General Permits (4905)

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Applicant Name
Address,
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Pr ct ocation
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CERTIFICATION OF EXEM TION 2w
FROM REQUIRING A CAMA PERMIT �v� " %'­'�Zad
as authorized by the State of North Carolina, —s-- /j
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.�3 y 3 _ '16
Phone Number 'a Y'7 - � 9/ : /
(County, State Road, Wa r 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.
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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.
I SKETCH 1.4_1r,,�( (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's signature /� v
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Issuing date
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Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
F. M. Covington's property located at 147 Kinston Avenue on
Kinston/Bowen man-made canal in Atlantic Beach, N. C. He has
described to me as stated below the development he is
proposing at that location and I have no objections to his
proposal.
Description and/or drawing of proposed development:
Reinforce existing seawall by constructing a new wall
approximately one foot in front of old wall.
Signature
Name
72
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
F. M. Covington's property located at 147 Kinston Avenue on
Kinston/Bowen man-made canal in Atlantic Beach, N. C. He has
described to me as stated below the development he is
proposing at that location and I have no objections to his
proposal.
Description and/or drawing of proposed development:
Reinforce existing seawall by constructing a new wall
approximately one foot in front of old wall.
s
Si ature
Name 477
Phone Number

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