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Home My WebLink AboutStroupe CERTIFICATION OF EXEMPTION // FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, 0 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. cant Name 0P,,a Sin c,r{7 C/l 6- 4 i r e C#�.S A, Phone Number 2,09 YZz -y ess d G, .ei, 2 o'Iiu�+' Ai,//y State Avc Zip2v. act Location(County, State Road, Water Body, etc.) 5-6 7 fyE4 h fAu,t e D„ , _ s L.?vie c< f 71 / AVe f` , /4i I,14-1 Y 1:..,1/A/ Ca zip and Dimensions of Project \'jp LA e e l',c ,s y,iv I. /2.5‹ /2 ' . 7- ,. 44"9d . ,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. ETCH (SCALE: 7 'r C,x. , S 7. ^y ,f .<, n- 1 Z I : N -'' \ -,.. a tar 07 07 01 : 50p Stroupe (7 0 4 822-8448 p. 1 63/06/2007 21:04 910_799096 DICE Guts P4cr_ >)2 NCDEN North Carolina Department of Environ ent arid Natural Resources Division of Coastal M nagement Maael F £asiej.Governor Charier S.J8n/i Di ,etot WiI m G.Rms.Ji e.• Authorized Agent Con ent Agrement f 4.��9 —r U +-/f is hereby authorizer" to act on my be.,pi ("wltea Nar1e or Agent) in order obtain any CAMA perrnit(s) required for the prope listed below. The authorization ,s Iirnitec t U :t ;pacric activities described in the attached sketch. LOCATION ;i PROJECT; PROPERTY OWNERMAILING ADDRESS: /...lo..0 .4 tot.r...} � ,r 2? , r✓ _. PH *NE NO.7 /l'ce-2 ems- e' c." A41Tt;ORIZED AGENT MAILING ADDRESS: (CD\t 5ect �cA \ r-•<, N I" ONE NO. �i t S-1 Ci-.9°CeC Sigr.atutC o°Property Owner' :grtw;:;;r ofAuthorizedAgent: �� - DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOR1 Name of Individual Applying For Permit: D . N 4 i—c-0er 1 Address of Property: SY U Ioc- �jYl r�v-e (Lot or Street #, Street or Road) e)S-e;\-- •BectC-1 \r�LA r t L11 (City and County) l I hereby certify that I own property adjacent to the above-referenced property. The in( applying for this permit has described to me as shown on the attached drawing the deveiopm are proposing. A description or drawing, with dimensions, should be provided with this i I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-7C within 10 days of receipt of this notice. No response is considered the same as no obje you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift cnu bck a minimum distance of 15' from my area of riparian access - unless waived by me. wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive.the 15' setback requirement. I do not wish to waive the 15' setback requirement. 3- N -07 Sign Na Date fL) -vELE�`f Print Name : , DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORT Name of Individual Applying For Permit: V , N SA'r- u?t r Address of Property: � hi1 \-pc-\N (Lot or Street #, Street or Road) eti.(_h ?_) 14 ,c.,\L (City and County) I hereby certify that I own property adjacent to the above-referenced property. The inc applying for this permit has described to me as shown on the attached drawing the deveiopm are proposing. A description or drawing, with dimensions, should be provided with this if /.1 Vv I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of ( Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-79 within 10 days of receipt of this notice. No response is considered the same as no obje you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus bck a minimum distance of 15' from my area of riparian access - unless waived by me. wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive.the 15' setback requirement. I do not wish to waive the 15' setback requirement. Sian Name Date Up/IA Ld -5_ IV/4/ TE,4 Print Name i I �4 0 Val) AA 1 . r- SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. ature item 4 if Restricted Delivery is desired. s-Agent • Print your name and address on the reverse Avaii ,‘,;,‘„,,,,',„f❑Addressee so that we can return the card to you. ece =- by(Printed Nam: C. Date of Delivery • Attach this card to the back of the mailpiece, f or on the front if space permits. / (? — (J D. Is delivery address different from item 1? 0 Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No (.0\\-1 ��,� \��\1.6.-C: x m `� 3. Service Type )(Certified Mail 0 Express Mail �vJ `1 ❑Registered ,S Return Receipt for Merchandise ❑Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service lab 7003 1680 0004 9790 7031 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. 0 Agent • Print your name and address on the reverse X / Addressee so that we can return the card to you. B. R99eived by(Printed Name) C. Dat, of n-livery • Attach this card to the back of the mailpiece, D ,�/(( �f///U_5 Ti=rf or on the front if space permits. D. Is delivery address different from item 1? 0 Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No C —407 CoANc c-C e(V_ �'v-` 1� �v Ye�� 1\1 \ 3. Se3iice Type C r� Certified Mail press Mail —2- J" 1 0 Registered Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes