84977_Sandra A Tankard_20211101

a£cu r�t�yM r. J N < 84977 A
s « G �� ' �t/ Previous permit Ali*
s
PE fi �� Date previous permit issued JAI i pi
{
New ❑Modifcation ❑Complete Reissue El Partial Reissue • I
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 0-4 tie 17 a Rules attached. General Permit Rules available at the following link:www.dea.nc.gov/CAMArules
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Applicant Name 4 1'3` P y'. };•• i \i k'`74 I j Authorized Agent Yr Sri f 0Grr,,,e ,0,1$17
Address - 99s ( •,z y-'J&1.4 t S'MEET p c Project Location(County): Vr isC.i-Ft:,re...-'
City 33 AT AState t.-t C.. ZIP O0 p Street Address/State Road/Lot#(s)'
Phone#((5 ) 11'3-5-50 5 a C .vEt;4 ST:
Email Subdivision A/bl
City '4714 / ZIP o�-"r 6.
Affected ❑CW ❑EW TA ❑ES ❑PTS Adj.Wtr.Body / c_ C2
i E7. < ,na/manfunk)
AEC(s): DEA IHA UW SPIMA PWS Closest Mai.Wtr.Body P1-'}t'v'\L.-y'k..o R•t'J tv R.
' ORW:yes no PNA: /no •yhaq
pp J
Type of Project/Activity. -Th`f4/I (0 X V ed/a lb" ' z..- A. „„) i f�
> ! .e g� � ?Gsrri . �
(o X E� 6- 1p/�e,wa rDi�•; ''-tn-, ,4 � yArm- 404.4 1,4-, AC. w �'t.C�7z1 pk -t (Scale:/"--)
Shoreline Length �' -a s2-p rxC� y /5 raCz�3 1?- t i_
rr__ �- 'ra � _''thSC"tC( rp vro� �<«�r S�i.,
Access Length t�> 3C
Pier(dock)length l9 r N' I�' � t,
Fixed Pla tform(s) g './ X lb*' a� r
x I o I? lb i - /
Floating Platforms) $ i
evtSS i yY 5 m, } 4 � , L i w r'�'�"
Finger pier(s) 1ti N 1 /'
Total Platform area q Co Q-CH- !
Groin length/# �' � ) j,`f�'S -
Bulkhead/Riprap lengthkJ`�$ r ��U
Avg distance offshore x��(4I/ ?"-5./,
Breakwater/Sill f4.- l
Max distance/length eP POlvil a.- rf�1 tf /-
Max
channel a(
Cubic yards ��� �`ty<
Boat ramp • 1)' G'-Y` t
v 7
Boathouse/Boatlift r s r 4e srt.f
Beach Bulldozing t.,(
tr. b � y
OtherOtt
---2.A * Ey4 k-li,r, DIACACif Eprj ' .
•
• SAV observed: yes ho. 53 p. /t
moratorium: n/a yes "_S' �1 "..",. Tb ", -r1. ,1 4 t
Site Photos: yes o $ y, „A is''''' 9m�� t c
Riparian Waiver Attached: (Ds 3( ' .P!_A- T v3 `E Cc ,
�.� n oP
A building permit/zon ng permit may be required by: OlJ' e)E- f�t c
Permit Condrritions / ,t, si t / Ain , Ge.)��.yf<I//2 ,?n � �M/NEUSE/BUFFER(circle one)
/tom.f 4 rXI-4- �,"/ r,,�*r,1'c1 cs 5i/_Ci°iSh YC7 d /V?) 4ii7 i" .�' See note on back regarding RiverBasin• rules
7-5
+I�j p / p See additional notes/conditions on back
ClO 15ei. 0bl 'e°v tie GCS A4-% / d� IDLa.01,
0J.- 0t 7,Awts-.,, n�, /l:aya‘d• n.U-Hv1i b.
I ' WARE of STATUT ,CRC RULES pND CONDITIONS THAT APPLY TO THIS PROJECT AND(ttVIEWED COMPLIANCE STA EMENT. (Please Initial)
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o p [cant PRINT D Nam P@rmi 0 'cer s PRI D Nang ' ;
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4turtQ `�** se re d compli once statement on back of permit** Signature
� '� I 14t 202 '- / -_ J) y - r;02
Application Fee(s) Check H/Money Order issuing Date Expiration Date •

'&^R k� F3 r�
'C.�R'a ROY COOPER
ti
q s tttx' Governor
� ' dew MICHAEL S. REGAN
Coastal ManageEnera secretary
ENVIRONMENTAL QUALITY BRAXTON DAVIS
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 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.
i
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.
a. 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.
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a
Pre-project site conditions: 61- /.5' /91 ," )tee(, fa.Litt
I
By your signature.bel w you agree to be held responsible for meeting all of the conditions listed above nd ver fy
all i f rmation rovid d is complete and accurate_pt
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n r plic nt rint _c! aane ,, �.""'�� .
•
Permit CyfFicer'sr gnatur2
Age or Applicant Signature ue Date �� �
G' Issue e' '
CAMA GENERAL PERMIT#: V,�
State of North Carolina I Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 27889 i 252-94ir6481
• Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 23405-38451 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC28557; 252-808-2808

,yo�°`t°�'41 cCgCAMA I I DREDGE & FILL N° 84977 A .6 C D
z = GENERAL PERMIT Previous permit
Date previous permit issued 14/14
' New ❑Modification ❑Complete Reissue _Partial Reissue
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 07 lie t Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name G 4 op (tj 104 �9� Authorized Agent 15'$ Q � .s�Y�
Addressn Li A C uE t4 S'-RFT Project Location(County): 5E4(�1 E5'tZ�
City Jp#T I-A State NI C ZIP /3�-4-230/3 Street Address/State Road/Lot#(s)
Phone#(v>5 -/ aj 5'5 5 5 (4A Ceavo ex.\ sT. -
Email - Subdivision r\//A
City ram✓4714� n-` r-�/ ZIP �q OS'
Affected CW EW TA I I ES u PTS Adj.Wtr.Body �34C cI C E� `- na man/unk)
PoI
AEC(s): OEA IHA UW fl SPIMA PWS Closest Maj.Wtr.Body "nL� o � �C p
C. �
ORW:yesa) PNA:Q/Ino Zn/q
Type of Project/Activity- h 19 4'x4,d` Fig to , !/�B x�� L.- bcc,) ptei4 ornn 4r
(fl)( It' S�•cP`)Dc L plac �o`r"ri® / ,y $, kPre- ft,ca�ro`` a� fd ) pier_ (Scale:/"-34
Shoreline Length gg T 7/-N� Rev ace_ to X /S/ 4—Cif Y e 1'- � -y1s$k(l (D( rr;& q 4c<1/ S'Iai\r I
Access Length C9' T( 1 C/ l _� I � � �
/ r / , , ,
Pier(dock)length & s( I i �; 4-11.-' ��- I I*
O Q( I- - _ 3 �_' 1
Fixed Platforms ��a I - - - - i -- I al / r I —
' I_ '- f ' - 1 `'eft i 14 _
Floating Platform(s) - - — ' '- 1 _� 40 `0 _ ���
Fingerpier(s) I_ t- , lat. '
Total Platform area 4�7' v I +1...1.1_�I, C ._ . ` 44. ,
Groin length/# -. -
:
Bulkhead/Riprap length -.----- - - --; ._._:_._r_. _ _. . ._-i_._ _..__ _- C �!_ _--_..__ _.._._r _
et
Avg distance offshore 1 i - 1 - ( ' �j" ° -
i Ig (I1 i - -- -- --
Max \ 1�
Breakwater/Sill j - lD� I1�1 -,► ` - I -�-
distance/length � 9 � �"""� � }}/Y�� CaJ�`�"-_`'�__,���5'�.���_.r.._��_..,._ �_,. j ��,�
Basin,channel '. 1 i -� __;
r{fe6
Cubic yards i , 1t i I__._ , ,
Boat ramp a _• 1 j is Tees i _ __, ; —
Boathouse/Boatlift : j v Ii� 4'3..4 pet. _ I I i
Beach Bulldozing i 4k: i i ) , ) ( I
Other I•f E i _ W:� . ! i_ . i ` . Al tt 1 1 I I
•l�' I „_ ' EY:1� .A.c�.- I I b_Icl4_fi'¢ r
'�-� a •! I
SAV observed: yes o �1 �_ -. -' 1
Moratorium: n/a yes A. r I � � % ' �r , EL
Site Photos: es
--i-
Riparian Waiver Attached: s ,. t I ( ; C rr i
t. • --- 'Po°.
A building permit/zon'ng perm may bre required by: �1' C r s r
Permit Conditionsn r "tq d i le GI , (i<j <IS' y1 M/NEUSE/BUFFER(circle one)
oet f(f k^+ wPY (',e Ct Lel cus ex tj7L y � 'r Uj See See note on back regarding River Basin rules
6 d re\ dVer- L U � (II/x 7.5'pY,- ,dr = q®
�j� p� d / i See additional notes/conditions on back
41 (,e6 5((�Y.1 C.� j�•eit "* '�i)/Fits l�G' .4,-, ti ® `• -e>e,: -
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND17
VIEW1ED COMPLI
CE STA EMENT. (Please Initial)
Agent or Applicant PRINTED Name P:rfni,O/:ter s PRRD Name
1e
tue** se re d compliance statement on back of permit** Signature •
ir �� 6 I Jov - 2O%I '''.- i d ay - -®aDL.
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate localauthorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
M1
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

o4-°``°"sr MM'CAIVIA _❑ DREDGE.&.FILL' No 84977 A �. c D
.J .
GENERAL' PERMIT - rr j` n? : `4' � ' r -✓ ; emIt
Date issued 'NI 1�
New ['Modification n Complete Reissue n Partial Reissue ,
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 O.4.14• 12LLC) n Rules attached. , l lGeneral Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name `)-l- P.1.1)t? A r. --(+ AI p ••I.L" Authorized Agent `7"47,. .1lfL;,,+6i•r" i i,,41<' . '
Address 11,"> l_ t .2. u F. 1'-5, S +1 € Project Location(County): SF_-.ri[_A,1=cw Q..T— -
' City AT +-4 State C_ ZIP ,' , S S Street Address/State Road/Lot#(s) - ,
�r i 7
Phone#(Q 5 n)_'I ld'2) ':r•i (,' ' '�!:A '"'1^r . l 440,:e.t 5 a�Y
Email - -4--- Subdivision J )14) -•
• City Fir#1-`1 M • ZIP n o
Affected 'Elcw nEW j.. 1.I?TA >nES 0PTS Adj.Wtr.Body •1 i )C t (._( -E6: ((nat/man/unk)
AEC(s): n IDEA n IHA 'n LIW ‘ SPIMA ❑PWS Closest Maj.Wtr.Body Pi:AVti".E_X C.r> -f a.t.,)E S.
ORW:yes _:PNA:tye/no ..f.Plt(If'�� °5..
A if
Type of Project/Activity. -e at<7ft to ),O ieV' to 1444 //.- X,. .- A,—,,) -1,A, c,� . a9s
.£Vt,.
a 1 'S'�•T')0 1.,cU , c vv-, rel 4 rile- ffle. -#`' eA4.. e4=Yr.< r, .. pr1*r (Scale:f,' C)/
Shoreline Length `" 47P>5 (::)d`?r- r> Y 15 r' c`a`• rca.v--is s , !- -, 1 t,1 t',t},e ecc,rl s.i4,,, ,
Access Length £2 X--r S' I -,
Pier(dock)length ['2 yf 4: - i \
Fixed Platforms) ti Y .1 l ■ wr ' 11111111 -_ id■II
Floating.Platform(s) 1
11iflhI!hi
Finger.pier(s) Ii !flflIIIHI
1
. 1 � IflhlPUlili
I 1
Total Platform area 14(o -i' 4-2-`
Groin length/# t
Bulkhead/Riprap length 1111
11
Avg distance offshore 1
Breakwater/Sill NhhUhIIiIhI1UIU1IHhhhhflMax distance/lengthgllgi ._ �.... ,
Basin,channel ■ .. NI
!:Etllft.
ds I.
�+ aiiilliiilElulliiilliNiiilllHiiii
' r
Beach Bulldozing
• Other ' ibiiiuIIkIiiIiIIiIui
" H 1 -,- A i., -- - III II
SAV observed: yes V
n/a yes . IIihI!iflh! . 1 � !!i'L t� t I/ ;. ,r _. f, ) e C
Riparian Waiver Attached: es (LP) _ 1 �J r° Sri cail r
�} I '"
A building permit/zoning permit may be required by: �L^3'� C>1 t P�•I t/
/ # / )) TAWP/NM/NEUSE/BUFFER(circle one)
Permit Conditions r,.fi7- F Ei 9Y �aPr.,t' {4,,ovi 1. 1..v/4 , 14),'T<. iY Q"'16) ,
,{-}0.-;,f ( r -j- 6,...,1/ i f,,,gn,--r+r��i' rt. . ;' 4.S -{4,,. ,, ,YJ7 4. 44 /'e
rj n See note on back regarding River Basin rules
G,-/-'4,(P.+I X rf . Mier gt>b-Y' 1 2` (/JCr°) 5`4a`14.4.1 .10 4/0C 7">
,�{ /
z*V: s r� t ,e n See additional notes/conditions on back
4I/`C r s'" ( " ) -e.v c e,.D i,� -, f r'--l-' r,.
' 7,-AIN 7,v..ro•6 (°t,o,„'a1i.a4/c" ,.-}'•{r;, ke[.).
r - / - -
' l AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. , (Please Initial) -
1114,b if ov- 4l),el '
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name '
f l4c� ft
Signature**pease read compliance statement on back of permit**. Signature
L s\` N i 6 /-I I - Kim/ - '207,1 -- I --- j' rh;r - )r)Q 3,
- Application Fee(s) Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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: 1) 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 from the adjacent riparian property owner(s)
has been obtained;or-proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River,Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck,Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

°�°E`°"�'� k CAMA I—I DREDGE & FILL N9 84978 / A.:�$ c D
Previous permit . A!14-• • '
1 GENERAL PERMIT '
Date previous permit issued' . tj/.0
©New ❑Modification n Complete Reissue ❑Partial Reissue "
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 C)'f t • t 7l7.(- n Rules attached. nx,General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name C?J M� NIT)17 V-) '3 ' , 1 ,7,,A) k'%'4-RT.) Authorized Agent -7 �`75 4,, /Y�}7-Dle$4,.f r r�,:�1 , '
Address ll —711' # L & 1'4 S 1.-RC F S Project Location(County): ;.,7 r)r"_d 1_CL tL I
City 1%il 7 !‘ State- NJ C. ZIP �,. S S Street Address/State Road/Lot#(s)
Phone#('_i''-) .7 4 �. , i Cc Cy L ' (. !=. tX U l;: ` T,
Email --^-- ---- Subdivision '''s= i/i •
City ?=- 0 T I ZIP <4 C)-1.
Affected n cw n EW .PTA `n ES n PTS Adj.Wtr.Body )`-J r-)C `c` ;_ i C c:. ice- r"(nit/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body j w-)v-r-a 6. C e '. ca �e.: R. , /
ORW:yes/no • PNA:rye'•'�'s/no -r'0440 /Y
- Type of Project/Activity-r If e-1!i b X t-L., ,7 i(0-.r /A, rI 11 //,-- * -: I.. • i,•<-.,) , t i i-r,,,,.*+ A-
/ p J
•".• r X ( � S'4 r •f-ry',l�.)+„�aL.• ";f:: * E° •c:a a tnc--, r,n e i Y ,,, 11..6fYa'- "e r 'f r-r- (Scale:/ ,-
P;C, '
f
Shoreline Length 7L 'J ° F ,, -e,--,-e {'• L r5 ' 'tomtAt jc:t!"-- -', '"-s' riaii / to •, e ^ d• •r^''/, .
Access Length k.;r X ) I 1 I r
Pier(dock)length & /r" ,,t ; I t a,•
Fixed Platform(s) --
f
Floating Platform(s) p •�i, i
YI 4 ( { I "" 1,.
Fingerpier(s) C1_�^ i x ''
Total Platform area %.���,' :MEM
E? (-
Groin length/#
v
Bulkhead/Riprap length cc: ---r -- '4 -f-
Avg distance offshore 1 ��'" /
Breakwater/Sill ff i F
Max distance/length 1 •
4y� '2 .itu / - *i ' i ,, ` ,
Basin,channel ttt _.
Cubic yards -- ��;i'(:.9 0'
t �-
Boat ramp
(
;• js - , IIII
Boathouse/Boatlift 0 ; f II
Beach Bulldozing I c_
Other I kg -ry " S�
r , + ( .
F � f
SAV observed: yes `no ! t, �+ l
�: I -r':\•\ •t�{R'r7
Moratorium: n/a yes no,-4,, Id. Y„ ,,.`�.„,• r r
Site Photos: yes r}j g t ? ` �t L i ' '. ? 0}'!•1 L 1 -r T't-- S T
Y-, a I .')'�V-- i-k'tf iIP%t,{ 0,i� L.,.1 ) < ,r '�
Riparian Waiver Attached: ;yes _Fo- t¢
�,,_ t �f ,
•
A building permit/zoning permit may be required by: / --•%1•-a '- F 4 )'- /1 1/ ,..���-�yPA�
` G ) �9 ;,�` /r 0 .+Ll n TARM/NEUSE/BUFFER(circle one)
.Permit Conditions - ) r °i 1),a 1.. } .? .•"r,
r '?� j r7
/7t'.. • i i '^' Gam'"0/ ,-.N'i%t�i°-.r�,t '" ‹ `,:51"li ra e /J - v ?q!P n See note on back regarding River Basin rules
"y { (1 `,« ,r !
T F'i,�i )f f/�' 1°t •
�L''� f)'r f�tclG' // S I See additional notes/conditions on back
- , i/(s,ss ,r,47J1(� flrf-I- ) -eVcf'„z) € ,/ ?•-, /o/d'9"r•-' fot...r',-
hq '�N1°,-W 7.A,,n J+.C� (',1,t1e i]l/...t/r e'' t 47; „a
,
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
/" ) 'V jr-. .,«,,.\E1
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name I
• {t' � l 1
i r4y ".,.1� ; "'t i�/ 4ttff •
Signature**Please read compliance statement on back of permit** Signature j ti
Signature fry f n Li:' i 5 il I
Application Fee(s) Check#/Money Order Issuing Date , Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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: 1) 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
•
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

ROY COOPER
Governor
,M •
MICHAEL S. REGAN
•
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
Direc.tur
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: Zo 71- /5 yJ?q/., 1-Ne ico-<)n
By your signature below you agree to be held responsible for meeting all of the conditions listed above nd ve •fy
that all information provided is complete and accurate.
•
Agent or Applicant Printed Name Permit icer' gnature
•
Yad (
Agent or Applicant Signature Issue Date
CAMA GENERAL PERMIT tt: V / -7 7-3
State of North Caroiina 1 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 28405-38451 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808

- „
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Atithorized Agew Cosent Agreement
. .
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herby authorizesTobin-Jay Tetterton Of h
. (Property Owner(s))
if,,• .
t.T
. • T.Ps Marine Constructio ,Lik to acton Tcy behalf in obtaining CAMA petinit:s f r tt41,
the location!Wed below. ,
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PROPERTY ADDRESS:
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PROPERTY *WINER'S MAILING ADDRESS:- ,
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Phone.No. .)-- 11
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PR*PERTY OWNER'S SIGNATURE:. ,,, :: ' '
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AUTHORIZED A(GENT SIGNATURE:
TO itIN TETTERTON
DATE,:_i_LLIL 209
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NV/Authorized Agent Consent Agree.
•
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•
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
• CERTIFIED MAIL - RETURN RECEIPT.REQUESTED'or HAND DELIVERY
` (Top portion to be completed by owner or their agent)
Name of'Property Owner- 5Qf\itô. /j - 7a tare
//NJ ' , ,
Address of Property: //a l Ora tic i}i, QI X ,1/ zed, .
Mailing Address.of Owner:L - . Lt ,
Owner's email u!J ( levy aeo/d Owner's Phone#: — %3----L5,
Agent's Name: !ti.}4Q( e' Or15t,64e Agent Phone# G?J 1 ' 1- ,J— a r7r - •
Agent's Email: 1)b,'/}A (Sl1l dry .
•
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom_portion to be completed by the'Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying,for this
perMit has described to me, as shown on the attached drawing, the development they are proposing. A
descriptib or drawing,with dimensions,must be provided with this letter. •
. I DO NOT have objections to this proposal. I DO have objections to this proposal'.
if you have objections to what is being proposed; you Must notify the N.C. Division of Coastal
Management,(DCM) in writing within 10 days of receipt.of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889.DCM representatives can also be
contacted at(252) 946-6481.No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION •
I understand that any proposed pier,dock,,mooring pilings,boat.ramp, breakwater,boathouse,lift,or
groin must be set back a minimum distanceof 15'from my area of riparian access unless Waived by me
(this.does not apply to bulkheads or riprap revetments).(If you wish to waive the setback,you must Sian .
the appropriate blank below_)
}
I DO wish to waive somefall of the 15'setback ,
Signature of Adjacent Riparian Properly Owner
-OR- -
•
1 do not wish to waive the 15'setback requirement(initial the blank)
•
•
2CX,
•
Signature of Adjacent Riparian Property Owner. _ &T.1%,'
Typed/Printed name of ARPO: L•a&kct J /G. m,'1 y iL&I
`Mailing Address of ARPO: / o Q - l (J V . \\'f`l �&''f3 iU C O 2d
ARPO's emailkikfarl kmee1/uW.);4 k�e.A PO's Phone# •Y ? /c;?. / 5/7
Date: . ID -t %-2/ *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

_ _._..._.„.
i•
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL •RETURN RECEIPIREQUESTED or HAND DELIVERY •
(Top portion to.be completed by owner or their agent)
• . ,
Name of Property Own4?---S att.) /4
Ta -. 7havi
Address of Property: %?(7 Ord,161 . 4Q'i.--/4 A/c
Mailing Address of Owner: tr5-'4-ry-) •
e
Owner's-email:5006 6 afma c6ff1/4) Owner's Phone#:a732-9106,3 1554--' •
Agenis Name: • ,fie, 6ionsf ZA;e Agent Phonet aft-9- 7,
--t-A3? /1 ±
Agent's.Email: r,-3
' •-411 s_ _ C ey
, .
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
•
• (Bottom portion to be completed by the Adjacent Property Owner) • .
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit has described to me; as shown on the attached drawing; the development they are proposing. A
descriptio or draWitiq, with dimensions, must be provided with this letter. •
•
I DO NOT have objections to this proposal,. • I DO have objections to this'proposal.
If you have,objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
• mailed to 943 Washington Square Mall, Washington,NC 27889. DCM representatives can also be
contacted at(252)946-6481.No response is considered the same as no objeCtion if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed,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
.(this does not apply tb bulkheadsor riprap revetments):(If you wish to waive the setback,you,must.signi
the appropriate blank below.)
I DO wish-to waive someiall of the 15'.setback
. ,
,r"•
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
•
Signature of Adjacent Riparian Property Owner:
Typed/Printed name Of ARPO: tafy-N at\ ar,
Mailing Address ARPO: Lic.3 4941 ,416. •d
/s- 7
.ARPO's email. .RitePerrizig-kAe.net ARPO's Phone#:0))5o2— reg_3 ; _
Date: lb -IL 1- 2 I *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021 •
. .
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Beaufort County, L rV GPM:6653-14-9118 LAND_VAL:92662 DATE:8/5/1996
GPINLONG:6653-14.9118 BLDG_VAL:7200 DB_PG:095E/00395
NAME I:TANKARD FAMILY TOT_VAL:99862 STAMPS:
Disclamer: TRUST TAXABLE_VA:51825 SALE_PRICE:0.00
Beaded County onlinenrap access is provided as a public service,us is,as NAME2: DEER VAL:48037 REID I:784
available and without warranties,cspressed or implied.Content published on
this website is for informational poposes only and is not intended to constitute a ADDRl:PO BOX 100 PREV_ASSES:96438
legal record nor should it be substituted for the advice or services of industry CITY:BATH ACRES:21.57
professionals.The County of Aenufart and the Websitc Provider disclaim all
�;. , responsibility and legal liability for the content published ou this website.The STATE:NC PROP_ADDR:401 CRAVEN ST
;. ••' -??^'�' user agree+that canto County and its Assigns shall be held hnmrlens front all ADDR2: TOWNSHIP:06
aetians,clnims,damages oe judgnnmts wising out of the use of County dais.
�'l benuforinc.agdmnpa.cotn ZIP:27808 MBL:665313100
.\ 301n PROP DESC:21.57 AC PIN_I:15028444
t,ta Oct/19/2021
`'^, a-NtiY, / I lq0 g I Scale I:1532 WILLIAMS/LOUISE TANKARD HRS
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TOWN OF BATH
•
BATH, NORTH CAROLINA DATE — /
BOOK NO. PERMIT FEE PERMIT No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE or )
. :
Name&License No. Address: Phone No.:
3 7 r•G Ik)Stk
OWNER Adfitkaed 'V ,1%) axe'
CONTRACTOR 'as ilar;ne aivfLtc- 4 ,1_44)10 /0ac. at,102-7Xi-a.p
DESIGNER
SURVEYOR.
ELECTRICAL
PLUMBING
TYPE OF IMPROVEMENT
NEW C , ADDITION ( ) ALTERATION: INSIDE ( ). REPAIR: INSIDE ( ) MOVE ( )
OUTSIDE( ) OUTSIDE ("fiLogATE )
Lot No. Block No. - Building located at 4277 r_.',raJetN)
between,
between and Arr. Building to t,i;sed as
. Type Construction eya.4.., eYy:51; be r"."--
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( ) ( )Size water tap
Size sewer tap: .Total Estimated Cost Flood elevation .

: . .
„ .
i 1
• : : -
•
BUILDING INSPECTION DEPARTMENT COMMENTS:
M16V 640 Ncrt-ti CrT0A) T !
Waio Lace X;c1S771.1& Plira.';
-4.114-Atif_. b MtesstaK1 i 1-•DCATlet , flaw_
GENERAL COMMENTS:Oen') 0 t* rein°4 e- ex:.:Stilts ig. '"-- V A/G4ta3
4 it%s ki( ce tin 'ret14 -FOISTIvr;vrt- 46 e>445.71-V.._4_ !
,, S2e: ()Lie(' 4 0! PIQTPD tin ,5')( A5" 717/1-)
1.1 ,e,itesii..fij t.0.6 a-/-,)l- X.:fr id:// cSicy ;A ifokce...-,
riat-VoINNN 6/A._. t.-c+ S.4 e. tyP
$ei- z+ ste#5 corr. igutk heack ;nit) tgoter- , !
CITY LICENSE NUMBER: 6 irt.cri ,
Contractor/AC lectrician Plumber/Heating!
-
Application approved
The owner of this building and the undersigned agree to conform to all applicable laws Of the Town of
Bat orth ro- a. . 1
i
7Z?"(Alx• . ,
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 service may:
A) Be installed by owners, contactors or
B) Be installed by Town of Bath Utilities Department
Ail components must be compatible with existing water/wastewater materials, including Myers purnpS.
Bath Utilities Department must inspect all construction prior to services becoming operational. Inspection
fee is$100.00.