General Permits (6571)

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
Address
City
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.
Phone Number
State
Zip
This ccrtification 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

Post Office Box 1988, Atlantic Beach, NC 28512
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OUTER BANKS
MARINE CONSTRUCTION
DOCKS - SEAWALLS - FLOATING DOCKS
Dealer for Davit Master Boatlifts N
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Jai0-28-98 09.12A Kurtis Chevrolet Inc
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919 247 5698 P-01
I hereby certify that I own property adjacent to _ Y/ 1' 1 �� 11� 12
� Qr'ar¢xe r�° t . _�;�:'tF (iwnerj.
propCrry locp.rcd at -�' 1 ' 1 `' 1 �'' 3 °� c
(Lot, Block, Road, etc.) x
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_ ..SL..._ _ _ _ N.C.
(Waterbody) (Town and/or Couniy)
He has described to me as kown below, the development he is proposing at that location.,
ara, I have no objections to his proposal.
DESCRIPTION ANDIOR DRAWING OF PRO DFVL'LAP:'4V9T
(To bee Ted to by individ posing evr,cerctl
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Print or Type Name
Telephone Number
Date:
JUL 2 9 1998

JUL-28-98 02:52 PM
DRCHERRYLADAVIS
9192474935
P.02
Jul-27-98 04:C4P
Kurtls Chevrolet Inc
919 247 5598
P.02
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I heMby certify that 1 own
FroPesty adjacrr.t oo
/ Name of Property Owner)
MpulY 16catrd at f < < 1 `� i-,O�T 13 ;r
A n (Lot, Block, Road, etc.) ,
on / "�L' �'o i.-f f� V� �Z in
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(Vgaterbody) N.C.
{Town and/or County)
He baj described to tam u sbowa below, the development he is Pfgm ng at that location,
et d, I have no objectioas to his proposal.
DEStZtI MON AND/01 DR*WWG Oy
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Teleyhoac Number
Date:
JUL 2 9 1998