General Permits (4651)

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Y CERTIFICATION OF EXEMPTION l
F
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 Phone Number
Address
City State Zip
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.
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 maybe necessary
to continue this certification.
SKETCH (SCALE: )
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.
Applicant's signature
CAMA Official'9 signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

PHONE MI 2-4947
IrILTCR X BACKING
SEAWALL JOINT
2-4
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is so.
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1 Build or Repair 25 Yrs Experience
IN
PROWANT CONS TR13CT10N
CONCRETE SEAWALLS, DOCKS AND PATIOS
NOTE:
EXPANSION JOINTS
DOUBLE ANCHOR e E)(P. JOIPM
PROWANT ENTE"RISES
MARINE CONTRACTOR
CONCRETE BULKHEADS OR WOOD
DOCKS, PIERS, BOAT RAMPS
LARRY - 910-285-9269
Chinquapin EARL
- 910-285-9375
ALL CONCRETE
3000 P.S.I.
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& F.f�NCT S S.AZILLS
Swonsboro Twsp.
Onsluw County
Nor tit Carol ina
REFERENCE: Lot 10
Revised "HURST IIARBnR
NORTH" Map Book 32
Page 42 Slide 1--30
Scale I" . 30'
October ?7, 1998
Onslow County Registry
PATE PHILL,IPS
and ASSOCIATES, P.A.
P.O.
Fox 214
Swonsboro
North Carolina
Project Ho. j70-270
.11-4
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