Munden, Phillip

N,:CAMA / ❑ DREDGE & FILL
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= •321E
a�NERAL PERMIT
Previous permit#
❑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 fC� .:
�_ .. ;rmr - r
IA Pplicant Name ` `ti t� A` t i` i t ram?
�—
me I s e �Ru attached.
;
Project Location: County
Address- 1-4 'j {;,t 1 ((; ?,i •
I Street Address/ State Road/ Lot #(s)
City��€' , ,, l` i ��' 1 State '° ZIP..��;--
t� . ��� l (
Phon # _) Fax #
Subdivision
Authorized Agent
City \� R i 1 ; �` F' '; ! �� ZIP
Affected ElCW OEW b`' TA ❑ ES ElPTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Phone # River Basin l ;i•� i t , �..i' { •
''
`1
. AEC(s):
Adj. Wtr. Body i(�.. ,(. Jr i I ((nat
/man /unkn)
❑ PWS• ❑FC
ORW: yes / no, PNA yes / (no :' Crit.Hab.
yes / no Closest Maj. Wtr. Body- i
C
Type of Project/ Activity I .i �� (mot j'
�` I r !,_ I ) %i I
Pier (dock) length
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' �f
10
Beach Bulldozing
Other.•{
Shoreline Length
SAV: - not sure
yes
no
Sandbags: notsure
yes
t
(no
Moratorium: n/a
yes
ono
Photos:
yes
(no
Waiver Attached:
yes
, no
(Scale: I :- 50,
)
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A building permit may be required by: 1 �. i^ t� 'lf t '� c i !+. 1 fl [ ❑ See note on back regarding River Basin rules.
Notes Special Conditions
t f 4 '•�j 1 [ � T
ent orAp licant Print 1y a Permit Officer s Signature 1,
IJ
Signature **,Please read compliance statement onbackofpermit" r Issuing Date ti Expiration Date
ApplicationFee(s) Check# Local PlanningJunsdiction ITo`verFile 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, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
Other:
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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

08/06/2013 08:39 FAX Q 0002/0005
IV 02-1 RUM& '"UVy
HENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee FreemanSecret
ary
Date
Name of Property Owner Applying for Permit:
P41U4P nAJNOeP
Mailing Address:
I certify that I have authorized (agent) 1;� .. to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) FS�V-i' jo (TZ-
at (my property located at) 7 a C-1 ?-A 144—' -j>�
CA pfftvRb el MY 14c,
This certification is valid thru (date) ��/RECEIVED
• NnV 2 0 2014
DCM-MHD CITY
�)W
Property Owner Signatu Date RECEIVED
rA_C > S91 &0,0"3 © NOV 21 2014
A P�r--ate CO ---
DEtAl=row) gory
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity WrumaM Action Employer— 506 Recycled } 10% Post Consumer Paper

Name: Phillip Munden
Date: 9/17/14
GP Habitat Sheet
Permit M 65228C
Address: 4704 park drive
Habitat
SF of Disturbance
SF of Disturbance
LF of Disturbance
LF of Disturbance
Shoreline
365
365
n/a
n/a
RECEIVED
Nov 21 I-W
DCW&C Ott

08/.06/201 A21:39b WIW.P
Q 0002/0005
Wm
HCMR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date
Name of Property Owner Applying for Permit:
ice- l L-Lke YY'\vPtd fo
Mailing Address:
LI'7 o y t�A 'plZ
I certify that I have authorized (agent) IRI--b0;!91' — 1,0'C-_*2-7E> to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)L C'F'T
at (my property located at) 4—rc> y 'P43r9_Y_ D-�?
This certi5cation is valid thra (date)
Property
RECEIVED
NOV 21 1014
MW"13 env
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] l Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Tt+1 is
(Name of Property Owner}
property located at 4�Q� ��. �T2,.
(Address, Lot, Block, Road, etc.)
on ?C-U MiSr— c *-C6:14C , in c *y T�Q-' N.C.
(Waterbody) (City/Town and or County)
TVappi has described to me, as shown below, the development proposed at the above
to
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)
MCF-WM
AUG 2 8 2014
AC&f-WW r
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 setback, 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.
RECEIVED
NOY 21 7M
(Property Owner Information) (Adjacent Property Owjn1r Information)
SignatureSigttahir
Print or Type Name
Mailing Address
City/state/Zip
-Telephone Number
Date
P&t or TYl e Na tT f ,pn It
Mai - d��lress n
l i 1.4IV .���l�
Cify/StateiZip U 01 9 - 8 10 _ d
Telept e Nurser
Date _L
(Revised 6118/2012)

3.
AUG 2 8 2014
A
0
�k
--rw IOLc
"k RECEIVED
a NOV 21 2014
�� DCM-MHD CITY
XN

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _ -M M • lJ M)J is
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on 1!4'-u-r <j �TZ ca:k. , in c11-1 �T�R.� l N.C.
(Waterbody) (City/Town 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.
1 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)
RECEIVED
AUG 2 8 Z014
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 setback, 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 Property Owner„Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
-Telephone Number
Date
(Revised 6/1 &2012)

w} ec�
1�
RECEWEU
AUG 2 8 20% ;
DCM MO CITY
i4,
c
RECENED
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ys. DCm-MHD CO