General Permits (3494)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,]
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 : F, ' Phone Number
Address
City 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
iJ
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.
A`pplbant's signature
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

AJUJI 1%-JUA I Y IA-W LUAIN rxurr lr'1' Y V w1V1R STA'1E1ViEi T
I hereby certify that I own property adjacent to Richard F. Gordon 's
(Name of Property Owner)
property located at Lot 20, section Two, Deerfield shores (Rudolph Drive)
(Lot, Block, Road, etc.)
on Newport River
7�
(Waterbody)
Carteret
(Town and/or County)
[Me
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Construct 90' bulkhead
with
pier approximately �
200 feet long to edge of
marsh. Pier to have "L" JUL 21 1998
on end with manual boat
lift for small boat. t�' z"Uo� t
L'
is
Ross
k�cJ�(�
Cam-,
170,
C�D
60iZuN
ature
James H. Potter III
Print or Type Name
252-728-4723
Telephone Number
Date: ���
C2�
Pa 'TTF<�

I hereby certify that I own property adjacent to Richard F . Gordon I
(Name of Property Owner)
Property located at Lot 20, Section Two, Deerfield Shores (Rudolph Drive)
on Newport River
(Waterbody)
(Lot, Block, Road, etc.)
Carteret
. in
(Town and/or County)
N.C.
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Construct 90' bulkhead T5
with pier approximately
200 feet long to edge of
marsh. Pier to have "L" < �� F? JUL 2.1 1998
on end with manual boat
lift for small boat. 2 G� '�
�s5pr<DON
Signature
Ws
Stephen Ross
Print or Type Name
910-395-3905
Telephone Number
Date: _ �a �(,�� ��

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7CINITY MAP(—, to scare)
60' R,/W RUDOLPH COURT
(CHORD)
S 28020'49"E S 25040120"E
EIPF74,62' 35.38'
(CHORD) EIP
— __ :30-' C►'iAL— ___ __-
± 0.50 ACRES 3
Z (COORD. METHOD) ti
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ro
0 N p
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tri
JUL 21 1998 top of I ,',,
bank 1
EIP N 4001(3130"W 0?7
Waterline RJ R��ER qP)�'
I certify that on 1 U N�W P O
REF: LOT 20, SECT. 2,
supervised the survey of�h�proper8yq',n
DEERFIELD SHORES
this plat; that :hx property lines and location MAP B K. 15, PG. 95
Of all str Uctures are accurately shown hereon;
that the structure located on this property PIN: 7307.0106.5436
&DOES NOT encroach on any adjacent street
*or property and that the adjacent property R I C H A R D F e GORDON
/DOES N T encroach on the premises surveyed.
IDA H. GORDON
►� -
N W.Its�I S. BEAUFORT TOWNSHIP CARTERET COUNTY, N.C.
Aso SCAL E
SEAL = 1 „ = 40' JOHN W. COLLIER, R. L . S.
l'-891 408 Arendell Street,
Ir `rP.O.Box 3460
S If p;' ? DA rE
..a e!lRy��•'�, 10-7-1997 Morehead City, N. C. 28557
by • cov'-�F I L E GORDON [phone]
,�iFfili+l�������,� D— I —G N. C. TOLL FREE - ( 800) 682-4316

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