024-97_Stulce, Doris Hill_19970325 (2)

DATE: 3 % / �+
NAME: 0 off I -S
ADDRESS: 3/ oF O I d C /4"s P- w �N
CITY: &AL fa Vr ST. N G ZIP:
Dear
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MAY z U 1997 'I
EXEMPTED PROJECT (MINOR)
We have received the information submitted to this office in your inquiry con-
cerning the necessity of filing an application for a minor development permit
under the Coastal Area Management Act. The activity you propose is exempt
from needing a minor development permit providing it complies with the condi-
tions specified below. If your plans should change and your project will no
longer meet those conditions, please contact me before proceeding.
DESDCRIPTION/ OF ACTIVITY AND CONDITIONS:
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de o l ej b y It �-✓z!t e-� �- �s
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This certification of exemption from requiring a CAMA Permit is valid for
iinety (90) days from the date of issuance. Following expiration, a review of
he project and project site may be necessary to renew this certification.
CATION OF PROJECT : f} ((R �..� Chi ,9 •� N2I
:erely,
Acy Gam.
Permit Officer
et County
728-8545
)licant
ld Consultant

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i (FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 7.
's
(Name of Property Owner)
property located at 0 / O/d 6�s�;-sQ
Gy/��x5. Lot, Block, Road, etc.)
on f i �v Z/ , in _ C'42 -2 �� , N.C.
(V4'aterbody) (Torn and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWEtiG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
I ti,
Signature
f e4e6
/YGk W • giLL 5-,
Print or Type Name
-76'7 .3tlo /3-�c/
Telephone Number
Date:

ADJACENT RIPAR AN PROPERTY OWNER STATEMC�NT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 1-14i'5 1 r S; u I-'s
(Name of Property Owner)
property located at �') S - W'iA'�" > ,
(Lot, Block, Road, et .,)
on L%L Aurn_ sQi w� �i , in C -7,,uniT , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
----------------------------
DESCRIPTION AMID/OR DRANNT G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
c r
Le.-vGi�r w= P,,1c — 4- r c
firf0'q Or / - l sq �:t
ignature
D R i9 I RG� L�c M AN
Print or Type Nap6e
s04--,?5�9
Telephone Number
i
Date: