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Home My WebLink AboutGeneral Permits (6538)�'_-77- CE.RTIFICATION-.O-F.'.EXEMP ION p _Y FROM REQUIRING A CAMA PERMIT Cgl ill 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. r Applicant Name J L L- ii i i / L ,c Phone Number Address' City State Zip Project Location (County, State Rgad, Water Body, etc.) - Type and Dimensions of Project `7 -4 l The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is above is hereby certified as exempt from the CAMA permit re- valid for 90 d y from the date of issuance. Following expiration, quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examina ' n f the project and project site may be necessary CAMA permit requirements does not alleviate the necessity of to contin t ertification. your obtaining any other State, Federal, or Local authorization. SKETCH / d " (SCALE: ) , 1 3 I 9 (( S _I 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. Applicant's signature _7 Official's signature Issuing date Expiration date Attachment: 15 North Carolina Administrative Code 7K .0203 ADIACENT RIPARIAN PROPERTY R ST A Is�'EM NT (FOR A PIERIMOORING PILIN I hereby certify that I own property adjacent to 7Z IS 13 L LC is (Nature of Property Owner) ed at GN/VNO1V►d — 1204D property locat (Lot, Block, Road, etc.) on rr4 s G oter' K- , in i3r A-,'z 0 c7- / G IQ XTt`n r•T , N.C. (Waterlifidy) (TO�PI!' ana'/ur Couuiy) 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/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRII''1'ION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) Signs re \_0AC71E, 1 LC� Print or Type Name Telephone Number Date: I'0 CI � � CART[R[T Cow+rr couwr"OUs[ & urrl%-t Ur QR T b L'I'' GU1NVTY COURTHOUSC SQUAR[ OEAUFORT. N. G. 2as 1 a- 1 aoa 72a•aSAS •UILO1NCl. w02K[ "ON[1 [l[cTMCAI. ftUwMaG. r[CNAr.CAL ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to: property located at: t=�v,Vz)x v;,*Ce&- IZ0,4,b near (water body) in (county) The applicant described to me as shown below, the development he/she is proposing in that location and: I have no objections to this proposal_ I do have objections to this proposal Description and/or drawing of proposed development: Signature: Name: Phone Number: Nl i" w j%,Lrk)t 7-1%" &.'. AWAC NT RIPARIAN PROPERTY OWNER STATMENT (FOR A FIFR1M001U1VG FILINGS/BOATLIFTfBOATiHOUSB) I hereby certify that I own property adjacent to B L c L is (Name of Property Owner) property located at L L yNo �r v 41- C-- R o " ' (Lot, Block, Road, etc.) on I Ay--ol- Zcc k -� in T � C�,cTc� �T , 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/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. -, I do wish to waive that setback requirement. -------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) Signature ,t4 . is rrC ft Print or Type Name -72S' 7--� 0 Telephone Number Date:-- A 4 rc F F GM*MMV ae U NT Y COURTHOUSE SCUAR6 I EAUFORT. N. C. 2a3 1 a- I ape 72a•a5AS •UI10{NGIL h*C@P C N0"C3. CLCCTP"CAt• M_UA4&1"G. ►r1[CMAn1CA$- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to: CS3 ZZ-L property located at: _�5��/ /0xV16LL! zo"� near ( water body) X6-e-& in (county) ( �1A1 !EKL-T The applicant described to me as shown below, the development he/she is proposing in that location and: I have no objections to this proposal I do have objections to this proposal Description and/or drawing of proposed development: y 7 Signature: t- Name: Phone Number: T iJ � �" w Ds t &-K T n y L.I, NJ k 0 6-4 h