General Permits (3715)

CERTIFICATION OF EXEMPTION ro P
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.
Applicant Name --t N y
Address Mj;: ''1 -"
City .
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.
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.
State
Phone Number i!
Zip
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.
Applicant's signature
CAMA Official's signature
i
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

I, Oscar Greene Jr., owner of 2707 Evans Street, Morehead City, NC, grant
pennission to the Basnights of 2709 Evans Street, Morehead City, NC to add a boat
slip to their existing dock. I waive the 15 foot setback requirement that is in effect.
;7--j signed
date

I, Jean Poe Martin, owner of 2711 Evans Street, Morehead City, NC, grant
permission to the Basnights of 2709 Evans Street, Morehead City, NC to add a boat
slip to their existing dock. I waive the 15 foot setback requirement that is in effect.