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ERAU'.PERM IT Previous permit
Dateip,!':�-yious perimit issued -�J LA
PW 11Mcidification Complete Re, El Pa rtial Reissue Reissue;
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,As,auihoriied by the State,of Nofth Carolina, Department of Environment and Natural Resources
-mission i' miental'concern pursuant to 15A NCAC
`1--'and the Coastal -Resources. C6ni n an a�ea:6�6nvieon'
Rules attached.%
Applicant i�ame'D'q •A* ProjectL cation:, County
IcAddress Street -Address/ State Road/ Lot #(s) C)r- r— ',�k
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Authorized Agent zip
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'ORW: yes PNA,, yes /(:no:) Closest Maj. Wtr. Body
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Describe below the HABITAT disturbances fog the applicatim. All values should rnatch the name, and units of measurement
found in your Habitat code sheet
TOTAL 5q_ Ft
FItqAI_ Sq.. Ft
TOTAL Feet
FINAL Feet
(Applied for-
(Arladpated final
(App(led foal
(Anflcipaied Brrai
Habitat l�tame .'
OISTURS•TYPE
disturbance total
includes any
disturbance
Excludes are
Disitirbance
total includes
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restroon•
any anticipated
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restoration or
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temp impacts)
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temp impacts)
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Dredge [Z Fit [Q Sath• Q Other
Dredge Q . Fill [[ Both Q Otiter,
Dredge-Q Fill Q path Q Other Cl
Dredge Q M Q Sath Q Other [{
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.77T
TOWN OF BATH
BATH, NORTH CAROLINA
DATE` 2 fflD
BOOK NO. PERMIT FEE PERMIT No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE ( X )
Name & License No. Address: Phone No.:
OWNER Daryl Norris Lot I Glebe Creek Landing Rd, 919-86&8656
CONTRACTOR
DESIGNER
SURVEYOR
ELECTRICAL
PLUMBING
TYPE OF IMPROVEMENT
NEW (X ) ADDITION { } ALTERATION: INSIDE ( ) REPAIR: INSIDE ( ) MOVE ( )
OUTSIDE( ) OUTSIDE( ) LOCATE( )
Lot No, 1 Block No. Bulkiing located at Gift C=k Landing Rd
between and Streets. Building to be used as
Bulkhead & nier Type Constructlon bulkhead & rater .
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" ( ). Comer 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 craw lsspaae under hour: 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:
'fit-A�t.S S26J A ZAPPDAEA Zita-eldrM AMP A _LS2"Pry.
I-1 sT ON k1,�sT S 1.011 of PI E. .
S'&BAcr.S AtE-9:71— :5A-1W Sa7-& C1Ks OF Z • O LE�t'..r OF-
—R c,Lt�lU� d (hl c c� 73 A tit `w►156 G—.AUA ON s rT—z -
If
GENERAL COMMENTS: This application is for construction of a 110' bulkhead 6'x50' pier. and 4
pylons for a boat lift on Glebe Creek Qff of Batts Creek at Lot 1 Glebe Creek Landing See attached
drawing_
CITY LICENSE NUMBER:
Electrician Plumber/Heating
Application approved by: ��/� 1 ` �ou�� 14w^" •
The owner of this building and the undersigned agree to conform to all applicable laws of the Town of
BaPre
rolina.
pplicant
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 rill in description below or attach a site drawing)
to
` Qf6E eR�ku'lAlIQRO
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.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 IV setback requirement.
V' I do not wish to waive the 1V setback requirement.
(Props Owner Information) (Adjac t Prope ^ Omer 7fo� n)
or
M ling Address "
Citylstate2lp
21`l - w r,- S-(
Telephone Mumber
'?/1717
Dale
Me" ' g Address
ntuit_.t_ (-, I-X-
Citylstatelm41r, 4aa- Z
Telephone Number
`/'— P I 'I
Dale
(Revised 611812012)
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
locati .
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 1 00'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.
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prope 'Owner Information) (Adjacent Property Owner Information)
Si 'nature n I ure
" ( lib /'? 15 0 1z -D, C��o
Print or Type Name Print or Ty Name
M fling Address ailing ddress
�rc��27 n o.� C _ `. o z
City/State/Zip City/State2ip
Telephone Number Teleph ne Nu ber
�l 17 Q
Date Date
(Revised 611812012)
Pat McCrory
Governor
NC®NR
North,Carolina Department of Environment and Natt.lral Resources
Division of Coastal Management
Donald R. van der. Vaart
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 026.0259 & 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 subject1he property owner & the party (contractor) performing the constructionVor
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 & 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.
s. 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.
• Pre -project site conditions:
/47, r- -) MEi,-, ey
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.
�o rr ; s
-�Zl
Agent or Applicant Printed Name
Permit O s Si gnatur
<:�)
cXp'19VGr Applicant Signature
Issue Da e
CAMA GENERAL PERMIT #:
Washington Office Morehead City Office
Wilmington office
943 Washington Square Mall 400 Commerce Avenue
127 Cardinal Drive Eat.
Washington, NC 27889 Morehead City, NC 28557
Wilmington, NC 28405-3845
Phone 252-946-6481 Phone 252-808 2808
910-796-7215
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper