86863A - Hansen, Robert & Amy

NKCAMA ® DREDGE & FILL N° 86863 ® B C D
Previous
GENERAL PERMIT previous
� 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 7/4 - 1100 ❑ Rules attached. ©' General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name "EO6e >P S 0 m 4 1. ►\se•A
Address il'�
City CKIPS Ci oe"ke state VP' ZIP 2 3322
Phone # ("lS'7j �3`� "' S-6 ff
Email arC Y OC�yLC CUZ @ Cl JI'�Lir l . CC3YV�
Affected ❑ CW
AEC(s): ❑ IDEA
ORW: yes/0
KEW ©PTA
❑ IHA ❑ UW
PNA: yes, io
® ES ® PTS
❑ SPIMA ❑ PWS
Authorized Agent Jf— M A% oA n l oc'ear's 1 Ce Cm h-aC. u
Project Location (County): Pf—!' t
Street Address/State Road/Lot #(s) 18 fr E 3 0
00, r6 C+.
Subdivision A I iv —
City -ex ra( ZIP
Adj. Wtr. Body Qt7 Al t-J a man/unk)
Closest Maj. Wtr. Body A 16e IINNa r (10- SOL"
Type of Project/ Activity r"s ki l 1 'L/04' of i). SA n-e a ('�A Men � GLS exah 7
(Scale: )
Shoreline Length '/— f JI
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
1
Total Platform area _
Groin length/# "
Bulkhea Riprap length 14M r
Avg distance offshore d r
Breakwater/Sill
Max distance/ length O r
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
Moratorium: G
Site Photos:
Riparian Waiver Attached:
I Eo0 M C r-eRIA4-
A building permit/zoning permit may be required by: r n
r
Permit Conditions t.*') TV44`C is f'(; we.ti( IA it tic
cry-kAm r,,.-Led b..t 4n: s PIE rn,
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THE
Agent or Applicant PRINTED Name
ep-7
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
u`1
Permit OffLer'FIPRINTED Na
Signature "Please read compliance statement on back of permit`*
Iyoar°G 12Qo
Application Fee(s) Check #/Money Order
Signature
_'/3 I iz 3 5i3 1 i23
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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: &10er+ d- AMW Ko-n<Ar1
Mailing Address: �l3 Sv et, tinq G} ChcsaDeake- VA (02-3
Phone Number: 7576355688
Email Address: `tCC. fbur-(' O2 gP Qmat) . coM
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 400LF tP 2— 544— h*
at my property located at BP Lot 30 Albemarle Plantation Hertford, NC
in Hertford County.
l 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:
Amy 6 -lncen Aog 11, '02Z 11 5610'
Signature
Amy B Hansen
Print or Type Name
Ptle
Augl12, 202?
Date
This certification is valid through
RECEIVED
OCT 0 ) P0U
DCM-EC

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICA TIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: ?i o be r+- d AYAw H O. r'15c/l
Address of Property: L0+ 30 ca,-06n Gf- , Her-i�rd tJL 7—"1gt4`-i
Mailing Address of Owner:
11A6, a Che-SA ptfa
Ir r VA,
•�33��
Owner's email: v,tr-62-iZ
J cove Owner's Phone#: ��—(.o-2-F7)--sass_
Agent's:. • I ...� . .: .
i
• " t rt 1=id► i l4CCA1
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent 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 drawing, with dimensions must be provided with this letter.
® 1 DO NOT have objections to this proposal. 1 DO have objections to this proposal.
/f 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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank,
AEH
RECEIVED
OC T 0 7 2022
Signature of Adjacent Riparian Property Owner: Alt
Typed/Printed name of ARPO: Py-)'kvm- 4 Pe-VQr7cLh Roy), -,A Ce c-� DCM—EC
Mailing Address of ARPO: 113 601060rtS C+- N C, 2ZCtLJH
ARPO's email: 61�0t &A( w+f 75i,� /IMF ARPO's Phone#: [phone]
-- 1. cc —
Date: Aug 24. 2022 'waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT10NIWAIVER FORM
CERTIFIED MAIL_ . RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 'Obel'fi d' n�O5 5
Address of Property: Ut 3DLrDt 1U(1 �f' Nerd rd ��— 2'ig4y
Mailing Address of Owner: Vr Dea 22-
Owner's email: Jrc r 02.LPgtY1a �l . cc M Owner's Phone* fl (D 35 " fig?
Agent's Name: mitt nI©LPa ASS Agent Phone#: ,2 l5
1.1 Can tlracfvv
Agent's Email. CZe 5��e CCwr'��YpC c�/riQii • Cd
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom 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.
description or drawing, with dimensions, must be provided with this letter.
® 1 DO NOT have objections to this proposal. 1 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 401 S. Griffin St., Ste, 300, Elizabeth City, NC, 27909. 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 sign
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) THS
THS
Signature of Adjacent Riparian Property Owner:
�E D
0 C T 0 7 2022
A -EC
Typed/Printed name of ARPO: V 1Gi! IL e l l eiefA Jyj)1Ytry) _ ��^^
Mailing Address of ARPO: .32Zi W . AoLi i _'+ Ev k,rlded C'1I Za b&-`h 6. 2d tJC 2"o J
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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its
30 Co, Z) A Court
RECEIVE
1 A N > > 2023
2. 2-ES29,AP o
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Cynthia Rountree
From: Scarbraugh, Anthony D CIV USARMY CESAW (USA)
<[e-mail]>
Sent: Monday, December 12, 2022 1:00 PM
To: Oceanside Contractors
Cc: Cynthia Rountree
Subject: [External] RE: [URL Verdict: Neutral] [Non -DoD Source] Lot 30 Carolyn Court
Follow Up Flag: Follow up
Flag Status: Flagged
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Good afternoon,
Per the information provided in the email below, the project as proposed would be considered a non -regulated
activity. Please note, any activity that generates a regulated discharge to waters of the United States will require a
Department of the Army permit.
V/r
Anthony Scarbraugh
Anthony Scarbraugh
Regulatory Specialist
US Army Corps of Engineers
Washington Regulatory Field Office
2407 W. 5th Street
Washington, NC 27889
Phone: [phone]
Email: [e-mail]
We at the U.S. Army Corps of Engineers Regulatory Branch are committed to improving service to our customers. We
would appreciate your feedback on how we are performing our duties. Our automated Customer Service Survey is
located at: https://regulatory.ops.usace.army.mil/customer-service-survey/
Thank you for taking the time to visit this site and complete the survey.
From: Oceanside Contractors <[e-mail]>
Sent: Monday, December 12, 2022 12:32 PM
To: Scarbraugh, Anthony D CIV USARMY CESAW (USA) <Anthony.D.Scarbraugh @usace.army.mil>
Subject: [URL Verdict: Neutral][Non-DoD Source] Lot 30 Carolyn Court
Oceanside Contractors is going to construct 400 linear feet of 2-5 foot tall vinyl bulkhead on the property located at Lot
30 Carolyn Court, Hertford NC. A portion of the bulkhead will be along the water's edge. On the southern side there is an
existing bulkhead in place that was built according to the USACE wetland determination in 2019. That bulkhead is going
to be removed and reconstructed in the same location. The bulkhead on the northern side of the property will be
constructed 1 ft on the upland side of the wetlands.

J.R. Milligan
Oceanside Contractors
252- 312-4744
www.oceanside-contractors.com

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