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14/ 6 OY
CERTIFICATION OF EXEMPTION - e-- /l�
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 Phone Number" ) — l 4;"/
Address
City State Zip T24
/ y--
Project Location (County, State Road, Water Body, etc.) re3
Ci ! � -o
Type and Dimensions of Project 7' 7TZ'
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.
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. CAMA Official's signature
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
NZ
Au`g 18 98 07: 40a
Larry Poe
919-847-1513
p.l
Fax
Please deliver immediately to:
of:
Fax number:
Voice number. -
Fax received from:
of:
Fax number:
Voice number:
Mr. Charles Pigott
NC Dept. of Environment & Natural Resources
1-252-247-3330
1-252-808-2908
Larry Poe
ADS
919-847-1513
919-847-1513
Date: 8118/98
Time
Number of Pages:
7:39:28 AM
4
Subject: Bulk Head for Larry Poe
Message:
Charles attached are the items requested_ I'll contact your office on Friday for
permit if ready. Thanks...
Aug 18 98 07:40a Larry Poe 919-847-1513 p.2
U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Action ID: Iq a $ O l cl 30 County: C0.1AcsJ
Notification of Jurisdictional Determination
Property owner/Authorized Agent L-ar
Address- -1. 1 6 676 51 A:11 124
IZ,a i a IUC. - -` 41 C
IZ:iephone Number 111 24 7 _ _ _i S- k 1 9 1 1 9-`S a �J
Size and Location of Prouertv(waterbodv. Mgbwav name/number, town, etc_)
Indicate Which of the following apply.
• There a wetly on the a describ property whi strong] est sho delincat nd
surysurve wetland lin must be ve by our s before thr, � rps will e a final
J
dictio al� ination on y r property.
• Because of the of your property and our Wsent workload r identificatio nd delineation ur
wetlands of be acco shed in a ti manner. Yo ay wish toe y a con��ne
lErveye'd
btain a
more ti y delineati of thewetlan nce your co ant has fly a wetland liperty,
Co taffw 11 re wit, and, if it ' ccurate, we st gly reoomme that you have t f
fi approval the Corps. Ti rps will not e a final jurisdictional determin Ion on your rty
without an approved survey.
-�L-kfqIhe wetlands on your lot have been delineated, and the limits of Corps jurisdiction have been explained
to you. Unless there is a change in the law or our published regulations, this determination may be relied
X)a
'od not to exceed rtre�s years from the date of this notification.-y
Y{
• wetla s present on a above descri property w .are subject t he permit
f tion 404 of th lean Water Ac 3 USC 1344). mess there is a c nge in the I
regulations, ' determinatio ay be relied upo or a period not exceedthree ars
f this notifi on.
The project is located in one of the 20 Coastal Counties. You should contact the nearest State Office of
Coastal Management to determine their requirements.
Placement of dredged or fill material in wetlands on this property without a Department of the Army
permit is in most cases a violation of Section 301 of the Clean Water Act (33 USC 1311). A permit is
not required for work on the property restricted entirely to existing high ground. If you have any
questions regarding the Corps of Engineers regulatory program, please contact
K A4IOt �t f 1 Vavi � �l3�Aoo at L9 10 1- 1161
Property owner/Authorized Agent Signature
Project Manager Signature
Date
SURVEY PLAT OR FIELD
DELINEATION FORM MUST
It ar�y ac1;v'}7 +e2�}
casaw Fm se6 � v f ti pQ ! iK J .
i ocrar r
fet�1r+t�
j 5 f-e�v i f ti
Expiration Date ?) 2 O Ja3
SKETCH OF DESCRIBED PROPERTY AND THE WETLAND
BE ATTACHED TO THE YELLOW (FILE) COPY OF THIS FOM
i5 do,,t nn 41,e laLXoard Si c- J R�Rk Vr14 , dGe-S kvoT
}hest i� G reeA 4c, enctca�� ,'r,fo WeIla.()"
tv tk-eC.a r f s 05 e onj Kerr S
Rug 18 98 07:48a Larry Poe 919-847-1513 p.3
ADJACENT RIPARIAN PROPERTY OWNER STA'TEMMINT
I hereby certify that I own propexty adjacent to 4,e 1- 6�w 's
(Name of Property owner)
property located at r36 9� s`�Drc f/ e G!!/:
(Lot, Block, Road, etc.)
on e ti ue 56uka/ , in Ayre afw � ( , N.C.
Cftterbody) (Town and/or ounty)
Re has descnbed to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESORIMON AND/OR DRAWING OF PROPOSED DEVELOPAUM
(To he filled in by individual proposing development)
�r( fel
X $aJ kk PAW ,
�Iire-> .'q
Signature
ajd:i &Z/
Print or Type Name
9¢8- a _
Telephone Number
Date: ��z- z 10
Aug 18 98 07:40a Larry Poe 919-847-1513 p.4
ADJACENT RIPARIAN PROPERTY OWNER S'TATEAUM
I hereby certify that I own property adjacent to ,�lYr�r°e t'�c 's
f {Name of Property Owner)
property located at _ �006 �51dro t�r� �t . 1#71xtrlc 1:Ei—& ,I% ,
(Lot, Block, Road, etc.)
Onr� �3 r' P N.C.
(aterl�ody) (Town andlor C uniy)
He has describers to the as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOpNM1 TT
(To be fulled in by individual proposing development)
f/o
cdlr-�
6-f, e
/1MM9 .. Jo .
Print or Type Name
1/D - e cl
Telephone Number
Date: