General Permits (7770)

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CERTIFICATION OF EXEMPTION
FROM REQUIRING A LAMA 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.
SKETCH (SCALE: ) I
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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' RALEIGH PEDIATRIC ASSOCIATES, P.A.
William C. Hubbard, MD, FAAP
Wallace D. Brown, MD, FAAP
Jerry C. Bernstein, MD, FAAP
Sharon M. Foster, MD, FAAP
J. Randy Hedgepeth, MD, FAAP
Karen A. Kartheiser, MD, FAAP
Walter T. Koscielniak, MD, FAAP
Melinda C. Taylor, MD, FAAP
Robert C. Helms, MD, FAAP
John W. Rusher, MD, FAAP
Jeffrey C. Johnson, MD, FAAP
James W. Britt, MD, FAAP
Candace L. Boyette, RN, FNPL
Sandra C. Bunting, RNC
4905 Professional Court
Raleigh, North Carolina 27609
i
Telephone [phone]
Fax [phone]
600 Benson Road
Garner, North Carolina 27529
Telephone [phone]
Fax [phone]
8025 Creedmoor Road
Raleigh, North Carolina 27613
Telephone [phone]
Fax [phone]
February 17, 2000
Mr. Scott Jones
DENR
151-B Hwy 24
Hestron Plaza II
Morehead City, NC 28557
Re: Seawall Permit
Dear Mr. Jones:
Enclosed is a check for $200.00 representing the application fee for a seawall
permit for the Poe, Rusher, Hubbard, and Vermillion properties on the Neuse
River in Minnesott Beach, North Carolina. Also enclosed are the adjacent
property owners' statements, authorizing the construction of a seawall, from all
adjacent property owners except the Carr property which is adjacent to the
Vermillion property. Please also refer to the enclosed map which shows the
proposed rock seawall along these four properties, as well as the location of the
damaged jetties, which need to be repaired.
We plan to employ Mr. Ronnie Chadwick of Chadwick Marine Construction
Company, for the placement of the seawall and jetty repair. Please call me if you
have any questions or need additional information.
Very Truly Yours,
j
John W. Rusher, M.D.
JWR/mw
Enclosures
cc: Mr. Barry Poe
Mr. Bill Hubbard
Mr. Gordon Vermillion
Mr. Ronnie Chadwick
FEB2u

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -o (4 N k u-5 a ER 's
�(Name of Property Owner) L PP ©(Z�
property located at ,
(Lot, Block, Road, etc.)
on E c) S Q_ t 2 in C L'l " 4 L (G o Ga L.L AC f t 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)
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Signature
tcll600aq -KA2�4 po'g
Print or Type Name
2,52-121-9- 2117 (W�)
Telephone Number
Date: V1, ' �Y
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ✓of-I/V- ;Q0 S 's
3 (Name of Property Owner)
property located at 41&27 -L DAP N Bic F�5 DR t ✓E
(Lot, Block, Road, etc.)
on /yim5� ��yc2 , in z-,eC! evcz-^17-' , 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)
%a� ,lea. &vat a-e oq
Signature
Print or Type Name
e?/ 1-782-/73 3
Telephone Number
Date: Z 6 0 0