General Permits (5056)

CERTIFICATION OF EXEMPTION,
FROM REQUIRING A CAMA PERMIT r
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Corn,ion
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name �� f l T ��• t r/c°> A Phone Number
Address r L�
City --Y-CA (- / � 4 r . // State Al C Zip
Project Location (County, State Road, Water Body, etc.) c - -�V ,2 !!S/ CZ
C, c le; aJ !� t/ /4 - 61,1
Type and Dimensions of Project ,!�?" 4 /a , - "A✓_H^ " n g'- -`
1 ,
�. i i Y i^7 f� �.✓ i�- P e O.r i i4 / C✓v r �i2 _� _ G: ry , i
The proposed project to be located and constructed as described
above is hereby certified as exempt from the LAMA 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.
I SKETCH (SCALE: ) I
Any person who proceeds with a development without the con-
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.
CAMA Official's signature
r!-
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

6-02--1996 2:66PH FROM P.2
1
July 26, 1996
Mr. Joe Dunnehoo will act as my agent as it relates to
obtaining a cama permit as it relates to lot #2 at
Hurst Harbor in Onslow County.
- � low
Scott R. Johnston, M.D.
2234 Perry Drive
Jacksonville, NC 28546

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Henry W. c-bete, hereby certify that this map is correct
and preporvd oecording to the standards of Practice for land
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ving in North Coro/ina and that them orr no property
line encrpochrnents except as show` e jptMblwf#ptr,
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AND 10HA, L. HURSr OR.
LOT ,2, HURST H,4RROR
SUP VEY FOR
SCOTT RICHM0 JOHNSTO.
,4,NrD WIFE
CAROL 24NN JOHN,S'TON
ONSLOW I N/A ' SWNSSORO
I = 40' j MAY 17, 1994 1. 94027
R40471 J a4grbrIl aah fff4a i,71eS
7501 Clifton Rd,• Jacksonville, NO 28540
I and Survey/Planning [phone]