General Permits (3310)

Applicant Name
Address
try CD.
CERTIFICATION OF EXEMPTION yap
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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Phone Number )�411 l 1to-7
City State Zip
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.
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
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

¢� RETIRED
.•` Communications
Engineer
rH.T. (Tommy) Banks
3058 Janerio Road PO Box 278
Arapahoe, NC 28510
HM 249-1167 Shop 249-1980
email [e-mail]

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I hereby certify that I own property adjacent to
H. T Banks & Nettie Bags
(Name of Property Owner)
property locatedai Parcel H094-83 3087 Janerio Road
(Lot, BIock, Road, etc.)
on Neuse Ri\(er in Arapahoe Pamlico County 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,Wed in by individual proposing development)
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Donald J. Dunn
Print or Type Name
_ 249-0927
Telephone Number
Date:

I hereby certify that I own property adjacent to H. T Banks & Nettie Baq's
(Name of Property Owner)
property located at Parcel H094-83 3087 Janerio Road
(Lot, BIock, Road, etc.)
on Neuse Riyer in Arapahoe Pamlico County 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.
DESCRUMON AND/OR DRAWING OF PROPOSED DE'VELOP.'VENT
(To be flUed in by individual proposing development)
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Signature
Allen W. Heath
Print or Type Name
249-1460
Telephone Number
Date:
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