79102_Stacy Thiedeman_20210412

A. CAMA/ ❑DREDGE & FILL n3 1[ 59- N9 79102 AGO C D
GENERAL PERMIT Previous permit# I-4 brAt
>= ['Jew °Moddification DComplete Reissue DPartial Reissue Date previous permit issued 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 co 3.14.... 12. 0 .
..•�; jgtules attached.
1
Applicant Name S AC Y ` J 4-0>Errn2, . Project Location: q County ]e �P-oy" r
Address I 121 �` mtvill-_5V" Street Address/State Road/Lot#(s) Igz,÷ 2
p
City a__k;fh State hit Z1P2 FtVl^tVst --__CO tdir#_._... --_.._.._--
Phone# )'�s .brier/E_Mail _ i wNdtf�/l +`1'"Subdivision_M
Authorized Agent el _t Ilene - .S c 4-. _ City. giv,IN _._ — ZIP_2- v
0cw [JEW XPTA ❑ES OPTS Phone# fd 3`/"4'9�
(�1 ) River Basin'�fr, '��YY1
Affected 1l
CJHHF C!tH `JUBA CI
AEC(s): OVER Adj.Wtr.Body ► eft E K iirth man funkn)
0 PWS:
ORW: yes / no PNA es / no �V�,AY�O Closest Maj.Wtr.Body—��1'+ti�.l-�C.c> Q�V_
Type of Project/ActivityS6ii lY >liO p «� taVt/ W¢DO) -- 4 ip )[1Q0•Prd� jt� 241"
,4 ,set Tik e!"� 13 x 21' ?t ek�,-�tr. 1�T t3/ f")►`�' � (Scale: /,, ' )
Pier(dock)length 10 X IQ e. k C4 S L k�
li
Fixed Platform(s),l�j'x t I ,?/`r. i✓RT _ GgGea'
Floating Platform(s) �+�.
Finger pier2CZ
s) y " 'STX[/ C i9' --
Groin length _ _y. .._ _. _.., _4 p Pa t! --- .
number ' ; I . —
Bulkhead/%prap length
'�"r 1�\
avg distance offshore Wit,I . I.1 7 lad
max distance offshore I -ill.-
! _ ,
Basin,channelt1 '_+ l t
• j
cubic yards • _ 1_i„,-- - f. rsil:zitt„it:ar- - . -
j, e!, t _: `t
Boat ramp l/ ; • r +v ,`` ill. IIt~
i 1 �` R bi Vt
•
Boathouse/Boa IS,;' — . . . .. y . . ._ _ j I. .in e1�.d..t. . ..
i r - i A tl V0
: .j - . firs'' , ei-s
Beach Bulldozing : i 'f . I
Other &bt net r ` - - . .-. V, _ _4__4-_ ._.._ ._
bo
•I iJe tiq 4j r �� I
Shoreline Length 1 q5 + eiv [}
SAV: yes no / . I i 4.04.: d-�
49
Moratorium: n!a yes h �r'N�g •.• •. ••• ' r
Photos: yes b; . . 1� �, g p j /L..
Waiver Atite‘l"oJ: yes no ;. - �1.-- R'ss.- 0 _ _;1, _. N a 1`. i .... - -! .___._ _ . .: I
it
A building permit may be required by: pt!q U It R ( S&& }t y See note on back regarding River Basin rules.
(Note Local Planning jurisdiction)`- * f j ,j,) j
Notes/Special Conditions J, At)eoi e[.) IA)!! ial S I it ALA- 0-9 l�(S k.�'tb Q yt$ jt kr,i . "Ceu i,
• s zon)rt, C.OPP+?l/phc.e G.-Mre-her _ 4pplitai,f .'VI( hit()€ 2 e f i-er€;,-
t e .'! 2- diP1. j/'t'a'.i;r /.rliu, 3r13c)- - di. •htr- //bke� 7ho1W. Pits of c rNc 4,l
- / 1. la_ 1�"S k f�l�l,AfD a ._. 3,,
Nnnted am P e s Printed Na
Signature Please read comp.lance statDe O nt on back of permit a"r" Signature
,
e f�— 2te_ `1- /5�32 /2_- ,,! 20V — z i "-.144
Application Fee(s) check# Iss ' _ --- .-/
"I^8 Expir tion Date

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY CltreClar
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 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 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: I f hqj it/456•4. w.LT/ s 4-
6 eP /21ZI Pe.1-011••• 4P'"
By your signature below you agree to be held responsible for meeting all of the conditions listed above a d ver.
inf r ation p vided is complete and accurate.
Ag App icant Pri ed a Permit O er's nature
Age Applicant Signature issue Date
CAMA GENERAL PERMIT#: / I 0 Z
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 278891 252-946-6481
Wilmington Office 1 127 Cardinal Drive Ext Wilmington.NC 28405-38451 410-796-721s
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1 252-808-2808

fi
Authorized Agent Consent Agreement
I, Staw1'Mi cd<mo"
(Property ownerts)) —'herby authorize Tobin Jay Tetterton of
TJ s Marine Construction,LLC to act on my behalf in obtaining CAMA permit for
the location listed below.
PROPERTY ADDRESS:
ZO Fc r wooal CA- .
$akh ry c_ 2-141016
PROPERTY OWNER'S MAILING ADDRESS:
•
I 1,44.rs to S t-
PROPERTY OWNER'S SIGNATURE: 067)144.
AUTHORIZED AGENT SIGNATURE:
DATE: I BO ^zoali
WI Authorized Agent Consent Agree.

TOWN OF BATH 3 , /7 Z
BATH, NORTH CAROLINA
BOOK NO. _PERMIT FEE
PERMIT No.
APPLICATION FOR; BUILDING PERMIT( )
ZONING COMPLIANCE CERTIFICATE ( )
Marne & license No.
Address: Fc 0" CY
OWNER 4_ - 26 ,Q�.r/ Phone No.:
CONTRACTOR 7`c)S riAC it. Lie / 1 0x `�y9- /9.5
DESIGNER ° �G sa � —3—G 7
SURVEYOR
ELECTRICAL —'—
PLUMBING
TYPE OF IMPROVEMENT
NEW a) ADDITION ( ) ALTERATION: INSIDE ( ) REPAI
OUTSIDE( ) R• INSIDE ( ) MOVE ( )
OUTSIDE ( ) LOCATE ( )
Lot No. Block No.
Building located at p
between
and EcenjAjaa a -----_
Streets. Building to be used as
• Type Construction /' /a /
Number of off street parking spaces_ �/�q
. Contains rooms and
Total
square feet of building _ bath(s).
Electric Service
No. of plumbing fixtures TYPe of heat
4 ( ) 8"( ). Corner bracing: pi Foundation block caps
Plywood ( )other
Walls — - - - -----• Iiiulation: Floor
Ceiling Windows: Storm
( )Thermal ( ). How many exterior doors_
Water Heater: Gas ( ) Electric( ) Other
Roof Ventilation; Gable ( ) Eaves ( ) Louvers ( ) Other
crawl space, number of feet apart Ventilation
. Height of crawlspace under house: 18"( Z4"
Other_______• Zone ) (
Water and Sewer Tap:
Paid ( ) N/A( ) Size water tap
Size sewer tap;
Total Estimated Cost i
Flood elevation i

BUILDING INSPECTION DEPARTMENT COMMENTS:
v t., .uiTlZp -Zl
s,
ei mo K.5"' /64 Off. /3 x L T —_
T '�A'`c/ / i -'`STi77oc/ 'c//L/.v
e
/.et6S ��v6 �� � So .e7Tii�jK,v
GT�,p 6tenJ �i*T1y C,t � . LO��
GENERAL COMMENTS:
CITY LICENSE NUMBER: -- -_
Contractor/
Electrician —
Plumber/cleating
Application approved by:
The owner of this building and the undersigned agree to co
Bath, o owner
Cato " a
conform to all applicable laws of the Town of
ignature of Applicant
Effective 8 10 I /04
there is a $50.00 filing fee for all permits, including zon
Any construction that requires installation of water or waste mg compliance application.
A) Be installed by owners, contactors or water services may:
B) Be installed by Town of Bath Utilities Department
All components must be compatible with existing water/wastewater Utilities Department must inspect al! construction prior t materials, including Myers fee is $100.00. pumps,
services becoming operational. Inspection
(-Cr,- /(/( 5 sacc-
2. 2r,zI

14-S-
[e-mail] 61
From: Nancy Helton <[e-mail]>
Sent: Tuesday, April 6, 2021 3:07 PM
To: [e-mail]
Cc: Andy Singleton; stacy cristman
Subject: Re:Consent for 20 Fernwood Court Pier
Hello Stacy and Phyllis-We have no objections to thepier as drawn for Lot 20, Bridgewater North, Bath, NC, but we do
not wish to waive the 15' setback.
Gary and Nancy Helton
919-630-4958
On Mon,Apr 5,2021 at 3:30 PM <[e-mail]>wrote:
Please see attached drawings
Ph,ylls B 'tloolard
Office 7v(anayer
TJ's MARINE CONSTRUCTION LLC
TJ's LAND DEVELOPMENT LLC
TJ's CUSTOM BUILDING INC.
PO Box 125
Pantego NC 27860
252-943-6677
252-943-3949 fax

1
Si-ae y TA :deQ
lt
'° TOO FERA i-A'""°D°" LOT 20 FFRNWOOD CT. PROPOSED PIER LAYOUT
ST1 FINN
3-MAR-21
4 •
\ 1
W Z W W y ; M,�
W •V 14/ v 1
BUMPER PILINGS
v .I, •y •L. 1� \ �l/.�
1 1 • �
•}' •l. `'' \P Z NI/ 1 D BATH CREEK z j_ 13'
F
FINGER PIERNI, NI, LV ON MaGAATLENGTH
� y w1 +- � 1 SHORELINE '°'RAB""'� Pi
Aa
_ EXISTING BULKHEAD -_ 2LY 1.5'
.y(APPROX.3O'HT.) 1 W1 JlM p 16' To N
,/ /S.
d *I-,.- _.1/4
4 say'{PI[R OVER WEruNos)..1., T, ia' j S'�tPLtr in in
A13'
'ADM(ENGINA4tl� n b
Yv��tgg''OEPENIMNGGON I00'{PIER OVER WATER) f 13' N
W I r¢ E4TI 1 .y Cif
113'
a ‘1, w i;. w 1 �M (4} Y
PILINGS WITH BK LB
c 1 L CAPACITY BOAT LIFT
.lam W\ .y \ h�
PROPERTY UNE 1 \
\ \
\\
PIER LAYOUT
SCALE: 1'=20'
1 7-0 5% }

4 It
PROPERTY OWNER
STATm, et-:,ti
hereby ce, iy that I own roe _.5- �i ,
P P i-ty adjacent to
proparty located a U ' , ,s :
�1�" �m s�rel4s 160€�
O l._____ca_ J� { rt-
ddress,Cot „.lock, oad� t e'
: •
ill
The applicant has described
�OCait�Jt to me, as shown below, the d2V^4pt�r rani proposed atthe abovelocativ
ec
1
S.
i have no objection tion to thi
s propose!.
!
I have objections
to this proposal. vbj6 r?r reJy�wt3 5 7/z o vex P 4<
�J�'t iEr€ ESc^ :o.�,oys .j DESCTV.P DN AND/ORnR iiif ,13 OF P zORY, 11 3 „„'17 � t1�kki �Cy j
• et.eiopene,;:Z muss RI! ''escdptjo„_ 1,31 w or ^'-
/"1
f- .-A)
„r ,/ ,/f/11 ! ��1/ice
......„......_________77
Oaf ea,//-C .7?r f, .,2/1-i/_::/
gA-- •
O - '
f) / /"1�—
ucL✓ripe 1' '
i understand that a pier, dock: mooiing WAIVER'
r�ipilings,DIVE' SLR" ON
must be set back a minimum distance of 15' my ramp,
breakwater,raier, boathouse, lift, or groin
me. (If you wish to waive the setback, you must Initial the a riparian blankaccesslow.) waived by
appropriate below.) •
-----_ I do wish to waive the 15' setback requirement.
--__V___I d' not wish to waive the 15'setback requirement.
ill're ebb-'%''°3,trr+es rerrnaftV _
U�/t1L Property Y Owner!if,.ac`CAGeti f.
Signature
_
.�/a� :4.§r titre
Print o, Tirpe Name < tC� J(`
1(2t �9r;t,�,� ;? Pr' 'or oeN me Q
mail 7AdrJress --' J /�C�
Pam.! L, tut_ 2-l� g •Address t -
City/Sttafe2i C ,�."6
S I A �-r S+s�na.�etfwf coN City/SStat ip Q
Telephone Number/email address - ` 2- / 7 - 1 a 3
Telephone.tom_ 1113�!`iTelephoneVr/ mall adds s
are zD 2IS
Date
Valid for one calendar year after signature- (Revised Alfa. 2tJ�4)

a
Grandy, Ashley
From: Russell Duke <[e-mail]>
Sent: Friday, April 9, 2021 5:57 PM
To: Grandy, Ashley
Subject: [External] Lot 20 Fernwood Court
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an
attachment to Report Spam.<mailto:[e-mail]>
Regarding the CAMA form for permission to build a peer for the above referenced residential lot, I really don't
know what I could have been thinking when I signed the form indicating that I have objections. I have no objection and
you have my permission to change the form to "I have no objection to this proposal. "
I am sorry for any trouble with the inconvenience this may have caused.Thank you.
Rusty Duke
Sent from my iPhone
1