79875_Mark Hansen_20210805

S©LAMArnDREDGE & FILL
�D i _(�O� (,� O '�(�875 A C D
G NERAL PERMIT �J_I t Previous permit# .4...-/
��--% INNew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued A./4
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 6 7 /. ` (172
�l /�' ❑Runes attached.
Applicant Name /l'"r1 /-/- ire'ri Project Location: County /i-'-z-,.,/ /
Address 1`),../2 LJL, //c ✓4 a: Street Address/// State•Road/Lot#(s) L / 1.7
City >/,li/,ufG State/" ZIP 753& /,�.4 crl� -il P!`� ,-
Phone#(9/)r.2.2, -126 E-Mail ---`—""�` Subdivision Gi/.'7/jq y'r / ' /a-`r`-'%
Authorized Agent /' .'rl 1.%fe.A City /`='/1r,.,h ZIP 7///J
, - � � ,vim
❑CW ®'EW ©"PTA ❑ES ❑PTS Phone# (- `---)'`-- River Basin /:- /'�/ .
Affected ❑OEA ❑HHF ❑tH 0 UBA ❑N/A /
AEC(s): Adj.Wtr. Body /� ^s 'C.'-, (nat /man /unkn)
❑ PWS: •
Closest Maj.Wtr. Body --e'•--
ORW: yes / no PNA yes / no f -�' .
, i Type of Project/Activity `1 n ./.cr • /2 `X ��`'l 1a,c c /J I— J 'I 'C et.7. j+,.,:J/` //`6�A, . / !r/e 7-r�1,, -
vr i( ,• ,,,,,,, , ,.•/Pt r.,., ( /- / x/-; r/2b, // j / (Scale: j (/ )
Pier(dock)length /{7�()� '"_ I • ( I
Fixed Platform(s) //i ' '5i,� I ,
i .c I I i
( I I
Floating Platform(s) — j ,/,/ / ;,- I ;11 I" 1 ' t I
Finger pier(s) —'_' 'i —4 -, r ----- I I r \ - --_-- —-
Groin length r,, - `r t
number " - _...-... te...._..._._... -I �....._._.... _��--141
�__..._.ft_(/
Bulkhead/Riprap length -- _,_ _. .._ --._-�---_ , jTa- --
avg distance offshore ----- j ( I
max distance offshore ! 1 I I
Basin,channel - i I I i '
1 I i
i
I
j cubic yards --- 1 1 F o I I
•
Boat ramp `—� 1 l l n - i
Boathouse/•Boaoa It ift•- /} >`/ 7 .-.-- I I � l —---,.___
i ' J_-__....-_Li ..._ I _._.
— -.—... _I_ -__--_ t -- -' I ------ ---._ -_
— .
Beach Bulldozing j I I I i ' I I
Other r-J 4 or.- ,.Je. 4v-- j 1 1.
1 1 I I
'
i _ 1 " i f t
Shoreline Length I `t I I
i I . " j ; I Ii1N
SAV: .. not sure- yes no
Moratorium: n/a yes o ,110 , t 't_w 1 "" `,�=-- t
Photos: yes 0
f,t'- G_--- --- - / /. -- -- ...—.-- i? Il`
. Waiver Attached: yes no ' ,
•
•
A building permit may be required by: i+'� .e."i ".,/ / 2; . . - © See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) / .
Notes/Special Conditions ti4 �-/ -- ' ',✓ te?/
"---®,E 1 e#1 i !!'t Z<-y e. ir �0//' •
Agent or Applicant Printed .ame Permit Officer's Printed Name /./
Signature *Please read compliance statement on back of permit Signature `-
-11 /2t)• 77.5-/ 4C /..�/ r . 1P2/ -2/
Application Fee(s) Check# Issuing EY to Expiration Date

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:
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. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves:Beaufort,Bertie,Hertford,Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-390I Fax: [phone]
Fax: [phone] (Serves:Brunswick,New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates,Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

0 IC AMA/ ❑DREDGE & FILL � tQ 1V a �J9875 A B C. D
GENERAL PERMIT �L--� v �U� Previous permit# ,,,f>3�"�' •
)G ONew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued .,y//..-4
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.I5A NCAC O 2'7, l,• 7,•'2(17)
❑Rules attached.
Applicant Name - / // ; e{, • Project Location: County
Address ,, / , (//1 7 J'`r- %'. Street Address/State Road/Lot#(s) L ., 3 ,....
City (. t,,,. , State 1-`-/ ZIP t Lit.
•' ' fill/'i° ,/' �'
Phone# ('• , ) a. .�2- ,•:,- '�'� E-Mail -- ---- Subdivision • i.,/jrt; // ..' ,r ' f
Authorized Agent p. , City ,/ r 74. ,. „ ZIP ..-a7 "/!%'
/ ,:./
Affected ❑CW El EW CI-PTA ❑ES ❑PTS Phone# ( `-) • '' River Basin / • r,f/`�, ,-•
AEC(s): ❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body / .• - (nat /man /unkn)
❑ PWS: ,,, ..,,.`
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body 7'- - - `
Type of Project/Activity ,:.i� `' • . , , / C,' ,{ ._r �+',r. ,- tr 14 " ,/r. 7 //,-,-, ! J 'f-' f'.
/
} J
J
V I ..2' I. /' _ ., , / / 7' / '' (Scale: f , CI:
Pier(dock)length (i -
Fixed Platform(s) /r, '''/`' lilyMIR ��immimmR.
Floating Platform(s) r ` : ;+ IN I
Fingerpier(s) i f -
Groin length
number -- j _ , f_ t• ' ..����(
({'' i
Bulkhead/Riprap length -__--.-- -
---I-
avg distance offshore - j 1— .
max distance offshore • 1 —
I �
��Basin,channel - MI
�� �•_ - ,
cubic yards I . ■.U■ ■R
Boat ramp
■ UU.
I
I 11
Boathouse/�Boatlift / / --: - - �
I
Beach Bulldozing - ? ' SI . iI - -
Other .,.• , /e , r IIIIMIIMMIT 1110101111111111110101111
a;r /.I, " 'iIt, EM®'i MI;
• • i MEM 111•111M• 1 I ; ! 1
Shoreline Length •
al—® ■
SAV: (not sure yes no I __. _ III � . ; 1 �,101�,
Moratorium: n/a yes e° 5 L., - , ; t ."1`_-' �_ 1� ... . ' --...
1
Photos: yes no' _ _
I
_ I 4
Waiver Attached: yes no • • r 1
A building permit may be required by: /.�'if=- -"- 7J�*-s' . I S note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions /f . i f'> _•
.•....�._.F i ,• / -
/ i s,
/
Agent or Applicant Printed 1;1a m ,'' Permit Officer's Printed Name •
Signature 'Please read compliance statement on back of permit Signature '
-/Y_.,---?(.;( - ,: ~'/ry't:2/ f ' 1 /fir r
Application Fee(s) -Check# Issuing Date Expiration Date

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,certifythat 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:
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. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office(9 I 0-796-7215)for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves:Beaufort,Bertie,Hertford,Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District . ,I
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves:Brunswick,New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates,Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

•
ROY COOPER
Governor
•
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL DUALITY •
Director
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 02B.0233 & .0259. The
Division of Coastal Management (DCM),through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to $25,000.per day per violation.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees) unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.This
drawing will be used to aid in compliance and monitoring efforts.
Pre-project site conditions: ,;,. Lei l< v/ 4,- r/2_f
� / (Gzil�ILLgdf {�07� ��Le /0 er-
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all informatio rovided is complete and accurate.
•
Agerit r ppl can Printed Name ermit Officer's Signature
•
Agent o Applicant Signature Issue ate
CAMA GENERAL PERMIT#: 7 9 75
State of North Carolina I Environmental Quality[Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 27889 1252-946-6481
• Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

•
- .
•
F. Warren & Sons, Inc.
180 Taylor Farrn Road, Belhaven NC 27810
Office(252)964-4628 Fax[phone],61
_ Foiteat cell(252)945-2492 Freddy cell(252)945-4240
NC General Contractor License 072600
wwwmcpiers.com
•
•
Authorized Agent Consent,Agreement.
•
To:State ofNurth Carolina Department:or Local Government Department,
froth wliMi3'this petzttit is:being applied-for.
1,the undersigned property owner,do•hereby authorize:B.F.Warren&SOnsINC.tnact,onnly•behalf in
obtaining the necessary permits for the below listed projeets.1 have contracted there services to:perform
the work.permitted.This agreement is litaited only to the specific activity of obtaining permits for the
below specified projectS.
Projects:
Dbck anti boatlift
Project locatioW address:
Lot 23 Windmill Point Estates
Belhaven,NC 27810
Body of Water':
Pimp River
Property Owner Mailing Address.:
Mark Hansen
202 Little River Dr
Goltisborp,NC 2750
[phone]
7/3/ta
ltroperty Owners Signatigt:, • Da!,v•
Authorized Agent Signature: . Date
•
•
•

Xgo I-4. ride-S"
141-P,,, DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION)WAIVER FORM
• . CERTIFIED MAIL- RETURN RECEIPT REQUESTED Or'HANDIDELIVERY
(top portion'to be completed by owner Or their agerit) .
Name of Property OWner: Mark HanSen
Addressof Propeii‘j: Lot 23 Windmill Point,aelhaVen,NC 27810
• Mailing-Address of Oirmer. 102 Little River Dr, Goldsboro NC 27530
owners,emait theriliefSidethtn@a01.90in Ownere,Pnone#: 919;222- 266
Agents Name:,B F Warren &Sons Inc Agent Phone#:[phone]
Agent's Emil:.bfWartenmOnarsnet.org
. ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(BOticim portion to be completed by the Adiacent 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 dtawing,with dimensions must be provided with this letter.
OWI DO NOT have objections tOlthis-propotal. I DO have,objections to this proposal.
If you 41M objeCtiOnS to Othat-it being froposed, you-mutt notify the N.C. Division of:coastal
Management(pC411)in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington5qaire Mall; Washington,NC 27880; DCM representatives can also be
contacted at(252)94676401:No response is considered the same as no objection if you have been
pod*,byCertined Nail,
WAIVER SECTION
I understand that anyptoposed pier,dock,mooring pilings,,boat ramp,breakwater,boathoUsei lift,or
groin must Be set back a minimum distance of 15'from my area of riparian access unless waived by me
(this doesmot applyto bulkheads or nprap.revetments).(If you wish to waive the setback,you must skin
the appropriate blank below.)
s „
I DO wish:to'waive SOntetall of the 15'setback
•
Signatute of Adjacent Riparian properly Ovvi*i-
• -OR-
I do nOifish to-waive the 15'setback requirement(initial the blank)-
Signature of Adjacent Riparian Property Owner.•
Typed/Printed riarnepf AFtPO: -71 Slo t*• t ore ••!..ivl
jilaxar's.
Mailing Addtess of.ARPO: it Xi 1- tile Cie4 a a it- &SART— 14)6.
ARPO's email: ARPO's Phoned: •as-2, )1.•7 ' r Ulla--
Date: t r 3.-z4 !w aiv er is valid for up to one year from ARPO's Signature*
• Revised July 2021

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