85639D - Bishop

4,4°'°"‘44.LICAMA I I DREDGE & FILL N9 85639 A B C
GENERAL PERMIT ..
Previous permit
Date previous permit issued `
n New n Modification n Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina,Depart'fnent of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I 5A NCAC /)?"4/ n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
i
Applicant Name / f/'J�� /% t�L/�"`/ �/� o f Authorized Agent J) -'/t .'" / Y i7---
Address f Q / '(1 /I/// f r/ . Project Location(County): , i i,,-I''�fit.'(/
City ,; )4 , () f /f State /(.j"G- ZIP n"a" <y S Street Address/State Road/Lot#(s)
Phone#(;'//!q %i '' - `` 4% /;+ , A c�
Email n ' - Subdivision _� -( " �- ' (^ r -v .4 /f
City t..,'T 1-17`ri. / ZIP 7d"t/`/ 1
Affected ❑CW EW n PTA ES 1 1 PTS Adj.Wtr.Body J " <'-fir-' G' /5 (natman nk)
AEC(s): ❑OEA IHA ❑UW n SPIMA n PWS Closest Maj.Wtr.Body s1/ .5 G'
DRW:yes/no PNA:yes/no ; •
/ /
'ype of Project/Activity / '''1 S/ 4t // /I?PA.) , r' fr I et''97L/l r f"'
a, G j (Scale 75' )
Shoreline Length /
Access Length t
i
Pier(dock)length r .... N.A_lr . /.
Fixed Platform(s) 1() r 4
i
=loating Platform(s) k ',1,
t I
•singer pier(s) / / .Z • , C WJ Y t~ toe n;
total Platform area 141lA el
�� i Y tt / / i�
3roin length/# _._ Ji / ,/
3ulkhead/Riprap length ! -......._.__._o ___._...._..__..____r._..._1_0___,�1. _.._ /_ _L.. .-S_.e1A"—
Avg distance offshore
3reakwater/Sill ` -' 4'' .r el.�
Vlax distance/length \ # 1 11
3asin,channel _�._ l
=ubic yards I
3oat ramp / r � .,. ...,...
ii Y , _.. ummiam
3oathoue/Boatlift 1 �f7 !,
leach Bulldozing ;
)ther IMO: ; , I . , ,
;AV observed: yes rtv� 1 �.-
vloratorium: n/a yes no)� _A I i , ,
iite Photos: Yes no. -'p 1 � .._.._...... }. I...... .._..__._ _.�_... .__. ......._
1 11 1-
,, no ,. _ , —. J
tiparian Waiver Attached: /y
\building permit/zoning permit may be required by:
'ermit Conditions ❑TAR/PAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rules
nSee additional notes/conditions on back
AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
i:/1/ f`/`1-V 12-7 21
gent or Applicant PRINTED Name ' Permit Officer's PRINTED Name

Statement of Compliance and Consistency A
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 Mini* ZATION FOR CA"'A PERIVIIT APPLICATB� N
•
Name of Property Owner Requesting Permit: - 1,0K °I- gZA0'01\ I)�S
Mailing Address: )5C)9 k41Aikkawe 9,q/q,,k3/
1
Phone Number:
Email Address: 111()t n A � j (� plieo . c r yr
I certify that I have authorized L .
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: �r
P c )1e,5
n
at my property located at -l / g cF 3t, $ c il IOC
,
in (.)l l t t) 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:
4J/2-,,,y) nn
Sigture •
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kN kr4)1 r ())\41()D
/ . Print or Type Name
blikDOPI
Title •
h I )1 m.1
Date
This certification is valid through / _I

ADJACENT RIPARIAN PROPERTY OWNERt� STATEMENT
I hereby certify that I own property adjacent to /roily et- /26 01 c 2khr ) 's
0000,
1 yh I (Name of Property Owner)
property located at b0 0 0 S\-fPpX
{��� �� (Address, Lot, Block, Road, etc.)
on •/ L Y1. `5:
,
in itk � `�yy /1�� O✓`,S�bW , N.C.
(Waterbody) (City/Tdwh and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
‘ 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)
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WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 setbac 4 ou must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
ri. ci' ...).0 B Signature n n i Signature I
l0nv ` - 1�A��r` �')►6Vt4,� ItoJ,,,oA,J r3 , LA-15/ Ti: i
Print or 71 pe�.Nva e''.rr Print or Type Name
6(� tt � I a(, pgrcrataN /cod 1)
Mailing Aaffress Mailing Address
l d l�fC ?�lo� 6-0t1)4'13e is 0 N C ,? 7.5"3 0
City/ �tp/Zip'(�-`(0 City tate/Zip
l,� 'rS a�� I i - 7.3 `I- L 5 3 2
Telephone Number Telephone Number
WU-Sal //- //- 3 o,R f
Date Date
(Revised 6/18/2012)

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to foie» d_ gal4 n g f M n6ne 's
k /( e of Pro erty Owr)
property located at 0 )
on 741\%r o Cnvia,( (Address, Lot, Bloc Blocisl R ad, etc.)
aterbod , in Sir .►i-yy 01\40u) Cry , N.C.
(VVy) (City/Torvn and/or County)
The ap licant has described to me, as shown below, the development proposed at the above location.
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)
i)tpPO,Zp v, , r:1
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WAIVER SECTION P' tr
I understand that a pier, dock, mooring pilings, 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 seettback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent rop Owner Inforn,)ation)
.-- 5/1 ,B1411 op 66AZ\ . . l
--- - • ,- ...(.7,___'/ a ,)‘7„„, . , 66—
Signatu e 4 II- Si ture
I'onv q- k.bbilI £ioaly L4 Qr4- I. AIM Car•t.� cia..-
Print orlType Na ePrint or Type Name
.1509 Reb H 11 Aod 901 s coo U IT PI-
Mailing Address Mailing ddr s
City/State/ZipCity tate/Zip
ql4- ?3V-54/7 (317 , tigy• Z/ f_y
Telephone Number Telephone Number
))-1)-i ) 4-11_ �.1
Date Date l\
(Revised 6/18/2012)

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Tony 8;shec a"d jZod.n B.shop 's
(Name of Property Owner)
property located at 707d " S-
on ri Wed (PA(104.1 (Address, Lot, Bloc , ktoad, etc.)
, in Salk- C i t , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
—-
-Is---IsIapi 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)
WAIVER SECTION
I u;:derstand that a pier, dock, mooring pilings, 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.)
1''" I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Inform ion) (Adjacent Property Owner Information)
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7:e.,-,..7-7------6........„,___
Sature n I
Si tyre
Ion i- KO 1 - llshof �� lae frt. I-
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Print
r Typ me,,. , it� Print or Type Name� Hill
._sSv 1 S .coo w.esf
Mailing Address Mailing dreess 1 ( / V 6 / 4 3
MI-. DIAH ive_ :1g34t .e a .Q. �(/
City/State/Zi City/State
4l4- QN- 51a0 / 7 . t? I. 2 VS 6
Telephone Number Telephone Number
Date Date
(Revised 6/18/2012)

Cheek
,od Date Deposited peck From(Nana) Name of Permit Holler Vendor Gmok'comber *mount Permit Number/Comment Receipt orRWund/Rw/located
a
Column2 Column3 Column,' Co/umn5 CokrnM Column? Column/ Conran/
D21 Lighthouse Marine Construction Inc Robin Lauren Coastal Bank and Trust 4052 $ 400.00 GP#85380D JD rct.16804
D21 Carmen Muncy Brad Muncy First Bank 219 $ 200.00 GP#85379D JD rct.16803
D21 Lighthouse Marine Construction Inc Tony and Robin Bishop Coastal Bank and Trust 4020,$ 200.00 FOP#85639D JD rct.15598
D21 Bledsoe Enterprises Inc. Ocean Dunes HOA BB&T 20188,$ 400.00'GP#85397D BH rct.15983
D21 Bledsoe Enterprises Inc. Ocean Dunes HOA BB&T 20189 $ 400.00 GP#85398D BH rct.15984
D21 F Bledsoe Enterprises Inc. Ocean Dunes HOA BB&T 20184 $ 400.00 GP#85376D BH rct.15982
D21 Restoration Systems,Inc. Carlson North End LLC Towne Bank 18065 $ 200.00 GP#85424D KE rct.16232
D21, Restoration Systems,Inc. ML King Figure 8 Holdings LLC 'Towne Bank 18066 $ 200.00 GP#85424D KE rd.16231