87076A - Greening, John

V
e °""" X CAMA [9 DREDGE $ FILL Nd 87076 ® B C D
GENERAL PERMIT Previouspermit
Date previous permit issued
®New ❑Modification ❑Complete Reissue El Partial Reissue
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 7H' I l io $' 12 M General Permit Rules avalf ble at the following ikrk: wwwdea nczey ehrA.. b.
Applicant Name Jt re Aged_ wr'Ih 51iaKe.,-3 i'�' iz,-Ae
Authorized "c
Address_ 1?alz Airs �'f�@ Project Location (County): 1 CCsG) Z-Ve A'it
City' �, o— !ti state N Y zip 12020 StreetAddress/Stam R.,*L t rF(a> C
Phone#(�i$) 2roe)^(09(o5
Emall J .tni CD+l, subdivision . N
City F_itzs, bz f1� ' ]e� zP 2-12 39
Affected ❑ LW ®EW ®PTA © ES NpTs Adl. Wu: Body �i-ST
n )man/unk)
AEC(s); [IDEA ❑INA ❑UW ❑SPIMA ❑PWS Ckneax Maj.Wv.Body Vt 1'J�%i'�Ckr l� SCd4.(.Nrnr
ORW: yesla PNA: Yesl(oo
Type of Project/Activity I ykakc;l I l r new Kx.t iri 13to ` k (or i er t.st
IVXI(,I Olc tsr-K, 31x16f I 4rr� �l�iiio'rw. t (Z'Xf2$f ;Dos. Shoreline Length lW=Scale: 1 "•
Access Length
Pier (dock) length for X (of
Fixed Platform(s)
Floating Platfonn(s)
Finger piers),-
1
2t�srn� i ,r•. i 4'
Total Platform area-
r._.
Groin length/# ea tPraP length
�-
Avg iO rueoffshore f ♦ , ' ' ' ? , _; ( ' ( r . i r - i j - '
Breakwater/Sill
Basin, channel
Cubic yards
Boat ram ,-_l , _-,- a"" a
s
Baathou [L' xt Z , j_ .. '_ l..
Reach Bulldozing " ,
Other
SAV observed: //'�`\\ Y. is
Moratorium; W(a./ no `"'' "•I
Site Photos: no
Riparian Waiver Attached: yes 421;_,.„_,__„
A building permit/zoning Permit may be required by:
Permit Conditions _
Application Feels)
❑ TARMAM/NEUSE/BUFFER (circle ate)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Permit Onitsvirs PRINihp Name
bade of Parmhel l l 3 Si�a4 /24 ky
/a91zv
Check #/Money Order Issuing Date Expiration Date

,,Lout"z ®CAMA FA DREDGE & FILL
1) f.111=IUPRAI DRRMIT
N9 87076 ® B C D
Previous permit
Date previous permit issued
0 New []Modification ❑ Complete Reissue ❑ Partial Reissue
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 719- (1` 00 6 QW ❑ Rules attached. © General Permit Rules available at the following link: wwwdesi.nc.gov/CAMArules
Applicant Name Va
//�� � I C,,I Authorized Agent CN % t t \
Address / Ulz f�t�A j' hC — 4� , Project Location (County): I
City BCQ It CIt o(ti/ �S Oc, (� State N Y ZIP 12020 Street Address/State Road/Lot ##(s)
Phone # (sI r) Z•O�t ' (O f (05 s 1 :% smca( L 1 r
Email y4` 0--r\119(ol 09901 I (. Coeh Subdivision,
city F_(itt.beh C
0909
Affected ❑cW ®EW ®PTA ©ES ®PTS Adj. Wtr. Body R1 S jf- /na an/unk)
AEC(s): ❑OEA ❑ IHA ❑ UW ❑$PIMA ❑ PWS Closest Maj. Wtr. Body a S0L'L Ci
ORW: yes t, (g PNA: yes/0
Type of Project/ Activity ( Yes
IV x 161 rv� 4
Shoreline Length I IF/' 1719 B y
Access Length
Pier (dock) length r X G
Fixed Platform(s) j 1 c X Ile'
�' xlbl
Floating Platform(s)
Finger pier(s) `
Total Platform area
Groin length/#
eTZFe—.?)Ripraplength 1B8
Avg (stance offshore I
Breakwater/Sill `—
Maxdistance/length �r
Basin, channel
Cubic yards
Boat ramp
Boathouse oa (Z t<I Z,Sr
Beach Bulldozing
Other
SAV observed: //''�� yes
Moratorium: `n(d) no
Site Photos: <2 �no
Riparian Waiver Attached: yes <Z
\wwu
wstu � pf
o <�
r
�n cF ( 3(, I -xi"Kv-
)c It 2.2 Boo i (I P6 (Scale:
tr
fib,
(3P"ny prop
A building permit/zoning permit may be required by: Pb s4 (.lam
Agent or Applicant PRINTED Name
W x
loop e
Permit Officens PAINTED Name
tj9
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Sig natuqre�'*Please read compliance statement on back of permit*•
$ O I"i� t V. 1 i rl 3
Application Feels) Check It/Money Order
Signature
/23
Issuing Date Expiration Date

N❑CAMA ❑ DREDGE & FILL N9 87076 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
❑New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
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:
I SA NCAC 1 ` ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.ncgoy/CAMArules
Applicant Name Authorized Agent
Address - i ' Project Location (County):
City State ZIP Street Address/State Road/Lot#(s)
Phone #( I ) I - I
Email
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
ORW: yes/no PNA: yes/do',
Type of Project/ Activity
t
ES ❑ PTS
❑SPIMA ❑PWS
Subdivision
City
Adj. Wtr. Body
Closest Mal. Wtr. Body
(Scale:
11
ME
1
■■ii■■
■■riiiii■■■
MEMO
ME
Finger pler(5)
ME
mom
0
0
MINE
Total Platform area-
length/#
■.��v�l■1=�■■■Groin
■0
MiH■■MMHEME��■1!
B
®�.
MENCAL
ME.
■■N
':�M::::::::::
::::::a0
�
1-111110.711
C■0IM
IQCCCIISEEM
moos
ENINE
OR
on
M
SAV
Moratoriu
..
RloarianWaiver■C.■.■®.
■
E■
N�
■M
■■■
n�■C■■■■■■�■■
■.■■
■■
■
®
SEEN
■■
■
.■
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.
A building permit/zoning permit may be required by:
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) _
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature*•Please read compliance statement on back of permit" Signature
Application Fee(s) Check N/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J Ohh GrelrurtG
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
aco o (oq CCG
Agent /
Co �--
9lfJE
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: -�)VLK flD, Pi�2 /
iboxr Li F-r Pi .S Docy- w- S-it;P -DO W0 C_0veX.7
at my property located at —rs� Sr"AALL
in � u rll4, 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:
U
John �2EF,tJtNG
Print or Type Name
OwIJe-R
Title
g , )to , a3
Date
This certification is valid through a / AS l�?)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to V o h ✓1 C: r ��r• i n �, s
(Name of Property ner)
property located at �(S Sim ALL 5�7. Q.
L, !� (Address, Lot, Block, Road, etc.)
on �(aSrillr]I IJ.r-xK K�N1 9- in ELA ab2lh C%� N.C.
(Waterbody) (CitylTown an r 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)
�rS4u1\ R�►�QOu � 2; 6 Ob VIN`j L 3OLkNSAD
\.xD,--ik 12x1Lo Dock =a-- � y- ILo
'1)0uDrJ 7bl;t, +0 JfAC vI C Pkles 40r
'FjO Art )-I r.
56E- A-r►p CffsD)
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.)
(P
Print
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Owner Information)
City/state/Zip
5 1� a(.90 • (09(0S
Telephon Nuqiberl email address
Date
(Adjacerlt Property Owner Information)
Print or
Date*
CV 1011 Ll-C�
I' 7(o4— I l n v
Number email address
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �'3 o h n Is
(Name of Property ner)
property located at 1� Sta ALL DtZ.
(Address, Lot, Block, Road, etc.)
on �i nsAr�rrl r nK l���ta2 in GI �Zab24h i�: N.C.
(Waterbody) (City/Town andlbr County)
The app scant has described to me, as shown below, the development proposed at the above
locatio
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)
-f'PP-0Y- I'Scc6
1201 T)lrc(2- VD 1T 11
S I rc p �DouDN 7 b c,1L +0
"joAT ),I FT.
( 5;�E-
o V)0y L, ISuL.ILHi�-E At0
12 x 11.0 Do C-V- a- X, I LO
lriclvole. �lles
A,rp CHIED)
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 Ish to waive the setback, you must initial the appropriate blank below.)
140 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
none
(Adjacent Property Owner Information)
(�D �0 o
Signature*
,tvIat_ 9, Rcr4,
Print or Type Name
v"'�s'a'"339 -Cl sa3
Telephone Number/ email address
Date*
-1ci 09
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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syr m W. ® 5Z24' s 58. 9B' 28' E _ _
AME 58. 08. 58' 100.00' RIB)
'ci _
i1E LANfE / SMALL GRIVE (w' AM. _.. 5 33' S2' JJ' W
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1 inM - 50 N.
- 60, T. A. Stokely, PLLC P 2183
AIgL� P22a95 LOT SURREY FOR
DNeo9/I</zo22 JOHN R. GREENING, JR. tj 1781fau&xSwdlrpRd,
MW !AS. rN (D. B. 1421, PG. 686) !roan, Ix 22944 j
LOT 82 - CAROUNA DUNES - SEC770M C - (P.B. 20, PG 15) (252) 33MS52
ARMON RANVSNAP PASQUOTANN COUNTY NORM C4WUW m*lje9m.E01f1

12' X 16' Dock
e
�Ia.S
Boat Lift. Approx. 12' X 12-S'
SO,ODO-12,000lb. lift capacity q_,
8' X 16' Step down dock w/ Roof`
('Roof optional dependent upon project price)
f
i I
2 0 w IZ x l (D Do Ck
1jo���1L
- W INN Cove
j (zivE PILE:s t ov2,
7-
1 X)2S�
Pier— Min.136' L (Dependent upon water depth)
Tread: 6' Wide
(Est. From front edge of bulkhead)
Pier and Dock Concept
J. Greening
78 Small Drive
Elizabeth City, NC
i
Scale: W = 8'
-T
-i .� - ---
---BULKHEAD---