General Permits (2360)

0 CERTIFICATION OF EXE PTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, (d/
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. ar7y
Applicant me A ° ter. ?�
Address 'i !fin /
City /- •-7 t - r' <
Project Location (County, State Road, Water Body, etcr.
Phone Number 7 I I 7d 1- 2 I;
Type and Dimensions of Project' 1, �? I `l �? ^� �-
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.
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.
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.
Applicant's signature
CAMA Official's signature
Issuing date
9 30- 95-
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203,
,0 a' y

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ROSSELL I BY TAX MAP
EXISTING WELL AND SEPTIC ON LOT NOT LOCATED
RETRACEMENT AND PHYSICAL SURVEY
LOT BLK
SUBDIVISION _
Twp. DAVIS
L. GR/GE
DEED BOOK 390/496 MAP BOOK
TPI 5-2213-1-13
DATE OCT. 12, 1992 SCALE 1• . 40'
COUNTY CARTERET NC
FILE 920394
NAIL SET
MURPHY
3
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01)
JNTERSECTION OF
OF DITCHES
JAMES I. PHILLIPS, RLS
AND ASSOCIATES
704 Arendell Street, P. O. Box 3492
Morehead City, North Carolina 28557
[phone]
1, JAMES I. PHILLIPS III, REGISTERED LAND SURVEYOR CERTIFY THAT THIS
MAP WAS ❑ DRAWN UNDER MY SUPERVISION ■ DRAWN BY ME, FROM
❑ AN ACTUAL SURVEY MADE BY ME, ■ AN ACTUAL SURVEY MADE UNDER MY SUPERVISION. DEED DESCRIPTION
RECORDED IN BOOK , PAGE . THAT THE RATIO OF PRECISION AS CALCULATED COORDINATES IS
1:10000. 1 FURTHER CERTIFY TO ONE OR MORE OF THE FOLLOWING AS INDICATED THUS, ❑ OR ❑ : ❑ a. THAT
THIS PLAT IS OF A SURVEY THAT CREATES A SUBDIVISION OF LAND WITHIN THE AREA OF A COUNTY OR MUNICIPAL-
ITY THAT HAS AN ORDINANCE THAT REGULATES PARCELS OF LAND; ❑ b. THAT THIS PLAT IS OF A SURVEY THAT 1
LOCATED IN SUCH PORTION OF A COUNTY OR MUNICIPALITY THAT IS UNREGULATED AS TQ AN ORDINANCE THAT
REGULATES PARCELS OF LAND; ■ c. THAT THIS PLAT IS OF A SURVEY OF AN EXISTING PARCEL OR PARCELS 0
LAND ❑ d. THAT THIS PLAT IS OF A SURVEY OF ANOTHER CATEGORY, SUCH AS THE RECOMBINATION OF
EXISTING PARCELS, A COURT -ORDERED SURVEY OR OTHER EXCEPTION TO THE DEFINITION OF SUBDIVISIO
❑ e. THAT THE INFORMATION AVAILABLE TO THIS SURVEYOR IS SUCH THAT I AM UNABLE TO MAKE A DETd MINA-
TION TO THE BEST OF MY PROFESSIONAL ABILITY AS TO PROVISIONS CONTAINED IN (a) THROUGH (d) ABOVE.
WITNESS MY HAND AND SEAL THIS _l_L — DAY OF 19