75470_Matthew White_20200331

____z,of cosagg
. CAMA
/ DREDGE & FILL R.\,(5 No. 75470
GENERAL PERMIT A ` C D
Previous permit# i IA
)1'C-. f ew -_]Modification [=IComplete Reissue 71Partial Reissue Date previous permit issued ti, I A-
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 I5A NCAC 0114 ' 'zGU
>f=o l Rules attached.
Applicant Name q-rT Ile-W w 14 ITS Project Location: County. "$eA:aaV-O'tt Cc.) __
Address_
/33 Y.�lf-elJS ylrA y Street Address/State Road/Lot#(s) 0 C. f 9..,f 3 3
2
City 'P -rt-/ — —— State N L... ZIP 'Z'-) $d. cf_ i --1 4. -10:_,2t.- Lt..)•
-
Phone#(y,,Z t Z7 042 E-Mail Subdivision
Authorized Agent •'fir• 3 t T . rrll►Gi Iae- fv,' -s.. City 34-,-1 ZIP -L—I go etc
Affected _CW DEW PTA DES OPTS Phone# ( ) __ River Basin 1Pi2^PAvi k."(J
AEC s : -OEA ❑HHF GIH ❑UBA El N/A
Adj.Wtr. Body 13/47+-) G F rjg._ p /a man /unkn)
PWS:
Closest Ma Wtr. Bo "'POP'4--` co �1-l�bn ORW: yes n PNA no i.1 t ..h 1 Body
e
Type of Project/Activityi 9Zfr )3 7k '3 i,-Le-Z.):)e)e.L-p 130 ...7- ,1c-,
n
(Scale: I =36 / )
Pier(dock)length
Fixed Platform(s)--- _-- . OP Yr"i-Jt� pt.t7-�03 4e, ' . 1 •
Floating Platform(s) I
Finger pier(s)_... f;fl1-S--t 1 aJ•
Groin length ; - _)b�*- c t.p . .�
number a +- ' _- - " I . ' .Bulkhead/Riprap length -
avg distance offs 0,30
@ f t A 1
max distance offsho 1
Basin,channel I --
cubit yards^ _ '� !
t�.t s k-4-!, ' Tt 4 ' f�-orn"y'
Boat ramp - - c�r-P+l "Tv
Boathoiee _..lc tiir 1'%'- t 3'
b to �,�v <'<l eN., ,sue-1.►4.-, Prey.• --- • - •
Beach Bulldozing I
Other
•
I 1 i
Shoreline Length 1 Q ) I I `
SAV: t not sure, yes no r P _ , I
I
Moratorium: n(a yes 1nic'v•-9 J 55U' f a✓
Photos: yes o PO 1-1 1_1e, Zs ( I -Waiver Attached: Cy no 4!' Pg-'.Q --- - p .
e'
A building permit may be required by: ) r 14 ' 0 F e' i 3. . j See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions "-re'w*-1 49 F RA, N Zc,,,14',1-1...., c_vm,ith_`zh A-..-4--Prz))`_ _.,
T_J\ 11ts t..1)O0lar(9 '1;:>1ve.
csi7gt i Ap licant Printeld Na ee Permi 'ricer's Printed Name
k,
Signatu) **Please read compliance statement on back of permit a" Signature
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9 4Gil ©o J360t a' 31 Mom , za-Z0 31 _
Application Fee(s) Check# Issuing Date Expiration Date

41><CAIVIA/ DREDGE & FILL No. 75470
GENERAL PERMIT Previous permit# A � A D N
��-= 4 ew HModification (Complete Reissue __Partial Reissue Date previous permit issued ti, tA-
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 v'1;a • ' G4=1 .
$]Rules attached.
Applicant Name MRTT ae-L✓ w 1-1 IT" Project Location: County bckuc- A-- Cc.)•
Address 333 KA4 03 tAA y Street Address/State Road/ Lot#(s) 0 C f 52_ (3 39
City SA--r2-4 State)-JC_ ZIP 2 8043 g, 4-Z 4„ ^no u+2 - WO•
Phone# (22.)(d„,,l WI 00 E-Mail -_ Subdivision
Authorized Agent -T. 3-t s nlgt-a' Gam.4-5s-- City 30,--t .4 ZIP "2-1•30.(6
Affected ❑CW 1 EW \PTA LIES ❑PTS Phone # ( ) River Basin''AQ-QAwv'-.CD
AEC(s): ❑oEA HHF IH ❑UBA ❑WA Adj.Wtr. Body ►3A'Ts-O G.F-remit_ as /man /unkn)
❑ PWS:
ORW: yes ) PNA )I no i 41 , �
Closest Maj.Wtr. Body �Ol`'t t-t te0 'fit v�
Type of Project/Activity---ESL C.- )3 x r3 'vim-Le-o J t-p 13O'3t-7-8-71S ,
(Scale: ) 3' ' )
Pier(dock)length
..\\ yu ,,� T' j (
Fixed Platform(s) p • 1 i I 1 �� l
-eA
Floating Platform(s) II 1
■■ 1
Finger pier(s) nu. pin IN.. i.. _ r
Groin length tl ii% I,,, may, IHhl
iil
number �.� . wuu. ri. E �E , ' . L. ! N.�N
Bulkhead/Riprap length i EM EN rMMINENNE C v 5 • -'
avg distance offshore ENEN ••N•I , t _ c xom t ; __ _ „ „ E
N
max distance offsho •••IE — EI�E.I.U•.� a, , l� 1 ENIN
Basin,channel111111N •• iii ENiui�•'IU•N N.U• pMIEEM
• .
cubic yards 11111111 - u••■III
' �
Boat ramp IHHHhIIHHIHhIIIflhiIii� ,
13 le,30 .. ._.._..._.--1111111111Boathooatl :
b 14 i_v v t-> ) I
1111111111111111111111111
III Beach Bulldozing I
Other
.•Ei M1 ....N ... . ...
"El - -- E� 11� .11111111M11111111111111
M11 I ME11;H=11EEE
Shoreline Length :11St) IIHIH .• i ino !- t........Ill 1 ! hhhHlflhhlflHhhhhl
.. ..
Moratorium: n/a yes al i , .,w- E �N i 1- Wynn_ , EVEr ...�
4. MEIN I ■ MU F1'- II
Photos: yes ( o '' ! � __
•
Waiver Attached: dye no " r `�e
A building permit may be required by:'r771"-)'J 0 ' C-5,11-1--7-3, . X See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions T,v 10'1-1 . - R _t `Zo J-t,_Lc., ,---d,l'et,N( X /r'--1 1-4,(� ,
p Veli `-1 Pt v•`-'1
Agent or Applicant Printed Name Permi fficer's Printed Name
Signature "Please read compliance statement on back of permit** Signatures
cpC31L UJ 0D 13a( V' 31 MI4d.A.1 22
0e) --1y
' 31 L4► -2-027)
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s)
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules I_j Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office(910-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-72I5
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden, Chowan, Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

Authorized Agent Consent Agreement
I, w White
(Property Owner(s)) herby authorize Tobin Jay Tetterton of
TJ's Marine Construction,LLC to act on my behalf in obtaining CAMA the location listed below.
permits for
PROPERTY ADDRESS:
476 Moore Ln.
h NC 27808
PROPERTY OWNER'S MAILING ADDRESS:
s Wa
Bath, NC 27808
Phone No. 526612700
::::::
SIGNATURE•SIGNATURE:
TO IN TETTERTON
DATE: 03/02 2020
W/Authorized Agent Consent Agree.

TOWN OF BATH
BATH, NORTH CAROLINA
BOOK N0. PERMIT FEE
PERMIT No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE ( )
Name & License No. Address:
OWNER c�6/6 aXoa ,QJ� Phone No.:
c
CONTRACTOR TDs 0 —6‘/— 74 d
Cp y e ,Uc
ctrin e
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 tPp. nG
and e
Streets. Building to be used as
. Type CWopy_try lion G e %I
Number of off street r+l Q
parking spaces , Contains I ��� •
Total square feet of building !—rooms and bath(s)
Electric Service
Type of heat
. No. of plumbing fixtures
4.,( ) 8�"( ). Corner bracing: Plywood PI • Foundation block caps
( )other
• Insulation; Floor
Walls , Ceiling
Windows: Storm ( )Thermal( ). How many exterior doors_
Water Heater: Gas ( ) Electric( ) Other
Roof Ventilation: Gable ( ) Eaves ( ) Louvers( ) Other •
crawl space, number of feet apart Ventilation
. 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
Hood elevation

BUILDING INSPECTION DEPARTMENT COMMENTS:
4 7�LE L[ !u L aca)-,au 7-,,�c6
AL A
ILtdT Auk
GENERAL C MENTS:
LICENSE NU ER `a a
Contractor/AC;:/
---_� Electrician Plumber/Heating
Application approved by:
The owner of this building an the u
Bath North C undersigned agree to con
form nform to all applicable la
ws of the Town of
ignature of Applicant
Effective 8/10/04, there is a $50.00 filing fee for all permits, including zoning compliance a
Any construction that requires installation of water or wastewater services ma :
application.
A) Be installed by owners, contactors or y
B) Be installed by Town of Bath Utilities Department
All components must be compatible with existing water/wastewater materials, including
Bath Utilities Department must inspect all construction Myers pumps,
prior to services becoming
fee is $100.00. operational. Inspection

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Beaufort County, NC GPIN:6643-98-1100 LAND_VAL:146591 DATE:8/4/2017
GPINLONG:6643-98-1100 BLDG_VAL:11641 DB_PG:1936/00888
NAMEI:WHITE MATTHEW KEITH TOT_VAL:158232 STAMPS:300.00
Disclamer. TAXABLE VA:158232 SALE PRICE:150000.00
Beaufort County online map access is provided as a public service,as is,u NAME2
available and withtanwarnaties,expressed or implied.Cement published on
DEFR_VAL:0 REIDI:2977
this wattle is for infonnadonol purposes only and it not intended to cent-Mute a ADDR 1 :3016 DIXON ROAD PREV_ASSES:159216
legal record nor shoukh it be substituted for the advice or services of industry CITY:ROBERSONVII.LE ACRES:0.97
pro salamis.The County of Beaufort and the Webatc Provide:disclaim all
responsibility nod legal liability for the contact published on this webs ire.The STATE:NC PROP_ADDR:476 MOORE 1N jlar .N C.-
uner agrees that Beaufort foamy and ins Assigns shall be held harmless from dl ADDR2: TOWNSHIP:07
le
ions,clams,damages or arising out nfihe use of County data.be _
teauPo dmapaenm ZIP:27871 MBL:664300117
160 n Mar/03/2020 PROP DESC:PT OF LT B(.97 AC) PIN 1:15025821
200 @i Scale 1:2742 HOWARD L ANDERSON ET AL

ADJACENT RIPAREASV
R P
certif./' h u fi MD ER STATEMENT-
.
hereby l that i owrm pro
property adjacent to
property located at
•
,Name of Pro�yetr ��R9P9 's
e.... ��
dolmas, L
ftIliaterbody) in ' Got, ad,e>
on
The applicant has described and/or ®ire N.C,
location,, me, as shore )
escribed to
m below, the development proposed at the above
property ni I have no objection to this-p,o
s� Po sal.
I nave objections to this proposal.
(individuel proposing DlasCRiPTION AND/OR DRAWING
development milsf fill in PROPOSED®14 ®��f=NST
description baiOsr�F'1t1;'2ah 2 Sl
Z e al 60 e__ eX,S, /14'4-71-/,'Iq'Y--
/,,k,,e, 6/.),4 44,4) ki.e1 -›.4-A57--
. . _
pmmitif
I understand that a pier, dock, mooring
must back aR � C�e�3hi
minimum distance pilings, boat ramp, Brea
met beau set back
itos waive the t'ce of 15'from mywater, boathouse lift iv • •setback, area of riparian blank
unless orgroin
cze - 1‘&___----
You must WW1 the appropriate blank below. waived b�,
i do wish to waive the 15'setback )
requirement.
o waive the 15'setback requirement_
On, arson)
a
2 / f�f1r�G'G CAB➢"o6��d� 1on}�
Pri •or 1- NameO
1 �-- 'S`i n e
ill cm ress Print or Type Name.
C. State/Zip
y G (1T/ rung Add e w P J C�yll ,zoi9A
•
Tete hone Number/email address
te/Zi
-'3—:"2 Te/aphane U y " 02 6S
er/email address • -
Date
•
_Date*
`Valid for one calendar year after signature • -
(Revised Aug 201,E

i hereby certify that! o+ n STATEMENT
pr°Perbl adjacent to .
property located at Name of P�pe�y Owner
` 's
e—
e�
On ( dEiiP8S5a a cit.,
in ad,et
aterbAely)
• Phi/Town ancliorr GRAT y) RC,
Tile!�e applicant has described to me, as shown below, the development
, ;�
fd ( 4/ is
h I have no objection tot ' . proposed at the above
proposal.owner
"itc-ck a _ ------_- I have objections to this proposal.
-----TESCRiprwoR DRAWING OF PROPOSED DEVEL.0—P111
(individual proposing development must fill in description below or attach 2 size;Ira
ie nl Ode--
dilf A-/--/(1)f-v--.
,(7, Og ee cd A 4/e„ sde .Y--
:;eja_-��r
' I understand that a pier, dock, mooring. _
RIVAII��SEC i aO
must r set back a pier,
distance of thn from
... ' , boatm ramp, breakwater,accessunless
boathouse, li waived groin
;. ,r me. (!f you wish to waive the setaci, my area of riparian
�__ n/� you raausz initial the a by
4/�V __ appropriate blank below.)
—•—�I do wish to waive the 15'se bacfc requirement.
"- J wC,na2 wish to waive the 15'setback requirement
P per. r Oval ae:.QGd,�
i , {r ollac n €m.per-sy sec
lngormatio.�il
ce e
R or T 1 co, Sign re /
Name L 1...i(
-i(:•k_
0 0 Print or Type-Name
N A(Jess J ,J.J {(.', !Valli Address
C.. ar ip 7l ivc
A c""
/Alenhn.,. Number/
CllY/Stafe/Zip J
hone,vurnner/email address - - .?.r�
•
=2 Telephon er/smai!addre3ss Dace
Daie*
Valid for one calendar year after signature= -.
(Revised Aug.2014)

T-J.'s MARINE CONSTRUCTION LLC
P.O. Box 125
Pantego, N.C. 27860
tobin 7i OtrICountv.Coan
? _ Brie: *.;: _ Licenses No. 68281
252-943-6677 Office 252-944-5555 Cellular 252-943-3949 Fax
March 3,2020
CERTIFIED MAIL— RETURN RECEIPT REQUESTED
Rebecca Moore Harding
512 Moore Lane
Bath NC 27808
Dear Ms. Harding,
Enclosed you will find"Adjacent Riparian Property Owner Statement". Your adjacent property
owner Matthew Keith White would like to have our company remove an existing Boat Lift on
his Pier and install a new Boat Lift at his property located at 476 Moore Lane,Bath North
Carolina in Beaufort County.
You are the adjacent riparian property owner to the aforementioned project,I am required to notify
you of this project in order to give you the opportunity to comment on the project. Please review
the attached permit application and drawing.
Please sign,date and provide your phone number on the enclosed form (highlighted areas). Also,
please check and initial the appropriate line item on this form. A self addressed stamped envelope
is enclosed to return these forms to our office.
Should you have any objections to this proposal, please send your written comments to District
Manager, Washington Regional Office, 943 Washington Square Mall, Washington, NC 27889
within 10 days of your receipt of this notice. Such comments will be considered by the Department
in reaching a final decision on the application. No comment within 10 days of your receipt of this
notice will be considered as no objection. If you have any questions on this project,please call me
at 252-943-6677, or email me at tobin algotricountv.com
Also,should you have any questions or concerns,please don't hesitate to call our office. Thanking
you in advance for you time and consideration regarding this matter.
Sincerely,
'�_ Marl:- -
► ►..
Phyllis B. Woolard
Office Manager
/pbw
Enclosures

CERTIFIED MAIL" RECEIPT
. Domestic t.1iI Only
a- Foi delivery information;visit(Inr ivebsite;t wives esps;cvm°B.
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SENDER: COMPLETE THiS SECTION COMPLETE THIS SECTION OA DELIVERY
• Complete items 1,2,and 3. A. Signire
• Print your name and address on the reverse X i"' 0 Agent
so that we can return the card to you. "'�=•=`' `=' G 0 Addressee
is Attach this card to the back of the mailpiece, B. Received ^" Name) E.Date of Delivery
or on the front if space permits. —_ ��- - !
1. Article Addressed/ss to: ,•� D. Is delivery address different from item 1? 0 Yes
RCl:� t%te /14 L%1n� if YES,enter delivery address below: 0 No
e51(51C 01oote- ka�e�
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IIIIII111111II111111111111111111111111111111 ;Ad„„Si�'� °Peg erect
❑Adult Sigim.ture � �MaA*Fxpr�
❑Adult Signatue Restricted Delivery ❑p d Mall Restricted
9590 9402 5121 9092 1244 46 O Certified Mall Restricted Delivery ❑Return Receipt for
0 Collect on Delivery Merchandise
2. Article Number(Transfer from service label) Collect on Delivery Restricted Delivery 0 Signature Conf maton*"
— axed Mail ❑Signature Confirmation
7 015 0640 0006 5503 9045 used Mail Restricted Delivery Restricted Delivery
- .. far$500)
: PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
USPS TRACKING# 1 II II I
First-Class Mail
Postage&Fees Paid
uses
Permit No.G-10
- ,A ' c.r
9590 9402 5121 9092 1244 46
United States •Sender:Please print your naini ,address,and ZIP+44'in this box
Postal Service
I`J'S M AR!ice.CONSTRUCTION LLC
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Beaufort Colin NC
.. 1
1 GPIN:6643-98-1100
LAND VAL:146591
DATE:8/4/2017-' . . ... ...
: GPI NLONO:6643-98-1100 BLDG VAL:11641
DB PG:1936/00888
1
_
i NAME I :WHITE MATTHEW KEITH TOT VAL:158232
STAMPS:300.00
,1
. i
i
-
1
Disarmer:
TA XADLE_VA:158232
SALE. PRICE:150000.00
_
0.ulbn County online nisi,seems it provided a a public service.as if.as
t NAME.?:
DEFR VAL:0
REID!:2977
f
nv:umbic and mihoul warranties...sweated or hulked.Content published 011 •
_
7 INS Webille is for infornetlional poirposes only and Is not emended to constitute a ADDR I:3016 DIXON ROAD PREY ASSES:159216
i
Igrol record nor',mold it be SilirillitIltd Fur Mu&hi=or services of industry
! cm.:RORERSONVILLE
ACRES:0.97
professionals.The County or itetnefort and Ow Wasik Provide...disclaim all
i, ,...,3,1..,..., pib.siiiitiv,:inn..11.1.:701filiact.lini,,:orwthic,coAnti rult:1,Ledfon this websiie.Tho SrATE.:NC
PROPADDR:476 MOORE IN l:34.M. di C--
/
I
,...:- : action&dims.dm.ages or jniliZents asrie7:1 :Laic :LindluCorquink17,1.4171:‘nil ADDR2:
/
t, ''',,l,',...;i1e,,i'''1, Ivailionneagdmps.torn
........\\
r ZIP:27871 TOWNSI I/P:07
MHL:664300117
I
1 60111
Mar/03/2020 1 PROP DESC:PT OF L7'IR(.97 AC) PIN_I:15025821
200 it Scale 1:2.742 1 flOWAIRD I,ANDERSON ET AL
I
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. . . . ..
•

NC Division of Coastal Mgt, Habitat Impact Computer Sheet
Applicant: 4J -t
Date: 3 t MAp.z N -Z o.1>D
General Permit#:_7 S v
Describe below the HABITAT disturbances for the application. Ail values should match die 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 my total includes Excludes any •
anticipated restoration any anticipated restoration and/or
restoration or and/or!emp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
a
dAnFtt
�,1 Dredge❑ Fill❑ Both ❑ Other bob ,bet
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
•
•
• Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ •
•
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill 0 Both ❑ Other El
Dredge 0 Fill❑ Both ❑ Other ❑ 1