Exempted_Stephen, Charlie & Marie_19970311

u I r - % , - . G.
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina.
V 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 _ net Q S t�'- p A 0 "J Phone NurtiberQ / V s0 `/ 33 S
Address S C rrr.rtr' 1 — r.r V u i 4.0 L ran- D r u C
City to N t= Z. 2-t s! 6 .
Project Locallon (dourity. Stf to Road, Water Bndv, eta) e .,,: s
-,% r., (?vr..e L.q—(i�-rk . %—a /ALeJee0K O /Q Ain s C.ee42AC.
Type and 01menslonsof Project TOTAL 'L-2=:�7•A - %� / -7 6 ' t^. ,tit x/6
The proposed project to be located and constructed as descnbed This c- ti(ication of cx �tp rQr ry� u i ., s mrt s
above is hereby certified as exempt from the CAMA permit re • valid for 90 days from t e o issuance. FoOowtnq ratr�
quiromont pursuant to 15 NCAC 7K .0203. This exemption to are-examinationollho of t fro} it be 3isary
CAMA permit requirements does not'aneviate the necessity of to continue this coriifica
your obtaining any other State. Federal, or Loral authorization.
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 W in violation of the CAMA if there
is a St:bSAglfenl dolormination that a permit was repuved for the
devolopment.
The applicant certifies by signing this exemptbn that (1) the ap. �^ 7 / - 7 7
plicant has road and will abide by the conditions of this oxomp• issuing dale
tion, and (2) a written statement has been obtained from adjacent C - �/ - �'
landowners certifying that they have no ot�ections to the
Proposed work. Expiration dale

CENTRAL PERMIT OFFICE OF
Ge ZU �TT�
I COURTI.40USC SCUARC
_�• aCAUPORT. N. C. 2a3 t a.I a 9 a
72a•43343
CARTCAcr CCWRY test �WIO�nGt yaklC w0..[S. C"CTwK44-
ADJACENT RIPARIAlf PROPSIRTY CWNZR STATE{ENT
I hereby certify that I own property adjacent to:
property located at: 'S�
C �t OAvvt=,`k
c.
near ( water body)
rj2f`C,G�r,�S
in (county)
The applicant described to me
he/she is proposing in th�t loca
I have no objections to t4is pro
I do have objections to .is orc
Description and/or
wing of n�,
-t%•.• •_. L_- l --
ed development:
:eme-'_-opment
la n
_
Tin
9
Phcne vumbec:
7
Z

BUILDERS
919:2E3301
ADJACENT RIPARUN PROPERTY OWNER STArIU MM r
I hereby certify that I own property adjacent to
is
(Narue o�Prn��014'
Weer)
property locatod at G,7 ' `;' -
(.I.ot, l3tuck, Road, etc.) -� L4L�rA`- C.F.v!
(Waterbo y) (Town Ana/or County) N.C.
He has described to me as shown below, the development he is proposing at that location
and, r have no objections to his proposal.,
------------------------ -----------------
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DESCRIPTION /OR DI
(To be fi ed to by
cit. f
0
n
----------------=-----------_��al.���1C
cQt�� l
OF PROPOSED DEVELOPxEENf
f proposing development)
LO-T
_ (ee-_ C-�
x� Z° `� tM K 4 ev v
Print or Typc Name
` Telephone Number
Date: 7), \ n- -
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