70629_Bulkhead_20171120

ARIA; ,DREDGE & FILL 0'
GENE L PERMIT .Previouspermit # r'
New []Modification El Complete Reissue ❑ Partial -Reissue Date previous permit issued tN IN .•. 9.
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 Ol'•.i I L
�1 Q Rules attached.
Applicant Name ��y' '� �ij�-�1 0 Project Location: County
Address-) V S Street Address/ State Road/ Lot #(s)
City 1^ I Pti S44' 4tl-t2> I-) StatedG ZIP 27 X L--
Phone # (�� 13_D E-Mail
Authorized Agent,-J_2oi3,,?,i;t-_ P-y9VG,o-I
❑ CW
❑ EW Al PTA
❑ ES
Affected
AEC(s): ❑ OEA
❑ HHF ' ❑ IH
/[OPTS
❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no
PNA yes / no
Subdivision
CityZIP
Phone # River Basin`rQ2- QQN1(.iCj
Adj. Wtr. Body "9 X-i'4 GI G (_' �na /man /unkn), , .
Closest Maj. Wtr. Body 1��'4r'Illz c� 21✓ �-
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■Flt�i■■loll■!��`!,■■■■■■■■■■■■■■■■■■■■■■■■
- _ r ,� ■■■Fill■C■■�■■.■■■■■■\��■.r:�!�■\C1■■■■■■■■■
- - .■■■�■■■■■■■tee■■■■■■■■■■�■■■�-._�■■■■■■■■�
� r
Agent or plica • rinted a e
Signature "Please r d compliance statement on back of permit
c'a
N "4ny D� 30-6
Application Fee(s) Check #
Issuing Date ` Expiration Date.

��=fir-!ors �l� :^•�'�`_�ri'�,��=s��;=l;:��.. �—�.�.-.+.-L•` j'� � 'w4'"�� �`+ �y�`�_ ,•ram-� .
.. 4c-3'��.-tee. ���"� .�. �c:.•��o - -
MUM
Applicant--)2-otl � CT t� Permit-#: -�U 4=.-2 9 -.
Oate;Z�
Oescrlb8 below the HABITAT distur6ances far the appff akn All should match the name, and units of measurement
found in your HAhitat code sheeL
TOTAL Sq. Ft_
FiNAJ- Sq_ Ft.
TOTAL Feet
FINAL Feet
(Appfed for
`fj6dpated final
(Applied fors`
(Anticipated kal
Habitat NameOISTURSTTYPE
disturbance tow
disWrbance.
Mtar'bance
disturbance,
Chadse One
includes any
Excludes any
tatal includes
ecdudes any
anticipated
resior�iorr
any anddpated'
restoration andior
restarafjon or
andlar temp
restoralan or
temp impact
temp h6pacts)
im act a QUA
temp impacts)
amaud)
Oredge Q Fill Q Bath. Q Other-
H1-t h 't4
Ored'
ge Q'. Fill U. Bath Q Other Q
1, 9 2o.
I dredge-Q Fili Q Path Q Other ❑
Oredge Q Fill Q Bath Q Other Q
Oredde 0 Fill a. dot [j Other Q
' [
O[t?da-'0'. ' .r4 Bath tM� other Q-
Dredge El Fill C RoEr f_, Other
IDredge
Q. ift Q bath FY Outer
Oredge-f l ;SIC Q. Bath C- - `ether Q:
4
!
(.
Or ease i Fitt C ant Q Other Q'
Dredge k M fT •Bath Ci Other Q'
1
=nl
Oredge Q Fli ( Q oath'"Q' Othec. Q
`
dredgs Q . Fill 0 Hdth Q ' aiher'Q

TOWN OF BATH
BATH, NORTH CAROLINA
o1 .4-1
DATE -1 7
BOOK NO. PERMIT FEE LSD `- PERMIT No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE ( ✓)
Name & License No. Address: Phone No.:
OWNER
CONTRACTOR
DESIGNER
SURVEYOR
ELECTRICAL
PLUMBING
'0T3Tzt
I-4aP,Ns
TYPE OF IMPROVEMENT
L
NEW ADDITION ( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE( ) MOVE( )
OUTSIDE( ) OUTSIDE( ) LOCATE( )
Lot No. Block No. Building located at —13Wt60y-5 i4 ► ik-P— ,aa3 . U is l b^)
between PN--e=dseva and u N 1GN C wN $A*-p9$►4*Aets. Building to be used as
l�l_C
uL-W- 0 . Type Construction Vwx L
Number of off street parking spaces . Contains rooms and
bath(s).
Total square feet of building . Electric Service Type of heat
No. of
4" ( ) 8" ( ). Corner bracing: Plywood ( ) other,
Walls , Ceiling
. Water Heater: Gas ( ) E196
Roof Ventilation: Gable ( ) Eaves (
crawl space, number of feet apart
Other
Size sewer tap: _
res . Foundation block caps
Insulation: Floor ,
: Storm ( ) Thermal ( ). How many exterior doors
( ) Other.
( ) Other
Ventilation
Height of crawlspace under house: 18" ( ) 24" ( )
Water and Sewer Tap: Paid ( ) N/A ( ) Size water tap
Total Estimated Cost Flood elevation

A
BUILDING INSPECTION DEPARTMENT COMMENTS:
`nC�iuS �-L� 02 V ilu YL Z3 L, u/— e 7-m
1 W 57X1 i-G--6 enA1 Lo - -?t-- or45h+-1R-6
B r 1 c._t b lti t Lt - aim A L 6 nN 6o B v ,c �
GENERAL COMMENTS:
CITY LICENSE NUMBER:
Contractor/AC ectrician Plumber/Heating
Application approved by:
The owner of this building and the undersigned agree to conform to all applicable laws of the Town of
Bath, North Car 'na.
— /�/l ff
��- ��r o�o�►�
S' ature 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.

Al"JT -vv �fil 01 k kF-- jqD

E
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own pr perty adjacent to
``
(Nam
�0 df Pr ,erty OwT
property located at C"-eFf, :'
y�
�Z ,(LAddre.Lot, Blob rtl� e c.)
CC
on C (- , in.
, . , N.G.
(Waterbody) (Cityrrown and/or county) _
The applicantAas described'to me, as shown below, the development proposed at the abova
locati _
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
ondividual proposing development must flit in description below or attach a site drawing)
f4
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 16 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 or
LA J'J
City&tat
'1S o� " A 31
Telephone ,Number/email address
Date
*Valid for one calendar year after signature*
(Adjacent
r
PbZ�1p�fI dress
Drfe*
(Revised Aug. 2014)`

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: 1-( o
Address of Property: ��� ��� 2 I Vk (Lot ?T{—
or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #: ?Mi( E F4-9 (') Nn
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athg2.11wdrrw.nccoastalmanagement.netlweb/cm/staff-listii7 orby calling 1-888.4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
Property Owner Information)
r
Signa e
RC)
Print or Type Name
Mailing Address
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
i X1 D S� I (\Ct k a�869
City/StatelZip City/StateJZip
Telephone Number/Email Address Telephone Number/Email Address
- 8-�3- &�;sb
Date "J Date
5 / (Revised Aug. 2014)

C)'?,i"q �r1�1�111ri
1� �S8Ne • e
1 ■ Com late it
1 p ems 1, 2, and 3.
DIE) C` JI ®Print your name and address on the reverse
`` 1�1A` ,� 1 �? so that we can return the card to you.
w i ' v ,-C-11 Q1�-1 ® Attach this card to the back of the mailpiece,
or on the front if space permits.
701,7 1070
1. Article Addressed to:
,� II�IIfIfIIIIIIIIIIIfIlllll IIIfllfllllllll�llll
9590 9402 2977 7094 8284 09:
2. Article Number (Transfer from service
A. Signature
X ❑ 'gent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mall Express®
❑ Adult Signature
❑ Registered Mal IT"�
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricte
❑ Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Retum Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfinnationTM'
❑ Insured Mail
❑ Signature Confirmation
❑ Insured Mail Restricted Delivery
. (—, 4.,,nm
Restricted Delivery
Form 38111 JUIy 2015 PSN 7530-02-000=9053 Domestic Return Receipt
N_ _ _ __ _ _
,� a� ;��t;ttt;rttyt;{rt;r;{s;�t{tit{t;t;tatrtt�yt¢{ttyer;iit�"•t;t���t 3

f •
Pat McCrory
Governor
I
•
NR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Donald R. van der vaart
Secretary
BUFFER AUTHORIZATION CERTIFICATE. FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Tar -Pamlico & Neuse River basins
per Division of Water Resources (DWR) regulations 15A NCAC 0213.0259 & 0233. 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 as
long as 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 & the party (contractor) performing the construction &/or
land clearing to a civil penalty by DWR of up to $25,000 per day per violation.
1. Impacts: Impacts to woody vegetation from clearing and filling in Zone 1 (begins at the most landward of either
the waters edge or the coastal wetland line and extends 30 feet landward) shall be minimized to what must be
impacted for the sound installation of the shoreline stabilization project: Unnecessary clearing and filling in the
buffer is a violation of the riparian buffer rules.
2. Clearing A Grading: Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet
landward) is allowed provided that it is re -vegetated immediately and Zone 1 is not compromised, which includes
maintaining diffused (non-channelized) flow of storm water runoff through the buffer.
3. Construction Corridors: Construction corridors are allowed for shoreline stabilization projects, but they must be
satisfactorily restored as described in condition 5 below.
4. Potential Overwash: For vertical shoreline stabilization projects (bulkheads) only; sites where wave overwash is
expected to be severe, the first ten (10) feet landward (unless specifically authorized otherwise by DCM) from the
structure may be maintained as a stable lawn in order to provide for structural stability.
5. Temporary Stabilization: Immediately post- construction, bare soils must be stabilized as quickly as possible by
providing a temporary ground cover. Newly seeded areas should be protected with mulch and/or erosion matting.
This ground cover is a temporary measure.used to address erosion until site restoration can be accomplished.
6. Site Restoration: At minimum, pre -project site conditions must be re-established. A site that was wooded prior to
this shoreline stabilization project must -be restored with woody vegetation at a stem density of 320 stems per
acre. Non wooded sites may be re -vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November 1 through March 30) after completion of the bulkhead.
A f ,
Pre -project site conditions:
7. Project Drawing: The drawing on the CAMA General Permit is -considered the project drawing of your property
indicating the location of the -shoreline stabilization structure and -any associated clearing, grading, and
construction corridors. This drawing will be used to aid in compliance and monitoring efforts.
By your signature below you agree to be held responsible for meeting all of the above listed conditions and verify that all
information is complete and accurate.
liwy\ �a
p0cant,P inted Name
Agent or Apoicant Signature
CAMA GENERAL PERMIT:
Permit Officer's atu
2Lo 4CDO �?� 1—�—
Issue Date
Washington Office Morehead City Office
943 Washington Square Mall 400 Commerce Avenue
Washington, NC 27889 Morehead City, NC 28557
Phone [phone] Phone [phone]
Wilmington Office
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215