77477_Juanita Pettus_20201124

. .,..4(0---7
L9CAMA/ ❑DREDGE & FILL �� N9
8'
�0 77477 A © C D
GNENERAL PERMIT Previous permit# N�ta
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued Ni/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 0 4 H . /Zoo .
mules attached.
Applicant Name �it.pr'Aa___Pe *Le.S _ Project Location: County Seau r}
Address y 3 Ks__, a . //VC Street Address/State Road/Lot#(s)
City__/.34 ) State NC ZIP oZ 480g 43 y_ o e Ave• --
Phone#(9f9) 675 1 `9114 E-Mail Subdivision
n L
Authorized Agent T5 15 MAY ine l_oN5-f, _ City 1)o r1A _____ ZIP Al SO?
0 CW ❑EW lif6A p ES OPTS Phone# ( )__________ River Basin 1-71 TZ -
Affected
❑OEA 0 HHF ❑IH ❑UBA ON/A
AEC(s): Adj.Wtr.Body. S(.IAVE f,� na T /man. nkn)
❑PWS:
ORW: yes /® PNA no TNt�Fr+� Closest Maj.Wtr.Body �Qm1i_ u 2 jve._ -
Type of Project/ActivityB byb,�e 1 k) A&" 7ICle �tl i- ,/ eve-r w.6-1-4 ld S'*.4L75((r
/DX 1 /4+4 eyy, e' /b ZY ve�e� �v 4-I'.c�- wi t e�wa lk —
X Ga � C S Sc i a e. y
y
Pier(dock)length
1Fixed Platform(s) /O X//o \. i - S L11'D E /• +(AT + T r
Floating Platform(s) / L_. 1 I i. -i_ C� i j
Finger pier(s) �' + : ' i V
. j i i i._ f i I , MCP
Groin lengthVI\..
(_•� �— —number .-- I.- 1-1— -i _.! I Ie*tt.,! �j.i._ . --}--, 11,4. t, fa. S
i. I j L. i l ! inq
Bulkhead/Riprap length i , - 1 ,4t y. : 1 _
,
avg distance offshore I ,
max distance offshore i— �/ L
' W
Basin,channel _ i .� , r i I
--- It ‘Y . -• �;a µ' .,.,is _� i�
cubic yards r'S. + f
Boat rampI
oatho • Boatiift l b'X Zg I .1. : I`_; .- i!
I -
C
OtherBeach Bulldozing/F '$ ° r ,- -1----j i 4 __.._L_ I_ _ !f __,.4. 'i
Other f iU to i ��/- --_ Ml
,yr'
*Pica eleup+re 3' , . ! j - k�l/ti
,u41 wc'f l4h $ j i I. ' belk? a W
Shoreline Length 1 J?Cr I i � .i_ r-L ,± f - 1 ,?: ' i
p kp(
�.
SAV: of sure yes no i .__.- .._ I _. .. -_ I • ! r_!.. v s
I i - iTrSJ" j j
Moratorium: n/a yes 1 i i i tt
Photos: yes no 1 i 1 .I _t . i + i ( I ! I� J i
Waiver Attached: yes no I . _I__• ..___i L. ......_L__L__. i , I 1 _ __ _.__.!_ I _j
A building permit may be required by: /Ot✓n ar 8411 . [Kee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) / r /
Notes/Special Conditions LP
LZP4- i• Lrr.1 �i'f�i;irt e•d 1 cri✓l) [vi;14 1;CGS'.` /PI,�e/✓ oveprl
ccfJai,/), Si( 417 e✓/�e,i«/ 4 in. Q m;ii1 G1�7 O� 34T / ✓4 14r / /A��r
and 1260 l 5c. �fsf- egc'e� 19.6 wo iwr) 4c,,vl OWL -Ca/) t i ///1 4 4,b Yu tc. App/lej
r trt' m P Ti' - S? tv,,,,, CC'Y rrI ir-ss co o-i),,,,t.-QD. ,S L(lilr H T'T f^' ,p'� alto i4.IG J ge f k-'f N•o 4�' tG
Cr%L,I rt V)
—___ 6Sh�,Y rG�ay _ s db ?
Agentor Applicant Printed Name Permit Officer's Printed ame
Signature i lease read compiia a statement on back of permit y"i` Signature — —
J 6I - Zocc l 5. '' a`J - N)ov - Zozo a -- /fiar�, Z=Z_/
Application Fee(s) Check# Issuing Date Expiration Date

�? ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director.
BUFFER AUTHORIZATION CERTIFICATE •
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico&
Neuse River Riparian buffer per Division of Water Resources(DWR) regulations 1SA NCAC 02B.0233 &.0259.The
Division of Coastal Management(DCM),through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered byyour Coastal Area Management
g ent Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees)unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six(6)feet.
4. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.This
drawing will be used to aid in compliance and monitoring efforts.
• Pre-project site conditions: w-7 ,s rioi;. 7-alh€? lawn co7Tf R
--gees
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all information provided is complete and accurate.
Agent or A plicant Printed Name Permit 0 er's ignature
Aft, 2,C.20
Agent or Applicant Signature- Issue Date
CAMA GENERAL PERMIT#: -4 7 q
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington,NC 27889 I 252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City,NC 7K557 1252-808-2808

0 1CAMA / DREDGE & FILL N° 77477 A © C D
C7ENERAL PERMIT Previous permit# 1•3/14
>-%' ` New Modification Complete Reissue Partial Reissue Date previous permit issued t.1/4
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 0 4 H . /ZDa /, .
LM►cules attached.
Applicant Name . LL - kC. 7 e k* _t5 Project Location: County S emu,& r-}
Address Li3S,� K i y aray) e, Ave Street Address/State Road/Lot#(s)
City 13Q,IJ,''' State NC ZIP a4gog 43S N.< r\oy G{q -e Ave-
Phone # (919) 4931 —61114 E-Mail Subdivision
Authorized Agent / 5'.5 Pl etri ie Con 57L• City 77&ry ZIP X4S0g
Affected ❑CW ❑EW VITA ❑ES ❑PTS Phone# ( )- River Basin TAYL / P Ainn
AEC s : ❑OEA ❑HHF ❑IH ❑UIBA ❑N/A Adj.Wtr. BodySLAVE C
O ❑ PWS: � � �/man /unkn�
ORW: yes /® PNA no T�c�c1N� Closest Maj.Wtr. Body- Fevrel l t� t21ve-
Type of Project/ActivityPybvibSQc� $ 11 U/1 (v, 7, £ 4t W 3 / evcr (..).G"Hcioe 514.b5 4' e
IDx IL,/ p14f40)1 d- /b iX ZVI co./tree. b 4-1t IAA 6.4-wa Ik$ (Scale: / —
yo,)
Pier(dock)length -
Fixed Platform(s) /01X/iv' S (_C}ID iv (� l-T- I
Floating Platform(s) _ 4 ��� � DTI
Finger pier(s) .1_
i 1 — r i ..... 11 �v
Groin length a i
number 4i._._._ ._._ ..--- -- T it)
l L, j '4 k.,4.;1
�� 4' a1`
Bulkhead/Riprap length /ti�oy"'� / 1
avg distance offshore ! I I h I /.
max distance offshore MEM u_ W U \ Nwf-
Basin,channel WV ' 41!Y
MINI '
cubic yards r y % y J f/ 1 L'
Boat ramp 1 /
6oathous3/Boatlift /(o Jx 2.� 41 / /
Beach Bulldozing — 01
Other}i/C/A (oI e II 1 th
?ier ela/akD 3' I ;0 , �,_' i , AAA
kAfr
OW wc��4� s , ����■���� '7 -- A-11 NI 1D �6
Shoreline Length 1 IC ���•��� �t 1 ' �(� �S� ��LC' O� ���,.?( .——
SAV: not sure yes no �����.�� ; 111 0�— —
uuua . I �1 �� o 3 4)
Moratorium: n/a yes i ■■■..■ I —i._
Photos: yes no 1 NEE
Waiver Attached: yes no ��- � '
•
A building permit may be required by: /OWk9 5' $Q7JI . Lr Sf ee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) II
Notes/Special Conditions L.01 / S mmi/1h'2,/1-te lot-✓" Lvi J1G, ✓?C f. Prey-
' Over 11
Gidflah shall ie. ekv', - 4 a mJrn ogt-en,7 o•C 3 4'/ 36 . rl.,T eaen-7
anb )goditt4k n I ecre 18.0' we t) 4o,YI r4W L -Ce,/lb tv%y 1 'Iv frii514, yu lc. App/ic�,�
Towr eaP Ry14T-ta w-st`G CnY)7 '1>.4,ce oi.p ee . ,4 ccf/h5 pit.?. t a fie.kx govE=h i o 3,i-,(+ic
YI�1,14.y &randy `.. --
Agent or Applicant Printed Name Permit Officer's Printed ame
Signature '""'Please read comp
lia estatementonbackof permit*�' Signature j c) (b K 'a ZOO, " 1 5 y - Gov - z-oZD — . ti -- ratreii zcz(
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 Rul7g Applicable To Your Project:
V 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/ 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

1-1CAMA/ li DREDGE & FILL N . 77477 ,
A ,';p. C D
0
GENERAL PERMIT Previous permit#
---)"----=---'' ENew EJ Modification EComplete Reissue E 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
D Rules attached.
Applicant Name Li,c.).\-‘ck c, 7e - A ,J, S Project Location: County
Address 1-1 ; K\ ( y &,(0449e five Street Address/State Road/Lot#(s)
City g,iti State N)C ZIP P 4g03 LI )'8 1,.\ ; ',-,./ (, ica,-N) e k v
Phone#(°1 19) (0 3 I - g i il E-Mail Subdivision
Authorized Agent 7-3 5 ' ( :'v 5 f• City 1• cA 4 VN ZIP -)1SOS
Affected 0 cw D EV/ R•OrA DES 0 PTS Phone# ( ) River Basin 1A E2 / p pvv,
0 OEA Cl HHF Cl IH Cl UBA Cl N/A
AEC(s): Adj.Wtr. Body SC A DC, C.-,L...A7 (nat /man /unkn)
El PWS: -
Closest Maj.Wtr. Body l'a cy,1 i (,.. I a.,k/ x•--
ORW: yes /:no PNA 4Z) no .1. Ps1 LA r-41",
Type of Project/Activity7r.)\--v......Se t I/O' A le' 7/(/ e w/Q)-€ 3 ' cA if r 1A-1e-41=302) St?bSt4 rZ:
I(:..t 1 6--: /7/61 '7)(iv7 T lb x ZY ' Kov4..teiN boa1114'4 14)A c.+1,.., /ks (Ste: / -
Pier(dock)length —
\1__" I I t-A-1I I I I
Fixed Platform(s) iC:// its. " I S -5 6: 6- LA1T
Floating Platform(s) ? V' I
I
Finger pier(s) " i I
)
--1— 1 , --"'- (.0‘ 4
Groin length
number . .L. L_________i___,.tr I
, , , ,
Bulkhead/Riprap length -[----1 - r;I s'qr, ri.)- .`,. ' '
plipOl 1
L
avg distance offshore 4
.
max distance offshore I I I " v..i L Anil& 1 hi MIL
i -
Basin,channel llgilm-_ 407- "4 II,
i .(
cubic yards
Boat ramp i
( 1 \(...." L
"4
M" 1
" - NP
4 . 1
Boathoue/Boatlift it: X 2(-i _...,_ ""j I
•
_.: , -i- 1 i • "
I I _ ' I A
Beach Bulldozing " [ 1 I I I
-rt-
" "i t.. fI114"'
Other 4 i/C)i)1 ti, o € . i I / ' \'\ t 1
rt.)
-Pie r eleo,,I-fe 3' 1 1 0 V 4 riAl'11 i 111
i . b Alt 0, ; 1
(,ugi 1.€1 47 '16., s •, I I i>' 1 ,
, ,
, It ,l tY '.
Shoreline Length I I7G' . , .., ,... V •1S cilji 1 !
. .. * •1.'
SAV: knot st._.. ne yes no 1 li 11[Is-V- .'1 '
Moratorium: n/a yes
1 4P- I I 1
• -, " -
Photos: yes e:0 i 4...._ ! ! , r , ,
r- 4 ,--.-
Waiver Attached: yes r6c7.‘ " . I I 1 _ I " ' " •
-I.."'
A building permit may be required by: /C.0.1b1 o C j3Pa7l1 . -4ee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions L -'" , e.., )1(...-i—+;;.:- ,,..) ic-ei•ei-- 1.4• .•- .
' .
tAlf i 14;i4/\'i SA (( he <•-•/-r4-e'e) ep ),-) -7 _ ' -- " " --- '
-.2 ri- /
i da bed.,4116U(C /0- 1(1 eq(r,- )E14' - -cc ') A- ;,, ttvJL ,,,,),,,,,,,,, Vg 4,10 ,,ie• APS7
-re irt4 L.: r- leCT N 1,..t.)-1 t:••C., C- 1'51'F' ,,<, , 1-4-"a• i 4 --•(fi 4^, S'Ili-i.V3, c.f. c/1,..14.A,0 C..)43i--4 N. 7: ,• -
,.... t,........-
441tt y &rooey
Agent or Applicant Printed Name PermitOfficer's Printed ame ,.
d .tiLki
Signature **Please read compliar5e statement on back of permit** ,, Signature
/ Lh 7() K 'fi ZOO, 6)-j ) $ LI R Ci - ?JOV - zozo — 21i - Marci-. 200,
-APplicatidrn 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 910-79 -721 for
gt g ( 6 5) o more information on how to comply with these buffer rules.
Division of Coastal
a 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

, . . -.---, mar._ . .,
W❑CAMA/ ❑DREDGE & FILL No. 77477 A BCD
GENERAL PERMIT Previous permit#
)C E 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 I 5A NCAC
❑Rules attached.
Applicant Name Project Location: County
Address -i\./ Street Address/State Road/Lot#(s)
City State ZIP ,?c l- q
Phone# ( ) E-Mail Subdivision
Authorized Agent City ZIP
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin
AEC(s): E OEA E 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 / - ; S*,,15
,- r . I. ';. \ s (Ste: / )
Pier(dock)length _ _.,
Fixed Platform(s) K\ I L. L-i�
Floating Platform(s) V
Finger pier(s) f —T _... -_ T (<.
Groin length I I �4 I I j 7° •, ,i
numberI -- - 1L._,- { z _
Bulkhead/Riprap length —_._.... I _ """11. � � {
avg distance offshore j
max distance offshore ' L ! itllir WC
Basin,channel I "-- I
' Y " ..4. 1 li * .„44, I ' 1 ', 1-: v - , • c
cubic yards ' AIM 1 .'j' �I��
i
Boat ramp W
/f! f T
Boathouse/Boatlift ' —I \ 1
- -
--E i .. _ ___
Beach Bulldozing - I j — -- -- 4.--_} TT
Other; 100 r t<. i rt
r i Y` I r t ' I
vti.
Shoreline Length C I t kr� ! + /f� I
SAV: not sure yes no { �,��Q ` L - --I _.i
Moratorium: n/a yes t�10 i
I -1 1 I a ■ I , ....
Photos: yes no � _ � >._. ._._ �_.._.._ .........._.. ........._
Waiver Attached: yes no I 1 I 1 .
A building permit may be required by: / /f i . i '1/See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions &
:4
11.5)-1 it y �, ,�G��\
Agent or Applicant Printed Name PermitOfficer's Printed ame
tgu1 .fir //
Signature **Please read compliance statement on back of permit** Signature
) .yam y 911 - rev - 3O7 - - - `i ici ;- 7L, 71
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 Rul9s Applicable To Your Project:
V'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 I 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 252-946-6481
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

ROY COOPER
Governor
MICHAEL S. REGAN
secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 026.0233 & .0259. The
Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees)unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six(6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance and monitoring efforts. //
• Pre-project site conditions: L� /S m r1Lal h€O lawn coils
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
that all information provided is complete and accurate.
Agent or Applicant Printed Name Per�(mit O er's ignature
� At/Otr 2,620
g ApplicantSignature Agent or Si nature Issue Date /
CAMA GENERAL PERMIT#: —4 7
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington,NC 27889 1252-946-6481
Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

Authorized Agent Consent Agreement
J 4Mt ,herby authorize Tobin Jay Tetterton of
G(Property Owners))
TJ's Marine Construction, LLC to act on my behalf in obtaining CAMA permits for
the location listed below.
?ROPERTY ADDRESS:
U e 44Co OV-10
U�.
PROPERTY OWNER'S MAILING ADDRESS:
c q►� i e
Phone No. ( 3/ //7
PROPERTY OWNER'S SIGNATURE: , /, `/ 4mo PAraPP /
/w
AUTHORIZED AGENT SIGNATURE: �►
TOBIN TETTERTON
DATE: .Vo2,lj 249 , 331
c,/
\V/Authorized Agent Consent Agree.

f
TOWN OF BATH
BATH, NORTH CAROLINA DATE F-2-77j a 6
BOOK NO. PERMIT FEE PERMIT No.
/
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE ( )
Name & License No. Address: Phone No.:
38'X./4y ra e, 11()G
OWNER 0UGn., . 4effuL5 Ociti, N ai7dvdX 9/?-63/-Y : 7
CONTRACTOR 1 t)s tYlarc► e oQr4S`f Qi j t 47r-6O 6::$Sa-9Y3—• 77
DESIGNER
SURVEYOR
ELECTRICAL
4
PLUMBING
TYPE OF IMPROVEMENT
NEW 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_ai j;�/-414-/%f/'/y(, F'i7 ''/.Cz3
,� t
Number of off street parking spaces Contains rooms and bath(s).e �w_
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

1
BUILDING INSPECTION DEPARTMENT COMMENTS:
u 125 ,44 E.4 P F v,otp,c,,-cb,rz i Ca•vc_Fe ,
GA,g4 tl.J(LI X PP to ve Ta74(._ f-EAIGTtf oG /6t e..
Ta Tdc_ MLL.o wA 15 LE - IV Tzr /ki-a 25,46x c_k_ c
I', u ST 7Z 4 it.4A'#J c- $s T M,v (a0'
GENERAL COMMENTS: Cspn /jC QA) 0 T (�D o�. / .eI- 427 S ' � '" Q }
0 ' Y ,' ' /4'0-7C0!'rn a /,ec 1°2Dt s / _TJto// / fir
,
CITY LICENSE NUMBER: 6G�d ! U /71- ///s
f
Contractor/A ectrician Plumber/Heating
Application approved by: /o s) A ,ia• 28 -
The owner of this building and the undersigned agree to conform to all applicable laws of the Town o •
North Carolina.
L�`
Signature of App scant •
Effective 8 10 04 there is a $50.00 filingfee for allpermits, includingzoningcompliance application./ / P PP
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.
i
1
i
1
1
t

[e-mail]
From: Bubs Carson <[e-mail]>
Sent: Tuesday, November 17, 2020 8:03 PM
To: [e-mail]
Subject: Re: Pettus - 438 Kirby Grange Road BATH
Phylliss,
I replied to the email but did not hear back. I spoke with CAMA(Ashley)this afternoon and he confirmed the projec
was within the CAMA guidelines for coverage, setbacks, and length. You can use this email as confirmation to proce:
Bubs
On Mon, Nov 16, 2020 at 10:32 AM<[e-mail]>wrote:
Hi Bubs, I never got the revised permit from you. Please advise.
134314s B RUoo(ara
O ce 7vfaneler
TJ's MARINE CONSTRUCTION LLC
PO Box 125
Pantego NC 27860
252-943-6677 •
252-943-3949 fax
Virus-free. www.avast.com
St

u.
ADJACENT RIPARUN PROPERTY OWNER STATEMENT
0 1
I hereby certify that I own property adjacent to C L it c ,±0- f j^5
's
property located at 367 / (Name of P ert Owner(471 e 27 ( 7) '.
w e---
on 1/33ck n'rek (Addre , off, fo Roa me.) l
r�� ' in A meal u t�Ji" - , N.C.
;JJa�ceE•i3odys �"'
(City/Town and/or County)
`_ . '_ The a plicant has described to me, as shown below, the
e development proposed at the above
�I have no objection to this proposal.
,._ _ I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
i 3
fir' /?S '�/�
rQ/ 1brin / ' x /‘
F::Vev"- 7 \ • — , 1 --, (:::),
/6/er' ---, kO Lie/ C }1(.- n ec,
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vir '4. -/-- 1/2(2,5 (2-A6 ve d ,
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} AIVER SECT 2ON
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 b\ "
me, (if you wish to waive the setback, you must initial the appropriate blank below.)
L I do wish to waive the 15' setback requirement.
J I do not wish to waive the 15' setback requirement.
''r erty Griner information)
(Adjacent Property Owner Gnformation)
a.eXelIfi" / � f-`�. /;:. ' Al- , .1I/i d'
U e za'tztre''
tit. �r' l2i;�c�_� e'eru o a/'24L�e 5s/
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Telephone Number/email address >o,e Number/
k tuber!i`re 4z03s 740d' .
/O Y S �0 Tefeph/otae Number/email address
Date �l I ��7�
Date*
Valid for one calendar year after signature (Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to f G n...;j ,j(J (,
's
'�Q / � awe ®fiP C property located at U �, rV /�� 6 � � t
7�-'�G nAc
e�} (Addresfs, t��, 10 oa c,)onin . ' Yt e u4,---�� , N.C.
(1''Jaterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
„`::y I have objections to this proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
i 9 ' / 7 ci --/)
P/ ./ i Orin / ' / /‘ !
F:296)(s- ,, , i --, (1::)
/6'e c- ---,„ (co oe / C .,(,-LlS� i Qf`CCcJ
f 6 /, 1 �i�
41e ,,, -/-- h 0,5 aAa ve
.::;Scent WAIVER SEC 9 EOM
P;a,^.err; I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
Ct.:.er must be set back a minimum distance of 15' from my area of riparian access unless waived by
',lust 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.t,IK 'llil do not wish to waive the 15' setback requirement.
(P} , arty OU1ner Inf©rmation) PT
,t
(Ad' cent ro erty Ow r Information)
cr ', I
are •e*
i 2at
� ' UGC : l e � .5 er �/ red GuJ I-)
P,ric orT eN r Pri t rTaT peN me /
� j � /1,.rt y CL- Ci g'e /i`Uril u r° / 1 '- e /ail e�, .4,-A a�-.
gAc`dresG ' / ��
\ .ing A dress
•
tr tj�/Zi/ City/State/Zip �J C� ����'
Telephone Number/email address `�.:-gam y2j
S �� ///
Telephone Dumber/email address
/
Date /5 ,iil/1 L
Date*
"Valid for one calendar year after signature* (Revised Aug. 2014)

TJ.'s MARINE CONSTRUCTION LLC
P.O. Box 125
Pantego, N.C. 27860
tobirvi otricounty Con.
NC General Contractor's Licenses No. 68281
252-943-6677 Office 252-944-5555 Cellular 252-943-3949 Fax
October 28,2020
Walter or Dorthy Hawkins
74 Kirby Grange Avenue
Bat
h NC 27808
Dear Mr.or Mrs Hawkins:
Enclosed you will fmd"Adjacent Riparian Property Owner Statement". Your adjacent property
owner Juanita Pettus would like to have our company install a 8K Boat Lift,construction of a
125' (+/-)Pier, 10' X16' Platform, and two(2) Finger Piers with a cover extended from theses
on her property located at 438 Kirby Grange Avenue, Bath North Carolina in Beaufort County.
(see attached drawing on back side of Adjacent Riparian Property Owner Statement")
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 30 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!iueotricounty.corn
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,
T.j s Marine Construct E C
cpio 0, 40 040 0../LZ
Phyllis B. Woolard
Office Manager
/pbw
Enclosures

•
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■"Cemplgte items 1,• , d . *"'...;.., } • A. Sire
Print yoit■ name and addfeas•�ISithte+reverse X W4 � ,O Agent
so ff atytte can return the card to you. � -'k• Addressee
• Attach this card to the back of the mailpiece, B.
--.Pi)
" C.Date of D=livery
or on the front if space permits. / l
a ICr��
1. • 'cle Addressed to: D. Is delivery address different from item 1? CI es
} If YES,enter delivery address below: 0 No
' 1/1)4 ite r CV 4 6!aVe' ven a e—"
1111111111111111111111111111111111111111111 ❑Priority Mail Express®
IIII IiI (I'I II II�IIN(��!��)I I I I 3. Service Type
I'll ❑Adult Signature Restricted Delivery ❑Registeered Mall Restricted I Certified
9590 9402 5121 9092 1247 36 0 Certified Mail Restricted Delivery 0 RRetu Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service labeQ ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation"'
❑Insured Mail G Signature Confirmation
7 018 3090 0001 9391 6470 ❑Insured Mail Restricted Delivery(over$500) Restricted Delivery
__
-1 PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ,
U.S. Postal Service-
CERTIFIED MAIL® RECEIPT
o Domestic Mail Only
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rr Er. Certified Mat Fee
Rl $ '9l
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