Carpenter (3)

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CERTIFICATION OF EXEMPTION1/".'-/
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 e1 Onr-. CA r O� Phone Number 1 (O .2 !J'3 - 8331
Address 1 c.)1 CA ut� 1 A U jt -. A,re '
City `J c 0 fte-, State tJv Zip r 8 4 Cc I
Project Location(County, State Road,Water Body, etc.) -a( (A.r\su); c lc. C'QUY'
Project
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Type and Dimensions of Project NC,,n) 1nu.1 -\\CANd , 1 f--n t,iArd of ;n htA.) fte.c4 wc-Al niNas
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 con- 4-,..12, AA.Y
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 ,„„,,. -in
a subsequent determination that a permit was required for the
development. CAMA fficial' signature
The applicant certifies by signing this exemption that (1)the ap- J o1� 1 ��G)
plicant has read and will abide by the conditions of this exemp- Issuing date
tion,and(2)a written statement has been obtained from adjacent - . • CQq p1 CO C)
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PROPERTY OF pPoPERTY of Im PROPER:Ty OF
PAUL WocOYAn TOHN CARPENTER j F7RST ST 0ANES
SECTTON 5 LOT 7 SECTION S LOTS a4q 1p SECTION S Lot I o
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DIVISION OF C04.,S 'AL MANAGEMENT
x.DJ P O ER g
Name Of Individual Applying For Permit:
a r
Address Of Property:
, s ,Nl C0107
(Lot or S wee f, Street or Roa , City & County)
I hereby certify • that I own property adjacent to the above-
referenced property. The individual applying for this
described to me as shown on the attached draw.ng the elormit has
they are proposing. A description or drawing, withdimensions,
shou::d be provided with this letter.
_ I have no objections to this proposal.
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�� ob n if you„have�bee.tta�o res QA �.� t� - � sass,— otif C t,i find ,Bai
WADER SECTION
I uricerstand that a pier, dock, mooring
house , lift pilings, breakwater, boat
must be set back a minimum distance of 15•
from my area of riparian access unless waived me. (It
to w�:ive the setback, you gust initial the appropriate
wish
below. ) ppropriate blank
I do wish to waive the 15'setback requirement.
jeacat? I da not wish to waive the 15'
suck requirement.
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Telephone Number W th Area Code

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PKcPER7Y OF pROPERTY OP P RoPER7Y OF
PAWL %oo3oYARD ZOHP S CARPENT -R FIRST Sr' TAMES
Sar-TSDN 5 SE.CCYON E I SECTION 5
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