77268_Christine Smith_20200908

Rxj
VCAMA/ D DREDGE & FILL + �� O ") 7268 C D
it:1;1
GNENERAL PERMIT V/ Previous permit# NA 0
4
ew DModification DCompiete Reissue ❑Partial Reissue Date previous permit issued tJ`M‘
As authorized by the State of North Carolina,Department of Environmental Quality `''� t''}
I'
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 1 - I 2,0t7
Ghr'i 5"V;re S w•ti [!�f�ules attached.
Applicant Name
_ Project Location: County Beaw�u-k
Address_ rj 00 $Yf. Po 1 y1k �__ Street Address/State Road/Lot#(s)_
City -?j0..k\A� _State ZIP $QS rjC� 5mi PCa k
Phone#(L5Z) 94/5- (r/3Z_E-Mail _ Subdivision _ t*aakv 00 n
Authorized Agent-I-.s..5 —/ .riv,e. [ortt4. City M ZIP 27$O$
ected OCW 0EW [ 'PTA ❑ES ❑PTS Phone# (7.41.) 9415- (0 32 River Basin Ti4R / )4rYf
s: 0 OEA 0 HHF ❑IH 0 USA ❑N/A
AEC(s):
❑PWS: Adj.Wtr.Body 1oc..kkn Cxte-kG (nat /mai /unkn)
ORW: yes / no PNA es / no
r_ ket Closest Maj.Wtr.Body-Pyb.rr►l I co 21 V Er
Type of Project/ActivityTrbsZ L o'+i f`extdi " 0 f 14" y w 9S' pies / /t!f l le p/ti4rrr
rJ�V.& b /+w.rY+oUt ex's�'iv+ Jp...AA;g-E - '°- llir
� g (Scale: )
Pier(dock)length �p a(qs
Platform(s) 1 : ; ! fiX r: f i - :-
Fixed
Floating Platform(s) , (__
Finger pier(s) �`X.rs-,r 1i , i ... _.. ;_ L ?Fa1iM 4MJ H• I 1 '+
.
' j..
Groin length pwT r, f . $.
+ v�'a,eb
number ' 1F • ti (. �6 i
Bulkhead/Riprap length i_.. IYtIsV 'r i-•- rl: }_ '_ P. , V i ! i
avgdistance offshore I ` I "✓✓"
max distance offshore
Basin,channel I ` 1
•
-.i_ , _
i. ,
TOPfl°s
cubic yards r
Boat ram �i4LZ t nk Q,-
•
Boathouse)Boatlift t; y , . •r • 1
- - i II 1 ,!
4
Beach Bulldozing f , i II iI i i 1 .F t ! i !—_ i- �_1_
Other i �--- - l--a_--
Aviv boo+•1, oh y -�- l-t
1 I f # -f 1
P a _— i j HOWL Nw I i I
Shoreline Length - /5tS i ; 1
SAV: not sure yes - -.
Moratorium: n/ayes Q, 7tlQtJ 1 / ,(T1D /+r
6> , {
Photos: yes ® f t p z 6p,� �: -
� . ' i 1'i�r C^ `� i_ 1
Waiver Attached: E, �J( I _i_ .i._i _.1_, i____,_..L.___' i_!. ' .l_ .-- _1 f ' t ' ! j 1
i
L. R
A building permit may be required by: TcaW t- to P *,T4/ . [VI See note on back regarding River Basin rule.,
(Note Local Planning Jurisdiction)`,
Notes/Special Conditions r A Q'(� i 4 T )Vt"s qI) `AWI\• To W h 0 c 'gm , eco.•91,4a.
,
t •
l
141.4..17 5.P,I,e'l
r ted Nam — - Permit icer's Printed Name
Signature ease read compliance statement on back o permit"* Signa ���
CI e ' ..1- ib15b 1 e9----,"744:
yr ,} > 6/3-•'.2-I
Application Fee(s) Check# Is uing Date Expiration Date

1
0 /CAMA / DREDGE & FILL N9 77268 A © C D
PERMIT Previouspermit# N 49ENERAL
New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued (q
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 SA NCAC —7"14 " 1 Zoo .
L
/+ i ,` ules attached.
Applicant Name Cyr i 5-\'t 1‘e SY�nt Project Location: County FjeokvAork
Address rj Co 0 S.N,‘k\n ?d 1''etk Street Address/State Road/Lot#(s)
City )0.10" State ZIP AT342S*3 S CC:) 5 tnn t Pe "k
Phone#(Z62-) 915- (0(32 E-Mail Subdivision By die t•sc&e. 1 .-\06,--}Are
Authorized Agent T"S.5eri,n,c. Ccr14. - City 1?jo►}A" G
ZIP 27$ S -
❑CW ❑EW VTl!A ❑ES ❑PTS Phone# ZS 9' 5- (o 13Z River Basin T 2. {A rvi
/
Affected I_',OEA ❑HHF ❑IH ❑USA ❑WA
AEC(s): Adj.Wtr. Body 1 Jc*kkn Cade- (nat /man /unkn)
❑PWS:
ORW: yes / no PNA es / no fir\'': Closest Maj.Wtr. Body P rrAICO 2j Ver.
Type of Project/Activity?rapece c oYr sl-cucho-• o F X '-`9S' pi J / ltpai✓' pki4c-M
r jJ 4Akki * (Scale: 1 )
T,1oa vS b /CmouC ex� s�v+5 I i'_ y0
Pier(dock)length ]( qs
I i I II � 1 ICI I i
Fixed Platform(s)
I-_ E II 55c 1 la Ito S ZS 1
FloatingpPlatform(s) �XZS� �� ?LA-?1O�h^ 'T1N I
A
Finer ier s / ' Co .
Groin length - tz.01-f 1.-APT 0 1q_._ !
('R R'D S Tv
number � ----'�1 Q
i It/ - 1
gE ��
Bulkhead/Riprap length ( a V EP ! 's j2 e
l }
avg distance offshore 1
i
max distance offshore i
Basin,channel i ( i I 1 l
12pv'PoSFD
I f..
cubic yards T2. 14Ltgrr c-*+k J \/
Boat ramp T*O P,QtPGEw4,R;14 42 X [5J' `f , i ig AT A CIZEE 1� _
Boathouse/Boatlift
N orvr t+ ?Rop J__;._....-........ _
:
i r I
Beach Bulldozing
Other Rerpir 60641 Oh iy�
__ 1
1b'1 ZS" Co ��E-`i`
_
r N
p(G��nh I N v J w L
Shoreline Length — /7d ± l 1 1 1 _
SAV: not sure yes i —F 1 (.—I- I _
�EEN.ST O I , 5y� T TD wovoa�Ft
Moratorium: n/a yes ® Qe'7Lt(Zt.) I., n pRop(SQ�
Photos: yes ®— 1 ,l 4 GT\/T � I E 1 � _ i ' I I I
_T
� i
Waiver Attached: re-. 0 _ i
L
A building permit may be required by: 1Z t.i N t'F ZifTij . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Notes/Special Conditions V H 12,0 i S ma1V1 Q}1ti., QW f\. -1-0W h v c• g.644 7o#7;h7 J44 1
/btu-y 5.PIV C-i
Agent or Applicant Printed Name Permit icer's Printed Name
Signature **Please read compliance statement on back of permit** Signa
g P Pe
at ¶e SZoc� ib15b 1e I g/2-.02. /
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 (252-946-648 I) 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/ 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 7/06/17

/
0 ❑CAMA/ ❑DREDGE & FILL N° 77268 A B- C D
GENERAL PERMIT Previous permit# 't '
)�-% ENew ❑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 (1‘`'N; ,,' j-, ,c S v,,\E-\-': Project Location: County E r,_; - ,
Address 1� (J U `jw,\<\,-. 7 v! nk Street Address/State Road/Lot#(s)
City t ck\V State NC_ ZIP S(Z:() , 1 ',
Phone#( 5---) 'Pic c - 1 /?,2 E-Mail Subdivision I, 5,,U,u}o e \' O f -He--)
Authorized Agent-1" c, 4 ,-;,,,i, City 17j o.\-"\/, ZIP 2-3 S¢S
Affected ❑CW ❑ [, P
TA PTA ❑ES ❑PTS Phone# ( c.Z) 9`l5• (i: I Z River Basin T I �1
Z / -4 l'1
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
-•-)
AEC(s): Adj.Wtr. Body 1 .J.r_,k\-, s, . r-K (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no .
`,,-, Closest Maj.Wtr. Body -.,,,,rl ,, !v ,.-
Type of Project/Activity > - --,/,+rz; „-
,5 h (Scale: '4 _ Li G )
Pier(dock)length (i x 'j`7
Fixed Platform(s) I I j f��C I
i I f E t < 1c1 S, ' I i
Floating Platform(s) I ; —t r I i a+" 1.i•� I
1
Finger pier(s) r ( ! t
Groin length rJcv 4�1 %.1 C C i, ! E - Jf T t'
P
number ;. —11 .._.&-E -_-..�,._.__r�.� __: I... _... (�jG(4_',.1�1I. T: . _.... . ,
Bulkhead/Ri ra len h I. - 1LE,'kl,.l.. — o 4._ 9 4. �- . - _ Z -P 1_V e 2---L.- —
P P gt i , i"
avg distance offshore T— t
max distance offshore '
I i I ' I I 1
Basin,channel t 1III
{ I I 1
l IMI I
cubic yards -----
Boat ramp ,tj ;_ T . R2*VC Fc 'eSF I / / K t :ti� r . 1 t ; }H , ►1 L C C 1\
Boathouse/Boatlift l..__..._t. t..
I
I
Beach Bulldozing — 1
Other ��ti�If 1 I j j _
Shoreline Length r
SAV: not sure yes o 1 _ k`I P. —._; : ' .`} -..__. --1- -4 I h
- /�L / si..T.w L........ _
Moratorium: n/a yes no [ � '(
i
Photos: yes } • ' t 1.._!- . ... ......... 1.
Waiver Attached: yes) no I - I I 1
A building permit may be required by: T7�(....., N U G 3 47f/ . I✓1 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions )''b' ^A ,! ;t i mid\ . Ow
ktl..4.-v 5 P/Ve"-1
Agent or Applicant Printed Name Permit icer's Printed Name
Signature **Please read compliance statement on back of permit * Signa r
17 �� `37 z.a-zy IX:/2-4'2- /
Application Fee(s) Check# Issuing Date Expiration Date

r
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 (252-946-648 I) 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/ 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 7/06/17

0 CAMA / DREDGE & FILL N° 77268 A BCD
GENERAL PERMIT Previous permit#
New 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 15A NCAC .
'Rules attached.
Applicant Name Project Location: County
Address Street Address/State Road/ Lot #(s)
City State ZIP
Phone# ( ) E-Mail Subdivision
Authorized Agent City ZIP
Affected IIICW ❑EW ❑PTA ❑ES ❑PTS Phone # ( _______) River Basin
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body_ _ (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity
( @: i _ `-/ )
Pier(dock)length
i I I
Fixed Platform(s)
/ � 1 r ; i; 1 t
Floating Platform(s) I ‘` y.
Finger pier(s) ' ,'y 1?
r L —, r 1 l� F
Groin length 4 1.-
i "� • r 1 •number I..i. _{.- T{ — ._ .� .� _. '_,- +s.._.�_—_ I — ._
Bulkhead/Riprap length —. -.--- — 1- I — .. ,
avg distance offshore I r l I i i i 1 —�—�
max distance offshore I
Basin,channel I I I i -
cubic yards ' tG�" I ? - �. J. 1 i
Boat ramp {r I • ; . -c. ,I,r;x, f r t� 4 .S • I I�C i\
Boathouse/Boatlift j' —
-i- -+ - .j _ -IL
i i
Beach Bulldozing j - I 1 I • j I
Other 4- 1 I I j 11 , '
Shoreline Length I I I
1 I
SAV: not sure yes no I" - i c 1;
t i
Moratorium: n/a yes no ; !i ,7. —r ..}t ._._ ..+ I t .; k
--
Photos: yes no ; ( , RI_ '( 11 ; / ;
Waiver Attached: yes no - 1
r
A building permit may be required by: "t ,''1 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions , ‘ "r' } `^kJ.Lt;r`'
Agent or Applicant Printed Name Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signa re,
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 (252-946-648 I) 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 910-796-7215
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 Agreement
I P
(Propertywner ,herby authorize Tobin Jay Tetterton of
TJ's Marine Construction,LLC to act on my behalf in obtaining CAMA permits for
the location listed below.
PROPERTY ADDRESS:
Cl Cr' Sin '
PROPERTY OWNER'S MAILING ADDRESS:
if6, oAc -\\
Phone Nor / ! "—© /Jc
11
PROPERTY OWNER'S SIGNATURE: 4 4u
AUTHORIZED AGENT SIGNATURE: D' fiiparrar
TOBIN TETTE ON
DATE: R: / ! 20a e-<1
\e td'°
c)
W/Authorized Agent Consent Agree, tL

TOWN OF BATH EA-
I �r�
BATH, NORTH CAROLINA DATE
BOOK NO. PERMIT FEE PERMIT No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE ( )
Name & License No. Address: Phone No.:
OWNER ri. one 4 /.3--
CONTRACTOR .7a3 C.0iist A Ac. l t i g -M �vt )d'6D r-i -y93 77
DESIGNER
SURVEYOR
ELECTRICAL
PLUMBING
TYPE OF IMPROVEMENT
NEW (1( 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 iSc)/ � /(J"7 EJ/'/N
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"( ) 24"( )
Other . Zone . Water and Sewer Tap: Paid ( ) N/A( )Size water tap
Size sewer tap: .Total Estimated Cost Flood elevation

BUILDING INSPECTION DEPARTMENT COMMENTS:
glil.Pc_AGEti{, ,r® , �, K—/N G
IV O Al J Z , P-5 4-1 1=i"S Gam.
GENERAL COMMENTS: Re(h p dal 6+ 6)(37:ry lq'et.' de-A--'
AID�q�. ; y--- / e (G C_- c.cJ�" 1 IBC'u 1 Aoa r�_s,. .�'"c�/nd L/ci•-+°
�� �7 ec%& 1e-4Ylli,/Z
/n ;Sam e /dl i9 4✓
CITY LICENSE NUMBER: ‘s0,.seS;/
Contractor AC Electrician Plumber/Heating
Application approved by: �, iailii.Pce;-• 8-7'-�
The owner of this building a d the undersigned agree to conform to all applicable laws of the Town o
B3th, North rolina.
L
74\
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. Inspectio
fee is $100.00.

., r s , l
_ . e 7 ,'
Sri I
)11
I hereby certify that I own property adjacent P ADJACENT RIPARIAN to PER 1/< 5 j/'( � / .i''7 v 's i
•
rr�s of P,r�operty Owner)
property ca ed at S it
"T
71 ;Address,( lock Roar, .) `f.�
on 1 /i --ree , in f_ r , N.C.
Waterbodgr) (CitylTown andfor County)
e applic nt has described to me, as shown below, the development proposed at the above
ation.
,-a_. I have no objection to this proposal.
Prap;rtN
Gvteer I have objections to this proposal.
Check ur-.
DESCRIPTION ARID/OR DRAINING OF PROPOSED DEVELOPMENT
. f<, , ey, i‘51--/(y ZoQt-,c,,'tl--,
ern 3 L.)LA.t. 0 '
\ ''141 I/\ e L3 d e IL /11(.2
., R e-
u r place-.
she .
1. WAVER om •
Q rc.pame i understand •'that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
r.rwrilr must be set back a minimum distance of 15' from my area of riparian access unless waived by
mus;. me. (if you wish to waive the setback, you must initial the appropriate blank below.)
miller
i
r:e
do wish to waive the 15'setback requirement.
(1
r P not wish to waive the 15' setback requirement. f
(.r ooer1,Owner lof afros r p4 *Ion)
(Ad' P ® r ®earner
elliatutte �' tote r
ginixiYPrne, ; P tea ,1
i ,
•
iling dress r A rest, •c 7 �' .sval-e NC '27 , ,
C4/stere/Zi C. 'I tat i ,
cs — �]'4,5 -- f. .3A — .. — 6)
j ephene Number/email address Tele none Number/email address
must.prs k)i
J , �1 2�
Date Date*
(Revised Aug. 2014)
'Valid for one calendar year after signature*
j

C AC P Ij L ik! FPROPEs�'*�T!
! hereby certify that� �, VAN'r9��E"���'s�b�i;:;M
own property adjacent to
property rcaiedat ara �_ , Property Owner)
on ..x adc�ress� o
r , in
eitocill
i;City s owEl and/or Cou;rat y) , N.C.
loc____ate_
The applicant has described to me, as shown below, the develo
I have no objection to this proposal. pii ens proposed at the above
-----_� ! have objections to this proposal.
FICN
" WING OF P:,;l�08ED ��sL %ci ix2p syng3t�6i33/i'7: ?fS:ii/In descrl?tis .below
Lor
attach
a site drawing)
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Beaufort County, NC GPIN:6654-00-1392 LAND_VAL;316465 DATE:1/1/2006
GPINLONG:6654 00-1392 BLDG_VAL:472801
NAME I:SMITH CHRISTINE T TOT_VAL:789266 DA_PG:006EI00117
STAMPS.
Disclamcr: NAME2:
Beaufort County online m�p:aaw is provided to s public scrvkr,;n is,as TAXABLE VA:789266 SALE PRICE:0.00
available and without wnmuuies.expressed or ituplied.Content published On '� ADDR I:500 SMITH POINT DEFR_VAL:0 REID 1:1343
this website is for infornmtiunal proposes only and is not intended io constitute a CITY:BATH PREV ASSES:758245
lop/record nor shpdd it he substituted for the advice or services of industry
professionals.Tlc County ofNamlbn and the Website Provider disclaim all STATE:NC ACRES:10.26
�, rsponsibility and I gal liability fix the content published on this wchsite,The ADDR2: PROP_ADDR:500 SMITH PT
�kv WILY apyces that Ileoufnrt County anal its Assigns shall be held Iwmtless from all ZIP:27800
actions.claims,Murmurs urjudynnsntu arising out of the use o(Cuunly data. TOWNSHIP:07
I benuronnc.ocdmaPr a o PROP DESC:10.26 AC TR-4
MBL:66440088
o � 20 m Adg/17/2020 BARTON DEV GROUP PIN_I:15027797
90 ft I
I Scale is 1114

•
NC De isaota of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Chr 1 s ne 5/YI l
Date: RI$12020
General Permit#: .77 a(S
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 r FINAL Sq. Ft. j TOTAL Feet I ANAL Feet .
(Applied for. (AnticipatedFral (Applied for. (Anticipated final
DISTURB TYPE ! Disturbance total disturbance Disturbance I disturbance.
Habitat Mane Choose One ncludes any Excludes try total includes Excludes any •
anticipated restoration any anticipated i restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impactamcunt) temp impacts) amount)
a ! � j j I
Dredge❑ Fill❑ Both ❑ Other l� ,�,F Li S'� Z I
Dredge❑ Fill❑ Both ❑ Other ❑ ! ``
j I Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fi11 Both ❑ Other ❑
Dredge❑ FillLT; Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
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Dredge Fill❑ Both ❑ Other ❑
Dredge❑ Rh❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
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Dredge❑ Fill❑ Both ❑ Other ❑
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