General Permits (5624)

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CERTIFICATION OF EXEMPTION (p p
FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, OA
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 k_: c vy 04-11'� /43,
Address i47 all, 4r;t -A
City f%19114 /"1 ,
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.
Phone Number
State Zip 7�54
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 (SCALE: yz, ) I
.�•/rya-:s
Any person w o procee s " a eve op
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.
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h d th d I ment without the con- *—� `AN A
AppliEant's signature_( '
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

PROPOSED PROJECT NOTICE
give Larry Cartwright, owner of
Property Owner
Dockwright Marine Construction, permission to build a bulkhead
structure on my property located at-5-d-VZ. So V',v'a (,C Qla-
Property Address
for shoreline stabilization.
I, 6240& GJ/ Z-,5y, also give permission to CAMA
Property Owner
(Coastal Area Management) to enter my property to stake this
bulkhead structure located at ,6-do Z .5oc, . a e60R,{
Property Address
Dockwright Marine Construction
Owner
Homeowner �'j Z�—"
Date -3-- 1

I
PROPOSED PROJECT NOTICE
give Larry Cartwright, owner of
Property Owner
Dockwright Marine Construction, permission to build a bulkhead
structure on my property located at �v 2- A C:k-- q & svu.1n /'
Property Address
for shoreline stabilization.
Cr
I ��s�o� (� also give permission to CAMA
Props.rty Owner
(Coastal Area Management) to enter my pruperty to stake this
bulkhead structure located at ��1�� ��Y � <:�"
Property Address
Dockwright Marine Construction
Owner
Homeowner Q,42�A
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