General Permits (2192)

CERTIFICATION OF EXEMPTION
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.
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Applicant Name %'�I Phnna 1v{ {mhar
Address
Citv
Project Location (County, State Road, Water Body, etc.)
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.
State
Zip
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
CAMA Official's signature
suing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to property owned by
Gertrude Waters located at 1502 Emerald Drive
(applicant) (street address).
8' 43 on Intercoastal Waterway in Emerald Isle, N.C.
(block #, lot #) (water body)
He has described to me the development he is proposing at above location and I have
no objection to this proposal. I understand that a pier must be set back a minimum
distance of 15 feet from my area of riparian access, unless waived by me. I do/do not
(circle one)
wish to waive this setback requirement, should it be requested.
Description/drawing (done by the individual proposing project) of the proposed project.
See Attached
Signature
r
Printed e
Street address
Emerald Isle, North Carolina 28584
City, -State, Zip
Phone

ADJACENT RIPARIAN PROPERTY
a 294
Wit
I hereby certify that I own property adjacent to property owned by
Gertrude Waters located at 1502 Emerald Drive
(applicant) (street address).
8' 43 on Intercoastal Waterway in Emerald Isle, N.C.
(block #, lot #) (water body)
He has described to me the development he is proposing at above location and I have
no objection to this proposal. I understand that a pier must be set back a minimum
distance of 15 feet from my area of riparian access, unless waived by me. I do/do not
(circle one)
wish to waive this setback requirement, should it be requested.
Description/drawing (done by the individual proposing project) of the prcoosed project.
See Attached
Sign ture
Town of Emerald Isle
Printed name
'7500 Emerald Drive
Street address '
Emerald Isle. North Carolina 28584
City, State, Zip
Phone

4!� - / 7 - 9' 5�1'

ADJACENT RIPARIAN PROPERTY ONNER STATEMENT
I hereby certify that I own property adjacent to property owned by
Gertrude Waters located at 1502 Emerald Drive ,
(applicant) (street address).
8 43 on Intercoastal Waterway in Emerald Isle, N.C.
(block #, lot #) (water body)
He has described to me the development he is proposing at above location and I have
no objection to this proposal. I understand that a pier must be set back a minimum
distance of 15 feet from my area of riparian access, unless waived by me. I do/do not
(circle one)
wish to waive this setback requirement, should it be requested.
Description/drawing (done by the individual proposing project) of the proposed project.
See Attached:
Signature
Mary I. Carr
Printed name
Rnx 181
Street address
City, e, p
Phone

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