50716_GRIFFIN, STEPHEN_20080501

❑ CAMA / ❑ DREDGE & FILLS'
-. GE'NE14AL PERMIT Previous permit#
❑New ❑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
❑ Rules attached.
Applicant Name P L C
Address I_ t'•, . A, C...
City State 1" - ZIP e- �>
Phone # O I j Fax # ( )
Authorized Agent
Affected ❑ Cw I] EW ❑ PTA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
roiect ocatlon: ounty
Street Address/ State Road/ Lot #(s) i ,,
Subdivision
City ZIP `
Phone # O River Basin r
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name Permit Officer's Signature
9-1-05
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Issuing Date Expiration Date
i lSA
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 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

ri
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSP-)
I hereby certify that I own property adjacent to r , F r;v 's
(Name of Property Owner)
property located at 513 [/oIt*-J MIL Iawr (Iof{r677 Foire slt fi; roSvhJ". 51f1/o N
(Lot, Block, Road, etc.)
on fQ1A-J ftl,tl Crg.k' ,in SfeCln � QN56ow N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring p i 11 ngs/boatl 1 ft/boatho use
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.'°" "=:•
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------- ------°'roc _1►_M
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fillet! in by individual proposing development)
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(Applicant Information)
Mailing Address
A6x,,
Ci[ /State ip
A4r V/o - 6 /7- 0 511
`10 • 391- 6 N6 3
Telephone Number
2 -!3 09
Darr
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(Riparian Pr erty Owner Information)
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Print or Type Name
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(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSL)
I hereby certify that I own property adjacent to s Op .0 Ff-t;v 's
(Name of Property Owner)
property located at 513 Flalia-d M,II 1Rwr (Iof' R67,7 Forest fi"JXESubd✓. 5 if?11h ti
(Lot, Block, Road, etc.)
on_f1e11e-J 074 Crv-k- ,in 5 LeUin - 6NSlow Cvwwifr, ,N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatliftiboathouse
must be set back a minimum distance of fifteen feet (15') from my ar;,
waived by me.i
y I do not wish to waive the setback requirement. MAR 3 0 2008
I do wisli to waive that setback requirement.
-- Morehead 0q( iaCIVl
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by intlivi(lual proposing development)
Pro pa,s-J 175Pl'er . To b e 5 Fo.I wed,° f/�p pjlfso
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pro1w1,vr a n/ 6A,k a f fits RA,*P-
(Applicant Information)
Q 9 601 &" tt 19r, rp
Mailing Address
W k L,tity 1 2
City/state/lip
Pf-y y/O - 617- o 5//
171 v- 3 7,1- 6 y 63�
Telephone Neonber
a-13-OS
Date
------------------------------------------------------------------
(Riparian Pro erty Owner Information)
P�6 11J tes-rays loc.
Signature
Pg-re �ck���,Ps Si T � rtZ445-
Print or Type Name
2SI- 393 - 1: il0 —
Telephone Number ,
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Date
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(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSP-)
I hereby certify that I own property adjacent to s 1'ep4 -0-�r*»+as r, FFt's
(Name of Property Owner)
property located at 513 Hella•-dt Mill lnwr (I {r 6 i_7 Fore sf 1��drP 5abd✓, 5 ie1b, �V
(Lot, Block, Road, etc.)
on [1e11ANJ Mitt CreQk ,in SfeLt19 - CN910w C,N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of rip -an; c,qs-u
waived by me. 11211e�
✓ I do not wish to waive the setback requirement.
MAR g 0 2CL$
I do wish to waive that setback requirement.
Vlom1 ead City DUIV
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fillett in by intlividttal proposing tfeveloputent)
Pr p05-J 175' Pt*e r . To 6 e $ F,,, wt Jp f/,p l On/y�
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(Applicant Information)
Q 9 601 ate, t
Mailing Address
City/State/ ip
nor 90/0 - 6 17-
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NtT+� ` 10. 3 9; L 6,1161
Telephone Number
2-13-09
Date
--------------------------------------------------------------
(Riparian Pr erty Owner Information)
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STEVE GRIFFIN 6-W NCDL3303281 a 6307
JOANN GRIFFIN
129 COLWITT DR Date 66-30/531
WILMINGTON, NC 28412 f 353
Pay to the / jQ $ a �% o d
Order of L 'd
/y c.l �v _Dollars
®First Citizens 011&
Bank 5v 7 f (P
firstcitizens.com J
For e c --- - ---
1:053100A001:00353651059711' 06307
' GUARDAN®SAFM BLUE TSBL
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