Banks (2)

CERTIFICATION OF EXEMPTION
v
FROM REQUIRING A CAMA PERMIT el.,4�/t//
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 ter 7K.0203.
cant Name &i/Ilt5 C N e / c efre Y ��_` f'Pho y/d. SL. ;
�j,'� �? hone Number Z
ess A 2 4/ ."4 ,C/rw
6vi^jfAfs/,/// ei..,r State ,fVc Zip 2xs
.ct Loc Lion(Cott ty, State Road,Water Body, etc.) 21/ i-.A , , , �i 4f0
,_9 w /rif'i+vdir I i"fw,.r, � '/Mrs 6.7-
,f'7'f5 r"
And Dimensions of Projept ,late 'es.,-i1%i ,4 i1�/, ei+s-,aa�.o► !4
Wiz s '!GLrrr L, g' l/r'll.
roposed project to be located and constructed as described This certification of exemption from requiring a CAMA per
a is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiry
nent pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be nece:
\ permit requirements does not alleviate the necessity of to continue this certification.
)btaining any other State, Federal, or Local authorization.
TCH (SCALE: / "; yd
L )1,,0-7 S (lams��h/ '�'
• • • • • • • s •
• _•_ r a • ri'C /E ,
I Al./#/0 4:7,:
, ./
�_ .. 4p e t 8/, ......7-
v..�..�_.:._. i L.. _j ._. l/rl f� 5 ) _t i 7 1 1

Tele-eyvviO
?fist/
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Ninieb individual applying foeperrtet yikif aiMMAdL #S -
Address of property n i - ? v o V e1 v g iv4'
I hereby certify that I own property adjacent to the above referenced property. The -
individual applying for this permit has described to me as shown on the attached
drawing the development they are proposing. A description or drawing, with
dimensions should be provided with this letter of.notification.
Please initial below if _you have.no objection.
ns.
: _. ltsiecbgns tom proposal 5- 44044-141
- -
r fio vet l- , p
f l '127 Cardinal give Eictension, Wilmingti�t,_
395 3900 within 10 days of receipt of this notice. No response is considered the
same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,boat house,lift or
sandbags must beset back a minimum of 15'from my area of riparian access
unless waived by me.(If you 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
t. j pf1 i Z 16 Signature & Date
melird.a, F_ Po, ,P 1 I Print Name

P2005 15:26 FAX [phone] Carolina Medical Sales Z 001
K- \ DIVISION OF CaACerm. U.NmA MENT
ADJACENT RIPARIAN PROPERTY OWNER MOTIRCATIOM R wA VER FORM
W n n•ei `t�.ary cas.I r�p�ilaret+ . ,.:.:;a `ai l --/eVAVA.
Address of property C 9/diti}n.4,. .vmimpsaditik,43AIL•
I hereby certify that t own property adjacent to the above referenced property.
thil
irceire.4eilwea aarepikAh ee -- . y ��4�.,+t.4isess�tl.le�led----
�•• � %I, vP•v. yn.0.ri s77a'�r sre r��v r•� iti Mv--•-•••►•aw.•.•- �•- _ •••,y•
lt$Ki�1$srlvtna.ss�prv+►•ugas yr a. u.1r+.mur.. ..r -.+ +l-�s•w.••-
• • g01 tr.you rye-no o omarw/ :p•'.-S[d11 e_.pi:+ J�
_ -•,, _ - - •.F -.: •- - • r '•`� .yam_-. •-SL? •..}, .!-!n l� a
•7. • =. . _ . -- :_ • .r'• .;:•��.`-,a +.j •'•,; �• -
• •r• :a it-•".. ?. ".�•-. .:• �.•., �...- f �' 5�• }%r11�J1� i .
•:� '}yam:4i,.: .L !•ate•- �{,a ;< ►\pi�''`�!"�fi�:-r,�,3T'�i�a;..i Mile-.J.t _•�•_. /fee itiv
• -1r0�lYSf7lEW •�r"-i�s/cY.r.Q��MNV �..••vi• •q�w.i.�:•�'�r�•}-r•'�c•� -
00a 04)434,w/M•+r. 1 rgirmftrarb apeY+:+► ..otivo. No ..�.p--.••r•.�--+.. ��•.�z.wre.. 9•.w
same as no o if ham been notified Cad 1 •
WAIVER SECTION
understand that a pier, dock, mooring piilrgs, breakv ter,baat houso,lift or
sandbags mu+kt be_set ba rit a_- _1ff firms my area of riparian access_ .
unless Waived by me.(!f you wish to waive the setback, you must the
appropriate blank below)
I non sri*h h+waiter. thei + tmr*retnuireetrent.
Gal !•MOT wqs•• .0 wrSv U110 •O" ao-N..a..14.•Clki441111P11.P.,L
r
Signature &Date64feo print Name
d/ Telephone Number wt Area Code

IOva Plill Mg VYn1I dryly,., ,..v
4 Complete Marine Construction Servi
For Over 27 Years
�1M'ni 9ro. CAPT. ED FLYNN -,c-:: DURWOI
rtg 11M' ytVN fix Piers, Floating Docks, Pilings, Bulkhe
Boat Lifts, House Pilings, Repairs
P.O. Box 868 Phone/Fax: (91C
Wrightsville Beach,N.C.28480 email:efl!
/ '
10 JL
G ../f
0 0 0 0 0 0 0 0 Q 0,
0 0 0 0. 0
CI .—, G`x N6' N.
. EE e 6511.1. 9 fee
b1i