General Permits (473)

Applicant Name
Address f
City
Project Lopation
CERTIFICATION OF EXEMPTION
F`ROI'SREQUIRING A CAMA PERMIT ce�'
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and t e Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
State Road, Water Bgdy, etc.)
11!1 i"dR-Mn/ la,
Type and Dimensions of Project
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that (1) the ap-
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
proposed work.
State
Phone Number
r I -
Zip
r—
7r
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
Applicant's signature
CAMA Offi_ial's ignature
C /h 4�
Issuing �]atq
- L
Expiration date
Attachment: 15 N h Carolina Administrative Code 7 0203

e"'STAito
4
J�
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Coastal Management
3411 Arendell Street • Morehead City, North Carolina 28557
James G. Martin, Governor Roger N. Schecter
William W. Cobey, Jr., Secretary October 20, 1992 Director
Max and Mary Milner
P. O. Box 507
Salter Path, NC 28575
Dear Mr. and Mrs. Milner:
By this letter, the Certificate of Exemption which was originally issued to you on April
24, 1992, is hereby renewed for an additional ninety (90) days. This gives you a new expiration
date of January 16, 1993.
The conditions of the original permit still apply.
You propose to construct a boat dock and boat lift. Also, you will still need to obtain
any necessary permits from the local government.
If I may be of any further assistance, please feel free to contact me at my Morehead City
office, [phone].
Sincerely,
W. David Noble
Field Representative
WDN/dh
cc: Charles S. Jones
Scott McLendon, COE
Nancy Simpson, LPO/Carteret County
P.O. Box 769, Morehead City, North Carolina 28557 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Coastal Management
3411 Arendell Street • Morehead City, North Carolina 28557
James G. Martin, Governor Roger N. Schecter
William W. Cobey, Jr., Secretary July 24, 1992 Director
Max and Mary Milner
P. O. Box 507
Salter Path, NC 28575
Dear Mr. and Mrs. Milner:
By this letter, the Certificate of Exemption, which was
originally issued to you on April 24, 1992, is hereby renewed for
an additional ninety (90) days. This gives you a new expiration
date of October 24, 1992.
The conditions of the original permit still apply.
You propose to construct a boat dock and boat lift. Also,
you will still need to obtain any necessary permits from the
local government.
If I may be of any further assistance, please feel free to
contact me at my Morehead City office, 726-7021.
Sincerely,
W. David Noble
I
Field Representative
WDN/dh
cc: Charles S. Jones
Scott McLendon, COE
Nancy Simpson, Carteret County LPO
P.O. Box 769, Morehead City, North Carolina 28557 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify thatI own property adjacent to
G„ti 's property
/ Name l
located at G-CJ7�'13�� �CJG/� 4��7 ('50 UNL) 14/G 1 on
(Lot, Block, Road, etc.)
��fiC/Sl CiluUAL. in G ,6�4G N.C.
(Water Body) (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. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
�eSCrir}1t�n and/or drawing of proposed development: (TO BE
FILL6P I.N gYrND1 v 1P":AL PROFQOST - DEVELOPMENT)
X
Sighatur
Name
/ LS,o v --, 5 �-� -
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
's property
Name
Il
located at _1-6-74 65;4 CJG/� �.i !J UA/L� r ✓G on
(Lot, Block, Road, etc.)
f41774*V17C 64VV,l Of-U41-. in ,471Z 0V77G .ma c , N • C .
(Water Body) (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. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
i>ebarl.rt-ion anal/or drawing of proposed development: (TO BE
FILL6,0 ZN 9Y- ND1 v IA&CAL PROOOSTN9- DEVELOPMONT)
Signature
Name
Phone Number

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