Haaland, Lonnie 84128C

1* �j (OAST41 & EICAMA F-1 DREDGE & FILL N9 84128 A B C D
—ot
GENERAL PERMIT Previous permit
Date previous permit issued
R
n New [:] Modification [] Complete Reissue F-1 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:
I SA NCAC F-] Rules attached. F-] General Permit Rules available at the following link: www.deq.nc.goy/CAMAruIes
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone #
Email Subdivision
City ZIP
Affected F-1 cW FIEW F1 PTA F-1 ES FIPTS Adj. Wtr. Body (nat/man/unk)
AEC(s): F-] OEA 11 lHA ouw 11 SPIMA 11 Pws Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scaled ,-,.,e-
Shoreline Length — — — — — — — —
Access Length
Pier (dock) length
-------
Fixed Platform(s)
-TT—
Floating Platform(s) l
iI A
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 hd
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: t---
y
Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: TAR/PAM/NEUSE/ BUFFER (circle one)
Permit Conditions
F] See note on back regarding River Basin rules
F1See 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 r d Permit Officer's PRINTED Name
Signature.'* *Please read compliance statement on back of permit" Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
F-1 Tar - Pamlico River Basin Buffer Rules 1-1 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

1*°F`°"St4e FICAMA ❑ DREDGE & FILL N9 84128 A B C D
y�0
s = 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 Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email
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
Shoreline Length Access Length _
Pier (dock) length
Fixed Platform(s).
FlUd LII Ir, rldt—I11%�)
Finger pier(s)
wwi nauviarc
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 may be required by:
Permit Conditions
(Scale: )
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
r:
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 1-1 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

Date: Oct 22nd,2021
CAMA Yes
Name: Lonnie Haaland
County No
Address: 110 Raft Rd
Riverbend Yes
Address: New Bern, NC 28562
Phone: [phone]
Scale: 1 Block = 2 sq.ft.
Note: RRMC installing 25 pilings only.
36'
16' 4'
4 0 t--►
16'
Dock starts at 53' tram Jett property line
Lawn 157' 6"
Step down
12'
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AGENT AUTHORIZATION FOR GAMMA PERMrT APPLICATION
Name of Property Owner Requesting Pest zorl":a aaai-akf%)
hWk'va_ Adcress, —1/0 ROL koaa�
—AJc-.j 6e-roJ Al C-
Phone Number: 11 Ar i -Qoq-2!il
Email Address: 140"o- I a 42, Q YA A ® 0' C-0 rig
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I certify that I have authonzed Vier 0,K
to act on my behaff, for the.pumose of appVing for and obtaining all CAMA permits
FleceSS-ary for the following pr000sed Oeve�'oprnentl-
atmy Property located at ko'x-�'
n J� v County.
/ furthemvm cer *1 that I am authonzed to grartt, and do in fact grant perms to
DMsion of Coastal Management staff, the LocalPerry ift Offloer and their agents to enter
On the aforemenboned lands in connection with eyaluatirq infom,7abon related to UVS
perrnit application.
Propearly Ownet, Infonnation:
Signature
Z' f
Print or Type Name
0 0
"J4 4�
Date
This cercoat ion is valid through

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ADJACENT! OWNEWS
!
!
I hereby cerfy that i own Propel 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 ace proposin4
riaaMr inn nr dnu%&%n with rrrmsanarwts_ must be rorovided with this WK.
I DO NOT have ins to this proposal. I DO have objections to this proposal.
If harts to what is heir , you must noM the N..Q � of Coastal
you objections g proposed
Management (OCA9 in writing wfthfn Sit days of receipt of this notice Conespondence should be
mef ed to 0o Commerce Ave., Morethead City, NC 28W. DCM t rs can also tie W7iC98d
at (254 W&280h. No response is considered the same as no ONectian if You have tin notdfiad by
Cermled Mai!
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, brut ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of le 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 s n
the appropriate blank below.)
1 DO wish to waive soMetall of the 15' setback
Signature of Adjacent Riparian Property Orvrrar
-OR-
I do not wish to waive the 15` setback requirement (initial the blank)
' _ > ^ 'i 1 .
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Somdure of Adjacent Aiparian Property Owner. r r i t
'PypadiFrirrted name of ARPO: ,1c Y 'Vf Yk
Mailing Address of ARPO•
ARPO's small: ARPO's Phonef:
Date: 'waiver Is valid for up to one year lam 's SionsW00
Revised May 2021
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N.G. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
ERTIF{ D MAIL R T RN RMIFT R_ r IVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner, L O a,� e- 8 rk a 1 t. n J
Address of Property: 1 J RA eJ 4Q4NA h V l�SertJ
�
Mailing Address of Owner: /1,0 Qv�-� + � R `� !�� ' Re �- (^� � � � 6 2
Owner's email: NACA1Ar«J 1 Q /Al vO,40w.Owner's Phone#:
Agent's Name'
Agent's Email:
Agent Phone* `� i T{ - �[ Q � A! 4 I
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
( attom ooftri to be coMP1 ,_sled by the Adiacant Pro d Ownar)
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
dgscription or dMw-ing, Mjth dimensions` must be provided with this letter.
I DO NOT have objections to this proposal. — I DO have objections to this proposal..
N you f have Objections to what is being proposed, YOU must nOrriy me ry.41, mly'Omfl yr vvaaaa s
Management (DCM) In wridng within 10 days of receipt of this notice. CorreSpondenca Should be
malted to 400 Commerce Ave., Morehead City, NC 28557. DCM representaftres can also be contacted
at [phone]. No response is considered the same as no objection If you have been notifred by
Certlfled 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 must elan
the appropriate blank below.)
1 DO wish to waive some/ail of the 15' setback
Signature of Adjacent Riparian Pmpe* owner'
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
C�
Signature of Adjacent Riparian Property Owner: r
Typeffrinted name of ARPO: /% `� "� .'`4 //'r 24—
Mailing Address of ARPO: /Z.9 fi?
ARPO's emall: lag CRPO's Phone#: 9-"
Date: , 2,5-o4 .2o 4 j_-waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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