70669_Pier and uncovered boatlift_20180216

-CAMA / ❑ DREDGE .& FILL 377 N0 70669
GENERAL • PERMIT Previous permit # A 1J ) A D
'Y KNew. ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued T1 )A
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 0 l 2 v
,Rules attached.
Applicant Name 'tDA` yr 01z 121 5
Address 3 o 0 a'
City
State N1C. ZIP2-7-93y-
Phone # (aA)-g - h5 E-Mail
Authorized Agent 60—iz�F
L►>`h-or,)
Affected ❑ CW ❑ EW
)9(PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF•--
AEC(s):
❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / � PNA
yes / no
Project Location: County
Street Address/ State Road/ Lot #(s) co r-F Sp- ) 3 4- 6
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Subdivision G Lr- %C - ?yam►? -A i K
ZIP
Phone # (_
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Agent or Applicant Printed Name
Signature :; **_0I'eas6reacrcofiipliance statement on back of permit
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ApplicationFee(s) Check#
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WitOfficer's rinted Name
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Issuing Date Expiration Date

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ApplicantPermit —7 D(do-C) -�
Date: . it,
Describe belrnvthe HABITAT disturbances far the applicaiian_, AII'vafU s should match the name, and units of measurement
fQund in your 1 a6bflat code sheet
TOTAL 5q. Ft
FINAL Sq_ Ft
TOTAL Feet
FINAL Feet
(APplled for.
(madpated final
(Apptied forty
(Anticipated irtaf -
Habiiat mamaDlBTURE
TYPE
Ofsturbanee total
dfsuzbarim
�istdr'bance
dhdurbance,
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includes arty
Exclydes ar�F
total includes
6(cfudes any
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any anddpated
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temp impact
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TOWN OF BATH
BATH, NORTH CAROUNA DATE WK2
BOOK NO. PERMIT FEE PERMIT No.
APPLICATION FOR: BUILDING PERMIT( } ZONING COMPLIANCE CERTIFICATE ( X )
Name&License No. Address: Phone No.:
OWNER
CONTRACTOR
DESIGNER
SURVEYOR
ELECTRICAL
PLUMBING
Daryl Norris Lot I Glebe Creek Landing Rd, 919-8fi8-8656
TYPE OF IMPROVEMENT
NEW (X ) ADDITION ( } ALTERATION: INSIDE ( ) REPAIR: INSIDE ( ) MOVE ( )
OUTSIDE( ) OUTSIDE( ) LOCATE( )
Lot No. I Block No. Building looted at Glebe Cad Landing Rd
between and Streets. Building tp be used as
Bulkhead & R& . Type Construction
Number of off street parking spaces . Contains rooms and
bath(s).
Total square feet of building_ Electric: Service . Type of heat
. No. of plumbing fixtures Foundation block caps
4" ( ) 8" ( ). Corner bracing: Plywood ( ) other . Insulatlon: Floor
Walls . Calling_ Windows: Storm ( ) Thermal ( j, How many exterior doors
. Water Heater: Gas ( ) Electrk: ( ) Other
Roof Ventilation: Gable { ) Eaves ( ) Louvers ( ) Other Ventilation
crawl space, number of feet apart . Height of crawlspaoe under house: 18" ( ) 24' ( )
Other_____,._. Zone . Water and Sewer Tap: Paid ( ) NIA ( ) Size water tap
Size sewer tap: . Total Estimated Cosh_,.,._..., Flood elevation
rr

BUILDING INSPECTION DEPARTMENT COMMENTS:
J
E
•• rl ���� .•.!ill !L1l.�K.ol !bulkhead, •x�l !� cl!
*JERAL
_-1--: _al! l' ,i: iz'
CITY LICENSE NUMBER:
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
;Vre
aroiina.
;;�
f 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.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Daryl Norris's
(Name of Property Owner)
property located at _Lot 1 Glebe Creek Landing
(Address, Lot, Block, Road, etc.)
on Glebe Creek off Bath Creek , in Bath , N.C.
(Waterbody) (City/ToWn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc .
� 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)
Installation of a bulkhead starting at a point 70' along the shoreline from the northwest property
comer extending to the northeast property corner.
Installation of a 6' wide 50' long wooden pier approximately 100' from the northwest property
corner and approximately 80' from the northeast property comer. Installation of 4 pilings for a
boat lift to the west of the end of the pier.

I
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
1 / I do wish to waive the 16 setback requirement.
y' I do not wish to waive the 15' setback requirement.
Information)
rn t
Print or a Name
5000
M fling Address
City/Stata0p
fir? - w sr-
Telephone Number
VVII7
Date
M O - g Address
C1(#State2i
Asa• 41 c a
Telephone Number
Dale
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _Daryl Nords's
(Name of Property Owner)
property located at _Lot 1 Glebe Creek Landing
(Address, Lot, Block, Road, etc.)
on _,Glebe Creek off Bath Creek , in Bath , 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)
Installation of a bulkhead starting at a point 70' along the shoreline from the northwest property
corner extending to the northeast property corner.
Installation of a 6' wide 50' long wooden pier approximately 100' from the northwest property
comer and approximately 80' from the northeast property corner. Installation of 4 pilings for a
boat lift to the west of the end of the pier.

a
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, 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.
V' I do not wish. to waive the 15' setback requirement.
(Prope Owner Information)- (Adjacent Property Owner Information)
n
or
6 � - 2-780-1
City/stote2ip
G'14- VC, f<,-'dFS6 _
Telephone Number
q/ '117
Date
tn=ure
Q. Ca�O
Print or Ty gqName 1
Ca
ailing `ddress
r✓ity/Stete2ip
`5-QJ:"..��.� O
Teleph ne ,Nu%ber _
`�- 3
Dale
(Revised 611812012)

Coastal°tifanagement
ENVIR6t5ME`0trAL 06AUTY
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 0213.0233 & .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 ensure the access way is made of pervious
materials like open -slatted wood,or composite, mulch, or grass to meet the intent of the rules tc the
maximum extent practicable.
3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
a. 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 conditi
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all information provided is complete and accurate.
&- &4 6 <!._ Z ttll c9
Agent or Applicant Printed Nam P r i cer's Sfknature
/�U�x -14 AV'r _', /4.
Agent or ffpplicant Signature Issue Date
CAMA GENERAL PERMIT #: "7y7c6 9 — /5
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mail Washington, NC 27889 ( 252-946-6481
Wilmington Office 1 127 Cardinal Drive Ext. Wilmington, NC28465-38451 91o496-7215
Morehead City Office 1400 Commerce Avenue Morehead City, NC 28557 1 252-868 2808