79350A_Griest, Richard & Kimberly_20210715

✓CAMA / DFIEDGE & FILL
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PENERAL PERMIT p —
Date issued (--�)J__
/New Modification Complete Reissue Partial Reissue
previous permit
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Applicant Name Z;c• kctt A 4- ^ _Ijt! CI fC•S 4-
ulessattached.
Project Location: County 6"t '44C k
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Address V�3I � LJ�clsor� '^�/ �
Street Address; State Road/ Lot #(s) fC� Abr 4f %!•�;,--
City 6i o!\.9 State /iJC ZIP -� '�939
CC;J1r_+ / q
Phone # { )/ 3 - S35 r?- E-Mail -
tt '
Subdivision LJa G V; B(.>
Authorized Agent
City Gf-0-"3 ZIP a,. ? 9.3 ry
CW YEW ✓ PTA ES PTS
Phone # ( ) River Basin PC�S _ICA k,
Affected
() OEA HHF IH UBA N/A
AEC s :
Adj. Wtr. Body-a.w ( _ }% ' (nat - / _ an /unkn)
Closest Maj. Wtr. Body �r!A( A
_
ORW: yes /.� PNA yes /.no�
_ Type of Project/ Activity NC.(.J � � x (IfbC.fC_ a Ne�� + Co f k q i_iaC k-
(Scale: A)S )
Pier (dock) length SS )c C f
Fixed Platform(s)
Floating Platform(s) .
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
J
Beach Bulldozing
Other � ? x
Shoreline Length {S.
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PL41,01ftul SS t( rx '
C1-C (11ty✓ wCACI)
r=t
41///
uI "71
fib
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IVIOVS6 I ) P[0P11
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GPI - s's p
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a�..�f�ztd17cck-
Cow LD'J)
SAV: not sure yes 'no
Moratorium: n! yes no
Photos: 1yee no J�
Waiver. Attached: no ^ j'
A building permit may be required by: ( t . GC r//,A, G �V
( Note Local Planning jurisdiction)
Notes/ Special Conditions
cpy�
Agent or A' plte ,lame (�
Signat re Please read compliance statement on back of permit
I$ -3a-36
Application Fee(s) Check #
See note on back regarding River Basin rules.
P rmitO�inted Name
Signature
Issuing Ds A
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11 -15-ZFI __
Expiratic Dce

RECEIVED
APR 13 2021
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FCQCM-EC
��—EKT—IFIEDMLL RET14—RN.RECEIPT REQUESTPr) or Wti Nil D
Na:re of Prorel­v Qvine i-AAMD ' \ ^ p 1:;7
L0k Lira
co
11 �gen! s Name
'ila -es,
-,Iasl�scriberl 4is shw,,n or �ne,3�
they are prcqos;ng A.description or drawin UC-hed llraw.'ng _tie ,jeve,zwmen*
If you have objections to what is being Proposed, You must notify the Division of Coastal Management
f0C-M) in writing within 10daYs 0freceipt of this notice. Correspondence Should be mailed to 401 S.
Griffin St, St93OO, Elizabeth City. NC, 27909, DCM representatives can also be contacted st (252) 264.
3901. No response is considered the same as no obf . ection if you have been notified by Certified Mail,
WAIVER SECTION
ate Ma a ppi,:,�- d,Uc;k muciring p0ings, boat ramp breakwater. boathoLiSe, li4l* Or groin
ritz f!"YOU tW!3�1 tc Warve the setback ess by
— must initial tt,,e appropriate t�zan'` belov,
do w S h t 0 ac, k r e q;j 1 r
dO not
(Property Owner Informal ion)
o �fj
5o?
P
(Adjacent Property Owner Informationi;
A2Z A/
1W,J!!71?Q A �Xr>e,',3(1
Ala'

RECEIVED
DIVISION OF COASTAL MANAGEMENT APR 13 2021
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIEI)'�"L- RETURN RECEIPT REQUESTED or HANG DEL V-R=r-,—
44-e OF P'O.De7'y Gwner -AL
C,
Road C"I
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m*e above -iferal%;eG Pro.certy The
cr
31-Di4l., f bo rn�? '13 t1he 311ta--hedf Jra-.�;ing +he develop'lle'V
ZPr! or r I i'i
"'ev are v.-;P03ina,
A description or d�awing vain dimensions rnus' be providetl with this letker
If you have objections 10 what Is being Proposed, YOU Must notify the Division Of Coastal Management
(OC41) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S,
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection if ynij have been notified by Certified Mail,
WAIVER SECTION
ha: a rQofing piiing.s 00at rary-'P braakoiater, boatnouse i,f,. 0,
be Se! back a minim' t r.,
, , i : -My area 011 ';panan aCcess unless viawe,':[ by
aok, j,L, lust initial
- I — the -ipprophate b0an'F below
do riot ",a V
(Property Owner Inforrnatior,) (Adjacent Property Owner Information,,

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a
RECEIVED
APR 13 MI
DCM-EC

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