Rivenbark

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 antarrea of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name siLllryr1n klOt t') 6nr'k--, Phone Number `1/I.) ..3 ` CI::S'7
Address p Q i2 o x, .-' 'g
City State i ip c; _�
Project Location(County, State Road, Water ody, et . 1 a T'� rye ,
, ,i rP C ,., toe. r\r-, 1 f H nA
Type and Dimensions of Project ISLI I k \e"r4 re-pP r ( rrc Li l\ci -A te-r)
r
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: /W - To )
1 ki OC e-11--1 S 4.41 nci
10 q I V--.\- -n d .
Any person who proceeds with a development without the con- � `'�sent of a CAMA official under the mistaken assumption that the A�ant's signatur ),4„,.,e4,,a
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the %C& in 1
development. CAMA"-- I ial's signature p
The applicant certifies bysigning this exemption thatthe ) ! t j ��
P, 9 9 p (1) 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 `7

JR� C��
�X VANCE E.KEE.waort
ti NELVA R.ALBURY,aarwc.I 9E;
r/
•---...4 UE]REn BUSZAnO.0011R.K Mu men
qt. iii Doua a c.MEDLN�1.COun C¢WEIMEA
wave c-ammi.MAYOR PwarlM
' NO RSH NORTH C A R O L I N A: 2 8 4 4 5 T000 N.hsoMAs.cov+cw
ADJAC1 N T•RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Joseph Rivenbark 'S
- (Name of Property Owner)
property located at 4093 Fourth Street Surf City, NC ,
. (Lot, Block, Road, etc.)
on Mai—made—canals yin Surf City (0nslow County)
N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below,the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR"DRAWING.OF PROPOSED DEVELOPMENT
' (To be in by individual proposing development) -
•4 : /'
TO REPAIR EXISTING BULK HEAD.
r
Signs
Hero d Henion 4091 Fourth St.
817 Gayle Circle Cary, NC 27511
Print or Type Name
•
(910)467--0434
Telephone Number
��/ye
Date:
•
— ,-, .-.
"�°' 'w„ :�X�� E ~-a• ; . '"tom
• te —
. �.- - - --
_ __r—.. _-. • : 4 ,-T Ft Qoz v-- 214...N- New iver,=D31ve ho0 g1l) 413� �.FAX :� = �32
- : . --. - :•.:-_ --P 7 - — . — - �_ :mac

04/24/98 10:04 FAX [phone] TOWN / SURF CITY [a03
hJ }� VANCE E.KEE,MA'=OR
L NELVA R ALBURY.COUNCIL MEMBER
UHF CirIFY l r/
DEXTER BUZZARD,COUNGLMEMBER
fN IMI AR C.MFn1 IN,YXIIINCII MFMRFA
BOBBY C.SMITYI,MAYOR PROTEAI
ORS*, Gp NORTH C A R O L I N A 28445
TODn N.TNOMAS,NV nX Y MEMBER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Joseph Rivenbark 'S
(Name of Property Owner)
property located at 4093 Fourth Street Surf City, NC
(Lot, Block, Road, etc.)
on Man-made-canals yin Surf City (Onslow County)
, N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
•
TO REPAIR EXISTING BULK HEAD.
I ,
Sl
Rex Whitfield 4095 rth St.
P.O. Box 127 Dudley, NC 28333
Print or Type Name
•
[phone]
Telephone Number
Date:
tt
_v _
., ,-.-P:�?_7Box-247.5—+ 21'4.�u. -• -
- • - . _ NewAiver._Qave __Telephor�e�(91��32$-41.3� R FAX:,(�CiI1,�.1���4a32!

04/29/98 10:04 FAX [phone] TOWN -/ SURF CITY la04
i •
O S e ar
I - plate Hama tend/ors for „y :� •• • 0 Canptete Items 3.{Q and 4b. MC9L .;• r•• .
lI 'ward your mane W e 18150*Sri t0 receive the
• I -y� u ddreas on rho living eels ball so that»w can return Ihle fONowtnp'SerVIC$S(for An ,
e Pew �""to the front of the"'vrP[e '' ` extra fGa)
4 • aw back If
. I >b ■wTher Robin ed'm k ...<, space doors not 1.❑ Addr c40i
t lwred. Pt wf I aw la w1x„ }Jv y mow the 9r11dn number. �'6 Address '..;•.
wag dellvergd end the dale
2.❑ Ret3fr! `"i`;:: '`'';i: :a;;
-i 3_Article Add ry a� ilk ;ll,;r'y jj >.�
i3i miss ' i i; used to: Conwl[postmaster for fee. ?1? .+stir,4;;y'�,r?'.� j,
. •� 4a.Art e Number i;S ? • ilf?'';'';iy
I • Harold Henson Z 254 666 080 {
I
817 Gayle Circle �'SerW�7yps E Carey, NC 2751I ❑ Registered43 Cert)fled? ❑ Express Mali ❑ Insured c❑ Return Receipt for Mer: : ruse ❑ COD 1•
j7 a:to 0 DellV y t
• j5.Roca ad B '� 1
c 8. -ddresvee's Address(Only Il re
( o `i` •I ���.S n:.re;(A orAg and/eerspeid) requested x :..
C3811, :m64r .,fi,
F8 • ' �84 [I ; i c':.
•ref;tic Return Receipt
•
•
•
•
•
•
• ",,.. - SEN,�;_ .
13 •CorrhptgU One f endror 2 for additional snrk ice_
�PdrgPtalgfl),ltr 9,se end 4b. !also wish to resolve the •-
m card[oyj t nese and address on the reveres of thte form ao that we can following services(for an
;r return t[ia extra fee):
e -pemti_t the form tome front of the rna110iece,or on the back If apace does not 1.❑ Addressee's
o •Wrte Address '
Aeh�n Receipt Requester on the meilnlece below the'article h
"�.'„rr •: Y- •
IF,
• Pt wet snow to whom the article w.}e delivered and [hedata 2.0 Restricted Delivery `i{, til.'1 ; .,',t''
3.Artist:Addressed to: Consult postmaster for fee. E. " " ' .."
�r 4e.Article Number —"---- 1
I Rex Whitfield ' - Z254666079 t;
15 P.O. Box 127 ,4 4b.ServiceType
I c) Dudley, NC 28333 ❑ fieglstered 3 44 Certified . .
.•''' $:" Ll Express Mall ❑ Insured C
''ii%i rj Kl :if?¢•p:rtii;i ❑ Return for Merdiendse ❑ GOO Si i k.• i:kbii3iiijNiil:i''h' t;t
i';1,•..;,:i:. .: ; •' 7.•Date of Oellve .. .�!} ;Ii,•y=1 ? r
i•• 5.Received I3y:(Pnnf Name) :.
8.and l9 s paid) (On/ raqunslerl m
i 6.Sig '(Add ae or I a ,
i� r/A -1 't..! �� ae •
PS Fiiiri811 rp b. 19='� I
l i
�
• i Domestic Return fieceipt •
•
•
•
•
: ':J:'•••,
•
i