Swart

CERTIFICATION OF EXEMPTION
-1r-_.)
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 7K.0203:-• ,O t a 3
Applicant Name Bob Sw a rk 11l"`- • D)a ere L r"h�1 Phone Number
Address 46 Howa fr( Ave 1
City NO r ' '-. e / 4 State N N Zip (^) 3 Z%
Project Location (County, State Road, Water Body, etc.) .C11 3 r 0 s-1
Sur G i-1-y� !yC Zf344_5
Type and Dimensions of Project <'f/are h( #Of-' ACC k on £YisI'et, 4OcL,.-,) (-1.r vc -oe e
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate-lFi necessity of) to continue this certification.
your obtaining any other State, Federal, or Local authorization. '?K,Di 0
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Any person who proceeds with a development without the con- ./l` i
sent of a CAMA official under the mistaken assumption that the Applicant's signature I
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the 'r" "e�'?('y'��
development. CAMA Official's signature
S/0l 014
The applicant certifies by signing this exemption that (1)the ap- Issuing date
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent ( )3) Ott
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 North Cacolta Administrative Code 7K.0203

DIVISION OF COASTAL I\IANAGEMENT
ADJACE\T RIPARIAN PROPERTY OWNER NOTIFICATION,'WAIVER FORM
Name of Individual Applying For Permit: .2,.O,R S jvg�1
Address of Property: 30 9/ / _D ,c -
(Lot or Street#, Street or Road)
(City and County)
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 descrption or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal. 84 r t-.0 x,s,,,,,r pL4el�
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
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 or boat lift must be set
bck a minimum distance 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.
:dU - Date
2/0 62/ /7-2
Print . e NCDENR
_ _� � EMVIRd+Mpl71WG NVLRLL RLSOIlRCES
elephone Number with Area de S:\cama\shells\riparianproperty.fnu

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER FORM
Name of Individual Applying For Permit: 'Ep Sw Aryl--
Address of Property: -30 51-
(Lot or Street#, Street or Road)
StkF er
(City and County)
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.
I have no objections to this proposal. L1i/1/ 9-e
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
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 or boat lift must be set
bck a minimum distance 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.
7,03
Sign Name Date
467411S,
wigr
fot
Print Name NCDENR
NORT,C.Rouw.DErwTrT NT of
ElavllMOw.®Ti uaD NQURAL RESOURCES
Telephone Number with Area Code S:\cama\shells\riparianproperty.frm