85273_Katheryn George_20220608

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s 1 LAMA ❑ DREDGE & FILL .53 f j9-11 No 852'73 A ® C D
V ;or; GENERAL PERMIT iii111 777 v ' DatePrevious
eviou permit •N IA
, Date previous permit issued fV (it}
1 t [ 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:
ISA NCAC T 1•1 • I to° ElRules attached. ❑ General Permit Rules available at the following link:wwww.deg.nc.gov/CAhlAndes
Applicant Name 7KM-1A e.]^ ,t__G r Authorized Agent —51's Pf\cc(L`is^•e. ca vss+,
Address 1'5-T NI W T`b 5+Ve Project Location(County): JJe�Lf "k'
City 1 _I VA State,t ZIP WIciti Street Mdress/State Road/Lot#(s) L
Phone# (D )_Q5`f— lo 3a i O Copt 't O:`.'f",F.. iat EA/f
Email C G0.1Pf igfl4bV1 1 .s�•ctn M __ Subdivision j o I <Do Li-A �(r�
V 'T City 5akLr� s� /s ZIP oI St(a •
Affected ❑CW DEW [A DES ❑pis Ad).Wtr.Body-_ ae^ k ceC. c arr( nan/unk) i
AEC(s): El OM ❑IHA Low ❑SPIMA ❑PWS Closest Maj.W[c Body rel YY))1E0 62.�j 1\ er
ORW:yes/g) PNA:Ono ' ime
Type of Project Activity gO L/e .xi C 4-; -. Gv shp p A. a- •,c.., .11 /3 x G/
47DG441 cf '—� (Scale:I"—BCie
Shoreline Length_1 Re'eh r i
Access Length �airt21C� J.
a S/}TU` Ceea
Pier(dock)length LX• 1 i �y�Fixed Platform(s)_ -
t • AFloating Platform(s) 44 Ra` �V- 7`�' iii:
' , ryt6lrEAnxk5�94�.. Pit« 1.„:
Finger Pter(5I .�{•t"r f I, . p rr-bny-, d. Zit11�
Total Platform area /3° PA(jL'e /Fp
-
Groin length/g_ X13,
Bulkhead/Kieran length_ 6.• extfI4i ) eh.- �41414
Avg distance offshore r
Breakwater/Sill
Max distance/length_ '
Basin,channel Cubicyards _
Boat ramp _
Boathouse/:oad 1%'A IV
Beach Bulldozing__._ PW-l_
other { __ t•^ iJWL-
`1f_ �Ert�sf P 1 �j �3t�\� e� Tn 14✓hrac
SAV observed: yes CO //
Moratorium: n/a yes AAnI'^f eEaf��E `�1z0P ?gar.
Photos: yes no "1Yk Vw.�
Riparian Waiver Attached: le �' /
A buildingo permit/rotitions permit may required byr /aGttN d 7'�
a /']ir — + 044 TARWAMMEUSEI6UFFFJt(circle one)
Pe mit Conditions d N O F !]�L�.,yA__ 1 .D//q/q<L r •
L.b 'I IleC.r-\0.\�.�S \o'.m...,, 7r-t `r c-o -.{- i,... a 1_ , Ellee note on back regarding River Basin rules
bfAtie Al I gof.'gyp Z CA i Sb 5 r Lot /.0 Ma Pt_"rtaite
f�h to &uft( eef, — ❑See additional notes/conditions on back
1 ,AREO STATUTE$,CRC ULESA D COND IONS THAT APPLY TO THIS PROJECT AND REN■EWED COM:LIANCE STATEMENT. (Please Initial)
Age r n RINTED a eI P .�flcer's PRI s
esif1. , -
=oi of
Silicit le• e s read phance stet ment on ba kof permit•• Signature /
`�aoo .� IIDg�;' $- SNn • — R-- Oct-,abZia
Application Fee(s) Check u/Money Order Issuing Date Expiration Date

•
A.� ROY COOPER
*,'A.. Governor -
MICHAEL S. REGAN '
Secretary
Coastal Management BRAXTON DAVIS
ENVMRaNNENGL QUALM
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)regu',abons 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.
•
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.
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
•
oroperty 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. //
a Pre-project site conditions: Za t /S yy)ar',,. 1 r,e o /Qwh tv i
Q earth $cfj__
B . signature below you agree to be held responsible for meeting all of the co itions listed above d v rify
It r • I inf. mation provi e ed is omple a and accurate.
r
1 I ' I j f �/`r
n or Ap•Ilrant Print-:Na a ermit Off er's gnature
, �: G1 : GA/ a,_ .2o zz
A. airAp•lscantSignature Issue Date
CAMA GENERAL PERMIT It: S Sa 3 7 3
State of North Cmolfna I Environmental(Natty I Coastal Maragcment
Washington Office1943Washington 5quarcMall WashingtorLNC27aa9 12524461481
IWn,ingtoa office l m Cardinal Drive Ext.Wdmington NC 2a4e5-3845 1910-t9&-Td5
Morehead City Office i 400 Commerce Avenue Morehead Cdy.NC28557 1252-808-2808

A horized'Age,t Consent A preement
herby authorize Tobin Jay Tettea° to of
(Proper Owners))
US S Marinn COLitr flof 4 LLC t net on y behalf ha obtaining rrvv ut a` n^1 for
the location listed bek"Jwe
PROPERTY ADDRESS:
ri3b '' 07I ,f1-
ic 7?OeK-
PROPERTY OWNER_MAIL ADDRESS;
57 �j
e £ 2 ',
DQ
Phone lc
PROPERTY OWNER'S SIGNATURE:.
AU ORI D A EN.� S!GNATIJT .~ ai 1
T©REN TE T s ERToN
72 -
W/Aur1-jorjd Agent Consent Agree.

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. i-)3 oepro-!dli ma d I , coy
Address of Property: +44/C 47ffee---
Mailing Address if Owner,
Owners emeli in, /"f��v rtAle in wner's Phc�rre ti"ftG •-! .
el
Agent's Name.. - ,1,:yse//- Agent Phone*:e r
Agent's Email:. Q/ `.'ICi n`CI
/. ADJACENT RIPARIAN PROPERTY OWNERS CERTIFICATION
(Bottom portion to be completed In the Adiece t Properly O oer) _
i hereby certify that I own property edjacentto the above referenced property.The individual applying for this has described to me, as shown on the attached drawing, the development they are proposing. A,
40/1 /
t
descri i n o rawincr,with dimensions,must be provided with this lamer.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have oI a ns to whet is being proposed, you must notify the MC- Division of Coastal
Management()CM)in writing within sg days of receipt of this notice. Correspondence should be
mailed to StO Washington Square Mall,Washington,NC 27889.DCM representatives can also be
contacted at(25W 94643481.No n spo»se Is considered the seine as no objection if You have bean
notified by Certified Mail.
NAlVER 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 l5'from my area of riparian acccoo unless waived by me
• (this does not apply to bulkheads or apron revetments).(If you wish to waive the setback,you must gIgr the appropriate blank below_)
•
i DO wish to waive some/ell of the 15'setback
Signature of Adjacent ' arien Property Owner
-OR-
1 do not wish to waive the 15'setback requirerrrar t(ltialthe,blank)
Signature of Adjacent Riparian Property Owner:
TypeciWPrinted name of ARPO:,
t�aliing address ofARPO: C� Cru ��-,� cc", fly-
- ARPO's entail ,r,� r� Qc v 4 ARPO's Phonetic _26
to:. 6 %' -2 'waiver Is valid for up to one year from ARPO's.Signature*
Pavia&July2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONI AI R FORM
••
CERTIFIED MAIL- RETURN RECEIPT-REQUESTED or HAND DELIVERY
Top portion to be completed by owner or their agent)
Name of Property Owner K1-131.0 OepoiLon ma I , Co iv
Address of Property: se
Mailing Address of Owner. '51/ /1/ ! $f /!" f�-c.id /2' _3 'f
Owner's email /)yid ft'i�/'"Own2>'s Phoneme 4/"U < —/
Y,xY
Agents Name: -6/ S?x��-� Agent Phone*:4.5;27 e‘:,::;',t.�
i
Merits Email:. bin `,f Sit t tl Pc!
s '� ----mar-— ---•—,—. .._
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Acliacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit has described to me. as shown on the attached drawing,the development they are proposing. A
description or drawing,with dimensions,must be provided with this letter.
I DO NOT have objections to this proposal I DO have objections to this proposai-
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCA)in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington,NC 27889_DCM representatives can also be
contacted at(252) 946-6481.No response is considered the same as no objection If you have been
notified by Certified#Wail.
WAIVER SECTION
I understand that any proposed pier,dock,mooring pilings,boat ramp, breakwater,boathouse,lift or
groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me
(this does not apply ix)bulkheads or riprap revetments).(If you wish to waive the setback,you must sign
he appropriate blank below.)
i DO wish to waive some/all of the 15'setback
Signature of Adjacent F?iparian Properly Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank) r,G r,G
P Signature of Adjacent Riparian Property Owner: 1 .
TypecirPrinteci name of AF.PQ: Michael R. Manning
Mailing Address of ARPO: 131 Cool Point Road Ext., Bath, NC 27808
(2_ ARPO'e [e-mail] Phone#: [phone]
Date: June 1, 2022 *waiver is vaild for up to one year from ARPO's Signature*
Revi$ocf July202i

TOWN OF BATH i
BATH, NORTH CAROLINA DATE y.�- ' ,... -
BOOK NO. PERMIT FEE PERMIT No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE ( )
Name & License No. Addres Phone No.:
OWNER 7 4 C4/'e_ :ZA /,',/C L.S-��;4�f y'-/,..>'�J
CONTRACTOR .�i s �I IJ2� l X/ 44lf,� ,;.212I`57 13(177
DESIGNER 4Ve1
SURVEYOR
ELECTRICAL
PLUMBING
TYPE OF IMPROVEMENT
NEW Z(.)
ADDITION ( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE ( ) MOVE ( )
OUTSIDE( ) OUTSIDE ( ) LOCATE ( )
Lot No. Block No. Building located at
between and Y Streets. Building to beu sed as
. Type Construction / ,,'c L'1l 7 / /1L'
6T7cz)i;'‘ fdcolt e 4c/ — 0'-`)
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 ,
Wails , 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 crawispace 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 INSPEL i ION DEPARTMENT COMMENTS: cr- (4.6A-r S A- 7*,L of 2 L!
P JZCTs .#6 /Co thA)6 37 U Pr--
FM-tom. iVaw-rf{F„,ui Lor 14c, —re, QiC6Z. 4Dc,E
L-67- 11-6 AN LALC o,v senAm sibzo F IOi6:1.
0 E " ET15AGfC .
I e+(- vc /G Cc- ivo7 t/tt < ram d 7 -
GENERAL COMMENTS:
CITY LICENSE NUMBER; e'/
Contractor/AC Electrician Plumber/Heating
Application approved by: -- -o Z
The owner of this building and the undersigned agree to conform to all applicable laws of the Town of
, North Car na.
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 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 t 100.00.

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