General Permits (7336)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT w
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 L Lay 93, 6.6. P..f✓
Address r', o • ►3oy 2 Y--
City ,,., .i
Project Location (County, State Road, Water Body, etc.)
i{;e'I S iUH
State
Phone Number ? S1, 4 U • 'III3A
zip ; ec5 j
Type and Dimensions of Project yf. i-. i L,lkr 4,v,I ,) lirmtfA)0VV 4 # IVV ep IM4J
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.
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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
-e,Jf�4�_
CAMA Official's signature
%I
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

e(
x _
ENT
t1 Y �.J % P%.` R J 11 T i?'\E
(FOR A PIER/UN'r OVERED BOAT LII°7) S cI:�W A 4-L
I hereby c:; ; y that I own property adiac; r,t to L u ga R _ G
's
(tiame of Property Owuer)
proper`y Iocai d ac_ SOT '� /3 } 2 +
@g&g
(Lot, BIock, Road, etc.)
on 1?>064� SouN.D in
(Waterbody) (Town and/oir County)
He has described to me, as shown below, the develoF;;ment he is proposing at teat
Iocation, and, I have no obiections to his proposal.. I understand that a pier/uncovered boat Lift
must be set back a ;:minimum distance of rifte�n rest '�' rrom m� i ) ( area or riparian ac:.ess unless
waived by me. r. r;, � . p t
I do Iot wish to waive use seibaCk requirement. tl a
/ APR 2 7 2001:
✓ I do wish to waive that setback re.^u rernent.
COASTAL MANAGEM&
MOREHEAD
DESCRLPTION :k,+-D/OR DR 'WD G OF PROPOSED DEVELOPN ENT:
(To be filled in by individua.J proposing deve.opmenr)
F3oGyE 5C)u ND
M �g _
Signature
--A"� rya:nx-
P nt or Type Name
asp yy7 - 5VE3
elephone NumbeP
Date: - "1;� 15-b

a T7i7 S 11 ,.a r n'y'. j7 ti� nrr.
(FOR A PIER/UrtiC-7OVERED BOAT LIF1) 5Lj::tWALL
I hereby ce.r-Lty that I own property adjacznt to LU. -'s
C ame of Property Omer)
property Iocated at _ G c�T `% 1�1e- (}%�%�o r-' S U p p 1 U 1 S f ►J
CL dt Block, Road, etc.)
onN.C.
(Waterbody) (Town andior County)
He has desL: ibed to me, as shown below, the development he is proposing at that
location, and, I have no objc--cdcris to his proposal. I understan,& that a pier/uncovered boat lift
trust be set back a minimum distance of fi t=ri Pert (' 5') from my area. or riparian access unless
waived by me.
I do i30t WISH t0 Waive the serback requirement.
I do wish to waive that setback reIIuirement. APR 2 7 2001
DESCRL LO. AND/OR DR IWENG OF PROPOSEL
(To be filled in bt indiviaual proposing de veijopment
1-30 C)
No
30
L.
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