HomeMy WebLinkAboutGeneral Permits (4859)CERTIFICATION .OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
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
Address
City
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
State
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.
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
LAMA 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.
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203
i- A' �
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Robert J. Arniotes
property located at Lot V, Pelican Point Subdivision
on Broad Creek
(body of water)
'lorth Carolina in Pamlico County
(lot, block road, etc
in Pamlico, (Pamlico County)
(town)
The proposal has been described to me as shown below;
the development, a ier ulkhea stricture, and the proposed location, and I have no
(circ ne)
objections to the proposal. I understand that if the development is a pier, it must
!`e set back a minimum distance of 15 feet from my area of riparian access unless waived
by me. i d /do not wish to waive that setback requirement.
(circle one)
'-!:r•ription and/or drawing of proposed development: (to be filled in by individual
,oposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
S`Pi��'CE BMVEEN EACH PROPERTY LINE AND THE DATER.
SEE DRAWING ON BACK OF THIS PAGE
Property line setback - Minimum 10' from each side line.
Total length of bulkhead to be 112'.
*******************************************************************************************
(Original must be retained in the Inspection Department)
Pam icojDevpiloper & Properties, Inv p
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Joseph L. Gwaltney, Jr. V.P.
Name (Please Print)
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PROFESSIONAL ENGINEER
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R/PAR/AN RIGHTS HAVE NOT BEEN DETERMINED
Zpp. OR CONSIDERED BY THIS SURVEY
REFERENCE,- A MAP OF " PELICAN POINT "
SUBDIVISION , RECORDED IN PLAT, CAB. 'A", SLIDE
34- 7, OF THE PAML/CO COUNTY REGISTRY,
BASED ON FLOOD INS, RATE MAP NO. 370I8I-0285-B,
THIS PROPERTY /S LOCATED /N AN 'A7" FLOOD ZONE,
AND IS WITHIN THE 10.0 YEAR FLOOD BOUNDARY.
THIS SURVEY lS OF AN EXl,�7ING PARCEL,
A SURVEY FOR
ARIV107 ES
ROBER T J ,A RV TE-S
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Robert J. Arniotes
property located at Lot V, Pelican Point Subdivision
on Broad Creek (lot, blink amliroadco, c(Pamlico County)
(body of water) (town)
`lorth Carolina in Pamlico County. The proposal has been described to me as shown below;
the development, a pier&ikhea structure, and the proposed location, and I have no
(circ ne)
objections to the proposal. I understand that if the development is a pier, it must
!,e set back a minimum distance of 15 feet from my area of riparian access unless waived
!,y me. i d /do not wish to waive that setback requirement.
(circle one)
•.::-ription and/or drawing of proposed development: (to be filled in by individual
. oposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
- i'STANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
SEE DRAWING ON BACK OF THIS PAGE
Property line setback - Minimum 10' from each side line.
Total length of bulkhead to be 112'.
*******************************************************************************************
(Original must be retained in the Inspection Department)
Pamlico D ve pers & Properties, Inc
gn ure
9 4�
c.a e
Joseph L. Gwaltney, Jr. V.P.
Name (Please Print)
VICINITY MAP
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PREPARED BY
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PROFESSIONAL ENGINEER
REGISTERED LAND SURVEYOR
A4MPNbM • 4410
RIPARIAN RIGHTS HAVE NOT BEEN DETERMINED
OR CONSIDERED BY THIS SURVEY
REFERENCE; A MAP OF " PELICAN POI.!'1T "
SUBDIVISION , RECORDED IN PLAT. CAB, 'A", SLIDE
34- 7 , OF THE PAMLICO COUNTY REGISTRY,
BASED ON FLOOD INS, RATE MAP NO. 370I8I-0285-3,
THIS PROPERTY IS LOCATED /N AN 'A7" FLOOD ZONE,
AND /S WITHIN THE 10.0 YEAR FLOOD BOUNDARY.
THIS SURVEY IS OF AN EXISTING PARCEL
A SURVEY FOR
ROBERT J RNff �S'