49030_BISHOP, RANDOLPH_20070611

❑ CAMA / ❑DREDGE & FILL l�
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
i
Applicant Name "N' ,'`t I-. � C; € ;-, Project Location: County
Address lC ! ; r i`j f t('' i Street Address/ State Road/ Lot #(s)
City VjA State (- ZIP i'. (AIi4``1'i l � ii t
Phone # Fax # (_) Subdivision
Authorized Agent 3' ' ' ! (� ^ (�r ,1 City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑Es ❑ PTS Phone # (J) �J River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length _ lC
" r
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes (no
Moratorium: n/a yes (no'
Photos: yes Cno,
Waiver Attached: 'ye," no
A building permit may be required by:
Notes/ Special Conditions
t-
Agent or Applicant Printed Name
Signature "Please read compliance Statement on back of permit"
L>:•il ;:,mac
Application Fee(s) Check #
l
(Scale:
❑ See note on back regarding River Basin rules.
Perm it Officer's Signature /
Issuing Date' ( I iExpiration Date r
S
Local Planning Jurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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 ❑ Other:
❑ 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

Aa-14-2J07 07:4' am
frcm- NLG"AD PEY 2526375383 ?-433 P 302i002 6-105
0101? rA PIERIM©OR1WG P `&woA,zuFrIol.%17m0vSEi
x ;aer-by certify that z owa property adjac*at to _ L P{ q 'OA
(Name of Property Owner)
prVerty located at
r
fits Block, Xcadi tic.)
4 Waterb®dy) (Tovm and/or C..aunty)
Ht bas described r,D me, as shown below, ft devCjopM=t he zs pFupo,Wg at That
location, and, I have Ate objeatims to bis ,per_ I uaderstiod that a piedmoodag
pili.zigs/boatt Wboathouse inust be set backa minimum distance of fifteen foet (151) fcoaa my azea
17�f ripaciara access urjrss waived by =.
r &99 wish to waive tote setileck requirenwnt,
X da wish to waive that setback requirement_
DESCRD C7(ON ANDIOR DRAWING OF FROpOSED I&T.F X PMENT: _
(710 be J%lled on by inWv dud pmvpadxgr devfdapment)
Pit-00
� AD A A
D
3
5ignat=
re 0 �{
Pria�..I
ype Name
-- � s3 -- �
Tcl�phot�c Nfuinbcr T
4- Date:
I

FEE - 2 i -20a 7 11: 16 Fr wa' H�. DIU COPSTAL 1IGMIT 252247=10 Tu : 252243181
V
North Carolina Department of Environment and Natural Resources
Division of Coastal Managwmnt
Mec si F. Eastoy, Governor Chart" S. Jonw, Dlroctor MUM G. Ross jr., ser tvy
Date
Applicant Name WAkOV AF- ' 0l0
Mailing Address d _
C?
�I
T certify that I have authorized (agent) =t— C��Q�vl to act on my
behalf, for the purpose of applying for and obtaining all,�C//�,MA Permits necessary to
install iZ-
or construct (activity) �� �� ���n 17� ,
at (location)
This certifcati is valid ru ate))%
Signaturex3
r
400 Commerce Avenue, Morehead Gty, North Carolina 28557
Phcne: 252-808-2808 l FA(: 252-247-3330 � Intemet www.ncooastaimanagement.net
an Af—�ffiw &Hinn FrnNnvar _ AnGf. Rg , vHa l l IML Prat Chmm,emw Danwr

'ENT 1UYPAFdAN_ PROPEWFY OWNER STATEM-EINT
A-DJAC
P104' Am(EK/mOORING PILINGSIBOAMIFTIBOATHOUSE)
I hereby certify that I own property adjacent to IL00C)LP14 R -%A
(Name of Property Owner)
CA
foperty located at . )( /'Xo- AJ ,A VC,
(Lot, Block, Road, etc.)
M (Waterbody), (Town and/or County)
'He has described to me, as shown below, the development he Is proposing at thai
loc.'i-tion, acid, .1 have no objections to his proposal. f understand thai- a pier/rnooring
n-I feet f, J -r -
Hi gsdboathf'Uboathouse must be set back a minimurn distance of 'I ftow, my area
A ': r' WMV ipanan -jccess unless waived by me-
1 do uot wish to waive the setback requirement.
1 do wish to waive that setback requirement.
DF-SCRrMION AND/OR DRAWING OF PROPOSM) DIEVELOPMUNM
(To befilled in by individadproposing development')
Ab
Print or Type Name
Telephone Number
Datv

..........
...........
. .........
2766
66-21/530
RANCH 17512
CONSTRUCTION / /
SPRING CREEK
Ph 252-249-1819 Rd
2398 Whortomville
Merritt, NC 28556
vih- x)tI \KlvV
acho5viaBank. N.A.
0 fsol . ..........
0c) ? 13 3 00 ................. + ......
I.OS3000 2 1 q,o . . . ..............