Exempted_Rush, James_19910702

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Date
%.s
1 01 L�rV c� C —
Re: Exempted Project (Minor)
Dear /Y1�-• 4S
We have reviewed the information submitted to this -office in your
inquiry concerning 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 as long
as it meets the conditions specified below. If your plans should change
and your project will no longer meet those conditions please contact
me before proceeding.
DESCRIPTION OF ACTIVITY AND CONDITIONS: (Insert paragraph pertaining
to type of development exempted and a specific description of the proposed
project if appropriate.)
Since
inceypfirs,
a l Pe 0 i er or l rswr� oee..�
Address.
Phone:
Copies sent to:
Applicant
Field Consultant

L
% I 1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that•I own property adjacent to
's property
Name
located at Go CY i� A c',T &RI IC ?d . on
(Lot, Block, Road, etc.)
getc.u� in A)4y (Z-ilB0/9) , N.C.
(water Body) (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
prop sal. I understand that a pier must be set back a minimum
diStE.nce of fifteen feet (151) from my area of riparian access
unless waived by me.
✓ I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or -drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMM)
` S gTTnature
r%I�iJIC G-uy,�t
Name
Phone Number

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(FOR A PIER)
I heerrebby- certify �10,r
that•I own property adjacent to
I otFU- 's property
Name
located at (o 0
, on
(Lot, Block, Road, etc.)
2i tW14LC in A) F-4,o 13F494.), - 0-1000PO , N.C.
(Water Body) (Town and/or County)
s 2`
mar le-
He hj.s described to me as shown below the development he is
prop: -sing at that location and I have no objections to his
proposal. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
Si�gnature
b
OUP
Name
Phone Number