Griffin Docking Facility

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LAMA/ ❑DREDGE & FILL No 70841 A: B
C D
GENERAL PERMIT Previous permit#
Oft�w ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As autho ized by the State of North Carolina,Department of Environmental Quality )
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC '�{\4' 1�iv "
E Rules attached.
Applicant Name 5\5i0t3y Gv 4 1.71, Project Location: County fjThAIV\J\M 1L
Address ��1 -((� 113 Street Address/State Road/Lot#(s)
City I ' \1\A. State , ? -ZIP d' t ID- \t ' v iihe y I�
Phone#) E-Mail Subdivision n 0
Authorized Agent C, )AVV) ,`� CityC `_ \ ZIP a�`Itt'Lii
Affected ❑CW 24W • TA ❑ES ❑PTs Phone# ( ) River Basin L m\k /1'
❑OEA HHF IH ❑UBA CI N/A ,e."7
AEC(s): Adj.Wtr. Body 14\\N\1\1 (nat / an /unkn)
0 Pr)ORW: yes /(no PNi------)A yes ( Closest Maj.Wtr. Body 6J�t !�v v V
Type of roject/Activity i• (,r , '1�)�‘A P 4 AQW 'f YV D (r�� \&i c \ A\./04-0_
r 0( 10 k A - WA k 1 _ I(
(Scale: -,,
Pier(dock)length
jYqDa,
�_ R\lx\i\vi
Floating Platform(s) I -
Finger pier(s) .�.,.,
/I [
Groin length l- j I
number F. f
Bulkhead/Riprap length WKS
avg distance offshore { 1 '
max distance offshore j
Basin,channel IIS I .i._: ,
cubic yards ,,.i
Boat ramp
�'� a s,
Boathouse/Boa �� '`/; ( J� t1 Y
! ,11111 ' j
Beach Bulldozing t 2' j f
Other IM1114j
1 —'f -�'D" _ i1 j
i 1111
Shoreline Length F7!"! V
'. r----7
ures nfn/as i 5� . 0 kt V �,jry/1. �( (
Waiver Attached: yes (con• led ' \� , j4 ; i p
A building permit may be requiredWeihnfla
Y ' kV. KI JA .JSee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ` , `, 114. l I1�/'+ 4-V
Notes/Special Conditi ns a\ v iA f`I`��I ' ' 1
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•:e a-Applicant Printed ame Pe Officer' Printed/174e
IP) fi.k. i , - ,,a-
ignature **Pl9ase read compliance statement on back of per_ it Signature
aIP — 4/0 1 b
Application Fee(s) , Check# Issu1gDate r Expiration}Date

•
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,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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office(9 10-796-7215)for more information on how to comply with 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 252-946-648 I
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 Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick,New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates,Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

• r
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 5-VLW --cA- r—fc,t r
Mailing Address: r
}
Phone Number:
fq3-57k-3W1
Email Address:
I certify that I have authorized 0/.63 l oUC//
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: fi'ccr(ockn-k t
at my property located at -942- 1.1)/,a. °kJ__ iic Vg965-
in IrO Stwiek County.
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Ai I
Signature /
Oy/and ( 'fue#/7 Gil 44,4 c-Y"
Print or Type Name
Title
3 / d
Date
This certification is valid through if I /5 i/f'

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Q51CrueCl G-t`et•i.r\
Address of Property: '1 tok 14.".64-t y ct i DA
(Lot or Street , Street or Road,City.&County) •
Agent's Name#:
Atki Mailing Address: y‘�S the elk-W4l
Agent's phone 11: CYO';6q-o,9.16 519
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached dra ink the development
they are proposing.A description or drawing,with dimensions. must be provided with this letter.
I have no objections to this proposal. - I have objections to this proposal.
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. Correspondence should bewailed to 127 Cardinal Drive Ext.,
Wilmington, NC,28905-3845. DCM representatives can also be contacted at(910)796-7215.No response is
considered the same as no objection if you have been notified by Certified Mail.
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)
06( I do wish to waive the 15'setback requirement.
1 do not wish to waive the 15' setback requirement.
(Property Owner Information) (Ad'acent Property Owner Information)
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472127,-.
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"' Print -r Type Name Print or Typo 1Warne y
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Mailing Addr:ss Mailing Address
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City/State2ip _._City/StaterZip
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3.36 9) 7 991-0
• Telephone Number Telephone Number
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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNS OTIFICATIONIWAIVER FORM
Nanie of Property Owner. _ ftk. ' 5pAay-- F iTNI_
Address of Properly: aq) a° .L T 1 , ol1
tl pit or Street#, Street or Road, City.S Counti;
Agent's Name P. —l-r7tr15 L ova Mailing Address. (051 &-ritFe01'
Agent's phone g. ey0`1.69-iQ1J i—orky SCA9Stag
- I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawin9the development
they are proposing.A description or drawing,with dimensions must he provided with this teller.
% , t hti\'c no objections to this proposal. I have objections c to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Managernent(DC14)in
writing ndthin 10 days of receipt of this notice. Correspondence should he mailed to 127 Cardinal Drive Ext-,
Wilmington, NC, 28405-3846. DCM representatives can also be contacted at(910)795-7215.No response is
considered the same as no objection if you have been notified by Certified Mail.
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
•
(Prop- Owner- •forE.tion) 0-jacent Pr Owner Information)
Signa tll'4 T SigizatNl i'
implo
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Pant or Type Name Print or Typ lame
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Mailing Address Mailing Address
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City/State ► —City/Slate/2V
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Telephone Number Telephone Nurtdret
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Date
Date Received Deposited Check From(Name) Name ofPemJt Holder Vendor Check Number Check amount Permit Number/Comments Receipt or Refund/Reallocated
Column/ Column2 Column? Column4 Column5 Column6 Column7 Column9 Column9
4/13/2018 Maritech,LLC/Adam Knierim William Morris Bank of America 2378 $ 200.00 GP 70848D CS rct.6149
4/13/2018 F and S Marine Contractors INC Bernard Tarr PNC Bank 7021 $ 200.00 GP 70849D CS rct.6147
4/13/2018 F and S Marine Contractors INC Kenneth Sprunt PNC Bank 6997 $ 200.00 GP 70820D CS rct.6144
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ATLIZA 1ffi L4'20 b3t�"'EGdC2i�Sii5) r 1C'.:e st 3 1E3 20e,e _,112.157 )Z rrp
4/13/2018 Lighthouse Marine Construction Inc Bob and Barb Foor Coastal Bank&Trust 1902 $ 200.00 GP 70729D JD rct.6207 '
4/13/2018 Lighthouse Marine Construction Inc Jeff Dunn Coastal Bank&Trust 1901 $ 200.00 GP 70728D JD rct.6206
4/13/2018 Grice Construction Myles McAliney BB&T 12035 $ 200.00 GP 70832D BS rct.6162 '
4/13/2018 Allied Marine Contractors LLC Robert Shober First Citizens Bank 6658 $ 200.00 GP 70727D JD rct.6205
4/13/2018 Grice Construction Lynn Hales BB&T 12034'$ 200.00 GP 70831D BS rct.6163
4/13/2018 Varnams Docks and Bulkheads Inc Garth McGillewie BB&T 7401 $ 600.00 GP 70829D BS rct.6164
4/13/2018 HELMS 2 0 LLC/Lane Helms Jan Black BB&T 1164 $ 200.00 GP 70801D BS rct.6165
4/13/2018 Allied Marine Contractors LLC James Emmett Gooch First Citizens Bank 6657 $ 200.00 GP 70726D JD rct.6204