General Permits (791)

CERTIFICATION OF EXEMPTION �.
FROM REQUIRING A CAMA PERMIT lI ElyL�''1��
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as authorized by the State of North Carolina, JUL U 5 2001
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. _a
GOASTIaL MANAGEMENT r
1.. � Say i .
Applicant Name .t; Phone Number
Address <:
City 1.,
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project
State Zip / i
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
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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.
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Applicant's signature
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CAMA Official's signature
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Issuing date
,�-( oI
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

North Carolina LT Department of Environment and Natural Resources J. '
Division of Coastal Management
Michael F. Easley, Governor IL
NCDENR
William G. Ross Jr., Secretary
Donna D. Moffitt, Director
June 6, 2001
Coastal Marine Contractors
Attn: Mark Hardeman
1895 Jack Rabbit Lane
New Bern, NC 28562
Dear Mr. Hardeman:
Attached is a Certificate of Exemption From Requiring a CAMA Permit to construct a 5' x 149' pier with
a 6' x 20' "L" shaped platform and +/- 100' of access over marsh with 3 mooring pilings in Pamlico
County of Bayshore Drive, in Bayshore Estates adjacent to Moore's Creek, in Florence.
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,
Ted Tyndall
District Manager
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Enclosures
Morehead City District \ 151-13 Hwy. 24, Hestron Plaza H
Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: http://dcM2.enr.state.nc,us
AN EQUAL OPPORTUNITY 1 AFFIRMATIVE ACTION EMPLOYER

A.DJACE rq-T ROARLikN MOMUY 0TVICK STAILiVILIN 1.
(FOR A PIERM00RINGPILI,1'GS;BOjA- .::-V,'BOjITIIOIJSE)
.T I LV1
/IL
T hr?rrhy nprtify that T nu n rn rtadja.:nt tQ 0t1U �� 'S
(Name of Property Over)
properly located at
(Lot, Block, Road, etc.)
1 r,
on ��f 'LP.�� !'2— , in c _l � . N.C.
('Waterbocly} (Town afad/or County)
He has described to me, as shnwn be.JQ�V, the development ha is proposing at that
location, and, I have no objections to his proposal. I undcrstand that a pier/wuuiuig
pilings/boad ifr/boathouse must be set back a minimum distance of Fifteen feet (15') from my area
of riparian access unless waived by me.
I du 1jut wish to waive-uib setljauk requirement.
i do wish to ��,aivc that setback requirement.
DESCRUMON AND/OR DRAWING OF PROPOSED DEVELOPNM, NT:
(To be filled in by individual proposing development)
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NO OP5 LAC
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Telephone Numb-.
Date:--
• L t l tut l u ►+Uw

Jun 06 01 06:07a Bob & Missy Baskervill 252-249-3537
p.2
ADJACENT RIPARIAN PROPERTY OWNER STATE NMNI'
(FOR A PIERAVOORING PILINGSIBOATLIITIBOATNOUSE)
I hereby certify that I own property adjacent to Je) 4L"VC,,)F, Y 6 rft�� 's
1 (Name of Property Owner)
property located at L6 310 84 v .S' h n k (' )-- C-1^ !" I, -
(Lot, lock, Road, etc.)
on Y6IIee5 Cr, , in Cr1 a n e t�
(Waterbody) ��` �b ,.N.C.
(Town a d/or County)
lie has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatliftlboathouse must be set back a minimum distance of fifteen feet (IS') from my of riparian access unless waived by me. area
V I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
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DESCRIPTION ANTWOR DRAWD G OF PROPOSED DEVELOPINTEN7:-------~
(To be filled in by indiiidual proposing development)
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Signature
yo?mfl �. ,ltiCi9/I�j
Print or Type Name
Telephone Number
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