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`°"S'k ❑CAMA ❑ DREDGE & FILL N9 87437 A B C D.
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Previous permit
4. GENERAL PERMIT 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:
15A NCAC '> } ) r ' ��� ❑ Rules attached. General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name -J * - r, I Authorized Agent C %--
Address ` S.d rL .+< rQ �� Project Location (County): \ f
City f_ State J"J C... ZIP Z C_)U Street Address/State Road/Lot #(s)
Phone # ( U` )� cy?z
/L r
Email v tg"'((9^Ic- I. r u Subdivision
City 6[ `• c i� ZIP ?- L1(0
Affected ❑ CW ❑ EW r PTA ❑ ES ❑ pTS Adj. Wtr. Body ` " (nati$alUnk)
AEC(s): ❑ OEA ❑ IHA nuW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no " PNA: yes/no
Type of Project/ Activity
Shoreline Length % 50 (
Access LengthX��
Pier(dock)length
Fixed Platform(s)
Floating Platform(s) r6 1.2.0 )
Finger pier(s)
Total Platform area I (eQ �{
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
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by:
Permit Conditions_
c.
(scale: N�S )
n
❑ 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 Office TPRMI.TED Name
Signature **Please read compliance statement on back of pe mit** Signature \� r L.
Applicati (s) Check #/Money Order Issuing Date ExpiratiorrDate
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 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
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Roger L. Lisk
Wiling Address: 806 Amanda Way
Albemarle, NC 28001
Phone Number: 704.796.0022
Email Address: poppyroger@gmail.com
I certify that 1 have authorized Rick West
Agent) Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Construction of a new dock
at my property located at 83 East Second Street, Ocean Isle, NC
in ftn, ick 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:
cam-
Signaturo
Roqer L. ask
Fria or Type Name
Title
8 1 3 12002
Date
This certification is valid through .3I It oZZ
Kfjf,': , i-1:41. P.M
LISPS Tracking'
Tracking Number. Ell 00268761 US
Scheduled Delivery by
TU ESDAY
9 AUGUST by
2022 (j) 6:00pm (D
LISPS Tracking Pluses Available v
UP Vl) tmlrt,5 - U!A't, teat:$wngZ; ttc:u_fs
Track !mother Package
G Delivered, Left with Individual
Augisst 9. 2022 at 1:02 pm
BURL➢NGTON, NO 27215
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL -,RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to he completed by owner or their agent)
Name of Property Owner.
.Addrew of Property:
Hailing Address of Owner:C��h3'j
Owner's email., Owner's Phone*—.
agent's tame: I Ltr /Je U j Agent Phonefr.
Agent's Email;t1
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
f8ottorn portion to be computed by the Adjacent Property Own*rw
i hemby certify that I own property adjacent to the above referenced property. The individual apptying for this
perrn`st has described to me, as shown on the attached drawing, the development they are proposing. A
have objections to this proposal. < ? t DO have obfections to this proposa,
If you have c.)Jections to whet is being proposed, you must notify the N.C. Division -f Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ent., Wilmington, NC 28405-3845, DCA4 representatives can also ba
contacted at (910) 796-7215. No response is considarod the same as no objection ffyou ha+va boen
notified by Certilled Ji 0.
WAIVER SECTION
I understand that any proposed pier, dock. mooring piling$, boat ramp, breakwater, boathouse, lift, or
grain must be set back a rrin"mum distance of 15' from m`y area of riparian access unless waived by me
(4his does not apply to bulkheads or rfprap revetments), (If you wish to waive the setback, you must sf n
Die appropriate blank below,)
I DO wish to waive somelall of the 15' setback-
-- -- — Signature of Adjacent Riparian Property Owner
do not wish to waive -the 15' setback rea.ulrement (initial ,the blank)
Signature of Adjacent Riparian Property Ovener:
Typed/Printed name of ARPO:
Mailing Address of ARPO: 1
ARPO's email, v - .ARPO's Phone#:r
Date: `wAer Is valid for up to one year from A�RPOTs Signature'
_ ` r . } ► ! _ C:_ 1 ,r,) ,�,,, r e- �, — �i i � 5Jttl y 2021
Date Received
Date Deposited
Check From Namel
Name o7Permh Holder
Vendor
Check number
Check
amount
Petmh Number/Comments
Receipt or Re7undlReallaeated
t:olumnl
Column2
Column]
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Column5
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Colmn O
Columne
8/23/2022
8/25/2022
Rags Signs & Graphics LLC
Sunset Cove Enterprises LLC
Suntrust
25142
$ 200.00
GP #87632D
BH rot. 17707
8/23/2022
8/25/2022
Byron Lee Tedder
same
BB&T
652
$ 600.00
GP #87672D
JD rot. 17753
8/23/2022
8/25/2022
McPherson Marine Services
Gore
First Citizens Bank
5370
$ 200.00
GP #87620D
BB rct. 18088
8/23/2022
8/25/2022
Grice Construction
Gosney
Truist
11298
$ 200.00
GP #87401 D
BB rct. 18093 '
_
8/23/2022
8/26/2022
Paul Blackwell Conway Jr.
same
Wells Fargo
8598
$ 200.00
GP #87699D
BB rct. 17929
8/23/2022
8/25/2022
John McClure
Floyd Family Properties
United Bank
1190
$ 400.00
GP #87700D
BB rot. 17928
_
8/23/2022
_ /2512022
AMW Docks & Marine Construction
Lisk
Truist
7342
$ 200.00
GP #87437D
BB rct. 17934
8/23/2022
_8
8/25/2022
Rhonda Curies McCall
Floyd & Linda Francis Rev Trust
Bank ofAmerica
1142
$ 200.00
GP #87697D
BB rct. 17931
8/23/2022
8/26/2022
Rivers Edge Golf Club, LLC
same
Truist
63179
$ 400.00
GP #87425D
BB rot. 17932
8/23/2022
8/25/2022
Permit Pals
Furr
CresCom Bank
3817
$ 200.00
GP #87408D
BB rot. 17926
8/23/2022
8/25/2022
McPherson Marine Services
Hunter
First Citizens Bank
5417
$ 200.00
GP #87427D
8B rot. 17935
8/23/2022
8/25/2022
John McClure
Bruner
United Bank
1191
$ 200.00
GP #87426D
BB rct. 17933