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CERTIFICATION OF EXEMPTION'Y,�'��
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 NamePhone Number
Address
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.
State
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.
[SKETCH (SCALE: )
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
Dsa subsequent determination that a permit was required for the
evelopment.
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
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203
01
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF COASTAL MANAGEMENT
NCDENR February 24, 2000
JAMES B. HUNT JR.
GOVERNOR
Frank Rackley
101 Vida Lane
New Bern, N.C. 28560
WAYNE MGDEVITr
SECRETARY
Dear Frank:
Attached is a Certificate of Exemption From Requiring a CAMA Permit to replace a 8' X
DONNA D. MOFFITT 16' "L" platform and to repair any damaged portion of pier decking at 101 Vida Lane, New
DIRECTOR Bern.
u
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,
M. Scott Jones
Coastal Management Representative
MSJ/rcb
Enclosures
MOREHEAD CITY OFFICE
HESTRON PLAZA 11 151-B HIGHWAY 24 MOREHEAD CITY NC 28557
PHONE 252-808-2808 FAX 252-247-3330
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10% POST -CONSUMER PAPER