General Permits (990)

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Applicant Name
Address 317
City _P /.
Project Locatto
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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT _,, Y - C
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Collsion
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
t
State Road, Water Body,
Wr,
Phone Number J1 y aY -134 o
State Zip
Type and Dimensions of Project i' / , q' � ,A A Y I h, 7 1 d� 1 I,-�
r
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 fit, cf. (SCALE: )
a
tea.
Anno n who nrnnnatie with a rlavalnnmant without 1hn ron-
sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA 4 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.
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

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VIIILLIpS
REGISTERED LAND SURVEYOR 4
L-3151 NORTH CAROLINA d
1210 ARENDELL ST. (THE LAW BUILDING)
PO BOX 3492, MOREHEAD CITY, NC 28557
RETR,4CEMENT AND PHYSICAL SURVEY
L OT 7 G/BBS LAND/NO S619,01 S/ON
SEE Mg 26 PG 60 AND DEED BOOK 687 PG 73
TAX PARCEL //-/4F-/-7
BE,4UF0RT TWP CARTERET CO. NORTH CARLY/NA
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AMENDED AUGUST /7 /994
FIE # 94CLT37 �.` N 4,
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NOTE: THIS IS AN EXISTING PARCEL OF, LAND.

kDJACENT RI PARI kN PROPERTY OWNER STATEI•IENT
(MR A PI ER )
I hereby Certify that -3 own property adjacent to
Pr F 's property
Vane
located at _ LcT % : (; .% k__ I' ..r�,z Y�
on
(Lot, Block, Road, etc.)
F
e- % in ,
(Water Body) (Town and/car County)
He has described to me as shown below the development he -is
proposing at that location and 3 have no objections to his
proposal. I understand that a pier must be set bac). a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
3 do not wish to Waive that Setback requirement.
3 do Wish to W'EiVe thEt setb2:0- requirement.
Description and/or drawina of proposed development: (7"D BE
FI LLm 3 N 13Y I N_DIIrJDVU PROPOSING DEVEI,OPY'IN'T )
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ADJACENT RIPARIAN PROPERTY OWNER STATE1iENT
(FOR A PIER)
I hereby certify that•I own property adjacent to
r_r 1 A C <C:- 's property
Name
located at ' c �% �-r , r, - - � ... on
(Lot, Block, Road, etc.)
in _ t��� �c,- l r �-� rc-� , N.C.
(Water Body) (Town and/or County)
lie has described to me as shown below the development he -is
proposing at that location and I have no objections to his
Proposal. 3 understand that a pier must be bet bac): a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
3 do not wish to waive that setbac): requirement.
3 do wish to waive that setbac). rewirement.
Description and/or drawino of proposed development: (TO BE
FILIED 1N BY 1h'DnrJDUAL PROPOSING DnELOPY.1:KT)
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