General Permits (6241)

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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
Phone Number
City State Zip
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.
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: )
(r~ti j. L j c._u-
A .,
1
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.
Applicant's signature
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

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Ex Iron Plat C L
p int. N. Shorewood Dr. N OR Ty
8 W. Shorewood Circle '1 I H O
NOT FOR RECORDING
P. 1. N.: 6304. 17 1 1 6809
FLOOD TONE: AE ( E 1. 9' )
SUED. REC.: July 1989
30' 30' 60'
GRAPHIC SCALE --- FEET
1, Pate D. Phlii� }rhr94v ��•ccef3ify that this map
was drawn u%de_( ..Su et-.11,1 Pp in an actual
survey made•un�'er.'g G�St�bP�v,{syn: ghat the ratio
of precisiJrt as.- olculat0 y Jolti.rudes and
departure Is "_(�IUcC, G ___ ;tat %his map was
prepared n ac;Cordart�l5�iZtIt G.S• 47.30 as amended
Witness my hood and as this dal of �V�`{, 199
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D. PIi
Registered Sur veyos•fL(6.l*Ya� JUL 2
50
REWOOD DR / VE
( Pub I i c Rely)
R'W
SURVEY FOR
JAMES E. HO WARD
Emerald Isle, Carteret Co. REFERENCE: Lot 12
North Carolina "Shorewood" (Blk. 25)
Scale I• - 30' Map Book 27 Page 103
July 17, 1998 Carteret Co. Registry
PATE PHILLIPS and ASSOCIATES, P.A.
P. 0. Box 214
Swansboro North Carolina
398 Project No.98-177

Jul-13-98 01=48P
P_01
Fax
To:
Pax Number.
From: BOND BUILDING LTD
1401 Salem Church Road
Apex, NC 27502
919-387-8887 FAX [phone]
Date:
Subject:
Page®:
including this page
JUL 2 9 1998
Fax

' JUL-13-1998 12:05 NZ EERGER CO/INC
P.03/04
ADJACENT i:IPARIAN PROPERTY OWNER STATIENmNT
I hereby cenify that I own propeny adjacent to:
Lot 12 Shorewood Subdivision
property located at: Shorewood Drive
near(water body) Bogue Sound waterfront
in Emerald We, North Carolina.
JUL 2 9 1998
The applicant descaibed to me as shown below (or attached), the development hc/she is propos-;Mg
in that location and:
I have no objections to this proposal
I do have objections to this propose.
I do wish to waive the 15' side aetbzck requirement
I do not wish to vvz a the 15' side setbacs zequiremant
Signet
Name