HomeMy WebLinkAboutGeneral Permits (3272)-��-
CERTIFICATION OF EXEMPTION J
FROM REQUIRING A LAMA 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 e, 6r i ..D /1" --k+- ey �^
Address.,"
City
Project Location (County, State Road, Water Body, etc.)
Phone Number
State i' Zip /
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.
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 `r j ;` A (SCALE: )
rt C/
fill
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 ftnatubi�
CAMA Official's signature
2'_ -7, /
Issuing date
7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203
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ADJACENT RIPARUN PROPERTY OWNER STA
I h=by ertify c ! >S
that I own property adjacent to David Yeomans
(Name of Property Owner)!
property Iomtedat 856 Harkers Island Road
(Lot, Block, Road, etc.)
on Back Sound is Harkers Island/Carteret County N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that Iocafion,
and, i have no objections to his proposal..
DFSCRIMON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be failed in by individual proposing developmunt)
Sibnature
Calvin G. Wellons
Print or Type Name
726-2151
Telephone Number
Date: 6/16/97
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ADJACENT' JUPA UN PROPERTY OW * R STA11
I hereby certify that I own property adjacent to 0--- 40 •$
(Name of Pro ep�rtp Owner)
prop" Located at 66-z-
(Lot, Blwk, Road, etc.)
on
ffe
(Waterbody) N C.
(Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
aru; 1 have an objections to his proposal.
DESCRUMON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
8
Print or Type Name
-7,7,1
Telephone Number
Date: - �zq — I
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