76025_Tracy & Mark Cpeland_20200610

Jun 24 20.02:44p TJ's Marine Construction 2529433949 p.1
'F CAMA/ ❑DREDGE & FILL No. 76025
GENERAL PERMIT zfl °�4 °3 Previous ermit# A C D
New 1Modification CComplete Reissue C Partial Reissue p rV
Date previous permit issued A//4-
As at:thorized by the State of North Carolina.Department of Environmental Quality
ant the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC //7<- /�r--)
/I / /J LWI s attached.
Applicant Name raG ei e— tp c•t--o(' Project Location: Countyy
Address 3�gI �' // �/ -�---
:!?_-__4 Ai _ Street Address/State Road/Lot#(s) Z- rt�iO4.dacarr 0/
City //,5 _ _ _ ___State/SC_ZIPfz.22-S `
Phone#(_ V)4. /7 E-mail Subdivision . 1} �e./ A- Pa--
Authorized Agent /r75i/1 _./ -e- . City /31. n ZIP Z7i*C --
Affected o CW CEW TA [ ES PTS Phone# (7 1" .)9 4'/ River Basin 7d" — -'
AEC(s): C CEA C HHF E iH ❑URA D N/A
illAdj.Wtr.Body_�a. //� C/'/ . not an Ju lA n
ORW: yes / no PNA res Closest Maj.Wtr. B r 0" 14'
Body
�'.Jc..arl_2
Type of Project/Activity c;,/ �%�03de-1 fn S•4-1 0) m'� �Jc /i gf- =J"
4.- �;� I. Sz v i! �/u_ e1c>,.1,�_6 p.•.er (Scale: /V 7 j )
Pier(dock)length
I
Fixed Platform(s). — J_ CI'. (4 �", i _ .
— -- i I : . I
FloatingPlacfornt(s) ___
Finger pier(s) —__ �._ I lc I t V
Groinlengtn
number I ._._kitr5h d,��_ , j E
_ f � 'ter'�� . �: + ---- _
Bulkhead/Riprap length__
avg distance offshore ! � t'
max distance offshore t }
Basin.channel . . . . :PC �'� _..- —_ •
— ___---/`� .. I .II "' --I 'f i
Boat ramp ( I .
Boathouse/Boadift 41 J p + l
—I h 13HI 0 ,41c,
Li
Beach Bulldozing.—_ I •
Other ._ . . ;--- - ? . . - • _4/414 — - --
----------- . I. I ` 1
SAVeShorYne�ot wf-._Z S t✓ I I- •
I - 5
yes no �� _/ — - -- 1 "— I
170' I l fft-ei,_ -.''', fMoratorium: nna yes o v I • `�'rn,�y �C Gj • I .1 `
f.. p J t _ I � .tl,�.j �
Photos: yes �1 f'f� I I ± ( ,
�, 1 �eS �S.
Waiver Attac'ied: yes .. J _ —
A building permit may be required by: �-Fs,,, F;:Cf1 ^t/" Col . X See note on back regarding River Basin rules,
(Note Local Planning Jurisdiction)
Notes/Special Conditions 4),z ,i,. 'I/.t.,. `...o Yc — -To w.J o ' /34,74. zj 71rg y e,y fvc-uz r-t
3r-17$i1/--eip.
P- A-
scant Pnnted Name
Ayertl PermitO er's Printed Name -
Signpake,r eassreadcompliancestaten entonback X'.":-0-e.c. 6 P'Pvc.,-_1_
' "* ignature —�—
- — 2._ - - - .._..J72 J3 __ to .� _ !_o ors' —w2Q __
A p!icationFee(s) Check Issuing Date Expiration Date

tic CAMA/ - DREDGE & FILL No. 76025 A� C D
GENERAL PERMIT Previous permit# rr//
)C New -Modification ❑Complete Reissue 'Partial Reissue Date previous permit issued /4//4
As authorized by the State of North Carolina, Department of Environmental Quality 7 ��
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �7 7/, LfCJv .
liNkhles attached.
Applicant Name 7;7 /'L Project Location: County 049
Address 3-1 " fj�,n - 4
/ �J itck Street Address/State Road/Lot#(s) Zi ,-/7tAJoc:c/ CV
City//A 5 State7} ' ZIP 7Z2 25 ` /
Phone# (�'�) ff // l� E-Mail Subdivision .�-fd/geuJ _/�/- �'"
Authorized Agent /D�,h *-774 _ City /3 / ZIP 2 7
❑CW ❑EW V_PTA ❑ES ❑PTS Phone # (701/) g e River Basin 7 Z- ^ ---"-----
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body ,t& /4 �/'� nat�r/nan /unkn)
❑ PWS: -�
ORW: yes / no PNA €� Closest Maj.Wtr. Body - �' X��
tn1 1...4,.3�
Type of Project/Activity ,ea-.I/ eV'o3-e ? /7)56// 0 ) p/'-✓ f�C /i A ,-)`^
(Scale: Al s )
Pier(dock)length A «MIMILIIIPM=
Fixed Platform(s)
=NM
Floating Platform(s) : MI Il•
Finger pier(s) _•••••1�__��� ��i5�` M. `, =®_E�
IlliNIINIM
Groin length
number • _ -•_
Bulkhead/Riprap length ■•• /t` h ° w _ w_ � ■
avg distance offshore __■■■••■■■■ }.:0. I. • Mal
max distance offshore _�••••••• ,. I' T _, ,,, A
Basin,channel ••••����i� -•_
■■■■■■■■■■r■■11111111 . 011 - , cC M. 1_111
cubic yards •■••••••••••Up EN
Boat ramp _••••••••••••M I I MI 111_
Boathouse/Boatlift i1 �lt�G ••••• MIN _�-■_
`,,4, / y s, • max, ,.j , ME MEM
•
Beach Bulldozing _ E_
••••••••
Other -•••�•�a'l�• , ' r 1.111111.111.4142.-N_
ormIammommo mammonism
_
roU_U MIN _A _._-
Shoreline Length Z-5 4UUU�.•UUUU■■•••I : ' Ell aim
SAV: of su yes no Q ®IIII®M® MII M • gm
Moratorium: n/a yes 6p F ,f 1 t�3laQ■■■�■.■ a cry 5 f• r E'
Waiver.Attached: yes ® !I ' '' •�• � ,- K�
yes
A building permit may be required by: .,(�4,� a-r C.S�. r See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions toil *pile) ,`,..0 JG 4J.),„& _— -To" 0 f 134174- Zv r71.r4 y et...Y.-1,01-,.er -C_c
. iy}-&a7.
/1rLL 0n./..e.11
Agent or Applicant Printed Name Permit er's Printed Name
Sign 7 **Pleas read compliance statement on back of permit** ignature �,
2� /3L�3 fo � ro o63 - 4D.
plication 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(910-796-7215)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/ 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

411- 7 CAMA / - DREDGE & FILL No. 76025 A B C D
GENERAL PERMIT Previous permit#
>< TINew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ,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 I 5A NCAC / e...„C '-
�j C}R es attached.
Applicant Name C y� r 78yL `- Project Location: County „, �, / re)Address ./-1 4// J ,, A- / %wt Street Address/State Road/Lot#(s) 7i h��/7e 1ocG ('/
City .7/, 5 State 7 C ZIP 7Z 2 3
Phone#(1'''') max% /; — / / .
E-Mail Subdivision r��'��jr w• / .�h
Authorized Agent G 6/^ "%L��"4�- City /-)°' / t ZIP 2 7 Z9 '
Affected ❑CW ❑EW 1PTA ❑ES ❑PTS Phone# (7(7 v) 91// e1 7/4, River Basin 7 - `.--
AEC(s): ❑OEA III ❑IH ❑UBA ❑N/A �G '-4 t �'Adj.Wtr. Body nat / an /unkn)
❑ Pws: )1'1 l`o A/c-
ORW: yes / no PNA yes / Closest Maj.Wtr. Body
Type of Project/Activity �. t '7 (/ /\ e-�d ?6�
t • .- ,t- _S,l < o( (Scale: A/ / I )
Pier(dock)length .
1
i Fixed Platform(s) k rr {-'_k - ..--p. i'
I
Floating Platform(s) `
Finger pier(s) _ 1 `` ! ( 4- n
Groin length ' i 5 T k. ��,vvv
number If` I
( J " j:11•
Bulkhead/Riprap length e
avg distance offshore - /j ‘ rL
max distance offshore I 1 i 4 t.
Basin,channel ��
' cubic yards -} }
Boat ramp
•
Boathouse/Boatlift i i) Ptr)C
i
Beach Bulldozing
) Illid V i . .
Other „."'....,..' C
Shoreline Length 4- Z SD
I
SAV: riot sur yes no It"""- �D CO,-D-� u �
Moratorium: n/a yes (1 — f A.
n.s 1-LC- i (`0� 'id f GI 7'
Photos: yes ® v +( i ' _. I 7e a Cfly'S
Waiver Attached: yes C‘
A building permit may be required by: /j,P��. I--er--(- C. . !)(1 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions `,-,/ ,SiylGi,i-,,`,s_,)j/u"Lsry - ro 6''. o/= /3qn:
/. i 1
Agent or Applicant Printed Name Permit Officer's Printed Name
Signature, **Please read compliance statement on back of permit** ignature ____
1� ( 1rcl�t' . ! i" /32- 3 i,.., . _ `e.2� iv v- -,k-7, 24....)24_)
• 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/ 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

0'_CAMA / ❑DREDGE & FILL No. 76025 A B C D
GENERAL PERMIT Previous permit#
>< New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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
❑Rules attached.
Applicant Name Project Location: County
Address Street Address/State Road/Lot#(s)
City State ZIP 7
Phone# ( ) E-Mail Subdivision
Authorized Agent City ZIP
Affected ❑CW EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin
AEC(s): ❑OEA HHF ❑IH ❑UBA El N/A Adj.Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity
(Scale: / )
Pier(dock)length
Fixed Platform(s) ( __I
1' l sT '
Floating Platforms)
f4
Finger pier(s) I
Groin length \ ,
number , i„ �. f ti
Bulkhead/Riprap length r e
avg distance offshore ,'. N
max distance offshore +
Basin,channel C I (} ' j y
cubic yards --
Boat ramp I __ I Boathouse/Boatlift /) '-s.'t` ,
l7y < r - _ . •
Beach Bulldozing
Other I !Inv ,
Shoreline Length _i. "
i j
SAV: not sure yes no I ^:i .42 fie- ---
1 -
Moratorium: n/a yes no ,�, 4, 4 L.i_ r, i(4 } -.^/�
x r
Photos: yes no
Waiver Attached: yes no 1 1 _
A building permit may be required by: ,. i . y See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions i-
Agent or Applicant Printed Name Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signature
.
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/ 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
252-264-390 I 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

A ut asrN ed Agent Consent Aigree N g
' Tint 4 M G J C ti`'�C 1( A .her y authorize Tobin n
+.Pro ernJayT_ _9s Marine P Owner(s) i G�i2€"�d)Fi 4!
Construction,LLC to act behalf
..i_,. _'oeaii% listed
below.
PROPERTY ADDRESS:
Z Vern vJ ,A. C4-
c t, NC re,,
-PROPERTY OWNER'S M.g r IN rADDRESS:
1J�A i tco -t` i52is
Phone No. ERN Cl - 09 i
J� Qry, SIGNATURE:y� •
Alt[
JROPE CY_C ♦• li•'�MP y`S'yJ ^V VY'a` NAT �i IL
Y �.L: t 1. `
AUTHORIZED AGENT SIGNATURE:'`'
S Li o
.. .g_________
`Authorized Agent Consent Agree.

TOWN OF BATH
BATH, NORTH CAROUNA DATE
BOOK NO._ PERMIT FEE PERMIT No.
APPLICATION FOR; BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE ( )
Name & License No. Address: Phone No.:
A
OWNER Mai-hit-TO)c7 Cpeian€ ( 1Jad4s TX 7SV S /4 '-Yr/-57/V
CONTRACTOR ITS Olati n e- e0A5- ruckb,.).PLC- ,ilf7 �X j�.d`7 (3 a 77
DESIGNER 7cr-Lo
SURVEYOR /1),
ELECTRICAL /1)//
PLUMBING
TYPE OF IMPROVEMENT
NEW (4 ADDITION ( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE ( ) MOVE ( )
OUTSIDE( ) OUTSIDE ( ) LOCATE ( )
Lot NoriC, Block No. Building located at '/C fflLk OZ (? a
between ( ,2'e/F 4 w Q 0 i and Streets. Building to be used as
. Type Construction z/Ls/Q1/ r1e247_L)6'
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 crawispace 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 INSPECTION DEPARTMENT COM TS:
C..N 5T `ice e v • �ru�c a s e= c l4vz�sc !r►F�_
I N$rptax icai E 5 5ar-X- Or orJ v F
C iZ a reS S C.+a+u D I<1 FT/SL 1,"° TL.
GENERAL COMMENTS:
Las- 1 a Lsoo /1. Te-r Sk. oA ex , :LP"-
CITY LICENSE NUMBER: `geR8/
Contractor/AC E rician Plumber/Heating
Application approved by: Zd/Zo
The owner of this building and he undersigned agree to conform to all applicable laws of the Town of
Ba , North Caroli a.
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.

=1DJ C-N RI ARIA PROP 'mil
E 'tEllilENT
hereby certify That I own property adjacent to Q
properly located at (Name of � anal js
'
. r D�",..3�� r, e l �er ere)
on ( e (Address, at, to Ro d,
!n
4 laterbody)
(City/Town and/or County) : N.C.
The applicant has described to me, as shown below, the development proposed at the
locatioryabove
--1,/ i have no objection to this proposal.
11, :ens -- have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fit!in description below or attach a site drawing)
��! D fl, CI) /56 6 /e 1)el—S ' ,� -
•
di` I understand That a pier, dock, mooringEVAVP SECTION
,.�m 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
'._A ( you wish to waive the setback, you..____must Initial the appropriate blank below.)
i do wish to waive the 15'setback irement.
L /4 i de na'wish to waive the 15'setback requirement .
(PFopeny Owner Informal! ) i }
AS�ar��aE'8�� Properly Myna-L1Ph?oE"r3pga)
Sim luxe
y 'Q
Printer Type t me t 3 �, �G roll
S
7 r �h(�vZ KfnW�;+Ci- P I y Blame
iling Aa'iyress ' --- - �iv%�7/
citylsraWzp i 7 a
--; -c- 1 -(.:Sig• i-r�,cc Ci.'!C.,-, I t�i Se ,,,, `'' �vZS.�pd'c9
Telephone Number email a dress 1 y a
- S-�1 �Zx:Z
(. -'s, Telephone Number/email address
Daze
G� .l y��v1
Date
Valid for one calendar (Revised Aug.2014
_ t
yCar a;�er aignaturs=

T.J.'s MARINE CONSTRUCTION LLC
P.O. Box 125
Pantego,N.C. 27860
ttobin'C!-;izotricounty_corn
252-943-6677 Office 252-944-5555 Cellular 252-943-3949 Fax
May 20, 2020
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
Mid-East Res Cons Dev County Inc.
Pitt Co Office Bldg
1717 West 5 Street
Greenville,NC 27834
Dear Mid-East Res Cons Dev County Inc.
Enclosed you will find"Adjacent Riparian Property Owner Statement". Your adjacent
property owner Mark& Tracy Copeland would like to have our company install a 1500 pound
Jet Ski Lift at their located at Lot 36, Bridgewater North, 2 Femwood Court. 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 tobin1 i renet.or .
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,
Phy,'s B. Woolard
Office Manager
/pbw
Enclosures

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Gl'INI UN G (.643-9.)-311(41 HIM i VAI 301)110. 1)14 l'U 1749/01N/80
NAM1.1 21)PF.I.ANII NI 112k F itTI VAL S2(1/04(t STAMPS 350.00
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ADDR I 3741 ST A N.14/111) 11 F. IWI'12 VA1 0 R1•11/1 4622
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_ i have no objection to this proposal.
M: �.-..._ ---�---- ; have objections to this proposal.
(Individual p. ��•baF6t�� 6'" c�"���'}
na lo }e =FILYSt,lira In ,7ascripflon be}`oih"or at=oh a site pp n �{�ry.�
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_ r c_(if s s L'Nish i,waive-t•, setback,
5'from rr area of riparianaccess unless waived b
'_y_ s Nis to n aive the setback, you :ust initial the appropriate plank below.
do wish to waive the iv`setback requirement.
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NC Division of Coastal Mgt. Habitat Impact Computer S4ieie,
Applicant n2 pre.`'j M Ae 1C lc)9 Et -yam
Date: ) 0
General Permit#: ) mac,
Describe below the HABITAT disturbances for the application. All values should match tie name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft ' FINAL Sq, Ft. TOTAL Feet FINAL Feet 1
(Applied for. (Anticipatedfina( (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat ;`lame Choose One includes any Excludes any total includes Excludes any •
anticipated restoration any anticipated restoration and/or
restoration or and/or emp restoration or temp impact
temp impacts) f impact am cunt:) temp impacts) amount)
IaPciI
I i/a--rcr` I Dredge 0 Fill 0 Both ❑ Other ( �U F) '.V -
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge 0 Fill 0 Both ❑ Other ❑
IDredge 0 Fill 0 Both El Other ❑
Dredge❑ Fitt"❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ I
Dredge❑ Fill❑ Both ❑ Other ❑
I I
•
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill.❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑