General Permits (4157)

Applicant Name
Address I g
City - 14 Ix, --»
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. y
a Phone Number '� / 6— 7
The proposed project to be located and construed 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.
Th 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: )
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I
1
4
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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) awritten statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
Applioant's sigrptUre
CAMA Official's signature
Issuing date
i (" — �3 y 7
Expiration date
Cl
Attachment: 15 North Carolina Administrative Code 7K .0203

June 25, 1997
Mr. Charles Pigott
Division of Coastal Mgt.
151 B Highway 24 - Hestron Plaza
Morehead City, NC 28557
Dear Charles,
As we discussed over the telephone last week, I am requesting that the Division of Coastal
Mgt. issue a permit so that I can rebuild the dock that was destroyed during the storms
last year. Thank you for taking the time to visit the property at 242 Old Causeway Road,
to make sure that what I want to do meets the state's requirements. Enclosed are the
Adjacent Riparian Property Owner Statement forms signed by the adjoining property
owners. Please forward the permit to:
Michael Durant
1842 Cape Horn Road
Hampstead, MD 21074
If you need additional information or have any questions please give me a call at 410-740-
5499 during the day or 410-374-5044 in the evening.
Thanks again for your help.
Sincerely,
k��
Michael Durant

14 .l'"IL i-4
ADJACENT RIPARIAN PROPERTY OWNER 6' XET,-�T
(FOR A PIERIMOORING PIUNGSIMA?ZIMMATHOUSE)
I hereby certify that I own property adjacent to tlk's
(Name of Prope Owner)
property located at
on
(Waterbody)
CL,ot, Block, Road, etc-)
N.C.
(Town d/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 apier/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 be filled in by individual proposing development)
yFT
F
s
-P
5DP-
L4r-T
00
Signature
Print or Type Name
9 7 2, 6' 72z �
Telephone Number
Date: �-

ADJACENT RIPARIAN PROPEKTY OWNER b1'A1r:M N'JL'
(FOR A PIER/MOORING PILINGSIBOA7UFTfBOATHOUSE)
I hereby certify that I own property adjacent to U 's
(Name of Prope Owner)
property located at
(Lot, Block, Road, )etc.)
on N.C.
(Waterbody) (Town dlor 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/boatliftfboathouse 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 be filled in individual proposing development)
4FY 6 4Fi
5D P}-
ignature
Ci�RiE-YZ 0L0
Print or Type Name
(ql ��)
telephone Number
Date: � ��

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 21, 1997
Mr. Michael Durant
1842 Cape Horn Road
Hampstead, MD 21074
Dear Mr. Durant:
�EHNR
Attached is a Certificate of Exemption From Requiring a CAMA Permit to replace pier
and "T" as specified on Certification of Exemption.
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,
aj,j&� �,4;b�/�
Charles Pigott
Field Representative
CP/mh
Enclosures
Hestron Plaza II, 151 B, Highway 24, Morehead City NC 28557 �`y�
�� C An Equal opportunity /Affirmative Action Employer
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