12376_TIPTON, EDWARD_19940517

!R 71
CAMA AND DREDGE AND
GENERAL �� n:�
MAY 2 ®2 64 »
PERM i T
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 -
Applicant Name Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
I Boat ramp dimensions
Other
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State
Zip
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This permit is subject to compliance with this application, site e
drawing and attached general and specific conditions. Any _,, f
violation of these terms may subject the permittee to a fine, L
applicant's signature
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imprisonment or civil action; and may cause the permit to be-
come null and void. \ '
This permit must be on the project site and accessible to the _ permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- \GC��1
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
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In issuingthis permit the State of North Carolina certifies that
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this project is consistent with the North Carolina Coastal application fee
Management Program.
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CERTIFICATION OF EXEMPTI APR I
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal esour bes .......
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name 12 i m w o -TA Rwn S
Address ( Z A7
City I it Ll?r"l V State
Project Location (County, State Road, Water 139 �,tc,) glz th 7z L'f%V/
Phone Numberrk'cl/ 47�/ `/6 SS
Zip
64
Type and Dimensions of Project - sL
17 ( ,� , 1 4 t i t
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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 (SCALE: Al l _�$ )
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1,41
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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 ff 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
-�, - 2-- `7�
Issuing date
Expiration date
date
Attachment: 15 North Carolina Administrative Code 7K .0203