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HomeMy WebLinkAbout77278_Donald C Adams_20200914 D AMA/ El DREDGE & FILL - /� NQ 77^G�p NERAL PERMIT ^' `� wlSl_6 l(lv PreviousperOmit# [J�IQ� D MNew ❑ModiRcation ❑Complete Reissue ❑Partial Reissue Date previous permit issued N.)As authorized by the State of North Carolina,Department of Environmental Quality h and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 7 . 1 ZC11 Pilules attached. Applicant Name 170v't4 C ne)ay t S Project Location: County ~— Address 4 0 LiS wct.+nr% ' Fri,k11 Street Address/State Road/Lot#(s) City Af7t State ZIP 23527 J D I broalKS14 re -Dr. Phone#(')II)1Ip3-?Z.43 E-Mail Subdivision 'rOc Si+irL Authorized AgentTS'S Moviy.c cons rtteljO Or City . ja ZIP ZnQ ca Affected ❑cW DEW riffTA DES ❑ jl� PTS Phone# ( ) River Basin 'r#Q ' ry1 ❑oEA ❑ AEC(s): HHF ❑IH D USA ❑N!A Adj.Wtr. BodyDIT& Cf2k gnat /ma /unkn)p PVS; / no I't"� Closest Maj.Wtr.Body A`r+'z).;G o QS U e-"e ORW: yes /� PNA es Type of Pro ject/Activity Erb?O Se c�`1X 13 L/t f i cr ,/ /l%O`Ii ZY 1 plai prty) I AG�Wil 141 A/4' C tore oYec / 'x 1; al et ba4ASI 4/) 6 I sf aawh 11 Pier(dock length 13'I A T` �r (. (State: _ > Fixed Platform(s) X 24 T { i a G -j .TT I .� - , ii � � Floating Platforms) I 1 _! _ . --r .r- I._._._ I i � -- - ; Finger P (s) Jt 1 - t l. _1- . -I l r ; --1 ri Groin length "l� f � - 1' number _I— �. ' 1 ' ,1 i , # i Bulkhead/Riprap length -i.-.L i .! 1 - -i.tt i ®� -.{.i_i ._ _. ±y1. CCC + avg distance offshore F .[ i . _ r -S �� 1f13-, ! _I max distance offshor. Basin,channelmt - i J_ ' -- ".._ s._1_ 1 I .-4-� -,--- cubic yards -t--f- r-- . t I 1 -1--I—!LCA 110 - -i- - - —1 i �- - _r..-.-I- -L-i---- t-.1_..{._j }.__! ' aoI.vs. - - _ _.1. . .- F _1 _t_ Boat ramp - `� - , Boathouse/�it� I .* t3' 1..1 ,, i -• _. } 4 . 1 _ l� 1 Dade ! . {+. i--. ate' , 1- L L. L xi1. Beach Bulldoze � �. � __,'_ i.i { i � _. •��- --Bulldozing -'- t. _® , _ ' } L j other act IV M/e,Fs11 i 1♦�:►4 _ I rr■ (- l ( ,� Illor' 1 -111 ill - !- --1,-- '- Shoreline Length /Z4 r - i ! - I 1 !-. _1.., -1.- t—t--�_- ;.-.1-.�±;— "_i' -� 1 4- IN r SAV: not sure no ! ' ' P.. l _ Moratorium . 1, ; i i , ; yes I }-I It' it" -r14 - Photos: yes no i } iir- i , I •! • i. 1 [' ` ' ,. Waiver Attached: yes no T_ _ —l_ / �. A building permit may be required by: /Owl D ftr See note on back regarding River Basin rul T (Note Local Planning Jurisdiction) Notes/Special Conditions ; • e}tt s , I r . a E•„r. O i '.fr 'I,o# 1• .k -Rai- , ll.wc� ,OQ ' 'L . i,, 1 o- at..... . -t. D M. Wit - o . I r, owiti p C. oY/irit •) ,, , .iii,..,,-, '; , Name I / 'ermit• > / .I_ . . �`l.! i. — , —mom iiik Signature A Please read compliance statement on back of permit's" Sig ature 14 at x ,or ►SI-sc( qr pe/ -o ) /P /�•2.. Application Fee(s) Check# Issuing Date Expiration Date 0 VAMA / DREDGE & FILL NO 77278 A © C D GENERAL PERMIT Previous permit# IJ 1 4 > ---- New Modification ❑Complete Reissue Partial Reissue Date previous permit issued n)/ 4 As authorized by the State of North Carolina, Department of Environmental Quality 'I and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 • 12-CO 'iM Rules attached. Applicant Name PcY1os1� C.- s yy��T \\i ry1 S Project Location: County l&txi i ei r c Address 4 0y S woonv- T!'p,1%I Street Address/State Road/Lot#(s) _ City Cloy Awl State )O C ZIP A752 ' /D I &Y'oc - re. t . Phone # (111)14A"7 zlgaE-Mail Subdivision Scot>l.;SPlrt AuthorizedAgent'1 '5 ''`owtyK eon 5+%t(Ai OY) City Pjc.````M ZIP a�S$04% Affected ❑CW ❑EW M'IPTA El ES ❑PTS Phone # ( ) River Basin TQ i1�A 'PA AEC(s): ❑OEA ❑HHF ❑IH ❑UBA CI N/A Adj.Wtr. Body SPCA 1 L' .CC - (nat /man /unkn) ❑ PWS: ORW: yes / no PNA yes / no=v��cve-Z Closest Maj.Wtr. Body FA�►r C.c Q%J [C Type of Project/Activity Pro poS D'x 131-i' Pier t,..)/ /i'o'A Z�!' 7/al-form.- it dmi /t''A /6' touereJ CV-ea / /3' X 1 , hoods/$ O.,. oo Sli 4,0 b /X I(q 1 S'�4(7t1 aWk7 (Scale: ) _ �6/ Pier(dock)`length 13 ti'A(p' p n _ 1�1 �� Fixed Platform(s) IL.$Zi TT i -rjATa C(LE�( ' Qrof;64e,I )ak�rm��G� Ib, Floating Platform(s) i Ip A�/Z� ` Gd /[ ` Finger pier(s) i 7t il0' - �\ tl.)I P^ 16 Groin length 1 i \ ij i 1 number —_ 7Zx I _..__ i Bulkhead/Riprap length (-----T ; s�T ISLt1bI -- • • t avg distance offshore W�' L r� le I` �� )�� �i�T max distance offshor I I __ Jo • • • Basin,channel I I• j cubic yards I '; I LOAiiio' --). 1 Boat ramp 1 t { Sw^ Boathouse/ oatli i3,A IV - � _....� } __....__ _.- _ ..__ .—. + "eQr.. Pt.-SED :_ i . - > - -+ I 1--- b'x l,y' nTE2 ---/-- Beach Bulldozing ( J V ,'j,5 Other iz' l ideislip i �"` I Shoreline Length 1 ZI 1 L. l I n SAV: yes no d 1� _ I L(� t Moratorium: n/a yes �fU 4`� I t t 5T t4 SOT'1-- Photos: yes 0 j .. .......-_._. { _ L�'P lL'r�l.._ Waiver Attached: yes ek I A building permit may be required by:Texuh D T 1311147 See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions Ail 6}cu.chtrts ryINS} }j[ ISI o., 9ftlk1..•r. teo von r ipakriar+ v r Pries. otori r i S u5i$9 Y$o 4}z be 41,1tf Q ll.wc So6;4 2 fib 4.4k 54r.ecikAee s$ J..r o. *Li 1/00 0z. Otorice tali h.vc i /fla ir oc 2 ba•+sitp r. Tow), o F. gAii. tons would/anteA*achrJ. '° EG LI 6/v z"1 Agent or Applicant Printed Name ermk meet Printed Name Signature **Please read compliance statement on back of permit** Sig ature J 4`-1 g CA I ' ISI.5`f 9rbit/201.v //v Z2e)'2- 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 (252-946-6481) or the Wilmington Regional Office(910-796-72 1 5)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 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (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 / ,-,, 0 QCAMA / ❑DREDGE & FILL No 77278 A �B. �� Ei C D GENERAL PERMIT ,a , "' ' `i j C Previous permit# IN,/ New El; ❑Complete Reissue Ell Reissue - Date previous permit issued tit II I 1 As authorized by the State of North Carolina,Department of Environmental Quality 7 and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC —T 0. 12 C--C% ProRules attached. Applicant Name POv1 o\(\ AU``t yY1 S Project Location: County ro,LIc c..(- Address `i 0 9 S Wc-- \-. !o'‘ , Street Address/State Road/Lot#(s) City Jo y ADyl State .JC ZIP ?7 , - ; L. I i c -A:::tcc,l c r- Tj.r. Phone# (c1 1I) 7-L - 7 2.75.5 E-Mail Subdivision 'B(C.G 4)4 r C Authorized Agent T S (\r\ov,,,^< Cop 5+rc4 cii c Yt City I,'`j c k\-N ZIP , -}SS a.SS Affected D CW ❑EW R TA ❑ES ❑PTS Phone# ( ) River Basin 154 12 /Pp n,1 AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ;PI A L REEK (nat /man /unkn) ❑ PWS: 10.\`A rc Closest Maj.Wtr. Body r-,--,\''c o IZ`QC:C ORW: yes / 1.0 PNA ON no \L'x p (.1-Ht.- J 1 / 1 Type of Project/Activity ^ram-c,c//sarllt ) L(' I i e r w/ 1(c x ZZ`1' pia./*D il'f') I lc�i-td/4c5 /(� N /6 i ,,.. Ctec, / /`7 k /5 -,.4141- bce,-k-5 i7 ailL t X 14) Si- (101,00 (Scale: I bbi ) Pier(dock)length I 3 Li'T(v / ,� I tEf ' ' Fixed Platform(s) I l.� x Zy €3 AT A C)!' E�Y I .7!'c.t a+rs( a l; Ccc /e° ,' Floating Platform(s) i 4` l� j y, r t"���. f Finger pier(s) t!:' 7t / 44 �• L. "1- , 1 t_i11�' U4i9`- Groin length 1 - number j 2.X 1!& i _ + I• ' Bulkhead/Riprap length • 1. — i_ _ ___- Ro4 4I4-'1,� avg distance offshore max distance offshore W t r L I:1 'I a I• 1- Basin,channel1111 - i i 111 : 1 1. 111 I cubic yards ) ! Lei x I("' , Boat ramp e''i-7f7 a Boathouse/6atlift\ i a 13 ... . 1 ......... ......._ �L 5 Beach Bulldozing 1 �j�'''� �} 'S. Other 17,,t jb/ Ui�t(7 b y i j 7 12 ►c it-AR 1 i �7 � �.� � I Shoreline Length L. t 1 1 SAV: not-----A, � yes no _4_ .m- --.—._.._. bs r++;�1 - • -1- ____. Moratorium: n/a yes t 1F _.. .._ ,-.. I ----.... `.........._L 'S.. ._... lA C i Photos: yes no ._. — —. I ,. _ �_ � . _.._._- .,.,. t .._ Waiver Attached: yes no 1 : A building permit may be required by:Tcum c 7 1 . I"T(e note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions i !; ,,,crtitres r)1u5} )'>! /C # of /zuf-' tiaN, r ,Parke, -)2 ,-,r.-}y I,(7r'5. ()Li/Mr 5 ^^u6l49 c/Sc 1,c}}7 ,c C qt. info/w�7) cSGC,4 v �c 1 I7 it,,, S Kcfurt i S Ja pc- ii-1`cj7j� 41C°c i (�. l�1.471 ,if/ /'vv WiC . 7ay - Y- G. . c..-i�j'ipr. 144'h f G Orub^ Z�Y'1I'�} t.OrppI'c1 r G,i,,, 1, Agent or Applicant Printed Name ermit icer"s Printed Name Signature Please read compliance statement on back of permit** Sig ature� 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(910-796-7215)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 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (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 T 1 0 IT CAMA/ J DREDGE & FILL N9 77278 A BCD GENERAL PERMIT Previous permit# >' EiNew —Modification Complete Reissue DPartial 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 I 5A NCAC ❑Rules attached. Applicant Name Project Location: County . Address (;... l' c ,, \ Street Address/State Road/Lot#(s) �� City —° a 7 Ai \1 State `,J_ ZIP 3 ' / I , , Phone# ( ) - --' - 1` -1 'E-Mail Subdivision i r Authorized Agent ' 1 S i"'• #%(' --+ ' City 1 -%�'\-1'` ZIP `+c K. Affected ❑CW ElEW 0 PTA ❑ES ❑PTS Phone# ( ) River Basin 7 °:' I t ti r)1 AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body �" '' ' / 0Y (nat /man /unkn) ❑ PWS: ORW: yes / no PNA yes / no Closest Maj.Wtr. Body Type of Project/Activity ti,`f (Scale: .. 1) Pier(dock)length I f .' L Mr Fixed Platform(s) 'i= A t r-�'? r ti GC%I I � i IV 'Ci `4 -c / Floating Platform(s) • C� �+ /LI 1 �' it• ` v_E_i r / Finger pier(s) x /L -J'' `--. /► \ w r its' A r .,/ ,It, j Groin length . number .. t G y f� ` ,._-. ( —_... Bulkhead/Riprap length rt $ _ °-3 t avg distance offshore J L.*S t j'• #, . , ,\ `` max distance offshore j - R ; �~ I Basin,channel I At f - r (.' A r to _...} cubic yards "" Boat ramp ; { 1 4 I f ....... �..+ j } Boathouse/Boadift i 2� r I 3 , , '; _ — — ,, i �..— _I + _ I t C- r 4 Beach Bulldozing I - U ---" ,,..,t -— ( .; '4)1 Other " P 1 v Shoreline Length i rf I I1 1 j j SAV: not sure yes no " 4 F- i i A p -1 1,l5 — 1.(_ j i -')t'i ik/lrt 1.__ i Photos: yes no i._ r� ~ -1 -----,-,1 `�� j t`..... Moratorium: n/a yes ,� I _ - I I �_I• � i-�� Waiver Attached: yes 1 ' I 1 I A building permit may be required by: 7c i''. ' L r a/h . See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions 5' 1 , 1/. / _ "Z,>•e,•-v 1 Agent or Applicant Printed Name PermitOfficer's Printed Name AII-4--464;71-2.'-.--"^t: Signature Please read compliance statement on back of permit" Sig ature . 9r/ii /2.* ;/ v �ivz. / 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 RulApplicable 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 (252-946-6481) 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: 252-247-3330 Fax: 252-948-0478 (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 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (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 r Authorized Agent Consent Agreement I, - . N11L. __emsit45, Jk' ,herby authorize Tobin Jay T etterton of (Property Owner(s)) TJ's Marine Construction,LLC to act on my behalf in obtaining CAMA permits for the location listed below. PROPERTY ADDRESS: l'; &c c 1 n2 r- WG 27 86)e PROPERTY OWNER'S MAILING ADDRESS: 174,0 L - '6I/. /11rt1 lL -I L L/WT34J,A Z- 7S2-7 ?hone No. lgi, 7t 3 -72-7t'3r' , PROPERTY OWNER'S SIGNATURE: -f AUTHORIZED AGENT SIGNATURE: v TOBIN ETTERTON DATE: fJ� /1 7 20�-- l 5 \ ‘k (4:10 W/Authorized Agent Consent Agree V V i { TOWN OF BATH BATH, NORTH CAROLINA DATE BOOK NO. PERMIT FEE PERMIT No. APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE ( ) ame & Lice se No. Address: Phone No.: _��Q /'0 O �� '''e .17r OWNER _ c So i G a7(6c 9/9 77.3 CONTRACTOR 7.25 /2' !";rIe ` e:4Si /( l LF C; BSc x t�S f DESIGNER N%14 SURVEYOR /USA ELECTRICAL /11//4* PLUMBING /11/f TYPE OF IMPROVEMENT NEW ( DDITION ( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE ( ) MOVE ( ) OUTSIDE( ) OUTSIDE ( ) LOCATE ( ) Lot No. Block No. Building located at between and Streets. Building to be used as . Type Construction/? i 1���7 �O i e/ �IJLY'f- r f �2�-bc) Number of off street parking spaces . Contains rooms and bath(s). !6� Total square feet of building . Electric Service . Type of heat Y 1' d . 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 Flood elevation BUILDING INSPECTION DEPARTMENT COMMENTS: kfrg:.(Ai Ise) / adip, dr- L—LC= 33Oxr- j'L!P 2 4Ut PsAi Fr- ,C 7 !� s rn-L 7 64C( /-(zi 7 - CSr GENERAL COMMENT )�; r u� , • f ,3 • ,27-51 I 147-(p,; 3mD -Prom) fir` ��(�� C�/ 7 j </�,tt: ` CITY LIC ENSE NSE NUMBER: Contractpr/ Electrician Plumber/Heating Application approved —by: —f 49 — Z� The owner of this building the and undersigned agree to conform to all applicable laws of the Town o Bath, North Carolina. , `g 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 $100.00. I t I ! t` , '4 P . 0 T. f —.-- 'nereby certify that i own property ad toc . Ali . property tor at i d ,, , i . (Nei f 6 sr,r t_ 715ftri°PertY Clarner) I:. i fee (Addree$, Lot. afi's,lr,, ---f---''i Meterbody) feity/Town end/or County) i The applicant has c.le- iben to me, es shown below the development at at the above J2CtLon. A4fmtit e.:410,1 I have no objection to this proposal. P'reparty Qmor 1 have objecOons to this proposal. EIESCRPTIOP,.1 AND/OR TAU:RING OF! F?.07,0kBF.,77,nP./SLPPIMP47 and/WOW proposing development;.alLiat MI In descriggion "siotty ex'atc(Pi a Site dratiieng) i I 4 .f --;-::::/--;e- ....__,-- - ( Ailfa_gaLECT____TA understand tat a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift or groin must be set back a minimum distance of 16'from my area of riparian access unless waived tr4 T.:•.2 me. (If you wish, to waive the setback,you most Initial the appropriate blank below0 I do vvish to waive the 15'setback requirement i do nog,wish to waive the 15 setback requirement ProRert9).7 1''':fiforrnatt0:71) --TA1;cTh- roperty---------Otvner Infomiation) • ° -,e nr nraeiverne — Print or Type N e „tailing adTss , .z....w 7 Me'ti•A. ..... •-•7 _ — „Z3Mpi10.479___,i mar/email address 7-008070179 umber/emai 1 ackiress Date* (Revised Abg.2014) *Vaild for one calendar year after stgnature* l'161 PG+ certify d illat I own n property adjacent to /�',t?t ' i °-r,^ ,ro,e��r loc ,e St r 1 r` ro 1 L`f r I' 1),l�t.. ,f 1 . Owner) r.._ i 1 , /r r i8dress � ,I .' ( rf J ,trod 3§//k,R ad_af{_`1_-_ / _.. (city/Townand/or Coin n�,s tar i}Gz�t}t ; as described It)t?t� to me, c^ Figas sno'#Ji} below the development proposed POS'v,, at the above aye no objector:,o this proposal, I have objections to this proposal, "xGst, Liro �isin cte�, _ iLr4ilG = ®"�t~'S' II-sQrati, . e t riC1'r<:#1�t. flit in description Fefp;,or attao t a :! rt I ii ItVF ./ER SE-C fCP ! uncers.and thal a pier, cock, moonn must as set uaok a minimum distance 5 pilings, boot ramp, breakwater; ooathouse. 3:'t or ce of 15 from my area of riparian access i�`' me. (if you wish to'.valve the > @3b lo,,v,) e {V3u setback,you tTli.�tinitial the appropriate blank`+elU':.} _ €fish to t'laivf.the 15 s;tback reculran a ' a.wish to fA'dive the-i 5 setback re+qui ,-"1:, __; Lit Y Owner3nara; tron_. *il _._...M -.,: 'tinrr qo t j1 b - il_ _G t-tr17 (— L _/4:1Plgdlos ` j/ ! 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C.itr. . i ,' Espi ••S!,p ' • • j•._IN.ct_.-/impscrcp . . : . , , .. . ., _ . . . . : , - t: 6,41.acza . .• ...,.1�xzq . . • • • LOA Q le 6 • A46114-1, 37'- / 1,/ Orook,_s-1) 'i'e, /•-0 -1----b ç3y6 ,v c. a 7?0 Y►1 s/,.�.W1d no '• I2*1i� • . 29ltbs> ` dns_ire9 1 . 41.tt.7r-bite . . • • • F,1 rtl; f4 yp+a • • l.�((O*a c3 . . ' 411nia I. 1,401 1 sti<' 1 •. • • • . fi '/ „ rna 1' X�, 110 Fi * ; i y ! .f t r * Ir, k "�•',` it ! .} • °" - ~4ii. f •, do-,F :, ,....,„Tic I F` a, • . » r r , ;,C •I► _ =';. : '" . f....14X 1om,3, _� •.R Nt~ Divisiaan a# Coastal Mgt. Habitat Impact Computer Stieei Applicant: T2c:Ar‘ca Ro.vorN 5 Date: 'illy/20 General Permit Describe below the HABITAT disturbances for the application. All values should match be ;tame,and units o€measurement found in your Habitat code sheet TOTAL Sq. Ft FINAL Sq.Ft. ; TOTAL Feet ! FINAL Feet . (Applied for. (Antici tedFiinal pa (Applied for. i,4rrticipated final DISTURB TYPE ! Disturbance total disturbance Disturbance I disturbance. Habitat Marne Choose One ncludes any Excludes ry total includes j Excludes any i • i 1 anticipated restoration any anticipated restoration and/or !! restoration or " and/or ema restoration or temp impact temp impacts) impact am curt) temp impacts) amount) 1 ! I Dredge❑ Fill❑ Both ❑ Other II i 2 �cc I Is, I I Dredge❑ Fill❑ Both ❑ Other ❑ I{ i Dredge❑ Filt❑ Both ❑ Other ❑ Dredge❑ Fill Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other C Dredge❑ Flit❑ Both 0 Other ❑ Dredge❑ Fill I❑ Both '! Other ❑ ; I Dredge❑ rill❑ Both ❑ Other ❑ ' I I I ! Dredge❑ Fill❑ Both ❑ Other ❑ ! j Dredge':_] FII❑ Both ❑ Other ❑ i ! Dredge❑ Fill❑ Both ❑ Other ❑ i ! � • • Dredge❑ Fill❑ Both ❑ Other ❑ 1 I � ' j I Dredge❑ ill❑ Both ❑ Other ❑ • i I I Dredge❑ `:II❑ Both ❑ Other ❑ !