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Home My WebLink About74090_John Kohut_20191016 0 n CAMA / DREDGE & FILL -11j (DLO �S ,Q No. 74090 ' GENERAL PERMIT Previous Permit# A B C Q �� NNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r % t/ /-2• v,:_) . [Rules attached. Applicant Name L7 N r-i L.---o fl H -r- Project Location: County :kia.4,> r i 7=a . Address —7 4- /'-. 'TZ'E S 7 nn . Street Address/State Road/Lot#(s) a' F ,-/c City kaAl�DA/40,4 A State/4y ZIP /177 e ,(4 , 1= / ,c_ 1; / 6,t'n7"--' (,c Phone#( ) E-Mail Subdivision s 13 }. L,E r' J 4 C Authorized Agent 4-- ' e Gi rJ City . --r-,1-4- ZIP 2. SS''D ❑EW 'PTA ❑ES ❑PTS Phone# ( ) River Basin T a .7n.�4 ' !J Affected Li CW ❑OEA ❑HHF El IH ❑UBA ❑N/A 1 AEC(s): ❑ PWS: Adj.Wtr. Body j/tZ,�' /L= �� (ti /man /unkn) I ORW: yes / no/% PNA yes\Y�no} Closest Maj.Wtr. Body '?'`„"'L �/v /go'' / ✓Ci: Type of Project/Activity _t CIS-rye ti e r /4, .4, /!o /"D ttiu iy /I(Scale:) = 3 , Pier(dock)length ) I i Fixed Platform(s) 4., V /6 , _.-_.___ I------- • i i , • I i Floating Platform(s) i Finger pier(s) t / y i Groin length • f I number ') I Bulkhead/Riprap length I 0 ' I I / '� avg distance offshore f • i max distance offshore j t 4 t I 4 I f Basin,channel j f I • cubic yards / i I a t►S-r rt•�d T Boat ramp C /G 'k /6 ' F - .� Boathouse/Boatlift / . I .a ■■� ► -r-)r-r pl[�. , Beach Bulldozing L 41,T. S 1 4 OtherK, i - . i I I I f Shoreline Length / t j SAV: not sure/yes no - — '�� F r-'..-..-...-_ _ — (— Moratorium: n/a yes r""J 1 `' ?� f Photos: yes ^ j j Waiver Attached: yes no It A building permit may be required by: we,/ P %'--;\- 1 . (See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions /_,,.7•r i:, M -0 .v,ll , /4 Pao/L,4-1--1-t f.:,e 4.)6i is ,c.to Q F- P/ ." r1 et,v i 4- Ld L-J t-y-D , cr0D Tom'? _ vi Agent or Applicant Printed Name / Permit Officer's Printed Name qq f/ / Signature✓"Please read compliance statement on back of permit Signature 6-1 �' —� i `o o `a*' .--T9U6 3c zz) '9 /6 EL t ( ) 2_13 Application Fee(s) Check# Issuing Date Expiration Date • TOWN OF BATH DATE l BATH,.NORTH CAROLINA BOOK.NQ. PERMIT FEE PERMIT NO. APPLICATION FOR: BUILDING PERMIT ( ) ZONING COMPLIANCE CERTIFICATE 64 NAME&LICENSE NO. ADDRESS TELEPHONE NO. OWNER 7� {� P\ CONTRACTOR -e-U r DESIGNER SURVEYOR ELECTRICAL PLUMBING TYPE OF IMPROVEMENT NEW( ) ADDITION ( ) 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 P1 t f e \ 7 t► %C/�, 51x, L,: Number of off street parking spaces . Contains rooms and bath(s). Total square feet of building . Electric service . Type of host • . No.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 , crawispace,number feet apart . Height of crawlspRae under house: 18"( )24"( )other . Zone . Water and Sewer Tap: Paid( ) N/A() Size water tap Size sewer tap . Total Estimated Cost . Flood elevation (over) • -----46- -I --i 4‘, . i .44)--,,.. N.1\43 /A. ,. ,,, J � � C I ) N I ‘ ‘ k. •I.::1 „. ,, ci ) 1 :, t, ) e s„..,\ _,J.,. - . I) cJ \ 0 cs\s\t,„ q ..fii iei c-....- \ i A „f cc tos, .,:=6 ,.,:\\,. v 4 \-,‘ c.....) _i.. d a— Lu ck --tab r,„ >,..... ).."' U Z N c . rc--- I \ t 4 cz '. t � rl o Nile � G� 4 � u � c\---- , A) I I~1�D'H/( K**--e-OZI:7-.6<-71 ./(//v J j (,� , hereby authorizeto act on (Property Owner) (Authorized Agent) my behalf in obtaining CAMA permits for the location listed below. Property Address: ( J/ 6.---/fie-- &I:4K Aj(6.- / $ Property Owner's Mailing Address: 44114-1 .— Property Owner's Signature: 1411 Authorized Agent Signature: Date: 704 / Maude C Bishop 274 Kirby Grange Avenue Bath, NC 27808 RE: Pier Addition at 260 Kirby Grange Ave I grant permission for John Kohut located at 260 Kirby Grange Ave Bath, NC 27808 to expand his dock. Maude C Bishop // 4, „. -" Date -7 � Y pY' BATH,.NORTH CAROLINA DATE /0 '/f — /17 • BOOK.NQ. PERMIT FEE' PERMIT NOV. • APPLICATION FOR:' BUILDING PERMIT ( ) ZONING C oiviLUNC`E CERTIFICATE 6 1AMEit LICENSE NO. ADDRESS TFLEPHCASIE110. OWNER -To CONTRACTOR .ez�" -�' 1--. , /\ii /\ DESIGNER SURVEYOR ELECTRICAL • PLUMBING TYPE OF IMPROVEMENT NEW ( ) ADDITION ( ) 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 Rex.fcjiv I \ &L ?' <O t'` 3 X Number of off street parking spaces . Contains rooms and baffi(s). Total square feet of building . Electric ' . Type of heat • . No.plumbing fixtures . Foundation block caps 4"f ) 8"( ). Corner bracing Ply*ood ()Other . Insulation: Floor Walls ", Ceiling ". Windows: Storm( )Thermal( ). How many exterior doors . Water heater: Gas( ) Electric( ) Other Roof ventilation: Gable( ) Eaves ( ) Louvers( ) Other . Ventilation crawispace, number 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 ION DEPARTMENT COMMENTS: A-4 ,4d /77 el) 7c/ et/ GENERAL COMMENTS: • • • Ay 3* .te 4 „.0A. ( 1 CITY LICENSE NUMBER: Contra r/AC Electrician Plumber/Healing Application approved by The owner of this building and the undersigned agree to conform to all applicable laws oft he Townof Bath, North Carolina. c kdL I Siiggnnaat t of Applicant Effective VI0f04 there is a SS0.00 filing fee fix all permits, including zoning compliance Any construction that requires installation of water or wastewater services may: A) Be installed by owners,contractors. 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 constriction prior to services becoming operational. Inspection Fee is S100.00. NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: --To a 1J bo y"T- Date: f ja D Lert,i3 7-471 c General Permit#: 4._.$,9 Lq j�j Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement found in your Habitat code sheet 1 TOTAL Sq. Ft i FINAL Sq, Ft. TOTAL Feet 1 FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance ! disturbance. Habitat Name includes any Excludes any total includes Excludes any Choose One anticipated restoraticn any anticipated restoration and/or i restoration or and/or tern p restoration or temp impact temp impacts) impactamcunt) temp impacts) amount) DPerJ 2 -hi.A-re 4_ Dredge❑ Fill❑ Both ❑ Other ,2 54, 'et- 25 to 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 ❑ I Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑