61692_Pier and Platform_20170913

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KNew_: x Modification: E-) C"Compiete-, keissub," (]Partial Reissue Dge� pr rmit pqous permit issued,
dth riied'by "66 State, of North b tH Carolina,, e-p"arim'e-n't� o'f'.En'vir6nimetit and Natural Resources
environmental pursuant '
h' the Coastal Resources Commission in an ared'of irompdrital concern( pLi uanttoi 5A,N'CAt Rules' attached:
Applic"ant Wia_nn­e's Project Location: County,
-7 es# State Road/ L La Addr' t ot #(S)'-'
17—
Aodress, 2 Street
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City. ,State Zip
Phone
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Application Feels)„- ' ' Date
(theIck#,,, Issuing

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Applicant �Rj.Eeqa-g-'Y Permits (,S/3113
Date:'-�-
Describe below the HABITAT disturbances for the applicadam. All values should math the narrte, and units of measurement
found in your Habitat code sheet_
TOTAL Sq. FL
FINAL Sq_ Ft
TOTAL Feet
FINAL Feet
(Applied for.
(pnfldpated final
• (Applied fart
(Anticipated firw
Habitat NameDlSTUR8•TYPE
Cnaose One
Ossturbance total
includes any.
disturbance.
[ xdudes an!(
Disturbance
total includes
disturbance,
FfdUdes any
anticipated
restoration•
any anticipated
restarafun and/or -
restoration or
andlar temp
restoratfart or
temp impact
temp hipacts). '
Impact amount)
temp impacts)
amaunt)
DYE 14
Dredge Q Fill [j Both. Q OtherA
Dredge Q , III I Bath other Q
'
Dredge-0: Fill Q Bath Q Other Q
Dredge Q Pitt m 86th ❑ Other Q
Oredde Q Fig Q. Bath [i Other Q
Oredae Q . rl f 'i Bath C11 Other Q'
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Dredge ! _ ! Fill I_' Dafitl• !=1 other ❑
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Oredge Q Flt i Q - Soth' Qr Other, Q
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Authorized Agent Consent Agremeht
herby aiithorEzeTobin Jay Tettertom of
'fJ?s. -Mirin-C
- - , - - eous - - - Wdetion,LLC to- acton my behalf in -obtkiniug C-4-MA perwits j.;)-r
:the location_ , listed below.
PROPERTY ADDRESS:
14145, #4 50vb Nook �A,#%J&
PEE, OF -0,60,1PAD EA1 5j f4X
Ale—
fllopefsS /F/z Z#7)-
PROPERTY 0 S MAILING ADDRESS:
Phone No QiQ -,111, -A 11'n
PR]OPERTYOWNER'S
AUTHORIZED AGENT -SIGNATURE:
Tom TurrmToN
EtAT&S-0 2 20_Le?
W'Au'hO4zp-d ARM C011ient AVm
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I -hereby certify that l own property adjacent to 6' Mg �,o,,,, 0 ,-yP4 .Cur �,!� ,S
a f Prope Ow er)
property'located at12 f I a '
(Address, Lot, Block,-Road,Wc.
on - ,AWcrt- IeAMSIC, in iBri'!?f J(l,L' -. , N.C.
(Waterbody) (City/T wn andlor County]
Tlie appllcant.has,described to me, as shown below, the development proposed at the above
location. -
I have no objection.to this proposal.
1 have objections -to this,proposal.
DESCRIPTIONAND/ORDRAWING OF PROPOSED DEVELOPMENT
(individual proposingdevelopnierit-must MI -In descNpfiori-belorv'or.attacfr a site drawing)
��694W -IqN4 .cam
6 ee a
Pt1
WAIVER SECTION
understand_-thata-pier,-dock; mooring pilings, boat ramp, breakwater, boathouse,, lift, or groin
must pe-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 mustinitfal, the appropriate blank:below.y
TIFJ
WaliMbr one calendar. year after signature" (Revised Rug. 2014)
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AWAC-ENTIMARIAN PROPERTY OWNER STATEMENT
.1 hereby certify that-1 own property adjacent to
property located at 1---dt ?r_l -,/ &-2oU /-1UJ
(Address, Lot Block, Road
,on i3 ACK &W in
(Waterbody) (Cityl-Town and/or County)
I- X CV) e-
N.C.
The -applicant has described to me, as shown below, the development proposed at the above
location I have ho,bblection-to this proposal.
I haNre 6biedfions to -this proposal.
DESCRIPTION MWOR DRAWING OFPROPOttl) DEVELOPMENT
g must fill in descripflon,below or attach a site, drawing)
Pei 64 f C/)
c�•• �O�G�orm /6 X
-WAIVER SECTION
understand that a pier. do&, mooring pilings, boatramp, breakwater, boathouse, lift, or groin
must be, set back'a minimum distance of -16 from my area of riparlimaccess unless waived by
me_(tf YOU wish to waive -the setback, You must Initial the appropriate blank below.)
A-%- I dovAsh-to waive the .1 &setback requirement
I do not wish -to -waive the I& setback requirement
C>/I
V Print or Tjpe Name,
LPOW
%A hmcu-1-1 Wflng Address
er(qggUaddim- Telephone NuMber/ ethaff address
Date*
, Walid for one calendar year after signature-
Revfied&4.1014)
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liOW1H OF BATH �-17
(RK%TH7 NORTH CAROLINA DATE
BOOK NO. PERMIT FEE PERMIT No.
APPLXCATRON FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE { .p
Name & License No. Address: BLS., Phone No.:
s
OWNER (�
C-ONTIRAICTOR
DESIGNED.
SUR.°JE°,'OR
ELECTRICAL
PLUMBING
g YPE OF IMPROVEMENT
NEW ADDITION ( ) ALTERATION: INSIDE( ) REPAIR: INSIDE( ) MOVE( )
OUTSIDE( ) OUTSIDE( ) LOCATE( )
Lot No. Block No. Building loca dl �t�iw
t
between %ODJ�S and Streets. Building to be used as
Aqh6'(121 Type Construction
Number of off street parking spaces . Contains' rooms and bath(s).
i otai 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
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
i

BUILDING INSPECTION DEPARTMENT COMMENTS:
_ .�. TA< <
rA�Y,
t. .
GENERAL COMMENTS:
CITY LICENSE NUMBER:_-F---
Electrician Plumber/Heating
Application approved by:
The owner of this building 4fd the undersigned agree to conform to all applicable laws of the Town of
Bath, h Carolina.
LA t
ignature 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.
1
Bath Utilities Department must inspect all construction prior to services becoming operational. Inspection -
fee is $100.00.

;g.. -
�. -

_ x NCDENR
Worth 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 &/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 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.
0 Pre -project site
signature below you agree to be held responsible for meeting all of the condition listed above and verify
ifo ation provi ed is complete and accurate.
77
jam/ //n// d
V /
)r,#pplicant Plintgo Name Perm' ,c is Sigsigrait e
Ageyt or Applicant Si natu a Issue Date
CAMA GENERAL PERMIT #:
Washington Office Morehead City Office Wilmington Office
943 Washington Square Mall 400 Commerce Avenue 127 Cardinal Drive Ext.
Washington, NC 27889 Morehead City, NC 28557 Wah nington, NC 28405 3845 -
Phone [phone] Phone [phone] Phone [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/101/6 Post Consumer Paper