Snakenburg

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
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
•
Applicant Name 3irn cNA.K.,9NANLr el Phone NumberC 1!)-2:&9��(-�
Address 1 a-z '_ "yc J e, Q.
City I State t ) C Zip 2
Projec ocation(Coup State Road, Water Body, etc.)
Type and Dimensions of Project APACVi -}—t t_t_ c__crt).42 recQ a4 1 C-�-
't'a t ST7 't i r
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-
sent of a CAMA official under the mistaken assumption that the Appkica si nat re
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 Offi s ig lure
The applicant certifies by signing this exemption that (1)the ap- te
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 8
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The American Fish Company
-i�, ,.,� P.O. Box 11046 [phone]
�f, Southport, North Carolina 28461
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404/11142 _1141-
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that own property adjacent to
f �� ' s property located at
( ame) 7-1/7
/23
j%�Q /),/ on
(lot, block, road, et sr )
V'MAK- i‘1,/ cd--r in
(water body) �J47,
7
��`7� L
i�4 , �// ' ell - , N.C.
(t n and/or county)
He has described to me as shown below the development he is
proposing at that location and I have no objections to his
proposal. I understand that a pier must be set back a minimum
distance of 15 feet from my area of riparian access unless waived
by me. I do / do not wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in byy i divi�u 1 proposing development. )
/3
etAi
VV
(signature)
cm rw (� L V/ ,'✓
(print name)
Z7 f 7 9 & /
(phone number)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(/41( '`Z�17
's property located at
name)
/ 3 ej L on
(lo , block, road, C. )
( /
Pet/WI4 in
(water body)
/ 5j2eid 9242 .716',5' /A I L ZG-- , N.C.
e (d own and/or bulity) '
He has described to me as shown below the development he is
proposing at that location and I have no objections to his
proposal. I understand that a pier must be set back a minimum
distance of 15 feet from my area of riparian access unless waived
by me. I d• do not wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by ind'vidua ..osing development. )
di
;ilea-enn-6-3 At 3 -11,44,z5-1%?,
(signatur
,J,4-,n ES '-/, Kk-i+Plz,h6e 1' /
(print name)
(phone number)