87806_Benjamin Patrick Simms_20220706

itr°1"°" %fCAMA DREDGE & FILL --P'-'S N. 87806 ABC D
I GENERAL PERMIT q 110. Previous permit
3 ��t Date previous permit issued
n New n Modification n 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 --i " r L`''`) I I Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name B.e h z n Authorized Agent i
Address 'i 11'+.o G�'nj-r'': 'i: ,. Project Location(County):
City .1/-=r Y-'nt State ;-I L:-- ZIP - C:) Street Address/State Road/Lot#(s)
Phone#0 5 2-)131 z{' _ � 5-cc -*.
Email Subdivision
City ZIP
Affected I I CW n EW I I PTA ES n PTS Adj.Wtr.Body I%:•'-'�'• .-_' -1; (nat/man/unk)
AEC(s): I I OEA n!HA In UW n SPIMA n PWS Closest Maj.Wtr.Body-J - i K-
ORW:yes/no PNA:yes/no
Type of Project/Activity -1 -., , X. K-) :r ,,. t , =--•
r
(Scale:I 38 f )
Shoreline Length
Access Length 4 ._ --
Pier(dock)length ,fir. rt aA�,
Fixed Platform(s) ' 1 1
-.._-I- _ i i.......... .- _..._ .. _ .....-..._. ._....-- - - ... ._............_.. --
I.
Floating Platform(s) I i 1 I i .}
•
}_ �— i _
Finger pier(s)
Total Platform area It-
Groin length/#
i ,
_ _
Bulkhead Ri ra length r --
Avg distance offshore 1 - rt— ;
` 0 !'*.X
Breakwater/Sill - ! `13nrk� t-c j
Max distance/length ° ° I
Basin,channel __ Y _ • _ _ ,
j__. f_ _.t ? I. j . . i ,
Cubic yards ) -__-
4=, rt ( P(A -fi:aA^� I
Boat ramp >>,, -r r.1 t` :/2 7 e.r, /.,.(9 ,_: -f_ . /t•,
Boathousel,Boatlift ) 1 \, `$ 1 , n9�I 'tea
y1'
Beach Bulldozing � F.� , ,:,_ r r
� P -
Other t'� In 1 AI ��' tia
t-i 4 r
SAV observed: yes no '..t___.. 4 dp i ;I 1 ♦+i2 c
Moratorium: n/a yes .o t r'
Site Photos: yes 4613 .... . ..... — -
Riparian Waiver Attached: yes 411111CP
A building permit/zoning permit may be required by: -. EC-cn�-on-r C<),.
Permit Conditions ,{ n TAR/PAM/NEUSE/BUFFER(circle one)
'1 l t'' ,.. . V
. ; _ n See note on back regarding River Basin rules
nSee 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) '
iPI L/4 `I
Agent or Applicant PRINTED Name Permit Officer's PRINTED fame
.i
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) 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:
Tar- Pamlico River Basin Buffer Rules 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext. Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

c °``°Asr"`,� I__ICAMA I DREDGE & FILL ) - ' N9 87806 ABC D
s 9? GENERAL PERMIT Y•' �� 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:
I 5A 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
City ZIP
Affected I I CW EW PTA ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA I I IHA UW SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:
Shoreline Length _ _
i
Access Length - I i
I j 1 `
Pier(dock)length 1 I t
Fixed Platform(s) )
j
9 1 i 1�._
Floating Platform(s) I { I }�
Finger pier(s) "
i. ..........
_ hit I Ii V
Total Platform area ! ,.. . i ,Groin length/# - j * I
Bulkhead/Riprap length I
Avg distance offshore H.------- '
4.0
Breakwater/Sill — "__ I • i �F,"� r 4-} i
Max distance/length
' JAL r , 4..
Basin,channel
i
Cubic yards ` it.
I
Boat ramp
Boathouse/Boatlift ',44.
; x ,.,• ,�..r.{ �..:.t' L, , 1 Ii
Beach Bulldozing �.>.. ] A:
�, . r'- nJr -.* .
Other t-s=-' �"1 , .) , . . �=`
,{
SAV observed: V es no ; ._. ._
Moratorium: n/a yes no 1 r •
Site Photos: yes no ..._... ._..._..—_ t._...__ �..-... _
Riparian Waiver Attached: yes no I. I I ! _ I .
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** Signature
Application Fee(s) 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:
Tar - Pamlico River Basin Buffer Rules 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie,Camden, Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

©a
NCDENR
•
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H.Gregson, Director William G.Ross Jr.,Secretary
Date 1-1 -E- to
Name of Property Owner Applying for Permit:
eetn?-mite 1 'air ck Smil-S
Mailing Address: J)
q( 7& r-0hienPnern /n
bcf 2c6530
I certify that I have authorized (agent) A—Wadi Aid vtt- (A4 LAblto act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) 050J 41- A les
at(my property located at) $$ / G3 1ovka °NEI.3 rd &Crin 1UL 2,7c6
This certification is valid thru (date)
• 4r/9 7,7_
P perty Owner Signature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone]\FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity\Affirmative Action Employer—50%Recycled 1 10%Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �/1 pc444. Scw 5 's
Name of Property Owner)
property located at 5 G i TS lc,r,c.i. oc
tto
} _ (Address, Lot, tAlock, Road, etc.)
on 11Lc r-h�.erl f , in k, , N.C.
(Waterbody) (City/Town and/or County)
The applican has described to me, as shown below, the development proposed at the above
location.
WO I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT_._ . 1` .'' c �. 'tr drawing)
.� =. . �� ate, '
114;IC'' - L / iv t
t
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
-----7
W M I do not wish to waive the 15' setback requirement.
(Property ner Information) (Adjacent Property Owner Information)
% ai-4- ------- (24,<L,rie lb. CSaAi‘et W L.iti ..11-t,(0.4-1
ignature Signature* -
Print or Type Name Print or Type Name
5-6/ Is/G,,,c1 r'1t,,,) A•i! 1 DO irc.;,n ?lac- L
Mailing Address Mailing Add/ess �1
6, AJ 2.7 X0K A-1-e i ikV\ r G 2 l(P c q
City/State/Zip�) _� ) C /(A�i) £ 1 d — �IP j (D
p
ZS?,
Telephone Number/email address Telephone Number/email address
f .30-21 a . Z Zi
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Roo t� PC4.r(c14 Si-evtietn.5 's
Name of Property Owner)
property located at (r; I Is 1,.4,,), oc.&,,} 1Z.c
(Address, Lot, 9lock, Road, etc.)
on i c r;t1g/L, , in hstk , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
/ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
pb ate.
Q��� ��►'
LJJ) IL'
ri
2'
__... ,
,c...„ , s./.
..;
,c,3
,...,....,.
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
•
I do wish to waive the 15' setback requirement.
/ ! do not wish to waive the 15' setback rcquirern6nt.
(Property 0 ner Information) (Adjacent Property Owner Information)1A7------
d44-
Si'nature S a ure*
h`�,. n 44)/ w Jr�.00S s, A ,�
Print or Type Neale Print or Tyn Name
c1, j •L 1,4.-,i uu). Rd (4:1 7 1--vy laN ye
Mailing Address-1AA, 27�cn1 Mailing gddre�s/� � X `�7v2 i
� (y1 oc- S v
City/State/Zip City/State/Zip
ZSZ — 5'I -s 5'7 r'hu)fveyazi4J.4'e _
Telephone Number/email address Telephone Num r/email address
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*