General Permits (7756)

CERTIFICATION OF EXEMPTION
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 Name Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project
y
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 c^rtification 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: ) I
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.
Appircant's sic nature
CAMA Official's signature
j
Issuing date t
Q
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

09/21/1999 15:02 NC DEPRRTMENT OF REVENUE 4 82522473330 NO.017 UO3
0
9/21/99
CAPA
AM Terry Barrett
Re: 8ketcdl requeated to repair dock as Was previously ccnatructed prior Burricane •Floyd"
[ji.D-la 1 7"
Fthue . Pler Skekch (9/15&16/99
navkin's Khue Property
Property 131 Front Street Swansboro ,NC
( lazy Lyons Antiques )
Bulkhead 22' }
39.361
386 4" )
r�
19'2"
Maness' a property
1.1.64' —t
1—_.r_. 16 0 a" .� (1,16 e" )
15'
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Joseph W & Diane Rhue I f I
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5109 Pi.netree Lane I I
New Bm , NC 26562
252-6384505 h
252-514-4709 W
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0-1
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1
17'4"-
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I 64 1 9'6" .
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09/21/1999 15:02 NC DEPARTMENT OF REVENUE 4 82522473330 NO.017 P02
2A3
9/21/99
CAMA
Me Terry ba=ett
Sketch requested per teleMorie to repair Dock at 131 Front Street 9wansbwo,
( Doak behind busineas know as ' Gaz% Iyons Antiques " Svanabom)
White Oak River
1
Thanks
? C,
Joe & Diane Rhue
5109Pinstres mane
New Hern s nc 28%2
252-638-8505 h
252-514- 47O9 W