General Permits (3609)

Y CERTIFICATI PTION r,1�
FROM REQUIRING A L�2
J—M�ir• 5 %t? — C
as authorized by the State of Nort rol Department of Environment, Healt nd NaCoastal Resources Commission
in an area of environmental conce 5 ter 7K .0203.
Applicant Name / i �� -r► -P o Phone Number 1 r
�i/ /� - d A -� i�
Address
City ✓i State Zip I d
Projeff Location (County, State Road, Water Body, etc.) 42.?,. 15 lel & rr., (7-7 A i'.<
and Dimensions of Project
-I,, it l .r ./ cn , .
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: )
l6
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 pej•rrtit was requiredior 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.
ure
i '
CAMA Off cia s signature -
7- . `4
Issuing date
/d � ` 7 7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Coastal Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Roger N. Schecter, Director
July 18, 1996
Mr. Bill Anderson
1010 Sioux Drive
Jacksonville, NC 28540
Dear Mr. Anderson:
�EHNF1
Attached is a Certificate of Exemption From Requiring a CAMA Permit to replace a pier
damaged by Hurricane Bertha at 173 Dix Creek Road, off Queens Creek, in Jacksonville,
Onslow 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.
Sincerely,
Charles O. Pigott
Field Representative
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