General Permits (39)

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Applicant Name 1
Address `1
City / % -s- k
Project Location (G
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CERTIFICATION OF EXEMPTION prr�f_�'
FROM REQUIRING A CAMA PERMIT �:�.,�� /l tie ,� S -c
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Com i
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Phone Number 1
State Road, Water Body, etc.)
J-:— , '1, -1 r.L^/
State Zip -7 S 4' l }.
Type and Dimensions of Project
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
4-
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
I SKETCH S (SCALE: )
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
r - r• C 1 f J) ,7
Applicant's sig ture
CAMA Official's signature
Issuing date
Expiration date
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Attachment: 15 North Carolina Administrative Code 7K .0203

Docks • Decks Seawalls
Ace Boat Lifts Boardwalks
S. E. Turner
MARINE CONSTRUCTION
ROBBIE WEBB, Owner
[phone] Office Post Office Box 1885
[phone] Home Morehead City, NC 28557
1W

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A .per
I hereby certify that I own property adjacent to_/�-�Y��`�H`� s
property located at�z--
(lot, block, road, etc.)
S
on e ��. OU N D in h��NC 4�911- Sfl�i'.-�5 , N.C.
(water body) (town 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 doll do not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: (to be filled in by individual
proposing development)
I
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signatu
Name
cR4 7 — 6763
Phone Number

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A-P=)
-R41UX �
I hereby certify that I own property adjacent to2nh!py �/`�� Is
property located at V-Akt6pr -PC—
(lot, block, road, etc.)
on"�06"C—Owgc) int4F 0�/Jt014- S,N.C.
(water body) (town 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 not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: (to be filled in by individual
proposing development)
P 2 iJPLS�c PLL
L-7 �� , Pic
ature
Name
o`+ `I ` l 7
Phone Number