General Permits (260)

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CERTIFICATION OF EX
-Y
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources
in an area of environmental concern pursuant to 15 NCAC S
Applicant Name �%e/,'�
Address
City
Project Location *unty, State Road, Water Body, etc.)
IN 2 C 0996,
Phone Number
State ,((G zip :2RSe4
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.
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 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.
i
CAMA Off iciall''s si • nature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

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CARTERET COUNTY COURTHOUSE
CENTRAL PERMIT OFFICE OF
COURTHOUSE SQUARE
BEAUFORT. N. C. 2851 6-1 898
728-8545
BUILDINGS. MOBILE HOMES. ELECTRICAL. PLUMBING. MECHANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to: _
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property located at: �`� D/ii;4�L %/!ls' ✓�/�%ii
near ( water body)
in ( county)
The applicant described to me as shown below, the development
he/she is proposing in that location and I have no objections to
this proposal.
Description and/or drawing of proposed development:
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Signature:
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Name • �&, L c a s
Phone Number: / e k—

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R. L. eosley \j�J ood\Y/or�s
Robert Beasley
Owner
314 Virginia Avenue
Morehead City, NC 28557
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Fax [phone]
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Robert Beasley Telephone [phone]
Owner Fax [phone]
314 Virginia Avenue
Morehead City, NC 28557
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CARTERET COUNTY COURTHOUSE
CENTRAL PERMIT OFFICE OF
COURTHOUSE SQUARE
BEAUFORT. N. C. 2851 6-1 898
728-8545
BUILDINGS. MOBILE HOMES. ELECTRICAL. PLUMBING. MECHANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to: _
property located at:
near ( water body) �J U IA) S C�-��
in (county)
The applicant described to me as shown below, the development
he/she is proposing in that location and I have no objections to
this proposal.
Description and/or drawing of proposed development:
Signature:
Name: �c/0,\% ,/ l(i��UJ�Lfill�
Phone N�.amber : 1 9�`� 7T� 5V� 0

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Robert Beasley Telephone [phone]
Owner Fax [phone]
314 Virginia Avenue
Morehead City, NC 28557
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Robert Beasley Telephone [phone]
Owner Fax [phone]
314 Virginia Avenue
Morehead City. NC 28557
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