General Permits (2378)

CERTIFICATION OF EXEMPTION �� ✓ �
0 l
FROM REQUIRING A CAMA PERMIT ,�, / ,� 1
as authorized by the State of North Carolina, ce
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental conc rn pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name } -0 Phoniirr{tier
Address -
City l :.�-' r� / : State Zip
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.
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:
�i�����rr��
■
ME�
SUMMON Now 0NEON "MENNEN
no
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 H there
is a subsequent determination that a permit was required for the { , J cP
development. CAMA Official's signature
/<
he applicant certifies by signing this exemption that (1) the ap- Issuing date
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 Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K .0203
V

t
.t
I 4W& -- ( i6 "YI I
MA
qv�r I , 5�I31
A19 S O L L C fi�
f�
S M r T LA RR Y No�cE,Q
L0 i t $ S Pad NF4S c" N
Yo� �

• an
i C , O
, 170.000)
_200.00'
83040'00" W _ * —N 83°40.00" W
18
10
20' . O.lh_J_ E.
_
I
r j
13
w
� w
� x i
a
�n
14 8 s
Y
1 P 4 8o, J9' 1 .L
20, U.E. 1Jr�{(' r
92WQyi' %S 1QQ0' Iwl� ��a
1 Q' , r.
�I f'RNATE \ $2.56' `6p f ►
_ _
o RkGRCATIOr! 3 _ ' a o ' ! }0.
1 f h
+ 1b I I
_
1 I li (2a,818) f N (TU,717)
0
Lij1 Hwy" 1rnn' S4.ko' i
t 98_31�0.70'
SAP°R,A-Ec�oO' Y
/ J 7
"r'
•
JO' M.n.i_ , 7,27'
Al
f_ r
6,11
IFZEIII O
1
6
F'ANKING �
(20.
V, 1
f 1
t
SCT
—
,01
I
YGN.
lT1,UB8)
,7)
'
LEGEND
-1fry
R/W etc PROPERTY LINES
ROAD CENTERLINES
EASEMENT LINES
- -
4
- MINIMUM rJU1.10114G IINES
LOT NUMOERS
LOT AREA IN SQUARE FEET
_ a
POINT ON SEAWALL
I-1 Q L. Lf:.(�
�I
t
CURVE DATA
DELTA RADIUS TANGENT
046' 00" 230.00' ~ 182.19,
)p 00' 00,11 302,22'
,0 59' 39" 263.33'
t° 00, 00" 261,67'-
i °30' 00" 230.00'
,n+
1 10.00'
140, OO'
80.00'
52.04'
ARC
CHORD
306.16'
285.62'
210.99,
206.73'
257.35'
247,23'
155,28'
153.01'
102.36'
101,52'
{
00
SCALE IN FEET

04/05/95 16:06
d919 937 6736 DAVID SMITH
2001
I hea-eby Certify
located at
Body) r']`Cwrl Count� r C•.
lie has described to nu„ u:�)icJi�r, Lcslrlt�� i.hN ctc;vc��e�mC+rit }yip i, S
proposing at that loc. "It 'Ior. a,c� :� },,�:vc: .icy ;:]-> j�C;t�.one to
karo��bs�l, Z und�rsttt�yc3 t:hflt ,� pier rn�rst- 1,� �;et. T1Ac,k a rni.)7i-jr�tr,17i
distance of fifteen c:C:t. (:tb,) my 3,na1: , rarl f�c:c;e ;a
unless waived by me,
coo not wisil t o Wri , yr
wish to 4"tivC t:h�,.t :,c:t.j:>rac�k c gui rerncsnt .
I}esOl iption rind/o3 d):t,ari.ilcc of Proposed development:: Oro w.,
VILLft IN By =NDMDUk•I, tyuoz���;7
v 7.
01S
l='ir�r�t� t�ttiri„C1'
-3;�Z - --- T L slF-A_,b z_ - a . - a -

ADJACENT RAR PROPERTY OWI`��R STATEMENT
(FOR A PIER/B100RING PILINGSIBOAILIFT/BOATHOUSE)
I hereby certify that I own property adjacent to I.Al-�19,kl 's
(Name of Property Owner)
property located at 401 / & lvo ,00-4 ,
(Lot, Block, Road, etc.)
on i>/v) e; zs , in N. C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To he,filled in by individual proposing development)
�Q
Signature
Print or Type Name
1'017 3rS 3-7��
Telephone Number
Date:
T

CO"ENTS
There are pages- (Including cover sheet)
i6i'd £d.S£tbZ 213-7-11?H SZ:=80 3i11 SE.-ki£-Akita

05/20/95 07:51 V919 937 6736 DAVID SMITH (it001
CERTIFIED MAIL
R'�TtlRala 'A,EC�7i}7C . 3LF.�t�sTFD
Dear►
This litter .is tv notify you as an adjacent xiPaxien 3.andowner of
)'Pr NOL - plans to constxl4ct
on their property located at
-4
1ri f,'.�: �. %, ,�,.• The Sketch OD the "V"&e
tide accurately depicts the proposed construc'tian-
jections to this proposal, please check the
Should you have no ob
Statement below, sign and date -tbe blank below the statemept,
GLUX
and return this letter to: -r
r'�I f c,?--S
�s SQan as pvssxnse.
},avid you hove abjectXons to this praPasal, please Sers3 your
written comments to the NC Division ai Written jcommC is mu t be
,SOX 76,9, moreheZld OtY, he 28557. '
received ten (ID da s of recei
receivet of this notice.
will be
)Failure tQ 1e-spond inmetrivd �rfthin ten 10i dh s
interpreted as nQ ohlcction r
Sincerely,
ection to the project a5 Presently
7 hPvc no abj that 1-ignt of ol?jeetion as
rtereb
srappsed �,nd Y
provrdEd in General Statute 1�3-229, e8
s ect as pr entiy �'.
X h��e bL�ecCioris CO the �i
�/}
&rid save
Sign
at,u ee 'r
Ta-.a
g4Q'R�Lvn 43-1-ADH eX=LO IM-A
Z0"d FLS£? Vz 2137`lOH SZ: so 3nx S6-02-)1OW

Yt�::i'l�R.}•l ��•:(_ �xPT k=.'t�lJ'�Sa_'r��
Dear
This let Iel- is t r:ctify `�c� �� � r_ s� ;� -cr.t � iparian I downer of
r}r .11•}r s. !� 'I ,- JW i .._..�__._ " i E r, s LE: c or, s t. y u c L _
on their prop
sketch on the reverse
x
5��E' L�Ci`vE' 1ti�Ci�;�j.�� :":- -•-C•%SESC ,. �i���• � +r pia_ C j 0n -
shou7d yeu hcti�� :1� objc�t o~� �r: _ r.rr..)possl p3ease check the
statemer]t below, :: is:. anc ;._ �e tht �=�n,��. 1-Jelow the statem fit,
and return this 3etttclr to: d1�jj1
as soar �s pa�s�blt-
cr r
ps �c�a] please send your
Ei!iO%)' t-
WriLS. tiqen1 c t:,� -.. -'. Cr�s..trai ;3nnsoa�+er�t, P. O.
L��1•,;
Bo)., 76:, leortht!86 citv,:'!r.. ,�� v,itcen caruments mu St be
receiver ttis notice.
��,on� in £'otrEy :,Ct?C�S. �ILChir: ten {10) days Will bE
interpzsteci
sincexv'.-)' f
U;, c. Li mot:C` VC;C as preScr;tly
I );G��e no ) ' t ,+ ]•'ght of objection 8s
as pr,zr;t 3' PL�gsed
. f • f - f ".l a23-i-1 9�z= se and 56-0£-AVW

C'Z-0