General Permits (3957)

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Applicant am
Address
City W i fm
Project Location
CERTIFICATION OF E
FROM REQUIRING A CAMA PERMI
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resourc
in an area of environmental concern pursuant to 15 NCAC
NOV 2 0 1996
emission
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
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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.
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pplicant's signatureV
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AMA Official's s g ure
11
;suing date /
xoiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

EXISTING CONDITIONS
PROPERTY OF
JACK FARRAR
ACCESS DRIVE TO
MAS01`480110 LANDING
SUBDIVISION
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EASEMENT crME
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TIE PILES
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Exis-mr, D 12 SPACES
Doc 12
SYSTEM
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EXISTING
RETAINING �'—
WALL
_ PROPERTY OFF
JACK FARRAR
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MOTE: CURRENTLY 12 SLIPS IN PLACE FOR 23' BOATS rl
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MASONBORO LANDING
SCALE I" = 50' BOAT BASIN
EXISTING CONDITION}
MASONBOROLAN DING BOAT BASIR.
DATE:MAY 14.1996
SCALE: :I a SO'
DRN BY: C. JACKSON
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