54531D - Griffin

-,CAMA / '--'DREDGE & FILL 54
3`ENERAL PERMIT Previous permit#
New JModification ElComplete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ZA. Q� +�
C4RCiTes attached
tName tAD.D/C
Yzlog BEAVc. Gz«.r Cr
ep,JS�u2 o State/i C ZIPZ ya6
(LA) 6 7V-72Y.? Fax # ( )
:ed Agent L2IC l C�w,S7/it VCR,e®^+
CW 13EW ❑-PTA nes ❑ PTS
OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
_- PWS: ❑FC:
yes / PNA yes / Crit Hab es / no
Project Location: County Te a nkf
Street Address/ State Road/ Lot #(s) _5 / 1r7,o ljlec
Subdivision
Cityd*47fr h zip 2 7 y4
Phone # O River Basin
Adj. Wtr. BodL o, 'r %// ww (natlCr
Closest Maj. Wtr. Body .4/ L✓ 4-1
' Project/ Activity /� P p L A C Cr ,L S-1 .- < /` L G /� � 4 Po c/
(Scale: / _
ck) length CYjS yi , /b '
i(s)
ier(s)
ngth
nber
i/ Riprap length
distance offshore
x distance offshore
cannel
;ic yards
ip
se/ Boatlift
illdozing
Length
not sure yes
1
not sure yes
um: n/a yes
r�6)
yes
01
,ttached: yes
qe_;�
ig permit maybe requiredby: OrX)Q OA4 14 ❑ See note on back regarding River Basin
/

9105'79'yg90
05/07/2010 `05.13• 3105799096 6RICE GUN
North Carolina Depattrttent
Di41=ion of 6ast..s
►rtiicnaW V 693*j.:sbVKc'ear chrrfa a.Pon"
in order to obtain any
PAGE 01
nrmni and Natural Riesou'r .,;
Management
dndtx W Nism G. P.;
Authorized Agent Consent Agree-rient
is hereby auth• ;ized to act an :
pormit,R? imq:'irsfor t-Aproperty listwd bef w, iir.
specific actryitles deecrlbed In.the ettaghed sketch.
LOCATION OF PROJI$CT;
PROPERTY OWNERMAILINGADDRESS:
`�-,�rdi'i-tJR���L' i•+►Giicid'i ."h�tilL7i�iii� i+iJDRE::j3:
_ "M
. -.. r
pmotar. No.
f.M

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �'� r A � C\ 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on Ca rlyl\ J� S wa�g r,)4� CNIQc:rnr (" ?)(--St , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Qlb'S`ly-ql, Mailing Address: UUt 7-::5-QA(— ati
li
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
fz��A ct C�u
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
t4At-�
Mailing Address y
i3 C r !
\"',4
Signature
zt) �2 b V kV,,6rs

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to--�'� �r ��1 's
(Name of Property Owner)
property located at
(Lot, Block, Ifoad, etc.)
on _ CQr1cl� JF L.; CvJ`l l �U �>� P &q( 1 \ , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Q��"5`l�t-Ql„� Mailing Address: V-3-Qa,(1A
he has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
(Riparian Property Owner Information)
Signature
e � bow t� Al2l�i

`' Y'a--)0

cant: Ld a✓t C 6lz
Permit #:
ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
tat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/c
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
Dredge ❑ Fill ❑ Both ❑ Other
COMPLETE• ON DELIVERY
to items 1, 2, and 3. Also complete A. Signature
` Restricted Delivery is desired. gent
ur name and address on the reverse X ❑Addressee
ire can return the card to you. B. eived by (Printed Name C of D livery
his card to the back.of the mailpiece,1%
a front if space permits.
(dressed to:
A
D. Is delivery address different from Rem 17 Ye:
If YES, enter delivery address below: ❑ No
3. Service Type
INCertified Mail ❑ Express Mail
❑ Registered ,M-Retum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
mbar
mm service /abed 7009 1680 0002 3793 8234
ETE THIS
11, February 2004 Domestic Return Receipt 10259502-M-1540 SECTIONON DELIVERY
Dredge U Fill 0 Complete items 1, 2, and 3. Also complete A• nature
item 4 if Restricted Deliveryis desired. ❑ Agent
Dredge ElFil • Print your name and address on the reverse h 't` ❑ Addre;
so that we can return the card to you. B. ceived by nted Name) C. Qate f Del'
■ Attach this card to the back of the mailpiece, S
Dredge ❑ Fill or on the front if space permits.
' Ye
1. Article Addressed to:
Dredge ❑ Fill
8,-1IYU n Cttj V)t-
��u.
D. is delivery address drfferent from dam I
If YES, enter delivery address below: ❑ No
3. 11 _ Service Type _ --

GRICE CONSTRUCTION OF
BRUNSWICK COUNTY INC
PH.910-579-9095
6618 BEACH DRIVE SW
OCEAN ISLE BEACH, NC 28469
DATE
PAY
TO THE wx L
ORDER OF
BRANG;40o-BAWAND
BBT BHi.Com TRUST COMPANY
FORS
11.0000 7 L tall i:0 5 3 10 1 L 2 L1:OOO 5
1999 265 2911'