79782B - James, Timothy & Donna

K�
, cAMA/ LDREDGE & FHL CI gsON9 79782 ` c D
GENERAL PERMIT �� Previous permit# N37 F
> - 'INew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued /v//►-)
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 C- i • /• .
l Rules attached.
Applicant Name�.rqa-rri <-r ' -: v 4; :,vy`e S Project Location: County 3�'•-. ;.. r�
Address S(.3�4-4 cj.-) ' ' '7 K.c) Street Address/State Road/Lot#(s)
City 0VI State ZIP ���SOGS c C. :x 4 7`x�.. �
j}U' ('- c-/C ., S. Pe)i.^
It z\
Phone# (I 19 )93C—Z-'-' 9 E-Mail ��v.rA .e CAI 1nfc1'r� 9rne:,1• Subdivision
cc —,
Authorized Agent /��/ i City T.� ZIP X 4 SS g'S
Affected ]CW ❑EW .PTA G ES ❑PTS Phone# (`1 I c1 )$30• Z i.99 River Basin 1 F1 R/ (y}.rY1
0 OEA ❑HHF ❑IH ❑UBA ❑N/A ��
AEC(s): Adj.Wtr. Body -01 eee-e Q[iat/man /unkn)
0 PWS: p .i
Closest Maj.Wtr. Body -3��/''r= /---
✓r
ORW: yes /!no`' PNA Ci no ;ictY1 U �^
Type of Project/Activity i/J -f4// 5 / X yn - 419- x ,} e ,r /31.X (3' �a -f,'t-
(Scale: / '1 - S D' )
Pier(dock)length
Fixed Platform(s) � I j j MINIM 1■3=M111■■11PETiII■■■mil:I�=1 [06 ..ii`a■
Floating Platform(s) . I i ■■■■ _ 11111
r pier `s) S �y� ,0, 1I !!SIIg1p
.. � 'len h IInumber —...r.._...;...._...�_ -_. .._..Bulkhead/Ripraplength 1._.-_.� EEE MEM ----�-_+ ■■ ■■
avg distance offshore ' I j i 11111111 Alaill
11111 1 I 11111
II,
max distance offshoreT_
Basin,channel i1MIMI■■■■■III® I I■MI■■■RUN■■■■■■■■
{ 1 ilIHhuIHhIIIiLIPEIHhIIHHhII
cubic yards N I j ■■■■■■ ■■■■ i ivNIi�N■■ i ■■■■■■■■ ■
v
III ._ ..-.._i----1
Boat ramp oatliftmilAil i j
Boathouse/ ).; x 1 .._...._f..__ ................-........._..... ■ --_ IN
/ .__..J.._......I.._..._.I_..
rill. iniM■ _. _...___ ■■■■ • ■■■■
Beach Bulldozing - -
j 1 1 i
,
Other_ 1 j j
I I I I j
f I •. I
Shoreline Length J
1' I I
I , -I I
R I I j
SAV: not sure yes O i I ' r, , -x i ' K'p` ij
4.4 NE] - .„
Moratorium: n/a yes u
Photos: yes 45 .. I- . .I ._ N■ - MI _r_ _...._.... -. III .._...� .._... ■ ..._
1 [ I I
Waiver Attached: `yes no
L.
A building permit may be required by: JO Luk^ e" /-p
► 11 M See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) L t }
y� 75 • l� /a _#'.1 Lu' ? o f 1'1� i/e>K Z t, --
Notes/Special Conditions ,1 / /'Y1Ql�^•Gi')hr'
")--?/; . r l L)LvM ;'-)A- 3.474 4 4112 .
/. , /1 ; f 5 z,h I-ey [j(h2y
Asent or licantPr' ed Name:-� Perm—it i isPri
__ ----�'_- wry-017
- Siature '�*P ease d compliance statement on back of permit** Signature
L'h1; .� , 9�- Dom( - awl — aF- /+, • 2e ,
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648I) or the
Wilmington Regional Office(910-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 9 I 0-796-7215
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

k0 5
CAMA / DREDGE & FILL V4- W-1 g3oN9 79782 ABCD
GENERAL PERMIT Previous permit#
)C _ New (Modification Complete Reissue EPartial 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 ISA NCAC .3 4- J'-'
E Rules attached.
Applicant Name .,�'• v. �, ---1. ':`• ' ' • Project Location: County .--.,t .c.
Address_ . f i),r L. '�' • Street Address/State Road/Lot#(s)
City . ,./-1. State 6. ZIP -T 1', -> _:c.L- - - - .
Phone# ( ) E-Mail r,,.,., ,�,..,,.• ,f - ,,n14•. - Subdivision ---
Authorized Agent City ZIP `'1 ST S
❑CW EW If PTA ❑ES ❑PTS Phone # ( -) -it.,- 7.'Lc/9 River Basin 17 ' i yl.el-1
Affected
AEC(s): ❑OEA HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body .. k" (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no �,.,pyf Closest Maj.Wtr. Body
Type of Project/Activity t ` /0 4`.1,-, 1 ,
(Scale: , - 1 / )..
Pier(dock)length /
Fixed Platform(s) — ` I I l I/ * I �S w ' . I 4 Ih 6 t f I
Floating Platform(s) I I I 1 • I 'de 3°
Finger pier(s) . ' ' —i._.;._.' —� I i 1 l } 1 I �'
Groin length f: I I i t —� I •T( "t i I. 1... i i;` ---._
I f �.� I ; I i' fV
number j _... y1!��fi.. _...e t I- I - .._._. i
J __I_.....F•-._ l. ._.__-_-.� _-.__ ._ _..r- -� 1
Bulkhead/Riprap length —I I ; ! 1
avg distance offshore I 1 1 X r I I
max distance offshore I I ' n S!' I j 1
f i
Basin,channel I 1 I I - - I I
I I
1 I f�
i � 1cubic yards I ; 'f
I I
j I -
Boat ramp _ I I 1 1 I '�
Boathouse/Boatlift ➢ \ 1. {_..— —._...._......._......._..._. —...._._.._..L..._. { �.._.._..._.__.._...---
j _..._............. _..—
Beach Bulldozing I I I .---- I i I
Other I }
III I 4
Shoreline Length 4 1/ I I 1 pa i I
SAV: not sure yes no T _/
i___.+ //r�{��j�4 _ y�Moratorium: n/a yes noi I �u�) r} I EPhotos: yes no ! I -l- f' ) I_ ,
'
Waiver Attached: yes no I lit II) — -
A building permit may be required by: ! /4' Gu6" C. /=?,=Ir" [�See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) -
Notes/Special Conditions 'IL r<, ^' .j'/ .::4! , /c"'l[,v rl; :-4- .- L." %f '- ' --` 5
;3„.4-F.4 ...-4 -�, t,, .
Agent or Ap licant POnt'ed Name,-r Permit fficer's Printedll
Signature Peas ad compliance statement on back of permit'* Signature
i 1 ` `R, ! 71 .. r-[ ll i — /-fr. 2c21
Application Fee(s) �l'�' 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:
Agar-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(9 I 0-796-7215)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 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 9I 0-796-7215
252-264-3901 Fax: 9 I 0-395-3964
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
.:a Governor
MICHAEL S. REGAN
secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY , Dk c2or
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.
z. 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.
4. Pre-project site conditions: Lsit / s /y/QiN tt��, �a !a/G
4« fires .
By your signature below you agree to be held responsible for meeting all of the conditions listed above d ve ify
that i ation pded is complete and accurate.
Agent or Appli t Pnn Name Permit 0 ice? Signature
-�.-- at- e — a
t orApplica Signature p Issue Date
CAMA GENERAL PERMIT#: 11 P6 2- .?
State of North Carolina 1 Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mall Washington.NC 278891252-946-6481
• Wilmington Office 1 127 Cardinal Drive Ext.Wilmington.NC 28405-3845 1910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1 252-808-2808

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to T•on.c 11114 ebi itila cl ,iieSs
property located at
22' So, eaChS Pd:.1t Property
P
/� ,yy��� /^ (Address,Lot Block,Road, tc.) / l
on &+'- Cf•eerL ,In )br�t`Y1-1 Wry
�rCb'VryttJ.C.
(Watorbody) (City/Town and/or County) l
The applicant has described to me, as shown below, the 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)
•
8t;i lrlinrj n- Six >ccct wI'd.e b/,/ a10 Poe* lcn5 WctlKwa6t
-PXi S�,'n ier.
nix �- -1-6 fa�l d_ i Fr c i� t c f P
O(t L; t!'twi�1II b � bU ,' 1�- 1)'t •Fronfc' f Pxis-}r'n�
�^ i,2 ✓ u i1 GL a Fitt c 1-1.e d * �-Q a 4 or � O )` Pk r s ion.
•
•
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distahae of 15',from my area of riparian access unless waived by '?
. me.(If you wish to waive the setback,you must Initial the appropriate blank below.)
rag V/ X I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Propert�tyy/Ownneer ormation n)) (Adjacent Property Owner Information)
�T�w
SignattSi tahtre•
Ti' 11o't11y R• .inrnecI vnnglG(Saltrc5 toS �Lr�(,minor)
•Print or Type Name P ' torTy N ) �ITI/l
a � So. ?nzcch s P,;, 4-12,/ �_s
mcMa ngAddress •ng dres,s
n �ddm A/L- .2"1B'D � i)c 221oW
rty ate/ZlP G�onnq. uirtfar(r: '� Cify,�State p
Telep one Number/en1Wladdress e Telephone Num er/emailaddress
(p•' ) - 2o2_/ t]1Q— PI 2 ) •
Date Date
(Revised Aug.2014)
'Valid for one calendar year after signature•
Scanned with CamScanner

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ,..,nth t1 rbonrio. .javn P s 's
(Name of Property Owner),
property Iodated at ZL So. (44C1+S POI ri /'
(Address,Lot,Block,Road,etc.) p
on 6rith Cy p P iC ,in orn y'!-r . I7 r geavk7J,yT/DJNW
. (Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
X I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site,drawing)
6ui I016n5 Oi Si x 4off- ' IA AIo(e bj 1- O ' rook- 1o115 loglKwely
.P !< Fe IndI•n ri X4- J-o aihd. r'h r Iro n t of f t i-s7ti ns pier.
J3OAt GP* wilt be belt 1-E vi frovif' Oi -exi's+Tr
• 0i.ed avid AileteA24 -742 the cgil ,aoaf- o 7 -PR 5)O/7
WAIVER SECTION
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
m f y wish to waive the setback,you must initial the appropriate blank below.)
XI do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) ( djacent Property O ner Information)
/(. Signett aitatnre' 1 /� ,1��
ri r�It t AtP S/(Sowers.. itit.rIWS615QJ @, YN/ t
Pnnt or Type Name.
ame P ' t rT a Name
zzso .Tht(AS Ain*el %I ) .e.�l,\.►�c ')r .
Ma" gAddress(a ' nL ' "t Adrti V1 l � a
City/State/Zip don nct,,quin-leade Cit/Stgi fP v- a fc 1
(q i' )eao-22Ag Ira I r •foi1� �dam- IJY tfo 1`Ivy
Telephone Number/emafltAddress Te/ephvner7 alema0 address
6-i- Zc>2i (A 1
Date Date°
(Revised Aug.2014)
'Valid for one calendar year after signature*
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TOWN OF BATH
BATH, NORTH CAROLINA DATE 6 "' z a =
BOOK NO. PERMIT FEE. PERMIT No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE( )
Name&License No. Address: Phone No.:
c ei � ,o;
OWNER '[�r�tt}zurPann;�ramtr 2Z ".�c+lc�Y o;nf`f�..+?+sii, (Qr't)�' � �.io -
CONTRACTOR r,V, entAn,r_Anh4. PoRa r ILr ea el10_On fl1G7TYGo Ia.7j h 3-1.1=17
DESIGNER
SURVEYOR •
ELECTRICAL
PLUMBING
•
TYPE.OF IMPROVEMENT
Parr
NEW( ) ADDITION (X) ALTERATION: INSIDE( ) REPAIR: INSIDE( ) MOVE( )
Boa+tips- OUTSIDE(x) OUTSIDE( ) LOCATE( )
n1AP Coo IC 13
Fr° Bluth No. Building located at?2, So. ralchs Fe,'.,1- , f R. ') oc r�+
between _ and Streets. Building to be used as
. Type Construction tier adt 14 c r, a
Number of off street parking spaces .Contains moms and bath(s).
Total square feet of building . Electric Service _ Type of heat
-- --- __-�_ __ _ .No,of plumbing .. Foundation block caps
4"( ) B"( ).Corner bradng: Plywood( )other Insulation:Floor
Walls __ - ,Ceding_ . 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 crawlspare under house: 18"( )24"( )
Other . Zone -_ . Water and Sewer Tap: Paid( )N/A( )Size water tap __
Size sewer tap: Total Estimated Cost _ -_ - _- - - Flood elevation

BUILDING INSPECTION DEPARTMENT COMMENTS:__
r -PLANS 44LL Fore T14EJNS12LL4'R0,J of
Boa.-r La tT A:r alb or EXrg7714i6._Piet.
A 4e' rl£moot77ov WV- ISE AA Dean IV Snuflia sl
zltg OF pia..i L-rrbr. -
GENERAL COMMENTS: TerrA _
� — ( LZPI - No sL,x7s_
P/>=4 Zt-
tinnAg. ain't not
CITY LICENSE NUMBER:_
Contractor/A / Electrician Plumber/Heating
Application approved by: for t Ala to -9.n
The owner of this building and the undersigned agree to conform to all applicable laws of the Town of
Bath,-�North Carolina.
^y
'7Zr 4�:/� _ /)ALA F:i °enAi/✓/
Signal rre'of Applicant f
Effective 8/10/04,there Is a$50.00 filing fee for all permits,Including zoning compliance application.
Any construction that requires Installation of water or wastewater services may:
A) Be installed by owners,contactors or
B) Be Installed by Town of Bath Utilities Department
Ail 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.