General Permits (6862)

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.
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.
Phone Number
State
Zip
161
This cc tification 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.
Applicant's signature
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

i MAY 05 1993 15: 12 FR NSEH-000If9ER1:vIf;L UJAN 910 355 4253 TO 95777337 P.02,,02
MICR-2S--96 18-45 FROM, ID,19197282092 PAGE
ADJACENT RLPt' RUN MOPMTY OWNM STA TEWE N''r
1 heTeby certify that I own In*operty adjacent to _ - U 4&-f-e- .S
(Name of Property Ovvner)
Property located at � � . A'+�az -Q / -I W
(Ut, Slork, Road, etc.)
on � r , itt �, 'X> Ce�,
(Waterbody) (71"own and/or Couuty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRI.P "ON AND/OR DRAWING OF MOPOSED DEVELOPMENT
(To be filled in by individual propu ng development)
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Telep ono Number �,-� 8
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NOT FOR
RECORDING
SURVEY FOR
_,o Boa
JAMES E. AIAIDES
G'RAPNIC SCALE --- FEET
I, Pt„e,.����an�irf�i,��, hereby certify that this map
Swansboro Twsp.
REFERENCE: Portion of
Tract 3 'GERTRUDE E.
was li[.b��t�u�l��my yUparvlsion from an actual
•urKti ���'"�f� �k�} /typervlslon; that the ratio
x �
Onslow County
North Carolina
HURST HEIRS DIVISION"
Map Book 27 Page 83
ed by lattltudes and
of.pr`Zla'Q�ts�sJ0 _��,+ that this map wras
`I
S l e I" - 50'
Onslow County Registry
da'p fiic t jr(b s_ _---
fQ epap i n accor dQnSe w$,th G. S. 47-30 as amend �
'Zfiday of %� 19_
c a
Apr I I 23, 1999
�Vitnesrttj[►g7�p ari�d'keol�thls
- � L-2640
PATE PHIU IPS and ASSOCIATES, P.A.
a� S
P.O. Box 214 North Carolina
Swansboro
• • • \ ,,�
,
Pr o f ec t No. 99-96
PL`S

i
1�(rYl
U
Location: T S Field Fep.
Phone: (D Date of Report:
Description of Project:
Date Project Reportedly Comp-`ete : 2 QD C)
(1) Do the nE=sured dimensions of the CEVEIGpmE diffEr from those
indicated in the permit .an rkplat?, Ye_= / NG Fave all per -,Lit
conditions been satisfied? Es / No '
CO2P=-NT :
(2)
0
�E ta-i Or and Erosion Ccn'- "olHas LErui1
GZ C `r E'_-ri is c 5 * c_ i 1 i Z e,4 all. Cis 1--uryE^ ErE-aS
COPL`=2,i T
(3) Fut-ure Mcnitori.nG c?'iQ �'1fOrCE::iE?'i� P_c
or enforce -Melt Ecti On needed? Ye=_
COI -ENT:
eras
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