85512D - Hartman

,e“co1641 cnCAMA ❑ DREDGE & FILL N9 (D
85512 A B C
. GENERAL PERMIT Previous permit
/
Date previous permit issued
Fij New Modification n 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:
i..,I 5A NCAC J3~31-\ l Z 0( n Rules attached. ri General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
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Applicant Name '7U'.-. `:. \r....'lp.{.„ .� �-'\,.J .a \-\<..-k'r'`c.,. Authorized Agent l .,.. A ‘..r,sc .l
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Address 2 c() (.-t'k J\4., (.,r\ `'.) Project Location(County): .+7.; ._..._r k
City .�, :4),,,".. State to (_ ZIP "2 9,i`'i tv Street Address/State Road/Lot#(s) i i- . r), i r ( r_.r `r
Phone#(7or{t) -11 LiL1c, u. !em
Email Wv.,1Vt!IV-,40 V(i L if.; t`•L, 1"5,.,-.^ >,-, Subdivision
City >'(.C r. ZIP
Affected CW EW PTA ❑ES ❑PTS Adj.Wtr.Body t w (nat/man/unk)
AEC(s): II OEA Il IHA fl UW ❑SPIMA n PWS Closest Maj.Wtr.Bodyt w l ._)
ORW:yes/no ,' PNA:yes/no
Type of Project/Activity .to0',\ rl cz_c,' _ ,�st i,_\`,h (
S 0' c. !e Cr (Scale:1-�)
Shoreline Length_ r /U
i
JJ \
1
Access Length 0 __.__�/^`A- .�gi iIL
... SE II')
Pier(dock)length iw ii �■
Fixed Platform(s) j(xi 6 r)r.z,by ,r. vim �
u
Floating Platform(s) k 2 __. 1.)11 amm„,..,,,„,.. ,,_
..........
Finger pier(s) Y.Z2
r---- r.a
ME
. Ilia
Total Platform area i Q SD P� ;
Ili.
Groin length/# mIIIIIIIIIIII
aairi , IIi � '''�gip
Bulkhead/Riprap length -
Avg distance offshore - --"-.A., - jr. }-6-1111111r- 1;1";---
II IIII ,
Breakwater/Sill
6. M1 (�' 111111111111111111111111
Max distance/lengthallIAMMI . �igllM
Basin,channel
Cubic yards IIII
Boat ramp E
......
Boathouse/Boatlift. /? v C -' IMIIIIIIIIIIIIIIIIIIIIE1111111111M71', '
Beach BulldozingEIMIIIII- MOO r. F _T.TMI
Other �•
1 M AI N.,41_ _
IIIMIMIIIIIMIIMII
SAV observed: yes no ,:: i .
Moratorium: n/a yes no ) MIMIMMI1111101011110WPREEM111110111.11111iiilliMMMINal
'— I
Site Photos: yes no
Riparian Waiver Attached: yes no n _ '.
A building permit/zoning permit may be required by: ^ +Sk< "Re r t.C
- , I I . , n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions_
' k:4?\7.-"-,, z I I I . ,t ,,�II .( x,, , Ct n See note on back regarding River Basin rules
1,n" See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. 1 (Please Initial)
‘J '\.j c vt\u i"2222-
Agent or Applicant PRINTED Name Permit Offi PRINTED Name _-Zt
1
C, $�22

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 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River, Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie, Camden,Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)

."LNI►" �t;, i'.,•-q'y1� a 't.. rlinker 4C1. ti<.•li ii44:9:Ta!e ra` vitc:i %i.r; "
'�(1�q; pie t s,t' (I �. k r;j 10 Apr tj`.'47.r 3
ss�i j�o 85512 A
, 44\X CAMA ❑ DREDGE & FILL
G Ej permit
�E Date►
- •� IT ��
anal Issued
New
M0 ilication omplete Reissue ❑Partial Reissues Ptt to:
As autftoru v' area o(au*d
I SA N by the Sate of Carolina.Department of Environmental Quaky and the Coastal Resources the following fink
[J O Rules attached. Goner*,Pernik Rules available at
O c•
APPgcint Name (:� '� . n Authorised Agent
Addre h _ _- +-- /} Project Location(County): t' -
i G_ 1f 0 ,..
City ��< \Q u r State t'3 C- ZIP 2 B 1-I b Street Address/Sute Road/Lot N s)
Ct.r .
Pfione,M�(1��) 7� irZZs
Email �'_.�1et' °i_y Vet OAr•Aa:RA111c.Cdr'+ Subdivision Zlf'_2
Gty C3Ct.a.. kS
Affected 6 CtiV tW M PTA O ES 0 p s ,Adl.Wtr.Booty �.�'�
AEC(s): OEA pa UW ❑SMMA 0 PWS Closest Maj.Wtr.Body
ORW: }�
Yer9/ PNA:yes6 /
L �/ �J`. t t .ck ( F
Type of Project/Activity ��—F�DV tea �•c� ^"` T` t• ' (Scale:0 TS)
Shoreline Length r/C)' -
W kIJ i ) i .1 ( �_ +�'� _ t I_
Accra length k({{ .� I .g[.)$E lobo '��+• t- I �
Pier(dock)length. teEY <'J �. . �t. r. )_
Fixed Platform(s)Pal k{Xt , iT' '•., r z` +
1tXl� oQa-�e v, t he: _ - i— �,
Floating Platform(s) `411.' i ail_ l r., i GP Mil . fr j
•
Finger pier(s) Sx2.7- E.. ' ' .i 1.4._. �.
• Total Platform area Q T' i�7 } ill A (p•ii� '�� ��Lsa!� �
Groin length/tl 1 , , } r , u / 11["Zt[ 77 rrGT _t—
Bulkhead/Riprap length ;"•••• l't'''''-'*i'
I
Avg distance offshore • '�• I i k '�- _ it i r-- 1 -T '- ! }
Breakwater/Sill l a 1.h T a
__ - jj
Max distance/length t T ' `
q, -
Basin•channel 1 __#_, r .4 ..4 I L•_:--`- . • 'Air
`I
(( M
Cubic yards 1 �r: k. i :+.+ _.� ��
• Boat ramp 1 ( } • " i < - c
Boathouse/ L.. /;Y l 3 11 1_ I '., ' } it ' "y1 -
Beach Bulldozing - i �����
Other 1 . _ _'E_ *NC;ear %-•�—'
, e( � s�� S{IDr
_�,; 1 •
...� -- p x�aFt<'s Mal,, _�,
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• SAY observed: yes t I. ._ Pi
Moratorium: n/a yes �.a t�� 111,_C_ ♦ n ! I : i__ s 3; 1 •
Site Photos: r� U {SItt ' s' -a_G• ±•- . , I l_ �` i ,;. I
Riparian Waiver Attached: yes no
A building perm it/t;ing‘permit may be reo.u.^'t is"' lJCl.C.lll^ t IL ,J tO-C.tf‘ e
1 ❑TAR/PAt1 NEUSEJBUFFER(circle one)
Permit Condmon< _ ����
tt tttt tk, 4.r u kI Ley' , A u .f 1.1 C.r 0 See note on back regarding River Basin rules
-~�A ,3 O t oS C N 2 ,...t.k.N4. J,r s c'"t_ ud See additional notes/conditions on back
MPLIANCESTATEMENT (Please Initial) / cJ t .•s
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVI � fir
I� rL.Su�^, rut
Agen ant PR 0 Na e Permit E Name
-- " 5 2rV LZ
"
Signatu,•P ase rea a statement on back of perm t•• Signature b . a Z `2.Z s��8'
t,n eels) Check a/Money Order Issuing Da �`/ "''--+ 1t44
I E�a obi

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: David Hartman
Mailing Address: 2250 Gold Knob Rd
Salisbury, NC 28146
Phone Number: 704-796-4275
Email Address: [e-mail]
I certify that I have authorized Logan Marine, LLC
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following_profxrd development: Demolish existing and construct a new
docking facility to include 'nixed Pier, a 22' Finger Pier, a 6x24 Floating Dock, a 18x22 Fixed Platform
& a 4 pile Boat Lift.
at my property located at 1758 Old Sound Creek Cir SW
in Brunswick County.
I 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:
Signature
David Hartman
Print or Type Name
Owner
Title
1 / 7 , coa,2
Date
RECEIVED
This certification is valid through 1 I 7 / 2023
JAN 1 $ ?To
DCM WILMINGTON, NC

DocuSign Envelope ID:CBC320B2-5972-49D7-8E25-FCFDA8E2D63F
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to David Hartman 's
(Name of Property Owner)
property located at 1758 Old Sound Creek Cir SW In Ocean Isle Beach
(Address, Lot, Block, Road, etc.)
on ICW , in Brunswick County , N.C.
(Waterbody) (City/Town and/or County)
T4sapplicant has described to me, as shown below, the development proposed at the above
��ati n/�
lease Initial—> /// I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Drawing Attached
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
lease Initial--> // I do not wish to waive the 15' setback requirement.
(Property 0 r Information) (Adjacent Property Owner Information)
DocuSigned by:
Signature t•:.•
David Hartman Timothy Powell
Print or Type Name Print or Type Name
2250 Gold Knob Rd PO Box 1594
Mailing Address Mailing Address
Salisbury, NC 28146 Shallotte, NC 28459
City/State/Zip cit1/ tgce a�el 1 c.corn
704-796-4275 [e-mail] rr-n -- tED
Telephone Number/email address Telephone Number/email address
./� - 1/15/2022
Date Date* JAN 1 8 _t1-''
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to David Hartman 's
(Name of Property Owner)
property located at 1758 Old Sound Creek Cir SW In Ocean Isle Beach - Brunswick County NC
(Address, Lot, Block, Road, etc.)
on ICW , in Brunswick County , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
lease Initial--> I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Drawings Attached
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back r"minimum distance of 15' from 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 15' setback requirement.
'lease Initial—> ,3 5 I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
J..
Signature Signature*
David Hartman Ralph F Sikes Jr.
Print or Type Name Print or Type Name
2250 Gold Knob Rd 1750 Old Sound Creek Cir SW
Mailing Address Mailing Address
Salisbury. NC 28146 Ocean Isle Beach, NC 28469
City/State/Zip City/State/Zip
704-796-4275 [e-mail]
Telephone Number/email address Telephone Number/email address
/— 7— aoaa. _IAN 18
Late Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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Cheek
Date Rewind Date DwosMtd Chant From Mom) Name of Permit Holder Vendor Cheek number amount Perms Number/Comments I Receipt or Rafund/Reelloce
Cokmm1 Colima Column3 Column/ Column5 Columnt Cokamn7 Column8 Cckam/
2/3/2022 Topsail Offshore,Inc. Mary Taylor Coastal Bank and Trust 1403 $ 200.00 GP#85555D JD rct.16809
2/3/2022 Washington Acres HOA same PNC Bank k 1109 $ 200.00 GP#85473D JD rct.16556
2/3/2022 John C.McClure Alvin and Janice Johnson Twist 754 $ 400.00 GP#855050 BB rct.16983
2/3/2022 go an Marine LLC Hartman BB&T 7828 $ 200.00 GP#85512D BB rct.16982
2/3/2022 Jason Hegge Godfrey - Twist 1002 $ 200.00 GP#85510D BB rct.16979
2/3/2022 Jason Hegge _-- Greene Twist - 1003 $ 200.00 GP#855650 BB rct.16980
2/3/2022 Logan Marine,LLC Jeremy Haines BB&T 7799 $ 200.00 GP#85430D BB rcL 16984
2/3/2022 Charles Fox Homes,LTD Bland BB&T 29037 $ 200.00 GP#85508D BB rct.16050
2/3/2022 AMW Docks&Marine Construction Watson _Twist 7080 $ 200.00 GP#85434D BB rct.16981
2/3/2022 Rhonda McCall Francis Rev.Trust Bank of America 1134 $ 200.00 GP#85507D BB rcl 16978

i1"FTOM
SUVEY FOR UI
David � Misty Hartman5
or
1 368: R.BEND DRIVE
LOT I6,BRUNSWICK SHORES LOTTE.NORM CAROLINA 28
REFERENCE MB.L PG. 107 91•
• LOTT9505
i
i.---:
.------_____ BRUNSWICK COUNTY.N.C.
SHALLOTTE TYR
SCALE I'-30 JANUARY 2,2019
- -
RE-SURVEYED JUNE 21.2021
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