General Permits (3707)

E R T I F IAT I N F EXEMPTION
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� C C O O a p
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
f Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
1� in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name Phone Number
Address
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 an other State, Federal, or Local authorization.
f
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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SKETCH (SCALE:I I )
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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

J U L 1997
TO: COASTAL AREA MANAGEMENT AUTHORITY
FROM: SWADE R. BEASLEY
61 LIVE OAK LANE
KENNELS BEACH, NORTH CAROLINA
DATE: FEBRUARY 17, 1997
MR TYNDALL:
I, PETER WILSON, OWN PROPERTY BESIDE SWADE BEASLEY'S PROPERTY IN
KENNELS BEACH. BY MY SIGNATURE I GIVE HIM PERMISSION TO REBUILD HIS
PIER THAT WAS DESTROYED BY HURRICANE BERTHA. I ALSO WAIVED THE 15 FT.
SET BACK AS INDICATED ON ATTACHED SKETCH.
PETER H. f1ILSON

TO: COASTAL AREA MANAGEMENT AUTHORITY
FROM: SWADE R. BEASLEY
61 LIVE OAK LANE
KENNELS BEACH, NORTH CAROLINA
DATE: FFBRULIF'Y 17, 1997
MR TYNDALL:
I, BILLY BOYETTE, OWN PROPERTY BESIDE SWADE BEASLEY'S PROPERTY IN
KENNELS BEACH. BY MY SIGNATURE I GIVE HIM PERMISSION TO REBUILD HIS
PIER THAT WAS DESTROYED BY HURRICANE BERTHA. I ALSO WAIVED THE 15 FT.
SET BACK AS INDICATED ON ATTACHED SKETCH.

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HIS PROPERTY IS LOCATED IN A FLOOD HAZARD AREA BASED ON
FLOOD INSURANCE RATE MAP" PANEL NO. 370/8I 0245 B,
.'ONE A5 EL15VA7ION 8 DATED SEPT. 4, 1985,
-OR REFERENCE, SEE DEED BK. 276 PAGE 782, PAMLICO
,0UNTY REGISTER OF DEEDS.
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DENNIS FORNES 8 ASSOCIATES • P.O. BOX 2947 0 NEW BERN, N.C. 0 (9/9) 638-3615