HomeMy WebLinkAboutEd Lore CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environmental Quality and the Coastal Resource ommission in an area of
environmental concern pursuant to 15 NCAC Subchapter 7K/Cor NCGS 113A-103(5)(b)(5) .
Applicant Name 1.-'" (...„0E----
Phone Number g/0 W
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Address //Z "---• ,572--Q' ' PE. , .
City 50 7—(---. Cr/ State NI(' Zip 41' `fS—
Projectg9atiorg-Coupty State Rol.c Water Body,etc.).- % ! ( (7% p 6e-
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Type and Dimensions of Project ���5 �� �` "���
_ i /
,1 r!
The proposed project t�be to ted and constructed as This certifica' n of exemption from rO'quiring a CAM permit'
described above is hereby certified as exempt from the is valid for 120 days from the date of issuance. Following
CAMA permit requirements. This exemption to CAMA expiration,a re-examination of the project and project site may
{ permit requirements does not alleviate the necessity of be necessary to continue this certification.
your obtaining any other State, Federal,or Local
authorization.
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Any person who proceeds with a development without the con-
sent of a CAMA official under mistaken assumption that the / •plica' .i• . r-
development is exempted, will be in violation of the CAMA if ther/ f
is a subsequent determination that a permit was required for theAP
development. ! A Official's sign re
The applicant certifies by signing this exemption that the � 04 • ./ 2 .4 ` /9
applicant will abide by the conditions of this exemption. Issuing date Expiration Date
CERTIFICATION OF EXEMPTION
• FROM REQUIRING A CAMA PERMIT •
as authorized by the State of North Carolina,
Department of Environmental Quality and the Coastal Resources Commission in an area of
environmental concern pursuant to 15 NCAC Subchapter TWO;or NCGS 113A-103(5)(b)(5) -
Applicant Name t7(.9
� PhoneNumber9/0' v `W
Address HZ Z 51.2 e Pe_ ' ; ,,,r
City lir /--' State 1YCi Zip ? r>
Project t atior eou State. Ro WaterBo ,etc.) - A_ ��
>
Type and Dimensions of Project 4 L -r '7'"" 1r� /t - -et � -7L
r
•
The proposed proj- be I. ated and constructed as r This certifit�n of exemption from t(.-q�ng a CAM• perm
a described above is hereby certified as exempt from the is valid for 120 days from the date of ssuance.Following
CAMA permit requirements.This exemption to CAMA expiration,a re-examination of the project and project site may
permit requirements does not alleviate the necessity of be necessary to continue this certification.
your obtaining any other State,Federal,or Local
authorization.
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Any person who proceeds With a development without the con-
411111 ., ..an.
sent of a GAMA official under mistaken assumption that the .plic.,. .igpir•
development is exempted,will be in violation of the CAMA if there I f
li
is a subsequent determination that a permit was required for the'
development. •• A official's signgtyre
The applicant certifies by signing this exemption that the . (0 • 6 ` 1.8" 2 •4' ?
applicant will abide by the conditions of this exemption. - issuing date Expiration Date
°.SUg Town of Surf City
- _
214 N. New River Dr. Surf City, N.C. 28445
`�- Phone: (910) 3284131 • Fax: (910) 328-4132
www.townofsurfcitv.corn comdev(a7townofsurfcity.com
COMMERCIAL APPLICATION
Permit Number: Date:
Project Address: 1/ 2 So u,;B SHCAE_ Dk Su RF L.T tiG 1S4'/S
Property Owner: L
Property Owner Mailing Address: 1', o e x a5S2 , suRr ,7-Yf IV. c . :2 gy 9.r
Property Owner Telephone Number: L T x
Project Information Lawn Irrigation ❑Yes/No
/
Description of Project: /Epi. , C E / ?5 o S Er 71O Ai 0;-'-- Pi F.2
-R.
On/ vER V ._,v,J INC /- J,Ji,n1 G G c i 1 GO,1 C S •e� d rur..;:; rk5
Building Contractor
Contractor: GR R Cons 9-ry c rze:1 < GE,/ Ray ,9.jer) Phone: (Tic))36-7-34 G
Address: /0 8e) ,'Yk rd e<' % Re?d
City: ,,,co v7-J,Por-4- State: AL C. , Zip: g$4 c ,
NC License#: 5'ig75 Contact/Agent: &b An Ck e i'4)c1 r, Cell:(7/a 1 S a3 " ,21 di g
Email Address: rghd bror,n e 6 yanoc < G6 J- (where inspection results will be emailed to)
Project Cost Including Subcontractors: $z a.5"O , o o e) , c o
Lien Agent-Required for Projects that Value$30,000.00 and Above.
Lien Agent Company: _
Physical Address:
City: State: Zip:
Mailing Address:
City: State: Zip:
Phone: Fax:
Email Address:
r,E . • �'��� IF REQUIRED
Cj(G"iJl WILTONNC' PLEASE DELIVER:
CCI MING5 2��� ,
3 sets of plans to the
Building Inspector, Surf City Town Hall
214 N New River Drive
Surf City,NC 28445
910-328-4131
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;0141 WILMINGTON, NC __ \ ,
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THIS IS TO CERTIFY THAT THEIR RIECT I OP�TT8 IS
LOCATED IN FLOOD DIE ' • MIRH /
A SPECIAL FLOOD HAZARDAREA AS DETER- T f
/MEED BY TIE DEPARTI@R OF HDUSINB AID ,SAN
LEVELOPIENT. CDNMANITT PANEL NAM
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r. CNRAqE9 FRANCIS RIM PRC�1 WEER r
LAND SURVEYOR CO WELLY CERTIFY THATTIS /62- l o-oS TERED ��°PasED S 131b11.4 t E Q- reg.
SURVEYED TIE PROPERTY AS MOWN IERFDN IN AMOR-
DANCE WITH TIE ST ' nfir►P FOR LAND
SSURYUR•CIEY[NC IN ,.4.,,,,,.,...,.. ._' t�Aig RATIO ire G c i nJ P Loi�, ��• 1-11r6,
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DEPARTURES W ' , •••.,,•,y9 *:i A"D 1 Z/4 1 to M t iL l L. Lo
s Aps R/- : . DRAWN BY:
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( ear- / _..ba t. .:; - CIECKED BY
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FLHOQ(/PA =
CHARLES F. RIGGS & ASSOCIATES. INC ., ,
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P. 0. BOX 1570, JACKSONVILLE, NC 28541-1570
�° so "` 202 WARLICK STREET, JACKSONVILLE, NC 28541-1570
—Ma�= - TELEPHONE: (910) 455-0877 FACSIMILE: (9W) 455-9033
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