General Permits (2259)

0 CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT y;
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name
Address
City State
Project Location (County, State Road, Water Body, etc.)
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.
Phone Number
Zip
This certification of exemption from requiring a CAMA permit is
valid for 60 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
CAMA Official's signature
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.
date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

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?liance with all prevailing state and local codes.
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GENERAL NOTES
9. Corners. Insulated three stud corners 4 Provide 6 mil polyethylene vapor barrier on heated side of all insulation
10- Bridging, headers, corner bracing, nailing, blocking, furring to be according to VENTILATION
standard building practices, Iocal codes and ordinances. I PreNride continuous drip edge ivnr at eaves by FILTER VENT or equal as per the
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PHONE MESSAGE
FOR
amp, WA
URGEN�I`
PHONED
RETURNED
OUR CALL,.
PLEASE
ALL BACK
ILL CALL
GAIN
AS IN
ANTS TO
MESS WE
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2/9/95
To whom it may concern:
According to where the stakes are that in-
dicate the placement of the house on the lot
next to mine, I am agreeable to its' location.

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WOODMEN OF THE WORLD LIFE INSURANCE SOCIETY
f
HAROLD L. SHIPP, FICF
Field Representative
P.O. Box 1227
Office:919-393-8349
Phone: [phone]