General Permits (2333)

„f-'�''�' v:r q1
CERTIFICATION OF EXEMPTION
v
-� Tifro
FROM REQUIRING A C7L9c4W
fa -��' -e C
as authorized by the State of North C r a,�' )/0
Department of Environment, Health, P f at�h astal Resources Commission
in an area of environmental concern ant toa 7K .0203.
Applicant Name J, V,
Address
City R n , i
Project Location (County, State Road, Water Body, etc.)
hone Number "// I - 5. � � — l Yl J
Type and Dimensions of Project Poe L 4 k
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.
SKETCH r ki j (SCALE: )
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.
Iicarlt"s Sig
njyJtj ature
CAMA Official's signature
Issuing date
`/ - (” - :)
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

State of North Carolina
Department of Environment, ATIKWA
Health and Natural Resources • •
Division of Coastal Management
James B. Hunt, Jr.; Governor � C
Jonathan B. Howes, Secretary C
Roger N. Schecter, Director
June 7, 1995
Mr. J. D. Fish
4916 Theys Road
Raleigh, NC 27606
Dear Mr. Fish:
Attached is a Certificate of Exemption From Requiring a CAMA Permit to construct a
pier at 303 Star Church Road, on Sleepy Creek, in Marshallberg, Carteret County, NC.
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,
Charles O. Pigott
Field Representative I
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

J. D. Fish
4916 Theys Rd.
Raleigh, NC 27606
919-858-0899
May 30, 1995
Charles O. Pigott
DEHNR
P. O. Box 769
3441 Arendell St.
Morehead City, NC 28557
Dear Mr. Pigottt:
Attached is a consent form from my neighbors on Sleepy Creek near Marshallberg, plus a
copy of my existing Cerification of Exemption for a pier that I plan to build on my
property at 303 Star Church Rd. I followed your suggestion to get written agreement
from my adjacent neighbors for our slight change of plans in construction of the pier.
This was especially important since Mrs. Bernice Hill has sold her adjoining lot to David
and Brenda Pullen.
You will notice that the new pier is shorter and located on the opposite side of the
existing boat basin. We believe that the new location will be more useful to us and blend
into the property better that the first location. Please send me a revised Certification of
Exemption with a 90 day term being when you sign. I am finally ready to begin
construction.
Thank you for your help.
Sincerel
D. Fish

As owners of property which adjoins the property of J. D. and Kay Fish at 303 Star
Church Rd., MarshallbPrg, NC, your signature is needed below. Your signature indicates
that you do not object to construction of a pier on the Fish property as indicated in the
drawing below. This agreement will be used to obtain permits required to construct the
pier as indicated.
Please sign and date.
4544:�O�
Charles and/or Arsell wyer
David and/or Brenda Pullen
Y a
Dat
-5 -2 9 -q5
Date