89079A - Greening, John

N❑CAMA 0 DREDGE &FILL No 89079 A B C D
Prea� GENERAL PERMIT Date
previous previous permit issued I i � • , � i
❑ 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 ❑ Rules attached. .F General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name t:
a
Authorized Agent - • > I-°
Address
Project Location (County): L'
City State
i.1�
ZIP
Street Address/State Road/Lot #(s)
Phone # ( )
Email
I
Subdivision
'
City ZIP
Affected ❑ CW ❑ EW
❑ PTA
❑ ES ❑ PTS
Adj. Wtr. Body z (hat/fnan/unk)
AEC(s): ❑OEA ❑IHA
❑UW
❑$PIMA ❑PWS
Closest Maj. Wtr. Body
ORW: yes/6' PNA: yes/no
Type of Project/ Activity
_
(Scale:1,LF )
c M.nllen lcn:»h
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s) I
I
C.
.L
L-
n.---
GC.
4
i y
`sP
a
-
—i_
-'IM-
1
�1
• _
:.
y-,�
[
1
Finger pier(s) J
Total Platform area
Groin length/Ji t
I—
..
'—
cif
<.
..
��
t
...
.
Bulkhead/ Riprap length
--
Avg distance offshore
Breakwater/Sill"
I
-I
Max distance/ length
Basin, channel
Cubic yards
Boat ram
-
--
~
Boathouse/ Boatlift
Beach Bulldozing
!
T
j
!
-
!
OtherI-
+
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)
SAV observed: yes no
Moratorium: n/a yes no
_`
(-�
j—
--
—,
—
j
!
Site Photos: yes noRiparian Waiver Attached: ves no
A building permit/zoning permit may be required by:
Permit Conditions
❑ TARIPAM/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)
i-
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) Check tt/Money Order Issuing Date Expiration Date

fA 0EOW4 MCAMA [9 DREDGE & FILL
GENERAL PERMIT
IEKNew ❑ Modification 0 Complete Reissue [-]Partial Reissue
Np 87076r�
®BCD
Previous permit
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental QuaSty and the Coastal Resources Comrnission in an area of environmental concern Pursuant to.
ISA NCAC 90'1/aog 12A0 ❑Rules attached. Q Cenral Petmit Rules ava,BLablleaethe fWlMgIW.www4^^h-=rrAH61-
Applicant Name. T106 ree/ill Authorhxd Agerd EqA t ShcLKer� 1'�'lQt-ate t.,t,C
Address .� 8 z ai11 �' hee CT. Project Location (Canty): l CIS is �iL+ 'A
Add:
Soa state NY zIP 120
20
--r O Street AddmWSM a Road/lot #(a)
Phone#(�ti).21ar0'/c7:25
En¢li cs MR.ysr IQ%_I @Qr alL
city
AB'ected ❑CW ®EW ®PTA. ©Fs NPTS Adj. Wo: Body �L d�Qet Lt,. nlunk)
AEC(* ❑ OPA ❑ I1IA ❑ V W ❑ SPIMA ❑ PWS Closest Mai. Wrr. Body he&r &•' 'e.
ORW: yes,? PNA: yesl®
Type of Project/ Activity
I x I6t tlttAw- ,,
shoreline length �$
Access Length �.
Pier (dock) length ' X G'
Fbw Platforms) t V t r
� tXlb
Floating Platform(s)
Fingerpier(s)
Total Platform area, `2
Groin length(#_
Breakwater/Sill-7-
Maxdistanoe/length 7'
Basin, channel "
Cublcyards
Boat ramp _
Beach Bulldozing
Other
)c I",
SAV observed: yes
Moratorium: wa_�
no `-`-_ i^'•�
Site Photos yut
no '--p--;—;
Riparian Waiver Attached: yes
4Z`•�..,:_-;
A building permit/zoning Permit may be rewired by:
Permit Conditions
Agent
C)tQ
Feels)
L
Permit ORicea/s PJIINTED Name
134r i k �t O(`Zr t,.sJ
—T
--�1.—� (scale: I 1
5W I
TAR/PAM/NEUSHBUFFER (cirde one)
See note on back regarding River Basin rules
See additional notes/cotditions on back
(Plesseinidal)
Signa('u�
1 V kY 5'/4fzy
Order issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: <) //1��
Mailing Address: o�� 9, -A1 Nii 2 l .T
Phone Number: 61 FS - a(00 •(�Oq
Email Address: ql 2".1'�.I I%I (�- /nrvM�,I •Co�-
I certify that I have authorized �C-A9-f a SWAT-,E2S OAR-tI�E , LL-C
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: '�)ULOE.AD, Plop- i
OAT Li FT 0,t-ir,-�s ,-1)ocY- °+ sTf-P -Do u)o covEAz-
at my property located at (SMA AL-u 'D?-
in Po-sago41LOKCounty.
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:
Print or Type Name
Q)wNe.R
Title
g / 1L19 , a3
Date
This certification is valid through aIA S I a?)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �3 o h n a Y e2ty t n q s
property located at rI PJ S" ALL b1z. (NMRS of " )
(Address, Lot, Block, Road, etc.)
on- a'N rlttr�K2l �� in GLL,7 Iin Ci:b';5 ,N.C.
(Waterbody) (City/Town an r County)
The applicant has described to me, as shown below, the development proposed at the above
location.
_I>- I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing)
V\S-i tLA\ �,P-pRO1C-. 1 9<6 Cb VJWN 1, �uLIZNcAp
i2ol 1�1�c2 \,JeTN 12Lo Dock to
St�P 'DouDti 7bcy }-D �riclvote ���eS �roY-
'Fjo
Sty C ricD�
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Owner Information)
Print orType Name
City/state�Lip^
5 I V' oxyo • I n9(cs
Telephon Nu ber/email address
7j& I Za )
Date
(Adjacent Property.Owner Information)
or Type
Date*
0
I ntow,ItAV
Number/email address
(Revised Aug. 2014)
loll L1_C�
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �3 o 4i n Ca v-"ry l n A s
_ _ ^ _ (Name of Property ner)
property located at
�J (Address, Lot, Block, Road, etc.)
on i f� S0.uo if/ nK��� E.fL in E-LAz b2Nn C4411 N.C.
(Waterbody) (City/Town ancUbr County)
The app icant 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)
I ns-I T,I\ A��r�ou . 1
12o1 �lrc2 tTN
S'1 rC P -DOuo n3 b C,1L +D
A'TP
cb V)Ny L, 3uIrKNli-� ATO
12x1Lo` DCkLa
)ric.lvole. p�leS
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.)
JI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Telephon Nuinberlemail address
Date
(Adjacent Property Owner Information)
1:DV-)0 �
Signature* n
to- 9. r•urkS
Print or Type Name
Mailing Address
�c92a.hef Ci i-U NC a-7ao9
city0t?at-339 Asa3
Telephone Number/email address
Date* t
(Revised Aug. 2014)
*Valid for one calendar year after signature'

t 12' X W Dods
Boat Lift. Approx. 12' X 12.5'
10,000—12,000 lb. lift capacity
Pier —Min. 136' L (Dependent upon water depth) ✓1u
Tread: 6' Wiide
(Est. From front edge of bulkhead)
—
tf
i
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ICU BULKHEAD---
Pier and Dock Concept
1. Greening
78 Small Drive
Elizabeth Cary, NC
Scale: %" = 8'
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