74005_Sandra Tankard_20190619

• CAMA
/ ❑DREDGE & FILL D'1T W `�''f5 No. 74005
A 13
GENERAL PERMIT Previous permit# ".l //A
)G{R1\lew ❑Modification ❑Complete Reissue CI Partial Reissue Date previous permit issued ;LI /,4.
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 I 5A NCAC , ) 7/ j " i 2 v®Rules attached.
Applicant Name 64, 7d r-A_ /G pi 4 c, r A. Project Location: County /--::;_,-,.; N- a> - I e
Address 2,7 �,--ra v-rH -:L.-7. Street Address/State Road/Lot#(s) ,e,F r G Z'c L--e-1> 7 /
•
City 6 -/ , State/-)C ZIP 2 7 q o`]S ,7P ' ' 2-7 (-- a of*If _,1 •
Phone# (�j;)1/3- -5-2:›S E-Mail Subdivision
Authorized Agent ,_,/. ; f�1.-q ya * City ZIP 2 7"5S d y
1 1
❑CW ❑EW A'PTA ❑ES ❑PTS Phone# ( ) -" River Basin j,- - ! <J
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body /2 c. 4 4:-r-r AL nat)tnan /unkn)
❑ PWS: />
Closest Maj.Wtr. Body rA7`11 / ' / ' ' �`'' es
ORW: yes / no PNA yes / no
Type of Project/Activity -/3 x - r.- - ,,Eov,P.,.ac.,e .bpi 1,-4 4
(Scale: l _ -`,0 )
Pier(dock)length
Fixed Platform(s) i
I I I
Floating ier(s)rm(s) , ILIIII ' In Ii { II ' iliFil
1 ■■■i
Groin length i5 !E�lQ ■■a7 . i■■ii■i■i■i■1■ii
■! ■■■ INENEDl�i!!■i�■ ■■■111111111111
Bulkhead Ri ra length 1IHhIIIHhIIHI1ilUIIiIIHI11
avg distance offshore �
max distance offshore /Basin,channel ) 1111
• IIIIflPJUIPIII
Boat ramp j
Bo lift Boathouse/Boat lift 11111
1111111
ff1111
/3 x f. ■ i■ ■ ■i
Beach Bulldozing iIiUi!1111111L111111!111111110!
■1��■■■
i■
Other ■ ■.1 .11.:T.lns7ri.■■1■I1.■■i■■■i ■■■1■■■■■
. Li
im.
rim 1 imilm __ , ■■ illi Y_ ■■�11111
..„ . c•-•,
Shoreline LengthIll lailia 11111111111112911•111
SAV: not sure: yes no11Noma ■ i ■ _
nom
ew"Moratorium: n/a yes ,.- n '' mom
/r4,- fe■■�■■■■■ ■.�iPhotos: yes n
Waiver Attached: yes n I A building permit may be required by: /D wn 0-1
Za`J'f^ X See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ��-- /
Notes/Special Conditions L a-1- i'� fr.--to,"-lc ,IA�4.4 /6 w,' , / or w„ IA --7 c,_, , t.�
,.;raGrp/i4,c., a 4-4eA,C4 •
Itc-\‘ -,, ..--I,-T--)/'';.'/rl>,3 p; Ll•P L---)
' \ \,
I r�t`or Applicant Printed Name P is 's Printed Name
•
Signature Please read compliance statement on back of permit Signat re
,i (:::::— .
ki 1) - vii, ...7T -z /c' 19 c-)c --1..,lr 4r '-? J j
h Z // Ex iration Date
Application Fee(s) Check# Issuing Date P

Authorized Agent Consent Agreement
1/4___..---• L /
1, nel i a- I Q/V4.7", , herby authorize Tobin Jay Tetterton of
(Property Owner(s))
TJ's Marine Construction,LLC to act on my behalf in obtaining CAMA permits for
the location listed below.
PROPERTY ADD( F,SS:
LYOR 7 ,(-6. 0 6k (SY•11
e----
PROPERTY OWNER'S MAILING ADDRESS:
6iiIiTii±iin r
Phone No. — C5S(I5
PROPERTY OWNER'S SIGNATURE: (2/71/414 2/. Ni g 41/Mei
AUTHORIZED AGENT
TOBLN TETFIRTON
DATE: 11_7 20e
WiAnthorafd Agent Consent Agra

'A ACE RIP OPERTY ER$ TE E i
,---
hereby certify that i owri property adjailsnt to 4 r o lii/ 's
.41 i , (Na, : of Property Owner)
property iocated at ' 1 40 0 e a i i
Address, L.t, ; o' It lisild Ilia- • ,
*n ` 0 is"-, N.C.
.Naterbociy)
(City/Town andior County)
The applicant has described to me, as shown below, the development proposed at the above
coation.
have no objection to This proposal.
.....!::...... ...
,,,„,.....-..:
i have ctjections to this proposal.
,--,-.L.2:-r,-. -------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
Vual,cre.-pcsing development iriust ilii iri dascri,..,.-,ti -, 17,-4..low or attach a 3.5t6 o)`31.,4,Fin99 A in O 004_1 0 iC
r i i
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4e
hdarstand that a pier: dock, mooring pilings, C,-351. rami,-.), breakwater, boathous Mt, cr grain
„.. must be set back a minimum distance of 15T from .71y area of riparian access unless waived by
me. (if yeu wish to waive the setback, youpustini44:he appropriate blank below.)
; do wish to waive the 15 setback recif-9rrier-It.
7.z.z....A wish to waiw- The 1E; setbac;h:
nformation) ar:, nit Ppoperty OA rimer Info
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..
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c'iowct,,ri-a
Pnbt or-type Name r a..ALC,Li ,
A,Pair g Ad ' ss , ii
(Mai/ Add,City/State/Zip
Ci3y/Stele/Zip
1
Numb l addss1
Telephone er,/emaire J Teleohdr;e Number/email address
/ ..._ / -1- ro
Date
(Revised Aug. 2014,1
-Valid for one cscnuar year after signaiure'

AiLii'ACE 7 RiP'RUN PR PERT"!OWNER AM, N7
hereby(..;s=rdfli,that i ::-.1j1fil property adjacent to '\-- 0/1 PO-- . AO 4 i/5-a rei.
__ ") "7 /7 ) "., ffts.gA...., DT Property Owner)
property'located at - 16-Y i :C_,„..-I C-0-.7 e it
30: ifk,41.4 (.._ireeif. isAJdreas, R. d t il
1117,/A7 4
Motel-body) icityrrown A TV.#, Or County)
The app1ir1t has dest.--"abed to me, as shown beiow, the development proposed at the above
torado
have no objection to this proposal.
--.:1.....z.:,...
i have objetdons to this 'proposal.
DES,CMPTTQE ANDiaR.DAIMEMC7,OF CD DEVELOPMENT
::-,Nk ; ;7,FL ;;-...:,sin.zi St-.--if',944.7F,-,rilast:-.7 .1-isi--571;Ir., fasz-s-1,-sfas 1:.;_lenv r.-ir attach a sta tralq.7:17...D.)
...„er..,.- , ,....j i A.P....),L....
i
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a j D ( C._ ..K. ,-> / i fli 'i 0-/ -,,,
7, 149 -,2e17
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1,4-,1,7 Y-11 i- L.6 /0, i, /291S i',.__i
67
(-744\ 4,-----i,---,, ,z:),,5 0
if)e
.-iii,4VE,:q., ';.,,:-:--.1-.:7:,:2-.-.•;;.,:::-:,,
that a pier, dock, rritssrfrig pilings, boat oarip, bresiomater, boathouse, iiii, or groin
back a minimum distance of 15' ica.-1-, my arse of riparian amass unless waived by
.. .... 7fle. f.yuti wish to waive the setback, you must a--.JF.i, Ji ::.-ha spr.spriate bisnic be1ror)._
I do wish i:0 waive the 15'seilai-.1ok reThent.
2/%1411 ',.0 itrl;PO. ,•1 la d.: se wad'
•,,„7..-612rialf]fformaticR)
-
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':::":,72.7:7.-..s's- ----
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P 40' lr Tire i‘ me,;.,- :6.,r" •
,t,:aiiinci Sdarass . ..- _ „ i itt llnaess
iu-c-- ( 77(4?-0,---
City/State/Zip .
CflyiStatp/Zip .
Te/ephone Number I(email eddre-S6 T.Fjephone Number/email adore
i,-----,--
(R5eed ug.20.:Y4
Vailb;';'or one ozienckr year sitar sig.narii. =
__..

TOWN OF BATH
- I 7-49
BATH, NORTH CAROLINA , DATE
BOOK NO, PERMIT FEE \S--.6 PERMIT No,
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE ( vi)
Name & License No. Address,* Phone No.:
( 6,1 coo c
OWNER C5flta (-01532-99J1.555CONTRACTOR 7-37:5 41ar;fie ditrt/Le, 6_Loo
aemisir /1)C- 43Z/9V-477
DESIGNER,
SURVEYOR
ELECTRICAL
PLUMBING
TYPE OF IMPROVEMENT
NEW ( ) ADDITION ( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE ( ) MOVE ( )
OUTSIDE( ) OUTSIDE ( ) LOCATE ( )
Lot No. Block No. .71."'#0
Building located at
between /Ally ?,92_ and /17/ C571-reet—Streets. Building to be used as
Type Construction Ai
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 ( ) otner . 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 INSPEC I ION DEPARTMENT COMMENTS;
�' t � �G. ,v�s ��. T
sera n ,�
�
GENERAL Co MENTS; A " D a
6 -, 4 4eid .� ,
llrenFar
CITY LICENSE NUMBER: e
Contracto :____ __
Electrician Plumber/Heating
Application approved b,
The owner of this buildingnd the undersigned agree to conform to all a li
8_ orth Carolina pp cable laws of the Town of
Signature of Ap licant
Effective 8/10/04, there is a 550.00 ding 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 becomingoperational.
fee is $100.00. Inspection

NC Division of Coastal Mgt, Habitat Impact Computer Sheet
Applicant: 6Aa2D72.f1 -774-rleA92f.)
Date./q �ti.JE 20/9
General Permit#:7+4ODs-2
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 final
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)
APE"/ Z 2
Dredge❑ Fill❑ Both ❑ Other /6,9 � /6.9
Dredge❑ Fill❑ Both ❑ Other ❑ _
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge ❑ Fill❑ Both ❑ Other ❑
• Dredge❑ Fill❑ Both El Other ❑
Dredge ❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I I
Dredge El 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 ❑