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�CAMA ❑ DREDGE & FILL N9 85705I`f ��l A B ��G E N E Previous permit
RALPERMIT Date previous permit issued o
❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State I North Carolina. Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
1 SA NCAC _ QJ� 2 (J V ❑Rules attached. U General Permit Rules "lable at the folkwft link:
Applicant Name
t�
Address (n
City N\c RI Ike State N L ZIP 27"1
Phone tY ( 0 ) 5--ill U l �-;
Email t i iU.. k✓ c :( t n
Authorized Agent _ 1'1 n t—ir.
Project Location (County): _ I
Street Address/State Road/Lot 8(s)
Subdivision
City ZIP Z?lk(ntk
A..
Affected ❑eW EW PTA ❑ES ❑PTS Adj. Wtr. Body_CC,-, ( (nar®unk)
AEC(s) ❑ 0EA RHA ❑ uW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body A � Vj w
ORW: yes/ to / PNA: yes no n
Type of Project/Activity �v`Si..�� Vrlr t r-,n� C<,i- �rs►J�_��S^�<t `os��y Aucy-
V (Scale: ►J T 5 )
Shoreline Length _ Access Length
Pier(dock)length
Fixed Platform(s)Ck
Floating Platforms)
i
T
FingerPier(s)
t—
I
I ;
j l I
Total Platform area
Groin length/4
i
Bulkhead/ Riprap length
Avg distance offshore—i..._.. —
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp _
Boathouse/ Boe-fl
Beach Bulldozing
Other
SAV observed; yes
Moratorium: n/a yes o
Site Photos: (qp%
Riparian Waiver Attached: yes),( no
A building permit/torm�,glpermd mayJbe n
Permit Condrtlons _�J
►3 rc.1 �r tl i
yct
❑ 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 PROTECT AND REVIEWED COMPLIANCE STATEMENT, (Please Initim
Agent or phcant PRINTED Name _
S,gnat f —Please read compliance statement on back of perm t•
1 2— U 6l ` (�
Applt a ion Feels) Check a/Money Order
Permit Olh iel's ARM' E; D Name 1
Signatu; /� 8l u /— Z
Issuing Oat // Expiratio //Date /S,
Scanned with CamScanner
jCOAR1 ,; � CAMA ❑ DREDGE & FILL N� 85705 A B :..
3
G E N E RAL PERMIT Previous permit
4.Date previous permit issued 4
[] 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:
1 SA NCAC �1 E� wy Q ❑ Rules attached. LJ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name r' rwu" 'J
Address w ( ! t, Lln
City State s L zip Z'KZ 4
Phone # (!L)) 5-111 /) +
Authorized Agent /-A (N r n1 \:) �' 4 Ac cJ ne. r
Project Location (County): r n {�<__
Street Address/State Road/Lot #(s) S-1 _�-,c I( '_ J
Email Subdivision
City zip Z Li
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body Lt (nama)Unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body A
ORW: yes//io PNA: yes/ho
Type of Project/ Activity
SAV observed:
yes
Moratorium: n/a
yes
Site Photos:
Riparian Waiver Attached:
Yes
(yes no
... _ .
/t (
A building permit/zoning permit
maybe re ired by:
C G t t..
/
TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions `.
(• j ,
„' " r
F r- I`i �'C s v Ui E bd
1
�.
See note on back regarding River Basin rules
ElSee additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED_COMPLIANCEjSTATEMENT. (Please Initial)
✓ �tC�.� �C /L.
Agent or Applicant PRINTED Name Permit"Offifice s RIN D Name
Signature **Please read compliance statement on back of per ** Signature
I '3 z z-�- z 22
Application Feels) Check #/Money Order Issuing DatJ 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:
1-1 Tar - Pamlico River Basin Buffer Rules F-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: 252-247-3330
(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: 252-948-0478
(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: 910-395-3964
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021
DocuSign Envelope ID: 775F6E5B-DC6746A3-9E57-49AF30D11AD7
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Raymond & Mary Busker
Mailing Address: 6836 PINE LAKE LN
MINT HILL, NC 28227-5223
Phone Number: 704-574-0783
Email Address: corybusker@gmail.com
I certify that I have authorized Sea Dog Marine Construction, 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: add boat lift & shift floater
at my property located at 51 Scotland Street, Ocean Isle Beach, NC
in Brunswick County.
Y
l furthermore certify that 1 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:
uSigned by:
Fz7-----,,,-ure
Raymond & Mary Busker
Owner
Print or Type Name
Title
2/14/2022
Date
This certification is valid through I l
DocuSign Envelope ID: 775F6E5&DC67-46A3-9E57-49AF30D11AD7
CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property OwnerRaymond & Mary Busker
Address of Property: 51 Scotland Street, Ocean Isle Beach, NC; Brunswick County
(Lot or Street #, Street or Road, City 8 County)
Agent's Name #:Sea Dog Marine
Agent's phone #:91-876-0852
MailingAddress. 07 SW 9th Street
Oak Island, NC 28465
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 descrption or drawing. with_ dimensions, must be provided with this letter.
Ve. & ✓
G I have no objections to this proposal. I have objections to this proposal.
If you have objections to whatis being proposed, you mustnotify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http.11wv,,^ccoastalmana_gement.net/web.'cm1staf,Iist or by calling 9-888-4RCOAST.
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.)
3
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
(Pr Q*ger Information)
i
,Sitrnalure
Raymond & Mary Busker
Print or Type Name
6836 PINE LAKE LN
Mailing Address
MINT HILL, NC 28227-5223
City/State/Zip
corybusker@gmail.com
Telephone Number/Email Address
2/14/2022
Dale
(Ri Property Owner Information)
Siggra "re
Bill & Carolyn Braswell
Print or Type Name
Mailing Address Q9 e,, ,� 1 arc 3� c 1. 14C
z $ -4
City/State/Zip
»Y 2r4 oYS7 4a5 raiarP/!@ y Otp%.%:I• cb^-�
Telephone Number/Email Address
-3- r 3- a o 2 '-2_
Date
(Revised Aug. 2014)
• Complete Items 1, 2, and 3.
• Print yourna*,and address on the reverse
so that we Carl iAirn the card to you.
• Attach this card to the back of the mailpiece,
or on the front if Space permits.
W-VIRTS-71-1
1A.S19nature
'a
X 0 Addressee
Date of Delivery
B. Received by fi-t �C ��
D. is delivery address different ftm stern 17 U Yes
If YES, enter delivery address below. Cl No
. Service Type
as priority Ma ExpressO
0 Adult Signature
Adult Sig�re Restricted Delivery
Do
0 Registered M61
'I stared MaiR"tric"
Rq
Certified mailo
0 Certified Mail Restricted Delivery
Del
0 Signature Confirmation",
9590 9402 7096 1251 8123 85
0 Collect on Delivery
U Signature Confirmation
Number (7jransfer from SOMCe labO
—
0 Collect on Delivery Restricted Delivery
ROSmet0d Delivery
Article
7021 2720 0001 5934
ted Delivery
Mal Pxatric
9121
00) ,
PS Form 3811, July 2020 PSN 7530-02-000-9053
DM R—tv d
Data Deoos/ted
Check Fran Nana
Name of Permk Holder
Vendor
Check number
Chxk
amount
Pamk N—bWC—ft
Receipt or Ra/undMwSacaed
Cakennl
Column2
Column3
C.1-4
Co1umn5
Co/umn5
Col-7
Columns
Column➢
3/31/2022
AMW Docks & Marine Construction
Dennis Hurley
Truist
7176
$ 200.00
GP #86013D _ _
BB rct. 16927
3/31/2022
Maritime Coastal Construction LLC
Sipe
_
CresCom Bank
3462
$ 200.00
GP #86066D _
BB Mt. 16922
3/31/20221
Timothy Howard
same
Wells Fargo
5301
$ 200.00
GP #85710D
BB rct. 16929
3/31/2022
John McClure
same
United Bank
1060
$ 200.00
GP #85713D
BB rct. 16930
3/31/2022
Sea Dog Marine Construction
_
Busker
First Bank
1694
$ 200.00
GP #85705D
BB rct. 16931
3/31/2022
H5 Contruction Services, LLC
Edwards
Truist
1011
$ 200.00
GP #85721D
tmac rct. 16283
3/31/2022
Gregory Holden
Doug Terry
United Bank
5549
$ 200.00
1 GP #85719D
Tmac rct. 16287
3/31/2022
Charles Duckworth-M-o—ney Order
Harris
Wells Fargo
19-68495
$ 200.00
GP #85709D
BB rat. 16932
3/31/2022
Jason Hegge
RCDC Holdings, LLC
Truist
1004
$ 200.00
GP #85511 D
BB rat. 16935
3/31/20221
Grice Construction
Emory
Truist
11048
_ $ 200.00
GP #85711 D
BB rat. 16934
3/31/20221
Grice Construction
Upton
st
11049
$ 200.00
GP #85712D _
BB rot. 16933
3/31/2022
Southern NC Marine LLC
Bryan
First Bank
1507
$ 400.00
GP #85413D
BH rct. 17551
3/31/2022
South Ca Maritime, LLC
Winston
Wells Faro
1384
$ 200.00
GP #85717D
KE rat. 16960
3/31/2022
Delta Dock & Boat Lift
Yelverton
First Citizens Bank
9289
$ 200.00
GP #86090D _
JD rat. 16317
3/31/2022
Southern NC Marine LLC
Hanby
First Bank
1508
$ 200.00
1 GP #86089D
JD net. 16316
3/31/2022
H Edward Wright
same
State Employees CU
4327
$ 200.00
GP #85541 D _
PA rct. 16136
3/31 /2022
George Koch
same
Bank of America
1570
$ 200.00
GP #85542D
PA rct. 16137
3/31/2022
H5 Construction 1 of 2
Wallace
Truist
1018
$ 200.00
GP #85720D
Tmac rct. 16286
3/31/2022
_
H5 Construction 2 of 2
Wallace
Truist
1012
$ 400.00
GP #85720D
Tmac rot. 16282