General Permits (6547)

CERTIFICATION OF EXEMPTION - C /�
FROM REQUIRING A CAMA PERMIT 6--"ClPllt cd
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 +� C.Phone Numti2r 5 7�,kcd'
Address
City ' !" r� State zip,
%Project Location (County, State Road, Water Body, etc.) .7
T pe and Dimensions of Project %' i
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.
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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.
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CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

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NORTH CAROLZNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF COASTAL MANAGEMENT
July 27, 1998
Ray Vallecillo
178 Purifoy Farm Rd
Beaufort, N.C. 28516
Dear Ray:
Attached is a Certificate of Exemption From Requiring a CAMA Permit to construct
a pier with a gazebo on your property located at Davis Bay Subdivision in the Town of
Beaufort.
In order to validate this permit, please sign all three (3) copies as indicated. Retain
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.
CP/rcb
Enclosures
Sincerely,
. JCL-�o (Q. A4--,
Charles O. Pigott
Coastal Management Representative
Morehead City Office
Hestron Plaza U, 151-B Hwy. 24, Morehead City, NC 28557
Phone [phone] Fax [phone]
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