General Permits (7295)

"\" CCERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
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.
Phone Number
State
Zip
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
Applicant's signature
CAMA Official's signature
Issuing date
Expiration
Attachment: 15 North Carolina Administrative Code 7K .0203

DIVI I N QF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
--------------
-----------------
--
Applicant's Name:—(-?90 q 4.
Address Of Property: Ldl'ld O 54 AA54oleo, N L Q
Lot" I t Street #, Street Name, City & County ' aw Coyne%
qos l3IN ff
Applicant's Telephone Number 10 3 2 (v - yi 9 0
I hereby certify that I own waterfront property adjacent to the above -referenced property. The
applicant has provided me a drawing of the the proposed development. Please initial the
statement below if you have no objections to the applicant's proposed development. Initialling
this block does not constitute a waiver of the required 1 S' setback from the riparian corridor
lines.
A�Z— I have no objections to this proposal.
Signatur _
ate
,L.Aci �Ien/i i15
Print Name and Mailing Address
tea) �35V
Telephone Number With Area Code
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
OY Colle- E S7�
n v, E N L
Telephone: 10 ySS - EGG /

DIVISION OF COASTAL MANq =EMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
-----------------
Applicant's Name:
n9if
Address Of Property:_ _ 3 / 411JO/tK x16
0,1 Lof II Street #, Street Name, City & Countys/
�idflns Ql`+��
Applicant's Telephone Number C9 /0) 3a G - Z/ % 9 U
I hereby certify that I own waterfront property adjacent to the above -referenced property. The
applicant has prQvided me -a drawing of the the proposed development. Please initial the
statement below ifyou Have no objections to the applicant's proposed development. Initialling
this block does not constitute a waiver of the required 1 S'setback front the riparian corridor
lines.
I have no objections to this proposal.
osal.
Signature Date
7)w V/b q etu� l s)r>Z JrL
Print Name and Mailing Address
(1, 7�,;)- ) 89,9- - 71 'ZV
Telephone Number With Area Code
AIT '0 �V,;?,
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
to d G e S7L
A on v,I a n/[
.2 �S G
Telephone: /a S- ?&o

.•
_Wild Oak_ Drive _
45' P/W (Private)
Lot 12
Reference:
MB 31, Pg 19
Note: This Map Is Not Intended For Recording! Onslow Gounty Registry
I, CHARLES A. RAWLS. PROFESSION 09 22 00 Foundation Survey For
LAND SURVEYOR hereby certify Gre and AnTnterprises
e Cooper
that I have survey
ed the property CAR
as shown hereon in accordance c Waters
with THE STANDARDS OF PRACTICE
FOR LAND SURVEYING IN NORTH TOM= Lot 11
CAROLINA. `���nuUrrr Swans Bluff Subdivision
CAR,� _ 231 Wild Oak Drive
ni,rrr�/ '�PR
Swansboro Township
OF ES j 200-1878 Onslow County. North Carolina
Charles A. Rawls PAR
L491-
;�'L
and Associates
242—B MAIN STREET, P.O. BOX 1126 PLANNING
;�PIN84
G
ES AI,RP��`�� TELEPHONE: (910) SWANS 26-14 8C FAX:S(910) 320-1400 SURVEYING

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