General Permits (6144)

�O
Applicant Name
Address
City
/of
CERTIFICATION OF EXEMPTION ra�
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.
Project Location (County, State Road, Water Body, etc.)
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.
Phone Number
State
Zip
This c^rtification 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.
I SKETCH (SCALE: ) j
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.
Applicant's signature
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

ADJACENT RIPARIAN PROPERTY U.-MER STATEMENT
I hereby certify that I own property adjacent to Randall F. Hall's
(Name of Property Owner)
property located at Highway 24 (George Taylor Road)
Lot, Block, Road, etc.
on Gales Creek , in Carteret County, N. C.
(Waterbody) (Toi-m 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. f7 -j Y
i
DESCRIPTION AND/OR DWgING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
�0��
77
r
ignature
RANDALI. F . HALL
rint or Type Name
252-726'8251
Telephone Number
27 January 1999
a e

JAN-21-1999 12:00 FROM '.CM MOREHEAD 919 247 3330 TO
2232105 F.01
ADJACENT RIPARIAIN PROPERTY OWNER STAMIENT
I hereby certify that I own property adjacent to Randall F - Hall ,s
(Name of Property Owner)
prgertylocatedat Highway 24 (Georne Taylor Road)
(Lot, Block, Road, etc.)
on _ , in _ -GLrteret County , N.C.
(Waterbody) (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. . _ M A—.
DF,SCRIYTION AND/OR DRAWING OF PROPOSED DEVELOPMLNTi'
(To he fdIed in by individual proposing development) l
Oil
_ — �1f
IX
Th -e'
Signature
RAN DALL F . HAI-L
Print or Type Name
252.-726-8251
Telephone Number
Date; 27 January 1959
i
TOTAL P.01

Location: S Fi ld Rep.
�0 l "i� ALL i"�-V1
Phone: �7.�� - Date of Rep ort:
Description of Project:
Date Project Feportedly Ccmp-ete
(I)
(2)
Do the me=sured diriensions of the develop � ffer fron those
indicated in the FEriuit .a wo kplat?. Y / NG �aVE Ell pE i t
conditions been satisfied? es No '
COMA NT :
0
sE�?.ime 'ita i qn an(C Erosion cont s PE�'iTi
Or C hE?"w1sE Sta_i 1 i ZEd c11 ClsttlrbE^_ ErE s c= hG
j
i
(3) FLIt??'c MC711terinc and F'IfOrCE:TiE?"it P_Ct T` T f irtnEr i nVEstlQc4-
Or E_7fcrcEmEnt action needed? Yes O
COY'�� NT :