General Permits (969)

_� CERTIFICATION OF EXEMPTION caf �lK
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.
Applicant Name 5 c r. Phone Number // 3- 9 /
Address r t t o /i r
City , . n "'; % ;, State 4- r Zip
Project Location (County, State Road, Water Body, etc.) C
Type and Dimensions of Project ,�� ' " /O c y ' !•�
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.
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.
SKETCH 61 1(SCALE: .1 Z )
Any person who proceeds with a development without the con-
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.
k
Appifcanrs nawre
CAMA Official's signature
Issuing date
`),-r)s-9
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

ADJACENT RI PARI " puntira•ry
(MR A FI ER
STATU',ENT
I hereby certify that•I ok*n property adjacent to
RA -rT t D A s property
V e- L �-so
bane
located at 12-9 PAc-1�e o D2�c�E on
(Lot, Block, Road, etc.)
T74ee w(-f;r-�— OAn ceora2— �
(t,`ater Body)
(Town and/or County)
Ne has described to me as shown below the deve3opment he -is
Proposing at that location and I have no objections to his
proposal. 3 understand that a pier must be set back a minimum
distance of fifteen feet (351) from my area of riparjan access
unless Valved by me.
3 do not ti,,'jsh to VZjve that setback requirement.
3 do wish to vajve that setback requirement.
Description end/or dreWina of proposed oeve)opment: (To BE
FI i.I�D 7 N BY I Th`D?1TI DU AL PR OPUS i N G DFYEWW,]:f.: T )
Sionaturc
c �
f�vne
},one );un.ber

A) a wood walk and miscellaneous construction was buiii. D W6
owner without Permission.
B) An -L" will be added to the end of an existing dock.
6�Dt�� •C� ti
A
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ADJACENT RIPARIAN PROPERTY OWNER STATFJiENT
(FOR A PI ER)
I hereby certify that•I own property adjacent to
�l°ti"TI'I DAuiD Q Ec._so N 's property
lZame
located at J29 'PN_LVIE i'(o Q2Luc= , on
(Lot, Block, Road, etc.)
7�'t CDrdnA�_- fz'\yc-e__ CEDAZ_ PottiT N.C.
(Water Body) (Town and/or county)
lie has described to me as shown below the development be -is
proposing at that location and 3 have no objections to his
proposal. I understand that a pier must be set back a minimum
distance of fifteen feet (15') from my area of riparian access
unless Waived by me.
3 do not Wir-h to waive that setback requirement.
1 do Wish to uajve that setback requirement.
Description End/or drauino of proposed development: (TO BE
FI 11.F.D 7 N BY 3 Y%DTVI D1lAL PROPJS i N G DEVEIAPY.ENT )
�� �
fi!::
IPIWIFr
}'?lone )"ar.b[r

Dear Mr. and Mrs. Keel
11-22-94
An inspector from the Office of Costal Manaaement (CAMA) came
by. He informed file that the wood dock on our common Property line
( see A) was- built by Mr. DeLona without a CAMA Permit. The
platform extends 2 or 3 feet over the water and as such is an
illegal dock. In addition, he did not have Your permission to
build it. Without your permission we will have to remove the Part
over the water.
Secondly, We plan to build an "L" (see B) at the end of our
dock to strenahten it as the dock is a bit shaker as is. We need
to have your Permission in order to get a Permit for this
development.The Permit is good for three Years and the work will
be done in that time period.
We would appreciate it if You would sign the adJaeent
riparian Property owner statement" and we will forward it to
CAMP. with our Permit for the Pier addition. Thank you.
Dave and Patti Nelson
M4rkV,4 •.rZs'
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