Humphrey

/� CERTIFICATION OF EXEMPTION
_) 0
,) FROM REQUIRING A CAMA PERMIT 0 403 19 A.
as authorized by the State of North Carolina,
0 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 Tl ki rve phr( Phone Number CI 10 "7 act -63?Z
Address e-05 1 3 12_0L -Ct S -t)c,r,u c..J
City 1_-.tn(r\1�,cX " State ) Zip raid 3'SE)
Project Location(County, State Road,Water Body,etc.)._ -$r N YN•u)'1 r r- r o wY\i-Li ` 1 2
t u ,-•,b e r ‘ or. S+I 4c i '- r P..-A c 1r,, NC__,) Mtn- ("Ai c i ( A
Type and Dimensions of Project �ke1' . Clvck. , C 1Uf\+ Cur.s-k-rt•-krrion Crv\tx1� k ,cAilen
l,k L- Ask ,\ ,,1 `..:j1--t \1 r ce
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: N oT 'T6 )
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F lone n e-4\rL• -,,C�� '1 , ' " ),RI •
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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,wit be in violation of the CAMA if there / �.1Q___
is a subsequent determination that a permit was required for the
development. CA icral's signature
The applicant certifies by signing this exemption that (1)the ap- 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 . Y' ") iU C)..
landowners certifying that they have no objections to the Expiration date 1
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203

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NOTE: Remove completely the 31 foot wide by 4 foot extension at
the end of the dock.
J.C. Humphrey
123 Lumberton St.
2513 Roberts Avenue
Lumberton, NC 28358

�-- 2'-- 16'—� 2,►�
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'1• _ �. , — Floating Dock
3 ---. 1 'I
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1 /3 _ Pier
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Property of 123 Lumberton St. i Property of
_ Betty Jo Schmidt Pier for t Robert Harley
J.C. Humphrey
•
50 ' y�
►
1 ►

•4 ,'16' -
Cost
18 Pcs. 5/4x6x16' x $ 7:10=$107.80 :
Floating Dock 2 Pcs. 2x8x16' x 12.20= 24.40
6 Pcs. 2x8x10'. x 6.95= 41.70 '
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6 Floats x 50.00= 300.00
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Total $ 473.90
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3 Pcs. .2x6x16' x 9.65= 28.95
6 Pcs. 5/4x6x16' x 7.10= 42.60
5 Pcs. 2x4x16' 'x 6.25= 31.25
3I Total $ 102.80
1
23 Pcs. 5/4x6x16' x 7.10= 163.60
5 Pcs. 2x4x16' x 6.25= 31.25
3 Pcs. 4x4x12' x 10.34= 31.02
Deck
Total $ 215.87
Grand Total Lumber $ 792.57
Nails., etc. 50.00
— Project Total. $ 842.57
Bulk Head -- _ _ _ — - - - - - - - - - - -
C--- 10'7" ---� .
Scope of the Project
Construct a new floating dock
Construct a new walk to the floating dock .
Remove the 31 foot by 4 foot 'end portion of the dock, thereby
reducing the size of the dock to approx. 10 feet by 16 feet
Replace the non-treated 3/4 x 6 in. decking on the dock with
treated 5/4 x 6 inch severe weather material
Replace the 2 x 4 guard rails around the dock

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