72105_PWC_20180417

Vr,,AM 4 / ❑ DREDGE & FILL 0 721 V5
A �Z C . -.D
•> GEN•ERAL PERMIT Previous permit # t_1 1A '
New ❑Modification El Complete Reissue ❑ Partial -Reissue Date previous permit issued r,A f-hv
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
: [P Rules "attached.
Applicant. Name Pr�� �� Qn -1 Project Location: County +CLw1�c�tL i
Address Street Address/ State Road/ Lot #(s)
City -1 State �- C- ZIP 1 c� --a- 6 AT -,A 11�-�-
Phone 95'-?E=Mail Subdivision .sue Arr11r0
Authorized Agent City -TA ` ' ZIP C6
❑ CW ❑ EW �TA DES ElPTS Phone # ( ) River. BasinT/k Z
AEC(s1
ed ElOEA ElHHF ❑ IH ❑ UBA El N/A
Adj. Wtr. Body 'j�-1 GP-e (nat man /unkn)
❑ PWS:
no
Closest Maj. Wtr. Body Awl 4.1
ORW: yes /� �no PNA yes
Type of Project/ Activity ( \J -5-F N-2 L
(Scale:
Pier "
Fixe
Float
11
Finge
Groi
' .-I Bulk
Basir
Boat
Boat
Beac
Othi
Shor
SAV
Mon
' Phot
Wain
Plat form(s)
ng Platform(s)
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r pier(s)
length
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number
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■■■■■■■■■■■■��■.■■■■■■■■ca■■■■►�■a■■■■■■■
cubic yards
■■■■■■■■■■■■■■■■■■■■.■■■■r■■1■fl■0■■■■■■■
ramp
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■■■■■■■■■■■■■■!��■ans■■■■�le�l■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■
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Bulldozing
■■■■■■■■■■■■■�■■■■■■■■■■■
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-line Length--
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a
WNME
■ilo
er Attached: .
■■■■■■■■■■W■■■■■■■■!11■■�■■�1■11■■■■■■■■■■
A building permit may be required by:-' -nvi�_j C�� f)01n� See note on back regarding River.Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions c . -> - 115
/`nay ' fh-r r� �✓? �P*"'`�'J "
N '+ yam_,
t en> or Applicant P "nod' am it0�fei
r
Signature -t-'P ease read compliance'statement on back of permit signature:
Application Fee(s) " 't;:
Check# Issuing Date
Printed Name
r
Expiration"Date _+

Coastal 1Vlanqgement
ENVit20NMENTAL QUALITY
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
ROY COOPER
Governor.
MICHAEL S. REGAN
Secretary
BRAXTON DAVIS
'Director
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar -Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations '15A NCAC 026.0233 & .0259. The
Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation.
1. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft.-riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM. The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials: All reasonable measures shall be taken to lensure the access way is made of pervious -
materials like open -slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance and monitoring efforts.
• Pre -project site conditions: N1,o„ A,,-9•,e-e> [,„¢.w „2
By your signature below you agree to be held responsible for meeting all of'the conditions listed above and verify
that all inform ion r ided is complete and accurate.
Agent or (cant Pr'� is ed Name er it O ' Si re
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT #:
State of North.Carollna I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington NC27889 f 252-946-6.481
Wilmington Office 1 121 Cardinal Drive Ext. Wilmington, NC 28465-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City, NC 28557 1 232-808-2808

TOWN OF BATH
BATH, NORTH CAROUNA DATE—/-/
BOOK NO. PERMIT FEE PERMIT* -No.
APPUCA71ON FOR: BUILDING PERMIT( -ZONING .COMPLt4 - NCE CERTIFICATE E
Name &11tense No. Address: Phone No.:
3, .9r, 7
CONTRACTOR mor.:_-
DESIGNER
SURVEYOR
ELECTRICAL
PLUMBING,
TYPE OF IMPROVEMENT
NEW( ) ADIbITION(cl- AL:TEPATiON";`iNS1DE(' REPAIW.- INSIDE-( ) MOVE (' )
OUTSIDE( OUTSIDE( ) LOCATE( )
Lot No. Block No. Building located,f at
between and StrOets-.. Buildirig;to be'used as
—._Type Con_st5ofor
Number of off street MdAg spaces, . Contain rooms and -bath(t).
Total.square-feet of buildinElectic.Sevim. Type of heat
o. of plumbing fixtures—, Foundation block caps
4"( 8" )..Comer bradng4 -plywo Insulation:
Walls Ceiling Wi d form )Then-nal( ). How ma ny exterior doors.
Water Hea ' . Gdst ) Electric ( )Other
hoof Ventilation- Gable ).Eaves( Louviers( )Other Ventilatl6n
crawl space, numbe of feet apart Height of crawLspace under house: 18" 24"
Other Zone . Water and Sewer Tap:' Paid N/A Size water to
Size sewer tap: . Total Estimated Cost Flood elevation

Buiwim INSPECTION DEPARTMENT COMMENTS:
GENERAL
I/I �, i"
/apt 5;A
j.LA 'A 14
4.j
5' )z
CM- *.UC9NSEN1UM6ER;
Application: approved
Electrician PlUmb0lHebting
___ 7 —&rjAl
The: owner of this building and the undersigned agree- to conform to all applicable laws'of the Towrt of
Bath; North Car .
Effecfive_8116/04,,, there is a $5.0.00 filing fed for all permits, Including zoning compfiWnce application.
:Any iqqnstructlon, that retlulitsifistallation of Water or wastewater services may:
A) Be ihstolled by-owners;-contactoirsor
B) Be lnsta�ffed by Town- of*Bath LItIlItles Department.
Alt components must be compatible With existing water/wastewater"niatefials, indudirig "' rs pumps.
Bath Utilities Department must Inspect all construction prior to services becoming opprational. inspection
fee Is,$100.00.

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permit:
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Oescnbe 68fc� the HABITAT d9stur6ances for the appCcadon_• All uaiues should match the name, and c ru-ts- a•f measurement
found in your Habiia;t code shee'L
TOTAL 5q_ Ft
F r AL Sq_ Ft
TOTAL Feet
FINAL Feet
(AppCted for:
(Anticipated final
(AppUed fc(<<
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Habifaf Mars
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01sturbance total
disturbance,
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disturbance.
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includes any
Excludes are
total includes
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temp impact
temp impacts)
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temp impacts)
amaunt}
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