General Permits (4082)

CERTIFICATION OF EXEMPTION
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 qr % _I ki Phone Number r 2 V-1:_Zc)E Y
Address
City State ,4JG Zip 10
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.
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.
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.
RZ14
_ �77
The applicant certifies by signing this exemption that (1) the ap- Issuing date
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 Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K .0203

PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby .certify that I own property adjacent to
MP, JACK- _ UNSIN 6 s on
Name of landowner proposing development
N^1 '1 4
��5E � VE R_ in/ ear ly- �O
body of water community
i
Lot#' 17 JJS of g=MMj I$AY
Subdivision, if applicable
Tax Parcel # off SR 130Z Complete
description of how to locate this property:.,_[.
The proposed project, ajLij PILING--, and the `
location has been described to me as shown in thee.
drawing
below and I have no objections to the proposal_.
FOR A PIER, CHECK ONE OF THE FOLLOWING: .'
I wish to waive the 15' minimum setback from my
riparian access.
I DONOT wish to waive the 15' minimum setback
requirement.
Draw the proposed structure in the space provided below.
List the size of the structure and measured distances from
the adjacent property lines, other structures on the
property, and the road, water, etc.
5 � � �4`f'�'►�Gbd-�-D 5��`�f`�4�
P r i r i t e d Na �e�b i'1/ 19- "1Z���� ��pate
Signature- �L�?� (�.--�:::Z/
l� J
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V

PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that I own property adjacent to
M g- ��)�(S 11� ' s on
Name of landowner proposing development 1
r1"3 IRD
body of water uy
Lot#+ /7 �19 of <X-AY7—Dhj e>Ay
Tax Parcel #
Subdivision, if applicable
off SR 1502._____. Complete
description of how to locate this property: Itg
14AZpI.-so1 i -- L IB .
The proposed project, a MQ0r-1K6 FILING and the
location has been described to me as shown in the drawing
below and I have no objections to the proposal.
v
FOR A PIER, CHECK ONE OF THE FOLLOWING:
11
I wish to waive the 15' minimum setback from my
riparian access.
r/- I DONOT wish to waive the 15' minimum setback
requirement.
Draw the proposed structure in the space provided below.
List the size of the structure and measured distances from
the adjacent property lines, other structures on the
property, and the road, water, etc.
Printed N
Signature

7
03/07/1997 16:52 91S2492,064
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March 7, 1997
PAGE 01
To: David Si.moson ,
From: Jack Dunsing
Do voul-think you could rut that extra piling,
in the position indicated on this sketch? It
would be a great help in coming in during;
rotigh weather, since it would provide a place
to tie off in order to nrevent the boar from
pounding against the dock until I lowered the
lift into nosition. Please give me a buzz if
you can. Ile will be here today --will be leaving
tomorrow morning. Thanks --Jack
249-2064
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