HomeMy WebLinkAboutGeneral Permits (6442)CERTIFICATION OF EXEMPTION
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
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name Z7 dI Phone Number
Address
City r: . , r. ,,. , State ;. Zip �f
Project Locc/atiion/(-County, State Road, Water Body, etc.) c' '`
Type and Dimensions of Project r l 7 ' i J J_ f11,,.
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 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.
development is exempted, will be in violation ottne UHnnH it mere
is a subsequent determination that a permit was required for the
development. CAMA Official's signature
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.
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203
TOWN OF CAPE CARTERET
204 W. B. McLean Drive
Cape Carteret
Swansboro. North Carolina 28584
ACENT
I hereby certify that I own property.adjacent to
1. A RRY L + . -R a S c 's property located at
(Name of Property Owner
tkus POINT t:)RI V t_..
Lotc Bock, Road, etc.
on D EE I` , in e--iiiE (�P,t.gEt-
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. I understand that a pier must be set back a minimum A11W
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.
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-------------------
DESCRIPTION AND/OR DRAWING
(To be filled in by nd v d
cbumTR4 C. ,U6 f o►N% uaoi V1 Sion!
rnvrvozu vzvbbuvmENT!
propos ng development)
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Signature
Print or Type Name
Telephone Number
a
TOWN OF CAPE CARTERET
204 W. B. McLean Drive
Cape Carteret
Swansboro, North Carolina 28584
ADJACENT RIPARIAN P P_ XRTY OWNER STATEMENT
(FOR A Itsm
f-�nAt i.IF-t
I hereby certify that I own property adjacent to
"- RR �-- R D S E to property located at
(Name of Property Owner
b.rocR, xoacit etc.
on ZEEt-RaC-K , in - _,, 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. I understand that a pier must be set back a minimum IV1i9
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.
_NT-------- -------_-----
v--A,-----------------
DESCRIPTION AND/OR _DRAWING OF PROPOS
(To be filled in by individual propos
G2
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Pt 30
CoUh)tRTCI.Uk3 Poto:� SUODiVl SioN
Si ture
Print or Type Name
Telephone Number
t)