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HomeMy WebLinkAboutGeneral Permits (7305)LOB t , • CERTIFICATION OF EXEMPTION 6� FROM REQUIRING A CAMA PERMIT 1/10 as authorized by the State of North Carolina, Department of Environment, Health, and Natural Resources and the Coastal Resources Commission in an area of environm-ental concern pursuant to 15 NCAC Subchapter 7K .0203. w 1 i Applicant Name ` r ! ! Phone Number Address' v^ City - State Zip Project Location (County, State Road, Water Body, etc.) .. Type and Dimensions of Project nzt',�r`; .' 3 r � 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 g0 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 (SCALE: ' 1 ) �i N4 -. �i»-� i,b �,�..ti+��:«w...+..+�.w..�.w-...+e......:.....,.r...�.e+.-.,.so � c �-.�,.........�..�•.��.......+++a�.wjljj 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 r CAMA Official' s`ig ature Issuing date I P I C/i Expiration date Attachment: 15 North Carolina Administrative Code 7K .0203 07/11/01 12:21 V19197907070 PATSY F. DANIELS Q 002 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to MlcI14,94 d 07s s (Name of Property Owner) property located at / q to /►� fir' AL h U t Pt - (Lot, Block, Road, etc.) on 1000 Sooey , in �p,�'aQyL� �SCC , N.C. (Waterbody) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and I have no objections i i � ctlons to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPIM[ENT - (To be filled in by individual proposing development) Li �;9~ sc� j t 1 b - 1I- I a4- a4-eq, l ,, v,*-- Gac�,.�a..,�q �.r.,^� � �0 r'°'Pu i� (� v`� -T�-1'►..c... G�'��e.,r , s l o ff; v�cy �r• w�-4'�`�- !o r� ..., k -4-6 41— 4-o P B- F -W-C- w w{ l 1 So wld I 'DockI t I � I I 41 se'- On.l( 15 Iona I I allc� I i ILI Io Si an�atlure l 1,4 Print or Type Name qlq- 58(- 4&5q Telephone Number Date: p 07/11/01 12:21 V19197907070 PATSY F. DANIELS 1j003 ADJACENT RIPARIAN PROPERTY OWNER STATE MN-r f I hereby certify that I own property adjacent to m � � ` t � Sy j� a0%"f.' s 's (Name of Property Owner) property located at I g i 0 , (Lot, Mc)ck, Road, etc.) any LA#- SOS , in F�l d SSI� , N.C. aterbody) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT = (To be filled in by individual proposing development) +.� ► 1,,; �h sea-b�� i�- kl•, ,,,10.E 1; ►�.� F: ttk CU irk +t. loe- p 1 Ac.`d. bfiV1�i10� w l 1 J(-,- t.J o t 1 s t o e t✓ 1 e -�- to c� K . .�Jj C i `(' 5C.A, Mall -761 (vn� WNKw.l iy 1z- ►'i 16 1 1y08 Signature Print or Type Name q�1 `7�-l-7- Telephone Num er Date: 0 P1 /