General Permits (7765)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT�h"'`'£''���
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 544FIt1 W►rt,►S K,t3ietb,1,*
Address k7c, i) ,F,FA r, M#tL �WivE
City 1 ; t A1.1, A
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project vz iP, °.
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.
State
Phone Number 11/G y} 3 fig a 8G .33
• WA
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 + ',; .. r:7 (SCALE: �,✓c�E )
A; ti t (`mow
!� ..!>`J - i/'i•llfdl /Z'4,�s2 � Ff , .�'�-_- .....J.�..,.v.d..,. �!
r 3� Cc�3r-Af t � i't ��� :�e�la �► f`t �r i./� oP�'iZ �.c„tc% tom► �;r# �r�cN•
t& m i vvci2 ac: -tv e r t" A pt F r i✓ F; £'tt iN P c s mA F-4&6m
n1: r t►t tl z3F PINE-D rN MA2SM
SUL V rfii40 AJo-T Tv rxeF_ D t51 iAPJDJJrW 5
IF TE,
41
- _ y t4_ - -
'flot - t 1
!
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.
Applfdant's signature
f
CAMA Official's signature
y-/11-C
Issuing date
'i_ V
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

AUG 30 '00 08:25PM NPVH05PCP IND HYG 919 466 3839 P.1r1
ADJACENT WARUNFROPf=OVQ=WATENffiNT
I hereby certify that lawn pmperty aft to. a ,( 9 E&u.g!23t
(Nxft of Propew Owner)
pmperty local at _.2- a
4 0.) . 4 , r
on z vCr-44- c- in jA 1 /.Av i cc. i�`fr1W' N.0
(Watabody) (TO" aU&Qr )
He bas d to me, as shown below, the dowdopwaa big is propo6gg at tfiat
%ration, and, I have ne ob*dons to iris pnwpmt I =d=Wnd' that a pier/mooring
pftgVboadM1bwtbouw must be set hack a mfWm= &3w= of foe (15,) f m my uft
of riparian access ttnl waived by me.
_ I oat wish to waive. the setback requU,
I A4 wish to wive that stick rqun t,
DESCRIOP1iC N ANDMA DRAWING OF PUP U D DE Qp ».�
(To be faw in by ""a pmpadxs Jep4pn�94
will �S .
A T-7- -7
-phntofType Name
. p Number- 0 ,L0 o
x_.
10

AUC. 30 ' 00 (WED) 17:50 D Ec J AUT❑ 919 496 7137 PAGE. 2/3
nurgo-aa accem From, T-189 P:00:4 magic
C7/Q3 F99i
N.C«
{`�waR ill! a'xlp1
btu dOW la ON u dv t MM" 1A0 do I 11"Oli rk Is 1t dt
ie t'wit, lard, 3 �vo tag► to Ail peq�o�• I wduatwd VMS a Sr�•.��`" 1
�iM1MMpmWtbaA�tbM�a��I�bMM�f!!llA��t{lS'? �M►�ta
wmgamv"br�.
.�. wi* Iv won that a&* t
104irgZ 00- W !OM ZAd sw
5'AWIftV WIJ- 0 :r2C+�RIP t6
I

4 At7G. 30 ' 00 (WED) 17:50 D & J AUTO
4ue-?3.00 OW2901 FTPir
919 496 7137 PAGE.3/3
NIS P.03iO3 ' F-134
Ap.3ACENT RIP&BIAN LAte'DF_Rs _sTATRM
General Statutes 113-229 requires that riparian landowners
with property adjoining a proposed excav4tion and/or fill pso�ect
be given thirty (la) days in which to comment on the projoot.
This form allows the adjacent riparian landowner to express
either: (1) That he ,objects to the project; or, 12) That he does
not obj.Act and desires to Naive his right to the 30-day period so
that the proceessing of rho application can progress more rapidly.
of course, the 44JACent riparian l&r► Qwne.r need not sign this;;
form at all 1 to chooses.
I am an adjacent
ripes.rj an -prop ert .V�.an4 have seen a copy of the application
submitted by �7=�[-t,o dated
wherein said applicant requests a
pesrmi to excavate, fill, or otherwise alter the land or water
adjacent to.my property.
I have no Ob3O tiOn t4 the prajeet as prasently prepoeed
tend hereby waive that night of Objection 44 provided i
General Statute 113-229.
I have objections to the prmaet as presegxlgt p
and comments area attached.
Signature oent
Riparian L 2n*r
DATE: d p/ l a0z
pivision of coastal Management
p. o. sox 27667
Raleigh, NC 27611
r'

9192402525
OBMC TIM GRIMES
021 P01 AUG 30 '00 16:11
OUTER BANKS
MARINE CONSTRUCTION
1501 First Avenue, Morehead City, NC 25557 DOCKS - SEAWALLS - FLOATIki DOCKS
[phone] Dealer for T/de Tamer 90.3flIfts
c�f�4=tr4S
?o� <o- 3`b o� �ry►r
c'T
Shd1wi

MONITORING & COMPLETION REPORT �
[CAMA Major Development & State Dredge & Fill Permits]
PERMI TTEE' S NAME: �, �i i {n/i 1 I i S Qtkl �: q µ t PERMIT # LXt L" fh or.
Jf
LOCATION: 20a & e vi r wi 614, . FIELD REP. ha v4 ✓
A-114rr c Bea
PHONE: q o `(- 3 4 8.8 03 3 DATE REPORTEDLY COMPLETE: iii 1 h Mw •,
Feld 4eI Ca-17 '7a•. 2otoI
1) Do the sured dimensions of the development differ from those indicated in the permit and workplat?
YES/ TSOircle one] .
COMMENT:
2) SEDIMENTATION &&V40SION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized
all disturbed areas? O [circle one]
3)
COMMENT:
action needed?
COMMENT:
one].
Is further investigation or enforcement