63632_Jon clay Johnson_20190125

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GENERAL. PERMIT' -- :,' , , : , , , ,:.,, , -,,,,,, ,,, ,,,,,:,,,,,,-,,,,kt
_ , - ,, • ,,,-, Previous permit it': .•' -, .-• „ - i..._/t•"4-6.(.,--•:, elot.,!;.
' ----) NeW LIMOdifiCatiOn'. '-•El Complete Reissue• EPartial Reissue ' - : ' -•-. Pate,-PrOficius'Pierinit issued `;,t-isj:/-A.'"''
V.,';',--•-'c, authorized by the State of North Carolina;DeOttmentcifEnviroriment Quality ..
a , --)and ResourcestOmMision:in an aheaC?I'enviripnertentl,Concern:piirsuant to i 5 07 A kdAC•t, . • tf.2,06C?.-:
'•'"' : .. . .' • -' : : , : -:', :. :': , ,, 'Rules attached •-/,:.. 4:--..•,,, -r..:-,,,::,
Applicant Name •27)..4,• '...:K.-/--.>4 k-t' .,____/ o 4--ij i',.e,'IQ• -.-: • ' Project Location: County. .LB-/-7-4-147E-61-Z.:7: . -‘::0 ;--•: ..;:=- :'6?.,
•Addressil S'-77 ,.5.-70'•"-/ ,s.1 •• '.4—•-. - •••-. •s:-• '' •. ' .Street Address!State Road!LOt•#(S) - :',_ .,.,. . '.-., ,,' ;',;":,..'-= ':•'•:-.T..•=-'.:••••''.,_::,
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Phone# );-_ 6,147 2.:2 9' E._mail •, , , : = Subdivision. . • •- ' -.'• - ..-", --.--.•-,-..-- = .--.=;,,, ;,r. .,.-- . :,;=,
'-;'-• Authorized Agent-_- '?c,1 ,)A---• . • -- - -' ''''••••--• - • City ?"54-7.-'7-•-r •.•••:' ' --•.1- -; -•,-;-ZIP,';:','-'.. -':-.7
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A building permit" may be required by: I 0 44.i.N. D r 73A-r7---/ .. . See note on back regarding River Basin rules. 6 , '',"r
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• Notes/Special Conditions Lep 7- i_5' /1-1A7 )---4-7--A->!-I---t-1") LA- t-^-1/\./ . 771-1' /5 •7.2 .--0"7:1 1 P77'• "/; • / 7 Y • ,
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Agent or App'cant Printed NamV - , ____e.e • i er's Pn ted-Name ..
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,:„.. .Signature tt,Please reEd compliance statement On back of permit**" - , Signature -- :_.." ' ' : ;
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;-- ApplictiohFee(s) ' - ' Check# Issuing Date. ' - . Expiration Date
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•
ROY COOPER
F y- Governor
MICHAEL S. REGAN
Coastal Management BRAXTON`DAVIS
EN1tIRONMENTALQUALITY, DiiecW
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 02B.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. 0
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided 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 and the party(contractor),performing the
construction and/or 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
alignnient 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.
• Pre-project site conditions:
By your signature below you agree to be held responsible for meeting all oft - ons listed above and verify
that all information provided is complete and accurate.
?*;;CI, G •
Agent or Applican P ji`ted Name P•rm• • aer's Si - 11111110
•
ge t Iica gnature - Issue Date
• CAMAGENERALPERMIT#: 4-5C5
State of North Carolina l Environmental Quality f CoastatManagement
Washington Office 1943 Washington Square Mall Wasliington.NC27889 f 252-946-6481
• Wilmington;Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-T215
Morehead City Office 1400 Commerce Avenue Morehead City,NC 28557 I 252-808-2808

Authorized Agent Consent Agreement
,herby authorize Tobin Jay Tetterton of
(Property Owner(s))
TJ's Mar a Construction,LLC to act on my behalf in obtaining CAMA permits for
the location listed below.
PROPERTY ADDRESS:
1 S, i '� ,'� S 74.
PROPERTY OWNER'S MAILING ADDRESS:
23 a- 001
Phone No.q/7 -- ` 16 l ... 7 17
PROPERTY OWNER'S SIGNATURE:
C
AUTHORIZED AGENT SIGNATURE:
TOBIN TETTERT N
DATE: 20 i(
W/Authorized Agent Consent Agree.
J '' i

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT .
1 hereby certify that I own property adjacent to C la. —1 o IA v+So vt 's
(tame of Property Owner)
property located at 113 5. (VA 4 S4, . , U•c. 27 proK
(Address,Lot,Eeook,Road,eto.)
on -4I.. Crtck ,in Zea�4,4 ,N.C.
(Waterrbo rly) (My/Tows and/or County)
The applicant has described to me, as shown below, the development proposed at the above
lobation
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
'(Indlyiduai proposing development must fill In description below or attach a site drawing)
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WAIVER SECTION
z.'; 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 must Initial the appropriate blank below.)
i;::w
- 1 do wish to waive the 15'setback requirement.
•
1/ I do not w ' to waive the 15'setback requirement. •
op -Own ®aa) (Adjacent Pro eerty Owner Infonnatlon)
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ME' e Sz bete r .1
obiinSa D. eiaf �!1se.
Print or�pe Name Print or Type Name
s 3 v�U:� s+. NC p ,► .4t 01- AiC{ ►1 aCA# 1
Mailing Address Mailing Address, -
'c. , 10_C. 2.7767 1 O 1 Me S 'ce Cade
City/S(atteT/ip 252- 4-yW- 27'17 C�fc/S L fe2ip
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Telephone N mbef/email address Telephone umber/email eddies
5� c f`i g 9 l el 1 ly 6 7c? teaei.wa(fo,.Qriceice.9ov
Date Date* 12_1(11 icap
(Revised Aug_2014)
=Valid for one calendar year after signature

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TOWN OF BATH
BATH, NORTH CAROLINA �(G 3 �� DATE ^/S
BOOK NO. PERMIT FEF .5p PERMIT No.
APPLICATION FOR: BUILDING PERMIT(
) ZONING COMPLIANCE CERTIFICATE ( )
Name & License No. Address: Phone No.: go
OWNER £✓ V c91)11SvG1 r 11 S .ifl �11 � '. *4i ``�c /4j�717
�� 1 9 n
CONTRACTOR 7 c-I PPZ S is M. li711, -t,;/VC 2S'z-,175 64T77
DESIGNER
SURVEYOR
ELECTRICAL 7 g4
PLUMBING
TYPE OF IMPROVEMENT
NEW ADDITION ( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE MOVE
OUTSIDE( ) OUTSIDE ( ) LOCATE ( )
Lot No. Block No. Building located at 1/5 5 Ma t w 5I—
between and Streets., Building to be used as
. Type Construction ��i L c1
Number of off street parking spaces . Contains rooms and •ath(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 . i .A, • - orm ( )Thermal ( ). How many exterior doors_
. Water Heater: Gas( ) E ePctri )Other
Roof Ventilation: Gable( ) Eaves.( ouvers( )Other . Ventilation
crawl space, number of feet a.. . Height of crawlspace under house: 18"( )24"( )
Other . Zo - . Water and Sewer Tap: Paid ( ) N/A( ) Size water tap
Size sewer ..: _Total Estimated Cost Flood elevation

•
r v •
BUILDING INSPECTION DEPARTMENT COMMENTS: ,1/ ! 7�/7 /Lee&77,�' 41/
d.4i L 1'T— Lv ' - �;E 9 ��-LLL—z� /AI 6'h.3,
P c E S 'u ZY&,41 S'L/ '- ter/ ' -;
_5.- w,4CAS Li!ieC-,j 1 y 7.75 .e
GENERAL COMMENTS: h/s i< a ofi � /
c�s �l j� , ( J . 14 5 ,© S �1 ' 4 744-°
4,,Z17 give /6 hr-iHe-',"
CITY LICENSE NUMBER:
Contractor/ - 2 Electrician Plumber/Heating
Application approved by: 6/zSA
The ne this ing and the undersigned agree to conform to all applicable laws of the Town of
B h, Car n .
gna ur of plic nt
Effecti 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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TOWN OF BATH
BATH, NORTH CAROLINA DATE I cg,- l-i t
BOOK NO. PERMIT FEE PERMIT No.
APPLICATION FOR: BUILDING PERMIT( V ) ZONING COMPLIANCE CERTIFICATE ( )
Name & License No. Address: Phone No.:
OWNER ` tbet* Euera_k_ 55,1 Cire-bwev Loj-ya ±f- NG AS d)94,-P S90 t
CONTRACTOR (1,- 1 .eL Eue-± w er%Tr\e.
DESIGNER
SURVEYOR
ELECTRICAL t �Xts�QA Ek.e04rte- Solo P►nQmi.c)mcks RA taw-V e.id Ne, (5A) q),/e-ice 1
PLUMBING ma's etry b� 939 kiaj-VocE-rn .lbelhaven, ,se 313 a'"- -
TYPE OF IMPROVEMENT
NEW (✓) ADDITION ( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE ( ) MOVE ( )
OUTSIDE( ) OUTSIDE ( ) LOCATE ( )
Lot No. Block No. Building located at 5d O Moore- i' one i K C a 9 go%
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 INSP
ECTION DEPARTMENT COMMENTS:
�r i2 f �� - L. c4,v,Q&r 4bo so FT 13,047- 1-6 se. cAvier
?.0 4-Cr,, Xa2► Lim- d" .Ceil--77f Sr be ©-A= P 44-MA IER,wr
Ja)i U. 74e l SS Clew) iL0 Pal fvJVa ON 5 c'Z 111$7—z.
GENERAL COMMENTS:
CITY LICENSE NUMBER:
Contractor C 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.
idatt
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.

•
i)
Applicant:_Z.o 13 LLA'—i tr) , So •
7 J
Date: 2 .--71\-i- 20 1
-General Permit#. pr��� •
Describe below the HABITAT disturbances for the application, All values should match the name,and units of measurement
found in your Habitat code sheet.
TOTAL Sq.Ft. FINAL Sq.Ft. TOTAL Feet FINAL Feet
• _ (Applied for. (Anticipated final (Applied for. (Anticipated finat
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp ' restoration or temp impact
temp impacts) • impact amount) temp impacts) amount)
Dredge❑ Fill 0 Both 0 Other [b to f- I bat 1(4
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill 0 Both 0 Other ❑
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other-❑ -
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both 0 Other ❑
Dredge 0 Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both 0 -Other 0
Dredge❑ Fill 0 Both 0 Other ❑ •
Dredge❑ Fill❑ Both ❑ Other 0
Dredge 0 Fill❑ Both ❑ Other El
Dredge 0 Fill❑ Both ❑ Other.0