General Permits (4662)

CERTIFICATION OF EXEMPTION
-Y FROM REQUIRING A CAMA PERMIT J,fr
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission 465
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name Phone Number �S 7--71 l
Address
City State zip _9-1612
Project Location (County, State Road, Water Body, etc.) L_
Type and Dimensions of Project i r i. 14 -
l �?I -T- i ' i" L ` C.
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.
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.
SKETCH L (SCALE: )
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CD 75cI _,) ?Y rL k_, r= i 1I > rA UC—t". r= v 7
i � A x �
0
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,
Hlly Pt-'15Ull VVIIU PIUL VVUJ VVIUI CI UVVVIvf l[1=1[t VVIE11 t u _ -11
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.
P li V
Applicant's signature
CAMA Official's signature--
Issuing date
niqK- I
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

A. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ,; F� ., �7,0, 's
(N a of Property Owner)
property located at "o f .�,►� /?�� ,�j, ,
(Lot, Block, Road, etc.)
onLLiiL� l �f'i i���f E�%(� /� �/+ inN.C.
(Waterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
welopment)
51
Signature
c �2 AhAe
Print or Type Name
77
Telephone Numbe
Date:
i

Y '
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L fL L blo e) s
(Name of Property Owner)
property located at
, Block, Road, etc.)
on�c��`l ��- y i�c���i� �/ /`�'�l �� c c7 Leo , N. C.
(Waterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number
Date: 1 /2- / liel

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i0a. NUMBER 0: ACRES OF WETLANDS T_?�PACTED 3Y PROPOSED PRCOEC_ BY:
t aI x t �� c�.`c C.-_ L=NG. ��14 SCL XCAV' -=CN.
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TCT:` AC_'P_ES TO BE !'SAC__.....
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T27

I1.S, FISH AND WILDLIFE SERVICE'.
RALEIGH FIELD OFFICE
Ism, BOX 31126
RALEIGH. 11C 27636-3'126
TELEPHONE [phone]
1I1S1'S?ftiS'LL�54(11i�1y�
STATE HISTORIC PRESERVATION OFFICE
II.C, DIVISION OF ARCHIVES ANSI HISTORY
109 EAST JONES STREET
RALEIGH, NC 21601
TELEPHONE [phone]
'f4"1"�_1?�1LL•fl'l'L13Y_!,(s�tl<'14�
MR, JOHN DORNEY
II I V I S IOII OF ENV I RONI.IEI1'1-AI, MAtIA(;EMEII'I'
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT, HEALTH, AND 0ATI11IAL
RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, NORTH CAROLINA 2760-1
•I'ELEPIIONE (919) '13)-1'186
�'�IISL'�iE_Efliltt�:FRS_.t:l E�LI_>>, lt't'1SGS
RALEIGH REGULATORY FIELD OFFICE
(IS AHMY CORPS OF ENGINEERS
6508 FALLS OF THE IIEOSE ROAN,
SUITE 120
RALEIGII, NC 27615
TELEPHONE (919) 8'76. 0441
AGCv.---A1)1)1l1-S51E
NATIONAL NARIHE; FISHERIES SERVICE (I.S. FISH AND WILDLIFE; SERVICE
IIABI'I'A'I' CONSE:RVATIOII DIVISION ASHEVILLE FIELD OFFICE:
PIVERS ISLAND 160 .7.11AICOA STREET
BEAUFORT, NC 28516 ASIIEVILLE:, SIC 288(11
TELEPHONE [phone] Sago TELEPHONE [phone]
MR, ST'EVE B1011 .OD
DIVISION OF COASTAL MAIIAGEMENT
NOR'I'1I CAROLINA 13EPARI'ME11'1' OF
ENVIRONMENT. HEALTH, Alit) NATURAL
RESOURCES
POST OFFICE BOX 27687
RALEIGH, NORTH CAROLINA 27611 7687
TEI,EPIIOItE (9191 733-2293
FAX [phone]
ASIIEVILLE REGULATORY FIELD OFFICE
US ARMY CORPS OF ENGINEERS
151 PATTON AVEIIIIE, 1100I.1 143
ASIIEVILLE, ITC 2U801-5006
TELEPHONE ('!04) 2UI-48S4
WASH I NGT ON REGULATONY FIELD OFFICE
ITS ANMY CORPS OF EI1GI11EERS
POST OFFICE BOX 1000
WAS111NOTUN, NC 27889-10001
•IMLISPIIOIIF: (9191 915-1616
n'1-r11
WILMIII(TI•UII RE(:DI.ATORY FIELD OFFICE;
ITS ARMY CORPS OF ENGINEERS
POST OFFICE BOX 1 890
WI III-1I11G'1.0I1, TIC 28402-1890
TELEPHONE [phone]S11
CESAW CO R

BEAUFORT BERTIE BRUNSWICK CAMDEN CARTERET
CIIOWAN CHAVEN L'11HRITUCK DARE (;ATES
IIEICITOUD HYDE NEW IIANOVER ONSLOW PAM1.►C0
PASQUOTANK PEIIDER PERQUIMANS TYRRELL WASIIING•I'OII
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WARREN
(A)ILFORD
WILKES
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WI I.SON
.10IINSTON
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ASIIEVII.I.E REGOLATOl(Y FIELD OFFICE
ALEXANDER
l.INrOI.N
AVERY
MACON
11011COMBE
MAD I SON
BURKE
1.1cuOW1-A.1.
CABARRUS
MECKLEII11111t(;
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STAIII.EY
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WA•I'AUGA
1 REDELL
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JACKSON
WASIIING'I'UN REGULAT(MY F11•:I.D c,PFICh
BI{n1lFult'I'
PAMLI(•O
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NATIONAL FOREST
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JONES
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MARTI11
WILMIIIG•I.011 RE(;11l,AT0RY FIELD OFFICE
ANSON
IMBESON
BLADEH
SAIIPSOII
BRUNSWICK
SCOTLAND
CARTER ET
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THE PROPERTY SHOWN DOES FALL WITHIN THE FEDERAL, FLOOD
INSURANCE RATE MAP ONE HUNDRED (100) YEAR FLOOD PLAIN.
1005
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LOT 33
IPF
0=117'19'40' L
R=50.00
L=102.39
N 55'OG'05' E
\ 85.41
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LOT 34
12.568 50 FT
UNDEVEL OPED
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1
IPF
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,TIE- CORNER TO IPF
N GG'27' E 1.2'
LOT 35
30' M8 5 \ \
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IF)
EDGE Or_R5t1
5MIT�f'5
CERTIFICATE OF SURVEY AND ACCURACY
I, JERRY R. RYAN, CERTIFY THAT THIS PLAT WAS DRAWN UNDER
MY SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER MY
SUPERVISION, THAT THE RATIO OF PRECISION IS 1:15.000+, THAT
THIS PLAT MEETS THE MINIMUM STANDARDS FOR LAND SURVEYING
IN NORTH CAROUNA AS AMENDED, THAT THE BOUNDARIES NOT o
SURVEYED ARE SHOWN AS BROKEN LINES, THAT AREAS ARE BY
COORDINATE CALCULATION UNLESS SHOWN OTHERWISE, THAT THIS
SURVEY IS OF AN EXISTING PARCEL OF LAND AS SHOWN BY PLAT
RECORDED AT PLAT CABINET A. SLIDE 6-1. ,1%%fA
NATNESS My SIGNATURE AND SEAL ��� ��H CaRp1�
THIS 28th DAY OF AUGUST, 1998. A% �Z .•''•'•'•. /ji
• 110
SEAL c w •
s : 9 H 3 0 2 Q f
• •r
- O
lJRV
VEYOR,FiA �••••.•«••• ,,�
;�"R��``��
G'IPFAT
140.5'
�75
BULKHEAD27'
►ti _
LEGEND
IPF -
IRON PIPE FOUND
IPS -
IRON PIPE SET
MBS -
MINIMUM BUILDING SETBACK
DE -
DRAINAGE EASEMENT
UE -
UTILITY EASEMENT
NMHWL -
NORMAL MEAN HIGH WATER LINE
REFERENCE RESTRICTIVE COVENENTS FOR RESTRICTIONS AND
EASEMENTS THAT MAY APPLY.
Re5URVEY OF
LOT 34-SECTION TWO -AMENDMENT NO. THREE
BUGGANEER BAY
BLACKBEARD DRIVE
FOR
i5l'UY F. MOOPE
TOW85HIP No. 2 PAMLICO COUNTY NOK7H GAKULINA
DATE. AUG 28. 1998 Atiantic 5uryey '�' DeSiQn
JOB No, 8162 302 SOUTH FRONT STREET
NEW BERN, NC
SCALE, 1" = 30' 252 633-6649