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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environmental Quality and the Coastal Resources Commission in an area of
environmental concern pursuant to 15 NCAC Subchapter 71.0'-'"': or NCGS 113A-103(5)(b)(5)
Applicant Name --N t"- S\/'J C Phone Number g)4 d g�?si-i to
Address 5 .'3 u gOa; tPieCtJ f •
City ' -\C 'mock 6 State V �-',a-�
Zip
Project Location(County,State Road Water Body,etc.) .- ti� "� `�r W r r� ` �"� 1601- "‘'�'�-s
) t•avk I4S clAar% to( l
Type and Dimensions of Project '� P aLe-" q 'Z ) SQ ct'0i 01-A btul V-had iv, -t `-L ( IS}) frt)
-�u>--pv w}
The proposed project to be located and constructed as This certification of exemption from requiring a CAMA permit
described above is hereby certified as exempt from the is valid for 120 days from the date of issuance. Following
CAMA permit requirements. This exemption to CAMA expiration,a re-examination of the project and project site may
permit requirements does not alleviate the necessity of be necessary to continue this certification.
your obtaining any other State, Federal,or Local
authorization.
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N Any person who proceeds with a development without the con- S 4\ -'2
- sent of a CAMA official under mistaken assumption that the Ap li ant' ��Ign�ature
t
is a subsequent determination that a permit was required for the
a v.-- eIA -�
development. CAMA Official's signature 7
The applicant certifies by signing this exemption that the , .1 1 1 Z U 31 1 i Ja ,
applicant will abide by the conditions of this exemption. Issuing date Expiration Date V
•

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CERTIFICATION ` EXEMPTION
FROM REQUIRING `C A PERMIT
its authotizcd iitt bytheStaf, �#o` ` fn.
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dos ibcd above i"tiereby cttiiifiedas xempt.fmm ttte` -1.1 valiiitor120 daysfrom the dUte o't F`4t�ng
C�germli requirements 't'h exemption toC s.,_ ;ex iraLon ana sat.cnc tho pr and p sit s
•permit acquirement*does i of atiet+lstettse netatt3st t'of •:tea necessary tO continue?t3. cti1'f i ,
yourob inin any oitte State,Fede or tow,
authorrzation.,
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Elks, Katharine B
From: trip pippinmarine.com <[e-mail]>
Sent: Wednesday, December 9, 2020 8:23 PM
To: Elks, Katharine B
Subject: [External] 2 Banks Rd storm damage
Follow Up Flag: Follow up
Flag Status: Flagged
F
ck a f :attachments`uliiiess you suspiciousr is�,yx � .✓-.ua�� ;�,,�'' z� .: �.,
Katharine,
I need a permit to replace the fallen in section of bulkhead (approx 30')at 2 Banks Rd.This was storm damage. Let me
know what you need from me.
Thanks,
Trip
Trip Pippin
Pippin Marine Construction
E-mail: [e-mail]
Phone: [phone]
1

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date q /Z/ Z-°
Name of Property Owner Applying for Permit:
/. UO Ada
Mailing Address:
:511-0+ lj)._ CI-151OutrKej. •
�
",iC..hV1 bY1b \iit4 z 22L2
I certifythat I have authorized(agent) � /) Oj 7,1.( to act on my
� � J
behalf,for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct(activity) /
"--/4 p
at(my property located at) 2 I� es.
`'Q`
This certification is valid thru(date)
/0
2-1
Property S'wner Signature YDa e
RECEIVED
NOV II) 2020
0CM Wf LMJNGTON, NC

'd 24iii:pri;-'
C . EDREDGE &'FILL -- " 23
ENERAL PERMITPrevious permit-#.
LiNem LModification ❑Complete Reissue EPartial'Reissue -. Date previous permit issued -
As;authonzed by the State of North Carolina;Department of Environmental Quality - I
�•
and the Coastal Resources Commission in an area of environmental:concern pursuant to I5A NCAC. 1.'120
i -51"'`',} tak . -
❑ es attached ul R
Applicant Name -CM a rl`r /tf Sio i1 o_ Project Location. County= AJP-1.-i aril wc' .-
Address .' 01'6 9. J` 4� S La n� - Street Address/State Road!Lot#(s) - _
•
. City ,' '"C.kr'gvi•ror+crt State V A ZIP 2-J 22 C 2 7)a r kc- et_
'Phone#.($O z$t `'8'J`jl E-Mail Subdivision
C(
Authorized Agent_ T l3 1), n', - ' . _ - City i 1`M V\c'h'A - ' ZIP 8 II
❑CW - YEW J 'PTA ❑ES _❑PTS- Phone# (" ) River"Basin' C (.
Affected 0 OEA - ❑.HHF ❑'IH ❑UBA ❑N/A
- r- i) 1 S t n e I nat`/ma• /unkn
AEC(s)
,:. Adj._Wt . Body: rzd � �/ ( 1
❑PWS ---.
Closest Mai.Wtr. Body
y
Type of'Proiect/Activity t -
- , - ,
J ,
:.
(Scale: 0
Pier(dock)length : _' - -- ' - - - .
.Fixed Platform(s) i ( n I r1 1 t/<tl�" ,v I I".
FloatingPlatform(s), P1 X 244 - -
Fin erpier(s) -_ ` J- 1 I
Groin length "
number I -----i i 4 4
Bulkhead/.rciprap length _ ' 1 _ ,r_ , ,avg;drstarice offshore _.„....--®` 1,
max distance offshore - 1Z a:`A'. _
Basin,.channel i I i. fijr,`7 .\
_, - .—= - ,.-/.
cubic yards -- : L . ,.4, t -
goat ramp - - . _ _
- -- �" t J
Boathouse/Boatlift - ` -
a 1I
Beach-Bulldozing - i i I 1 1 i .
. "I 1
Other - •t V
4 _ i
Shoreline Length- JO I \S 1'rN3 1 • " la.
SAV: not sure yes no ¢
yes •
L. t k,
Moratorium:. n/a � �a. L � '� r< ^ �ifs
Photos: - - yes . t 9-',C
Waiver-Attached: .yes �1
A building permit may be-required 6y: tUeA) '//flv D L....n ❑See note on back regarding River Basin:rules.
(Note Local`Planning Jurisdiction) "., --- - }
Notes/Special Conditions el14. - 0 , )200 ovt,A a t j n 't £c� ( �` -tom--° tt
ti d`
o Ct :( - (` Q ei T^b LLB) i.�1 : -
Agent or Applicant Printed Name 'a ' V Permit Officer's Printed Name .
• •1 it t
Signature Please read:compliance statement on back of permit Signature . Cam' _
t Application Fee(s) Check# Issuing Date Expiration Date

- -".,. -. Cam l Z6- >4 . ' .
1CAMA 1 ❑DREDGE&FILL _,' 7 /-<_) " r'' (1t t" D
>' A-r ER �. PERMIT — Previous permit# L.
jNew ❑Modification ❑CorTplete.Reissue ❑Partial Reissue Date previous permit issued •
As authorized by-the State of North.Carolina,Department of Environment and'Natural Resources 1 -
and the Coastal Resources commission in an area of environniental_concern;pursuant to 15A NCAC t ' i,-1
's
I(Rules attached: _.
Applicant Name `; ',e',LA +, k t'e' "� ▪ ` _ Project Location:..County N ew�v. arty
ddress r,i�' i' '?r "1 P^il. -t, ` �^ Street Ad_dress/State Road/Lot#(s) : . -
City y r ` PPMMI\, +'N ZIP #-•` 4 �� �C� l)
P 1onev tk'" ),I s ) r' ▪ _ Subdivision e .1 G taai'1Ci
Authorized Agent' is titr'S t F . w City ✓ j {'��d s1 't1 ZIP rf��Pt
Affected O CW` 'K PTA ;EIS OPTS Phone# (` 1) ) 10"5J35 River Basin
❑OEA ❑HHF ❑1H ❑UBA O N/A .
AEC(s): Adj.Wtr. Body 1(..1. ll'S C Ball le 1 R/man /unkn) •
❑PWS: _ ❑FC: i .
`• ORW: / no no PNA' yes / Crit.Hab. yes / no Closest Maj.Wtr.Body M&�� � .
Type of Project/Activity - ISkS 11 ciflO - )1 iiiA lav1- U+-- .
• J 1 e
- . (Scale: 1 s� 3 )
Pier(dock)length
I I A t0 i.- le - tiN I, 11 1 I 3; I
Platform(s) - -I • I r� 1. l 1 >'
Finger pier(s) 1` "- . t--- -�,i -f I 1,
_ Groin length '
1 I
number I I _ I 1
r -. tjti` 'MIA II ii.Jhht j,
Bulkhead/kiprap length - �r a ,,I;;.. c ,.1.- z ji• •
avg distance offshore I °..l" t J I •
max distance offshore 2 - I - I
Basin,channel � , 1 I i
• I 1 $-> r I I
' I'. I - 1
cubic yards f trS',/i.1-` 1 . 1- . `1-
Boat ramp
I LA1 i . i 1
Boathouse/Boatlift 1
Beach Bulldozing - - I I I I
i
Other Si +� ."Olt is " --5+ — 1 i .-, iL'ii1 I _
`i1'' 1 `!._ .�, ,-Pj - 1 1—.. ,—., -
r , ; ic:.-13i`? ' 1 1 1 - I
Shoreline,Length Icy ' / 61 = AL3 1 1 1 1 1 -
SAV not sure yes: aI I="�' _ j
iSandbags: .not su yes CO' 1 - I
;Moratorium• /a no-1 _ 1 l
Photos. . , 0 no`' 1'''YI°' U � i ��x �A
Waiver Attached: yes
etc 1 = l ea. - '�• ' I
A building permit may required by:k NI e(.3 '<� c�� oo El See note on back regarding River Basin rules.
Notes/Special Conditions IS i p e t: a 81 i- t t.at&;i 1t sit` -k Yikt Ike t1uj 16.1 I _Ck_VOIti=
-- au-I- �� led -fig ttw vitt v-h enti v#. c. Al-n -irile W II ca yaws 1'bt :� Yai pi +t-u s Ut f. .
- u
> gent or Applicant Punted Name Permit Officers Signature _- f
Issuin Date ;1.- 4< iration Date
Signature. - .Please read:compliance statement on g_' I?
Application Fee(s)_ ,. __ ` _ _ _ _ . ., ..# `_ _ Local Plann, ,..indiction - ___ _ Rover File Name"