Munden, William

WGENERAL Pf
E]New [:]modification Reissue E]Partial Reissue Date previous permit, isided
As authorized by the State of North Carolina,Deputment of lhAvironment and Natural Resources
and the Coastal Resources ComOssion in an area of environmental concern pursuant to I SA NCAC
ttached
Applicant Name cation: County
Street Address/ State Road/ Lot #(s)
Address
City. State ZI P
Phone # IV-4-Mail Subdivision
Authorized Agent
City ZIP
Affected
Closest Maj. Wtr. Body
Fixed Platf6rrn(s)
number
Bulkhead/ Riprap length
maxdistanceoffsh
cubic yards
Boatramp—
EMMEMENE
MENEM
0
ON
Beach Buildozi
C
MEN
MENEM MMEMEMEMOMMEMMENNE
MEN NONE MEN
El See note on back,regarding River Basin rules.

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 I) 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, certifythatthis project is consistentwith 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14

-� ri t.:<
r
(Scale: ;,71�� )
❑ See note on back regarding River Basin rules.
=AMA / ❑ DREDGE & FILL
GENERAL PERMIT
'
Br D
}Previous
permit#�; 4'°'
New ❑Modification ,Complete Reissue ❑Partial'Reissue. Date previous permit issued
horized by the State of North Carolina, Department of Environment and Natural Resources
ie Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
r f
ant Name # _ 'i'; /�°`j� j l j
Rues attached.
Project Location: County, t° T
;ss I, t .a " -f- f i :y> I '" j ; `
,
Street Address/ State Road/ Lot #(s)
4� '. State 1 ZIP + �
- i � ` t ! f. � , a A!i s L G e
( r 6 -Mail
,(
Subdivision
rized AgentCcc i I g`LG
City ZIP`
❑ CAN TA ❑ ES ❑ PTS
�River Basin' ic.•'i
❑ OEA ❑ HHF ❑ N ❑ UBA ❑ N/A
0 PWS: �
(L ..�
r
Adj. Wtr. Body i
' �� � i' Ate+ � a nat )/man /unkn
yes /ono } PNA yes / r
Closest Maj. Wtr. Body f`' G t..A,
,F
if. Project/ Activity
6
xk length ' a l
gt i%' /� $
latform(s)
,er pier(s)
iin length : -:
number
ihead/ Riprap length - ~~-
avg distance offshore `
niax distance offshore-_
cubic yardsw _-__ •._
atrarnp....-
athouse/ Boatlift_
3ch Bulldoiing—�—
'i^S -1% Pam.
:line Length ` ,-I 1
3Fr
not sure yes (no,
� ri „
�toriuin: n/a yes Ong
psi yes 60)
er Attached. yes rgo )
ilding permit may be required by:
Le Local Planning.Jurisdiction)
�. 7

31
Date
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Name of Property Owner Applying for Permit:
t I (yarn �Yl vi nG�er�
Mailing Address:
3a g N1 �nd�,n rm
I certify that I have authorized (agent) t�Gd n 1L �S Man Nc ©nS4 • to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 1n66Q W X 5Vr WL%L k
at (my property located at)f m
R E C E I VICE D
DEC
0 9
2016
This certification is valid thru (date) � 1 I � '�
� �
�af� � �
� C T Y
Property Owner Signature
Date
DEC 062016

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Ui t l t vx, ', /USA o,� , j �-, 's
^(�ame of Property Owner)
�
property located at PALkr\a I r-rn ��- �- tJ e-
(Address, Lot,
on N� a. OaC � Q �vt,t _, in
'(Waterbody) T
Road,
and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
to
1 have no objection to this proposal.
1 have objections to this proposal.
eftDESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
DEC 0 9 2016
WAIVER SECTION ?'Oi"10 CITY
I understand that a pier, dock, mooring pilings, boat ramp, 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)
Sigreaure
U7 `l l tQ;4N ib • �lnG�er1 1f` .
Print or Type Name
32T M%e A, '^ G. N. D A
%Sri c7
Telepone Number/ mail address
Date
Property
x�
;
Type Name
Mailing Address /����
377 eJ
C►iy/ ate/Zip —v-
N C
Teiepho a umber/email address
ge
Date* / t— Zl Z Olio
6 2016
HD CITY
*Valid for one calendar year after signature* (Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to (,&Qa rb. , M,,,,,,1��� � �s
( me of Property Owner)
property located at _32y (Yl�i hcUA
(Address, Lot, Block, Road,
on _�J w w: �� , in Q�+�.�..3 p, 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..
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
DEC 0 9 2016
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, 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.)
X 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)
or Type Nam
Bailin Add, ss g6 -70
% .
0A/St te/Zip
sa
Teleph ne Number/email address
Date
*Valid for one calendar year after signature*
Z
ature *-
or T pe Name n /�
Mailing Addre
-PS
T
c�tyistaMC Zip _RECEIVED
Telephone Number / email address
Date*
DC - MHD CITY,
(Revised Aug. 2014)
s
i

*,AMA-1 0 DREDGE & FILL
N? 69823 A
B D
I
E GNERAL PERMIT
Previous permit #
ew FlModification DComplete Reissue
DPartial Reissue Date previous pe mit 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 comer pursuant to 15A NCAC
Rules
h
Applicant Name
cation: County
AddressLM)
I Street Address/ State Road/ Lot # s
City State ZIP
Phone #
Subdivision
Authorized Agent
-7-7
CityZIP
0 CW '*,EW PTS
C] ES 0
Affected TA
C 010�11 Phone #
V. B in
AEC(s): OOEA 0 HHF WH 0 U13A 0 NIA
Adj. Wtr. Body
1 1
a,41fa"an hinkn)
11 PWS:
Closest Maj. Wtr. Body
ORW: yes /
��JP�NAy�es�,
Type of Project/ Activity
Pier
Fixed
Floati
Finger
Groin
Bulkh
Basin,
Boat
Boath
Beac
Othe
Shon
SAM
Mo
Phot
waiv
(Scale:
Oc J T" Nze F
Platforms)
A.
ng Platform(,) FT
-J—
pier(sL__,,!• i
/V i
J
-4-
length
number---
•-
Riprap length
-----
. ......
ead/
avg distance offshore
max distance offshore
channel
L+_
IF-
I
--+-�k:
cubic yards
7.
t9
ramp
4—
Ouse/ Boadift
4�1-4-
CN,
r---
h Bulldozing ---
r
4
i ­4
_7
line Length i
not sure yes
Ltorium: n/a yes JIL-1 ----
---
ZmA
s: yes
- .4
r Attached: yes
I
A building permit may be required by:
( Note Local Planning jurisdiction) J
Nqpes/ Special Conditions ti ')U
-Nash read compliance statement on back of permit"
on*Fee(s) Check #
IJ oee note on Dar-K rUgaWUII Ig FMVUF 044111 1 Ulw*-
PermitOffi
is
A
Signature
A-
i 1- 1 q
Issuing Date txpirakion Date