Inlet (4)

c- , 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 iN\-'�T -) MN l l�,d , ( pc-r Qk1F. Phone Number l i b)3`1 1 /b/Qj
Address
City 'i ‘L. A•Jh o4 State rJ r_ Zip Sa
Project Location(County,State Road, Water Body, etc.) 22-i -•"t'2 _ cT / /NL E. 7 ?cifw T"
Sun n , J , z
Type and Dimensions of Project • ••‘, c,ll( E 1ST Wei ot,{L!- A O "Pi i-I NCS
,,,A iit5 , STEIZ trNI-IS
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
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Any person who proceeds with a development without the �fl
con-
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted,will be in violation of the CAMA if there /
determination that apermit was required for the �' �i�
is a subsequent q
development. CAMA Official's signature
The applicant certifies by signing this exemption that (1)the ap- at _i!)�
Issuing date
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent -f — 7`5 - 03
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203

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D aN.42 24PM NCDENR WIRO
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. . : 220jACENT fp.RIVCAN PROPERTY • -- .NIPitAirrrft:lettIerft
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-6464e-
izQf :liudiviOnal Applying For Pannits S. _APP... . . .
Address Ot Prcerty• 0,27 ac=ejla. cr. 44.t 0- 3 •Y
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4.);10-1 6._0) 4-15 c_:. • . /0(.41 141 kl...0ifv,1
(Lot or.Street•C ••Otreet or Road, CIty.4.:fr. 00.intty.) •:•
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• • t:Z. hereby. certIrty that X own property •adjacent: to the. ithoNre-: .
. A:efisranced prsVerty.. The .individual maying or this permit- 40; • • ,..
• -t-dascribed.,to aui as shown on the attached drawing the. development. . ••••
theyare...propcaing. -A description . or. drawing, wit] • ..dintens.ionst•
14.e-yr-ovidad with this letter. . .
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• .:• - 1.1:lave no objeCtions to. this. proposal. •
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4447aw,hava spblitotions to what is beina • 'ea&
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• • 0.05113... N ;01 Cal:raiTAL.,::28405 or ca1„1.• • •
,.•dan.,;c1,14$10pivt of this notice t No.x.vmarlt. cAppidared .
'„eir:,,a02:61,1,9etioz14f voi iiive been notified by Certified , • •
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latlyga BEOTTO,If
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tx understand that a pier, dock, mooring.pilixoi
n breakwater-I boat ..
itt.l or sandbags must be aet back a flip distance 04 415i
4..rotaw area of riparian access unless waived:by sise • (2-if yoll
i•to waive the .setback, you Pot initial the appropriate blank; •••
below.)
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X. do t.iriel4 to waive the 15'setback reccut,rment. • . .
• VatIniveMiaut.:. •
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quia tate- - . • Date
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gut 9008
- a W Are El. Code
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.DEO:,.. ;2002 21.43P11.. HCDENR WIRO
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.. ..../;ie, Pe);pii oe.sa, ..t.Jii
41sse...Of Indivioq‘al Applying For Permit: S-1-44e -64k .
: .•taddress..9f. Pr- irty: .
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.(J/101 is..0-) , Ai; C. , . Alezd/
.... (Lot or St.teet-ti -gtrimt or aoa , City.'::4 cogityl •:-.-:-.- : ...-- •
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• • tz• hereby. cart fy that X own property •adjagerkt: to the. - .aboore-: •.:.:.- . .
. sriderenced p.terty. The individual applying tor this permit. 410; . • .. • -..
. .43ascribeci..to •—, as shown on the attached drawing: the. devalopmetit.' .. .
...that aro...pop p-*lag- A description . or drawing, With . dione*
. AShdtild_he pr., - • with. this. letter. . .
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X. --ve no objections to.. this proposal. . .
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. 0; to, , ,..: Mill mqjllMIIIP: 111FP"alrM6: 6•:'' •8 Air . '`,•t. 4:..6:1: OW.... '6 .07 't. •
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inay711 !MOTION
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iz undarstand --t a pier, dock, mooring•pilings breakwater. 2,00 ..
;41oun.s, .litt or .-111.3:0bages :oust be set back a xid32i=6. distance of 4, : •
4..roui.zer .trea of riparian access unless waived.by sle. : (If you wish..
i-to waive the . .etback, you past initial the appropriate -baapk..
blow.) • .
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• . do .widh to wztive .the 1.51.setback requirement,: - . - . .
I •.i. - • , . , -wish-to -waive..t.hu-ssiisetbacilc"rectliii.vetnent.:.
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.-. iltiAtiff.Aa.. i Z1- -- • $ "d''-' -:
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