79706_Kay Allen Cox_20210507

6CAMA/ ❑DREDGE & FILL �D f Co?,4V� N .()
0 79706 A
GENERAL PERMIT D
Previous permit# tJr)`�
JJ'4ew ❑Modification (Complete Reissue GPartial Reissue Date previous permit issued 1.114,
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 I5A NCAC 0 3 Ic . 12. 0 -
CS/Rules attached.
Applicant Name- __ __) -- -// _ Project Location: County . .e.cs.4- it k_ ____
Address to 55 'Awl/6 k S. WI_-_.-.- .____ Street Address/State Road/Lot#(s)
City V5e *\ -_ __ State N.)C, ZIP?1' 55 1.0rS'S. r. .gres..2.(::: S R.c. --
Pkono#(2 4 i 1-Ls4 $_E-Mail Subdivision
�
Authorized Agent / J G, ,--- l!1r1ai.4 t,c CeAJST1 City_&9 7` _---___._ ZIP_--- ----------
Affected O CW ❑EW 5(PTA ❑ES ❑PTS Phone# (Z Z)41'4-tot.*IIRiver Basin e97-go 8
s DOEA ❑HHF L.IH ❑UBA ON/A
AEC : G PWS: Adj.Wtr. Body __-,,Cy k___p-- .e__--(nat1manLnk�
Closest Maj.Wtr.Body�r !1"-c41a_ __�/__ V
ORW: yes / no PNA yes noS>hlGyl('
1 �J /.2',c n bz
Type-of Project/Activity ?3apose £-i$?3 / i'/ x 5) 1 cr •GU/) `, / - Flee,
9/AA- yv oZ �t V leg S -t-a � rnk."I S i p. (Scale: /if _go/ )
Pier(dock)lengthip'1(5'5'
Fixed Platform(s) /`t A 115 f i 3 h1/�p`1,. e { j .._ I __ .
Floating Platform(s) _
1.tr y
Finger pier(s) �.. ' : •• : +_ _
-
Groin length - - :.- f -
number i
Bulkhead/Riprap length 0504
LL. .‘.xe/¢ 1`21. ' ,
avg distance offshore i P tt`l- 4 i , p`�T 4,` N
max distance offshore --4_y,51;e• fir_ ' •
•_ _ , 'r'Afd 8a` 1
Basin,channel . -.
cubic yards . . .
i
Boat ramp - -L`p ._..
Boathouse/Boatrdt �' ss' sf'
Beach Bulldozing 1 • -. _., ' i • ` ` ' {
Other 2 ►‘1r+5 s 1._.._ ..-- _- . J._., -_ -► -- -, . .
'P ° I .
few' w.ck51 fQ! -
aWc, Ww4 t
Shoreline Le el,.
fto.......1e$St4114•11k6Vt4.4 (! _
Length .... A I I4*SAV: not sure yes (j ¢ter �
Moratorium n/a yes ) 7ib.6♦ ki.,f 7 41, jj� . . . .cox p�tr�, '" . f"cop
Photos: yes G I b P/ . ; i
WaiverAttached: 0 no �PNp _ 5 trill. A •Cal :__._, ._�.. - .A building permit may be required by: DW y 6 ? . (XSee note on back regarding River Basin rules.
(Note Local Planning jurisdiction 1J `
Notes/Special Conditions 1/ fp/t,sGt 0 / /r"Y "i yu�`k� ' °"?//eye-< e.. T3. 4L- C\ ..L n
tir ,//GAh 7 t"d`( heti/G / b Hy,r aJ/O�a F. 56?.. . �Af- ri,►
/ . � fXte..e 6 Vdp42-d-? Z0-1- i_5 mar.--kr4r-di /eia- A..,{-e d 0c e c
r i 4_ IL —L v 44 11s4p(e,,// dk--0,4.-, ),/�
':eat; p scant laced Nu..)51..a.o., Per tOffi ' rinted Name
Signature Please read compliance statement on back of permit** Signature
—_ -- �` ea b©-O=�— /`aca53 —/I'1uY Zp Z� - SCAt 'Zoz r
Application Fee(s) Check# Issuing Date • Expiration Date

' t- ROY COOPER
Governor
kfit
MICHAEL S. REGAN
Secretary
CoENVIttoM4INTALol aumult.nt BRAXTON DAVIS
Dtrector
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 028.0233&.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 andjor land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
1. 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.
a. 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: 41- 1_1 /7141•1 i Tom G� 1.r ji
to 4 7/-e5.
By your signature below you agree to be held responsible for meeting all of the conditions listed above an ver'
all inforrna 'on provided is complete and accurate.
t r Applica t Prin Nam Permit Offi s Sig ature
Agen r Applicant Signature Issue Date
CAMA GENERAL PERMIT#: 369 S
State of North Carona I Environmental Quality!Coastal Management
Washington Office!943 Washington Square Mall Washington.NC 278891 252-946-6481
Wilmington Office 1127 Car5nal Drive Ext.Wilmington,NC 28405-38451 4t0-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557; 252-808-2808

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to 1'y //len eiox 's
e o roperty Owner)
property located at_ �, � t L f/j � 6
can `3726)e4_ (Address, Lot, k, Ro d, e$c,
on , in
( arErL©d� .1/ , N.C.
y) (city/Town and/or County)
- — The applicant has described to me, as shown below, the development proposed at the above
ocatioa,.
:._-L:. `i l.r� ( have no objection to this proposal.
"'"r I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED
T
(individual proposing development must fill in description below or attach a�site drawing)
ce7,1)6 exits i� /?.• 7
i e ivevi rnfi.'-/v4e)/L-)
, ,Zepie-e a),
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c
dc - mt9oiry t/, -.' -5
____ WAIVER SECT/ON
.,,c;2: , i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
__' must be set back a minimum distance of 15' from my area of riparian access unless waived by
—_- me. (If ypu wish to waive the setback, youjmust initial the appropriate black below.)
I do wish to waive the 15' setback requirement.
i do not wish to waive the 15' setback requirement.
Pro Owner lnformati ) (Adjacent Property Owner Informations
4e,-,_ ' A-
Si 6 re
j Signaturc'k
Prior or T e Altg74C. V �7
4dr�Eee.A5 , / Print for T Name a r'
� / 3LiAie Itia0g Address
, Zip77 7 f / 7e - City/State/Zip f
b r 191— 11
Telephone Number/email address
Telephone Number/email eddrees

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that ( own property adjacent to y //�/1 0/1( 's
ex_57...5-
! e er roperly Owner)
property located at � a
on
4eCi : n4eeA" (padre in Lot, Vic, Ro d, le. /' N.C.
(Water body) (CitylTown and/or County)
- -. The applicant has described to me, as shown below, the development proposed at the above
locat'p n.,
__.__ 7/✓ •; ; have no objection to this proposal.
I have objections to this proposal.
MESCRIP a aO AND/OR DI AWi\IG OF PROPOSED DEVELOPMENT
(?ndiviclualproposina development must fill in description below or attach a site drawing)
----1
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,: / - f/� Tm T / a C
/q071 f
;;;17 --- /771)0 ie>1271 / Ts
.'_- 7'WAE ER SECTt3
i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
..:::i...- me. (If you wish to waive the setback, you must craiti&the appropriate blank below.)
7i� . i do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
`��~c_c "zy Owner lnforme.tior (Adjacent Property Cymes Information)
7,/;',. /X/E--- 1._ 0,____&z.e. ,-. -
• ----.._
1 Sigp e �, *
Si pp��ryya��re
./ b'' yr
,� / r
.c. � � �. �l Q'7 u
r tpt o r s e Print or Type Name (^
j81
, dress Maili g Address I �� ;
/3 iP City/State/Zip
7/�� ���� � 2- 7/.7 5 72 i p //4i. "}^cl.
Telephone Number/email address Telephone N ber/email address. --i� 4=_ u
Date Date
(Revised Aug.2014)
"Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER.STATEMENT
? hereby certify that ! own property adjacent to /h/t Q j
/� t!�,J� s
roe located at As-Ls d'eiyise Q roperty Ownerp p dY � ��Q
on
r O 2rñ (Address, Lot, k, Ro d, e .
'Waterbod ' �'�'
t Yl (City/Town and/or County)
- - The applicant has described to me, as shown below; the development proposed at the above
io ton.
'' I have no objection to this proposal.
Adjacent
Property
Owner I have objections to this proposal.
Check one
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
---'1
uPet n.0 e X/c7' /c-2c' , /. ,
it /vett' exc.5'7,-/-w .77-, /t)
, Aeep ilac al'
s''( _ ��7 7111 T / )< O
0? - /lieo iv' /1 / '` ,-5
_ ___
Adjacent WAIVER SECTION
property i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
Dami=r must be set back a minimum distance of 15' from my area of riparian access unless waived by
Cast me_ if you wish to waive the setback, you must initial the appropriate blank below.)
Initial
�.) I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback
i - requirement.
(Pro Owner Information) (Adjacent Property 0 ner Information)
Sim re g..--1,-----/ --- .ice- ,„g
Si ature*
ri to oe e v
�Ce/� ga,
Print or Type Name
Ina dress G 7te Mng Address
)---) c„,, ./.7_,, m_i , 22 PS5
T7,7 City/State/Zip
Telephone Number/email address Telephone Number/email address

TOWN OF BATH
BATH, NORTH CAROLINA
DATE BOOK NO. PERMIT FEE
PERMIT No,
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CE
RTIFICATE
Name & License No. Address
�o �� 4� Phone No.:
OWNER n 7/
CONTRACTOR rJ r,� t LC � /rim lT�‘T�
DESIGNER — 477
SURVEYOR
ELECTRICAL
PLUMBING
TYPE OF IMPROVEMENT
NEW (/) ADDITION ( ) ALTERATION: UTIDE ( ) REPAIR. INSIDE ( ) MOVE ( )
S DE
( ) OUTSIDE ( ) LOCATE ( )
Lot No. Block No.
Building located at
between_ _
and
Streets. Building to be used as
•
. Type Construction Ji.
Number of off street parking spaces 40/
--- . Contains Contains rooms and
Total square feet of building bath(s�
Electric Service
Type of heat
. No.No, of plumbing fixtures
. Foundation block caps
4 ( ) 8"( ). Corner bracing: Plywood ( )other
- - - - Tnsulatip(7; FI00r
Walls , Ceiling
Windows: Storm ( )Thermal ( ). How many exterior doors-
. Water Heater: Gas ( ) Electric( ) Other
Roof Ventilation: Gable ( ) Eaves ( ) Lowers ( ) Other
Ventilation
crawl space, number of feet apart
. Height of crawlspace under house: 18"(Other ) 24"
--:�, Zone . Water and Sewer Tap: Paid ( ) N/A ( ) Size water tap_
Size sewer tap: . Total Estimated Cost
Flood elevation

BUILDING INSPECTION DEPARTMENT COMMENTS;
NERAL COMMENTS:
6 s41fr ern e , ' S 3 A er , •
491,12
ONMPTSIMpronm-AM
,�. — 4cuJ ter. ,n1
CITY LICENSE NUMBER:_ _
Contractor C
Electrician Plumber/Heating
Application approved by:
The owner of this building and the a undersigned agree to conform to all applicable
Bath North Carolina. pp cable laws of the Town of
Signature of Applicant
Effective 8/10/04, there is a $50.00 filing fee for all permits, including zoning
Any construction that requires installation of water or wastewater servic compliance application.
A) Be installed by owners, contactors or es may:
B) Be installed by Town of Bath Utilities Department
All components must be compatible with existing water/wastewater materials, including
Bath Utilities Department must inspect Mvers pur-r,ps,
fee is 100. P rt aII constructionprior
$ 00. to services becoming operational. Inspection

; 1\01
?1b l? da'Vd TILL-„05 oR1.7�ro�r� 10-„� S j _v. A Q <J I ')S S
G
G Z3Id fvv •2!7 1� I '7/of/�
/ 91y 11 '190)4�r Z 3-ay
'7aO J. S I

Authorized Agent Consent Agreement
A-94y 4/1./ ( ,herby authorize Tobin Jay Tetterton of
roperty Owner(s))
TJ's Marine Construction,LLC to act on my behalf in obtaining LAMA permits for
the location listed below.
PR,OPPESRTY ADDRESS: ✓��
(&'d,41"<S' /
cdaW NG C27��e'-_
PROPERTY OWNER'S MAILING ADDRESS:
C ccQine
Phone No 5� -7/7- li 76
PROPERTY OWNER'S SIGNATUURE:
AUTHORIZED AGENT SIGNATURE: a
TOBIN TETTERTON
DATE: L5 -3 2i/
W/Authorized Agent Consent Agree.