General Permits (6734)

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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
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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 Phone Number
Address
City State Zip;
Project Location (County, State Road, Water Body, etc.) fi
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.
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 (SCALE: )
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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) 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

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GENERAL PERMIT APPLICATION INFORMATION
I I_ -( �1- 0 11,11 JUN 1 4 2000
APPLICANT'S NAME:
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)
MAILING ADDRESS:
_ _
(Firs-
( iddle)
D
(PERMANENT)
bC J
STATE C,
ZIP ASS
TELEPHONE:
WORK ( ` j ) �� � � �, � �
HOME ( )
CONTRACTOR'S NAMELEPHONE
E:
1
(�(1�n/1 C__Cns+,
�(�(Q, P Co P (
Lill. NUMBER
PROJECT LOCATION:
N.C. Hwy. Il SR #
Road/Street Name
Waterway Name � Q� L)P,►^
County C1�E���
Town (
Subdivision �(,��(`
Poi('-e_
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
iT HOUSE/BOAT LIFT: Length
Number of Piles
BULKHEAD: !11 Total length
Average distance waterward MHW
Maximum distance waterward MHW
#2 Total length
Average distance waterward MHW
Number of Mooring piles
Width
Water Depth
Maximumdistancewaterward MHW
R)prap (on -4ojo oP e�((a--ko%�N,--PCOLP 04
RIPRAP: Total length Base width from
EXCAVATION: [MAI'NTENANCE 'ONLY']
Length
Width
Adjusted water depth on MLW
Depth of Cut
Existing water dep'_h(s)
Estimated Cubic Yards (length x width x depth/27)
Type of spoil: Sand
Dragline
OTHER STRUCTURES:
Mud
Backhoe
Hydraulic

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I I JUN 14 2000
I hereby certify that I own property adjacent to
_Blair Pointe LLC, C/O John Gainey 's property located at
Name of Property Owner)
PO Box 2000 Morehead City NC 28557
(Lot, Block, Road, etc.)
on Newport River in Carteret Count 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Placing Rip Rap on top of existing Rip Rap at shoreline.
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Print or Type Na
S 2 33 Z
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
JUN 14 2000
Tommy Oglesby 's property located at
(Name of Property owner)
910 Country Club Rd MHC NC
(Lot, Block, Road, etc.)
on Newport River in Carteret 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Placing Rip Rap on top of existing Rip Rap at shore line.
ure
Tommy Oglesby
Print or Type Name
�2 a- &�0 �
Telephone Number

MAY-19-1900 06:20 FROM
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TOTAL P.02

Locatic
Field Rep.
Phone: --�5 �DL J-- Date cf Feoort:
Description of Project:
Date Project Reportedly Comp2`tte :
(1)' Do the measured dimensions f the devElopmE -?ffEr from, those
indi catEd in the permit .an rkplat?, YE= Rave all permit
t
� E iui
conditions been satisfied? Ye / No '
COIF NT :
(2) SE H7,en -Eti on amid Erosion Cor L-rol : �cs �Erui1 Ec-�E' C' aE_�
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GZ C Lr_Er"ri lsc 5 �cC 11 iZEC all C15 turDEc. arcs c= No
C0?fi.t_NT .
t
(3) Future Mcn i tcrinQ and Znforcement
or e-force-meat action needed? Yes
COS=NT
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