General Permits (4924)

�� nCERTIFICATION OF EXEMPTION v�
_Y_ � FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
f -
Applicant Name�.L C . Ci Phone Number
Address
City =' ! State ip '
Project Location (County, State Road, Water Body, etc.) ' 1,./.
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
40evelopment.
he 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 60 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
CAMA Official's signature 15 J
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

Emerald Cove Motel
Soundiront Rooms ' Kitchenettes
' Air Conditioned ' Cable TV
2306 Emerald Drive Linda & Ed Broemsen
Emerald Isle, NC 28594 [phone]

•
2 3 06 Z-- %V IIZI-2 /2/,
� 44111 WD �L /pry
�? jr C', 1 OVV.-1 WrT� c/�V,
Tvv'o s,1-ozY 1r'XAM
M 0T--Z-
PP%
�I
2
0�
V�0 u/,-vvC
•
•

on
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
ter
(Lot, B
's property located at
ock, Road, etc.)
i
(Town and/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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposina development)
LD`y vvif%FK L ilv
T/ Y /' /✓yI L Kh EFt 0
Sature Lifri� �j
(il
Print or Type Na
m
e/
Telephone Number
Imo,
h
Z
�5

PEWMAPPLICATION INFORMATION
APPLICANT'S NAME:___
(First) (Middle) (Last)
AING ADDRESS:
(PERMANENT)
z�&-A"3L l') /SLZ STATE 6, ZIP
TELEPHONE: WORK ( Z/ ) 35 `ZZ HOME ( )
CONTRACTOR'S NAME:,e�/�D51e5W' CciYT/r'�L 5%' C//�'L dlEkPHONE NUMBER/f���T/
PROJECT LOCATION: N.C. Hwy. # SR # 5 Y Road/Street Name zj4
Waterway Name- Z5C7& Z./, 5eV%,V P County
Town , /Iyh/A4� 1.51-4 Subdivision
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.
B� HOUSE/BOAT LIFT: Length
Number of Piles
BULKHEAD: #1 Total length / x� �
Average distance waterward MHW
#2
Maximum distance waterward MHW
Total length
Average distance waterward MHW
Maximum distance waterward MHW
RIPRAP: Total length
EXCAVATION: [MAINTENANCE 'ONLY']
Length
Width
Number of Mooring piles
Width
Water Depth
Base width from MHW �_�
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
OTHER STRUCTURES:
Hydraulic