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CERTIFICATION OF EXEMPTION
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 environmentall concern pursuant to 15 NCAC Subchapter 7K.0203.
Applicant Name I nt n of th 1i4.1.4 +►!/ Phone Number 1/6/0$ —30LDQ
Address WOE, ,k r4,/J �f7�ivt
City /64,,A State AfC Zip Z$ct,s
Project Location(County State Road, Water Body, etc.)
C14U: ('rr�� 44: - f�P*f SF
Type and Dimensions of Project Ai)kwe .is r 6K k l p.dl n,. ,ay V.4 repr dst+ �D
FY
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal,or Local authorization.
SKETCH (SCALE: A -- .5 )
40 -1/1 51K e +—
Replace bu)k ea'
tt0;6 eiff
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted,will be in violation of the CAMA if there f'�'
is a subsequent determination that a permit was required for the 1<-i
development. CAMA Officialrs signature
The applicant certifies by signing this exemption that (1)the ap- add /&� /
Issuing date
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 Expiration d e
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Geraldine Wolverton
•
Address of Property: 3720 E. Dolphin Drive
(Lot or Street#, Street or Road)
Oak Island Brunswick County,NC
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual applying for
this permit has described to me as shown on the attached drawing the development they are proposing. A
— - ----description or drawing,with dimensions, should be provided with this letter. �-
VI have no objections to this proposal.
If you have objections to what is being proposed,please write the Division of Coastal Management,
127 Cardinal Drive Extension,Wilmington,NC 28405 or call 910.395-3900 within 10 days of receipt
of this notice. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set back
a minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to
waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
4441,1,.: .2 �° /, r� adot�
Sign Name Date
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(;C'I-c /d:h e G(10/1/ i-71-577 Name
f/o gf/
Telephone Number with Area Code
ATA
NoEnvirorth Carolinanment Department
of
WbENR Natural Resources

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1OWN OF
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September 7, 2004
Gale Stenberg
North Carolina Coastal Management
127 Carnival Drive Extension
Wilmington, NC 28405
Dear Mr. Stenberg:
This request is to obtain permitting permission for repairs of the Town of Oak Island's
40th Street, SE bulkhead located on Davis Canal. The bulkhead is an existing structure
(DCM MP-4) and its function is to stabilize and maintain the shoulder of the adjacent
paved street. This is accessible to public use. Significant repairs are required to maintain
this existing structure.
Enclosed please find a completed CAMA permit application, a plan view and cross-
sectional view of the site. If you have any question please contact me at 910.278.9011,
Ext. 233.
Sincerely,
Gene Kud3as
Public Works Director
Enclosure
GK/cr
4601 E. Oak Island Drive • Oak Island, North Carolina 28465
Phone: [phone] • Fax: [phone] • Website: www.oakislandnc.com

SHORELINE MARINE CONSTRUCTION
PO BOX 10671
SOUTHPORT, N C 28461
(910)-845-2224
Greg Prevatte Mark Stewart
(910)-279-3027 (910)-279-3029
Rae Keane
Deputy Public Works Director
4601 E. Oak Island Dr.
Oak Island,N.C. 28465
Rae,here is the proposal for the bulkhead repair at 40th Street. As we discussed
the sheet piling will be 24-foot sheets with a double wale and double tieback rods. Each
sheet pile will be installed with equal amount below grade as required by the height of the
bulkhead. The lower wale will be a vinyl coated 8X8,the top wale will be a vinyl coated
6X6. The Tieback rods will be 1"vinyl coated 20 feet long or longer. Tieback rods will
be set 4 feet on center. I spoke to Horace Collier about driving new dead men,25 feet
long for me. He suggested that we install them on the other side of the street. We will
discuss this and make a decision later. The vinyl sheet piling will have a 50-year
warranty;the wales and tieback rods have a 20-year warranty. We will cut and remove
the asphalt in the street to allow installation of the dead men and tieback rods. We will
provide the fill material and backfill the bulkhead. Street repair will not be included in
this project. Total cost of the project will be$ 41,389.00. If you have any questions give
me a call at 279-3027.
Greg Prevatte

__,
SE
Str .Th„,et BuIkhca
at Davis Canal N
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Form DCM-MP-1
} ppLi C AT ICJ
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(To be completed by all applicants)
b. City, town, community or landmark
Oak Island.
1. APPLICANT
c. Street address or secondary road number
Davis Creek at 40th Street, SE
a. Landowner:
Name Tom of Oak Island d. Is proposed work within city limits or planning
jurisdiction? x Yes No
Address 4601 F. C1ak TSlanrl n,-;,TP e. Name of body of water nearest project (e.g. river,
creek, sound' bay) Davis Creek
City Oak Island State NC
Zip 28465 Day Phone [phone]
Fax [phone] 3. DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
b. Authorized Agent:
Name a. List all development activities you propose (e.g.
building a home, motel, marina, bulkhead,pier, and
excavation and/or fil1in activities.
Address repairing existing bulkhead
City State
Zip Day Phone b. Is the proposed activity maintenance of an existing
project, new work, or both? existing proiect
Fax
c. Will the project be for public,private or commercial ., -
c. Project name (if any) 40th Street Bulkhead
use' public use
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed
NOTE: Permit will be issued in name of landowner(s), and/or project. If more space is needed, please attach
additional ppaag�esi.
project name. sfablze creek bank and maintain
shoulder of existing paved street
2. LOCATION OF PROPOSED
PROJECT
a. County Brunswick .
•
Revised 03/95

•
Form DCM-MP-1
m. Describe existing wastewater treatment facilities.
4. LAND AND WATER N/A .
CHAARACTERISTICS
a. Size of entire tract 60' x 200' (12000sgft) n. Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
b. Size of individual lot(s) N/A wastewater, industrial/commercial effluent, "wash
down" and residential discharges.)
N/A
c. Approximate elevation of tract above MHW or Fill placed .in wetland or below MHW
215' iengtn .7' wintn
d. Soil type(s) and texture(s) of tract o. Describe existing drinking water supply source.
sandy loam N/A
e. Vegetation on tract grass, one tree,
several coastal species of grass
f. Man-made features now on tract paved atreet 5. ADDITIONAL INFORMATION
g. What is the CAMA Land Use Plan land In addition to the completed application form, the
classification of the site? (Consult the local land use per'.) following items must be submitted:
Conservation Transitional • A'coPy of the deed (with state application only) or
Developed Community other instrument under which the applicant claims title
Rural x Other to the affected properties. If the applicant is not
h. How is act zoned b local government? claiming to be the owner of said property, then
tract Property forward a copy of the deed or other instrument under
which the owner claims title, plus written permission
i. Is the proposed project consistent with the applicable
from the owner to carry out the project.
zoning? x Yes No
(Attach zoning compliance certificate, if applicable) • An accurate,.dated work plat (including plan view
and cross-sectional drawings) drawn to scale in black
j. Has a.professional archaeological assessment been ink on an 8 1/2" by 11" white paper. (Refer to
done for the tract? Yes x No Coastal Resources Commission Rule 7J.0203 for a
If yes, by whom? detailed description.)
k. Is the project located in a National Registered Please note that original drawings are preferred and
Historic• District or d'ttes it involve a National only high quality copies will be accepted. Blue-line
Register listed or eligible property? prints or other larger plats are acceptable only if an
Yes x No ' adequate number of quality copies are provided by
applicant. (Contact the. U.S. Army Corps of
1. Are there wetlands on the site? x Yes No . Engineers regarding that agency's use of larger
Coastal (marsh) x Other drawings.) A site or location map is a part of plat
If yes, has.a delineation been conducted? 'requirements and it must be sufficiently detailed to
(Attach documentation, if a le) guide agency personnel unfamiliar with the area to the

Form DCM-MP-1
•
site. Include highway or secondary road (SR)
numbers, landmarks, and the like. 6. CERTIFICATION AND PERMISSION
TO ENTER ON LAND
• A Stormwater Certification, if one is necessary.
• A list of the names and complete addresses of the I understand that any permit issued in response to this
adjacent waterfront (riparian) landowners and application will allow only the development described in
signed return receipts as proof that such owners the application. The project will be subject to conditions
have received a copy of the application and plats and restrictions contained in the permit.
by certified mail. Such landowners must be advised
that they have 30 days in which to submit comments I certify that to the best of my knowledge, the proposed
on the proposed project to the Division of Coastal activity complies with the State of North Carolina's
Management. Upon signing this form, the applicant approved Coastal Management Program and will be
further certifies that such notice has been provided. conducted in a manner consistent with such program.
Name Geraldine Wolverton I certify that I am authorized to grant, and do in fact,
Address 3720 E. Dolphin Drive grant permission to representatives of state and federal
Phone [phone] review agencies to enter on the aforementioned lands in
connection with evaluating information related to this
Name Samuel McGee permit application and follow-up monitoring of the
Address 4001 Pelican Drive project.
Phone [phone]
I further certify that the information provided in this
Name
Address application is truthful to the best of my knowledge.
Phone
This is the 7 day of e j2f ��
• A list of previous state or federal permits issued for /
work on the project tract. Include permit numbers, Print Name C ein Wu o qu s
permittee, and issuing dates. - �J
CAMA Permit ,# 32-92, 12/31/1995 Signature 6,
0Imidowner or Authorized
• A check for'$250 made payable to the Department of Please indicate attachments pertaining to your proposed
ect
Environment, Health, and Natural Resources prof .
(DEHNR) to cover the costs of processing the DCM MP-2 Excavation and Fill Information
appI,ication. DCM MP-3 Upland Development
x. DCM MP-4 Structures Information
• A signed AEC hazard notice for projects in DCM MP-5 Bridges and Culverts
oceanfront-and inlet area`. DCM MP-6 Marina Development
• A statement of compliance with the N.C. ,NOTE; Please sign and date each' attachment in the
Environmental Policy Act (N.C.G.S. 113A - 1 to space provided at the bottom of each form.
10) If the project involves the expenditure of public
funds or use of public lands, attach a statement
documenting compliance with the North Carolina .
Environmental Policy Act.
400 copies of this public document were printed at a total cost of$52.48 or$ .13 per copy.
Revised 03/95

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KOWN OF `'
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CM ,IRTERFU IULY,.♦
9
September 9, 2004
2009 Rottingham Court
Fayetteville,NC 28304
910.425.4281
Dear Ms. Wolverton,
Enclosed please find a map identifying the bulkhead adjacent to your property located
at 3720 E. Dolphin Drive, Oak Island. The town owns this bulkhead and it is in serious
need of repair. Please sign the waiver form if there are no objections and return it in the
self-addressed envelope provided.
The NC Division of Coastal Management requires the waiver before we can begin the
repairs. Thank you for your cooperation and if have any questions please fill free to
contact me at 910.278.5014, Extension 234.
Yours truly,
Chris Rogers
Enclosure
cr
4601 E. Oak Island Drive • Oak Island, North Carolina 28465
Phone: [phone] • Fax: [phone] •Website: www.oakislandnc.com