74084_Stacey & Myra Houser_20191025

CAMA/ ❑DREDGE & FILL No. 74084 A "-B C D
e E � � c� � g37
GEN EL PERMIT Previous permit#
�`=/New 'Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ry 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 )I ' 0 Rules attached.
Applicant Name A C..G Y 7 Nt 1 4-"" `' " Project Location: County
•
Address / ' 7 - '" ' 1' ) Street Address/State Road/Lot#(s) A•/( 4-/w 7 —I.
City !,./1' State A-' (' ZIP .. )-Y.- ( ! 1 I/, a z ,41.J.-==
Phone# (J/ 7) i-- • .9(li-Mail Subdivision /!_ , i. `"
Authorized Agent City •" 7 A- ZIP _ " za'
❑CW ❑EW T�PTA ❑ES ❑PTS Phone# ( ) River Basin Ili,,,1 '(J
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body `5 ( L e---- -I (nat)/man /unkn)
❑ PWS: �_
Closest Maj.Wtr. Body f -'-.' `.— '� `� -- 1 Loe t.p,.-
ORW: yes / no PNA yes / no
Type of Project/Activity , ', P I. T-S;�i2,--n
(Scale: ) a )
Pier(dock)length; r 4. '
I
Fixed Platforms) -O y !. . asingommummmininiumimmumpiumniimmilimmomm.
- �� � � �iallITIMMIN
iFloating Platform(s) 11� .�� � 11���
1 Finger pier(s) iIIIIIiUIDIIII
Groin length j j' '
number �� m®ve ���ua���r - Immo oUU RU U aUmRU*
Bulkhead/Riprap length 1111M1... ..IINI 11111116VIIIMIIIIIIMIIIIIIIIIIMINIIIIIIIIIIIIIII
avg distance offshore
max distance offshore1111111 1
Basin,channel 1111111111111111FE u1IIPIuI1uIImIiiIIMIE'1111I11.l11l111 7--1, ,n cubic yards
� �� �ramp „� , , �1 �� , i11
Boathouse/Boatlift M111.1111111111111111111 ...11U.1a�.��1�U�1��E1����U
Beach BulldozingMaillnia 1 iIUihuIIUUUUfIIIfi
_ 11111IIJUII1IiIiII4iP
IliiiIHhIHh1ii
Other
I _ ' 11E11 'ShorelineLength - 07� II 1
SAV: not sure yes no IP :::IIHI ..iiI1IHI
Moratorium: n/a yes -A� '1 EZN •UUU: ONE NMI
Photos: yes rf
Waiver Attached: yes no
A building permit may be required by:`1.72 ,)z ''j.1'? ; . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) -: 7
Notes/Special Conditions 7'=o 7 �? " 51. "1--i o I Ii— , ` + i
4i!_�67 T,.. - )v 41/J, t .5'1-a2 c4 r'r-?.... r c ("A---7-) t--)c'l� t a , / a
4 `]r '= /
Agent A t Printed am e Permit ficer's Printed Name
4'1,C--
Signature * PI e ear d cor}�pliance statement on back of permit** Signature / _
/ Check# Issuing Date Expiration Date
Application Fee(s) 'y
• t

TOWN OF BATH
BATH, NORTH CAROLINA DATE /0 — Z 3- e)19
GAS N
BOOK NO. PERMIT FEE 15 0- PERMIT No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE ( �)
Name & License No. Address: Phone No.:
r griu
OWNER y. yr tSki/ /O9/err» Litre
fid
CONTRACTOR b�' e t-+Ge 1' ; S 2.S 2- 9 i/9 - 3 S C
DESIGNER
SURVEYOR
ELECTRICAL
PLUMBING
TYPE OF IMPROVEMENT
NEW ( ) ADDITION (I() ALTERATION: INSIDE ( ) REPAIR: INSIDE ( ) MOVE ( )
OUTSIDE( ) OUTSIDE ( ) LOCATE ( )
Lot No. Block No. Building located at I 0 1 rlE1ZoiJ L.N ,tJ ri-i
Pa.A
between '3i e L 5 i4 6A-1i and StiSA,J Ed'sous Streets. Building to be used as
aelbk01 L.1Pr . Type Construction (LJooD
Number of off street parking spaces . Contains rooms and bath(s).
Total square feet of building lectric Service . Type of heat
. No •f plumbing fixtures . Foundation block caps
4"( ) 8"( ). Corner bracing: Plywood ( •ther . Insulation: Floor
Walls , Ceiling . Windows: Storm ( )Thermal ( ). How many exterior doors
. Water Heater: G• ( ) Electric ( ) Other
Roof Ventilation: Gable ( ) •ves ( ) Louvers ( ) Other Ventilation
crawl space, number of fe: apart . Height of crawlspace under house: 18"( ) 24"( )
Other . Zon: . Water and Sewer Tap: Paid ( ) N/A ( ) Size water tap
Size sewer tap: . Total Estimated Cost Flood elevation

BUILDING INSPECTION DEPARTMENT COMMENTS:
-PLANS G A L.A.. rot_ P/ ''R 10 Ew. MAN 66)
'FAA)k 5 ' Tz. 4 .
7)E CA- 7a $F GH ANG 2 F,Q.ouc I Zit.IL 76 Za x Za
P.Yo C I+A NG E 7--o 8 o.4r L 1
Au- ('licieoSALS OUR-6 r 1-4 bs, ZA/4A rz6&u AzESTS
GENERAL COMMENTS: /) u R ixt4 ON 3 ire: tit$ ITT-
CITY LICENSE NUMBER:
Contractor/AC Electrician Plumber/Heatin
� r
Application approved by: '/,
�ozzw,a/Tr110 . f012311
The owner of this building and the undersigne. -: -e to conform to all applicable laws of the Town of
Bath, North Carolina.
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.

From: Earl Shoaf Q
Subject: FW:Message from"RNP00267373D89E"
Dote' October 22,2019 at 3:49 PM
To: r,
•
fyi
Original Message
From:svc-ricoh@ nationaltransformer.com[mailto:svc-ricoh@ nationaltransformer.comj
Sent:Tuesday,October 22,2019 5:18 PM
To: Earl Shoaf
Subject:Message from"RNP00267373D89E"
This E-mail was sent from"RNP00267373D89E"(Aficio MP 4002).
Scan Date: 10.22.2019 13:57:30(-0720)
Queries to:[e-mail]
°JAC T REP MAN PROP TY a R TATEMENT
I hereby certify that l own property adjacent to.5112,-C.e,t4r r- s s
property located at (N b r l Pro�trty Owner)
prop
)-0-"0-.
(Address,Lot, ock,Rfl3d,etc.)
on ..i t _ in '2 ! C.
(Waterbody) er ) (city/Town and/or County)
The applicant has described to rne, as shown below, the development proposed at the above
loch .
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAltVtNO OF PROPOSED DE1ELOPIUMENT
�.�, _ t .,tr. .
�-- --— ---�- ; era l k ; ek,Arir
_ A 1 t 140
tkils
7 r
tS'hin3
fat
WAIVER SECTION
I understand that a pier, dock, mooring pilings,boat ramp,breakwater, boethcrsse, Ilft, or groin
must be set back a minimum distance of 15'from my area of rOgrian access unless rayed by
me.(If you wish to waive the setback,you must initial the appropriate blank befow,)
1 do wish to waive the 15°Whack requirement,
I do not wish to waive the 15'setback requirement
(Property Owner Information) (Adjacent Property Owner Information)
. _
Signature• I?
Si2notia'e r tar t n w ./ ':

. L.,...1..^ .
P at dr T me Print or Typo'iv's;
I(( ') ite`1-11
Ma ' Address Madolg Address ,__ - ' .
‘414 Y
City at IP CitY/Stele/74 ,j:
TelephDno Numb r/email address .0 r, t.-- i
-
'e' PhRtle;Writer 1 emw!addrett
ri‘Art-• (Revisod ALig.N f 4)
.4,....4 L4 t nr nrdi caieriri, yoar after signatto•

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S"fd C17_, e i Y
l� N fP � �
��`f Sv�'s
property located at 10 -l 1 )yy1 I ( ne o Prop ty Owner)
on /—��;a?� �'.�le "I� (Address, Lot, 810 k, Road, etc.)
(Waterbody� C rto-c, / (City/Town
(City/Town and/or County)
The appli nt has described to me, as shown below, the development proposed at the above
locatio .
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
WAIVER SECTION
I understand that a pier, dobk, 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 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Ad'acent Property Owner Information)
44.,4_, A. °P...(1/t4t Ad_,-
S�i '?ature i zgnature
Print or Ty Name Print orType arne
10 A M JDi 2r"6n Larne—.
M ng Address A dres
7
City/ tate/Zip C/ty/State/Zi
'I cj -fiv39 -5diQ 7 //� -�Il
Telepho e Number/email address Telephone urn er/ mail address
Io�'al ) )9 )a/Al 6
Date
h,{ Date*
kitlA ��, "- V e 1' C6 (Revised Aug. 2014)
`Valid for one calendaatear after signature*

NC Division of Coasta' Mgt, Habitat Impact Computer Sheet
Applicant: g7 f-t ou 5 c�
Date: 25 O'-1 Zor
General Permit#: 7 4-'81 ,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.
TOTAL Sq. Ft. 1 FINAL Sq. Ft. TOTAL Feet j FINAL Feet
(Applied for. (Anticipatedfinal (Applied for. (Anticipated final
DISTURB TYPE Disturbance total I 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)
OPc'! f 'Z
w ,r-17,1._ Dredge LI Fill❑ Both ❑ Other ( 71q- 7V17L
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 ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
i `

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
l hereby certify that I own property adjacent to SrO_C. A4 j rn �5 'g
i;N �$ �
of Pro rrtyOwner)
,,
property located at t D 9 ---` U n Lai—v.—
(Address,Lot,Block, Road,etc,)
on a,-N\cr-we... C _ in Ro)11-, _ , N.C.
(Waterbody) are (Cityftovm andfor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
l have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
1 )a.I k i ic- Gh vA
_ N, -c-nriv, S ' - /.. 1,
__.11):_e7c_fL 'b!....rk C kr-nee A
. S-V2,,-, (_,V2- /1 6 ) .
--'-.__ -;v Or\ 2© X 20 ,
boa- I;- - k -..- ___ __. \
War oZ
V WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be sot 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 do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement,
(Property Owner Information) (Adjacent Property Owner Information)
_.__ • Signature* 6-,add
s- attire uS ,
Print or Type Name
P ntorTy 6 2me �/42L- ftibr9 r 1
Mailing Address
Address --� S1 11 w Ynl1/L F�O �'9 Y
at!" g
� Z City/State/Zip
C,fy/ tate/zlp t -13 Teleph ne Number/email address
Telephone Numbe-r'emab address I - _ --2-�
2! Date* r Q
Date Gin\s G0 01 4 — �— t
,_^ (Revised Mg.2014)
rY1 -f `t `�' year after signature'
f 1 �;,,,,u,�f„r nne cafertid r

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -II' t?
(N a of Pro pty Owner
property located at h2 .n�n 1< /ate V
(Address,Lot,3lo k,Road,etc.)
on )cL+� erte le f Ara,.. , in pa , N.C.
(Watcrbody Crum, (City/Town and/or County)
The appli nt has described to me, as shown below, the development proposed at the above
locatio .
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
•
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.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Ad acent Property Owner nformation)
\A„.•
-_..- ---- - t tore* P-'0114..d-
SOature
...
-1-0.e../A.4 < Yvlts....its-otAseAr . .likot4im M.. e‘fa-n.
P��Ty Name Prin��ype arne
Rajling Address
Morh N(1_, 7 6/)6 Mar Ass)Nte.,, ,Pel$0`‘
City ate/Zip City/State/VD
1 R -6,34-550-7 0- . 6 -mil!
Telepho a Nu ber/email address Te phone u er/ mail address
Date 21 / 19 Date*1a1A) ig
• 6 t&&t 1 (• (Revised Aug. 2014)
ill *Valid for one calends ear after signature*
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