General Permits (2478)

CERTIFICATION OF
EXEMPTION 9�,
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, rc6
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.
Applicant Name f i 1 i � Phone Number
Address
City ' ' State Zip
Project Location (County, State Road, Water Body, etc.) i
Type and Dimensions of Project b" Y E A ,.
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 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.
is a suosequent oerernimauon uiai a Nenmi was iuquneu iui mu
CAMA Official's signature
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.
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

CARTERET COUNTY COURTHOUSE
CENTRAL PERMIT OFFICE OF
COURTHOUSE SQUARE
BEAUFORT. N. C. 2851 6-1 898
728-8545
BUILDINGS. MOBILE HOMES, ELECTRICAL. PLUMBING. MECHANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to:��
- rJ V
property located at:
near ( water body) -�c`—
in (county) (�OLA
The applicant described to me as shown below, the development
he/she is proposing in that location and:
I have no objections to this proposal �-
I do have objections to this proposal
Description and/or drawing of proposed development:
r
Signature:
Name: �!y !
Phone Number: 72 tk' �

CARTERET COUNTY COURTHOUSE
CENTRAL PERMIT OFFICE OF
COURTHOUSE SQUARE
BEAUFORT. N. C. 28516.1698
728-8545
BUILDINGS. MOBILE HOMES. ELECTRICAL. PLUMBING. MECHANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to:
-- -
property located at:
near ( water body)i?�i�
in (county)
The applicant described to me as shown below, the development
he/she is proposing in that location and:
I have no objections to this proposal
I do have objections to this proposal
Description and/or drawing of proposed development:
Signature -
Name: J O H N W CAR
Phone Number: �� t� t � 7741

iy)99
f