HomeMy WebLinkAboutPaterline CERTIFICATION OF EXEMPTION
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FROM REQUIRING A CAMA PERMIT OL v
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 NameLi//N /J4/�,//,v /. }a�vr V-i4 4 7 w'A. V Phone Numbere//o)
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Address rY.1- .5644-/1• S/oe4 DI4;vc_
City ,/-4ng_PA, 3 N State A-C Zip i-/6 .1.
Project Location(County, State Road, Water Body, etc.) /3 y SOK"71, S'4 `r 9 Q,f,'v� , 4-'i J,¢CFi� f
4, ww Ml1ems- ty:_ . l// deAtJ e-i(ir Po.
Type and Dimensions of Project (an_s fAoa 4 •c ( / ` /3u/x-i4-.4/) A•iU v` 'tit/ .
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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- fr.a.414/141
sent of a CAMA official under the mistaken assumption that the pplican' sign uree`
development is exempted,will be in violation of the CAMA if there f/-i,
is a subsequent determination that a permit was required for the
development. CAM i i I s signature
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The applicant certifies by signing this exemption that (1)the ap- Issuing da e
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CONSTRUCTION OF A
BULKHEAD
I hereby certify that I own property adjacent to fil('. Pkrliri3
property located at 139 5.5hdrd ,O(, 1/c
( street address,
4. CV) on a man made canal in the Town of Holden
lot no & subdivision)
Beach . I have no objection to a BULKHEAD being constructed at this
location.
Adjacent property owner
gnatu
Name please prin or type)
Adjacent property owner 1i) 200441 ��hp02, cum
Holden Beach Address
Home Address
City, State & Zip
CAMA requires property owners signatures before general
permits or exemptions are issued. CAMA' s Wilmington Regional
Office address & phone number is 127 Cardinal Drive Ext . ,
Wilmington NC 28405 , ( 919) 395-3900 .
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CONSTRUCTION OF A
BULKHEAD
I hereby certify that I own property adjacent to ! N Princ
property located at )3q &u �1tinie
(street address,
Ck) on Oman made canal in the Town of Holden
lot no & subdivision)
Beach. I have no objection to a BULKHEAD being constructed at this
location .
Adjacent property owner
i -„O.n.A.. /kVA
gnature'
�chc�rd '}fie n4k(son
Name ( please print or type)
Adjacent property owner 13- oti Skoc-�
Holden Beach Address
Home Address
•
City, State & Zip
CAMA requires property owners signatures before general
permits or exemptions are issued. CAMA' s Wilmington Regional
Office address & phone number is 127 Cardinal Drive Ext . ,
Wilmington NC 28405, ( 919) 395-3900 .