Loading...
HomeMy WebLinkAboutGeneral Permits (6772),. ,. ... �• ..�".;.: .,. ��. s-.t R•. - r' ,. .-::.-.. t.:+err ��i�. . .. � .. .. ,. ru ti- 'tF j d h CERTIFICATION OF EXEMPTION rpglfgFT- Co, FROM REQUIRING A CAMA PERMIT 1 as authorized by the State of North Carolina, 4 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 DONAID JAI << 9n,-J Phone Number Z 52.8DS • 0 / 7! Address 201 Gof uir AA1ar�Jt, ('oust' City Y , a'."r State &1C Zip 28 57-o Project Location (County, Stater Road, Water Body, etc.) ('ArtT s:a a-r CV, A) T- A U Z- L.ANOINI:.. iUliR i �i v. d, -` �' 'r0 'iF �`t� =J©iyu L 5 L lAN !<i. Type and Dimensions of Project OR Bukt e"E a cyr A/Nvv 2 Jo' 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. SKETCH 4E(.j- F. (SCALE: ,^, , ��: ) t - CA vA M W59 l4u-tll}O�Q���j-�t , o� ' ►NS-Fr,, PAK- X LAMA FLAT, SovlJl> 1Jo Woz[c Tv VF PONE KfA i'fPw eA or cAlu I) P.Ab S Ii 15 -EX �tPS i�.;n/ `i.y A-aTtt?UR/1" c WOPiC Oil -,Ar K5-0 N P Pe P, 34t o O B SE�139 B t,INW _ Ff15VA)b 1AI Z. 0 o W 0 co � (9d �+ U I 91 rIiAJf rr 7,0 49-�,c v �o 9- '4ci �oGHE rli4v�,�-�6 �os�2i J a r<50,-J 1 f 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. CAMA Official's signature 8`z2 -00 Issuing date P-2Z-00 Expiration date Attachment: 15 North Carolina Administrative Code 7K .0203 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to c/%a �C`2CV,/ �b ' s property located at �� �C'�%� on (Lot, Block, Road, etc.) / 9og41't; S buAjo in lz"d-11j / :7 ' %d , N.C. (water Body) (Town and/or County) He has described to me as indicated below the development he is proposing at that location and I have no objections to his proposal. I understand that a pier, pilings and dredging must be set back a minumum distance of fifteen feet (15') 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. Description and/or drawing of proposed development: (To be filled in by individual proposing development.) ((.1S'T/r1LL/� I-f0rJ cii= rf0 L(41,(-f d�- t�1ii�L �'���Gv,¢L� j ht C L J ✓J i Aj i 0 � � ' 4 Pr to Ac RO00 �lo0N42 N d ' 7% b � � o S' g ,ature �4d. Yl —dlN Print Name l oD 1 574 .Zg-1 !?- y/-z. Date Phone Number ADJACENT RIPARIAN PROPERTY OWI,ER STATEMENT I hereby certify that I own property adjacent �-�- Ul7l located at (Lot, Block, Road, etc.) to property , on 49oy'E in ,'�'4- r �?, 0 , N . C . (Water Body) (Town and/or County) He has described to me as indicated below the development he is proposing at that location and I have no objections to his proposal. I understand that a pier, pilings and dredging must be set back a minumum distance of fifteen feet (15') from my area of riparian access .unless waived by me. I do not wish to waive that s,.t'Dack requirement. I do wish to waive that setbac-k requirement. Description and/or drawing of proposed develo mp ent: (To be filled in by individual proposing development.) L141, a- vi,4yL jN ci<v✓J(u (� i,�l -Iu 10-! LC- a'T 6kl:'T Sir, iz P-. «Q �7 U G O w __. a � n Sigi-,\L re Print Name Date Phone Number