General Permits (2258)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PER
as authorized by the State of North Carolina, 1
Department of Natural Resources and Community Dev646 and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name
Address
Citv
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions 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
State
Zip
This certification of exemption from requiring a CAMA permit is
valid for 60 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
CAMA Official's signature
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.
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

GENERAL PERMIT APPLICATION INFORMATION
APPLICANT'S NAME:
1 .LING ADDRESS:
_(PERMANENT)
:I.q �
v1111 a N r v v
(Middl )
\Q \ -4
c- z, \yA— STATE
WORK (
:\ e IV
(First)
G.N<_1n C'-S
(Last)
HOME (NY", )
CONTRACTOR'S NAME: • - > ,) A , Co.,s� Y •"c� "`1 TELEPHONE NUMBER
PROJECT LOCATION: N.C. Hwy. # `a�- SR # Road/Street Name \
Waterway Name 7�\n�Ne -coc a.l County e.v+�-c�+e
Town > Subdivision C e�Y
PROJECT ACTIVITIES:
PIER: Total dimensions of pier from MHW to platform Is /
(Length) (Width)
'T' or IL' -head platform -;?-N- \ �__ \-4-"
(L th) (Width) (Number of Mooring Piles)
Water depth at end of pi� Number of Mooring piles
l 1 �
* - �T�OU IBOAT4 LIFT: Length �� \ � \ ��
Number of Piles
BULKHEAD: #1 Total length
#2
Average distance waterward MHW
Maximum distance waterward MHW
Total length
Average distance waterward MHW
Maximum distance waterward MHW
RIPRAP: Total length
EXCAVATION: [MAINTENANCE 'ONLY']
Length
Width
Width
Qo� Water Depth
Base width from MHW
Depth of Cut
Adjusted water depth on MLW Existing water depths)
Estimated Cubic Yards (length x width x depth/27)
Type of spoil: Sand Mud
Dragline \Backhoe Hydraulic
OTHER STRUCTURES: 'A-
Cam` ` ��' �. J R C

CARTERET COUNTY COURTHOUSE
CENTRAL PERMIT OFFICE OF
v >,
COURTHOUSE SQUARE
BEAUFORT, N. C. 2851 6-1 898
728-8545
BUILDINGS. MOBILE HOMES. ELECTRICAL. PLUMBING. MECHANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to:
w. property located at: CN •'
near ( water body)
in ( county) ci..re
The applicant described to me as shown below, the development
he/she is proposing in that location and I have no objections to
this proposal.
Description and/or drawing of proposed development:
�Pe>
I pp 1 c.
ts•
peck !
a
6
RM
�'a �4� cover ave,� �ao4�-5
Signature: v //
Name: .J�lr�
Phone Number: 21 T— 2�1` % 7rl

CENTRAL PERMIT OFFICE OF
R
COURTHOUSE SQUARE
BEAUFORT, N. C. 2851 6-1 898
728-8545
CARTERET COUNTY
COURTHOUSE
BUILDINGS, MOBILE HOMES, ELECTRICAL. PLUMBING, MECHANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to:
property located at • \ '�, _tea '^'� �^^ q.> L C C,. .r' Yon
near (water body)
in ( county) L ci' �� e CA —
The applicant described to me as shown below, the development
he/she is proposing in that location and I have no objections to
this proposal.
Description and/or drawing of proposed development:
:14�
A "e.,
t3
Ski s
i
\�:ZA-
Signature:
Name: h,
Phone Number: 3 o S Ste— G3
e: