Greene, David 80439C

DREDGE
r
R. PERMITENERAL
R i pennitMaTt Date previous permit Issued
As authofized by the State of North Carolina,'Department of Environmental Quality
and the 04
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CMA / ❑ DREDGE & FILL 9 80439 A B ((C D
ENERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ed by the State of North Carolina, Department of Environmental Quality
and the Coastal Reso rces Commissi n in a a of environmental concern pursuant to 15A NCAC
R les attar . d.
Applicant Name Project Location: County
Address Street Address/ State R d/ Lot #(s)
City State ZIP
Phone # _ I Subdivisi n
Authorized Agent City ZIP
Affected CW EW %PTA ❑ ES ❑ PTS PhoI#-Rivr Basin
AEC s : ❑ OEA �HF ❑YH ❑ UBA ❑ N/A Ad'. Wtr. Bod t an unkn
() Pws: 1 Y
ORW:nesno PNA yes Closest Maj. Wtr. BodyORW: n o PNA
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) ,
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length c_
avg distance offshore _
max distance offshore '
Basin, channel--
cubic vards%-
Boat ramp
Boathouse/ Boatlift
Beach
Other
Shoreline Length
SAV: not sure yes / no
Moratorium: n/a yes ono
Photos: yes no
Waiver Attached: es no
A building permit may be required by:
( Note Local Planning jurisdiction) f�
or
read compliance statement on
Permit
See note on
r
(Scale: /I .�- )
ine River Basin rules.
Fee(s) Check #

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: iDau i c- L Gr eer e-
Mailing Address;
Phone Number:
Email Address:
515
NeWperr'� KC �,9570 --
259, 563 1933
J( reeve_ 19143 ca"r'
I Certify that I have authorized ,-,baVI'd 9raswCC'onsfr�,iefoh
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at' 5716 61%ke_ Nerav-,
in CaAe-(t:- — County.
Ye.bv,_ ilk 4\e_ A6d<
e M-3 iay\s' as bQ_� e­, Ii UY 1'iCCV1AA-
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 Owner Information:
Signature
UL.Creere,
Print or Type Name
OWN i (Z
Title
4 ! I l ZaZI
Date
This certification is valid through !

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to David and Rita Greene 's
Property located at 515 Blue Heron Drive (Lot 59) (Name of Property Owner)
on ue $pond (Address, Lot, Block, Road, etc.)
in -Newport N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatign.
1 have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
Rebuild the dock severely damaged by Hurricane Florence. Some pilings will be reused
and the position and dimensions will be the same as they have been for over 20 years.
There will NOT be a boat ift.
WAIVER SECTION
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.)
_V_ I do wish to waive the 15' setback requirement,
1 do not wish to waive the 15' setback requirement,
(Prop e Ow ormation) (Adjacent Property Owner Information)
Signature 11 LPh"int
ture
David L Greene &Y
Print or Type Name or Ty Name
515 Blue Heron Dr
Marling Address Mailin Address — J
Newport NC 28570 C `-T7 S (1•
C- /state/Zip City/State/Zip
252 503-1833 / dlgreenel 943@,amad.com 1 g , 'X-i 1, 3 9.1¢
Telephone Nu ber/emafladdress Telephone Number/email address
S�7�zt �f��l�,l
Date Date*
(Revised Aug. 2014)
'Valid for one calendar year after signature'

Y

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to David and Rita Greene 's
(Name of Property Owner)
property located at 515 Blue Heron Drive (Lot 59)
(Address, Lot, Block, Road, etc.)
on Bogue Sound , in Newport , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatiop.
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)
Rebuild the dock severely damaged by Hurricane Florence. Some pilings will be reused
and the position and dimensions will be the same as they have been for over 20 years.
There will NOT be a boat lift.
WAIVER SECTION
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prope O ner Information) (Adjacent Prop/ne�rty Owner Information)
Signature tgn ature *
David L Greene �� C• S C a T l
Print or Type Name Print or Type Name
515 Blue Heron Dr Z4 01 ka•fV1 "T0.5'5
Mailing Address Mailing ddres�s
Newport NC 28570 d( r 0 105 5
City/State/Zip Cit /Sta ip
252 503-1833 / dlgreenel943�gmail.com (0 0 I - 2 4s
Telephone Number/email address Te ephone Number/email address
y 3 2,OZ/ `"YbL4 lug 207-1
Date Date
(Revised Aug. 2014)
`Valid for one calendar year after signature'

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Dav i J_ L Gr eer e-
Mailing Address; 515 6 � uq_ J4 er on Df
New ��" T�i C g5 7 a
Phone Number: 25 5 6 3 1933
Email Address: JU re.erer19H3 cam'"
certify that I have authorized aY id I�raswe I I (' nsh Cfion
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: rP_bu,-�l(k tke- A6CJ<
i'ti t�� Some �5t�in, av�c�-LmeK3lob`s a 5 b�toYe. (-
�tnYricanA-
at my property located at61,ke- Neray` D� ,
in iCO.'r`t�'�e-� 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 Owner Information:
Signature
ID L. &ree r e,
Print or Type Name
Ouuty j 2
Title
4 / I I Zazl
Date
This certification is valid through 1 1.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to David and Rita Greene 's
Property located at 515 Blue Heron Drive (Lot 59) (Name of Property Owner)
on Bloc ue Sound (Address, Lot, Block, Road, etc.)
in Newport N.C_
(Water)ody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
7Tloca
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
Rebuild the dock severely damaged by Hurricane Florence. Some pTings will be reused
and the position and dimensions will be the same as they have been for over 20 years.
There will NOT be a boat Ifift,
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a min mnn distance of 15- f►am my area of riparian access unless waived by
me. Of you wish to waive the setback, you must initial the appropriate blank below.)
_V/� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop e Ow ormation) (Adjacent Property Owner Information)
Signature Sig ture *
David L Greene Z,j lay
Print or Type Name Print or Typ6 Name
515 Blue Heron Dr (Do l�Vvtdvt,
Mailing Address Mailin Address
Newport NC 28570 �i \\ QC "S 1(
Crty/statelzi A
252 503-1Cny
833 / dlgreene1843(a�amail,com /s9re2rp-X-1 I , 9:)-4
Telephone Nu ber/emad address Telephone Number/email address
2--4 I
Date Date*
(Revised Aug. 2014)
'Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to David and Rita Greene is
(Name of Property Owner)
property located at 515 Blue Heron Drive (Lot 59)
(Address, Lot, Block, Road, etc.)
on Bogue Sound -,in Newport , N.C.
(Waterbody) (CitylTown and/or County)
The applicant 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)
Rebuild the dock severely damaged by Hurricane Florence. Some pilings will be reused
and the position and dimensions will be the same as they have been for over 20 years.
There will NOT be a boat lift.
WAIVER SECTION
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.)
_ I do wish to waive the 15' setback requirement.
l do not wish to waive the 15' setback requirement.
(Prope O ner Information) (Adjacent Property Owner Information)
l - A44'�
Signature 4 t nature* *
David L Greene ' w5 • S C (A
Print or Type Name Print or Type Name
515 Blue Heron Dr z o l k leAA_'?oL55age_
Mailing Address MailingV17.
rO U 5
_ Newport NC 28570 Cify/State/Zip Cif /Stap
252 503-1833 / dlgreenel 943 mail.com (0 0 I - 2 4s
Telephone Number/email address Telephone�Number/email address
'S3/xoz i `/
kb .:1 I U r �0I'-71
Date Date"
(Revised Aug. 2014)
`Valid for one calendar year after signature`

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