General Permits (6951)

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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 Phone Number li"i -
Address ).210
City t-1 , < • i-,•, State Zip
Project Location (County, State Road, Water Body, etc.) t t- u wm rya c.+ �`4 a 2 Ft��-� r��.J :�,, 4AA I!~ J< ,<o
!, .JA.s t'J _.
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Type and Dimensions of Project I: ( r s t * nr,_;,% ti p! o� r c < :
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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.
I SKETCH PkF t- r'; (SCALE: tj ) I
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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.
signature
LAMA Official's bignature
09
U fi
Issuing date
Expiration date
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Attachment: 15 North Carolina Administrative Code 7K .0203

JUL 19 '02 01:07PM CENTURY 21 ZAYTOUN/RAINES P. 1
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s r TIz 'LAMA Attm Tracey
Ernie, Ensley Century21 Zaytoun Raines 633-3069
�44,;,,:� , ; , 'Scott Jones •
s ts>r fMre' 07/19/02
' 3602 Fort Road
irdllowing via FAX is a copy of the riparian'rights letter signed by both contiguous, land owners, of above
:optioned property
I, am also enclos d a survey:
;V,t , irectloft From •Morehead..if you got onto 016 Cherry Point Road at' McAcan Imports :proceed'
igwarda,'Newem'about 5 miles. You will see .Battleground Avenue on your ri. 'ght•,(betwein:,J
EdWards Electrie•and a church). Turn right onto Sibeground. Near, the end of Battleground, turn left'
Fort Road, You will see'my sign near the driveway. The driveway wanders 1000 feet through a. .
�'- dense forest to•the house'and shvreline'access.
you there. h office 633-3069 or cell 514.7503 to
�ppwill be pleased:
meet You can ieac me in my offs.
' r `' .Y • Vchedule an appointment
;n•';.: Scott' ,Manes wanted to, coordinate his second trip to delineate when you went out to'evaluttris the
bulkhead site: Please contsct,him.
Please.16t me know N l need to provide further. information. I will be at your disposal 'by calving the
above numbers.
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19 ' 02 81: b8PM CENTURY 21 ZAYTOUN/RAInn FAX NO.' 4 P. a P.
43
•°, .' cerd' thatT awn roe ad-acsat to
FY P P �' )
,Thereby
(tiFune,of 'Property Owner);
propezy: lotdlted at,F'a-;-
(Lot, Block, Road, etc.)
64
('Waterbodv) (Town and/or County)
He. has. 6=113ed to.me,, as shown below, the, deve!dpment he is proposing me that locido�,
ndi. ,I have no objections ' to his- proposal. I undcrs�nd that a pit amocring
ui siboa►li$clboathousc mast be set back z minimum dis�nce of fine�n fist (1S',) frorri my.
.,'.. ,• .,
rxparaxs access urticss-waived by me,
I do riot wish to waive the setback recuirament.
Ida wish to waive that setback rwuire.^eat.
` DESCRIPTION, AND/OR DRAWPiG OE PROPOSED DEWELOP1M-.N?:
he fged in by indivzVual proposfag developrrsent)
wait..•' b _
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Wit` , . V�d�£iP�Tta?� Li►�r
SI'gn.amre
Print or Type AM6
Ta!t*hone Number
• • :r ' ;fix. ,�S',� - % 3 �� �� 4 .,r .

JUL 19 '02 01.07PM CENTURY 21 ZAYTOUN/RAINES ��3 c� P•2,p 03
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' :; I herby certify that Z own property adjacent to
(,dame of;Property Owner)
located at
r-vi�i5 1
1.PIZY (Lot, Block,. Road, etc.)
in
(isterhady) (Tow- d/or County) ,
He has d&xffoed to me, as siowri below, the dwe!opment he is proposing mt that-1o4tion,
and, I .hava no cibjections tc his proposal. I understand' that pier/riooritig
s' pili*lhoa,. i boathousc must be'se: back a rninirnurn dismnce of UT n feet (15') from ,tnY area
:f'f• *'an'access unless waived•by me.
.:, I d.o not wish' to wave the setback requirament.
r r I tx'ish t0 waive tlz setback recuirarne;:t.
'DESCRnyrIQN AND/OR DRAWLNG o FROpOSED r) Op.I�\T:
(To-befiZled in by individual proposin. develapnsent)
(; LLB=?- - , _'2 L).Nji!
�gnatur
Pnnt or Type a,me
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Telephone Number

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CENTURY 21
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