing Address of ARPO: 5-12 Q&A n W , UOV-e_MC&el C Lt t IVL
ARPO'semall:RlQ-WP,IPa/ftAYYtftl.t(•CM ARPO'sPhone* 252-24I-8494 RECEIVED
Date: 012512I Mratver is valid for up to one year from ARPO's Signature*
Revised Mdyl.261 g 2022
DCI,p_MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
Mailing Address of Owner: cyN
Owner's email: ApiadES Owner's Phone#:
Agent's Name: Agent Phone#:
Agent's Email: E✓T1��y�\a�4LYl`� r ��U�`(�>•C C�1
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. Thu Individual applying for this
permit has descr bed to me, as shown on the attached drawing, the development they are proposing. A
DO NOT have objections to this proposal. 100 have objections to this proposal.
If you have objections to what Is being proposed, you must notify the N.a. urwsion or coasrar
Management (I)CM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the some as no objection If you have been notified by
Certified Mail.
WAIVER 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 riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Ow
per
no
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO:
Mailing Address of AR PO: 2i7 CAL *% , 7— ;e"&1,-161r1
ARPO's Phone#:
Date:/ Z *waiver is valid for up to one year from ARPO's Signature*
Revised
MAR 0 S 2022
DCM-MHD CITY