HomeMy WebLinkAbout63178_Install 13' x 13' uncovered boatlift_20180919.. .. .. .....
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XLAMA I D A
-EF 'A Preivious perr
GEN W&L- ;PERMIT
C mp ete Reissue- Partial 116iss6e
iN �lew,-' (]Modification, - -.---E,l �'o bat4revious permit.is-sued /0,
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11
Ac'Ifna,D --e`partment of,�irivir6nmental, Quality
s auth
orized by�ho�Stit6'of Noril-itar
I
and thd'Coastal'Rds6urces Commission,in an,area.of enVironmenta concern pursuant to 15A NCAC. ZIP a'
:Y. Rules attached:
Applicant , aL
Project Location: _C
nne 4PA i E 11 1�
Street Address/ Stif6 Road/, Lot (s,
Address .11 #
,city siat6il zi P
'
SubdivAsion
Phone #
Authorized -Agent , �* City21 P-
f2
__1 Cw
'ES 'Q PTS Phone #-,* xq;�2,� /1^
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Attected
13 OEA ❑ �HHF -0 lH OUBA" -0 N/A -7
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-0 Pws:
Closest Maj. Wtr. l36dy,."?A,--1/,., e, b
6RW: 'y6s PNA yes no; I 11
'Type ofl?rqject/ Activity - -J5 rg z, 13 3 L, )e,,
(Scale:
-Pier!f 6Tk)jP.6Ob_
Fbiei
�Floai
Fingg
Groi
Bulk
Boat
Boat
M
Beic
f,Oth(
Shor
j'SAV
Hor,
Ph6t
WIN ONE
MEN
.ffg Platform(s)
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pier(s
i length
number,
ap iead/ Ripr id I 99th
avg distance,offshbre
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m - ax distance o#shor
chang el,
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A building permit may .be-,reqd!red,'by:7-7'Z,) i✓ El See note on back regarding River Basin
Note Lo6al Planning J brisd iction)
Notes/ Special Co.nditio.ris _--ro"oo /0. 0 20
)e
Agent or Applieant Printed Name
Z'
---Application Fee(s) Check
P I ml Kell
Printed Name
Sig"nat
Issuing Date Expiration Date
TOWN OF BATH
BATH, NORTH CAKOLINA
DATE %'/% -lU
BOOK NO. PERMIT FEE PERMIT No.
APPLICATION FOR:. BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE
Name & License No. Address: Phone No.:
OWNER ,e ArLP�"i �) S� -' c/a % 93 %
CONTRACTOR Tj� i��iz� �� �'� �✓S frc.io� L L
DESIGNER `i 7-"gLr'�ni5r�n��ins�L
SURVEYOR / V�
ELECTRICAL l/fi�
PLUMBING �—p
TYPE OF IMPROVEMENT
NEW ( ) ADDITION (x ALTERATION: INSIDE ( ) REPAIR: INSIDE( ) MOVE( )
OUTSIDE( OUTSIDE( ) LOCATE( )
Lot No. Block No. Building -located at
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
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:
GENERAL COMMENTS:
CITY LICENSE NUMBER:
Contractor/AC , 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
Bath, North Carolina.
j�jnature 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.
A0JACENT RIPARIAN PROPERTY OWNER STATEiWENT
I hereby certify that I own property adjacent to m�Je / /1 �� �1.4�,�' 's
(Name of Property owner)
property located at (4-A47vDP Pl�
(Address, tot, Block, Road, etc.)
on , in 15,4 �!l 2 7 Qd , N.C.
(Waferbody) (City own and/or Country)
The applicant has described to me, as shown below, the development proposed at the above
focatfon,.---
r/ I have no objection to this proposal.
l have objections to this proposal.
DESCRIPTION AN®!OR DRAWING OF PROPOSE® IDEVELOPMEMT
(individual proposing development must fill in description below or attach a site drawing)
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 15' from my area of riparian access unless waived by
me. (if you wish to waive the setback, you etnu§6gil<ial the appropriate blank below:)
r ei�_ I do wish to waive the 15' setback requirement.
f do nW wish to waive the 15' setback requirement.
(Proper j Owner onfou'M Han) 727
Propertywner Infon matlon)
gnatw a Signah.re*
Print or Type Name Print or Type Name
Mai ' g Address Mailing Address
.A t: A V d, -2 78'4 ��� ���.y� 2 ZP&f
City/Siaie2ip - C4/state2ip
�s}zcl sel --7g 3 7 90!4�_ -3/-7 - -5 a-vCi
Telephone Number/ email address Telephone Numbed email address
3 ---30 -15 --,5U / �
Date Date*
(Revised Aug. 2014)
``Valid for one calendar year after signature=
AkJACENT RIPARIAN PROPERTY OWNER STATEMENT -
I hereby certify that I own property adjacent to� 's
(Name of Property -owner)
property located at 114 G'44Ni A n" W
(Address, Lot, Block, Road, etc.)
on /' A� h e /Lc21G , in 6, 4h , A _6 , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
iocafi'or�,.�
:���aceni ✓ I have -no objection to this -proposal:
PcaparLy
o.rt2r I have objections to this proposal.
Chad are
DESCRIPTION AND/Olk DRAWING OF PROPOSE® DEVELOPMENT
ln�ideialproras�rig;ildvelarre>nst:il�'irisoPscripio�elow o:ach a s%:dr��nring
:......
WAIVER SECTION
He2s I understand that a ier, dock, mooring boat ram', breakwater, boathouse, lift, or groin
p g pilings; p
U: as, must be set back a minimum distance of 15' from my area of riparian access unless waived by
--r me. (if you wish to waive the setback, you must initial the appropriate blank below:)
t:L�3
L
1 do wish to waive the 1 5' setback requirement
I do not wish to waive the 45' setback requirement
(Proppyly Owner Infomation) (Adjacent Property Owner Information)
;zgmatw,e Signaft�Ie* � n
Print or type Name Print or Typ�e ame r
HAS , I�Gnr. 1ZI.,n 21
Mal ingAd ss
A�1 /0,
CliylS ate2ip
Z-,-
_x.oPa!--7437
Telephone Number/ email address
a- 3ei- /P
!
Walid for one calendar year after signature*
a m?
2-9i__ ]I`f-3IV
Telephone Numberl email address
Date
(Revised Aug. 2014)
Catnip Point Homeowners
Architectural Committee Review
Date: - ^ __� CJ- / F
Homeowner: ,j A XT? (e Kii► j
Address: 1 3 4 f- /w 10 1)1-•
Phone #: 2 s a-9 �T h
Request approval for:
Attachments: (Check if applicable)
a- 12;
Plat Map showing location of structure on property
Description of structure (material, size, color)
Required Permits (Bath/Beaufort County)
Adjoining property owners approval
Property Owners Signature
Property Owners Signature
(circle one)
/,aj5
Approved Disapproved
Approved By: Date: 3 - 3 / - 1g
Approved By: Date:
(Use Reverse side for Comments)
Bulk Head
Lindsey &
Wade & Misty
Katherine Gray Freemen
Pier
Adjoining
Adjoining
Property
Property
Proposed
Boat �
�
BoatLift �
Pie/ Existing
-Bulk Head
1'•
R
iTei-
$
ndsey,& �`.
Wad'e &fiMisty
�: `Katherine Graq,<<
g ='
'Freem" n
Pier,
Adjo'nrng.
I Adjoining
Property
Property'
'•
;+ Proposed '
.
r
= Boat Lift
+�
c
Pier:°:Existing
f
1 Boat Lift.
Applicant: W;V, i Cc *t' I, L-
Date: 19 5 1
General Permit k -j 2 �•Z
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet '
Habitat Dame
DISTURB TYPE
Choose One
TOTAL Sq. Ft
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)_
FINAL Sq. Ft
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
o PON
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both, ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑