75379_William K Tankard_20200417

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S1CAMA/ (DREDGE & FILL �S No. 75379 q ) C D
GENERAL PERMIT Previous permit# nl iq
%r New ❑Modification [ Complete Reissue DPartial Reissue Date previous permit issued iL) t t ,.
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 ISA NCAC do I_1 ' I-2--°i✓i
)a Rules attached.
Applicant Name 1LL14r4 .. -r k J it AIL° _ Project Location: County 'Ben-t'i Mar- 2>
Address ef 3 I G'12-.A u ET) C-1 ' Street Address/State Road/Lot#(s) OP - ClPA[,eta s4 .
City BA-'n4 State h•) [ ZIP 2-15va6 /9 4-34 LDA vt1-1 Y _ -le aw
Phone #(+_4_'2-) 'Is?-a.' tT E-Mail Subdivision
Authorized Agent `r'S 5 AAna-utch> City.1SA'r_1-- ZIP2l ceg''`'
: GW DEW PTA DES ❑PTS Phone#
Affected f _ __)__ ____ River Basin-jar�r1Mut 4�).
0 OEA DHNF >=IN DUBA ON/A
AEC(s): Adj.Wtr.Body-.A, ct CV:0-Ey,_ mat an /unkn)
0 PWS: g
Closest Maj.Wtr.Body J Ar�[v`L,flI_�,B.Y(:_..____-___.
ORW: yes no PNA yes /G!~to --""
Type of Project/Activity I t-1' +Azc. '- II'x 731 [,,,.a co,..en-tya 13OA-r ti PT'
.
(Scale: I =5J )
Pier(dock)length_ _
Fixed Platform(s) _
_
. '� 1L C�. C
Floating Platform(s) i
I
Finger pier(s). ._. . ._ I j _ i } 1 I
i� ` i
Groin length_ T 1 _. _ ,.,, 1_
number - I - • _� ..
Bulkhead/Poprap length _IH S?/CLA-_4IJtt''S ., If _ i ! i
—I Ixt-Jtxsu<'na,9 _ _ __- 1 r '
avg distance offsh e 3I/v -N ' f.t pc _.- I f _ i
max distance(fist re I I I 7
1/ 2
Basin,channel = _ _ ___� i . 1�
_ _ _. . . ._. . . s _ _l .I.
y _
rabic yards c,
Boat ramp _I .... It7ft St-.Ny-'....� - _ .._
Boathous oatiift a,n74a c`_.L i - Pt L�xC.jFxhT�tM ...I 1
. . 1 .. , t-3 . . , .,� . ,
Beach Bulldozing,_,____ I.- ' ,. ( _ . , _ ....I
? i 1 I I
--Cr:
_ r . k I.
{�
Shoreline Length --2 %0 —; y4v�i S,_c -
SAV: trot sure yes no ' .. P� 1 T
I i 1 - 1pe' 1 ..
Moratorium: nta yes wo �.. I Too F AAIY..s to ; -ro $E+at10t2.�_ , i - ._.,t
Photos: yes no 1 'H ' . — 1 I
- . ' , I ;
... .. yy� -YA-raCita^d .. ,
Waiver Attached: no L_..v_ 1 a )'wr.yr.__, ,Paze ; ' i I.
tibA building permit may be required b " r' w i--1--0 et e3A-1'k See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions Lai- I S r.+Al rt-4.,-_7h,t4V yj L-A-cJ 4. "nit'tJ 0 t' 'SPv'n4
xr _
-zeta-[0.c., CAPL..ltlrJ'c:C J / r h'CFL-r.YJ -
ri' 4 `
r plica Pr' led N e t,
0t Penns fficeri Printed Name
Signs, r *"Please read aompliancestatement on ck of permit'r" Signature `^-Sc� �—
c'C L>7 L,,, } Zoo —
n )3 tJq ( I "7 Apiti t, 20 ZL.;
Application Fee(s) Check# Issuing Date Expiration Date

CAMA / - DREDGE & FILL No. 75379 A ® C D
G ENERAL PERMIT
_ Previous permit# 0. 1A
New .Modification C'Complete Reissue Partial Reissue Date previous permit issued 0 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 I 5A NCAC ©1 i'-i ' I Zl (-`) •
Rules attached.
Applicant Name 1JIL41A►4 4. • MA4-r.)1_A f-tO Project Location: County '3te,/AM121.- Co
Address 4 3 ► G'Rat,a S4 • Street Address/State Road/Lot#(s) On- C 12AW e.-1.1 S4
City BA-'r-74 State ►-) ZIP 2-�8�`d P 4-3 i %i' /nfi- *ac-44..vi 47_
Phone# (2-6'2-) q23-i2'C E-Mail -_—__ Subdivision -
,
Authorized Agent `"r5 5 N`M-'14tErr City1 A'r 4- ZIP 2', idc'4(
Affected CICW ❑ W E $PTA ❑ES ❑PTS Phone# ( ) River Basirri- 48-- Rwli-t 43
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body -5A .g,- ‘--V-gElL IC roan /unkn)
❑PWS:
Closest Maj.Wtr. Body ?
ORW: yes no PNA yes /�
AMsn CZ 'jZ>>v�2�
Type of Project/Activity I-) ' kz.. 11 ` a 13/ LA cv rntv:-) P,,-ti-.i
,1
(Scale: ) 'SD )
Pier(dock)length
Fixed Platform(s) I I 1
Floating Platform(s) j j I I }
Finger pier(s)
I
Groin length i _
number - 1 -11,,s 1
Bulkhead/Riprap length
urJtc)✓ xcr►
avg distance offsh e ey _ .- . 1 j
Lr_
max distance offs re s !
1 ill
Basin,channel __.--. ' j
-T
cubic yards I i_.._..._.._. 1 -.. -
r— '
Boat ramp C1F1 SrsN,-,
Boathous(oatlift 1•.,J Gov.r --'- -_: 1
Beach Bulldozing --- I I 1 I
Other . - I I '
I. I Ie I.t S i-4 G.
Shoreline Length 2-C)f) • va n►wLot)
SAV: snot sure yes no _ —_ �'.� c..-
Moratorium: n/a yes ! �o "r,1,Q lA i
Y r
Photos: yes I 'l1 57 jt:4t-t "�I -- -
Waiver Attached: no
I
A building permit may be required by7-7-3w•-l--eY' ' T"J' . ,0 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions W 1 IS MA-1 r)-'fA.,t-1-t�p LA-•w . --r-6-0 0?` -CA'1 rt i
"2 0,-1 -1-1 c- C ^PL-1 ca r -c,
a.c,7 'Se,►.) `7
Agent or Applicant Printed Name Perm' fficer's Printed Name
Signature **Please read compliance statement on back of permit** Signature v
n,
(p(palt li Zc�c7 —v!l 13°9 ( I'7 Viz_ c 2.,)2 0 ► PL u-5 T- '2_e2.0
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:
,1" Tar-Pamlico River Basin Buffer Rules 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(9 I 0-796-72 1 5)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 252-946-648 I
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 910-796-7215
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 Areernen
1
(Property Owner(s)) ,herby authorize Tobin Jay TeE-terfroa of
TJ's Marine Construction,LLC to act on my behalf in obtaining LAMA permits for
the location listed below.
PROPERTY ADDRESS:
/714 Vat
PROPERTY OWNER'S MAILING ADDRESS:
Phone N SOF
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATURE:
TOBIN TETTERTON
DATE: 202()
W/AuWorized Agent Consent Agree.

TOWN OF BATH
BATH, NORTH CAROLINA DATE 4 4I2o
BOOK NO.__PERMIT FEE
--_____ _PERMII' No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE (✓:)
Name & License No. Address:
I. /C'21de4 S)s Phone No :
OWNER IM ' 7 d VII NC f6P 57- d3is7
CONTRACTOR /Ts , ' e die 0 dx c s D
DESIGNER ���7
SURVEYOR
ELECTRICAL
PLUMBING
/ TYPE OF IMPROVEMENT
NEW (4-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 CrkcS —LA"—
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 ( ) other
—�_. 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"
Other Zone Water and Sewer Tap: Paid ( ) N/A
( )Size water tap
Size sewer tap: Total Estimated Cost
Flood elevation

BUILDING INSPECTION DEPARTMENT COM ENTS:
'A Q'Cr G riYl
GENERAL COMMENTS:
tUs-rd,tt�
,.D d 71u6 Prs�
L S r
/14P AU
44 LO.
(JAI N G
CITY LICENSE NUMBER:at_
Contractor/A Electrician
/ Plumber/Heating
Application approved by: � — ¢'e/4- _
The owner of this building and the undersigned agree to conform to all applicable laws of the Town of
Bat North Caroli
rek
Signature of cant liR
pp any
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
Ail 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
{
f

AO ji24CENT
3 Pp -1 OWNER STATEMENT
i hereby certii1 that I own property adjacent to �� /
property located of �i? �' (Name of uraeb;
el 4 G4 &,G/ ,
,,,i S
off (Address, Lot,
ci aterbody) , in
(City/Town and/or CO n , N.C.
The applicant has described to me, as shown below, the development proposed at the above
___. iocat'on'
. 1 have no objection, to this
.....
proposal.
..-.._ ------ i have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF
- �p �g cfe=.felapt-�c-,f�rr7��a- �Er In `,; PROPOSED DEVELOPMENT- - '-'f.soripdo 2 L=elc drawing)
Cie'c�'t��E?a site:.lrawing)
—7-- *?// ri ) S)-17 - k 6qt Z d-.4-
5ro�rt. I understand that a pier, dock, mooring WAIVER
SECTION
ti_= must be set back a minimum mooce o 95 pilings, boat
mu•tlf e wish waivem the setback, youramp, breakwater,riparian
accessboathouse,nl lift, or groinby
=-- my area of riparian unless waived by
•-- .,..fi4[dat the appropriate blank below.)
---.•__L. 1 do wish to waive the 15'setback requirement.
quirement.
—1 dewish to waive the 15'setback requirement.
Propeg l•OVJffib7 011aua
atiasa
•
-� '.,---/"' (Adjacent Prroper:y Owner 6rafei
Si -y, V
i QtZ1Ye� Y
v
Print orT e
ame
C�� d C �' . P ' or Type.Name
ing A dressYA�( ' v' S LL77 C ��� ill Addres
Cie ip _ Ci �])E�
T elepho e Number/ernai address 3 /
Q�7 Ts/e o e 1Vumbe / d
Date O address
Dar
(Revised Aug. 2014)
Valid for one calendar year atter signature-

? " tea s, P .
ARIAN hereby Cc .: `_` f��`� ER o�'TA 4 Ea�rll�Q
certify property�;-,t.gatlowri '
adjacent to G'�j a4 P oper,located at ad
S {dame of Property finer} 's
�r1 lnLo (Address, LotAl k; �'� ad, et
` aterbody) • k r J`—
I'ile applicant has described to me, (Clty/Town andior County)
, N.C.
locetion as shown below, the development
a j I have no objection to this proposal.
proposed at the above
many
ormLir
�-=�:_n; ---�_ f have objections to this proposal.
DEsc
�ir� i�,f uar ro Rip d felo�;n_ tmust FM_in titilNG of p .
a©n below or attach a Sdfe dr3kfin0
_ - r/ 0'�0 ) �� ���� �:'4
-
:_ I understand that a ter, dock mooring aria=iON
2 must be set back a minimum , moorin op.lingSboat
5 from ramp, o iparia�er,access
boathouse, lift,waivedor b
= me. (If you wish to waive the setback. you in t initial
my area of riparian access unless by
l� � 1eia1 the appropriate blank below.)
----�� I do wish to waive the 15'setback—re- quirement.
------: d® ne�wish to waive the �'�1 J setback requirement
(Property 0113ffier ihRgelThatiGilli
,:'�` ' - - ripaceGaE
Pr©perky�3u r,err Casco a,aor
� �i
0....kot., ii-reu.,....,• it-,44-t-e_e-
i T!/ P 4h?r"e�,'
Print TyAe,�lame
• dC �' . Print or Type.Name
'• A dress
y C 7 7�Q� ilin Address
Col.Jd �p ►� a-7$b
3- Ciiy/State I g
Teiepho e i umber/email address - 4u `� - /�, tf 3
Qa Telephone Number/email address
Date Li- q- fin
Date*
(Revised Aug.9 2014)
Taal for one calendar year after signature"'

ACUt`z,CtmN T FdPAittq PROPP
ro
I hereby certify that I own e '
P P rty adjacent to dill a'
v--/
property located at {s�a; e oe pg® e G4 ari 's
(len LC/7k yOwner)
on / r,� A_ (Address, Loa, I ft, R ad, et
ici'ifaierbody) Ill t( /
(Cityfrown andfor County) 111.C,
The
applicant has dEsc,-±bed to me, as shown below, the development
io�-t.
i I have no objection to this proposal. proposed at the above
c
Property
mar
ecsora ( Dave objections to this proposal.
fefol'..!merv�muse, r.f+ r PROPOSEDz fs.,or Bh a
•,1',' L:'4�Li 3`.'�e L:�t`�dt u9�!®1P�t
attach a site drawing)
WAIVER SECTION
o,Q ,r I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse,
��_. must be set back a minimum distance of 15' from my area of riparian
me. (If you wish to waive the setbackyou rn lift, or groin
initial the a access unless waived by
..._ ✓ �S appropriate bianl,below.)
-- _I do wish to waive the 15'5 setback requirement.
-____i �. Nish g waive L }_ the 15 setoacs, requirement
Owner Bnfoy irnr3idQ��F
•,��j� •� '- (Adjacent err© eri�r Owner!Information)
f'�or Type Jame r,
(_� /� dCi Print or Type.A rre
ng A dress C P� S-f" —
�? Mailing ddre
Crty Sd ip _ = C
City/State/Zip
T elepho a umber/email address
da0 Telephone Number/emaff address
Jctte QS
Date*
(Revised Aug. 2014)
Valid for one calendar year after signature.'``

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Beaufort County, NC �',
GPM:GG53?A SOG3 LAND VAL:255000 .
GPINLONG:6653-24-5063 DATE:70885/0
SLUG VAL:210123 DB PG:088 5/00 2 9 1 NAMEI:TANKARD N'ILLIAM TOT VAL:465I23 Disclaimer:
STAMPS
Itcanikn Cnrrq mho.:matt weans is pmridcd a ry,bhc non...,an is.as 'I'A XANLE VA:465123 SALE PRICE:0.00
nilablc and without s+armmics,ezpreaa>.d or impliod Content tmbli¢t yl cm
NAME?;TANKARD YVONNE DEFR VAL:0 REIDI:3,S130
Ih +.ls dare is for informational purpusan nal)and u not nncnmbd to cunstirmc a ADDR I:431 CRAVEN ST _-
m
log;,l own'not should it beNrbpituted for Ito adm is nr services of willow) ASSES:500125
profussnals.'llaa I'minty of Rcau fort and the White Pruritic,d,solamm all CITY:fiAT11 ACRES:1.06
r
:1)0116diti.lili:dn.and Icgal liability for the coolant,mWalnb+d on ihia mrd,sae'The STATE;NC
onLsagmat Beaufort roomy and as Anmgus shall la:hold harmless from all PROP_AUDR:431 CRAVEN ST a st dampgea nr Immden od i.arising Od n 1l I ua of Commt+•dataADDR2:431 CRAVEN STTOWNSI IIP:06
,q,a uam
ZIP:z7809 MBL:6653,432
A 70 m 1 A pr/09/2020 PROP DESC:1 LOT(.99 AC)
1300 0 I Scale 1:3401
LOUISE W TANKARD PIN 1:06007050
l

NC Division of Coastal Mgt, Habitat Impact Computer Sheet
Applicant: W t, i AM ' . . T'A 1.1 K A.TL ID
Date: /-)
General Permit tt: '?g 3-79 - 13
Describe below the HABITAT disturbances for the application. All values should match be name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq.Ft. TOTAL. Feet FINAL.Feet
(Applied for. (Anticipatedfinal (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Cisturbance disturbance.
Habitat Name Choose One includes any Excludes cry total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or emp restoration or temp impact
temp impacts) impact am cunt) temp impacts) amount)
•
vfltfit
wper 24— Dredge❑ Fill❑ Both 0 Other Q l z ¢t2 69 �t -
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other El
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other El
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fiil❑ Both ❑ Other ❑ •