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CERTIFICATION OF EXEMPTIW1__TI.7
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FROM REQUIRING A CAMA PERMIT AUG 0 2 1994
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources o mission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.--C""""'
Applicant Name ," j a t ?1�Number
Address
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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.
Th
state 2- Zip
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.
Applicant's signature
CAMA Official's signature
7-- � L; � t/
Issuing date
/- -- -d 4 ) c.,
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203
I July 1994
To Whom It taay Concern:
I,Robert L. Emanuel, have no objections to Robert
and Alyce Siebert, of I O Sleepy Point Road, Gloucester
North Carolina, installing a crock on thEir waterfront
property.
I July I994
To Whom It lay Uone ern : � � � C) 7
I (1u,t �-e- -41- have no ob j ec ti r-ins to Robert and
Alyce Skebert of I10 Sleepy Point'Road, Gloucester, N.C.
installing a dock on their waterfront property.
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Coastal Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Roger N. Schecter, Director
July 25, 1994
Mr. Robert Siebert
110 Sleepy Point Road
Gloucester, NC 28528
Dear Mr. Siebert:
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Attached is a Certificate of Exemption From Requiring a CAMA Permit to construct a
pier at your property in Gloucester, Carteret County, NC,
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.
Sincerely,
Charles O. Pigott
Field Representative
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Enclosures
P.O. Box 769, 3441 Arendell St„ Morehead City, North Carolina 28557 Courier #11-12-09
Telephone 919-726-7021 FAX 919-247-3330
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