61660_Pier, Platform, finger pier, and Boatlift and wetslip_20170907

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PERMIT�',
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e 1JModification 11Cbmpletb Reissue' -EIPPa
rtial Reissue e.pTpy!ous.pprmit issued' I
i,,,;�,.As authorized by'the -State:of.Nqrth Carolina,, D60artmefit,of Environment and Natural, lkd;o6rces
." ";and the 6astal Re's 6tir66s Comr-hiss o
i n in an'area"'O'f environmental concern pursuant to ISA NCAC
QZRules attached-,
Applicant Nahiergtj!se
P Project Location: C6unty _Z--
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Authorized Agent ConsentAgreement
l�l.Gl �7 6 . a CC 9 hefrliy authorize Tobin Jay Tette3rtom of
(Property 0 ner(s) )
J's Marine Construction, LEC to act on my behalf in oibtaini g CAMA per mats . or
the location listed below:
PROPERTY. ADDRESS:
PROPERTY +CDWNEWS MAILING ADDRESS:
Phone No. '- j - -. ,- q t 3 - SRO 0
PROPERTY OV*WER'S
AUTHORIZED AGENT SIGNATURE:-
TOBIN TETTERTON
DATE:
W/AuthoriiW Agerit Consent -Agree.
20a

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
l hereby certify that 1 own -property adjacent to R,41106 1- le-- tVd 4-- 's
(Name of Property O rear)
property located at % s1rG �1fti fd,� l -
p (Address, Lot, Block, Road, tc.),
on e r ! - �. , in >. Jt- , N.C.
(Waterbo4y) .City/T®vun -andibr County)
The applicant has described to Me, as shown below, the development proposed at the above
location.
�ecJ f have na=objection to this proposal.
I have -objections to this proposal.
DESCRIPTION -AND/OR DRAWING OF PROPOSED DEVELOPMENT
esc#ff"`i oia ci i i<�iefoi a-.rir flea; a t ai vii�
/�GyQ� �,QUIIcKJ
-- - "0 --X-,
WAIVER SECTION
1 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
p� �me. (lf 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.
(Pao arty Oinn r- fo " ation) (Adj ent- Property Owneirintormation)
Sign .ttci e Signature*
t Cock
Print -or Type e Print or type Name &,J.
4W i,4 rilru 0A,'- LAB
Mg -Address - Mailing Address
Vpit tL'' L N ,G T'7 j
qCitylState&ip Q J , r-U-SS CitylState/Zi - �I //,Q �
9_ r / Y �&d'
Telephone Number! read addr ►�li� Telephone Number/ email address
Date Date`
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
f hereby certify that l own property :adjacent to '�-� � li L " l'� ��" s
Nanj 3 44 Lk l� tir>� 4,d f 'IA 0 Pro egwheVrproperty. located at. � �
(Address, Lot, Block, road, etc/ ,
on BA (� , in N.C.
1 �iN�'�1L Y
(Wateroody) (City/Town and/or County)
The applicant. has described -to me, as shown below, the development proposed -at the above
location.
f have no objection to-this.proposal.
I have objections to this proposal.
..DESCFCl6?T[OM;AND/OR DRAWING OF PROPOSEDs®E IELOPMENT
WAIVER SECTION
i understand that a pier,' dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back A.minimuri distance of 15' from my area of riparian access unless waived by
me.:.(If you wish to waive the setback, You must iI the appropriate blank below.)
I do wish to waive the 15' setback requirement.
✓mwe I do not wish to waive the 15' setback requirement.
(P�opert�i ® derforme Pion)
si��,na'te�tre
P r t/ad-ra- 'J 4 V
Mailing Address
c' /state2i �
4� � 1 pIT44v , o..,
Telephone Number/errtat -ad�ess�
Date
Valid for one calendar year after signature
(Adjacent Property owner intormaTionl
Telephone Number-/emaitaddress
Date*
(Revised Aug. 2014)
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ION
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Pfint dt Type a Pdnt & Type Nai;;e mj'c�
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Mairing-Address Mailing Address
"P r",3q a atylst, f ;/w -
e Ina Ale Q 7-39to
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W V�I r address J1-- 1
Telephone Numberl mall address Telephone Numb.a/email addres Dale Date*
(Revised Avg 201-4 *Valid- fbr one caletidar year after eignatUre
I do M(Ish. to WEilve thp 15, sewacK requiremenL
P , 1-do newish to Waive thij 16 setback requirement
{Property r . formjItIon),
9--i2n-a-hure Uj2k
. PI.AA �
Date
*Valid for one calendar year after
(Adjacent PropetW OWn6r Information)
TefophonaNumber-l-email,addtess
Date*
(Ravised'Aug. 2014)
40,
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OF;

TOWN OF BATH
SAKI H# NORTH CAROLINA
DATE
BOOK NO. PERMIT FEE PERMIT No.
4 044 C--V-, 7
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE (✓ )
Name & License No. Address: Phone No.:
OWNER
CONTRACTOR
DESIGNER
SURVEYOR
ELECTRICAL
PLUMBING
"WIRE
i
f
TYPE OF IMPROVEMENT
NEW (� ADDITION ( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE( ) MOVE( )
OUTSIDE( ) OUTSIDE( ) LOCATE( )
Lot No. / Block No. Building located ataX `&-i�S
between and Streets. Building to be used as
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 . Insulation: Floor ,
Walls , Ceiling . Windows: Storm ( ) Thermal ( ). How many exterior doors _
Water Heater: Gas ( ) Electric ( ) Other Z4
Roof Ventilation: Gable ( ) Eaves ( ) Louvers ( ) Other Ventilation
crawl space, number of feet apart . 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: ,d"a waOA•L&&L-M 7T
/;Rt-1 77d cL Su.CialiT% 9 V61-i7 5;�40 /S'sE7ZWle—
OA/ X lv e--rw i ag, P d i r-AAM ernes "4M 25 k / G Ta Zo k /!o .
.Ti !�/�o P�L�NGS Gti/ �ntiTf/ �id//�__
G/Fi dN Soo*-?W Si 41 Ora_ ���cN 11616 ' ®.J S-0u rtr S e o E
<AAftAAr AAA'e77dtjA/_ *'X _-PA a SiDP_ Dom' �.�•4T��%
GENERAL COMMENTS:
d , - 1-_
04
CITY LICENSE NUMBER: 6 e g
« / Contractor/AC
Elf, SC-r_P5Acxs 4a4eA�y, 7— s",ps
Application approved by:
�'�'r '130 'k,
Electrician Plumber/Heating
The owner of this building and the undersigned agree to conform to all applicable laws of the Town of
Bath, North 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.

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'North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Donald R. van der Vaart
Governor Secretary
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
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
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 Wor land clearing to a civil penalty by DWR of up to $25,000 per -day per violation.
i. 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: AII_ reasonable measures shall betaken 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 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: -
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
tha;tl ?II information proviis complete and accurate. /� y
rl r i
1©L) o
d Name
Agent W/Applicant Signatu
CAMA GENERAL PERMIT #:
Permit Officer's
�1
Issue Date
Washington Office Morehead City Office Wilmington Office
943 Washington Square Mall 400 Commerce Avenue 127 Cardinal Drive Exk
Washington, NC 27889 Morehead City, NC 28557 Wilmington, NC 28405 3845
Phone [phone] Phone [phone] Phone [phone]
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