HomeMy WebLinkAboutGeneral Permits (7394)CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT, - �✓tc` ((�I�� fl
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commissi
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name Phone Number C7
Address
City State Zip
Project Location (County, State Road, Water Body, etc_.) rt T
r-4 �
Type and Dimensions of Projectr`-t-
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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:
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Any person who proceeos wim a oevelopment wltnout ine 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.
Applica is signature-
CAMA Official's signature
Issuing date
; I
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203
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PAMLICO COUNTY BUILDING INSPECTIONS
P.O. BOX 776
BAYBORO, NC 28515
(252) 745 - 3861
ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN#
I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO MR. THELBERT T. JAMES, JR
NAME OF LANDOWNER PROPOSING DEVELOPMENT
ON NEUSE RIVER
IN MINNESOTT BEACH LOT #
COMMUNITY SUBDIVISION, IF APPLICABLE
TAX PARCEL #
COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY 244 NEUSE RIVER DR.
THIS PROPOSED PROJECT: REPLACE EXISTING BULKHEAD 2' SEAWARD— CONSTRUCT A NEW
RETAINING WALL APPROXIMATELY 14' LANDWARD OF NEW BULKHEAD — INSTALL NEW
LANDINGS AS NECESSARY AND REPLACE STAIRS FROM TOP OF BLUFF TO LOWER BULKHEAD
AND BEACH — INSTALL STONE REVETMENT AT END OF BULKHEAD ON MR. WOLFENBARGER'S
PROPERTY — REPAIR WOODEN GROINS
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN ACCESS.
I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT
SEE ATTACHED DRAWING
After this form is completed by the landowner proposing the project, a copy is given to the adjacent landowners for their
consent and signature. The forms are then returned, along with a building plan and other applicable required information,
to the building inspection office for building permit application/processing.
SIGNA
PRINTE
5
DATE (� L
PAMLICO COUNTY BUILDING INSPECTIONS
P.O. BOX 776
BAYBORO, NC 28515
(252) 745 - 3861
ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN#
I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO MR. THELBERT T. JAMES, JR
NAME OF LANDOWNER PROPOSING DEVELOPMENT
ON NEUSE RIVER
IN MINNESOTT BEACH LOT #
COMMUNITY SUBDIVISION, IF APPLICABLE
TAX PARCEL #
COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY 244 NEUSE RIVER DR.
THIS PROPOSED PROJECT: REPLACE EXISTING BULKHEAD 2' SEAWARD— CONSTRUCT A NEW
RETAINING WALL APPROXIMATELY 14' LANDWARD OF NEW BULKHEAD — INSTALL NEW
LANDINGS AS NECESSARY AND REPLACE STAIRS FROM TOP OF BLUFF TO LOWER BULKHEAD
AND BEACH — INSTALL STONE REVETMENT AT END OF BULKHEAD ON MR. WOLFENBARGER'S
PROPERTY — REPAIR WOODEN GROINS
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN ACCESS.
I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT
SEE ATTACHED DRAWING
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26�'form
��7 OIE' tn�ol V C F YI is complete8 by t7�e a�proposing the project, a copy is given to the adjacent landowners r their'
consent and signature. The forms are then returned, along with a building plan and other applicable required information,
to the building inspection office for building permit application/processing.
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SIGNATURE �' DATE
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REFERENCE : A DEED RECOROED IN DEED BOOK ?0I, PAGE 332,
IN PAML/CD G17w rY REYO!$ irmY.
A j°C 1100V OF 77#5 PROPERT'YO LOGQTED WJ7?*W FLOOD h44Z4RD
,ZaWAA EL.EV. $. ACCCAAM rO FIRJW PAIWL No, 3704I8-OOOZ-B,
L64 TEO A UG • ,, 1585
A PROVEMMM SHOWN ARE, N07' LOCA7"F_'0 IN A FLOOD NAZ4RD ZME
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.4 Boum)ARY SURVEY FOR
Thalbert T. James, Jr.
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ORIENTAL. &4[ . 28 577
OA.r'E: QCT. 29, 1997 JQB 11 o ,l olO
.365 Ncyr•r1/trrn C�iv�
Town of A4/n(Insoll Bac,Cn
NO, 5 TOWNSHIP P4MUCn. COUNTY A/C
PAMLICO COUNTY BUILDING INSPECTIONS
P.O. BOX 776
BAYBORO, NC 28515
(252) 745 - 3861
ADJACENT IPARIAN PROPERTY OWNERS srnTEMENT EPN#
I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO MR. THELBERT T. JAMES JR
NAME OF LANDOWNER PROPOSING DEVELOPMENT
ON NEUSE RIVER
IN MINNESOTT BEACH LOT #
COMMUNITY SUBDIVISION, IF APPLICABLE
TAX PARCEL #
COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY 244 NEUSE RIVER DR.
THIS PROPOSED PROJECT: REPLACE EXISTING BULKHEAD 2' SEAWARD— CONSTRUCT A NEW
RETAINING WALL APPROXIMATELY 14' LANDWARD OF NEW BULKHEAD — INSTALL NEW
LANDINGS AS NECESSARY AND REPLACE STAIRS FROM TOP OF BLUFF TO LOWER BULKHEAD
AND BEACH — INSTALL STONE REVETMENT AT END OF BULKHEAD ON MR. WOLFENBARGER'S
PROPERTY — REPAIR WOODEN GROINS
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN ACCESS.
I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT
...........................................................................
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After this form is completed by the landowner proposing the project, a copy Is given to the adjacent landowners for their
Consent and signature. The forms are then returned, along with a building plan and other appllcabie required information,
to the building Inspection office for building permit application/processing.
SIGNATURE - %''I.
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PRINTED NAME
CL . CENT>rlP LAW
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