General Permits (1758)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT r
as authorized by the State of North Carolina, o
Department of Environment, Health, and Natural Resources and the Coastal Resources Commisin
n
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name -4.►,
Address
City I-1
Project Location (County, State Road, Water Body, etc.)
State
Phone Number "1_, ' ? — -1 e/ 2 / 3 �' 7
�.o C rJ )
Type and Dimensions of Project d
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.
Zip S�
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.
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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.
Applicant's signature g
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

August 20,1993
I,Mavis B.Tinsley, owner of property adjacent to John W. and Caroline W.
Tinsley, give permission for them to bulkhead .
1-15T-i 71i s - n s e y

August 20,1993
I, George and Ruth Norris, owners of property adjacent to John W. and
Caroline W. Tinsley, give permission for them to bulkhead.
George rris
Ruth Norris

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