General Permits (3368)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, JUN 0 2
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 State
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project
f
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.
1998
Phone Number
zip AY'F10
lo,, Utom)
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: )
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.
Applicant's signature `
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

e�
NCDENR
.LAMES B. HUNT.IR.
GOVERNOR
WAYNE MCDEVITT
SECRETARY
ROGER N. SCHECTER
DIRECTOR
X�.
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF COASTAL MANAGEMENT
May 26, 1998
Mr. John Latham
3398 Janerio Rd
Arapahoe, N.C. 28510
Dear Mr. Latham:
Attached is a Certificate of Exemption From Requiring a CAMA Permit to construct
a 8x 16 ft dock platform at Camp Caroline in Pamlico County.
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.
TT/rcb
Enclosures
Sincerely,
Ted Tyndall
Coastal Management Representative
MOREHEAD CITY OFFICE
HESTRON PLAZA II 151-B HIGHWAY 24 MOREHEAD CITY NC 28557
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10% POST -CONSUMER PAPER

N
Fxi- iko County- Building Inspections
P.O. Box 776
Bs`-boro, R.f. 2851E
(919)-745-3851 MAY 2 1 1998
Adjacen! Riparian ProKrlrt , 0-trier Statg!ment Epn4
CHRISTIAN CHURCH IN N.0(DBA)
I hereby certify that I own property adjacent to , s
CA"1P CAROLINE Name of landowner proposing development
on 339E JANIRFO RD. in'near Lots of
CommUr,*:t} Subd �•ision, ifapplcab!e
Ta..N Parcel off SR
Complete descrirtion ofhow to locate this prope.-ty-Toy,-, =.,rF 5 Tr., Trr.r) Pn
JA ILRC) Ctj',1',i�_",JTY PA_".3_ICr) Cot"--Y
This proposed pmjert, ar'.'LkuFr�-ct t�_e,' ^d the locati�- hoc bee ! descnhed to r1?': cs
s'zov t� in the dravong below and I have no objections to the prop : sz:
For a Pie-. checl•.- one of the FolloNN in
I v s' to�aiti�
I do no: u1sh to %Va:VC the 15' nul-.1mUm se:'ack regU:kTCMer.:
D:zw the proposed s-rtture in Ihc: spc, t:��e�ded be,ow. List ts.e ol, tl;e s I.0.: Murc a ,? mtasured distances f: c:�. the adjace',I pr op`;- i1 bnes, other sir;]m -es on the pro! e —ty, are: the
road; rate{, etc.
V
AJ'_ : tti: fates a� tam. .:' to the 1: ad—a-r �, ' L a or
!'k-' ., �.� It:r Jr... P: F.:YCZ tC` tl?: h:.;9for L.:.-: _.
Sap:LTc The fOCL^5 8: tb::, rc:-^ c: a :�� ui . a b►�_l tea. ;�: sad o be e, zcx.:.::,; ;r&OM.26ON. W u:: 3
L s+-' o=., Officc ib! t'S.�li, z
Sad-riatuif' Cf� �s•tit"st."'w+t4 C Jz
Di.:
F

P anrllso CountN Ba lding Inspectio.-s
P.O. box 776
Eavboro. ?a.f. 28515
(919)-745-3861
MAY 2 1 1998
Adjacent Riparian Property Qx—mer Statement Epn#
CHRISTIAN CHURCH IN N.0 (DBA)
I hereby certify that I own property adjacent to s
CAMP C AROLINE Name of landowner proposing development
on 3398 JANIREO RD. in/near Lot4 of
Community Subdi-6sion, if applicable
Tax Parcel # off SI1
Complete description ofhou- to locate this property: TowNSFTTP 5 .TAT TRED Pn-
JANIERO CO."IM 'tiITY PAML•ICO COUNTY
This proposed project, OULKHEAD—SEA WAI&d the location has been described to me as
shown in the drawing below and I have no objections to the proposal.
For a Pier, check one of the Follo Ring:
I A ish to waive the 15' minimum setback from my riparian access. _
I do not wish to waive the 15' mi-, imum setbac recuirement.
Draw the proposed structure in the space provided below- List the size of the structure and
measured distances from the adjacent property lines, other structures on the property, and the
road, water, etc.
A� 1
16
Aft= this far^. is eompki-ed by the landawner proposing the prn;,�ct. a cop\ is given to the 43cent ]an&wDe.. for then consent W-'J
sumatures. The forms are then mry-nodalong HAW a p. -n and other a;T ablc req,nre i information, to the Bnil;h.q
lr sp -lions Offioe for NOding pc mum applicativr ;xxzs .
SiLrnatur '� �f %��� ! = - Date o�