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Home My WebLink AboutGeneral Permits (2246)CERTIFICATION OF EXEMP7 N FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, Department of Natural Resources and Community Development and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203. 6b612- Applicant Name Address City 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. Phone Number State 91 This certification of exemption from requiring a CAMA permit is valid for 60 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: ENE UNDI'm �■ . .IIMEM ■0101010 MEMO MISSION r� in, N movameom ■ a 0 HELM ■��1101 IN ��1001r�=n100 ENE HINIMErN RNME urn ■ in 21MIR-MENNE N , on MENEEMAN rIN No � 11,12 MEMO ME MEMO 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 Issuing date Expiration date Attachment: 15 North Carolina Administrative Code 7K .0203 EXPERT BREWER'S JEWELRY JEWELERS _ REPAIR 1/4 ct 6-Prong Mother Remounting Rings $'r9.95 $79.95 RING SIZING SAME DAY SERVICE • 32 YEARS EXPERIENCE TRADER SHOPPING CENTER • 447-7648 • HAVELOCK, N.C. e-lb�` \�N 1 LIM P. 0. Box 305 Havelock, N. C. 28532 Y TRADER SHOPPING CENTER i• Y �1L J rr �f• `r V + ` . ` 'ft Telephone (919) 447-7648 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to C'Q s property located at ( ame of Property Owner) (Lot, Block, Road, etc.) on in N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) Signature 9, i, R/�y c--- Print or Type Name 9/ ?- 7xz� - s S' / Telephone Number n ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's property located at ame of Property Owner) t, Blodk, Road, etc. on , in , N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) C�� '/p Z"' Signature Print or Type Name Telephone Number All S 1 N W 'M r' !0t S r b ry {. 8 `taco // o w O t 1p 0 "J/ e: a° � ♦ qy� M♦ D9pt g i t_:» e` `o. !•rot ,� / � O ws `yW MSL �N v / CaJCL � y I a all-SNOLS o T 11f•411E Al•IEE - � I� Q O d an ,OL•SL0 i3 ri M9-0-LLN 39POL LS n p g W J� 1 of z •f I .^p cc g Z MI 'pr eN c j' r -a-t1 s n4V o / tOt .. I / ce, o Ate, �v i b rz / -elf/ ar 0 W / 3YIS s � � / a° `�• / der_ i Q Alfog' f ` z . t MK'9l'LLN � �., l prl \ ,O _ ,1•� tf y1y s.I r �� ►?,�.� � -'o ��^` - �� a Ct..9N �D � ® N. Nis bro k Win . w Z( 1� Z Z n { 6f.1r ` 219.64' f, N]613'12N $27-34-33E Z a s N 15"13 56, I O Ns1w Ian ! R I 719.64' tIF[� z pph 547-34-03E 531 a y mi . N�_y4.56 N O I1 o n \ W 119.64' COTTONTAIL 469.3' , S77 34 SSE M 34w ..RUN �I N w �n a �06 11 z - . W sL— e ti aB. 393' .,..r.a'.��,uw7?: ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER) I hereby certify that -I own property adjacent to 's property located at��J on (Lot, lock, Road, etc.) in �—� N.C. (Water Body) (Town and/or County He has described to me as shown below the development he'is proposing at that location and I have no objections to his proposal. I understand that a pier must be set back a minimum distance of fifteen feet (151) from my area of riparian access unless waived by me. ✓/ I do not wish to waive that setback requirement. I do wish to waive that setback requirement. Description and/or drawing of proposed development: (TO BE FILLED IN By INDMDUAL PROPOSING DEVELOPMENT) - ignature - �s��IG✓f/ � � O�i'1 �� Name Phone Number ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER) I//J hereby cert/iffy that -I own property adjacent to 5 Aw 1 / located at (Lot, 0 ock, Road, etc.) I property , on in - N.C. (water Bodyj (Town and/or Coun y He has described to me as shown below the development he is proposing at that location and I 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. I do not wish to waive that setback requirement. I do wish to waive that setback requirement. Description and/or drawing of proposed development: (TO BE FILLED IN By INDIVIDUAL PROPOSING DEVELOPMENT) c � Signature C- Nam(( 9/2-7, -- Phone Number