General Permits (1691)

O
Applicant Nar
Address
City 7-7
Project Locati
CERTIFICATION OF EXEMPTION,-) f
FROM REQUIRING A CAMA PERMIT-
%
as authorized by the State of North Carolina, 6
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concer pursuant to 15 NCAC Subchapter 7K .0203.
j1C �% k' <�/� Phone Number
nty, State
Type and Dimensions of Project
'1 -
Water Body, etc.) -
Zip
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.
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
10eve lopm ent.
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.
Applicant's signature '
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

PRECISION DREDGE & DOCK COMPANY
P_0_ Box 501. Atlantic Beach NC 28512
[phone]
ERMH GENEHHL PERMIT
HPPL 1 CHTI ON INFOI M11TION
JOB No. ���' � f
JOB NAME : Fa (Z,-(c
LOCAT ION --
i
DATE:-- �� 1`-�' C� 3

GENERAL PE D IT APPLICATION INFORMATION
APPLICANT'S NAME: A-0 u
(First
LING ADDRESS: I q09
(P
0-1
(Middle)
Last
ERMANENT) _
STATE ZIP
TELEPHONE: WORK ( iy ) HOME ( ) ��)� all' 2—
CONTRACTOR'S NAME: P,2( 5r ds 1 TELEPHONE NUMBER Q(q 2,f a 2333
PROJECT LOCATION: N.C. Hwy. # SR # Road/Street Name r}(3 SAA-cke-L"
Waterway Name County C H Ted e i-
Town t\JL Subdivision
PROJECT ACTIVITIES:
PIER: Total dimensions of pier from MHW to platform
(Length) (Width)
'T' or 'L'-head platform
(Length (Width) (Number of Mooring Piles)
Water depth at end of pier.
6"T HOUSE/BOAT LIFT: Length
Number of Piles
Number of Mooring piles
Width
Water Depth
BAD: Ill Total length -3 ((o + w'L W,"S 64c�y
Average distance waterward MHW
Maximum distance waterward MHW
#2 Total length
Average distance waterward MHW
Maximum distance waterward MHW
RIPRAP: Total lengthBase width from MHW`/
EXCAVATION: [MAINTENANCE 'ONLY']
Length
Width
Adjusted water depth on MLW
Depth of Cut
Existing water depth(s)
Estimated Cubic Yards (length x width x depth/27)
Type of spoil: Sand Mud
Dragline Backhoe Hydraulic
OTHER STRUCTURES:

PRECISION DREDGE & DOCK COMPANY
P.O. Box 501, Atlantic Beach NC 28512
[phone]
CAMA GENERAL PERMIT APPLICATION INFORMATION
JOB NUMBER: —Gm0A-_
ADJACENT PROPERTY OWNERS:
1. Name:_—f--- f " -
e cN
Property Address: (� P s ��C�-� 2- ST
N 0 /l,-E k,c�'tao Ccr(4 N C %
Mailing Address:_ -S-0—( — — — —
Phone Number:—��C'� :— � I o Z
2 . Name U � �U3 (-) r-
Property
N
Address: IKl� C, —�> sec f AjP
Mailing Address:— _—� �� C� 2C
Phone Number:—_

PRECISION DREDGE V DOCK COMPRNY
Post Office BoK 501, Htlantic Beach, N.C.
[phone]
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to:
�A2s property located:
(Name of Property Owner)
(Lot, Block, Road, Street, Sub Division etc.)
on c1 n! p . in JK0"ke:D" cc lc-
(Waterbody) (Town or County)
He has described to me, as shown below, the repairs/work or development he
is proposin _at that location, and, I have no objection to his proposal.
(Description and /or drawing of proposed work, repairs or development.)
1
100 '
`�DcrLA_E
(Property Owner)
Signature:
v � v
Print Name: L--�''� — —72 d/V
-------------
Telephone 74wl'61 —

PRECISION DREDGE V DOCK COMPANY
Post Office BOH 501, Htlantic Beach, N.C.
[phone]
RDJRCENT R 1 PHR 1 AN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to:
��-o-IR'g r(�oG-J-eN �AR.�e 's property located:
(Name of Property Owner)
1 q (3 -� hAc-ke(/o(L�
(Lot, Block, Road, Street, Sub Division etc.)
etc.)
Waterbody) (Town or County)
He has described to me, as shown below, the repairs/work or deuelopment he
is proposin at that location, and, I haue no objection to his proposal.
e � Act p ��� e
(Description and /or drawing of proposed work, repairs or development.)
WFU
T
f ©0 I `a Gr�E S ou ti,, `'
NNW*
Propert Ow er)
Signature4� a -
Print Name: �6 ✓
Telephone----7L-hQ�---------