HomeMy WebLinkAboutMussclwhite CERTIFICATION OF EXEMPTION
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.
Applicant Name in �55c _ IN t Phone Number 79 i -7 I
Address jr� � l A4-v.1 T i F1 f r t
City (i' , ' ? - ; ) - i- - , - State 0 C. Zip 2,_2,,
Project Location (County, State Road, Water Body, etc.) S P1rr-Q. , am �
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Type and Dimensions of Project —
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 the necessity of to continue this certification.
your obtaining any other State, Federal,or Local authorization.
SKETCH (SCALE: ' �� - 4 Q )
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Any person who proceeds with a development without the con y ,. I ",�!`y ' v
sent of a CAMA official under the mistaken assumption that the Applicants signature
development is exempted,will be in violation of the CAMA if there z fi
is a subsequent determination that a permit was required for the
CAMA 6fficial''s sign ture
development.
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 5 - I I 0-/.5
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203
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OVERALL PROJECT LOCATION '
tore; dis?`,9tirce (>•GTw7weG„I r
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100 50 0
A/—.4t.0ot-K t Fels; 1 L 1Op. = r / /
friZt B2. 3.0°:O p04y SCALE IN FELT J�0/%/It2SSGG�✓L+/re
Dot .:1a4 ,4roR. o/VQ1gogT .. .
ELEVA110NS-DASED-oI L01'1 1YAlEf2 0.0 /3'� 7 SR`(eivTPp/•✓/
fYT-F.CovTH,t DOCl� ldi m �+'Ji N.C.;.,a$�l2-
79/-7/86
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T,TVTS_TON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTTFT AT ONJWAIvER FORM
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Name Of Individual Applying For Permit: RpyF /''IGtsiat✓,V,7
Address Of Property: /3 a 7 L / /T Po„J T
7/7/!flifo L/A/ e e Ng() Cf ce,,,07.
r,c.) A,C .
(Lot or Street #, Street or Road, City & 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 . •
Tf you have objections to what is being_nro=osed, Please write the
"Division of Coastal Management, 122 Cardinal Drive Extension,
Wilmington, North Carolina, 2B4-05. or call 910 395-3900 within- 10
days of rec'.eint of this notice No resnonse is considered the same
as no objection if you have been notified by Certified Mail
WAIVER SECTION
I -understandthat a pier, dock, mooring pilings, breakwater, boat
house or boat lift must .be .set back 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.)
1 do 'wish to waive the 15 ' setback requirement .
I do -not wish -to -waive the 15 ' setback requirement.
t' .�: _11 ,d7)/ .,xt,7 -47/3 7- /3-a3
Sian Name Date ,' =
ITI'e <<( 4 /ki sse4�f/��` .; / 9 - (3-0 • 0`. ? _
Print Name }5 _ .� µti
�(6-- 7q( 66 .30 �- A';s
Telephone Number With Area Code -
NORThl CAROLINA D=?ARTMzNT of
ENVIRDNM=NT AND NSSURA_R Z LJR:S
JAC '^' -1�N PROPS''_ '
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-1- Nam- ---C�-=T--9xu A--\ R ';,:cam
Name Of Individual Applying For Permit : eOY S,El
I,,J ffi TE" ,
\ Address Of Property. 3 S / 7- O. n/
7/ 7/ GelteoLbi ale IS D.. /✓i i No1.E-,2 Cvu.v i7
(Lot or Street 4, Street or Road, City & County)
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I hereby certify that I own property adjacent to the -
eT cr e abD4'r
raced 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,g, with dimensions,
should be p_ovided with this letter.
Iobjections th
is p- I have no r tohis p�oposal .
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Vr7u 11PV= Qtj;acti alas 1-0
what i c boi Z1CT DY'Qp-CSe l aR Rc
__ � writep the nivisir)n of roastal Management, 177 Cardinpl
nr1_ve 'F;rf�n s,.� i Qn Wei lmingt.on, North C`arnlina, 2R40 nr r-al1 91n - o,---“)nn within in
days of receipt of this n tic No resnonse i c
considered_ the She
ac no ohjerti nr if vc-m have been notified by Certi f-i on mail
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'A I TT. S CTIO? .
I understand that a -pier, deck, :mooriig (pilings, breakwater, boat
Im se Cr boat lift 'must be set back a minimum distance of as . __
rom
myarea of =r.pariaB access - unless waived .may .me.. ( = you wish to
waive the .setback, youmuat Initial the appropriate .blank. below. ) .
1 do wish to waive the 15 ' set back requirement..
_t fin not wish to waive the 15 '.setback reC�ui=ement_
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Sign Name r -ate� . ,, -
Print Tvame 0' -
Telephone Number With Area Code
• NCDNR,
N F,r' :..a.:O_,N:..Dpa�s r-.-OF
NVi?ONM.=,-AND iti.711FCi Y.='^JF..'�S