Hackenbruch, Kevin & Chandra 88776C

1* of COASIq1 ❑CAMA ElDREDGE & FILL 8,8776 A B C D
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 ZIP
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
(Scaler
Shoreline Length
Access Length _
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
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
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 rE
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"
Application Fee(s) Check #/Money Order
Signature
Issuing Date Expiration Date

`°AST41 v ❑ CAMA ❑ DREDGE & FILL N* 88776 A B C D
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 _
Address
City
Phone # ( )
Email
State
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body
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)
Floating Platform(s)
Finger pier(s)
Total Platform area
i
Groin length/#
Bulkhead/ Riprap length
( Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
j Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
i
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by`
Permit Conditions
ZIP
at/man/unk)
(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
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

Styron, Heather M.
From: David Gover <[e-mail]>
Sent: Thursday, December 1, 2022 3:36 PM
To: Styron, Heather M.
Subject: [External] 'Permit: 104 Moores Farm Rd in Havelock
Attachments: 104 Moores Farm Havelock (Hackenbruch) - Riverfront Docks.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report S am.
Heather,
We submit the attached CAMA general permit application for a dock and boat lift on behalf of
Kevin & Chandra Hackenbruch
104 Moores Farm Road
Havelock, NC 28532
Thank you for your time and consideration
David Gover
Business Manager
[phone]
sales@riverfrontdocks. com
3614 Old Cherry Point Road
New Bern, North Carolina 28560
Rive rfrontDocks.com

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Kevin & Chandra Hackenbruch
Mailing Address: 2403 Brewington Sibert Place Greensboro, NC 27406
Phone Number: [phone]
Email Address: [e-mail]
I certify that I have authorized Riverfront Docks, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
install dock and boathouse with boat lift
at my property located at 104 Moores Farm Road Havelock, NC 28532
in Craven County.
I furthermore certify that / 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:
Signature
Kevin & Chandra HackenbrUch
......................... - -.1-
Print or Type Name
Owner
Title
Date
This certification is valid thrOUgh 10 30 2023

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Kevin & Chandra Hackenbruch
Address of Property: 104 Moores Farm Road Havelock, NC 28532
Mailing Address of Owner: 2403 Brewington Sibert Place Greensboro, NC 27406
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: John Gudaitis, Riverfront Docks
Agent's Email: sales @riverfrontd ocks, corn
W- - ------------ - -
Agent Phone#:---[phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be Completed by the Adjacent Pr22erty 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
descri Lion or drawing. with dimensions- M1J,-Rt htz nrnvidpti wifh this loffiar
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is.being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified 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 MR§LsIqn
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
No
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15'setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner- _1.16d
G
Typed/Printed name of ARPO: Clyde Vernon &
e Kel
Mailing Address of ARPO: 106 Moores Farm Road Havelock, NC 28532
ARPO's email: cvernonke1ly65@gmail-00M ARPO's Phone#: [phone]
Date: z
waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTiFICATION/WAIVER FORM
ERTiFIED MAIL , RETURN RECEIPT RE UESTED or I-AIVD DELI EERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Kevin & Chandra Hackenbruch
Address of Property:
Mailing Address of Owner
104 Moores Farm Road Havelock, NC 28532
2403 Brewington Sibert Place Greensboro, NC 27406
owner's email: kevin,[e-mail] Owner's Phone#:
[phone]
Agent's Name: John Gudaitis, Riverfront Docks Agent Phone#:
Agent's Email: saies@.riverfrontdocks.com
[phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom onion to be completed b the Ad'aca t Pro e 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 drawing.,with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. i Do have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified 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 sinn
the appropriate blank below.)
t DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
do not wish to waive the 15' setback requirement (initial the blank) 7;7( dt
Signature of Adjacent Riparian Property Owner,
Typed/Printed name of ARPO: David & Diane Thomann
Mailing Address of ARPO: 15885 87th Road N Loxahatchee, FL 33470
ARPO's email: dtglI [e-mail] ARPO's Phone#: {954} 214-7399
Date: IPA'- Z - _. _ . _ *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

NEUSE RIVER
23' x 16' Roof
21' x 13'8" Platform