86841A - Stager, Dave & Bobbie

@CAMA ❑ DREDGE & FILL N° 86841 (A)B C D
GENERAL PERMIT Previous permit
a Date previous permit issued
I'nNew [-]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.d .nc. ov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County): D n !,
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email i (, V✓V Subdivision (c
City ZIP
Affected ❑ ON ❑ EW P 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
B
!
I
(Scale:W ?;�)
Access Length-
Pier(dock)length{
-\
!---
Fixed Plafform(s) I
I
r
r
_
_
n,
Floating Platform(s)
f;M
Finger piers)
_V �(a,
Total Platform area
Groin length/#
length
-
-
--
—i
- •
1 .!
�.+
Bulkhead/ Riprap
Avg distance offshore
Breakwater/Sill -
i '_
��
YYY{
Z
�+
71
i jY,'--
J
Max distance/ length
Basin,
channel
Cubic yards
I
i!1
u
s
`�IU_
Boat ramp
Boathouse/Boatlik�
I
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: -yes no
Riparian Waiver Attached: Yes no
J A building permit/zoning permit maybe required by: IUTAM fat o V`F'�-a
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 Feels) Check N/Money Order Issuing Date
Expiration Date

RECEIVED
JAN 17 'ZOZ3
AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
DCM-EC
Name of Property Owner Requesting Permit: Dave Stager
Mailing Address: 95 Poteskeet Trail
Southern Shores, N.C., 27949
Phone Number: 1 c (� % c) C t
Email Address: [e-mail]
I certify that I have authorized Millstone Marine Construction
Agent! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Consruct anew bulkhead, 8x12 dock with 4' over water and a 012 lower dock over water
at my property located at 95 Poteskeet Trail
in Dare County.
i 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:
f
Signature
Dave Stager
Print or Type Name
Owner
12 i 6 / 2022
Date
This certification is valid through 5 1 31 i 2023
Revised Mar 2016

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NQTIFICATION FORM
CERTIFIED MAIL -RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to Dave Stager s
(Name of Property Owner)
Property located at 95 Poteskeet Trail
(Address, Lot, Block, Road, etc.)
on Currituck Sound , in Kitty Hawk N.C.
(Waterbody)
(CitylTown and/or County)
Agent's Name #: Millstone Marine Construction Mailing Address: 201-A Etheridge Road
Agent's phone #: [phone] Manteo N.C. 27954
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
dock with 4' over water and a 4x12 lower dock
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangementneticontact_dcm.htm or by calling 14884RCOAST. No
response is considered the same as no objection it you have been notified by Certified Mail.
(Property Owl�er info ation)
Slgnatum
Dave Stager
Print or Type Name
95 Poteskeet Trail
Mailing Address
Kitty Hawk N.C. 27949
City/slate210 —i
Telephone Number
I';- '7,c
(Riparian PropeiM Owner Information)
signature
Mark Batenic
Print or Type Name
97 Poteskeet Trail
Mailing Address
Kitty Hawk N.G. 27949
City/state2ip
SN7-a,71-0319�
Telephone Number
IzIZ,IfZZ.
Date Date

RECEIVE)
DIVISION OF COASTAL MANAGEMENT
_ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to Dave
(Name of Property Owner)
property located at 95 Poteskeet Trail
(Address, Lot, Block, Road, etc.)
on Currituck Sound in Kitty Hawk
N.C.
(Waterbody)
(CityfTown and/or County)
Agent's Name #: Millstone Marine Construction Mailing Address: 201-A Etheridge Road
Agent's phone #: [phone] Manteo N.C. 27954
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must BIl In description below or attach a site drawing)
with 4' over water and a 412 lower dock
• Y---.- uufat:uurns to wnan rs uemg proposea, you mustnotffy fhe Division ofCoastarManagemem
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangementneticonfaet dcm.hfm or by ea..ng 1-888-9RCOAST. No
response is considered the same as no objection If you have been notlged by Certified Mail.
(Property Owner Info at-ioon)
signature
Dave Stager
Pnnt or Type Name
95 Poteskeet Trail
Marimg Address
Kitty Hawk N.C. 27949
Cdy/Stateap C1
9).- Lt S S- 1—i(: ( i?
Telephone Number
Ia- 7
Date
(Riper Property Owner I rmation)
Sign re
Michael Lancsek
Print or Type Name
93 Poteskeet Trail
Mailing Address
Kitty Hawk N.C. 27949
City/statalzip
zc-�-03Z-
Telephone Number
Iz/7/2�
Date
JAN 17 1013

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