General Permits (7170)

CERTIFICATION OF EXEMPTION
_Y FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and tlp
stal Resources Commission
in an area of environmental concern pursuant to 15 NCAC SubchK .0203.
Applicant Name r /`
Address
City
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.
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
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.
State
Z
Phone Number
r'
Zip
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
CAMA Official's signature —'
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

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SURVEY FOR
AY N. MARTINEZ '
EA VISTA SUBDIVISION"
ORIENTAL NEIONTB
LOTS 21 BI 22 BLOCK F
OWENTAL, PAMIJCO COUNTY NOR111 CAROLINA
DATE:6-29-09
SCALE: 1"• 50•
SURVEYED:aN
OWNER RAY N. MARTINEZ
DRAWN: SDW
A DDRESS: ITOT ROSEWOOD DR. GREENVILLE
CHECKED:3W
PHONE: (SIO)T56-2667
APPROVED:g
!� S "MAD EIVGIAUMINGS P. A.
IiES3Fm
ON PLAZA ON SUITE 102
MOR?A 01 CI j.1��i� 56 7� —
S ' n f' 0 W—F R S R 1 3
Registration 140._�`�1

GENERAL PERMIT APPLICATION INFORMATION
APPLICANT'S NAME: Lonnie Merrick
(First) (Middle) (Last)
I.ING ADDRESS: 501 East Rosemary Dr.
(PERMANENT)
Chapel Hill
TELEPHONE: WORK ( 901 ) 326-1472
STATE NC ZIP 27514
HOME (415 ) 328-7922
CONTRACTOR'S NAME: Dovetail Design & Construction TELEPHONE NUMBER 919-726-1279
PROJECT LOCATION: N.C. Hwy. #i SR # Road/Street Name Lot 7 S ion 1
Waterway Name White Oak River County Onslow
Town Swansboro Subdivision Riverside Plantation
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
P^1T HOUSE/BOAT LIFT: Length
Number of Piles
Number of Mooring piles
BULKHEAD: #1 Total length 106' 3' High maximum
Average distance waterward MHW - 5'
Maximum distance waterward MHW -10'
#2 Total length
Average distance waterward MHW
Maximum distance waterward MEW
RIPRAP: Total length n/a
EXCAVATION: [MAINTENANCE 'ONLY')
Width
Water Depth
Base width from MHW
Length Width Depth of Cut
Adjusted water depth on MLW Existing water depths)
Estimated Cubic Yards (length x width x depth/27)
Type of spoil: Sand Mud
Dragline Backhoe Hydraulic —
OTHER STRUCTURES: None

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