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Home My WebLink AboutGeneral Permits (4795)CERTIFICATION OF EXEMPTION /-, i FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, Department of Natural Resources and Community Development and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203. C 1 r r _ - X. - , ,^ Applicant Name °% � . i Z c'/ /" Y%r ' Phone Number:, r_ F� 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 60 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 (SCALE: XW ��I � Tit ■��1�■ ■C�I�fi�l[�� ME 11 1 It1 EmilHOOF �� ■�t��!� 111011001 MEN��n��n�� im p, Am 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 mposed work. Applicant's signature CAMA Official's signature Issw dat Expiration date Attachment: 15 North Carolina Administrative Code 7K .0203 L f I � U � � T I � V6 �-F�l �t7,>C� 4 t.-L 15�-q /VEU3 9gl=rL c�?Irzklc 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER) reby certify that I own property adjacent to i I A 's property , Name // located at 15), `i !?,?I C-I1Z (: t?X— &- /? , , on (Lot, Block, Road, etc.) i2. G�c C r,,1,-,CA— in ��cJ )OAA) Cle t /.ti N.C. Water Body) (Town and/or County) He hi:Ls described to me as shown below the development he is proposing at that location and I have no objections to his proposal. I understand that a pier must be set back a minimum distance of fifteen feet (151) from my area of riparian access unless waived by me. I do not wish to waive that setback requirement. I do wish to waive that setback requirement. Description and/or drawing of proposed development: (TO BE FILLED IN BY INDMDUAL PROPOSING DEVELOPMENT) c� u Name b �/7 P one Number ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER) >y certify that-Inown property adjacent to 's property Name / located at , S� `i ?J2 Cl'tJ, on (Lot, Block, Road, etc.) i2, c.�c C l�lL in ^Mct) RAA) �✓r� , N.C. Water Body) (Town and/or County) He has described to me as shown below the development he is proposing at -that location and I have no objections to his proposal. I understand that a pier must be set back a minimum distance of fifteen feet (151) from my area of riparian access unless waived by me. I do not wish to waive that setback requirement. I do wish to waive that setback requirement. Description and/or drawing of proposed development: (TO BE FILLED IN BY INDMDUAL PROPOSING DEVELOPMENT) 3 214t'� Utz tc.. b/ o 6 N pn �C>v 12 'r S' ature Name Phone Number GENERAL PERMIT APPLICATION INFORMATION First -ING ADDRN ;S : Middle) d Last (P�,NT ) fV� 13F-Rti STATE A!-C� ZIP;�'�� TaN.PIIONE: WORK HOME CONTRACTOR'S ?ME.. I Oh M{ 0�- TELEPHONE NUMBER PROJECT LOCATION: N.C. Hwy. II 90 SR II/jD!y Road/Street Name 0i2-'a C",rk Waterway Name ✓3R".4t CI&Illa County ✓fj Town /y F-W ocee&J Subdivision JlPli cT 40dal t PROJECT A(:'IMTIf.S: PIER: Total iimensions of pier from MHW to platform (Length (Width 'T' or 'L'-head platform _ (Length)` (Width) (Number of Mooring Piles) Water depth at end of pier Number of Mooring piles F T HOUSE/BOAT LIFT: Length Width Number of Piles Water Depth i BULKHEAD: III Total length a � Q Average distance waterward MHW % Maximum distance waterward MHW #2 Total length Average distance waterward MHW Maximum distance waterward MHW rot_L; length Base width from MHW -1.%- ., NA.NCE 'ONLY' ] G�t��' ibth �(,Q Width /4 Depth of Cut Adjus water depth on ML Existing water depth(s) Estimated Cu Yards enr,th x width x depth/27) i000 cd, Type of spoil: Mud Dr:igline BackhoeV Hydraulic OTHER STRUCTURES: