General Permits (3372)

w
ft
CERTIFICATION OF EXEMPTION ---
-Y- rd
Applicant Name ��! �r� 1 t'
Address
City
Project Location (County, State Road, Water Body, etc.) �—
c`
FROM REQUIRING A CAMA PERMIT � U �
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.
Phone Number
State
Type and Dimensions of Project - !� a r , �I, 4
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.
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.
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.
signature
AppljEant'�s
�
-�/
CAMA Official's signaturre,
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

ADJACENT RIEPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
W. Colton Carawan 'g
(Name of Property Owner)
property located at 307 Brook Lane
(Lot, Block, Road, etc.)
on Barnesfield Canal in Newport 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)
To extend the existing fixed dock away from the bulkhead for a distance
of approximately 7' 7" so as to be in line with the outer pilings of
our existing boat house. Also, to extend this new section of dock for
approximately 16' towards the north in order to safely moor a 38'
vessel. Please note that the current fixed dock is approximately
7' 7" X 24' 2".
Signature
Print or Type Name
Uzi —S2-4
Telephone Number
Date:

r
I hereby certify that I own property adjacent to W. Colton Carawan is
(Name of Property Owner)
property located at 307 Brook Lane ,
(Lot, Block, Road, etc.)
on Barnesfield Canal in Newport 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 DEVELOPIVIM
(To be filled in by individual proposing development)
To extend the existing fixed dock away from the bulkhead for a distance
of approximately 7' 7" so as to be in line with the outer pilings of
our existing boat house. Also, to extend this new section of dock for
approximately 16' towards the north in order to safely moor a 38'
vessel. Please note that the current fixed dock is approximately
7' 7" X 24' 2".
Signature
//
Print or Type Name
7af,^a--�a33
Telephone Number
Date: -�> 3 / - `18'