General Permits (2191)

CERTIFICATION OF EXEMPTION'
FROM REQUIRING A CAMA PERMIT T,/
as authorized by the State of North Carolina, l/ r el
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type and Dirngnsions,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.
Phone Number'T
L, Zip
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 y'—`�/,�..� (SCALE: )
i
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.01
`
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
`evelopment.
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

- FLOOR COVERING INSTALLATION PLANNING SHEET
SCALE: 1 SQUARE EQUALS 1 FOOT
SALESMAN DATE ORDER NO. ) I
ESTIMATOR , i� I PURCHASER's NAME (-��'sr In 01n�.1p+jh
4
0
i
I
I
SJ _
1
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(Specify Item A either regular or heavy)
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24, y
JUN o 3 �9s
it

Customer Floor Plan Data
Carpet
Customer's Name
Address
Phone
Date
Completed Price
Installation Date
Special Instructions
Mat. at Sq. Yd.
Pad at Sq. Yd.
Labor at — Sq. Yd
Take Up Old
Appliances
Cap Work on Stairs
Stringers__
Door Metal
Wrap Work
Steam Radiators _
Stringers
Mat. at _.
Labor at
Underlay__
Cove Base No.
Appliances No.
Shoe Molding No.
Floor Prep.
R & R Toilets
Rip Up Old Floor _
Door Metal
Resilient
Sq. Yd. _
Sq. Yd.
Sq. Yd.
at
x
at
Lin. Ft. _--

FLOOR COVERING INSTALLATION PLANNING SHEET
SCALE: 1 SQUARE EQUALS 1 FOOT
SALESMAN
ESTIMATOR
DATE ORDER NO
PURCHASER's NAME �0 r- OH tj �p jam
a, Via,
T
A*LV
/1 e-44trrle 1%r.
LJU:N
3 1984
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�.._..—-------- -------
(Specify Item A either regular or heavy)

Customer Floor Plan Data
Carpet
Customer's Name
Address
Phone
Date
Completed Price
Installation Date
Special Instructions
Mat. at Sq. Yd.
Pad at Sq. Yd.
Labor at — Sq. Yd
Take Up Old
Appliances
Cap Work on Stairs
Stringers
Door Metal
Wrap Work
Steam Radiators _
Stringers
Resilient
Mat. at __— Sq. Yd.
Labor at Sq. Yd..__�
Underlay _ Sq. Yd.
Cove Base No. at
Appliances No. x
Shoe Molding No. _ at
Floor Prep.
R & R Toilets
Rip Up Old Floor
Door Metal
Lin. Ft. _ ___

Gordon L. Whelpton
P.O. Box 4842; Emerald Isle, NC 28594; 919-354-7188
6/2/94
F F_ P". - 177 7:
ni J U N 03 1994 ;
.._....---------------------
I I, eak c k3 CcuV..V(P_C-_, residing at 16'�l
0 d Q_ O-A e _�e_ r e -V , 0 C_ have no objection to the con-
struction of a boat dock and lift on the adjoining property owned by Gordon Whelpton.
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to William B. McLean
Marital Trust anticipated for purchase by Gordon L. Whelpton.
Lot 27, sec. IV, Blk. Q 507 Neptune Drive Cape Cart,e.ret, Subdivision
(Lot, Block, Road, etc.)
on _ Deer Creek in Cape Cart,exet , N.C.
(Waterbody) (Town and/or County)
fie has described to me, as shown below, the development he is
proposing at that location, and, I have no objections to his
proposal.
-----------------------------------------------------------------
It
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Boat dock 251 long, 4' wide and a boat, lift not to exceed Jt in width for
a total width of 1 '• out from bulkhead. (See attached drawing)
"7)' [ ; 1110
JUN 0 1 1994 ail
Oft".b..........rr�roip
Print or Type Name
Telephone Number
I

Gordon L. Whelpton
6/2/94
I
P.O. Box 4842; Emerald Isle, NC 28594; 919-354-7188
residing at
have no objection to the con-
struction of a boat dock and lift on the adjoining property owned by Gordon Whelpt �
j JUN 0 3 1994
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