70690_Uncovered Boatlift_20180328

` El / DREDGE & FILL �aS I + 0 70690
A B C D
GENERAL 'PERMIT - Previous permit #'
1 New ❑Modification . ❑Complete Reissue ❑Partial Reissue Date previous permit issued I . A '.
As authorized by, State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental -concern pursuant to 15A NCAC O`1 14 Z a
0 Rules attached.
Applicant Name Project Location: County
Address/ PO, ►-i 1 Street Address/ State Road/ Lot #(s) y GA-t c7 r P
City 1 A'T State L ZIP 2�
Phone # (�) � 1, - 3'� 9- E=Mail Subdivision G C1-T" �1 , i P ;moo/ cJ T '
Authorized Agen—t).^7 T 5 (" -+ +- ` City. T 14-r74 ZIP'
❑ CW ❑ EW / _ETA ❑ ES ❑ PTS Phone# ( ), River Basin? j ,4 PAffected
ElOEA ❑ HHF ❑ IH ElUBA, ❑ N/A
AECs Adj. Wtr. Body: I G
() ❑ PWS. '/ ,Z (na /man /unkn) . .
ORW: yes / no PNA es yno 1 Closest Maj. Wtr. Body--Y-� K=i✓Pcz,,1;�R.�e%
Type of Project/ Activity N-L,t ; 3
Pier
:Fixe
Float
Fing
...Groff
Bulk
Basin
Boat
Boat
Beac
Oth
Shor
SAV:
Mor.
Phot
Waiv
o L) t.-.YL t;
r
(Scale:) ^ i.)
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number
avg distance offshore
max distance offshor
■■■■■■■■■■■■■■■■■■■■■�■I�■■■■■■■■■■■■■■■■■
ramp
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Bo
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eline Length■■e■E■■■■■■■■■■■■■■■■�
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a -
A building permit may be required by:1i2> w *-1 [] See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions l.,o-r- + 5 • ��^D w +J o i- :-t-j+ 2p+J;t r 1:L +' , 3
�3IAWLi/lam
zz-j v
ed Name
11 r
'Sigr{atuye Please-read
lease read compliance statement on back of permit
Application Fee(s) Check:#'
Signatdre U `�
-29 P'I fit. 4 2_o, 4s
Issuing Date Expiration, Date,

Authorized Agent ConsentAgreement
a, ( Ae jreem c.y , herby authorize Tobin Jay Tetterton of
(Property owner(s) )
TJ's Marine Construction, LLC to act on my behalf in obtaining CAMA permits for
the location listed below.
PROPERTY ADDRESS:
13 Z WrVII a ?a i w�
�ek I Ne, 2---S0g
PROPERTY OWNER'S MAILING ADDRESS:
Phone No. 8 0 t - : 11 - 2,0
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATUREi
DATE: Z IA 20 19
WlAudiorized Agent Consent Agra.

hlteby. cer5j ftl I qAqj_-propsrbj,scrjacGrjL to
Ppmvqf PIppoely 006601.
pTopeftF:tcfwtsd,tt, __cghlj, Po- ,in �`
1
N.C.
6Wn'th d1b�,CooMt9j)
Ti'lea 31166ht flas, desip6_d:XQ Meas shown below, Ilie: dinelbpd fit proposed aft fine abovebcaon. vhave-no 0 gemlon-lo phis pr
ot _rY
'oposeL
PRW, ROP700MANDIOR DRAWIMG OF PRDP!0SgD O%Vr=;�D, -ilffitNT'
ie site
pov
1--understaftd th6ta "d�r, d�cfcj,-m--o-o--nn--q- pilin bbati-fho, br6a- -'-b--
ra W6ter, oat b" lift, or bil
pw=
:rrib. (if Ydiftwgh -16AUMV6 ihe sdtbacic* you --pu �vdlugfhes o :bfanficbdl
­ppT,priats.
I do vel6h-tovalvelhe 16'sLetbacit-requisernerit.
jr- oimmu- U'robjun, edtor).
un -a 7 R n, Cgaw
777--y-
�_ - ; - -_ -
_U7
ate
naffaddr ass
(P&vlsodAu&4614).:

In
F,heyft 00ft tkdi I'dwh OpOertkadidicent to
A 4
Property idicaied af,
j kji I&M A-1 lb
FSMG Of E
'The '' I- _' t h ­ d " - fbbi-d - I ' I I y4cipmeAt-proposed at,lhe above
_FAI!can -. as-, escn e to Me. as shown below, the� &
fhave PQ QN.'ec6on to this-proposeL
I have OpiOdtiont to this, Omposal.
pfIqj?,below qra_#ach
lipx®
14'
'WAPJER SECTIOU
-Apier;—dodc, thdofin—pilings,'b - t' b -_ kWatdr. boathoijde, lift, o-"r,g'r'ojn
rnust,beI understand that"a
g� boat: ramp, rea
-set back a MMIMUni distance 4.15'frorn my area, of riodrigh access mfileig waived -by
i hitiall appropriatd.blanic below.)
sh- to Wahjethi§ s6th -yowtU ���
the
4CIC.
.4
�7
14Qwish :to W,!iv6tfie -16'.seilba
c1c requirement
I the 15'setbackre uitement.
­ - M_ I- - .
dit Potple"MN U-M Mewn)
P
or T MQWan?&I ,
TqzL&phqne,KLnbqfIenIaII address
'7L
Pard
(R&vlsedAiig. 2014),.
`Nalid for one cilendar-ye"ar after signature

BATH© NORTH CAROLINA
DATE 3
BOOK NO. PERMIT FEE PERMIT No.
APPLHCATIION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE (i }
Name & License No. Address: Phone No.:
OWNER WQ e nl n1 c 7-1::I?036
CON T RACTOR �J S r _ ©111 s �' r;` ,��A° xA h-` -7-7,fZ A , ,7I-?)— 9.0 2 _ l/ j/7
DESIGNER
SURVEYOR
ELECTRICAL
PLUMBING
TYPE OF IMPROVEMENT
NEW ADDITION ( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE( ) MOVE( )
OUTSIDE( ) OUTSIDE( ) LOCATE( )
Lot No. �� Block No. Building located at
between a �,-�Lj� and iQ&)ALJ
d Streets. Building to be used as
Type Construction -
Number of off street parking spaces . Contains rooms and
bath(s).
T otal square feet of building Electric Service
Type of heat
No. of plumbing fixtures . Foundation block caps
8" ( ). Corner bracing: Plywood ( ) other . Insulation: Floor
Walls , Ceiling Windows: Storm ' ( )Thermal ( ). How many exterior doors
Water Heater: Gas ( ) Electric ( ) Other
Roof Ventilation: Gable ( ) Eaves ( ) Louvers ( ) Other,
crawl space, number of feet apart
Ventilation
Height of crawlspace under house: 18" ( ) 24" ( )
Other . Zone . Water and Sewer Tap: Paid ( ) N/A ( ) Size water tap
Size sewer tap:
Total Estimated Cost Flood elevation

BUILDING INSPECTION DEPARTMENT COMMENTS: PLaA+s FbA-- /NsMt.t_A-no�
w-
/�ffi
CITY LICENSE. NUMBER:Ie,_�Y_/
Contractor/ C Electrician Plumber/Heating
Application approved by:
The owner of .this building and. the undersigned agree to conform to all applicable laws of the Town of
ga"o th Carolina
Signature of Applicant
Effective 8/10/04, there is a $50.00 filing fee -for all permits, including zoning compliance. application.
Any construction that requires installation of water or wastewater services may:
A) Be installed by owners, contactors or
B) Be installed by Town of Bath Utilities Department
All components must be compatible with existing water/wastewater materials, including Myers.pumps.
Bath Utilities. Department must inspect all construction. prior to 'Services becoming operational. Inspection
fee is $100.00.

77,

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A-x'= ?�'44,':L
Applicarrtr Phi !'errnit# L� 9 i
Date;
M Ae—c,t+ •2'D r `6
Describe 6efcw the HABITAT &-lur6artces for the apPCcatlon-. A!I'values should match the namo, and unfts- of measurement
fQurld in your Hahitat code sheet
T0T,4L 5q_ Fb
FNAl. Sq_ Ft
TOTAL Feet
FINAL Feet'
(Applied for_
(Anticipated Final'
(Applied fore
(Anticipated frml
Habitat blame
/01STURB•TYPE;
Ofsturbance total
dtsUbwm
Dlstarbance
disturbance,
Cha(jseOne
includes arty
Bx&ides arnf
totalfncludes-
E xcfudes.any
antfdpated
re taraff afr
aq anddpated
restarailan anchor
restoration or•
andiar temp
restoration or
temp impact
temp impacts}
impact amount)
temp impacts]
amau4
1A.1 j�-n
Dredge Q Fill [[ Bath: Q Other
1 2
"
Dredge Q , Fitt Q Bath Q Other Q
'
Dredge-Q - Fill Q path Q other Q
Dre* Q Fitl [[ Bath Q Other El
Dredge Q Ff[ [Q. eattc C[ other- [[
0[edge•0. riff Q Batb f_l Othee Q"
Dredds � � EW4 ' ; Other Q
[
L
► �
.
f
Dredd �. bath 01hor Q
V redgei Q F—K Q. oath Q - Other IT—
_
Eldh rithpx-
; in c Q Q'
Oredgm t: w!! 7 3ath Q "Other
ether Qr
oredge [(Fli (Q 3ait[ ' Q' athec Q "
f
Okedge 0 . Fill 0 SON E[ •" other Q