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Home My WebLink About61120_STALEY, CHARLES_20121025r. D CAMA / 'El DREDGE & FILL i N O . 61120 GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 0 Rules attached. Applicant Name i ixl 6'q 9"`r It -g Project Location: County Address j ) tee:. r 4 .r ++� Street Address/ State Road/ Lot #(s) City ,.`a - prsa State ,'�C ZIP -477'" Phone # (� ') {'"�`f7K Fax # (} Subdivision Authorized Agent City_____ ZIP Affected J Cw C' Ew --i PTA DES ❑ PTS Phone # (_ _ _) ' I s '9 iS River Basin 1 OEA HHF El D UBA N/A `'" AEC(s): F7 Pws: ❑ Fc: Adj. Wtr. Body (nat /man /unkn) '�— ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body -- Type of Project/ Activity :o 1 (Scale: �. ) Pier (dock) length _ Platform(s) Finger piers) Groin length number Bulkhead/ Ri ra len h i P P length av distance offshore g max distance offshore Basin, channel cubic yards Boat ramp - Boathouse/ Boatlift - Beach Bulldozing lY-.^,e. rA Shoreline Length �� i SAV: not sure no Sandbags: not sure yeso --.-- Moratorium: n a es no; Photos: yes no Waiver Attached: yes no ' A building permit may be required by: Notes/ Special Conditions - i i 1 - ,—'- — — - —�'J _ , . , _ . � I_ -- - — —,' ----- '" ; "+`: `• ' <. E^j-J See note on back regarding River Basin rules. i Agent pliLaaVrinted Name t! Sign ture Please read compliance statement on ack of permit" Application Fee(s) Check # Permit Officer's Signature Issuing Expiratioh Date Local PlanningJurisdiction Rover File Name Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific 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 or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythatthis project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: J Tar - Pamlico River Basin Buffer Rules ❑ Other: _] 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 1 t�Y)4 c , ;Ai -,Signature , Agent ❑Addressee R el ed b Prin d Name) C. Date of elivery 4 � D. Is de'iveryaddre s c e'rent from Item 1? ❑ Yes If WS, enter delivery address below: o OCT 2 2 ?01? 3. Service Type * Certified Mail 13 Express Mail ❑ Registered 13 Retum Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7 011 1150 0 I101, 9669 7943 (!ransfer from service label) Ps Form 3811, February 2004 Domestic Return Receipt 102595-02.M-1540 UNITED STATES PQ.STA1—,9F.RVICe- .Prst-Gass Mail USIRS" • Sender: Please print your name, address, 'and '71P+A:'in't-his'66y' ,311,7 c K t) f 14,1 1 ScqJ�-cf-)A �L OCT 2 2 /012 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT DCM-Mom crTy ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Own Address of Property: (Lot or Street #, Street or Applicant phone #: (� / �i Mailing Address: 311 Z tj ' 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 have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. 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 lift 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Riparian Property Owner Information) Signature Signat Print or Type Name �%— Print or Type Name �311 Z /4"'c k,rl '� ",� A � �-- Mailing Address f w tA-('� r d 73 30 City/StatelZip Q V I q -- ' q 2z . 5 Telephone Number PO, & Mailing Address c�� ►�. �•C 2�sil C y , ate/Zip Telephone Number 0 .. 1 � )-z-- Date — / / Date s ) e-1,,4 i BACK So 1Oc .ry f,e CA- CISy ��;�� b Ct)M+a ( i� a .► y� r n ■ Complete items 1, 2, and 3 Also complete item 4 if Restricted Delivery Is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: p .,11 '�t��+ C-6 i A :� bo `al /k- � 10"6e—' k,-r ❑ Addressee Received by ( Printed Name) C. Date of Delivery I, D. Is delivery address di ferent,fr6m item if.' as If YES, e�tQr delive a low: UNo. sQ 11 DCM-MHD ciTY- 3. Service Type Certified Mail 0 Express Mail Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7 011 1150 0001 9 6 6 9? 9 3 6 PS Form 3811, February 2004 Domestic Return Receipt 10259s-02-M-1540 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • C, 7 t411cK ID 9330- �'�O/ ♦ a �►i a t 4 1 \t \ l \ ,t \ r K IW4 Le <<�+ 4,�,�o s �� rye �' k i Oo ry ee I - ct s -0e t e-frA; 6y r oc 2 zoiz CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: (Lot or Street #, County) Applicant phone #: �— `7 7 �' 7 7/ Mailing Address:. ' r l 0- _' of 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 have no objections to this proposal. I have objections to this proposal. S" K0XIVk" If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net(contact dcm.htm or by calling 1-888-4RCOAST. 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 lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wd�gm waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. OCT 19,2012 _f I do not wish to waive the 15' setback requirement. ACM-MHD CITY = : c e r- (Property Owner Information) (R' ar n Pro w r I mation) { Signature Sign ure (11 ['i r i- e c ' t�Y Print or Type Name TV Mailing Address 5a n �`� ; J , /V C- - 7, i Vic) City/State2ip Q I q q �` , L/ 71,z Tone Number 0 /l /' 2- Date Mlc-OffL tc Print or Type Name 2( s Mailing Addre s v oho � ZZSJ- `f City/State2ip 9 1 � -��0 Telephone Number lo/�'l iL Date � r c � ►►� pia ► 30' W � l zdE� l k 35 1 DU tL ry C, De + b Cvass (►�'I � n iiicEm OCT 19.2012 DCM--MHn CffY I �I v _ - CAN N n cab C d�S �- � f v - - At-- �4b L T C. v- N Q-- try Z ct, �'� a N�- -1 4 ✓h Cu dC-ev N et t-- 5 1 Ix,rh l� t�OGa b o c de r e-, ck wL�� boy e J J D , New- CA-Dr,4CIP-1/11i U P w e� �r & &�- c.Nt2 C..lL -to e- C, c� tj A i C (A C, ZL _s C) 14 �n tj IBC,- - +(o O Sek c�-Ib o v,) cap �el QS Q-I eLsj -�b Wwr I yy\C- vr� (\i 0, w � L � S. �U-, � L, � �l RBCEaM OCT_ 1.9 :2012 - DCM MHD CITY Current USA,lm. 1-800-848-2848 w—CurrentCalelo0.com Charles C. Staley 66-7704/2531 2 911 Melissa B. Staley 3117 Hickory Hill Drive S Sanford, NC 27330 Kea/c 'Pay to di ! + 11 rr�t `�j DT ult_S4-� ,, O,dera a V e ►�1 t o o /�� /J� Contains Secunty as • La(l Z/ Y \ 6'=—.4 )A •_,_�• ValLGY(-A LJ Fa Back.. 0etai15 STATE EMPLOYEES CREDIT UNION hocv IMP IL 6 t 13 5. �er (^�\ 1s 253177049111:08625 i6274311' 2911 �'1`PRINTED ON R—CIED ON PAPER USIN YEGETU.I.E BASED INKS`,