General Permits (1819)

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CERTIFICATION OF EXEMP 2 2 199
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. I�[;FSi .�(_ l i�• f `_�, 1< �r Phone Number/ 8i 4,j z "t u — 7 3
Address t?, Y S} cx?
City `,!h ? ;: - �r �,,_ State L' Zip'��-f
Project Location (County, State Road, Water Body, etc.)
at< 'i )yI ivy�'Js LU - ("i A.
Type and Dimensions of Project 01' � r7="I u �" -u
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 (SCALE: )
.1�
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.
=-< , C C7-
App I icant s, s ig n at u re
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

3 2
REVISIONS
ZONE LTR DESCRIPTION
DATA AP'D
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PILING
21" WIDE X 18" HIGH SEAT -�
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PILING -�
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- �- 2X6 CAP
i 10'-0" TYP
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1 1/4"=1'-0 2X10
NOTE:
I. PROPOSED DOCK FOR MR -RAY BROW�,J.
350'-0" NTS
2 EF)
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;IDE ONLY
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6
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2 DOCK ELEVATION
1 DOCK PLAN
NUMBEP DESCRIPTION
DWN HULJNG 6JUN94 TRI-COUNTY -'
Cw P.O. BOX 1997, MOREHEAD CITY, NC 28557
PH. 91 9-247 —5222
ARC. TITLE
APDE: . PROPOSED DOCK
QREYIOUS DWG NEXT DWG
SIZEJ CIiST ID N0. DWG NO
C C0627
SCALE: REF: R. BROWN SHEET L OF
TRIM LIRE