General Permits (5710)

CERTIFICATION OF EXEMPTION q"4
FROM REQUIRING A CAMA PERMIT =` `' A4
as authorized by the State of North Carolina, rol
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 /C jl e? r
Address
city-�—
Project Location (County, State Road, Water Body, etc.)
Phone Number
State l' Zip
Type and Dimensions of Project
42,
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 /'� A (SCALE:
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) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

County of Craven
Inspections Department
t .
Director of Inspections
Dan Foley
PO Box 3482
New Bern, NC 28560
RE.Dock Exemption
Frank Rackley Residence
101 Vida Lane New Bern,
Mr. Foley,
02/14/96
NC Permit #17551
Joseph V. Squires
We have received your proposal for development regulated by the Coastal
Area Management Act (CAMA). The activity you propose is exempt from
needing a Minor Development Permit as long as it meets the conditions
specified below. If your plans should change and your project will no
longer meet these conditions, please contact me before proceeding.
Friers: (7K.0203)-A private, non --commercial pier may be constructed if it
doers not exceed 200' in total length offshore; is not within 150' of a
federally maintained channel; does not extend beyond the 4' mean low water
line or normal water level (whichever is applicable) of the waterbody:
does not exceed 6' in width: does not include an enclosed structure; and,
does not interfere with established navigation rights. The 4' mean low
water restriction shall not apply to piers constructed on man made canals
and basins. It may be built through wetland vegetation only if elevated
and may have a T-head or platform not exceeding 500 SF in area at .its
wat:erward end if no wetland areas are covered. The pier must be set back
1.5' from the adjacent property owners area of riparian access unless
waived by a. written agreement. Conformation must also be given that
written statements have been obtained from adjacent riparian property
owners indicating that they have no objections to the proposed pier.
Also, piers authorized by this exemption shall be for private use only.
Sincerely, /
Jonathan Leake LPO
cc: DCINI Field Representative
Human Services Complex 2818 Neuse Blvd., Suite 15, New Bern, NC 28562 Office [phone] Fax [phone]

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _Fta,J k z
property located at lot JS 0 A ,'A14L-
(lot, block, road, etc)
on NEB ,E KsJ - in A /f.J 6 rzAA)
(body of water) (town)
North Carolina in cRAJz.J County. The proposal has been described to
me as shown below; the development, a pier/bulkhead/structure, and the
(circle one)
proposed location, and I have not objection to the proposal. I under-
stand that if the development is a pier, it must be set back a minimum
distance of 15 feet from my area of riparian access unless waived by me.
I d �notish.to waive that setback requirement.
(cir
Description and/or drawing of proposed development: (to be filled in by
individual proposing development). INDICATE THE SIZE AND LOCATION OF THE
STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER. --
2
hi/..JIJ. v^t-L
i LL.f
8 x 16'
AGl p .
r r°
^e
(Original must be retained in the Inspection Department)
Si nat e
�- - -� - 9 5--
Date
Name (Please Print)

Paid 2_�,,,o6
Date J- 1►U1u1U
Receipt # (s,7tcl
Initial �•
CRAVEN COUNTY
INSPECTION DEPARTMENT
✓ MASTER PERMIT
919-636-4987
Permission is hereby granted to:
PERMIT NO. 17551
NAME
ADDRESS
/6/
A-)
PHONE
DATE
to perform work as described in the PERMIT APPLICATION. All work shall
be in strict accordance with the NORTH CAROLINA STATE BUILDING CODE and
all other applicable LOCAL, STATE AND FEDERAL laws and ordinances.
Failure to comply with the terms of this permit may result in the
revocation of the permit. It shall be the responsibility of the permit
holder to schedule ali inspections, giving at least TWO -DAYS .notice to
the INSPECTION DEPARTMENT.
C8153A-350
A permit issued expires sir, months after the date of issuance if the work
authorized by the permit has not commenced. If after commencement the
work, is discontinued for a period of 12 months, the permit therefore
immediately expires. No work authorized by a permit that has expired may
thereafter be performed until a new permit has been secured.
ELECTRICAL PERMIT (01)
BUILDING PERMIT <02)
114SULA T I ON PERMIT (03 >
CAMA PERMIT ( 0 4 )
RECOVERY FEE < 09 )
PLUMBING PERMIT (13)
PERMITS
SVIMMING POOL PERMIT
MOBILE HOME PERMIT
DOCK PERMIT,
DEMOLITION PERMIT
DEVELOPMENT PERMIT
<47)
(56)
( 59 ) aL
<67)
<44)
RENOVATION PERMIT (55)
MECHANICAL PERMIT (14) UNDERGROUND TANK PERMIT (57)
SIGN PERMIT (28)
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permit official
TOTAL FEES
permit holder