HomeMy WebLinkAboutBrown (6) . ` CERTIFICATION OF EXEMPTION
__) FROM REQUIRING A CAMA PERMIT N o e O F 11 f
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 V (44 ---e)roua n Phone Number '5'4 36U- c.:36 7
Address 4 4 4 u Tu.v--1 \e ( A-v\C n ct .6. t
City T 1 vim!' State 5C...- Zip 2415(o(c
Project Location (County, State Road, Water Body, etc.) 1r a Y.\stkiI C - C o wn 1123
A'Ae,r,cn`1iiia 1:)6JC- 0( C.-fr-r, Mit ATtk)tAi f "-Z Q`c LA el_re-v1:.,
Type and Dimepsions of Project NGA,) \pal le---11-441d ifte,01ui Air d 0F Lvr 4-I pre\cl s
UJ\\\ t .J .. ‘,-Ie ( or- or �10 ,,,d - r\s +i-ed
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.
SKETCH (SCALE: Nor —IQ
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Any person who proceeds with a development without the con- ! 1iC• • A eWLJ
sent of a CAMA official under the mistaken assumption that the pplicant's signatu e
development is exempted,will be in violation of the CAMA if there -_-
is a subsequent determination that a permit was required for the
development. CA Offi ial's signature
u 81 QoOI
The applicant certifies by signing this exemption that (1)the ap- Issuing ate
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent 'irs) 1 f 6) 2 U0
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K .0203
FROM : PHONE NO. : May. 18 2000 07:04AM P1
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Jul-31:01 02:28pm From-VSE-CONTRACTS-PURCHASING + T-408 P.01/01 F-281
-
D S7 W dW n inet& 3 r
matiggszatualm_nmagMagiggaimangiszavolVino. PORK
llama Of Xndividual Applying Par Permit: 0 b 1, -a; C:3YflL4)
Address Of vrepe r: 17 a ) mfrs. w -1r. Ot cm..•__[.•l e NC
(Lot or street It, Street r Roe. i City #S Co )
I hereby certify that I own property adjacent tb the above.above-
ssaferepr.ed property.. The 1*tii vidusl applying for this permit has
deser3.bed, to me ass shows ott the attached drawing the they are p� deve�, t
Poeiu . A description or drawing, with di so�,
should be provided with this letter.
``L,. nave ro objections to this proposal.
av o s o s b write tba
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as rip abet%oa if you,.1ays been ttatif - . c
patjtissultua
AMIMMMimmi
WATITSa SpeT2b T
S understand that a pier, dock, mooringbreakwater, •
.hones, P��3s, boat
lift or .sandbags must be set back a minimum distance of
from my of riparian access ux.�less waived Say sm. (Zi you wish
to waive a the setback, you =at writ-.al the epprc prJate 1:23.a.uk
below.)
do wish to waive the iS,&E bao1c realutweaxtent..
ran ,nP& ✓wish to waive the 15'setback require:gtm:Lt,. .
•
SdAndnUre ate
sizWjllastie
'.1:'e .e Y m Number th Arms. Code
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Raolvad Jul-31..01 011460 Fram.91BSTEEBTB Ta-VSE-CONTRACTS-PURCHA Page 02
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Nam Cog Individual
Applying Tor petits 6��� �, � 044 £3riiw i
iiddrelse Of Property': MA /tic.
(Lot or Street v, -street or Ra Cjtye q�ast3r,
I hereby cextigy that l awn property adjacent to the share-
rezerenamd p.voperty. The individual applying for this paralit ben
described to me as shown on the attarInese drawing the development
tbei are Wig. A desariptioo or drawing, with dimensions,
should be provided with this letter.
have no objection to this props,,
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lalIMAJWMIOR
landeirsd that a pier, dock, a o pi ,ngg, breakwater, boat
horse, lift or sazadhaga met be set ha a ad,nat distance lag 2.5'
tram wy area of riparian access unless waived bg . Mg you latish
to waive the setback, you xmast. initial the approeriize blare
below.)
Y do with to waive the 25's ,ck =squixemomk.
-• -----. "-- _ .fq wish to -waive the S5'setback . .
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