34260D - Hausen

li:7 34260—D
0: ,CAMA / DREDGE & FILL �,� ).•.
GENERAL PERMIT ate Previous permit# (v
> _'New Modification Complete Reissue Partial Reissue Date previous permit issued NA
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 15A NCAC 7 I/ , j ZC:
Rules attached.
Applicant Name /I V i�to R 6 Project Location: County _
Address I c. 4-1 ' F/-sA / ' 6/f'a • Street Address/State Road/Lot#(s) to 16/ IA/r.'f
City KV/e Rc - State NC ZIP 7g�q ! ! 4- . cc/ii, . /
[( tit in l P-�-- [ir)
Phone#( )LiS8 -7SrZ- Fax#( ) - Subdivision ( A ( >oT P+
Authorized Agent City V 1 L K1 ZIP L o
Affected G CW A]EW /APTA ❑ES E PTS Phone# ( ) LQ�p River Basin 0
AEC s : 0 OEA ❑HHF 0 IH 0 UBA L N/A Adj.Wtr. BodyII r ,
O ❑ PWS: ❑FC, rl G S (nat u kn)
Closest Maj.Wtr. Body M I Y f 6 � 0✓Q C 0✓,. �
ORW: yes / no PNA yes TWO- Crit. Hab. yes / no J I'
Type of Project/Activity b d IN 5 f r V t't i cw Of- t I O trI f n 1 Nock_
/ J/ (Scale: ( i f 2.() )
Pier(dock)length 7 X 17
1 i
Platform(s) 1
i - f .._._.... I 4
Finger pier(s) I} 504- &A,V �i
i I
Groin length I I i I , f ;—
number I f f I '
Bulkhead/Riprap length T^ : T 1
{{ ►t� j
avg distance offshore ! ; D Qd x J '�l}p�T►v �pC�(�.,_-�__ }
max distance offshore i- inn I 1
Basin,channel R
I , , f ' i , I
cubic yards !
Boat ramp IIMIL11 ' ! t (t -t__ k '_ ' 4- T ,
. ' '
Boathouse/Boatlift ; I
; , 1 . illi
Beach Bulldozing _ I
IIa� I '
Other " i j 7 `
( _ __.... 0 T o 1 �' j __.___
tt i
Shoreline Length ( ��_.. —• 1 *__.* ._..'
SAV: not sure yes „�f"
JpPo ,rtT ,
Sandbags: not sure yes no — I -
y ciII CI5-_I ; l . ,py
Moratorium: n/a es es no -- , I —4 illif al /1449'!! D/7 '>1 11`�(0 ��"
Y , lh1c j, f.
Waiver Attached: yes no - _
A building permit may be required by: `V VW [{ano V{fk LA - • I I See note on back regarding River Basin rules.
Notes/Special Conditions 00r6kr v al D 1'> ri S - co ryk p (i W ( -7 t-1 • I Loo G\S WQ1. G.S
ck I , ��i� �oC&l �ka'ft fe4-ercd r C u 1 Alic riS
ff Z 0 A-N5e-N
Agent or Applicant Printed Name /,'' it i 's ignatu
, �-1 '1- 03 I I- 8-03
/ Signature! """Please read compliance statement on back of permit" Issuing to Expiration Date
c3o; k Aivt9vi4 b-Dsola17
Application Fee(s) Check# Local Planning Jurisdiction 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 I)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,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 Other:
n 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(252-946-648I)or the Wilmington
Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-648 I
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker-Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
3 2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax: 91
Fax: 9I 9 733 I495 I5 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised 10/05/0I

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 14 /'lfr2rf /4s'e. .
ADDITIONAL NAMES:
AEC DESIG: C-14,, FT DEVELOP AREA:' a.o / PROJ DESC: P - /Z
(Will only take 6) (Will only take 1)
WORK: P R
(Will only take 4)
Ts- 8, 3y
MAINT:
(Will only take 4)
•
aw -- 3z
(will only take 6) , •
•
ACTION EXPIRATION
DREDGE&FILL REQUIRED: S - B 03 (I-g4-03
CAMA MAJOR DEVEL REQUIRED: g�$ 03 �l^8- 0_

1 '
,
--- =- ---;— — - .
�,l��
—_ / --/O-7 _8- • _ T_�/ z 7
=? d-!I"iod. r�-7r-v_/_- /Z --
- - -- --..Lfe'---- - -- --- .----_—_ ____---
y0' 17Y- z� d'G✓ r o� ------ - %�oe/--Y. /_!6/—/-V'o_�/_7(�.1SGc/
/moo'=i��'d'd� �d°At --- -- — - i d'.:77d_Qd'd_
i
„ "7 -I �?/b -C7Nb'i---/ Z -
it .
. , yr- e _ _,:1 ., , 11) . 0 --.---7---7----__. . .,... :
'Xol 07_ , - .
�; -
„a_� W--a- .o - ' . 66s zz
. .S_ /1!/.7/, -_,-/.70) a0Q (,,
( H*s:,z/_6.,,t___z_7__p_zi-i_ . ,.. 1
.y
_„, �, — / Li (M7w] a_Z . !6- al.�..z,�/9 ..
• _.
, • /; f
(�'° °/1-0 07 —i. ,-o-off- - 8 �"

4

1II7 T 7`ON OF r`O ^.•rz- a*,AGE*• -
` AfJ C 7 x?'z-I PRQP_II al iER Parr . -r ' iIDN f�;z
Name Of _individual Applying For Permit : �iQif/E �i9i✓��L-�it�
Address Of Property: /// ///L T Volia�
/G/�i�i/G Tod/ mot/C •2g 9
(Lot or Street r, Street or Road, City & County)
•
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,
should be pr vided with this letter.
I have no objections to this proposal .
T rim
i a• �- a
• Ti C Tl = 1- - l gm • a
r •• r i a a
a - '- • d l 1 o
davc - i
of r?ceint or I- i s notice No r snon sc
is considared tha lama
PR nn nhjer•ti nn if vnn haves hoar, nnti fi ad by ra,rti fi pM . mai l
WAIVER SECT_iON
I understand that a pier, dock, mooring pilings, breakwater, boat
house or boat lift must be set back a minimum disz. nce of 15 ' cram
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 1S ' setback requirement.
' •a
I do not wish to waive the 1 S see
tback requiremnt.
6/1)/6/1/ 1
Alan/ avp4-
Sin Name
La e
print Name
Telephone Number With Area Code
C. ?OJNA
=NV1R•DNM=h7 AND N::LIRAL

r,IVis7nN o F r2�ETA __Ku mac. EN7 -
• Z-��r_�'�Tt _ 2. ��' PR(Za:R^-y o .R RDIT:IF ICI Drufw ELA
Name Of Individual Applying For Permit : /, ',47,1/4 A./V/1 7
Address Of Property: // /D/,r/j .ZZ%)
/1//G ///1/G 2B f.
(Lot or Street r, Street or Road, City & County)
•
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,
should be provided with this letter.
V I have no objections to this proposal .
Tf von have objections to what is bPi n nronosPd, nl ease write the
nivi ci on of Coastal Managameni-, 121 Cardinal Driya FXrensipr,
Wilmington, North Carolina, 28afS or r'a11 9l [? '9 - 90o within 10
days of rer'Aint of this nnti c? _ No resnonse is ronsi d=rcri t ha Sam=
as no objection if you have bean nor, fi ed by C'Prri fi ed M?i 1
WATVrR SECTION
I -understand that a pier, dock, mooring pilings, breakwater, boat
house or boat lift must be set back a minimum distance of 15 ' -
'.rQm
my area of riparian access - unless waived by me. (If you wish to
waive the setback, you male,, initial the appropriate blank below. )
I do wish to waive the 1 5 ' setback requirement .
v 1 do not wish to waive the 15 ' setback requirement.
7AoA'g
Sim=_
L.egPP
pr Nam_
at ,�
yip -_3i3 j 7 ,wit r
Telephone Number With Area Code
NCDENR
.. =NV R'N!!=hT AND N.:UR&r.

Bank nfgntet'icaAd►'antageT"
ARNE H. HANSEN
TRANCES J. HANSEN
P.O. BOX 289 910-458-7512
331 FT. FISHER BLVD.,S. 6302
KURE BEACH, NC 28449/
30
Pay }/ C _ ,, / D e a .,j/O 3 is�518 6
to"the order of � /�' /e 18�
G $ l6 " c)
Bank ofAmerica.`` Oa
Do/arc a 4*--
ACH R/T 053000198 I� ...,,4
Memo s3 ,01 P 3� 21 t:, ,i
1:053000 196' ___..eci?-4._.... .._5.-!--,_62;21t,urgQ44,__.(4-'000 18 368 3 9 78u' 6 30 2 -