General Permits (4109)

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Applicant N
Address
City
Projecf Loc
CERTIFICATIO
FROM REQUIRING A (
as authorized by the State of North (
Department of Environment, Health,
in an area of environmental concern
714 4- f/ ' J I.0 :s
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Zast.al%
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Resources Commission
203.
(County, State Road, Water Body, etc.) 0
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State
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Phone Number tf U
Zip
Type and Dimensions of Project _ % 1®t Lf (r ^ E
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.
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.
SKETCH G IA 12fA (SCALE: 11 /°i
i
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.
-�� T
CAMA Official's signature
Issuing date
r
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

State of North Carolina
Department of Environment,
Health and Natural Resources • •
Division of Coastal Management
James B. Hunt, Jr., Governor p E H N F1
Jonathan B. Howes, Secretory
Roger N. Schecter, Director
July 18, 1996
Mr. John Dudley
260 Memorial Drive
Jacksonville, NC 28546
Dear Mr. Dudley:
Attached is a Certificate of Exemption From Requiring a CAMA Permit to replace a pier
and boat lift at 168 Dix Creek Road, off Dix Creek, in Jacksonville, Onslow County.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the
yellow copy and the attached regulation (7K .0203) for your files and return the blue and green
signed copies to us in the enclosed, self-addressed envelope.
Your early attention to this matter would be appreciated.
Sincerely,
C O-
S
Charles O. Pigott
Field Representative
COP/dh
Enclosures
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