60155_MUNDEN, TAYLOR_20120426

CAMA / DREDGE & FILL 1`f O . 6 015 5
GENERAL PERMIT Previous permit #
❑New El Modification []Complete Reissue 7]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.
Applicant Name
Address }
i
t
City
State i._ ZIP
Phone # ( )
Fax #
Authorized Agent
Affected ❑ CW
Ci EW ❑ PTA =J ES I 1 PTS
AEC(s): ' OEA
=: HHF ❑ IH _ UBA ] N/A
PWS:
� FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length`
Platforms)
Finger pier(s)
Groin length
number —
Bulkhead/ Riprap length
avg distance offshc
max distance offsh
Basin, channel
cubic yards _
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Sandbags: not sure
Moratorium: n/a
Photos:
Waiver Attached:
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
j; Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (_) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body -
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
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 thatthis 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)

UNITED STATES POSTAL SERVICE
Flrst-C(ass Mail
Postage & Fees+Paid
USPS
Permit No, G-10
• Sender: Please print your name, address, and ZIIP+4 in this t1ox
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UNITED STATES POSTAL 6�4/:r.: First ss Maj .
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• Sender. Please print your name, address, and ZIP+4 in this box •
-b 'fur aeo s 'ijGi ► rc�
lffit III III 11111111111111111filtifitlflifil111111fifIII fitfifl
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Perinit No. G-10
• Sender. Please print your name, address, and ZIP+4 in this box •
131)�w e�-Kg� -
lt,i,Milllltl1711�}lii}l}1fllilllitlil)lt!!t�}It1111f71)1`fi

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery Is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
P/Pil / /1 -5 -Cc 11��s
�c b5y-�i v Le d\f
a7 d
B. Flec&A by ( Printed Name) I C. Date of
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Sgpdice Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service labeo 7011 2970 0002 6387 8155
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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A. Signature
/' �--� ❑1 Agent
X Kam` ' -`7`- L��Addressee
B. Received by (Printed Name) ' C. Date of Delivery
p11i;u/ e)d L- Aj /
D. Is delivery add n item 1? ❑ Yes
If YES, ente elja(ery a�c�s blow_T_ ❑ No
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3. §ervice T
rtified ('. ❑ Express Mail
IJ Registered �—a Rstam Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(rransfer from service label) 7 011 2970 0002 6 3 8 7 81 1 L'
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A.
(PrintedAName) ( C.
D. Is delivery address different from item 1? t U Ya;
If YES, enter delivery address below: P O
Service Type
Certified Mail ❑ Express Maii
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7011 2970 0002 6387 8148
(Transfer from service label) _
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1 540

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
hereby certify that I own property adjacent to I cs
(Name of Property Owner)
property located at C [,�c n ry J. /i) pr�,
(Address, Lot, Block, Road, etc.)
on Sev\. A , in , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: ibc,- Bt.nks V Vkf,r , CC) r1S E. Mailing Address: III 1� 0,121 PIl
L 71 c�i S5 «..
Agent's phone #: �[ :rn - 7z5 34 2-ti 1 wen ,i;1 w
Utw k �5�� 7
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
fALt" I( a 01.0
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is co/ffted the same as no objection if you have been notified by Certified Mail.
rmation)
or lrvoe Name
,6.6zx
Mailing Address
City/State/Zip
Telephone Number
3(-)�)i-/�k
Date
Print or
Address
1A 1 / I \ c
-�\��1�-�
Telephone Number
Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to IcY- 12g-- 's
I (Name of Property Owner)
property located at ( Wa n+w f /_jec!J M
(Address, Lot, Block, Road, etc.)
-) lt�l l 11 +
on O �. in 1` 4 tli ✓1 T�7 C � 1�� �� N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: &. i4 /x �'l �S /now, -,q &Sf Mailing Address: I I /
•%,r1, 2r, 71 C`;f
Agent's phone #: iLt,Y, 25 A - 72,,5 .3� z 1 [�A EYy, tg-, ty,L ,I c�; %
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
r" CC- G'z PP r1: 1C I Ic-� L F L L L JL t,
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if iou have been notified by Certified Mail.
(Prop ner Information) (Riparian Property Owner Information)
Signature Signature
Print or'Type Name
P-L. 1-12
Mailing Address
C' /U(,
tc 4" C �r
City/State(Zip
2,5Z--7zh
Telephone Number
3 c-A -7 1 �
Date
81,4 A/0l4 •e fl /`t )TL14 e
Print or Type Name
Mailing Address
22j�<, 5�J
City/State
91�- -1.31_ 77� 7
Telephone Number
3/-;D/ >a,
Da e

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIP EMN.PROPEEU OMER NOTIFICATIONEORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
hereby certify that I own property adjacent to'E4L&r . Au to m ✓j s
� �� �(' I� (Name 4f Property Owner)
property located at {6'Ukh iw.� �'� ��r rT
{Address, Lot, Block, Road, etc.}
on O r , In 111%-e .IJ
(Waterbody) (City/Town anchor County)
Agents Name ^ Qri`��S'1~ Mailing Address:
SC r e- r- -71-15
Agent's phone #: _1Ci15a -7 2C,., 2- ..1 �tt� ill �,76 •
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
pndividual proposing development must #11 in description below or afiach a site drawing)
� Uipa,%r rZ. fukcc app,(n SC 1 Lio C-
,� rr i c6 -J— r t n-Q— .
ItYou have objections to what Is being proposed, you must noffty the Division of Coastal Meneyennat
(DCU) In writing within 10 days of receipt of this notice. Contact Information for DC& offices Is
available at www.nccoastalmengement.neticoaWt dcrn.htm or by calling 1-888-4RCOASr No
response is considered the same as no obiectlon N you have been notified by Certified Mail.
i
Pnntfor Type Name
6 /,:75 ep 6 L.--
Malling Addmss
City/StateMp �-
Telep Qnh a Number
3 /d
Date
(Riparian Property Owner Information)
S 9h,#1ura
Print or Type Name
Mani Address
Crl�y/Stat rp
�0 3 9
Telephone Number
Date

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date l 0� `
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) n .11(a i fa L"r h ' to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) � i k W0,4cQ 611 H-kr V i ce" IA-r
at (my property located at)
_,Q �,. q p kct C C. a it..- - C...I , (,t- 14, vZ-( . , I) I c , .. .
Je,�t Lj + -
This certification is valid thru (date)
i
1
Property Owner Signature
a4.1,/)A
Date