General Permits (932)

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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT �{r
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.
j
Applicant Name
Address f--V-;
�c,.�,�, a i x a =: r c�0� i-a� t CcaL>� Phone Number 'A 'ili -' 4� 9.7 �70
City State rit- Zip
Project Location (County, State Road, Water Body, etc.) .e N? ;o tj; 'e- ? !n i_c'n ,-:Zd
Type and Dimensions of Project (,gy f'r. CJ7 4C1A— ?xUL' T-IshO LA u,1*1_ At.J)
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: ;-,. ) I
(..1 7L�� Ta 25 t`
V i„
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.
�JL-a�o►J —� �. t
Ap"'__I ss�g t�"A C�'A�
CAMA Official's signature J
Issuing date
�� �.,-&9
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

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05/11/01 12:07 FAX lal O1
t
TO: Scott Jones (Cams)
Fax#: [phone]
Page#:3
From: holey & Foley (Sandy)
phone#: [phone]
Customer Work Sheet
Customer Name: Virgina Turner Date: May I I, 2001
Mailing Address: 5805 Pebble PI. Job Address Lot# 124 Stillwood Ct
RALTEGH, NC 27615 New BCTW Craven
Phone#: [phone]
Adjacer►t Property Owners
Left Side: Roy Taylor Right Side Dick Foster
Job Type Dtsc
Bulkhead Replace 120ft of wall
Dock
Boathouse
BoatlifVjet
Piling
Ramp/Jettie
Dredge
Rip Rap install large Bolders at west end

05/11/01 12:07 FAX Z 02
US/11/ZU01 FRI 10:05 F.Al 2526379113 USFS CROATAN ;h 002
APJACFrTI' IUVAJ IAN PROIPMTY OWNER ST'47'1MIENr
I h=by mrdfy that I awn property Oa=t to
(Name of Property Owner)
N
PTOPesty Imated at
(I.ot,
etc.)
on , in Aj oK j ate, c
(Waterbody) N.C.
(Town s�ndJor Coontq)
He has described to roe as showy below, the development he is proposing at that locaativa,
and, I have no objecdMa to iris proposal,
ID SCRMION AND/OR DRAWING OF PROPOSED DEVELOPAMT
(To be JW*d in by individual pmpodag development)
N��IL: ! ►;a
Fie„ , •�
J.oT /1V
Print or Type Name
Kg5za e.3S - s(za
FT eEE ,I ekphonc Number
� D, Date: S — /L=o /
92

05/11/01 12:07 Fr-K Z03
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to V, as;.,. -7-5w j rc is
(Name of Property Owner)
property located at 4 aT7 1 Q7r ,
(Lot, Block, Road, etc.)
on s " �, ' , in ,u F-� ,C,-sew c , go , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
N DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
NFN (To be filled in by individual proposing development)
l� i2;FEO)�
M _;�, I
Bdd
y
k oT 014
Signature
3
Print or Type Kame w u,ekIr
-;3-4 � ���3-��r�
Telephone Numbcr
Date: .S-- ? 0