71883D - Griffin

• ._ AMA/ DREDGE & FILL �`0 7 A B C 0
GENERAL PERMIT Previous permit#
New Modification Complete Reissue Partial Reissue Date previous permit issued
1s au horned by the State of North Carolina.Department of Environmental Quality O 7 g . G-r} rs�/ti+
Ind the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �••/
\pplicant N � f PAs .444 tF Pro ect Location: County p
ached/Rules
iddress _� < 0 e7 5,- Street Address/State Road/Lot Cs):ity eld,f4,4tri," state/ ZIPS Je / 1 ; ___ 5 I 4IA/1 ifi "
►�?-� do Subdivision __
'lone '� �'T Mail —_--
wthorized Agent City 7 ,'c4-u-- 'CAI Mf yPTA ES PTS Phone# ( ).- Basinie3
�`fEfC(s): oEA /C'riN+F UM UBA N/A Adj.WCr.Body . ajll man (unkn)
NqS:
)RW: Pr. rw' 7 PNA..
es Closest Mai.Wtr.Body /.*f L' t1�a10, '
Type of Project/Activity' __..__ _ - ----_.
(Scale: )
lengt
Pier( k} m(e) ____ ( �'/ , ,' + `'
Fixed :} fi N
Floating rn(s)
Finger piers)
Groin length `Nis e
number --I
LA Pr-
Bulkhead]Riprap length • • r <:a �f
avg distance offshore
max distance offshore • 1\1 _
Basin.:bangle/
1
cubic yards
Boat ramp Baacho il Boa r, 1 y • ``
:
Beach Bulldozing at �,�,�. - — r wQ0,(�I'7 t/!vl't�
Other _ __ TV /? #ti 41A)
Shoreline length_,„"fff".e if? ' rfiern
j..°41$4(W.t
()AlleitiM4
SAY not are yes i 1 J 4/ /1 Q
Moratonum: nia yes 'rs!'-. 0 Sat)/
_�,J . �to/{/ OF TB
i il� 'h.,
,/—�JJ //
Photos. Yes ® ��-" /, �,.
'fli
Waiver Attached: en
s'
A building permit may be required by- ,_or„.....---"
See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
V.fki.fr
Age or Applican rr led Name Per er-'s Panted NameiC RN--
JU•4.21
Signature Please read compliance statement on back of permit'+ Sign
e> ____ _ __ .__ /Of — `— Zli
_____ /O— '—27'
Application feels) Check# Issuing Date Eape scion D,-e

0 CICAMA/ ❑ DREDGE & FILL No 71883
GENERAL PERMIT Previous permit# A B c o
>' = ❑New ❑Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality , 4 e - ___D
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
v / / ` 0 Rules ched.
Applicant Name e6 G r CL 6iu�7 '4' Project Location: County /{/
Address/ &?X' , -7 v
G Street Address/State Road/ Lot#(s)
City ( .C/ State NC_ ZIP 3Z / / `� -. I f .4 inl / ' "
Phone# (''� j� r01il Subdivision
Authorized Agent /t-� 6GE� J City ��t)(Ch-tL G. ' ZIP 7f ys
Affected ❑CW W , 1:PTA ❑ES ❑PTS Phone # ( ) 9 Rivv Basin Y...)
AEC(s): ❑OEA ❑HHF ❑IN ❑UBA ❑N/A Adj. Wtr. Body r 'Gt/Lt�� C4G Hi at man /unk
PWS:
ORW: yes i) PNA yes / no Closest Maj.Wtr. Body S/`} /t U U/�',p
d r
Type of Project/Activity / -t / `- C. � /vt-r, '✓t C-%- 1 /j l
(Scale: - )
Pier(dock)length _ ( 'Fixed Platform(s) r � /L i �" [ ' A✓�//f' J N Floating Platform(s) �/V
Finger pier(s)\ ;
Groin length I - •
number -
Bulkhead/Riprap length • I •
avg distance offshore I 1 _L etittue z
max distance offshore } /641‘17-
Basin,channel _ ONRAI
. i
cubic yards I _ -.
Boat ramp
Itc`,......s.....,,..\\\IN
Boathouse/Boatl' /
Beach Bulldozing y_ L.` :?(/ , 00
f ORrn
—r-1' _
Other .—...----'
Lv�St t Vs�pi�• tid
N --"
--11 011ZA1157
Shoreline Length f L J� J/,/� ; �.-�r(/
SAV: not sure yes o _ � I
Moratorium: n/a yes no} ��/ 5./pIO(J�
Uw*i OF 7B
, '_.._
Photos:
Waiver Attached: yes no / 0 V i
A building permit may be required by: / v fS�'-/C- �G. n See note on back regarding River Basin rules.
(Note Local Planning jurisdiction)
Notes/Special Conditions
\\A i ` (Al‘'--- "IAs. 1-)1 7)/-
Agent or Applicant Printed Name Permit er's Printed Name
'Signature **Please read compliance statement on back of permit** Sign •

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 6 f t-e. 61; -q;..1 - I P a
Mailing Address: PO lj„ C7�
(. mart Ief C J B 3 a 9
Phone Number: uO - 994' L To - 6 c1a - d 71'1
Email Address: 4 `2y } 5r;cCiNt taw . e
I certify that I have authorized 1-1A I r e,rock ( - t-X tired r Afi,1e
gent i Contractor
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: R . - Gu i[d p;eade
at my property located at 6-33 5;o( +r_� , Ave gip; I i?ec, 1�G
in Dec)2q County.
I 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 wner Information:
"r : -)A1.
rgn u
(fre q (r4i►\, Pa N. 6 i rn
J Print or Type Name
Title
Sit $ lc� �
Date
This certification is valid through

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �]1r'� Qr ..j 1 r 's
( e of,Broperty Odor)
property located at 5 33 `�, 1 cJ 6(�
--�, (Add ess, Lots B ock, Road,
on 1 Dp t L. '•bL4 ir-1 c in `1'o t I ��P[?tc'..1� , N.C.
(Waterbody) (City/Town and/or County)
The applica t has described to me, as shown below, the development proposed at the above
location
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
gRee lAir-U)41/;37 41}7L
c� Irk ,t-° e b ,.e�(a�Q
ilt
bow- 4 0 it.ty
® \/ .� l
C9 ° 0 0
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
y V I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
� -- ç1M4 ., V a i L
Signature,
VAX C ate e jQ ( /�c c 1
Print or Type�Na e CcQ Print or Type Nam 16`
L
Mailing Addre s Mailing Addre,
City/State/Zip (6-1 4/te ate2 i 25_ �t-
��� 3� a a
Telephone Number/email address Teleph e um r/email address
Oletea-/
Date Date
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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Chock
Date Received Data Dope Ned Check From(Name) Name or Permit Holder Vendor Check number amount Pwmit Number/Comments Receipt or Refund/Reallocated
Column? Cokam2 Column] Columma Columna Column6 Co/unn7 Columne Cohere*
6/25/2021 ,Coastal Marine Piers Bulkheads Jay Milam Wells Fargo 23917,$ 200.00 GP#80139D JD rct.14342
6/25/2021 Nathan C Batts same Bank of America 5392 $ 200.00 GP#80140D JD rct.14344
6/25/2021 Land to Sea Construction,LLC BEd Gunther First Citizens Bank _ 482 $ 200.00 GP#80182D _ KE rct.12860 _
6/25/2021 Coastal Marine Piers Bulkheads Timberbrook HOA Wells Fargo 23883 $ 200.00 GP#80311D BH rct.14103
__6/25/2021 Allied Marine Contractors LLC David Fogleman First Citizens Bank 10167 $ 600.00 GP#80169D KE rct.13450
6/25/2021 Thomas H Riggins same Wells Fargo ! 2633 $ 200.00 GP#80178D KE rct.12864
6/25/2021 F&S Marine Construction John Mack First Bank 1022 $ 200.00 GP#80170D KE rct.12863
6/25/2021 Allied Marine Contractors LLC Town of Topsail Beach First Citizens Bank 10171 $ 400.00 GP#718810 'JD rct.14078
625/2021 Alice Frascoia Michael and Alice Frascoia NAVY Federal CU 7200 $ 400.00 JGP#80174D BB rct.14055
6252021 Carolus Building Company Jim Finley First Bank 1479 $ 400.00 GP#80137D JD rct.14339
6/25/20211 Allied Marine Contractors LLC Greg&Pamela Griffin First Citizens Bank 10176 $ 200.00 GP#71883D ;JD mt.14079