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HomeMy WebLinkAboutGeneral Permits (7569)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 Phone Number r (c Address City State Zip > u Project Location (County, State Road, Water Body, etc.) Type and Dimensions of Project The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration, quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary CAMA permit requirements does not alleviate the necessity of to continue this certification. i y� your obtaining any other State, Federal, or Local authorization. SKETCH (SCALE: T j -.� ` + �, i� 1 �.. , .� `t- _ 1 � IS,I�-t,�1 T �- � , ; .�, _� 1'� .L�.�• (�t 1 ,}J-� : �_... ,' i ; �- � � .. 1� �'►� ',[ �^y, � \ ''r'.- �.'., `` 1l. "1. � ';:i. i`t r � j.,� �..,J �' ::ter -- ��- C. '' �• ! 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. —z�-�c:. Applicant's signature CAMA Official's signature Issuing date Expiration date Attachment: 15 North Carolina Administrative Code 7K .0203 4 M a r - 2 6 0 G) I J P.01 2000' PROPERT11- A'ame of Prope�y Gwrier) r --Ik, Road, etc.) O!i He )--33 dlescnf-RtJ m rune "Im'vez. '"eow, tZ t cle'veony"ment 'he is pro-X%S-; I rig -at Li'Iaircation. DESCRIV50N, OY PR(.:,4P'OSF.D DEVELOPIiTENT 11""Y'r, flak-d in "jv v.IL';V&UalprvpOS!,-Ig dovelf)pment) Ye x Ai& �'NaMt 7-c �- .4 . - I . ! ." Aftention-. Mr, Fred -redeen I I A Number, 2.52-393-3075 From, Raiph & Martha Perry 10701 Sheppards Way Dr. Glen Allen, VA 230601 Fax Number: 804-672-11v." APR 0 4 12000 TASTAL MANl 'Ar--'2MENT �tOREHEAD IMPORTANT MESSAGE FOR A.M., DATE TI M EM 64c�- �� OF G PHONE AREA COOE NUMBER EXTENSION Cl FAX E7 MOBILE AREA COOE NUMBER TIME TO CALL TELEPHONED LEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOUJ �` RUSH RETURNED YOUR @ SPECIA�Al��O MESSAGE SIGNED FORM 3002S MADE IN U.S.A. NCSR /118 ��,A ,site O O � O m t2;5 h R, BOGUE SOUND !/icinify� Map Itill� t�! RIGHT ,ar wAY e. O' PO, O' SHOO: DER � P.1 t?}AEN7 114' /F T. I ,iq iF t • P.'R FT� 6. O' 6.0, i. i SHOUL DER i ' PER Fr I i Ii t� i TYPICAL STREET CROSS-SECTION S7JC OR AeC Surveyor's Certification STATE Or NCY7T31 CAROL /NA, C4R7ERer COVNTY I 4J441V A. LX/GAb CERTIFY THAT MIS PLAT ■ s DRAMw (8Y AEJ ( =11114' J FRtal/ AN ACTUAL SURtirY >✓57 (MAOF UNDER MY SUPERV/S142V) I!MM.- MAT 7W RATIO Qc PRECISIM AS CALCULATED Nr LATITUDES AND DEPARTURES !S I010 ' /00: THAT 7RE SCOMAR/£S NOT SIIRIl ARE SHOW AS AR61i L 1NES Pi orrev ,Rom IAV_a1A94;i -00W /N 801 7, PAGE 94; THAT W/S AMP NIS PREPARED IN ACCC)4DANCE W/TN G. S. 47-90 AS AAEAVIF0. JW17WSS MY aflG/NAL SlowrUR£, RESISTAAT 1 LW NVAil AND SEAL THIS 3/ d DAY �PFAM A. �O, 990. A S REO L AAO M? r - L (74 PRAT/01+ A,II/AiFR A, /o` MARSH 8 WATFR -- SB,bs. 53�5.��-gc4.3►�a GR/V DISTANCE r'v _, .,�. hcl:Fx Scnders A�oonce H�1rs = 3L)5v3-04 30 i S �0•/1 arw 2 _ o v, 15- E' j I 1381.14' 46 ss• 20MCA5(Et6 �,ca,n3-t?a-Zy35 •�V Ivc.�s A�GWG11lEi5T zo1� zo�lE 1 M. B. 7 P 94 NCE •i5'� 'AWT'R' ` 25d •546 5.45. p1 5 5 N. C. 6 S. MONOAil X440- B3 C�IM IF a3 464 ,?g144? 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S. C E. 401 AETLAND C.�7RTIFICA 2"MA ��o 04001 C 1JT J.✓ PN45E. p AWe' 7a'irtr[ 3aa0• 3M a1a 0 3�Vr1Ya I& 31s-a14 9Erso•31.1 3111 36�4a0 a3rWw tt.er hill CERTIFIES THAT TH/5 CCli Qr THIS PLAT ACCURA TFL Y 90il THE � I liIs 6 ?"I'l l'F 1a04• 400-40 �1 r W0111 t7 3].M' 3N a1e s 7/1Ill taro• 40:-40r s rewirr M.(F BouNoA4Y Qc Thr ✓UR1SD1CT/QN it SECrIM 404 CF THE I EAN MTFR 3N-317 6 thew rF t1M' OW-40a a 41 Ice," law p Q sIr-3,e lerwici wlr 4w-404 s34YwIal elan ACT UNlJFR 77rE PRESENT CAW ANO REGULAT/AVS AS DETERMINED $Y THE Co e CO/fEa/'Ef AC 28.1tg4 C 5z)3�3 S�o!le 116-s11 14iti 1 >re' 4or4oe 1131.1 •est, 41JW UNDERSIOATO CW THIS OATS. UNLESS TWRF /S A CHANGE //V THE LAW Q4 ' a1►•a// s 4rsrlrt la.r1 4ol-4os 3 31•a/•t4ti sl.sr 3e0-eel a arst•04'f 4alr +61-•W s ts•44r3s1 37.r1• Ol PU8L 1.)` O REGULAT/QVS, TH/S DETERA/1NATIaV tc SECT/cw 404 ;; 1 rY TOMIESN.IP 'COi7NTY 2t1-30 6lr'ae•w•F 441 4W-4= 6 31.OI+1l'r ra04' 3n-10 r ritle4l sao4 406-40a 6 I6' Ir 61.22 ✓UR/SDICTiil AiI r BE RFL /ED UPCiV FQ4 A PERIt9 NOT TO EXCEED FIVE NX,4 ilk//TE OAK �AR'F•/QET a13-M r ererss'[ 36.t4' 40►410 f 3a40t311 tits' Mill 0M-0;1 14" 4,o-.,1 av-11i o-1 aas• rEARS FR1711/ THIS DATE. TN/S DETFRM/HAT/GyV NAS AfdDE UTIC /ZING THE BRAWN BY DATE its -Ile a 531willi rr.tt "'-+,t '.r:t•aw► xrr /W7 CQ4P Lac ENGINEERS OWT_' ANDS 0C4 /NEAT/CW A6MIAL . 7ea.31r a arla'34.1 i4.00 41t-413 6 43•113" 17 es.s6' SCALE arlYltfl rl.1r ♦Vr41. ! T4'3e'4" 4esr ✓`.40 AlO EMBF,q 1? /9- 98 1 =2CG' sr1r5./ 34.st' 414-41s a ro'se'alri 3wrr 3►! rel 11.1 23ar 1:5-4N s3atr" sea4• SURVEYED BY DATE SURVEYED SHEET 7.7D--s ■ eefti 3r.N• 41s-417 t s4•It'361 "-%4' 331-M r will [ Ill 417-41a f w;r�" li A& /9J0 1 3at-0i .1rte•°o'1 tesr 41e-41s s S"!4•ft7 r1l 1� RBN,K _ zzns a. s41 1sx•1 Mrs 41s-aes 2 W:0$" MAW NAAIIE� -- -Cl _ __!-_�_ ��*�-_--v�C� -__--_ _-----___-- ---- _ e IEID Boox PA6E(S) PROJECT tsUWER { ■ arse aerF 4aor 4aa-4e1 r er/rara ea■r �(� c�( �J _ C CJ nb-m 6 44.ts ,r[ nm 4e 1-41t s fPOres r Sari 33e-s s sr41'41'[ 0"" 41a-wa ■ M11111i )alr +- S37•� a 4e e6+se•F 31.rr 4t3-4e4 • 891,w W 3a2r r 7-/ f' 7 -- ---- -` f --- _ - --_ 3te1-so a elY3rb•F 3r 1t' es4-4t4 ■ Mill 67Ar r` -- ------ ------ _------_----- - - - - -- -- -'-_- - - i' +-r-r-�---�-1--� �+ A'NP AC -- - - -- _ 9BOGilB 33►St s 0SsY1'/ 3s,3s' 4e1-4a6 . t1'lE7e'� 'i. ..- 340-•n s 4isrl4i 3741' 4ts-Q7 / eeri'in es.+r - • - --- - ---. _ 3w-sw a arlowl 44ar 4er-4m ■ a'srww aaw I l: 1, HAP AI .? CA E - FEt T 11t••e,i ! er77"f)•F 3rJ3' 4ee-tel ■ ell 3ttr � ( (I 3t1J101 oupor'tfi 4w1r - 46►4>D 4some -ti 16ar DATE`----------- _---.-�----T--� - -- _---_---------- 1»il. s 76h{ys•( Sass' 431 1 ■ 97*49 ti 411 - L an d Su, v e y l a g, P. A. 11a-la a 77'13'saY 3r.10 4a1-Ut s e�•3r71 !3M• E) Mi Ar• bil GAPE CARTERET-SNANSHORO, N. C. 289S4 Z 51 393-2129