Caviness

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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
�L~ 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 'A4y - (4in eSS C/o IJC- 1-iO4 h°tt' Phone Number tot
Address 3 Lio Lv14i
City ;I vv‘;n; *r� �" State Zip
Project Locat'onlounty, State Road, Water Body, etc.) S+tyne . At1 'T-tiVw
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Type and Dimensions of Project FOP 4; I 4r�> I 14•ti*ti A "''e o "c-- EA'i1�fi r` �?'/'
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PL. / )1
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- ) .,. ram //// f %
sent of a CAMA official under the mistaken assumption that the Applicant's sign ture
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. CAMA Official's signature
The applicant certifies by signing this exemption that (1)the ap- I/- /1 plicant has read and will abide by the conditions of this exemp- Isg date
tion,and(2)a written statement has been obtained from adjacent

CAMA AND DREDGE AND FILL - -
GENERAL 142 2 D
PERMIT
0 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 15A NCAC -I c-4 C7U ` c 'Cdc —(.3
Applicant Name i� • ti 0(t Clc ) I • .CS (S f:'ter ' i 1" 'c '`.- Phone Number
Address I�('(.� t:'`"\ 11 \j i(E--c.. ). _., 1 _
City �.-1`. \ nsi '\ !: •,-,_._ State L- e�( Zip SS`-((') (
Project Location (County, State Road,Water Body,etc.)
rr` —
Type of Project Activity ,--,: 1 I c; —T- A I_4
PROJECT DESCRIPTION SKETCH-1-r-r,nC,-: .:_) (SCALE: )
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Pier(dock)length 11+0
Groin length i
l' \rr
number Y
Bulkhead length l t f
,1
max.distance offshore
i f 4' , f d
Basin,channel dimensions I "
V t s g
cubic yards I ,�ii
I�
Boat ramp dimensions 1
1
Other
1 "
— i
.1
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any rc Ivk ,:vim
violation of these terms may subject the permittee to a fine, j
f y • applicant's signature
imprisonment or civil action; and may cause the permit to be- ------
come null and void. f;f
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. r, — I'
The applicant certifies by signing this permit that 1) this pro- I j i n cl� i • i '
ject is consistent with the local land use plan and all local i ', 'issuing date i expiration date
ordinances, and 2) a written statement has been obtained from ,--.,
adjacent riparian landowners certifying that they have no 1�i,
objections to the proposed work. attachments _ .
t -T S
In issuing this permit the State of North Carolina certifies that .�;. .-.-S-. ;,,

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