74068_Thomas Peele_20190917

GQCAMA / '❑DREDGE & FILL • S::. Ilf No. 74068 C "p
GENERAL PERMIT = ��� b Previous permit# A (I) 10 )n
)G [ New ❑Modification ❑Complete Reissue DI Partial Reissue Date previous permit issued N ),tt I
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 6 7+I-) . ) / D U •
r Rules attached.
Applicant Name `j?-/D''"A S � -62. _ Project Location: County /fi.)r -j :v •
IAddress (y1 Z/ 1,"1-, y w.'Ail— x' .P . Street Address/State Road/Lot#(s)
City & 1 State IJ C ZIP --)-`7 KSCPC tf 2-/ 1'447-/D if / ,-/r-- mod'.
' Phone#c' 9 Al/ 77.//E-Mail Subdivision I Jam,- Poi,/j
tt Authorized Agent csP+.a E L,r 17--o+`? City 17-) ZIP —2--) O`'
I ❑Cw ❑EW PTA ❑ES ❑PTS Phone# ( ) River Basin 14 .-P/AM t-i ry
I Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body 1,1 G70 X (na man /unkn)
❑ PWS:
7 Closest Maj.Wtr. Body ^')‘-'7 v ' ' atx•-
ORW: yes / no.. PNA yes? no
Type of Project/Activity ' i/ i- dr,-,c, /o f FL,L f i'd?
(Scale: /.....21 )
Pier(dock)length
Fixed Platform(s) I i
Floating Platform(s)
Finger pier(s)
Groin length •
number ru
I
Bulkhead/Riptttp length (�5 I
!,i / .1:•.,o!dl' ,�.,
I
avg distance offshore
max distance offshore i 4
Basin,channel _ Ill
UhiEILJLIH .11llIIIL
.........JLIPJIiIIIUTIUJi!
. ■chBullderi i1■■
,,,, , , •reneL /
SAV: not sure - yes no ■g. �®1 li■ ��.�0rr .4 W ra
7 ��:
Moratorium: n/a yes o
Photos: yes �I II
—j.--- 1 /:"' _ Illa 1 - �011? U1
Waiver Attached: yes no '�
A building permit may be required by: '4?G✓�) D F See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions ' w^I a P 6 )--+ 7 C) "-/' - ili edam^ PL-,---1-Je. F. �/ /i ±P .
-- ,y }-7-- r 1 i: ) ,,/--) -
E
I•
G- eor G ( iI U/E� -c-z.�,, S v .
.
Applicant
Agent or Printed Name f _ PermitOfficer's Printed Name
J (-e/lel/t -.1/Vil ie'14-/ A --
Signature **PI"e5se read compliance statement on back of permit *`' Signatu� -
d C 11 0 0J k z5 Cto X
7 A,7 E/.,,,3, -1 7c7/ 't:^c 1-1 0 .)
Application Fee(s) Check# Issuing Date Expiration Date

•
Authorized Agent Consent Agreement .
� o A to act on
I ,- h,1 1/ 4-42L ,boy �c- hit/
atoPart
y (Authorized Agent)
my behalf in obtaining CAMA permits sx the location listed below.
Property Address:
2i iLt1r1p9
, 4rf Al 27 $o
Property Owner's Mailing Address:
5f�n1 6 5 n opd Ja
Property Owner's Siigaadta ,di4((11#4
AuthoriudAgent Sigoatia+
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 7,4 d i1 A 5 A1• c c c s •
`) (Name of Pro a Owner)
located at 2 J //A&1 L7 7 10/All— .2,9
property (Address, Lot, Block, Road,etc.)
� '/L C/2c c3/� T
, in PM # , N.C.
on (Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
t/ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
A ?iA cAAT-D M A t
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 must initial the appropriate blank below.)
V I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property r 1 tion) (Adjacent Property Owner Info ation)
' t
Sigma
Si tune — � , ?c2 J�7' 6 t7(V/ )2)7 5
0‘
TM�As N. 1 --/���
Print Type�Na e Q ' F)nnt.yr type Name
4 t/ ) e,nJ; IN �,9 n' A11)6 - Pa pox Z
Mallina Address Mailing Address
73/1 jti f C 7 8©e) j?-►arrif C z 7 $0 6
City/State/Zip City/State/Zip
2, 2 - `TS"/-77g1 zs2- 923— 1.3.7 /
Telephone Number/email address Telephone Num er/veil address
9.1/ 7//9 9 ,71i
Date Date'
(Revised Aug. 2014)
*Valid for one calendar year after signature*

• 1 QG- I' A. ..,,,\,.../
t K '
\C?t CftE[
iMe. : : .
9 SITE i .`
O
1962 1741 KIND BT. a
MAGN��,G 0 OATH 100"
•
D` (.0 _ BATH C11 [ CK
�— ° VICINITY MAP
BACK a C REEK
- �
. to JL./4//6- 2 lit
6.
.......„.....,_____, .._,„,
0o OA
J
ta
alms - SO T° E - 6.00' r
21 43eW _10. a �.,,.�I,1 1f
S 36
—__ •o • / SS�A�O 1 1 = z
y1*$ I 10 T—_ / �9 �E AD • o
K
M h 9 W '�-7-.9d 1� e�� o N g
Vi e c v"
en
U m O
Z Tt £ • ��
` NATURAL J DECK ` I
i.
J GROUND ELEY. to
co 3 1O,x I-' � a
- `:J • a JUDITN N.
� W m J 1 m .r %: EDWARDS
12, 187 SQ. FT. ,I f ONE n
��� to M.B. 16 , PG. 20 a i'� FRAME �'O Z t . • E
0 —z FIN. FL. HOUSE I POWER
iD
tO ELEV. = to
26�
(1WATER
...-
co
O 2.I9 -t
C ,_. a �
Exist. ton PIpeI 6 9. 8 3' Iron Pipe 69.9 T'
"'� N I7°09�4 O'_E - 1 3 9. 8 0' ( TOTAL ) Exist. Iron Pipe
NA�/y I ( /'A3i .,4A4 t: 15' ASPHALT 20' R/W '
AO
NOTES t
t. v. Du►e veodtlel. certtly Mot this.an .ns drarn -4
„dur ., sopar.F$ton Ito•en actual •ur.er.ode under ELEVATIONS BASED ON i
., super.lstent Mil the ratio of pruclalon at ealcv- N CG S 1929 DATUM.
toted by U/ltpdos and don•Tt.rrs to tttn,,tnn.: „., •
the boundartat not tur.a,ed are thorn os Proton lions Y TOWN OF
Mel n.l% sap eat prup.a.••l I. accu'dtnce.11h CS4 i--` THIS LOT IS SERVICED
)0 as vended. WIt.est .1 hand and seal this IC041 BATH WATER & SEWER.
•
oily of . t9
�� THIS LOT IS IN A SPECIAL FLOOD
•
v. DVRE vo00.1EF swam Eo. 110. rhoa HAZARD AREA AS DETERMINED BY HUD/
FIA FLOOD MAP , COMMUNITY PANEL
.4.11N\ ✓'"' NO. 3T0288 0003 B ,
0 r`� •ease... A
(�410: 5 0 INDICATES NO POINT SET
n ► :... : na -blik-rE -- -• -- - - t
tii Ito SCt; ilk II. If•� �;o i ,�_ 4 { El I MA P OF SURVEY FOR

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
5 • ?& , 'S
I hereby certify that I own property adjacent toJ -/,l©A(Name of Property Owner) '
property located at '2 f fi,&- ( 1 /IV, 4
(Address, Lot, Block, Road,etc.)
$'�C/C e,ei c/� , in f3/4T� , N.C.
on (Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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)
Sezcz h%/4c -lD /NW*_.
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 must Initial the appropriate blank below.)
V I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property er In ation) (Adjacent Prope wrier Information)
*ate Cate�/S rA M9S /7 . Ye -2c�- Sst'rG-- pill/is
Print or Type Nwne / Print or Type Name
Y2/ /]/ P l'/4T A/l/ •,l2 gJi i.Ei7�r- D
Mailin Address / Mailin Add ss
-r9T /(/C 27s'68 Gacel./o/� Ak.._ 21S-18
City/State/Zip City/State/Zip
ZSz— 9Y)1 - 774)
Telephone Number/email address Telephone umb /email address
,117/ IG 9 /7l9
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

Ol fi� ® wCi
Q 10 * REEK
1962' , 1741 KINO OT, tt
MPG��11C in
�� OATH o MAIN
.
�— 4 BATH CHECK
`� i VICINITY MAP
BACK CREEK
`-----\-- 40 P o,a, is.
lL ` �j 0L.12. frov � 1e'
-'��� AO
;, E
_ . 07o21' O0w
— 43'W a '
—'I
..
. s o
•v • ,
oiy's 2s`—o 7. 42' 3 11 0 t• ID
'1
L
it of --.-7. 8V o x
M . -h 9 -.90 11 _— ., N o
•
i .- ...=-
te
z 71 f • /`
�- ( I
4� NATURAL J D E C K `�i
`/ GROUND ELEV. In
co 3 10'+x H D
0 D JUDITH N.
W - `� as t: EDWARDS
=• ONE �
94Jr� 12, 187 S0. FT. ` _ _
STORY
to M.B. 16 , PG. 20 a i ��`� FRAME . E U
o Z
° —0 FIN. FL. HOUSE a POWER t
� ELEV. = 2s'
to o 12.1 9' WATER '4
Exist. on Pipet 6 9. 8 3' Iron Pipe 69.9 7' �
- N 17°091 4O'_E - 139. 801 ( TOTAL ) E6xs Iron Pipe
N4jy r /A3 A " 15' ASPHALT 20' R/W 1
O
NOTES 1 s1)
1, V. Ousa vee.ill•1. cerllly Mal Ihls ON. rns .true.
,n.eer.y su•✓stsIen Irv.e. •ci*.I survey mode ender ELEVATIONS. BASED ON y
.q sueerrlslonl thel the retie 01 erueisloa at tutu- NCGS 1929 DATUM.
feted by tattled** end.bl..rloom 1: 111n,NM.: Ih.l
•
Iht eoend•r les not surveyed are seven et bracts Plant THIS LOT 1 S SERVICED Y TOWN O F
Iee1 Ills .W 4:yes ors...re 1. rccu•danee rile 4(• _
so ss *sundae. VI ey head eve tool leis (� BATH WATER & SEWER.
eat of 19 •
�� THIS LOT IS IN A SPECIAL FLOOD
v. ov,E v0001.IEr SuIYLtOI (O. le. MN HAZARD AREA AS DETERMINED BY HUD/
FIA FLOOD MAP , COMMUNITY .PANE L
r 1.,SSOCot NO. 370288 0003 B ,
�i0 r.�ttx.� ••e••'�N A d iNDICAl ES NO POINT SET
ID
i,.n 6 a *1. fL1 1 „Q i acil.Aeldi 1 li ' M A P OF SURVEY FOR '

TOWN OF BATH DATE / •
BATH,.NORTH CAROLINA
BOOK NO. PERMIT FEE PERMIT NO.
APPLICATION FOR: BUILDING PERMIT ( ) ZONING COMPLIANCE CBRTIFICATB , ( )
NAME&LICENSE NO. ADDRESS TELEPHONE NO.
OWNER I Ho /1'9 A 5 %9 e e L e
CONTRACTOR CY ea r 6 t L//1/ 7L)i q
DESIGNER
SURVEYOR
ELECTRICAL
PLUMBING
TYPE OF IMPROVEMENT
NEW() ADDITION () ALTERATION:INSIDE () REPAIR:INSIDE () MOVE.( )
OUTSIDE ( ) OUTSIDE ( ) LOCATE ( )
f Ti-A
Lot No. . Block No. . Building located at /D+� P 7- IA AI
between and Streets. Building to be used as
. Type construction O if.. )t CA i)
Number of off street parking spaces . Contains rooms and bath(s).
Total square feet of building . Electric service • . Type of heat •
. 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 ,
crawlspace,number feet apart . Height of crawispace under house: 18"( )24"( )other
. Zone . Water and Sewer Tap: Paid( ) N/A( ) Size water tap
Size sewer tap . Total Estimated Cost . Flood elevation
O •

•
NC Division of Coastal Mgt.. Habitat Impact Computer Sheet
Applicant: 7701444/ De t
Date: /7 S.,�ti^, o20/f
General Permit#: 7y0 6 f
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 ANAL Sq, Ft. TOTAL Feet I FINAL Feet
(Applied for. (Anticipatedfinal (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name includes any Excludes any total includes Excludes any
Choose One
anticipated restoration any anticipated restoration and/or
restoration or and/or em p I restoration or temp impact
//
temp impacts) impact amount) temp impacts)pa amount)
� r'e (;o11 a Dredge El Fill❑ Both El Other
Other [ _ -6 `' 5
los. may-0." Dredge❑ Fill Er-Both ❑ Other ❑ /00
/1 ( I Dredge❑ Fill❑ Both ❑ Other Fr 650 6 SD
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 ❑