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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
0 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. . o o -
Applicant Name IOWA/ DF fiaRPI -TeFSA I rAfN Phone Number Gj/v, J?. '3 V eJ
Address jo05( t o , rrk An C-4
City /,,,R-(, --qmoKA.),-fi -P A t1 State jtu Zip dt/''Ca
Project Location(County,State Roadj Water Body, etc.) g to Alc 4 pcA „,Pella 4 riJ •Au'
AT/AA,�i C l�(E .°'1 ry A ws/ow
Type and Dimensions of Project 1511 a c7/44,P4/ ,4((P55. '1 ()viol? I=k LJ•ti`fA I 'iy.i1N�..
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.
your obtaining any other State, Federal,or Local authorization.
7K .0J07
SKETCH (SCALE: / /' ' )
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.� -Any person who proceeds with a development without the con- /f\.J l A -
sent of a CAMA official under the mistaken assumption that the Applicant's signatur
development is exempted,will be in violation of the CAMA if there ( \ j r
is a subsequent determination that a permit was required for the i ` a'
development. CAMA Official's signature
The applicant certifies by signing this exemption that (1)the ap- ✓I I' /l`/- V
Issuing date
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent ()) - 0 9 -0 5-
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203

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Parcel Data This map is prep;
inventory of real I
Find Adjoining Parcels within this jurisdic
compiled from re=
• Abstract Tax Value:$5,000.00 plats,and other F
and data.Users c
• Tax Parcel ID:812-10 • Current Tax Value:$5,000.00 hereby notified th
• NC PIN Number:426613141918 • Land Value:$5,000.00 aforementioned information sourc
• Tax Record Number:26864 • Structure Value: consulted'for vest
information conta
• Owner's Name:ONSLOW COUNTY • Other Buildings Value: map.The Onslov
• Property Record Card • Improvement Code:V mapping,and sot
companies assur
• Plat Book and Page Number:03-038 • House Square Feet: responsibility for
• Deed Book and Page:1693 80 • Property Address:398 TOPSAIL RD information conta we
map or in this we
• Date Deed Recorded:03272001 • Township Code:114 Data Effective De
• Deed Stamp Amount:2500 • City Code:26 October 200
• Tax Acreage Charged:0.11 • Neighborhood Code:185 Current Date:1 C
Time:9:06:12
• Zoning Code:R-5
SCALE 1 : 834 Reference Map
http://66.208.132.254/servlet/com.esri.esrimap.Esrimap?name=Onslow&Cmd=sParcel2&... 10/20/2004