Carr (3)

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 environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
W` 1cliQl7o1
Applicant Name t�� � Phone Number ��1 �--;�G(
Address '' 01 ) 1Ar�CJ If;,/L...,
City `:`(;nk n" State / Zip
Protect Location(County, State Road, Water Body, etc.) f f;�t COun 1 , , �'C YW ),-)
bokuck . TQ SA,1rL N<<J , 1Sfl�K-s „C �-ne,
P
Type and Dimensions of Project , o VetCe�ne,n-E t 1oc k. fe tlece � -r - - , y eu) t !urn ,rlo
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 1 ZI ' ' (SCALE: Kio , )
chime I ,
id rio6-r- ill
of I - s' ®l's\
Pi ( �0 , S )
r►x€d �i oC to
1
1•-• Moor`,r1
\....,____ :::1 1 irl ,S
pt. Y j--L-
Any /"�person who proceeds with a development without the con- ♦ yflv-15\A
• l9 �, i
sent of a CAMA official under the mistaken assumption that the Appff ,nt's signature
e---Rr:os:__)Q2
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. CAMA • icial's signature
The applicant certifies by signing this exemption that (1)the ap- Ir Met
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 )C� ( ' l (6

12-05-1996 'C:01 P.1 FROM P. 2
R.M.HERRING,JR..M.D. mrc
Phone: [phone] M
Pax: 592-0816
CUMIN � 911ao�+Fairview Street
JOHN L.ROUSti,III,M.D. E� Clinton,North Carolina 28328
Phone: [phone]
Pax SMITH CLINIC
SOAN E.SMITH.
M.D.
Phone! 590-O 09
Far 592.0817
J.THOMAS NEWTON,M.D.
Phone: [phone]
Fax [phone]
WILIJAM C.CARR,M.D.
PhOnc: 590-0607
Far 592-08)6
5.CARSON ROUNDS,ALT),
Phone! 590-0603
Fax: [phone]
1 AIYRPPhho(En$ 590-0GJi M.D. I own property adjacent to William C. Can at 412 N.Anderson,Topsail Beach,
Fax [phone] N.C. and have no objections to his proposal to repair his pier as indicated on the
GRACE HO,M.D. attached drawing.
Phone, 590.0801
Paz. 592.0614
KEN T.YANG.M.D. I also have no objections to the addition of a floating dock as indicated on the
1'hrmr: 596'.0803
Fax:. [phone] i attached drawing.
Signature Date
CAROI.YN R.POPE,F.N.P.
Phone: [phone]
Fax: 592-J2�18 ./
LAl RA B.PRESSLEY,P.N.P. CW,1,z�� v' 25:W,
Phone' 592-0805 Print Name
lax. 592.0816
RICHARD A.TROYON,P.A.-C.
Phone. 59V-0613 qq Pax: 592-08)5
MARTY D.SUkFACE.KN.?. Telephone#
Phone, 592.6011
Pax: 592-0819
NANCE-PEAK
RESIDENCY CENTER
Phone:[phone]
Fax:[phone]
ROBERT E.WILLIAMS
Administrator
Phone: [phone]
Fax. [phone]
LNSURANCEBILLING
Pone: 592.6011
Fax: [phone]

12-05-1996 10:01 PM FROM P.
A a
RM.HTRRJNG,JR.,MD, \�
Phone; l'ariCre
2865
Faax:: 592-0-f;816
CLINION
JUIIN L.ROUSE,ILI,M.A. 403 Fairview Street
Phone: [phone] MEDICAL Clinton,North Carolina 28328
Fax: [phone]
JOHN B.SMITA,NLD. CLINIC
Phone: [phone]
Fax [phone]
J.TROMAS NEWTON,M.D.
Phone. [phone]
Fax; 592.0818
WILLIAM C.CARR.M.D.
Phone; 590.0607
Fax: [phone]
J.CARSON ROUNDS,M.D.
Phnne.• 590-0603
1'ax; 592-0818
•
LAWRENCE J.WATTS,M.D.
Phone: [phone] I own property adjacent to William C.Can at 412 N.etderson,Topsail Beach,
1,l.x: 592-0817 N.C. and have no objections to his proposal to repair his pier as indicated on the
GRACE HO,M.D. attached drawing.
Phone: [phone] g.
Far: 592-0b14
KEN T.YANG,M.D. I I also have no objections to the addition of a floating dock as indicated on the
Phone; 590-0803
Far 592-0614 attached drawing.
/ /Z7,1 91 0�1
Signature Date " f 98
CAROLYN R.POPE,F.N.P.
Phone: [phone]
Fax: [phone] �r`(�jj'/J!�-�5 v , alil ' r
7`S�
J.AURA A.PRFSSLEY,P.N.P.
Phone: [phone] Print Name
Fax [phone]
RICRAJRJ1 A.TROYON,P.A:C.Phone!
9jo -227 �
6onSy , S
MARTY D.SURFACE.F.N.Y. Telephone#
Phone: [phone]
64x: 592.0819
NANCE-PEAK
RESIDENCY CENTER
Phone:5 92.OW?
Far 592-0819
ROBERT E.WILLIAMS
Ad,iinisbator
Phone: [phone] •
Fax: [phone]
wist ANCEJBILLING
Phone: [phone]
fax.- 592-0819