87853B - William C Myers

( I1CAMA 7 DREDGE & FILL T-Y-5
) GENERAL PERMIT -il:>-A*. -77 1-S I Li
New 1 I Modification I 1 Complete Reissue El Partial Reissue No. 87853
Previous permit
Date previous permit issued A 13' C D
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 '--- t- ! n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
• .
•
Applicant Name V,/ 1 ! ! ;:, Authorized Agent
Address " ' -,4'.. ' (' :• , Project Location(County):
City State ZIP - Street Address/State Road/Lot#(s)
Phone
Email Subdivision
City 1 ZIP '''•
Affected ncw 1 )EW I I PTA I I ES n PTS Adj.Wtr.Body ' •(nat/man/unk)
AEC(s): n IDEA n IHA nuw n SPIMA I I PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity —.,-I-:: 4 c I 1 /?--: 1 11,-' '-' `fl) ' ° ) —} -A 4-, 'V.,- .' -" \' C-C2 L.-"i-P' ) -, <
(Scale:/ii_ 30
Shoreline Length I" '
Access Length
I -I I- , • t4.
14
Pier(dock)length 1
i XtFxed Platform(s) ‘
4--
' - I - N ' ' / • -
Floating ,
Platform(s) _L I•-7-- ' •-.. -3 , , ! 1---4-,1;'-e'--Z-91' 1-•-
___
—•
Finger pier(s) ,
,, - • 4.,
i --$ '--A-ici4•
Total Platform area .'''T ;(4 I PI 4
Groin length/# , , l . I
- 1 ! ! .
- ' 1 • - ar.:7--' '(!-• 1• 8‘!'---45 '1IIIL I il'
Bulkhead/Riprap length , 4 t •-• . ! .1.-
l bc:±1.1..' C.t
Avg distance offshore • ' - •- -LAP" 1 ! • •
Breakwater/Sill
1 ,
Max distance/length . '
Basin,channel • . .
Cubic yards I _ . _
I I , 0..r 1- -5, -
,
Boat ramp
Boathouse/Boatlift
. fi t
Beach Bulldozing 2 I
\_to_! /1...,,,--4 _*-------4 4.--1----46-1+-'--,_
-IL.
, T
Other I
!
..„....,...______rp , 15 i
1
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SAV observed: yes I no
Moratorium: n/a yes no --• (
•II-I
Site Photos: yes no ''li.. , ,C ,/, , _____, 1,1 yt AS i''''-g)7 ;
Riparian Waiver Attached: yes no\! L 1 .- I,' I Ai
—r" - --(;
A building permit/zoning permit may be required by: ' • I.4.10 C.--
ri TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions (',..'"i'll' ill," - '4 er'' le11 •
/ 4,4 i;)40''''. 7 S lip,r. n See note on back regarding River Basin rules
i c• 06),J--/,. 4,At/ 1 ,A/ife fl 7))4 i',-
• riI See additional notes/conditions on back
i.r A cl .-.,, ,,. , s -t-y i ; hi-1 r)/ ., -r;
' '1 i•A/Ai- cc-'0 6 ' I )
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I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
I
t
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
, • .
Signature**Please read compliance statement on back of permit** Signature •
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

opoi°``°�'"`' cl ICAMA ❑ DREDGE & FILL - I�-5 No. 87853 ABC D
y = GENERAL PERMIT r) /3-7,iL Previous permit
Date previous permit issued
New 7 Modification Complete Reissue I 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 I 1 Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address - Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected n CW EW PTA ES U PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): n IDEA IHA UW SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:/' z._)
Shoreline Length -
I 1 Access Length - — t 5 -% -- -# l- L
Pier(dock)length �'! A- I}° : i
Fixed Platform(s) •r t
1 _J ��— +F ri i teit% 4.` ,Nr
Floating Platform(s)
i l. _ \� .r
_ f
Finger pier(s) -� ' •-� ! sU .+. ,�\ _ _�
Total Platform area �' I . 1 j 1 r~ pl A
.. .-•
Groin length/# - { j —
Bulkhead/Riprap length - - . i / i . - I '
Avg distance offshore •- — . : it-T2.- -,0 '
Breakwater/Sill I
Max distance/length
Basin,channel
Cubic yards �— —_. F. , ..---
-1-.- �'`
fj-
___' _ _...__ J_._.___.—.— 1 Y.._ __ jam^
Boat ramp , t-
Boathouse/Boatlift
L �.
Beach Bulldozing _ ; �` ? t
Other — ) Z� t •- 4( t I r C; r.
SAV observed: yes no k i I t
t
Moratorium: n/a yes no O. ..
Site Photos: yes no 1 n•I f. I
!!! I 1 I('- � ')
Riparian Waiver Attached: yes no 41 I e _ ``'_ 1
A building permit/zoning permit may be required by: '
TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
I
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature"Please read compliance statement on back of permit** Signature
Application Fee(s) Check Ji/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 ules 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).
No Permit Conditions:
it CG,, A- r 1 I�VI To fe_ /l r�V--. a-- r-e}�acf t
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
MICHAEL S. REGAN
. . seer
Coastal Management BRAXTON DAVIS
ewtRONNEMAL OttAUTY 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.
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: (�D+ ( S Deb In 41 /te) lawn •
By signature below you agree to be held responsible for meeting all of the conditions listed above and verify
I i f rmation pr vide is complete and accurate. ,,!!��
►' e9,4
r pplicant Pri ted N me Permit
Offi r's Signature_ r
Ztb�z
Agen or Applicant SignatureC �(� Q Issue Date
CAMA GENERAL PERMIT#: V ` V5 J D
State of North Carolina I Environmental Qualrty l Coast Management
Washington Office 194a Washington Square Maki Washington NC 27889 I252-946-6481
Wilmington Office 1127 Cardinal Drive Ett W6nington,NC 28405-38451 910-796-7215
Morehead City Office i 400 Commerce Avenue Morehead City,NC 28557 1252-808-2808

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DEUVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: LOt t1k ' •
••
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Address of Property: )21 Dr' 1 1'"-540�,Jv 1. a'1 h .Ar-c__ )1 Ciy
oe
Mailing Address of Ownert� `�,,,, r
Owner's email: Qu7Gi� Lett ��W[�' "Owner's Phone#: �52.�t q3 )i 4
Agents Name: 'd?e, 6/ASy^Z/ Agent Phone*:�.i d
Agent's Email: v' rSJ19 if t^
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion tais be completed by the Adjacent Property Owner)I hereby certify that I own property adjacent to the above referenced property.The individual applying for thL
permit has described to me, as shown on the attached drawing, the development they are proposing.IA
description or drawing,with dimensions.must be provided with this letter.
44.--1D0 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 Coasts!
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should he
mailed*- Washington Square Mali, Washington, NC 27889. DCM representatives can also be
contacted at:[phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION 1 j
I understand that any proposed pier, dock, mooring pilings,boat ramp, breakwater, boathouse.Itft, 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 siar4
the appropriate blank below.) !
i DO wish to waive some/all of the 15'setback I 1
Signature of Adjacent Riparian Property Owner
-OR-
1 do not wish to waive the 15'setback requirement(initial the blank)
i
Signature of Adjacent Riparian Property Owner: " h
f
Typed/Printed name of ARPO: Kbb " ' Lw CDt U w1W 21 D Q� •
Mailing Address of ARPO: TV; Bra �AIU Stu% l- BA WC
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ARPO's email! ARPO's Phone,* _251 1
Date: gj 2 fIII 21,. `waiver is valid for up to one year from ARPO's Signature`
lij .PVi'PI1 July 2021

TOWN OF BATH
BATH, NORTH CAROLINA
DATE 7-/7-22
BOOK NO. PERMIT FEE � PERMIT No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE
i/1
Name & License No. Addr ss
�r.' i '�c�rr`,5', Phone No.:
OWNER e �—
CONTRACTOR %�'3 1 : ��� (I 1 7� /�C ;1. ,0)` 4,3 5- � .
4(77
DESIGNER
SURVEYOR
ELECTRICAL
PLUMBING
TYPE OF IMPROVEMENT
NEW (✓) ADDITION ( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE ( ) MOVE
OUTSIDE( ) OUTSIDE ( ) LOCATE ( )
Lot No. Block No. Budding located at
•
between L�^ee•/C /���
and l j�eu��y�r S � Streets. B -I i .
}q_¢ tQ be us d as
Type Construction !
Number of off street parking spaces �����
. Contains rooms and
Total square feet of building bath(s).
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 ( ) N/A ( ) Size water tap
Size sewer tap: . Total Estimated Cost
Mood elevation

BUILDING INSPECTION DEPARTMENT COMMENTS:PgOr(S'A Mc r/(AWOU 4.DD InexJ5:
)At400(FY I E4-15 7u-6 5 L-1 P 73 y Atl01 2- Azar- L_ Pt1-rN,6s
1O .p_ATE_ 6 T- rbrrlt. J`K LlFr,
ZT)AllOr77a.1 o F 1 L x I A zEBo ,47- &to or- P/,L2 .
77-t "Thi-COOSE1D G N1JLIGE5 41 odo 5-0 7F( S e , Ex ff,TMG E%
Au ) M usr come y w/i 6 -' G ' A `imac_ cou ?
GENERA COMMENTS: J (' C . J ( f' /6 b TV : C ec
r. 4 f
a- 6 , iJ - /
CITY LICENSE NUMBER: fD o?g�
Contractor/AC Electrician Plumber/Heating
Application approved by: /zy.wA) srl 8 u Z
The owner of this building and the undersigned agree to conform to all applicable laws of the Town of
Bath North Caroli
eel7L'N. ii' A.,&°
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
tee is $100.00.

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