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Home My WebLink AboutAustin CERTIFICATION OF EXEMPTION _Y FROM REQUIRING A CAMA PERMIT -P 5 ' CJS� 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 /V l�541 ��i L �� 0'�' f• , ppy /vb�` Phone Number GJ I U Address L u f • 5z1 (AA tI4 SC kpi-C (i 4-4 A. h . City A/PS-Fea Slate Zip :e-ll 3 ProjectLocation(County, State Road, Water Body, etc.) Yh t J( V C(ki L4 r Type and Dimensions of Project ,vKt lc p'• r .. — X�l d 7° t1-2A4 O /0 'f/6 tAt-1 � 4 v--19 ✓/V1t4'IP S4 I 5"i4 t7 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 d 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. r / SKETCH — — - (SCALE: / U• e V 1t ;it- c� x kie („, P 75 , S L Any person who proceeds with a development without the con- sent of a CAMA official under the mistaken assumption that the Applicant's signature development is exempted,will be in violation of the CAMA if there is a subsequent determination that a permit was required for the development. CAMA Official's signature The applicant certifies by signing this exemption that (1)the ap- i�d 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 .')/- c 5 0 �-- landowners certifying that they have no objections to the Expiration date proposed work. Attachment: 15 North Carolina Administrative Code 7K.0203 HOLNAM e HOLLY HILL;SOUTH CAROLINA 29059 Qf. South Atlantic Region 800-923-63'68 AC 803-496-5027 919-878-7297 S.C. Toll Free: 1-800-922-7001 Santee Region 800-845-1120 Out of State Toll Free: 1-800-845-7051 803-736-0702 t7- o.4. i 514 C A-r v i�ss.b,,c k L7,�, . ' ? ' Cr' �e_ ES � bdi; v,s 0� ; 010 . 3 Z3. -T ( 5' 75. . _ ; .. - - - . LH. __ , , v • • - • , 4I(�"\ �FC(�4CTgY RA .arF'�r-t'n~r , -5203 • `-( 5-7 s Name Of Individual Applying For Permit 5-fi-Q n Address Of Property: L A 1 n u • 1 (Lot or Street#f, Street or Road, City & County) I hereby certify that I own property adjacent to the above-referenced property. applying for this permit has described to'�ie as shown on the attached ng The individual they are proposing. A description or drawing, with dimensions, shouldd be provided the development this letter. with I have no objections to this proposal. a as 7 T _ if4aLLhayx n nnrif,P i manirisEcrioN I > mpier, dock, mooring pilings, breakwater, boat house, lift or sandb g set back a ci:stan„e of 15' from myass must be wish to waive the setback, area of riparian axes unless waived byme. you rtm initial the appropriate blank below.) you I do wish q to waive the 15' setback requirement.I slo nrtt wish to waive the 15' setback requirement. y e to Alr:Rivri Print Name "eel:-"eel:- ~„_ � Si a-5o 6 Tel Number With Area CodeCDENR N.druR.t-RniouRCER T . 1 • A T Name Of Individual Applying For Permit: r _ Address Of Property: e.. }4 -t- 6 Ua • a (Lot or Street#, Street or Road, City & County) I hereby certify that I own property adjacent to the above-referenced property. applying for this permit has described to`i ie as shown on the attached ra ngThe individual they areare proposing. A description or drawing, with dimensions, should be drawing ove development this • provided with this • _17 I have no objections J to this proposal. • v 7 o- If won have 1t T1fftlaci by (�PTTina+n ee ail I set b understand ackand that a pier, dock, mooring pilings; breakwater, boat house, lift or sandb minimum distance of 15 from my area of riparian access unless waived b �s must be wish to waive the setback, you must initial the appropriate blank below.)r rate y my' (If you ,,,t/i,V ; .. ___ I do wish, to waive the 15' setback requirement. ------ I do not wish to waive the 15' setback requirement. ---7------7-------7-- ------- 4/ I ri , 0.4_A- S gnat re • Date 4-Limato,... 6 cry ! �fF} o .�1 Print NameAlimminamik �.�lo-ado 6g _CD . Telephone Number WithArea Code �NHROfVy DCAROLI�bMNT OF uRAL R=50UReS • a . • -- , • 1 . — • • • • • • • 1 • • • •