General Permits (4898)

c
.T c
-Y
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT/j
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 11 Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.) '? . 3
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.
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
�velopment. _
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.
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.
Applicant's signature X/
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

4
r
& . -
-- - -- --------------`r ems' 9�- - ---
i/�✓t . SS/G'-7'z- 13cer.e-.o
_ Of,e,e�� - — --
—1

./-4//�
� .
770V / (��? �%� ,CS ACC �C f� ig�' 31 sec � ri✓� d ,J
7-6
O u T �� �' �.ldi°r,�Y -tea✓ r A� l-
��✓� 1��9 c, �'lc �-.r� _ hers ci •�,�� s �/l�
f�2 Tom- ,saa. cyt�
f �®iiv�,- �'b✓ �' _/�.v,D �t�lc G>�.✓G- Cc��'i.PcCCGTio�✓-
��S'e1��
c19e-e-- 9 3 7Y.
kWu)U ao Tev m/� OV6�--f-1 U

GENERAL PERMIT APPLICATION INFORMATION
APPLICANT'S NAME:
(Firs
HAILING ADDRESS:
z -
-/`,
(Middle
Last
(PERMANENT)
73coa0 STATE /✓C- ZIP ;ZF--S-,?eV
TELEPHONE: WORK ( ) .2y16 - a `/4s HOME ( Imo) ay 3
CONTRACTOR'S NAME: 4-1c /-c qlv/ TELEPHONE NUMBER
PROJECT LOCATION: N.C. Hwy. # SR # Road/Street Name /_`1�y 7F� /'^✓�[ ��
Waterwayy Name
- County 4 -9,e7?',VET
Town 1 �_ Subdivision ��4,• - fffi4c,
PROJECT ACTIVITIES:
PIER: Total dimensions of pier from MHW to platform
(Length) (Width)
'T' or 'L'-head platform
(Length) (Width) (Number of Mooring Piles)
Water depth at end of pier
BOAT HOUSE/BOAT LIFT: Length
Number of Piles
Number of Mooring piles
Width
Water Depth
BULKHEAD: #1 Total length
Average distance war xd MHW
Maximum distance waterward MHW
#2 Total length
Average distance waterward MHW
Maximum distance waterward MHW
RIPRAP: Total length Base width from MHW
EXCAVATION: [MAINTENANCE 'ONLY']
�C j=,'// %= �9CCF/LL v�✓ 27-1 //D Cci y Leos
Length Width Depth of Cut
Adjusted water depth on MLW Existing water depth(s)
Estimated Cubic Yards (length x width x depth/27)
Type of spoil: Sand Mud
Dragline Backhoe Hydraulic
OTHER STRUCTURES:

v
2
CA04
44NDIAM 564CA4
4
WiNlITY MAP
No 5cac
F-T nI.r- F20IL:r
SA-rH 14-1 r2 1 (0 4rCj. 4A
FP_0190-��V. pn_Qr10NI of- k C
4-
FI;CT of-
'rlr TA 61 H,
I
ON
4;;AYMOmD f-,
Ro - 50-,4 4774
tMPMLD 1,rrU ,
I CZ—
J CT e' 7 14 K T RE P J E 1GJ
v411?kIrQ THE 5j7*' OKW.
NO STOP-OWATER COLLEL/Tl (,,i f::8 -�,T L A
ALL Apr_,Aoc-, LZ)T AF-L4\ WILL e>E fhl�,TALI ED.
3.) NO (M69L4S+ IQ IMPF-F-VI006 49-f-A
NUSH e, 7- (0
)0 1 fpT.
-2, 2_'
+
r
or I v F, .7o'
-2
&4%L K
DIFTZGEN CORPORATION
MINTED IN U.SA
KI
OCK d
ANA A
I F,,4 net
Df-- TA I L- Nc :,(A
M A F?, i m F_
CAW
L
Crry
TOWNUNP
COUNTY
t:129- C 4E K-t 2ATE
w:
DATE
DATE SURVEYED
SCALE
SURVEYED BY
DRAWN BY
SHEET
F" BOOK PAOC131
PROJECT NUMOCR
john p. me lean engineering
associates
ENGINEERING LAND SURVEYING
LAND PLANNING
101 MANATEE STREET CAPE CAATERET-SWANSBORO, N.C.
28504 [phone] 1�