Watson (2)

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
i in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203. >Ptif
Applicant Name , WA-kor 4 (mac 4" rs4)/,1Q+A- Phone Number '7/0/ t(1)-`1 3—)
Address o v Q Kc{
City State 4119 SC Zip Wd 7D__,
Project Location(County, State Road, Water Body, etc.)
A-bT .-/4 mtilet a et-A- i , (3AI ti/c/e. Co.
Type and Dimensions of Project ,R,,A?w A PR jib 'X4 r) A 4 ( F/u, A ^-H D0C- I Xw '
'14/ 4 r if OF E SA"5 3u f-le4( r r Ii ^-1 of" /(/n6ie,(7 /l/PiLt/�/e/ Ay] P//F.S• „r
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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- .: Ae &.AI •
sent of a CAMA official under the mistaken assumption that the Applica, is sign-'re
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the CAMA icial's s. at aCA/�
development.
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The applicant certifies by signing this exemption that (1)the ap- ` 3 'S 9
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 to 3- 71

DinSION_ OF COASTAL M NA CLME
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
Applicant's Name: ; Y� I�,� �--� �,
•
Address Of Property: ; �Cti (o c c S-4 hl o (� 0Qq�.
Street#, Street Narre, City & County
Applicant's Telephone Number
I hereby certify that I own waterf-ont property adjacent to the above-referenced property, The
applicant has provided me a drawing of the the proposed development. Meese initial the
statement below if you have no objections to the applicant's proposed development Initialling
this block does nor constitute a waiver of the requrred 15'setback from the riparian corridor
lines.
I have no objections to this proposal.
(
tore Date
k:..>/U l' / ,} Y.tr 90/ ,&'. a,:atletzeSze. �J`�•
Print Name and Mailing Address )11, exr.- / S C
413 - 3 • '.( -3 &
Telephone Number With Area Code
,f you have objections to the applicant's proposal, do not initial or sign this form You should
contact the Local CA_M..Perry' Officer listed below as soon as possible to register your
concerns:
Telephone

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ADJACE.'Vr RLPARUN PROPERTY OWNER NOTIFICATION
Applicant's Name: 7
Address Of P.operry
QC c
Street�, Street Nitta, City & County
-- • AppGeat+t's Telephone Number
1 hereby certify that 1 own waterfront proper) adjacent to the above-referenced
applicant has gilled d.•i1,Y►:'.,til of the the proposed as property. The
ra:terneat below ifp paled de�etopme�t. Please uy;,yj;he' you have no objections to the applicant's proposed development.
this Mock car►srfiute a waiver of the required 13'Jetbac4 O r tdor
lines from the tiptaiys Cp►,rdo1
have no objections to this proposal,
Signature ! 7 99
Date
✓�,l e 3 5 % c
Print'name Ind Mailing Adcress 114;g, )."
Telephone Number With Area Code
lyou have objectI;rts to the applicant's proposal. Co not initial or sign this form You should
contact the Loci C.A.\t4?Ertl*.Offoer listed below as soon as possible to register your
concerns:
TdepAatne
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