85430D - Haines

tCAMA ❑ DREDGE & FILL N9 8543() A B CCGENERJL PERMIT Previous permitDate previous permit IssuedNew ❑Modification ❑Complete Reissue ❑Paial Reissuethonz by the State of North Carolina,Department of Environmental Qua'ity and the Coatul Resources Commission in an area of em rvn nroenul concern Pursuant to
-
I SA NCAC�_�� i-, °1.2" ' D Rules attached. El General Pemwt Rules available at the following knk:ww,.r��q ns_gov/CAMArtrlet
ADCI cant Nam�e,, fi.`)_ Co..Jt.e.$ Authorized Agent___7Dy 1? _i
(( `4-1�.Address _i T•_ Nil f Inlet � Project Location(County). r. ,a f`—
R� Sute N (_ gip Z elI Street Address/State Road/Lot N(s) B. �,�. tilj
Phone„�f7 g
Email_ , �S_nt,c@s...SIL 1cr.e i cep
— `� 1 1 Subdivision r�
I1 City_O j14 di-cc ZIP zo `L,/f
Affected EW r�PTA DES OPTS Atli Wtr Body 1 e r, //! ( Ink)
AEC(s): OEA IHA 1UW ❑SPIMA [1PWS Closest Mai Wtr.Body ,4
ORW.ye 1 PNA:yr no �+ J /
Type of Project/Activity t 4 S 6/// 4 '-' 2 >I,' CeGrL ) A t,
(Scale:Ai f.3)
Shoreline Length j.57?s
Access Length 5"y20 C
Pier(dock)length S720 N
Cona — —
Fixed Platform(s)
s
Floating Platform(s) g l f f
' 1 t� s
Finger pier(s) � 1'V
Total Platform area V o '' ` ‘'.
Groin length/it 1
Bulkhead/Riprap length / v C C i.'- [t 1S
Avg distance offshore ,r/ ' ,
✓
Breakwater/Sill
V ,
Max distance/length v - --- ---- Sal ---t — .
Basin,channel ` - t
Cubic yards •
I
Boat ramp N l{tr.,J
Boathouse/Boatlift
Beach Bulldozing
r Other
�4`"11&\\' f Ctlnc 5 ICL`t . . '.
SAV observed: yesg
Moratorium n/a yes '�1\^"��
g2 70 c,J,k—-fin -t y.,AI
Site Photos:
Riparian Waiver Attached eav t no _ fnl,` (�
A building permit/zonn�G_ 'rrflt y-beirequiredby ____:• a"` (SIB-- �`"( /
Permit Con moos ( p 1 C^^"`` 'ram t,► ,. �0,114 it en d ❑TAR/PAM/NEUSE/BUFFER(circle one)
1 f,� IJ.D orTe- b..l\�n e .0 LIn T-D fOe fht-n ❑See note on back regard•ng River Basin rules
riftri.... S4(h4clt_ C c,..dall
ElSee additional notes/conditions on back
•
1 AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REV! MPLIANCE STATE (Plea a Initial) 7•.�-
7 Dryvc 2 r)GAL) l'�.,d 4 1 (J-„c L 1-�3.2-2
Agent or Applicant PRINTED Name 7 Perm t 1 NTE1 Named 7
Signature' P cpse read compliance statemen n b k of per t" n G Signature / p
r(a! 0� e � / ( 1/2-0OZ2 s Z41202z
Application e(s) Check a/Money Order Issuing Dale Expiration Date

,o�°``°"S' A, I ICAMA DREDGE & FILL No 85430 / A B C
GENERAL PERMIT% Previous permit z • /� 1 i�1(
i Date previous permit issued `j�
[ 1 New n 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:
ISA NCAC C) f I 12 L) ❑Rules attached. Et General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
�AC \
�
Applicant Name An ��`�� Authorized Agent �, ',:^r, i G c..,
Address ( jjU rc `LJ 1-if I I i^i`l,,-' Project Location(County): t:Jf nL..-!,t (---
City A:.c� ,� e.
,v �- . State NIYI C YIP '2 '"0 I Street Address/State Road/Lot#(s) , 0 L) ( . - <` 7y, i I
Phone#( q `f /O 7/c'C.) •,
Email \�c.,ti 2_$(')�-..,c l C ti y�,.1.9. '~o•-. Subdivision ` ,
City 1 Ca c h ZIP 7 c1` I(c tt
Affected [LW Fl/EW PTA ❑ES PT5 Adj.Wtr.Body ` ( (� , (nak)
AEC(s): n OEA ❑IHA ❑UW n SPIMA ❑PWS Closest Maj.Wtr.Body / I ((4
ORW:yes/no. PNA:yes/
Type of Project/Activity /1 ' // 4Cw 2 l-oo 4 i-, 14•<, L
(Scale: N' fj
Shoreline Length .ca i
Access Length S. Z.0 -
Pier(dock)length ) 7L L
i liNaMillaMMEMO
Fixed Platform(s)
' Mill MIIII
, mom
Floating Platform(s) -, X I 1 MEMrlallnrll==l=
`�^� 9_ Ti
Finger pier(s) l,t I R
I MI� IIIIIIIII
Total Platform area r5 Y P,� Ini i '
Groin length/# IMMIMIM - E
IMraillNAIIIMIMIIIIIIIIMIIaallMll
I 1.I . �
Bulkhead/Riprap length 1__._ C___ 1- �..._. _+
Avg distance offshore .'..
Breakwater/SillIMIIIIIIIIIIIIEIM■ ;
MIIPSTIINIIMNIIIIIIUIIIIIIIIIMMIIIIIIIIIIIIIIIII
Max distance/length `,
Basin,channel
Cubic yards l3
Boat ramp I- ri rk - t..__.__. —.— —
Boathouse/ INIMIMIIINMIMIManMMIMIMNIIMMIWIIMIMMIIMIIII
Beach Bulldozing IMIIIIMIMIIMIMIHIIIMEIIMIIIMIIIIMIIIEIIIMIIIMMIIMIIII
Other
INIMMIll Mill -, -. IIIWIIIIIIIIIIIIIIIIIIIIIIIIII
SAV observed: yes �� .
MNIIIINMNINMIMIIIIIIMIIIIIIIIIIIIMIMIIIIIIIIINIIIIIIIIIMIPMMIIIII
Moratorium: n/a yes Ir.�7��- ��,f��t 1I�'
Site Photos: s" ����� •u� ���
Riparian Waiver Attached: yes o ll ��
A building permit/zoning permit may54 be required by: 0 /mac—. (S 1 c. rL { ( /
Permit Conditions f 1 1 `< , 13 , I( -, T �r54(:)c..Gc o.," a L+ n TAR/PAM/NEUSE/BUFFER(circle one)
I orT�-.- .-.,,\i. , r c r", c ;-- #v 1 nv/ fI"--- -.^ n cj See note on back regarding River Basin rules
rli),< 'L 2( . •;.-,Lk ,�1
nSee 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)
I
IS f l , /1) -uc. )
Agent or Applicant PRINTED Name Permit Officer-q-PR+.NTED Name

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)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Jeremy Haines
Mailing Address: 80 Wilmington St
Ocean Isle Beach,NC 28469
Phone Number: 770-990-7508
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 propo .evelopment: Construct a new docking facility to
include a 5x20 Fixed Pier,a, Q 1 'Floating Dock and 10k Boat Lift.
at my property located at 80 Wilmington St
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
Jeremy Haines
Print or Type Name
Owner
Title
Of / O(Q / 1027 -
Date
RECEIVED
This certification is valid through 12 / 10 / 2022
JAN 10. 2022
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jeremy Haines 's
(Name of Property Owner)
property located at 80 Wilmington St Lot 65 B-14 S-B&C 01B Plat 6/1
(Address, Lot, Block, Road, etc.)
on Intracoastal Waterway , in Ocean Isle Beach , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc �
Please Initial--> `YY 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)
13i-Au•i.J ` -rrkccEEC .
RECEIVED
JAN- 1 O. 2022
DCM WILMINGTON, NC
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.)
Please Initial--> at, I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Pro erty Owner Information)
•44 �- .
Sig tat , Signature*
Jeremy Haines Denis J. Kelly
Print or Type Name Print or Type Name
80 Wilmington St 78 Wilmington Street
Mailing Address Mailing Address
Ocean Isle Beach NC 28469 Ocean Isle Beach, NC 28469
City/State/Zip City/State/Zip
44o-??a-76o g Jiiew,icsam 4Sif 6Aav,.u..n 919-418-9555
Telephone Number email address Telephone Number/email address
ei !o6('LozL 1/6/22
Dale Mile*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

•
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Jeremy Haines
Address of Pro ert 80 Wilmington St Ocean Isle Beach,NC 28469
P Y
(Lot or Street#,Street or Road,City&County)
Agent's Name#: David Logan Mailing Address: 6310 Greenville Sound Rd
Agent's phone#: [phone] Wilmington, NC 28409
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 ar proposing. A description or drawing,with dimensions, must be provided with this letter.
Please Initial--> Thave no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices Is
available athttp://www.nccoastaimanagement.net/web/cm/staff-listinq or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.) RECEIVED
_f do wish to waive the 15'setback requirement. JAM 1 0. 2022
Please Initial--> I do not wish to waive the 15'setback requirement.
DCM WILMINGTON, NC
(Pro•erty Owner Information) 7;2. ,Pro erty r Info tion)
11111114
gnats, a ture
-my Haines Michael Randall
Print or Type Name Print or Type Name
80 Wilmington St 67 Country Clubfsett Dr,
Mailing Address Mailing Address
Ocean Isle Beach,NC 28469 Thomhurst,PA 18424-98eo V970
City/State/Zip City/State/Zip /�
770-990-7508 / [e-mail] 5 5j9/ -/S' � I�/,Q d.) skonGL•Cog(
Telephone Number/Email Address Telephone Number/Email Address
12//6/ZOU 0</0..2./.410
Date Date
(Revised Aug. 2014)

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
/ / 0 Agent
■ Complete items 1,
2,and 3. 0 Addressee
Printed Name C. Date of De ivery
a Printo your name and address on the reverse B. Received by( //, 2 �a
so that we can return the card to you. �`� [1 Yes
■ Attach this card to phe permi ofck Sthe mailpiece, D.--s delivery address different from em 1?
or on the front if spaceIf YES,enter delivery address below: 0 No
1. Article Addressed to:
' itil,5 4z-0-/
-7 (jj crri I NCB iviti
57
l
D V CL �6� 0 Priority Mail Express®
l 3. Service Type ❑Registered MaiIT"
❑Adult Signature 0 Registered Mail Restricted
0 Adult Signature Restricted DeliveryDelivery
111111111111111111111111111111111111 ❑Cerllect Mail®D ❑Signature ConfirmationT"
0 Signature Confirmation
0925 70 0 Certified Mail Restricted Delivery Restricted DConfirmation"
9590 9402 7055 1225p Collect on Delivery Restricted Delivery
0 Collect on Delivery
d Mail
2. grticle Number(transfer from service label) d Mail Restricted Delivery
19 7 0 0001 9284 2 418 isoo Domestic Return Receipt
7 Form
_
I
PS ro m 3811,July 2020 PSN 7530 02 000 9053
RECEIVED
JAN 10. 2022
DCM WILMINGTON, NC

, ('•‘; , i
, r-5) .,."• ,
I e
I
, ,:ki ‘•5 ,
,,,,,.•V--2 '
1 ,
I ,
h A V
5 N
i 1
: 4
z 1
4'. .
. .
4 ,
' z
e ,
4 4 rlt 4 e i l
. 9
. .
t .
t , .
. 4 "•-,
... 4
i
, , c
i Z ,
n
1 1 i
5
s
h '
. s
s .
1 :
A .
. ,
s
, s
s i
A .
1
/
i
i
.,--, al
14,) ri
0
,-, 'W
.:J
'-- C0
L)
f 4
C)
..I
Jere--ty 1-laines .:. ,0,LE BY LOGAN MA ik NE,LLC SHEET
Al ,-., SO W*Tilneten St Haines DOCK•Ii; , -'!-:110C.,,FtEENVILLE:-C11.1141)Pt) . .
_
Ocean Isle,..,each,rIc 21V-Ifil lacirriy ' WILMINGTON,NC 28409
17/'C/702'1 910 16i '134,1{

Check
Date Received Date Deposited Cheek From Mama) Name of Permit Nokias Vendor Chao*number amount Permit Number/Comments Receipt or Retund/Realloca
Columns Column2 Column.? Columns Cokamn8 CokanK Column? Column8 Column9
2/3/2022 4 Topsail Offshore,Inc. Mary Taylor Coastal Bank and Trust 1403 $ 200.00 GP#855550 JD rct 16809
2/32022' _ Washington Acres HOA same PNC Bank 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 Logan Marine LLC _Hartman BB&T 7828 $ 200.00 GP#85512D 138 rct.16982
2/3/2022 Jason Hegge Godfrey Twist 1002 $ 200.00 GP#85510D BB rct.16979
2/32022 Jason Hegge Greene Twist 1003 $ 200.00 GP 085565D BB rct.16980
2/3/2022 Logan Marine,LLC Jeremy Haines BB&T 7799 $ 200.00 GP#85430D BB rct.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 rot.16978