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Home My WebLink AboutOak Y 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. Applicant Name Qv.)r. O F UA c- s f , d Phone Number 110 2765011 Address 4-}(po I £ . t \._. -rs1 d bt iJ City Tst t -- State LJ Zip 4234(- zr Project Location(County,State Road, Water Body,etc.) 13(u c i. D ,-{�' 3C StY�-e-t- flit 1 "1"-,► Arr.- . -D AO', 5 c'r-tv, Type and Dimensions of Project whoP j Aitro k L cit)' 0c if f1UQ ('Ur'd ) 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. SKETCH (SCALE: pei\P - . tom_ twee.) h .c)` \-Cot -' 1,-*(AJ tx-N t (d oC' C IS-\ r\c\ Cof\d 1— , Any person who proceeds with a development without the con- sent of a CAMA official under the mistaken assumption that the (Applicant's si nat development is exempted,will be in violation of the CAMA if there !"t is a subsequent determination that a permit was required for the T~� development. CAMA Official's signature 5 , aUO2, The applicant certifies by signing this exemption that (1)the ap- 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 f'�1'w`�`'� 15 a W landowners certifying that they have no objections to the Expiration date li proposed work. Attachment: 15 North Carolina Administrative Code 7K.0203 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Received by(Please Print Cr r? p •te of Deliw item 4 if Restricted Delivery is desired. ��Rf • Print your name and address on the reverse C. Sign. . -� �� so that we can return the card to you. / i ■ nt • Attach this card to the back of the mailpiece, or on the front if space permits. ■ .res5 D. Is delivery address differ: from ite • F F' lr- 1. Article Addressed to: If YES,enter delivery .-low: • -o . a�Y'V'S s 0. (A..� Y ` ` 3. Service Type 06-K, 7 r , . J G ( Certified Mail ❑ Express Mail 4 ItI 2/ I��kEEE�33e-NCA) ��, /❑ Registered 1 Return Receipt for Merchand aCof"` It'ce ❑ Insured Mail ❑ C.O.D. { EZA N2 (1 4. Restricted Delivery?(Extra Fee) 0 Yes 2. A icle Number(Copy from service label) PS Form 381 1,July 1999 Domestic Return Receipt 102595-99-M-17 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • 0--vt-eL ,eI' ca K to U. . - e • T CERTIFIED MAIL RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) C n r aPostage $ •,3rf Certified Fee f 1� ' ; Postmark Return Receipt Fee Here 1J▪ (Endorsement Required) I ti �� 7 Restricted Delivery Fee ` '' 7 (Endorsement Required) 7 Total Postage&Fees $ 4, 11--A 7 Recl s Name(Pleas not C arly)(to be completed by mailer) Street,Apt.No.;or PO Box No. • City tare,ZIP+4 t a-1( �., d-. �'1 Ads Gel :edified Mail Provides: A mailing receipt I A unique identifier for your mailpiece I A signature upon delivery I A record of delivery kept by the Postal Service for two years nportant Reminders: I Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. I Certified Mail is not available for any class of international mail. I NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo valuables,please consider Insured or Registered Mail. I For an additional fee,a Return Receipt may be requested to provide proof o delivery.To obtain Return Receipt service,please complete and attach a Returr Receipt(PS Form 3811)to the article and add applicable postage to cover tht fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fo a duplicate return receipt,a USPS postmark on your Certified Mail receipt required. I For an additional fee, delivery may be restricted to the addressee o addressee's authorized agent.Advise the clerk or mark the mailpiece with thr endorsement"Restricted Delivery". I If a postmark on the Certified Mail receipt is desired,please present the arti cle at the post office for postmarking. If a postmark on the Certified Mai receipt is not needed,detach and affix label with postage and mail. MPORTANT:Save this receipt and present it when making an inquiry. S Form 3900,February 2000(Reverse.) 102595-99-M-208. SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ,, • Complete items 1,2,and 3.Also complete , A. Received by(Please Print C Date of Deliver item 4 if Restricted Delivery is desired. :C' � ■ Print your name and address on the reverse ' so that we can return the card to you. C. Sig to • Attach this card to the back of the mailpiece, to 0 gerit or on the front if space permits. Elsse . Is deli address dilliiw 1? ❑.Y_4e1. Article Addressed to: If Y ,enter delivery ada ❑ No V V kA -c4._--1-1\,5ei LI K cif SE 3. Service Type C� •L f , 1 L I K'v C ZCertified Mail 0 Express Mail -J KCi� 0 Registered Dil Return Receipt for Merchandis �5c `ti )� � � ❑ Insured Mail 0 C.O.D. i 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number(Copy from service label) /761 n OU b 00.7 1 ?S ' 7171,5 PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-178i UNITED STATES POSTAL SERVICE First-Class Mail Postages& Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • AA C� IG�u.�j�Yl 4-1,,E'1 `'!& )114/2 CERTIFIED MAIL RECEIPT • (Domestic Mail Only;No Insurance Coverage Provided) rt r a Postage $ • 37 r 1 Certified Fee '13 Postmatk N. Return Receipt Fee Here u (Endorsement Required) = Restricted Delivery Fee � (Endorsement Required) ' //• r /4 = Total Postage&Fees $ 41, Recipient's Name(Ple nt Clearly)(to be completed by mailer) J .._ '1,4/ 1 = Street, �No.;or Box No. [ 1 bi 3g__ City, D 415 t4 CL , NC- )-4 4-bs ;edified Mail Provides: I A mailing receipt • I A unique identifier for yow*matlpiecq I A signature upon delivery I A record of delivery kept by the Postal Service for two years »portant Reminders: I Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. I Certified Mail is not available for any class of international mail. I NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo valuables,please consider Insured or Registered Mail. I For an additional fee,a Return Receipt may be requested to provide proof c delivery.To obtain Return Receipt service,please complete and attach a Retun Receipt(PS Form 3811)to the article and add applicable postage to cover th, fee.Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver fc a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. I For an additional fee, delivery may be restricted to the addressee o addressee's authorized agent.Advise the clerk or mark the mailpiece with thu endorsement"Restricted Delivery". I If a postmark on the Certified Mail receipt is desired,please present the arti cle at the post office for postmarking. If a postmark on the Certified Ma receipt is not needed,detach and affix label with postage and mail. NPORTANT:Save this receipt and present it when making an inquiry. S Form 3800,February 2000(Reverse) 102595-99-M-208