HomeMy WebLinkAbout018-97_Kuhlman, Henry_19970520FEB-25-97 TUE 05:54 PM CEDAR PT TOWN HALL 9193933205 P,02
CERTIFICATION OF EXEMP N �
FROM REQUIRING A CAMA PERMIT
MAY 2 0 1997
-� -
as authorizod by the State of North Carolina, J_,,j L ' ,
Department of Environment, Health, and Natural Resources�iS6 o c:oast.al Rfjwty*.Commission
in an area of environmental concern pursuant to 15 NCAC SNERVIFFIV.0203.
Applicant Name L h+ " Phone Numbeeb 0 57.?
Address / L s I v aL re d CT
Ci i'ST 14A flo't,4C T- State Z•l
Project locatibn (County, State Road, Water Bndv, eta) C AW.0c-"r o R a t --�
f c TV R c m N ►q 0 SA o rxv—
L T-r
Type and Dimensions of Project 66 4 Sq ID I/, -
The proposed projoct to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quiremont pursuant to 15 NCAC 7K .0203. This exemption to
CAMA permit requirements does not'afleviate the necessity of
your obtaining any other State, Fedoral, or Local authorization.
This certification of exemption from requiring a CAMA permit is
va5d for 90 days from the date of issuance. Following OvOration,
a re-examination of the project and project site may be necessary
to continue this certification.
SKETCH - . t (SCALE: )
waww.�MMI
3(/
3 So
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 road and will abide by the conditions of this exemp-
tion, and (2) a written statemont has boon obtained from adjacent
landowners certifying that they have no objections to tho
proposed work.
CAMA f icial .'._. v
s signature
3-- 77
Issuing atd e c
62 -
Expiration date
t°6
r OZ.
CARTERET COUNTY COURT►+OUSE
CENTRAL PERMIT OFFICE OF
C.P�RT EEIR E''I'
COURTHOUSE SQUARE
BEAUFORT. N. C. 295 16. 1 898
726-8545
BUILDINGS MOBILE "CUES. ELECTRICAL PLUMOING MECNANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to:
N/641L 4% 4 , 1 4D 7�"4 b
property located at: pOItcA-2 b'4�ct �►�'S ��'ac �7 fn4
near ( water body) 6/4 y
in ( county) C
The applicant described to me as shown below, the development
he/she is proposing in that location. and:
T_ have no objections to this proposal v
I do have objections to this proposal
Description and/or drawing of proposed development: 5--Cy /� 4c��,�l
Signature: GAG -
Name : 1//k 1A A &OVo-
Phone Nu*.Co2Q.2) %4�—IJd'.2o � 2/4
(7q) SST-�s3�
1. PROVIDE NEW ARTESIAN WELL ON PROPERTY / (' EXISTING WOOD SEA WAL
AND CONNECT TO HOUSE. PROVIDE COMPLETE I
POTABLE WATER SYSTEM INCLUDING PUMP. ;
PIPWG, AND WIRING. WELL DRILLING
CONTRACTOR TO PROVIDE SITE I /
INVESTIGATION AND LOCATE OPTIMUM WELL SITE.
' 2. CONNECT NEW ELECTRICAL. SERVICE TO HOUSE �
3. CONNECT NEW TELEPHONE SERVICE TO HOUSE
4. CONNECT NEW CABLE Tv SERVICE TO HOUSE Y \s
'O\•� JARRETT'S BAY
5. CONNECT NEW SANITARY SEWER FROM HOUSE TO EX. SEPTI YSTEM
/" I
., 5. PROVIDE ALL EROSION CONTROL AND EXCAVATION SAFETY RES ,16\
s AS REOUIRED BY STATE AND LOCAL AUTHORITIES. /
\ 3600
��
0.
o
h ,�, y
TARY OUT; LOW TO EX. SEPTIC SYSTEM `'/' • if -47
/.
sClID,
/.
fe
r 26 -5
\.
v �I
/•/ _ I �o +3a0 • . �'� NEW HOUSE 'F.F. ELEV. 8.33'
/. k - _ • ' ;! �- HOUSE { ;'
RR SPIKE IN POWER POLE 61-O" m5u), �i 1�. r j ,
/ •��•` I--------------- --------- ---
. o - _----- - - - - -_------- - - - - --
14 SLAG ON GRADE
FLOOD ZONE A-7, ELEV. 8'-01,
0 A/
Form: HB-296
CCHD
iQ 7-3 -15
(a — 7— 3-5 �L
ENVIRONMENTAL HEALTH DIVISION
CARTERET COUNTY HEALTH DEPARTMENT
CERTIFICATE OF COMPLETION: (Ground Absorption Sewage Disposal System - G-S Chapter 130 - Article 13c)
OWNER: DATE: 711-l12'
INSTALLER DATE COMPLETED: 7/1/ �f
Notice: This certification of completion in no way binds the Public Health Sanitation Division of Carteret County
He— a fi Department nor implies a guarantee that this system will function in all circumstances, but that the system is
properly installed in accordance with applicable rules ann regulations of the Carteret County Health Department and
can reasonably be expected to perform properly under normal conditions of use and maintenance.
ENVIRONMENTAL HEALTH DIVISION
L;kND USE,
IMPIiOVEMENT PERMIT
CARTERET COUNTY HEALTH DEPARTMENT
OWNER: :, ,, fi14,;� PHONE: -7^�_S� `.Q DATE:.
ADDRESS: i
PROPERTY LOCATION:
TYPE STRUCTURE: / c
NO. BEDROOMS: f NO. BATHS: ?
WATER SOURCE: %u '��/i
GARBAGE GRINDER: YES ( ) NO
AUTO DISHWASHER: YES (l) NO ( )
AUTO WASHING MACHINE: YES NO ( )
Perc. Rate (if appLcable): Z)" "1
SIZE OF TANt7:
NO. LINES: WIDTH:- .
TOTAL: 4=C SQ. FT.
TOTAL LENGTH: = Fr.
HORIZONTAL DISTANCE FROM WELL: 20 FT..
NOTICE: Construction must comply with all state
and local regulations. Do not itlstall well until
well site has been approved. Do not cover any
portion of system until approved on final inspection.
IMPROVEMENTS PERMIT BY:
gent
ENVIRONMENTAL HEALTH DIVISION
CARTERET COUNTY HEALTH DEPARTMENT
BEAUFORT, N.C. 28516
MEEMMEEWEEMEMMMEM
MEMEMENEMMEMEMEME
MENEEMEEMENEMEMEN
NEEMEMEMEMEEME
El
ENEEMMENESSEMEME
MEMMEMINEMEEMMEMMI
MME
MENEM
MEMMEMEM
Mpr.
E
OEM
No
MENEM
ON
0
MEOW
MORE
SOMEONE
MEMO
MEEMEMOMEM
■N■■■■■■
iiiiiu�i
EMEMEMMEM■iM■i�ii
Eiii
O
iiiii
N[NALO PRINTING CO.. N04[NCAD CITT. N. C.
CARTERET COUNTY COURTHOUSE
CENTRAL PERMIT OFFICE OF
, -MZ2E''!' caLJN'I'Y
COURTHOUSE SQUARE
BEAUFORT. N. C. 2851 a-1 898
728-8545
BUILDINGS. M0131LE HOMES. ELECTRICAL PLUMBING MECHANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I herebv certify that I own property adjacent to:
Lot 4 Lot f� , ��«.I �547y+ 40/18/
mroperty located at:
near ( water body)
in ( county) Cu r tt -r < f --
r" e applicant described to me as shown below, the development
Oshe is proposing in that location and:
T y
have no objections to this proposal
I do have objections to this proposa_
Description and/or drawing of proposed development:
-,-
S_gna..t- u_e:
Name: I►M4A K 'f' Sc rf4��f2
Phone Number: (9►g) 7 L 4 - it t V
October 1, 1996
Carteret County Central Permit Office
Courthouse Square
Beaufort, NC 28516-1898
Dear Sir:
Please find attached forms for a building permit for a lot I own in Smyrna. I visited your office in
July and completed most of the paperwork except for CAMA clearance. Attached are the signed
authorizations from the owners of the properties on either side of my land. My building plans are
finalized and we hope to begin in November.
Is there anything else I need to do at this point in securing permission to begin construction?
My phone number is (860) 561-5789 and my address is: 104 Uplands Dr., West Hartford, CT
06107. Thank You.
/;neyz an