Simmons, James 88872C

1°j COAS4, FILAMA ❑ DREDGE & FILL lNO 88872 A B c D
_ffit
GENERAL PERMIT Previous permit
J• 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
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
Access Length
Pier (dock) length i
• , }
._
Fixed Platform(s)�-
I
I
j
I
i
Floating Platform(s)
:
-
-
}t
E
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
--
-
-
-
-
--
- .
e.-
w
-
, - --
Max distance/ length
/
!
Basin, channel
I
Cubic yards+'
Boat ramp,
Boathouse/ Boatlift
I
l
Beach Bulldozing
F
;
Other
t
_
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
LLI±
Riparian Waiver Attached: yes no ,:
'
p
A building permit/zoning permit may be required by:
❑ Permit Conditions TAR/PAM/NEUSE/BUFFER (circle one)
❑ 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
Date

It- °``°Ar"1�❑CAMA ❑ DREDGE & FILL N9 88872 A B C D
o�
y GENERAL PERMIT Previous 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 _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
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
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit maybe —y—­..r.
Permit Conditions',
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ 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

Styron, Heather M.
From: Hall, Wayne P
Sent: Wednesday, December 14, 2022 3:17 PM
To: Styron, Heather M.
Subject: FW: [External] Barry Simmons Permit Application
Attachments: Barry Simmons Cama App.pdf
From: [e-mail] <[e-mail]>
Sent: Wednesday, December 14, 2022 11:17 AM
To: Hall, Wayne P <[e-mail]>
Subject: [External] Barry Simmons Permit Application
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Wayne,
Please find the documents to obtain a general permit. Let me know if you need anything else.
Doug
I)oug &Amanda Banks
Coastal Boat Lift Repair
252.635.8494 Doug
252.671.1196 Amanda
Visit us online www.coustolbootliftrel)air.corn
Review us on
LEAVE US A
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REVIEW!
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: James Simmons
Mailing Address:
230 Shoreline Dr
New Bern, NC 28562
Phone Number: 602-791-7829
Email Address: [e-mail]
I certify that I have authorized Coastal Boat Lift Repair
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: boat house wimetai roof
50' concrete dock with 20' platform; 5'x16' sure step lowered kayak platform;
at my property located at 230 Shoreline Dr New Bern, NC 28562
in Craven County.
l furthermore certify that I 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 Owner Information:
Signature
simmoas rs riAN�v� si,�Mv�Js
Print or Type Name
??( t'42'
Title
�-�-
Date
This certification is valid through /

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION)WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: .lames Simmons
Address of Property: 230 Shoreline Dr New Bern, NC 28562
Mailing Address of owner: 230 Shoreline Dr New Bern, NC 28562
Owner's email: barrysimmons69@gmail,com
Owner's Phone#: [phone]
Agent's Name: Coastal Boat Lift Repair, LLC Agent Phone#: [phone]
Agent's Email: [e-mail]
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. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawino with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
►f you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) 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 same as no objection if you have been notified by
Certified Mali.
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
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) gf�
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO:
Mailing Address of ARPO: 2 32 5cj€Vk—
ARPO's ernail:y�(Jr c� lC� W)�(L}4RPO's Phone#: C '2 Z^�
Date: /0 6)EC°.ZZ `waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: James Simmons
Address of Property: 230 Shoreline Dr New Bern, NC 28562
Mailing address of owner: 230 Shoreline Dr New Born, NC 28562
Owner's email: berrysimmons69@gmail. cam Owner's Phone#: [phone]
Agent's Name: Coastal Boat Lift Repair, LLC Agent Phone#: [phone]
Agent's Email: [e-mail]
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. 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.
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 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 m t sign
the appropriate blank below.) 1
I DO wish to waive some/all of the 15' se k
-OR-
Signature. f djac nt Riparian Property 6w er
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: --A�n t
Mailing Address of ARPO:�v\k r t V+�1�.� ; 2,1,n
ARPO's email: �rv1 Li �r5 G�Cnc•Asy�' pRPO's one#: 705 f�7 t "3r� S
Date: '2..-2— 'waiver Is valid for up to one year from AR110 O's Signature` j
Revised July 2021

Barry Simmons
230 Shoreline Dr
New Bern, NC
Shore Line
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