General Permits (7421)

CERTIFICATION OF EXEMPTION �-"c'
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.
Applicant Name
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.
Phone Number
State
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.
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Your project is subject to the NC Division
of Water Quality Neuse River Buffer Rules
due to its location within the Neuse Basin.
Please contact Deborah Sawyer at
252-946-6481.
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
uina date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

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SECTION "A -A"
N.T.S.

APPLICATION FOR
AUG 1 7 2000
CAMA
COASTAL NIANA `M I N O R
ivI REHEAD _.
DEVELOPMENT
[BUSHOW1
In 1974, the North Carolina General Assembly passed
the Coastal Area Management Act and set the stage for
guiding development in the fragile and productive areas
which border the state's sounds and oceanfront. Along
with requiring special care by those who build and
develop, the General Assembly directed the Coastal
Resources Commission (CRC) to implement clear regula-
tions which minimize the burden on the applicant.
This application for a minor development permit under
CAMA is part of the Commission's effort to meet the
spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more
time or effort necessary from the applicant. Please go
over this folder with the Local Permit Officer (LPO) for
the locality in which you plan to build to be certain that
you understand what information he or she needs.
Under CAMA regulations, the minor permit is to be
issued within 25 days once a complete application is in
hand. Often less time is needed if the project is simple.
The process generally takes about 18 days. You can
speed the approval process by making certain that your
application is complete and signed, that your drawing
meets the specifications given inside and that your
application fee is attached.
Other permits are sometimes required for development
in the coastal area. While these are not CAMA-related,
we urge you to check with the Local Permit Officer to
determine which of these you may need. A listing is
included on page 2 of this folder.
We appreciate your cooperation with the North
Carolina Coastal Management Program and your
willingness to build in a way which protects the
resources of our beautiful and productive coast.
Coastal Resources Commission
Division of Coastal Management

Locality
GENERAL INFORMATION
LAND OWNER I
Name � " ( Lwf *�
1(%s 1': +I relI
Permit Number
Address 3) .l c6^_aC' 1✓'-
City �i u c o c, State %% C Zip Z 8 S3 Z Phone Z 5 Z - 4.4-n - Z118
AUTHORIZED AGENT
Name :1 n � N ! .o ^...cam
Address P. C7 . o X 1 3 0 ci
City N Q-4-i o f State L- Zip Z 8 S6 3 Phone Z'5 Z • C 31. 2'12'7
LOCATION
C
ON OF PROJECT i�o� g Cl�p.,.� Ol�cw.c�n QS� se T�•' o
21 L ?-t C4 wow �o c r f � T %U 'S C� �of CJZ'�" U EN CID
(If not oceanfront, is waterbody natural or manmade?) <2 )
DESCRIPTION OF PROJECT re I i N �� �. �� �4�td (Bp-ap)
-� AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(�To be filled in by the Local Permit Officer prior to completing application.)
/ Ocean Hazard Estuarine Shoreline ORW Shoreline Other
PROPOSED USE
✓Residential Commercial/Industrial Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR
BUILT -UPON SURFACES (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline) N c_-� ti c—.
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUILDING N1
SQUARE FOOTAGE OF SITE 5
OTHER PERMITS MAY BE REQUIRED
The activity you are planning may require
permits other than the CAMA minor
development permit. As a service we have
compiled a listing of the kinds of permits that
might be required. We suggest you check
over the list with your LPO to determine if
any of these apply to your project.
Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
Burning, Electrical, Plumbing, Heating and
Air Conditioning, Insulation and Energy
Conservation, FIA Certification, Sand Dune,
Sediment Control, Subdivision Approval,
Mobile Home Park Approval, Highway
Connection, and others.

STATEMENT OF OWNERSHIP AUG 17 2000
0
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property iii T
an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development
permit, certify that the person listed as landowner on this application has a significant interest in the real
property described therein. This interest can be described as: (check one)
,-_-'an owner or record title, Title is vested in , see Deed Book 10 S S
page 041o5--in the County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest, such as written conta t or lease, explain below or use a separate sheet and attach to this
applicatio
NOTIFICATION OF ADJACENT PROPERTY OWNERS
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I
have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for
a CAMA permit.
(Name) (Address)
(l) EtI
Geo^ge $-S4Ae- r �3,4rwe �. ! Z`t ;...,� K?A 1 �cxc1. k�� �w�. Sao
(2) C./ �� ��:...,: ��c11�4�-�..�,sl,�P,Sb3 A !�4sfag,e�dc_Nc.. 7_8S32-
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may
be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the
particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This application includes: general information (this form), a site drawing as described on the back of this ap-
plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 made payable to
the locality, and any information as may be provided orally by the applicant. The details of the application as
described by these sources are incorporated without reference in any permit which may be issued. Deviation
from these details will constitute a violation of any permit. Any person developing in an AEC without a per-
mit is subject to civil, criminal and administrative action.
This the /5 day ofu�
` L n/ owner or person authorized to act as his agent
for purposes of filing a CAMA permit application.
a
r
OAF
a
s

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor develop-
ment permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you,
if requested.
PHYSICAL DIMENSIONS
label roads
label highways right of ways
label local setback lines
label any and all structures and driveways currently existing on property
PHYSICAL CHARACTERISTICS
draw and label mean high water mark
draw location of on -site wastewater system
If you will be working in the ocean hazard area:
draw and label dune ridges (note height)
draw and label toe of dune
identify and locate first line of stable vegetation
draw and label setback line under CAMA
draw and label topographical features (optional)
If you will be working in an estuarine shoreline area:
draw and label landward limit of AEC
describe terrain (slope)
DEVELOPMENT PLANS
draw and label areas that will be disturbed
if a house is to be placed on lot, describe location of house
note size of piling and depth to be placed in ground
draw and label all areas to be paved or graveled
describe composition of surface
note and list fully all trees and vegetation to be removed or relocated
show landscaping
NOTE TO APPLICANT
Have you:
*completed all blanks and/or indicated if not applicable?
*notified and listed adjacent property owners?
*included your site drawing?
*signed both application and statement of ownership?
*enclosed the $50.00 fee?
*completed an AEC Hazard Notice, if necessary?
FOR STAFF USE
Site Notice Posted Final Inspection Fee Received
Site Inspections
Date of Action: Issued Exempted Denied Appeal Deadline (20 days)

ADJACENT RIPARIAN LANDOWNERS STATEMENT
General Statute 113-229 that riparian landowners with property adjoining a
prop pr ._ j t g `r '-y (30 ) days kyi, l-
proposed OS ell C.1l:GlV atlVn cund/iJr 1111 ♦ v cC� Sc itiell 1, ll.r tLLa s in Wlii �. 1
to comment on the project. This form allows the adjacent riparian
landowner to express either: (1) that he objects to the project or, (2)
that he does not object and desires to waive his right to the 30-day
period so that the processing of the application can progress more
rapidly. Of course, the adjacent riparian landowner need not sign this
form at all, if he so chooses.
I, Geo '--'e t Se �/`el er Krwc6 ( , am an adjacent riparian property
o er have se a c y of the application s bmitted by1:���,r� L
�� dated ws , 4-9
wher in said applicant requests a permit to excav e, fill, or otherwise
alter the land or water adjacent to my property.
✓ I have no objection to the project as presently proposed and
hereby waive that right of objection as provided in G.S. 113-229.
I have objections to the project as presently proposed and
comments are attached.
�.0 21i oa
parian Lancfbwnerf I 32tp
Division of Coastal Management
Forward Comments To • Attn: Scott Jones
Hestron Plaza H, 151-B Hwy. 24
Morehead City, NC 28557

2000 1
r%)n.crt MANAGEM T
?ENEAD
ADJACENT RIPARIAN LANDOWNERS STATEMENT
General Statute 113-229 that riparian landowners with property adjoining a
proposed excavation and/or fill project be given thirty (30) days in which
to comment on the project. This form allows the adjacent riparian
landowner to express either: (1) that he objects to the project or, (2)
that he does not object and desires to waive his right to the 30-day
period so that this: pr oc;.ocing of the application can progress more
rapidly. Of course, the adjacent riparian landowner need not sign this
form at all, if he so chooses.
am an adjacent ripari /property
owner d ave s�fen opy of the application ubmitted by �%rP�c�'y
phI/ � �l 1 Pva �� dated Zs�oO
wher6in said applicant requests a permit to exca te, fill, or otherwise
alter the land or water adjacent to my property.
I have no objection to the project as presently proposed and
hereby waive that right of objection as provided in G.S. 113-229.
I have objections to the project as presently proposed and
comments are attached.
Division of Coastal Management
Forward Comments To • Attn: Scott Jones
Ilestron Plaza II, 151-B Hwy. 24
Morehead City, NC 28557

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S , W
NCDENR
September 21, 2000
JAMEg B. HUNT JR.
Mr. John Thomas
GovERNOR`
Thomas Engineering, P.A.
1315 S. Glenburnie Road
Suite A-1 Thomas Square
BILL HOLMAN
New Bern, NC 28563-1309
SECRETARY
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF COASTAL MANAGEMENT
SUBJECT: Return of Check No. 2505
i�ol•} rJ
c' Dear IV4Hor�as:
DONNA D:_MOFFITT.
DIRECTOR
Per my phone message I left for you earlier today, I am enclosing the aforementioned
check. There was no permit fee associated with Exemption issuances for lots 58, 59 & 60
Cherry Branch West Phase H. I have combined checks 2506 & 2507 to cover the permit
�yz
fee ($100) for lot 61. The Schulte's project involved a linear distance greater than 200
feet, which elevated that authorization to a CAMA General Permit.
or me to issue these. All permits will have an
Please let me know when you are ready f
k
expiration date 90 days after the issuance date. All work is to be completed by the
expiration date.
- Should you have any questions feel free to call 252-808-2808.
..: _S Sincerely;
Scott Jones
Field Representative
Cc: File
1N AM6RJLA
MOREH EAD CITY OFFICE
HESTRON PLAZA II, 151-B HIGHWAY 24, MOREHEAD CITY NC 28557
PHONE: [phone] FAX: [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED / 10% POST -CONSUMER PAPER
DENR TOLL FREE HOTLINE: [phone]