General Permits (264)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, ll'
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_%%yr v
AddressC.� I�C�
City 77: i
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project ! „S
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.
State
Phone Number 4V KY-101
5,C
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.
j SKETCH (SCALE: _41, ) j
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.
re
0 L'T00
Applicant's signature ,
�' .1 4-
�4
CAMA Official's si ature
Issuing date
V
Expiration .date
Attachment: 15 North Carolina Administrative Code 7K .0203

State of North Carolina
Department of Environment,
Health and Natural Resources •
Division of Coastal Management
James B. Hunt, Jr„ Governor p E H N F�
Jonathan B. Howes, Secretary
Roger N. Schecter, Director
January 12, 1996
Ms. Lucille B. Tyndall
Post Office Box 160
Trenton, NC 28585
Dear Ms. Tyndall:
Attached is a Certificate of Exemption to construct a 12' x 12' dock with a 4' wide
access walkway approximately 75' in length on you property adjacent the White Oak River in
Stella, Carteret County, North Carolina.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the
white copy for your files and return the yellow and pink signed copies to us in the enclosed,
self-addressed envelope.
Your early attention to this matter would be appreciated.
Sincerely,
M. Ted Tyndall
Field Representative
MTT
Enclosures
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