General Permits (6282)

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CERTIFICATION OF EXEMPTION,
_Y 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"
area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
man p p i
Applicant,N,ame ✓Br: Phone Number
F Address 9i'1 ►n < �:
City f `rr_: t r'r ! 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.
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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.
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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.
Appncanrs signature _
CAMA Official's signature
tj (�
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to y,, , & t� w&r, &IIt4G 's
(Name of Property Owner)
property located at a I IV S v � - D; C' . o 6� 12eJ
(Lot, Block, Road, etc.)
on i r� S 6,Ate )e- , in \ n AAA I d , N.C.
(Waterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
APR 13 1993
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AAll I j`rl a �ti,l „�
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Signature
�1ayrcN S 1y�
Print or Type Name
�Sa- G33-6GyS^
Telephone Number
Date: C — 9 8

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to lWa v, t` e, ),( YI 0, s A/I cvl e- 's
(Name of Property Owner)
property located at u. jo 3cA - Nge- r%ham 1 L�
(Lot, Block, Road, etc.)
on C s 6\r � �2_ in �� L �" ellci , N. C.
(Waterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
APR 13 1r' akIS�i°i�EI��CN
Print or Type Name
7 5 - 7 -7 9v
Telephidne Number
Date: q r q

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF COASTAL MANAGEMENT
ArA
ACDEN
April 17, 1998
JAMES B. HUNT JR.
GOVERNOR
Marie Kwasnick
c/o Broad Creek Construction Co.
112 Creekview Ct.
WAYNE MCDEVITT
Merritt, N.C. 28556
SECRETARY
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Dear Marie Kwasnick:
SCHEGTER
DIRECTOR
Attached is a Certificate of Exemption From Requiring a CAMA Permit to construct
a pier at Gallo Subdivision in Pamlico County .
In order to validate this permit, please sign all three (3) copies as indicated. Retain
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the yellow copy and the attached regulation (7K .0203) for your files and return the blue
and green signed copies to us in the enclosed, self-addressed envelope.
Your early attention to this matter would be appreciated.
Sincerely,
TedTyndall
Coastal Management Representative
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Enclosures
M1 s
MOREHEAD CITY OFFICE
HESTRON PLAZA 11 151-9 HIGHWAY 24 MOREHEAD CITY NC 28557
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY /AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10 % POST -CONSUMER PAPER