53700_BISHOP, CHARLES & HERAKOSI, GERRI_20090626

Previous permit #53700
L
LCAMA / J DREDGE & FILL
. GENE,RAL PERMIT
ONtw • ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit Issued
As authorized by the State of North Carolina, Department of Environment and Naturagurces
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC =-1
Rules attached.
.'c n ;t ' ^ ., ; Project Location: County ,r '
Applicant Name, �� �+• � � � �„� � i � � � �..� t
Address -(i �' '� Street Address/ State Road/ Lot #(s)
City Statellc ZlPr
q % '
Phone # (`) `F,� Fax # (j-
Authorized Agentm �1
Affected -J CW KJ EW ,PTA ] ES ❑ PTS
: ❑ OEA ❑ HHF ❑ IH UBA ❑ N/A
AEC(te
❑ PWS: ❑FQ
ORW: yes / no PNA yes / no Crit.Hab. yes /• no
Subdivision
City_ fh ._2 ZIP:!' ` . / L2 --
Phone # ( ) River Basin
- r
Adj. Wtr. Body -{gi n T : >r" fit i/ �fn'at jman
Closest Maj. Wtr. Body��`�
_i
■�
cry.■■■■■
Application Fee(s) Check #
PermitOfffcer's Si /attu
c
Issuingbate
jExpiratio, ate
(10 en,,J
Local Planning juris
iction
--y 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

0
•
2009 2:40PM Robuck Homes
PHONE NO. : 00
No, 0672 P. 2
Sun. IS 2009 W:27PM POD.
A��
Cps
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor ,lames H, Gregson, Director Wltllam G. Ross Jr., Secretary
Date Uld"
Dame of property Owner Applying for Pormitt
I R.
Mailing Address:
�R. Im
RA Z le 41
I certify that I Dave fkWhorized (agent) _?-64�07411 to net on my
beliflif, for the purpose of applying for and obtainrin�g all LAMA Perinits necessary to
Install or construct (activity) _ � ,n if __
at (►1>Iy property located at) ., hAidto
This certification ix valid thru
Prop
✓ 011 . r.
400 Commerce Avenue, Morehead City, North Carolina 26657
Phone: [phone] t FAX: [phone] Internet: www,nccoastalmanagemont.net
An Equal apportuOy i Affumallvo Acllnn Fmployer— 50°/e kecyddd 110% Pnsl Consumer Paper

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBLI4mzlo�FTIBOA OU!FN
I hereby certify that I own property adjacent to 's
((Name of Property Owner)
property located at
on in A/ ���S , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: !W9- w z-;-ZMailing Address: e
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
----------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying
for Permit) �f
zx,/3/ 4A",&01AW"
Mailing Address
City/Stat /Zip
Telep e Nu ber
2--09
gnature Date
(Riparian Property Owner Information)
?ia'ture
cyti oU n
rint or Type Name
a5 2 - 63 6 - u-71 b
G — I 6' ly
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIF�� cS E)
is I hereby certify that I own property adjacent to
(Name 4Property Owner)
Is
giq
0
property located at
on , inAQ �_, N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Gj/iMailing Address: 4al3
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) z2/�
n ,
/U
Mailing AddressA"
, /
%l/ -
City/St e/Zip
Signature
Zl1'1ZC�
Print or Type Name
�Zl - 5-30 /
Telephone Number
Date

F. L. Robuck, Jr. 4128
PO Box 17102
Raleigh, NC 27619-7619
PH4 i0 THE �0� 66.112,53'
Branch Banking and Trust Company
Raleigh, North Carolina
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