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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. --=/---_ _HAV N o- oB.A E^�N o_}� -�=.P _t=p L lFt ------------------- 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) E F� "- C: G��C:T9N d U 0 �� S �0 - P Pjj o N 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 0 DVS Pt 30 CoUh)tRTCI.Uk3 Poto:� SUODiVl SioN Si ture Print or Type Name Telephone Number t)