76021_Mark Aydlett_20200602

411 ,CAMA,/ C DREDGE & FILL SP �(Da(00 No. 76021 A ,B CD
GENERAL PERMIT 0 Previous permit#
lew CModification __]Complete Reissue CPartial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality
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and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
0 Rules attached.
Applicant Name // //,.-/< /-�- - ,/- Project Location: County
Address _2/7 ; Ert, -1 in, 5�i. Street Address/State Road/ Lot#(s)
�City ` ) State 't%L ZIP 2 7..G'J
X,
Phone# (2f2.) 7/// %(.3 ( E-mail Subdivision
Authorized Agent rt/-)%e /I/ /�, City ."r r ZIP
E CW NEW `6 PTA DES OPTS Phone# ( ) River Basin ^ - - • '
Affected _
AEC(s): OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat /man /unkn)
PWS: } C__o 1:2✓(-•
ORW: yes / no PNA---I e/lt,7 /...I L-47.1.J Closest Maj.Wtr. Body
Type of Project/Activity fr, k //, ()j , / 7 t.1 - ,.:�L- k r=0 Ra Pc-T-c.I F r'
c x /D /-'€" 5-1 , P (Scale) ; 5 t)
Pier(dock)length
Fixed Platform(s) /b k /b ' _ "
Floating Platform(s) �— .__..-__--- —.---
Finger pier(s) - it,
Groin length } I
number - - I . Ij d ,/2 r1r. ....i /-/_, '-r„,y-•;/I-1l%"4L-.Bulkhead/Riprap length , ' 3u-1'T� , a 7' // h/ T
avg distance offshore ' I
r •� � ! I
max distance offshore I /i/.4- - ,/J {
Basin,channel I ! 1
cubic yards
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Boat ramp . I I
I j
1 i I �J\ 1
Boathouse!Boatlift /3 )r/3 XV
�lLUv (.-4 - ‘)rf
Beach Bulldozing 1Z)11- /-/IN/L., _.._-- F
Other �� j� , �,9 � t-�� /3t/LICN� --- k .�. - --
\.. \ 7
Or�,•
Shoreline Length / 0 0 Qvs. . f r, t�l '! ,
i j
SAV: not sure yes no --- _..__._.._.__._.. I( —
Moratorium: n/a yes no I
Photos: yes no 1 i ,
Waiver Attached: yes no-)— ---
A building permit may be required by:r'Tpav 4 p P /aT - . 11 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions -_ - , - ,'- ' - , - IiIr*,Ar rfta.
A:f^� 71 /k /7( ' r i'/1 (// --t' L `) , .,t-'--)
Agent or Applicant Printed Name PermitOfficer's Printed Name
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Signature **Please read compliance statement on back of permit** /Signature
\\V: 2 ti.v .� n-7/ - 1-, 2 d'. , :) . .,.3
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 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 0-796-7215)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/ 1-888-4RCOAST 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/I7

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TOWN OF BATH
BATH, NORTH CAROLINA DATE S - Ze -Zo
BOOK NO. PERMITFEE $56- PERMIT No. •
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE ( ,/)
' . Name &License No. Address: . Phone No.:
OWNER Magic Ay. is S.Itch.,. 5r &wl 714- 1 oE4
CONTRACTOR gi.6,g /95,4cws
DESIGNER
SURVEYOR
ELECTRICAL / .
PLUMBING
TYPE OF IMPROVEMENT
NEW ( ) ADDITION ( ) ALTERATION: INSIDE VT REPAIR: INSIDE ( ) MOVE ( )
OUTSIDE( ) OUTSIDE( ) LOCATE ( )
i Lot No. Block No. Building located at .S Maw .ST
between Pbat2, . and Goor.Ey rtfrtp.itlieBuilding to be used as
PiEyrit-tFr . Type Construction
' Number of off street parking spaces . Contains rooms and bath(s).
Total square feet of building . Electric Servi - . Type of heat
' . No. of plumbing fi .res . Foundation block caps
4"( ). 8"( ). Corner bracing: Plywood ( )other . Insulation: Floor
Walls , Ceiling . Wind,' s: Storm( )Thermal ( ). How many exterior doors'
Water Heater: Gas( ) Electri )Other .
Roof Ventilation: Gable ( ) Eaves ( ) Lo •ers( ) Other . Ventilation
crawl space, number of feet apart . Height of crawispace under house: 18"( ) 24"( )
Other . Zone . Water and Sewer Tap: Paid ( ) N/A( )Size water tap .
j Size sewer tap: .Total Estimated Cost Flood elevation
f
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BUILDING INSPECTION DEPARTMENT COMMENTS:
F&,rrt6.n- or cvmg- Pf42/3oer Hacsr Ieoa1FIES AS lttotos'
24-k IC. 1 a477touSE " AAt. Neal-3 tat Luca. lse ZaPt..4cws By /Oita,' mnttrucr
Wxr uP tr- Exit or Pi Et Wtct. $6 2EWavm nu c't writ F/niece..
P I v. A MO Loc477t 0.0 So(n-v, Scot: sa prE.0.-sumo L»to..) /Jo ve
From Sewn( 775 ASty 1 Sf4E. Tart_. CoAJsrxucnoAt/.t.coofc/crcr7
•
GENERAL COMMENTS: Fr
I Boar L,Fr iNoA7t) 1 us - ESL.IA (seam)
13 054st-mkg -Ad.EA WILL 7Me' /eaCSE.4SE0 73 aj- zz o S4
SE-rgActs mac-r T. or 13.4771 Zofunua.
CITY LICENSE NUMBER:
Contractor/ Electrician Plumber/Heating
Application approved by: — / .(mot
The owner of this building and the undersigned agree to conform to all applicable laws of the Town of
Bath, North Carolina.
Signature of Applicany/ -
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.
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I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT /
I hereby certify that I own property adjacent to C.A/., rl€/ �czy� .,//�4 's
/ (Name of Property er)
property located at ,,Z/7 J . rn k r . S t
(Address, Lot, Block, Road,a c.)
on / t q- (,rec% , in /a fk ,t/( • ,z Trot , N.C.
(Waterbody) (City/Town/and/or County)
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The applicant has described to me, as shown below, the development proposed at the above
locator(.
/ 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual-proposing,development-must-Min description-below-er-attach a site-drawing)
feenetave, plot hod A-Intl& re fllace ad-met
germvve- alcpi/ 9f CA CAI- eG, pier
�� eta� Ingef' ,,/ i errB'. //
r� 9 .. ad- o ize r, /�/4lro 0`v/ m Gc � a�� r`G� ,
rljo ye Sntc /� s7fep Peacd� �1a7—de0s ra /puS.` s��e oOgPie/�
,cgs en $'c2 s)`1t re) (-/erI`•-- w s 1/1,
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.)
l do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adtent Property Owner Information)
���,..P� /17a-.! %ce / 4-7 7 f,54N 7Sia cfi Vic/
Signature / //�// Si re*
(^,Ar r/e f 4 core •otl-eP- CX/r'IPn (bra// ,.
Print or Type Name not or Type Name
217 .S, /1't-ccc) fv //77 )n irirh-krA ru•
Mailin Address Mail! gAddress
04 /1 z7fler /tf 54-/ 40 . c � � V1
City/Statertp C6ty/StatelT
Telephone Number/email address Telephone Number/email address
v��75 e'O •
' Date Date*
(Revised Aug.2014)
Valid for one calendar year after signature

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT QQ ,/�
I hereby certify that I own property adjacent to CA-at/el /Z7ecrit 4 eX/e //- 's
(Name of Property Owner)
property located at 2/7 5 m iN v .
(Address, Lot, Block, Road,etc.)
on a7Lt- c peek , in ,3G764. , N.C.
(Waterbody) (City/Town and/or County)
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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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site'/drawing)
etndv� 6od Auks& errep/at w r �c - ho /, '7
iZcmWve a /cJ_ #t4lt'n/s ce L d p Pee
gt rna� &er 10/ ter•
��r4 r rn._ 2 77 f vie"..5 7e 1 icCe 9�/JI'2G
yl2o tom- s.n�ll sfe� vw� � __
Fizt '✓a �.`�%vtil vet 5�rn7�ti cdc V-u �ie�og I / �f
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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) (Adjacent Propertyn�formation)
Signa re yy� Signature n * (�
GAY/cl / Pant 4' //d' U �c-�� I. Brirs 'e)
Print or Type Name Print or Type Name
217 S. I/laiM SV. al S. h'1tr)n
Mailino Address ail
3�,.,%, �c .17�rir " �ing Address tk , SIG &7t0g
City/State/Zip City/State/Zip
z�'z 7/v—/ PS-6 asa,-941-1 - '
Telephone Number/email address Telephone Number/email address
Cd�l r�[)
Date Date*
(Revised Aug. 2014)
'Valid for one calendar year after signature*

MC Division of Coastal Mgt, Habitat Impact Computer Sheet
Applicant ftl4rk /, yokc 6 1
Date: 4Or/✓!/ /20 20
General Permit*: 74,0 L/
Describe below the HABITAT disturbances for the application. Ali values should match he name,and units of measurement •
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied Far. (Anticipatedfinal (Applied for. (Anticipated final
Habitat Name DISTURB TYPE Disturbance total d total disturbance. Disturbance disturbance.
Choose One includes any Excludes Ty includes Excludes any •
anticipated restoration any anticipated restoration and/or
restoration or and/ar leap restoration or temp impact
,- temp impacts) impactamcuat) temp impacts) amount)
Orys%-W0.Kr Dredge❑ AI❑ Both 0 Other g Zi9 AZ c2H ,)4 y
- Dredge Fill❑ Both ❑ Other ❑ \L�
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Al❑ Both 0 Other ❑
Dredge❑ Fill❑ Bath ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
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Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ FII❑ Both ❑ Other ❑ •
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ EH❑ Both ❑ Other ❑ •
Dredge 0 Fill❑ Both ❑ Other ❑
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Dredge❑ Fill.❑ Both ❑ Other ❑ ..
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑