85253B - William Hemmingway Jr.

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A°""r" 'ti/CAMA ❑ DREDGE & FILL S No 85253
a Previous permit k1ii�- _3 �� , GENERAL. PERMIT -
- Date previous permit issued 1'�(� _-
�ew ❑Modification -1 Complete Reissue Partial Reissue
As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal�as Resources Commission in an area of environmental concern pursuant to:
I SA NCAC C. -`4, (7_p� [K E Rules attached. Gene�nl Permit Rules available at the following link:www.deq.n ov/CAMArui�
Applicant Name W I i�lQTjm E. I-' t!) --.-t
�[1 NAy 3r Authorized Agent l c 3 S Marl i-•t ec[ws f/
Address q q64 NC. 1 1 Project Location(County): '✓Q0.,...t. ✓\
city IS l State IV C• ZIP .i•512 Street Address/State Road/Lot#(s) __
Phone#(7_51-}Iy__ ..l L ___ 1`fa __CsknCo tom-oink-
Email_ �+
Subdivision 61s"4^i 0 'o -A.--
City ` ` ZIP aP�$'
Affected -1CW _j EW l PTA uES E PIS Adj.Wtr.Body B,�}A., C.reelG ( a�nan/unk)
AEC(s): [J OEA j lHA Li uw I1 SPIMA
PWS J t'�
LJ Closest Maj.Wtr.Body_ 1�(�rrlt 1 CD R.\Ve.Y
ORW:yes/I� PNA:01no P-InAgv1
Type of Project/Activity rzC 1 ,-ti, Piet" ,171.i...4r in.,r, a- •C-i 6-,g t- IA.,t_r_f - III'k /6 51 c.r
7 Pad E'A (Scale:1"-34l
Shoreline Length k 5 11 z
Access Length -''----
eE-
Pier(dock)length �—
—� I,
�dvtT CRC
Fixed Platformp) /(.9'X 5
Floating Platform(s) 1tn5 k4I1
11.`X S I .tt-,�'Xi s ti.,.)
Finger pier(s) .9 d et,*`_1 dV��e, beor�lt�T Cu'T
c ��e��rr�, W/ CnIttuntk •►- Ci")ki-
Doc,4� t .� r�1c.�1 rt., crtr>~.
Total Platform area j
Gro;nlength/YP�et JRinq�t `e`14- MBulkhead/Riprap length r `i� O } r���,ice�
3 7- c-4'4 J
Avg distance offshore C t
Breakwater/Sill .YSt' `FXi 4.1.
Max distance/length _ s (.u�e
Basin,channel A��
Cubic yards s*,- 04;514 L>S Pi e--- (NS T.-S)
Boat ramp T B
Boathouse/Boattift <<�e� �e
Beach Bulldozing 511°
r A
Other
yes ETA 'f ��� Xc b ti-t r.e) F''�LYkt.t f, �.• WOO rX0
SAV observed: ��RO�
Moratorium: n/a yes .:fi l erY17Vlltn3wA7 1`�ez.� { 4-
Site Photos: yes �{ �\
Riparian Waiver Attached! yes n• l
A building permit/zoning permit may be re uir by:_/ it 0 l"-
Per it Co ditions LO is U[C, j y_e__4(ytA 1 Ad Pees. G„G, e [ TAR/PAM/NEUSE/BUFFER(circle one)
`-7 '07(/' a Ac'(e flpp't e - tit► `, ee note on back regarding River Basin rules
Ave user .?.Ittt03^ Q( 4[e--- 4a/ 9e� � )
2tQ--�►f/r S• feh(/G. out,- VDa_p„t t See additional notes/conditions on back
.WAR r F TATUT ,C- RULES A D CONDt ONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLI CE_ST TEMENT_ (Please Initial).______ ___it
Ai)or/ •p is a PRI TED 4:me ) Pe it• cer s PRIN E Name
Sig tur•-C'PleagSeadcrmpliancestatementon•ackofpermit•• Si at re
-
AP�li�dt;�n reels, �© _------ -- - ��' �Y `a - 15 _ 5 ei,t— zd z.z...
heck u?Money Order Iccuing Date J Expiration Date

•r `r -K.
' ROY COOPER
.T k. Governor
� • - MICHAEL S. REGAN
•Coastal Management secretary
tamRONMENTA6QUALITY BRAXTON DAVIS
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 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 and/or 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.
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.
ts
a Pre- roject site conditions: LQ l t
- /S n'1a _ �
-r"ef 1 !d Lk w
By your signature below you agree to be held responsible for meeting all of the conditions listed above nd verify
5 /çll/l/formagj1Prov7discomPlete and accurate.
Agen or Applicant Printed Name
Permit Off er's lgnature
Agent or Applicant Signature 1 R ✓ a oaa
C Issue Date
CAMA GENERAL PERMIT#: �65cQ53 3
State of North Carofhta I Environmental Quality.CoasmlManagement
Washington Office;943 Washington Square Mall Washington NC27889'252-94h-6481
Wilnington Office•127Card'otal Drive Ext.Wilmington.NC 28 4 0 5-3 84 5I 910-795-7215
Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 t 252-40d-2808

{
Authorized Agent Consent Agreement
4 [AV;I i"— £. If ertiA S k y Tyr ,herby authorize Tobin Jay Tetterton of
(Propatyosvna(s))
TJ's Marine Construction,LLC to act on My behalf in obtaining CAMS permits for
the location listed below.
•
PROPERTY ADDRESS:
) 10 C6t1✓4 foi4
Ntl. rJc 2 '? go
PROPERTY OWNER'S MAE NG ADDRESS:
tf- ra rlc 11 N
6 -efi, z ( A)c L78iL
Phone No. Z c z 71V 1717
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATURE:
TOBIN TETTERTON I j
DATE: '—� 2,126t
4 !
wAntliortatmgenteonsentAgree.

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)
r7 Y�Name of Property Owner: l]
Address of Property: / U 2 C/9 %Au Z ' 'J JV /
Mailing Address of Owner: ✓ /2 C� /[ tC /�T�� /�� 7
Owner's email: Owner's Phone#: 9/ y/ 2- s Lc
Agent's Name:77 j fines 614.5),,L1,67- Agent Phone#:G9,
Agent's Email: I;n (^S Rc t, 6 f j
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
description or drawing, with dimensions, must be provided with this letter.
k" 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 to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank) (7`. (.7)
Signature of Adjacent Riparian Property Owner: / G- 5 •
Typed/Printed name of ARPO:I'J r• d d�e `y d
Mailing Address of ARPO: I (,. F �+ f N( 1
ARPO's email' ARPO's Phone#: 9-I`t Lf 17 3 I S Z
Date: z L b t L f� *waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top Por�n to be completed by owner or their agent)
f7/ ir
Name of Property Owner. 4
Address of Property: / . REININfir. _ ^... Alc.-
llrlailing Addrest of 4k� cde74 e/
lt � �Owner's wners Phonerx2� � —�4/7ler
id -Agent's Name: ,5r Agent Phone#:
Agent's Email:. G ,Ji'ti 4 1".5il -t t'Y'Q
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adtacent Property Owner)
I hereby certify that I own properly 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
description or drawinc.with dimensions. must be arovided with this letter.
':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. Divison of-Coastal'
Management(DCM) in writing within 10 days Of receipt of this notice. Correspondence should be
marled to 943 Washington Square Mail, Washington,MC 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 Mali.
WAIVER SECTION
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
r his does not apply to bulkheads or riprap revetments).(if you wish to waive the setback,you must sign
the appropriate blank below.)
! DO wish to waive some;ail of the 15'setback
Signature of Adjacent Riaarian Property Owner
-uR-
I do not wish to waive the 15'setback repuireme' -
ntt(initial the bunk)Signature of Adjacent Riparian Property Omer: �- oa. U:, '- '
Typed/Printed name of ARPO:
Melling Address of ARPO: Z3 ti•1.-��v,�..1 .�j +>.1: �� r. rig
ARPO's email: '0-45 GI=G'i•1 c u.?:Cs• t..o ARPO's Phone#: Zc.G`7 r y r 1 78
Date: "i- Z-Z "waiver 19 valid for up to one year from ARPO's Signature'
Revised July 202''

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• Iq i
TOWN OF BATH
BATH,NORTH CAROLINA DATE CS
BOOK NO. PERMIT FEE PERMIT No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE ( )
WAY
&License No. �Adddrresr Phone No.:
W-Am MedAAuc
Ed emit 9 4-A .a2-7/4-17It '
OWNER -�- �"� 9 �QONTRACTOR f3 S n' Iar;ne 14°4?D NCJ as 2- 943-46 77
DESIGNER
SURVEYOR
ELECTRICAL
PLUMBING
TYPE OF IMPROVEMENT
NEWr ADDITION:( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE ( ) MOVE ( )
OUTSIDE( ) OUTSIDE( ) LOCATE ( )
Lot No. - - Block No. Building located at
Hw between y per and o i3 0 Streets. Buildin to be used as
. Type Construction 4 �D/ �1CpdC m o n- .
rcroi
Number of off street parking spaces .Contains �iKsf nv an - 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 Ceiiinn . 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( )Sae water tap .
Size sewer tap: .Total Estimated Cost _Flood elevation
1

BUILDING INSPECTION.DEPARTMENT COMMENTS:
I tcbesGD 1 9�" X 5 r rent- Aaar'nay IS rrs.0'Et neer
i.J� rnre�w/ OG 84Ta 7enima AS LONG 7k5 iT
'bO5S Ivor sa(-A d MA%izws? Gou6-a6E
CrSn1 t_isff--a 8y N1C CAMA . p A
GENERAL COM" : `_�C`�'iOn7 �T etc/ O�CYP-
s5it�J (�oLorQ foM P �$�.11 Q o/
CITY LICENSE NUMBER: 6 eait/
Contractor/A El ctrician Plumber/Heating
Application approved by: _ — 6/7-0-2-
The
owner of this building and the undersigned agree to conform to all applicable laws of the Town of
Ba , North Carotin .
k
Signature of App scant
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
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