General Permits (4393)

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'~� CERTIFICATION OF EXEMPTION 911"
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 ai Phone Number 9 !
Address
City tL ti- State r Zip 4 cj
Project Location (Count
(�/, State Road, Water Bod etc.) j < � a - � � �: � o � ,,� -7 {
Type and Dimensions of Project �� �� �'� ! 1,4 L 5 (4 ' L x.
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, /,t /% !} (SCALE: )
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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.
ca/
Ap"ntl'sture
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CAMA Official's signature LE P.11 z.
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Issuing date i
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Expiration date
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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
Jonathan B. Howes, Secretary
Roger N. Schecter, Director
Al 0
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DATE: J Q. a , 1996
Attached is a Certificate of Exemption From Requiring a CAMA Permit. In order to
validate this permit, please sign all three (3) copies as indicated. Retain the yellow copy 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,
al
C
Field Representative
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Enclosures
AW
P.O. Box 769, 3441 Arendell St., Morehead City NC 28557 N�� C An Equal Opportunity / Affirmative Action Employer
Voice 919-726-7021 FAX [phone] Courier 11-12-09 50% recycled / 10% post -consumer paper

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PETTIF'ORD CREEK
It�FEI�NCs:
PLAT ENTITLYD 'SURVEY OF SECTION 2 PEMFORD POMV
RECORDED IN PLAT HOOK 0. P Wl 7. CARTERET CO. REGISTRY

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LOT 12
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PLAT ENTITISD •SURVKY OF 9:CTION P PrMFORD POINT'
RKCORDKD IN PIJT HOOK G, PAGE 7, CARTIM CO. R&GIS RY
I. CHARD A. RAWA% REGISTERED SURVEY FOR
urw SURVENM Aso n«*)y 08MY c�R �au�icl .� . .�� & ^ T _
trot I h" wry** the property
oe shown herein in 000mik now with
THE STANDARDS OF PRACTICE FOR
LAW SLVt Ewa, IN LOT 11, B LK C , SECTION 2
N•,�AR''�' I-PETTIFORD POINT SUBDIVISION
Pr* no- WHITE OAK TWSP, CARTERET CO., NC
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I. 9 L A �o
Charles A. RawlsCAR
and Associates
�''�� FS P• � '� P.O. BOX 1126—SWANS80RO.N.C. 28584 YLPPLO
".•tTELEPHONE [phone] SURVZYL G
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I Elizabeth Haga, the owner of 224 Pettiford Road, give permission for David
Holland, the owner of 222 Pettiford Road, to rebuild their dock as it was previous to Sept
5, 1996. I understand it is closer than the allowable 15 feet from the property line.
Signed Date
Elizabeth Haga
NOV 1 4 19%
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