General Permits (781)

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CERTIFICATION OF EXEMPTION... -
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.) '. ,�Ei��=�, t_.. ,T
02Y
Type and Dimensions of Project
..,',,
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
I SKETCH (SCALE: r ) I
1`�
i V
V-t
Any person who proceeds with a development without the con-(
sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
p !cant's sign ure _ .
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

North Carolina
Department of Environment and Natural Resources t 1 �,
Division of Coastal Management ������
Michael F. Easley, Governor NCDENR
William G. Ross Jr., Secretary
Donna D. Moffitt, Director
February 14, 2001
Crystal Coast Management Consultants
C/o Earl Holloman
P.O. Box 4455
Emerald Isle, NC 28594
Dear Mr. Holloman:
Attached is a Certificate of Exemption From Requiring a CAMA Permit to install +/- 30 foot of rock rip
rap landward of CAMA flagging in Carteret County adjacent to Lot 2 West Court in the McGinnis Point
area of Pine Knoll Shores off Hwy 58.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the yellow copy and
the attached regulation (7K .0203) for your files and return the blue and green signed copies to us in the
enclosed, self-addressed envelope.
Your early attention to this matter would be appreciated.
Sincerely,
M. Scott Jones
Coastal Management Representative
MSJ/src
Enclosures
Morehead City District \ 151-B Hwy. 24, Hestron Plaza 11
Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: http://dem2.enr.state.nc.us
AN EQUAL OPPORTUNITY \ AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED / 10% POST CONSUMER PAPER

05
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APPLICATION FOR
a CAMA
OEG 2 7 2000
)AST— ����EMENT
MINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed
the Coastal Area Management Act and set the stage for
guiding development in the fragile and productive areas
which border the state's sounds and oceanfront. Along
with requiring special care by those who build and
develop, the General Assembly directed the Coastal
Resources Commission (CRC) to implement clear regula-
tions which minimize the burden on the applicant.
This application for a minor development permit under
CAMA is part of the Commission's effort to meet the
spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more
time or effort necessary from the applicant. Please go
over this folder with the Local Permit Officer (LPO) for
the locality in which you plan to build to be certain that
you understand what information he or she needs.
Under CAMA regulations, the minor permit is to be
issued within 25 days once a complete application is in
hand. Often less time is needed if the project is simple.
The process generally takes about 18 days. You can
speed the approval process by making certain that your
application is complete and signed, that your drawing
meets the specifications given inside and that your
application fee is attached.
Other permits are sometimes required for development
in the coastal area. While these are not CAMA-related,
we urge you to check with the Local Permit Officer to
determine which of these you may need. A listing is
included on page 2 of this folder.
We appreciate your cooperation with the North
Carolina Coastal Management Program and your
willingness to build in a way which protects the
resources of our beautiful and productive coast.
Coastal Resources Commission
Division of Coastal Management

Locality
GENERAL INFORMATION
LAND OWNER
Name"/vloa&4'
Address $' 1}s 11o�a \iQsS hw
City � S-hW-S State Zip
AUTHORIZED AGENT
Name
Permit Nu
4
DEC 2 7 Z000
J- W
Phone
Address f[LtQ C ii� 4+�A 5/5''�� 2
City �mf r_a1j �1� State /VL/ Zip Phone 5 35
LOCATION OF PROJECT N 1C1-j I ��� S P I 0, P1 KEY C , _ sw, '-S j a
(If not oceanfront, is waterbody natural or manmade?)
DESCRIPTION OF PROJECT N�.��i�Y_Y�7�_
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline Other
PROPOSED USE
Residential Commercial/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline)
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING
SQUARE FOOTAGE OF SITE
OTHER PERMITS MAY BE REQUIRED:
The activity you are planning may require
permits other than the CAMA minor
development permit. As a service we have
compiled a listing of the kinds of permits that
might be required. We suggest you check
over the list with your LPO to determine if
any of these apply to your project.
Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
Burning, Electrical, Plumbing, Heating and
Air Conditioning, Insulation and Energy
Conservation, FIA Certification, Sand Dune,
Sediment Control, Subdivision Approval,
Mobile Home Park Approval, Highway
Connection, and others.

STATEMENT OF OWNERSHIP
DEC 2 7 z000
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of pr perty in
an AEC or a person authorized to act as an agent for purposes of applying r Etlo ment
permit, certify that the person listed as landowner on this application has a al
property described therein. This interest can be described as: (check one) man owner or record title, Title is vested in CC214CA e4- Cl n. '� , see Deed Book LP
page_ in the CY,c K46yte ;— County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of ;
probate was in County.
if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
r
O
n
a
r
NOTIFICATION OF ADJACENT PROPERTY OWNERS
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I
have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA permit.
(Name) (Address)
c1> Fred & �' n, w, P�
(2) I� �- i pyv l,�5 U U &
(3)
(4)
JA✓INU 5K e, n
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
OS94
NC I�
I acknowledge that the land owner is aware that the proposed development is planned for an area which may
be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This application includes: general information (this form), a site drawing as described on the back of this ap-
plication, the ownershipstatement, the AEC hazard notice where necessary, a check for $50.00 made payable to
the locality, and any inormation as may be provided orally by the applicant. The details of the application as
described by these sources are incorporated without reference in any permit which may be issued. Deviation
from these details will constitute a violation of any permit. Any person developing in an AEC without a per-
mit is subject to civil, criminal and administrative action.
This the day of��'^ b
and er or person authorized to act as his agent
for piftposes, of filing a CAMA permit application.

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor develop-
ment permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you,
if requested.
PHYSICAL DIMENSIONS
label roads
label highways right of ways
label local setback lines
label any and all structures and driveways currently existing on prof
PHYSICAL CHARACTERISTICS
draw and label mean high water mark
draw location of on -site wastewater system
If you will be working in the ocean hazard area:
draw and label dune ridges (note height)
draw and label toe of dune
identify and locate first line of stable vegetation
draw and label setback line under CAMA
draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
draw and label landward limit of AEC
describe terrain (slope)
DEVELOPMENT PLANS
draw and label areas that will be disturbed
if a house is to be placed on lot, describe location of house
note size of piling and depth to be placed in ground
draw and label all areas to be paved or graveled
describe composition of surface
note and list fully all trees and vegetation to be removed or relocated
show landscaping
NOTE TO APPLICANT
Have you:
*completed all blanks and/or indicated if not applicable?
*notified and listed adjacent property owners?
*included your site drawing?
*signed both application and statement of ownership?
*enclosed the M.00 fee?
*completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
UkC 2 7 2000
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)

%Cq!D1* �Otl)t YOWCOWD" I S ASSOCIAlot)
February 9, 2001
CAMA
151-B Highway 24
Hestron Plaza II
Morehead City, NC 28557
To Whom It May Concern:
Enclosed is the Adjacent Riparian Property Owner Statement from the North Carolina
Aquarium representative, Jim Barnes.
Please send a CAMA Permit to:
Crystal Coast Management Consultants
Post Office Box 4455
Emerald Isle, North Carolina 28594
If you require further information, please call our office at [phone] or email
mel isaccmc(a-)coastalnet. corn
Sincerely,
M�� �
eli a Nelson
Administrative Coordinator
Crystal Coast Management Consultants
Association Managing Agent

FEB 1' 2 Zoo 1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Raul and Lilia Casa's property located at
2 West Court — McGinnis Point on Bogue Sound , in Pine Knoll Shores, North Carolina.
He had described to me as shown below, the development he is proposing at that
location, and I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(to be filled in by individual proposing development)
Placement of filter fabric and rip rap rock just above average high tide for a distance of
approximately sixty feet in the center of the lot.
Signature
J" 13�tr S
Print or Type Name
24 7 —4003
Telephone Number
Date