General Permits (1842)

CERTIFICATION OF EXEMPTION
-� 'Tr" --
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, ry
pDepartment of Environment, Health, and Natural Resources and the Coastal ResoQrg9s &&&iskioA 1993
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name - f%, /� Phone Nuroer
Address 1;/ S(-,3 A r L, s_
City >- - >! - -s- State Zip
Project Location (County, State Road, Water Body, etc.) IL_
1 l e tF / 7 1 -si- -7-,- fi P
Type and Dimensions of Project 1 n n 4 'l " 9 , -, -) 1
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.
/"- r
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.
SKETCH _ ( (SCALE: )
la r
ow
011rum"
I f '1 1.
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.
Appucanus signature -
CAMA Official's signature
/ - //,-
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

A .. _ - State of North Carolina
Department of Environment, A715TA
Health and Natural Resources 4
Division of Coastal Management
James B. Hunt, Jr„ Governor p E H N R
Jonathan B. Howes, Secretary
Roger N. Schecter, Director
December 14, 1993
Dr. Charles M. Brooks
2903 Rouse Road
Kinston, NC 28501
Dear Mr. Brooks:
Attached is a Certificate of Exemption From Requiring a CAMA Permit to construct a pier with
6 mooring pilings at Lot #2 in Westmouth Subdivision, off Westmouth Bay, at Harkers Island, in Carteret
County. There is no fee for a Certificate of Exemption, therefore, we are returning your Check #3612
in the amount of $50.00.
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,
5�Charles O. Pigott
Field Representative
COP/dh
Enclosures
P.O. Box 769, 3441 Arendell St., Morehead City, North Carolina 28557 Courier #11-12-09
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

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DR.
CH
� SUSAN W, 'BROOKS NC
OOKS A
2903 ROUSE RD. 919-523-5138 DL 2849558 3 612�
g - KINSTON, NC 28501 /Z 19 �� 66-25/531 Pay to the 1 35
Order of
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NationsBank of North Curulinu, N.A. L Kinston, NC 2sSUt
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SE 0 7 1993
L`�LT�'C��.
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Date:— G — 10l S' 3
I, have no objection
to Charles Michael Brooks, placing a bulkhead along his waterfront
property in Harkers Island, Lot 2, Block C, Westmouth Bay, revised # 2
Map Book 12, Page 26, on State Road 1416. In addition, I have no
objection to maintenance dredging of boat basin located along this
property and maintenance dredging of the canal adjacent to the
previously mentioned bulkhead.

lel'2 / C� Date:T—��
I have no objection to
Ch les Michael Brooks, placing a bulkhead along his waterfront
property in Harkers Island, Lot 2, Block C, Westmouth Bay, revised # 2,
Map Book 12, Page 26, on State Road 1416. In addition, I have no
objection to maintenance dredging of boat basin located along this
property and maintenance dredging of the canal adjacent to the
previously mentioned bulkhead.

KINSTON OB-GYN ASSOCIATES, P.A.
SAMUEL J. GILMORE, M.D.
C. MICHAEL BROOKS, M.D.
DAVID M. HAGINS, M.D.
December 7, 1993
Division of Coastal Management
P.O. Box 769
Morehead City, N.C. 28557
Attention: Charles 0. Pigott
Dear Mr, Pigott:
Please find enclosed check for $50.00 for ninety —day extension
on permit # 11485. All bulkheading has been completed, but
some dock work remains to be completed.
Please call me i you have any questions.
Sincerely, _
C. Michael Brooks, M.D.
CMB/ss
KINSTON CLINIC NORTH - SUITE E - KINSTON, N. C. 28501
PHONE [phone] - TOLL FREE NUMBER 1-800-682-6802
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