53934D - Griffin

CAMA / DREDGE & FILL
ENERAL PERMIT Previous permit#
1New ❑Modificatic . Complete Reissue ❑Partial Reissue Date previous permit issued
.rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 7,1). /2 0O
p MlRutes attached.
nt Name , in �T ll1-Ili,, Project Location: County 32 y,.,Sc„i Cle
i /l 41//v0 y f[ d .Sw Street Address/State Road/Lot#(s) p',S ,? /1F/,
:. p j, StatedC ZIPS yy42 L9,,,ei,,.-5 L✓y,✓b
" f0)1 2el—9, d'7 Fax#(_)
(_ Subdivision !/tioito,.,, 1--9..t✓f3
•
zed Agent City ,Ale--2�o,.. ?p,y�A ZIP 2 Y.
d ❑CW 1 J EW i?PTA L.ES ❑PTS Phone# Z
( ) River Basin 4�,ry
❑OEA ❑HHF E IH ❑UBA ❑N/A Adj.Wtr. Body /9/ G✓ /V O.
• ❑ PWS: ❑FC:
yes / no PNA yes / no rit.Hab. yes / no Closest Maj.Wtr. Body ,71 iu1'
of Project/Activity �/, ,09•1-e (T/ e fe 1/t�c k, f LJ971 ., ,,, c,� i "OB 71 /,f 7t
4 c-Ce,0 1 (Scale:
.ock)length`,:;.g. i, 'fah /6 V3
i I.
rm(s) j b k' 1l to u e i s-t — - — .. ..._.-.-. VLF_..t.._—.. —'... — —._�._.._.........
pier(s)/2 Xj.
I length _
number I i
4 $ —1-___:1; . /.. - _,__. __I___ I-
ead/Riprap length
avg distance offshore '1 _ ,��! ' M
max distance offshore ; ` ,•
channel ! ` I IMi
cubic yards I 1 /; 7 -1�1
amp ( i A jd1oRG1� I
1 [ioeV t�r �C
ouse/ atlift 2 b 7C
{ i i r I
I Bulldozing
/= i -/ /6 ',( 7 i a ` o Vi w
�I1 d 1 u ! 4 0
1 ;
Por
line Length ' hI
r �
not sure yes & NILt j - - , Iy -r, I —
ags: not sure yes
b'
orium: n/a yes 1-
I
s: yes no
no ,/�
r Attached: yes P 1 7`. S l /'Poi is 19r��•y �
ding permit may be required by:f`�`/L 10,.. ie..0 c A n See note on back regarding River Basin
,i c..e-..I r,...aa:,...e• r•Kel,.�i._ - _ �. ---... .- r _ I 1 r I i n ,

I�CDET�IR
AT A
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Orly Eaves Perdue James H. Gregson Dee Freema
nor Director Secretat
AGENT AUTHORIZATION FORM
e of Property.Owner Applying for Permit:
ing Address:
11 1/JAI/ -•/RP/ w
3p2LNI (Jc 28&62
ie Number: ( :to )(026-484
tify that I have authorized (agent) . .4g)✓ L c�' JR :4 US to act on my
3If, for the purpose of applying for and obtaining all CAMA Permits necessary to install or
;truct (activity) V;K,9r'f(loN\AN } r t-i N(= Do j � LI F
ny property located at) eicg LN-19fi \i,'yND ) t al-PEK(
certification is_validthru (date)

'c-d flt Ll--
•
CER i'1F1}:D MAIL—RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
ame of Property Owner: j Y L i `L 1 fJ
�Sg (-}l;Roi.1 LA loG 'fir �T � a-10C
ddress of Property: PE.rj ' 4e- f\G i1►•WIl CO-
� �
(Lot or Street#, Street or Road,City I County)
pplicant's phone#: (0"(p20-42et Mailing Address: 3" 1 i WIn1A{ : RD./
SVf
S U P PL( / MC) 282--LZ,
hereby certify that I own property adjacent to the above referenced property. The individual applying for this pert
as described to me as shown on the attached drawing the development they are proposing. A description of drawn
ith dimensions,must be provided with this letter.
X, I have no objections to this proposal. I have objections to this proposal.
f you have objections to what is being proposed,you must notify the Division of Coastal Management(DCN
s writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive E
Vilmington,NC 28405-3845. DCM representatives can also be contacted at(910)796-7215. No response is
onsidered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier,dock,mooring pilings,breakwater,boathouse, or lift must be set back a minimum distance
5'from my area of riparian access unless waived by me. (If you wish to waive the setback,you must initial the
ppropriate blank below.)
I do wish to waive the 15' set back requirement.
XI do not wish to waive the 15' set back requirement.
Pro 07vei form 'on) (Ri r' n Prop Owner Information)
/fi/bi<77
ature Si e // ,�
ir... 0 - �' t2/ f'1" rti) 00 L� - )A)C 7A)
Print or Type Name Print or Type Name
*Slit liff•IN ?f.. R , S'w 31"-t-'7 Cietssic, ---Dx.,. 5
Mailing Address / Mailing Address

ADJACENT RIPARIAN PROPERTY OWNERSTATEMENT
TAT E ENT
(FOR A PIER/MOORING PILING
)
I hereby certify that I own property adjacent to
Co t
S8 '- E?ON LR�1D f N� v,/ N9 (Name of Pro_perty Owner)
property located at LP C= 3 1 J C, V'FON LANDING S UWI v I S 101,
(Lot,Block,Road,etc.)
(4 - 4T1A1.iT1
on its+giVDA-STD- ' t P'riFV Vv/A ( ,in k n and/or EA ' ' N.C.
County)
(Waterbody) own
Applicant's phone#: a l 0 Co 2(4 LB 4r Mailing Address: 3-1 1
SUP?Z-\, d SSo Z
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 riparian access unless
waived by me. (If you wish to waive the setback,you must initial the appropriate blank
below.)
I do not wish to waive
r i
I do wish to waive that setback requirement.
I
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature

September 14, 2009
Douglas Duncan
3589 Classic Dr. S
Memphis, TN 38125
Ze: Dock permit
Mr. Duncan,
fim Griffin is applying for a Minor CAMA Permit for a dock at 858 Heron Landing Wynd adjacent to
✓our lot. CAMA requires notification to the adjacent riparian property owners. Enclosed is a
iotification letter and a copy of the plat showing the proposed dock. Mr. Griffin is not asking for a
vaiver of the 15' set back requirement.
ks is noted on the Riparian Property Owner Statement letter,no response is considered as no objection.
f you decide to return the letter,please return to my address below.
f you have any questions,please call me at 910-512-3928.
Shanks,
iary L. Gurganus,PLS, agent
;urveyOne, PLLC
369 Holden Beach Rd., SW
'O Box 51
upply,NC 28462

: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
lete items 1,2,and 3.Also complete A.
if Restricted Delivery is desired. ..r 0 Agent
our name and address on the reverse f to 0 Addressee
t we can return the card to you. B.
this card to the back of the mailpiece, fret)
C. Date of Delivery
:he front if space permits. r
D. Is delivery address dis r1tf1dfrl it t? ❑Yes
4ddressed to:
If YES,enter delivery address bell , O No
� SEP 2 1 200
14Fo,� L t f t VJ D 9
)E4,) ) �" 2 e4 Z 3. Service Type (uASS
ECCertified Mall ©Exptes§Ntail
0 Registered 0 Return Receipt for Merc
0 Insured Mail 0 C.O.D.
4. Restricted Dilivai ?(Extra Fee) ❑Yes
lumber r from service 7007 3020 0001 5068 2399
3811, February 2004 Domestic Return Receipt 102595-02-M-1540
: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
lete items 1,2,and 3.Also complete A. Signature �`
if Restricted Delivery is desired. X r�, ,rase
our name and address on the reverse l(/,( disease
t we can return the card to you. B. eived byZteclitee910
Name) C LDeli
this card to the back of the mailpiece, U(, efhe front if space permits. C
lddressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below: ❑ No
:ALAS DO OCA
1 CL► 5 c DR, S.
pNr5 T-14
3. a Type
rtified Mail 0 Express Mail
❑ Registered 0 Retum Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
umber 7007 3020 0001 5068 2382
from service label)
811, February 2004 Domestic Return Receipt 102595-02-M-154o

4443
JAMES D GRIFFIN JR 66-112/531
JOANN D GRIFFIN PH.910-842-6638
3711 WINDY POINT RD SW b 9
SUPPLY,NC 28462 /O r f
��Y p C—�t//cam l $ apo . v m
r�,ie tee,�f Al Ln
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t oa....
<76.D �.4.._11.4 ld 0 col/or,
BB&T BRANCH BANKING AND TRUST COMPANY C L A B ! I C
1-EW-BANKf N T FtUSTZ, cio
) Jig/ware - - -
1:053LOLL2LI:0005L94999L II■ 43