General Permits (4892)

-� CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMITII%` �� P
as authorized by the State of North Carolina, r
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.
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Applicant Name P �c ' Phone Number._-V_
Address
City rr :� State ''f Zip
Project Location (Cps ty,•State Road, Water Body, etc.)
y
Tyype� andgimensions of Proje�
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 (SCALE:
47
yr,�. .... r . r....,......... --..
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
velopment.
,
The applicant certifies by signing this exemption that (1) the ap- Issuing date
plicant has read and will abide by the conditions of this exemp-
tion, and (2) awritten statement has been obtained from adjacent14t
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K .0203

P 071 '1,30 706
Receipt for
Certified Mail
No Insurance Coverage Provided
Do not use for International Mail
(See Reverse)

d SENDER:
;? Complete items 1 and/or 2 for additional services. I also wish to receive the
0 • Complete items 3, and 4a & b. following services (for an extra m
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• Print your name and address on the reverse of this form so that we can
fee): >
� m return this card to you. �
y > • Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address
E does not permit.
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N • Write "Return Receipt Requested" on the mailpiece below the article number. a
s 2. El Delivery m
- ++ The Return Receipt will show to whom the article was delivered and the date V
C delivered. Consult postmaster for fee. m
3. Article Addressed to: 4a. Article Number
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o 4b. Service Type
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❑Registered ❑Insured
❑ Certified ❑ COD
❑ Express Mail ❑ Return
eReecseeipt for
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7. Date of ,e�
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W. 5.
Signature (Addressee)
8. Addresse ts Address (Only if requested
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and fee is paid)
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Signs ure (Agent)
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3811,
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Form December 1991 U.S.G.P.O.:1992-307-530
noMFSTlr RFTIIRN RFrFIPT

UNITED STATES POSTAL SERVICE
Official Business PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
OF POSTAGE, $300
El
Print your name, address and ZIP Code here
e �0 5a r`

_Tu1 �'4. 1?T
Dear Nei unbar
UJe vjou1d 1Ik:e to ta. k. e a. momant o'1 ofur time t o exp1 a.In
what i,,,ie are wan tino to do to upgrade our proper t'Y'.
We would l l k.e to bu I l d an up 1 a.nd l ng buck.h ea.d and t i l
in our porpert•:,, athith fill in dirt.
T h e u p 1 an d i n -:-4 b u c k. h e ad v., i 1 1 r4 o a. c r o s _. t h e bac k: an d down
both aide_. of the propert:.. The back: of the buckhea.d !,,hi 11 be
abou t 54 f t . from the high via ter mark: an h;-.j i 1 1 on 1 `• be a.bou t
2 ft. in heiuht in back:. side viill h.,.iork out to the around
height. The purpose of the upl a.nd I ng buckhea.d is to retain
the t 1 11 in and to be able to help keep the rain t,.i.a.ter off
the ne i ghbor i ng properties-i..
We a.re a.1 •_o pl a.nn l ng., to put around water drains in the
t i l l ed i n area, and the dra i n 1 1 ne'= !xJ ( l I come c u t the bark.
in the middle of the buckhea-n so the water' will not drain fin
either neighboring properties.
Enc1c sed is •a. dl•a.ciram of hc4,J it is planned to be done.
We a.sk. -for -your cocipera.t i on (,:il th th i'= miter . 'i'Our
1cina.ture on this letter wl l l ema.ble 1.is to begin h;.hc-rK'
immediatel';•. -
If `i,ou have an-,, rejection on this matter please
contact: _iim Mercer
Coastal Ma.naga.men t Office
i'ih:,h-Y., 711 t-lorehea.d i_ i tY . 2'85c7
phione: ". 19)-26-7021
with in TEN WORING DAYS.
Thank You
'm.,h e r--,� T u r 1
Robert Casey
rc
p F'1 ease s i gn , date , and re turn to; Glibber t Case,/ -
I 11=3 I
Cade Pt.B1 v d.
'via.n =.bc it c i N . C .
2'85 4

December 1 , 11
f-e ?r Hr- i ghbor
d
I.,le itioijl d 1 i ke to take a. moment of ;your t ime to expl .a i n
;,.ih.=, t i.gin are t:.i.a.n t i nq to do to upgrade our property.
1-de would 1 i ke to build an up 1 .a.ndi ng buckhead and -fill
in nur porpertvvii th fill in dirt.
The" uo 1 .andi nq_ buckhead i:.ji 1 1 go across the back and down
noth aides of the proper•t>>.r-The back of the buckhead will be
aboii t Sa f t, from the h i qh water mark and will on],on],v be about
+t, in height in back; s ide wiI1 work out to the around
haight. The purpose of the upla.nding buckhead is to retain
thz +i11 in and to be able to help keep the rain water off
tha neighboring properties.
I:IP are also planning to put ground water drains in the
-filled in ?rea, and the drain lines will coma out the back
in the middle of the buckhead so the water (-Jill not drain on
either neighboring properties.
Enc l osed is a di agr.a.m of how it is planned to be done .
I,.le .ask
.ign.ature on
immedi.at-r—I .
r
for vour cooperation vii th th i s.ma.ter . Your
th i = letter v i 1 l emabl e us to begin i..•Jork:
Thank: You
Wjl
lion, d.•te. .and retljrn to;
7, �,� rR 4,A �
Robert
1'?1
C.:�der F't.E,1 . d.
Svla.n•sboro P•1 . I= .

December 1.
I•e?r IJe i ghbnr
D,
MAR 16 1992
ICIr- r,i�ij l d l i ke to fake a. moment of your time to exp 1 .� i n
i,rh.a t t.o,- ?re t•.i.an t i n,:j to do to upgrade our proper ty .
1-de would 1 i ke to build -a.n up 1 a.ndi ng buckhead and -fill
in our porper t.,ivi i th fill In dirt.
The' uoI.andinq buckhead I.tiri 11 go across the back and do-n
hnth ;ides of the prover tvrThe back of the buckhead .,ii l l be
:boil t 54 f t , from the h i qh wa.ter mark a.nd to 1 1 on 1 Y. bs abou t
ft, in heiaht in hack; side will work out to the around
height. The purpose of the upla.nding buckhead is to retain
tho fill in and to be able to help keep the rain :.,,rater off
+he neighboring properties.
I,Ie ?re also planning to put ground water drains in the
-filled in area, and the drain lines will come out the bark
in the middle of the buckhead so the water wi 1 1 not drain on
wither neighboring properties.
Fnclo,ed is a diagram of how it is planned to bP done.
Wr- .ask for your cooperation r,vi th this mater. , ro�ir
on th i 9 letter wi 1 1 emabl e us to begin t,.iork
imm,zdi.ataly.
r ,-
Thank. T"'ou
Wob
l
Irz a
.and return to: Robert
1 �1
carder Pt .E:1 -.-,1 .
Swa.nsboro H. I=:.

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11
MAR 1 �`�� `t s
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MAR 16 1992
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