Wrightsville (2)

CERTIFICATION OF EXEMPTION
_Y 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-7-K-0203.
r J 56 - -79.�
giant Name N i"! f5`1��� 6 F Phone Number
,SS NSi a
State �I{/C Zip
ct Location (G�ounty, State Road, Water Body, etc.)
and Dimensions of Project
roposed project to be located and constructed as described This certification of exemption from requiring a CAMA per
is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expir
'nent pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be nece
A permit requirements does not alleviate the necessity of to continue this certification.
Dbtaining any other State, Federal, or Local authorization. �j — O4!9-z - /
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14
TOWN OF WRIGHTSVILLE BEACH APPLICATION FOR PERMIT (PA7-2007)
Any change or changes in development, construction, or land use activities as represented in this application and)
accompanying plans will require a re-evaluation and modification of this permit. Applicants, property owner
authorized agents and/or contractors are responsible for compliance with any and all permit conditions..Applicatioi
for new/altered service and irrigation will need to be accompanied by a Water, Sewer and Trash Service Addendum
TYPE OF PERMIT BUILDING ( ) PLUMBING () PIERS, DOCKS, BULKHEADS
'() SIGN ( ) DEMOLITION () IRRIGATION
TYPE OF IMPROVEMENT: C,�(ERECT ( ) ALTER () SUB. IMPROVEMENT
( ) REPAIR ( ) ACCESSORY (} RETROFIT -ELEVATE
LOCATION OF WORK: W057 i7 I + 11 _ 51 alyc le"I��iDZONE
PROPERTY OWNER: ~ O w
OWNER'S ADDRESS:
OWNER PHONE
FAX:
ZIP
UNIT TYPE: () MULTI -FAMILY ( ) DUPLEX
(}SINGLE FAMILY DWELLING
STRUCTURE USE: () RESIDENTIAL ( ) COMMERCIAL ( ) GOVERNMENT
CONTRACTOR NAME: /� /L.Tn ('—cy (2D v S—✓LL C_- n U d /L c -.
CONTRACTOR ADDRESS: _Q • 7 CITY I%3 ZIP
CONTRACTOR PHONE: -7 / FAX:
AS PER TITLE 11, A PRIVILEGE LICENSE IS REQUIRED PL # � EXP
STATE LICENSE NO. �7 / 7EXP.Z f l
*PROJECT DESCRIPTION: 1311I C-0 c
COST OF PROJECT $ NO. OF PILING
WATER TAP SIZE SEWER TAP SIZE
APPLICANT SIGNATURE DATE
FOR OFFICE USE ONLY
CONDITIONS
PERMIT #
MAY 2 2ov
WATER TAP FEES
WATER IMPACT FEE
IRRIGATION TAP FEE : ; p WII"I',f�1NGTON, Nf
IRRIGATION IMPACT FEE
SEWER TAP FEES
PILING FEES $25 each TOTAL $
PERMIT FEE
NCHMR FEE $10.00

I
(2)2x4 TOP RAIL - (2) 2x4
7 CORNER
POST
(2) 1 /2"
DIA. BOLTS 2x4 i =
TO STAIR
LANDING -� 2x4
0
I
NOTCH TOP
OF POST
AND (2)
1/2" DIA.
BOLTS TO
X STAIR
SEA WALL LANDING
1 STAIR ELEVATION
S2 SCALE: 3/8"=1'-0"
RECEIVE®
UAV 1)