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Applicant Name
Address $.
City
Project Location
CERTIFICATION OF EXEM
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the o s e c is on
in an area of environmental concern pursuant to 15 NCAC Subchapte?"717".""*"n'#r+�r�
C90,'\ A _ k A. t I`��� �. c� Phone Number
(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 7X .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
State - 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.
SKETCH `'� , r ._ __ , % � ,-r — e- \ (SCALE: ) 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.
/- 4
Applicant's signature
CAMA Official's signature'
Issuing date
• _ i
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203
8300 Bald Eagle Lane
Wilmington, NC 28405
October 25, 1996
Tere Barrett
Coastal Field Rep. III
NC Div of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Dear Ms. Barrett;
The attached plot plan shows the location of a retaining wall I propose to construct to
prevent further erosion of my embankment. The wall will be constructed of treated
wood with 6" x 6" pilings on 5 ft centers. I also plan to replace a boathouse that was
destroyed during the hurricane as shown on the plot plan.
The adjoining property owners are Mike Harrell at 8236 Bald Eagle Lane and
William F. Parham at 8304 Bald Eagle Lane. Their signatures below acknowledge
that both property owners understand my intent and have no objection.
ve W/72/n 01,17,2154
m F. Parham
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