General Permits (5867)

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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT x d { `��
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 me r -' � f, k"--�' �- Phone Number `� r '<< % -S l
Address, � 7 7 . K. v
City ci ,.)�j
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project h U I k" Or, /' <'l'
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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.
SKETCH �, U, 5� S f 0 /'
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.
State 7t, Zip 4:_7 0
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< 1, _ - `�
signature
CAMA Official's signature✓/,/
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Issuing date
f- , / -,1717
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

November 18, 1996
TO WHOM IT MAY CONCERN:
This is a proposal to rebuild our existing dock and add an additional 50' of dock which
includes a 16' X 24' tee at the end. A 36' X 2 %2' salt treated retaining wall will also be
constructed. This will be done on lot 58 Bluewater Banks owned by Jim and Ann Stevens.
Thank you for your time in considering this matter.
Jim Stevens
Adjacent Property Owners
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Ann Stevens
Adjacent Property Owners
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November 18, 1996
TO WHOM IT MAY CONCERN:
This is a proposal to rebuild our existing dock and add an additional 50' of dock which
includes a 16' X 24' tee at the end. A 36' X 2 1/2' salt treated retaining wall will also be
constructed. This will be done on lot 58 Bluewater Banks owned by Jim and Ann Stevens.
Thank you for your time in considering this matter.
*iveins
Dv-r4�. Or:,
Ann Stevens
Adjacent Property Owners
A4,tu,-�, .

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