General Permits (3675)

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Y CERTIFICATION OF EXEMPTION
FROM REQUIRING A LAMA PERMIT ,,�` ,--a �., �;, �,• ,�-
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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 L? <'" �// '7 �� f Phone Number
Address r9 t'
City 4 -...& k 14 State f zip S„ U
Project Location (County, State Road, Water Body, etc.) _.a
Type and Dimgnsions of Project 0 +° Plr, f' IL u
71
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The proposed project to be located and constructed -as described
above is hereby certified as exempt ,f.rom _tire 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.
At T=-' x 't x S ' Z-s-
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 -re 6 ,, /,' 7 /j (SCALE: I/ )
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Any person who proceeds with '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.
of
h. %' f ��;-47 tl eet
CAMA Official's signature
Issuing date
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Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

NEW BERN ORTHOPAEDIC ASSOCIATES, INC.
ORTHOPAEDIC SURGERY
GERALD PELLETIER, JR., M.D.
HAROLD M. VANDERSEA, M.D.
DONALD S. BRIGHT, M.D.
800 HOSPITAL DRIVE, SUITE 7
MEDICAL ARTS BUILDING
NEW BERN, N.C. 28560-3497
TELEPHONE: [phone]
FAX: [phone]
August 19, 1996
Mr. Charles O. Pigett
NC Office of Coastal Management
Box 769
Morehead City, NC 28557
Dear Mr. Pigett
A,;, z 0 19
Apr r +��,�,y,sP1►wN
SUITE 50
EAST PLAZA PROFESSIONAL CENTER
HAVELOCK, N.C. 28532
TELEPHONE: [phone]
FAX: [phone]
Enclosed is the Certificate of Exemption. I plan to fill where I have lost soil both
on the dock side and also behind the riprap on the canal side of the lot. This is
filled in on the drawing the I have done in addition to your drawing. This will be
behind an existina sea-wall or an existing riprap. Let me know if you have any
questions.
Sincerely
Donald S. Bright, M.D.
DSB/sbc
Enclosure

State of North Carolina
F Department of Environment, LWWA
Health and Natural Resources • •
Division of Coastal Management
James B. Hunt, Jr., Governor ID E H N �1
Jonathan B. Howes, Secretary
Roger N. Schecter, Director
DATE: , 1996
Attached is a Certificate of Exemption From Requiring a CAMA Permit. 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,
Field Representative i
/dh
Enclosures
P.O. Box 769, 3441 Arendell St., Morehead City, North Carolina 28557 Courier #11-12-09
Telephone [phone] FAX [phone]
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