68551D - Griffin

V AIV11# / ❑ DREDGE & FILL �/ 5 38551 A B
GENERAL PERMIT Previous permit#
YNew :Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources 04R.
l
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC V 4 N , U oU
❑Rules attached.
nt Name A,�f,r� �r- Project Location: County '�'NS',JC Ck
3-73 I L st,( t—cL16t-
,n A L'J a..•.,t State_ C ZIP 9 S 2-
0' WU)51L 3560 E-Mail
zed Agent
❑ CW
❑ EW ❑ PTA XES XI PTS
❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
yes Ofi�
PNA yes / no
of Project/ Activity
ock)length
Ilatform(s) _
g Platform(s)
ength
kmber
aRiprap length__
ig distance offshore
iax distance offshore 0
:hannel /
jbic yards
mp
use/ Boatlift
\ tYN%l'
ie Length 45 ,
not sure yes no
rium: n/a yes
yes
Attached: yes n
Street Address/ State Road/ Lot #(s)
L4I2 ('s
Subdivision
City ()C V— TS (*A& � ZIP 2 84
Phone # ( ) River Basin C4
Adj. Wtr. Body t4l t,Jw (nat
Closest Maj. Wtr. Body P T- W Li
(Scale: 1"
ing permit may be required by: '"� ,�,� Ic �„ �, ❑ See note on back regarding River Basin i

,rCAMA / 1:1 DREDGE & FILL
N? 68551 A B C
GENERAL PERMIT
Previous permit#
XNew OModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
authorized by the State of North Carolina, Department of Environment and Natural Resources '
ISA NCAC IkJ ny
d the Coastal Resources Commission In an area of environmental concern
pursuant to I��H ,
I � �
)plicant Name 1. ram_tr�f r am_
Q Rules attached.
Project Location: County )04f!n"QA_ oirk
1dress_ 341l—L ac UvLc
Street Address/ State Road/ Lot #(s)
tyn-dto.l"-- State �C C, ZIP2�sz•
lone # (3_") 514 M40 E-Mail . _. __ _—
Subdivision
ithorized Agent
City OAI- Zt I A-iA ZIP 28,46 S
fected LiCW U EW U PTA XES XPTS
Phone # (_) River Basin
:C(s): OOEA U HHP 0IH 0 UBA U WA
Adj. Wtr. Bod(nat 92
❑ PWS:
1W: yes / n PNA yes / ®
Closest Maj. Wtr. Body ��G1L.2
rpe of Project/ Activity
Pier (dock) length
Fixed Platform(s)
1
Floating Platform(s)
a
-finger pier(s)
oroln length
_-.. •-. _ _---
-- r
tuber^
3ulkhead/ Riprap length_
avg distance offshore
max distance offshore
3asin, channel
I
i
!
cubic yards
3oat ramp
�tit� thy' b
i
3oathouse/ Boatlift
3each Bulldozing
Xher
r i
I 1
146-t 13%CSAI+
KKdd""
!
f I
shoreline Length 1.5
SAV: not surd yes
Moratorium: n/a yes
building permit may be required by: �rax 6 F Oak �4 �e.rs c1 ❑ See note on back regarding River Basin rules.
Note Local Planning W r- V
jurisdiction) !. / // ,
Intacl Q.. nditi— - . P A -I't/ 1'1/1�f /l. e A � /7,Lf n / O.,M � m .- el d'f Q

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner. M • 5� FE& JE.
Address of Property: —Xq i a KJ. Ua`�T pr
Agent's Name #:
Agent's phone #:
(Lot or Street #, Sheet or Road, CltJ & County)
Mailing Address:
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 drawing the development
they are proposing. A description or drawing with dimensions. must be provided with this letter.
x I have no objections to this proposal. I have objections to this proposal.
11you 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 be mailed to 127 Cardinal Drive Eart,
Wilmington, NC, 28405.3645, DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have bean notified by Corilfled Mall.
WANER 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)
AA A I �4&r
Si M r
4utr-r6 It
Print or Type Name
Mailing Address
oV wALI SC o 5�-�
(Ad` cent Pr arty Owner Informau
Signature I
( 0
Print or'Type Name
Mailing Address
,-1k,1C1.fnr71n

Sep 2817 03:44p Lumber Express Inc.
8432483698 p.1
ADJACCPIT R1PAR(AN MOPERTY OWW STATEMENT
I hereby certify that I own property adjacent to <—fuQ
(Name of Property Owmar)
property located at
(Address, Lot, Block, Plod, e
on . !n O,4 K S/G h 6 rVMs U; (4, N.C.
(Watetbody) (Cltylrown andlor County)
The apptiCa t has described to me, as shown below, the development proposed at the above locallon
1 have no objection la ttBs proposal
I have objedons to this proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEMOPMT
(lndivhfual proposing development must fifiln descOptlon below oraftach a site drawing)
/ J fiQwlny
L 01) � � /
) -Pr a»�l rjoe4 t� rJl Corp.-
�/, �1 r 09 a
ff S-PG ,,,,. a // o 4
AIVE ECT10N
I understand that a play, dock, mooring pilings, breakwater, boathouse, fft, or groin must be set bad* a
minimum distance of 16' from my area of riparian eccess unless watved by me. (If you wish to waive
the setback, you must Initial the appropriate blank below.)
I do wish to valve the 15 setback reclulrement.
I do not wish to waive the 15 suback requirement.
(Property owner Information)
S19narure
PHN or Type Alamo
MANA9 Address
C�/Slale/Z7y
relephone Numbar
Dare Dare

Sep 2817 03:44p Lumbe//r Express Inc.
M40 OP
i ov%di ol
M2483698
p.2
iY1ii-e--