HomeMy WebLinkAboutKermon (2) CERTIFICATION OF EXEMPTION
-Y
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
0 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 10 b c:. �c NI 6 `lu +Y). CclklAr 4 Phone Numbekgi(D_) !o" .D.SS4::,
Address -0'A iv, a , lb r.
City ',/,) k 4.,4.Sv'J r5,J r. `.-0a cf,-. State 1J I . Zip ZBL 80
Project Location(County, State Road,Water Body,etc.) SAm�e k-r\ v- 1 � Jq . �. ,� i S.
Type and Dimensions of Project V 1 tra4-1N� 1 nC 1c r x t fir_+ 1,=,-` p t Qr
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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- 14,-(-, '''
sent of a CAMA official under the mistaken assumption that the Applicant's sign ture \ —
isdevelopment is exempted,will be in violation of the CAMA if there a subsequent determination that a permit was required for the �L--
development. CAMA Official's signature
The applicant certifies by signing this exemption that (1)the ap- —�
-cr-g
Issuing
Is date
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent
JAH-21-98 WEI 10: 15 A'! R. HE11 '. TEMPLE M. D. FA;: No. 9107620325 F
Jan-21-98 08:30A Tho Kermon House 910+256+1137 P.02
DIVISION OF COAL MANAGEMENT
AQJACVNTBIPRIAK PROP RTY QWZ1L NOTIFZCATrowlnAIVWFORO
Name Of Individual Applying For Permit: s
umi
Address Of Property; POI( A r/.A/Me�
or Sts+4e Streetrr4�
(Lott 1, or Roe City 1- County)
I hereby certify 'that I own property adjacent to the above.-
referenced property. The individual applying for this permit has
described to eye as shown on the attached drawing the developfient
they are propo ng. A description or drawing, with dimensions,
should be p ided with this letter.
I have no objections to this proposal.
;f you _have obiections to what ik_bt nc proposed_ please write the
pivisiop of Coastal Man;Qement. 123 Cardinal Drive Extension.
Wilmington. North Cato1In9. 184Oi or call 910 j9-39Qq witan 1Q
dava_al receipt ttlis-notyq, N r3soon`4_. 3 99naidared the same
es n9_oblectiop jf yoj pave Qgen notltijd by Slrtif ied .Hail
•
VAivy* erCTI9N
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of ISM
from my area of riparian access unless waived by me. (If you wish
to waive the setback, you punt initial the appropriate blank
below.)
_ I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
ci
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