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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT CC
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 p rsuant to 15 NCAC Subchapter 7K .0203.
(County, State Road,
of
ley.
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 Numb r (l�
State
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: )
tir
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
avelopment.
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 Off icial's,signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203
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B UL-kHEA-3 PERMIT AP'PLIC AT1OAl
W ► � �, tAm E, HAt Ps - LOT # 31
.SOuTN SHORES Su®1wilsvoP)
SCALE )')= 140'
STATEMENT OF OWNERSHIP
. —
~ I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in
an area of environmental concern 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 follows: (check one)
X an owner of record title, Title is vested in William E . and Bernice M. Hales
, see Deed Book 677 , page 202 in the
Carteret 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 contract or lease, explain below or use a separate sheet
attached to this application.
i
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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.
CbName�� &A,„ (Address)
Eallou Enterprises,)Inc., Developer representing the
(�) South Shores Homeowners, P. 0. Box 900, Morehead City, N.C. 28557 ,
(2)Th mas H. Russell Jr., 115 oBiver Bluff Road Morehead City, N.C. 28557
(3) i1 I I
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE SHORELINE EROSION 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 flood -proofing techniques.
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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 77
-
and his agents to enter on the aforementioned lands in connection with evaluating information related to this
permit application.
This the 14 day of February 19 92
Land owner or person authorized to act as his agent
for purposes of filing a CAMA application.
• • GENERAL PERMIT APPLICATION INFORMATION
APPLI CANT' S NAME: William E . Hales
(First) (Middle) (Last)
MA —_TN[, ADDRESS- 403 Bogue Shores Club
(PERMANENT) -
Pine Knoll Shores STATE NC ZIP 28512
TELEPHONE: WORK ( 919) 247-2344 HOME ( 919 ) 247-2868
CONTRACTOR'S NAME- T. D. Eure Construction Co. TELEPHONE NUMBER 728-4191
PROJECT LOCATION: N.C. Hwy. # SR # 1177 Road/Street Name River Bluff Road
Waterway Name Newport River County Carteret
Town Morehead Township Subdivision South Shores
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
BG. HOUSE/BOAT LIFT: Length
Number of Piles
BULKHEAD: #1 Total length 102 feet
Average distance waterward MHW
Maximum distance waterward MHW
#2 Total length
Average distance waterward MHW
Maximum distance waterward MHW
RIPRAP: Total length
EXCAVATION: [MAI.NTENANCE 'ONLY']
Number of Mooring piles
Width
Water Depth
none
none
Base width from MHW
Length Width Depth of Cut
Adjusted water depth on MLW Existing water depth(s)
Estimated Cubic Yards (length x width x depth/27)
Type of spoil: Sand Mud
Dragline Backhoe Hydraulic
OTHER STRUCTURES: