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Home My WebLink AboutPeake 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. Applicant Name f kLl c I�e-A _, Phone Number `))��3 7I @ 5(o i 1 Address or 5-no <- -, : e.. �r'l l(' _i City ('v 1 u rr,� k ,4 r r State Zip Project Location (County, State Road, Water Body, etc.) Pr urtt.j ,,c 1� ( c ,-,, iCza �,e- k r, n�" .jl i \ , . . .i \ t.'--1-...1 1 .-, ., i1 f\r\r1 d f (_.-N t''1 R\ Type and Dimensions of Project UA 11 hc li s Kt- - •jP(w,P.J ,r.‘rev-..es T---, 00 t,)F111 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: ----- i - f — , fix►SI k ^rl i _I I - -i j • Y S z I _ _ New,► vi f\ \1 �(\ see: nl try pn e-r,t` 5d w 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 .--Kv-\ — C____ is a subsequent determination that a permit was required for the I development. CAMA Official's signature t-� 1 'M, C i UCH 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 F.. —� I. '01. 05 2-11 lt landowners certifying that they have no objections to the Expiration date proposed work. Attachment: 15 North Carolina Administrative Code 7K.0203 'I- NJN�Q zPoJ aa�d �i?TM `aaQL'ilf� �cL10vQa u at � ` �' $ rafra 2'L 2 t�I -ti.T.z d o =. V - O� of 4 - • uaza-c Tnipaz )f -*�S02Q- - i S L 'v:FQ aA}2M Li O� us:cm LIM TO Op T _______ • 5iS'1 au; aA72M on USTM Op y n01t _ "ct.'.I Aq iaAT2^; L 01 }i02,,, .aS ._�.'± aATn+. pq C L =0 aOr;-) _O n^_ a l :1 SSa.oc up. d7.. _ I;T ' 7;-�2N U r }u 2 };O2Q ;as aq ; _}`r ?�2 .c- =O =a=2 Az snowy `T �i ='•�Q 5:i_i LTQ 5i- oOT=T '}.nop _ - �= 1 �punpu .aT� 2 "��_T �::'c� ��ap::n _T • • ai`r_ ` l =isi pa==}4_i3J AR 'uaT_T4ou L 0 L c` , paw=p}SUCO 5T aSUO^Sa.: oN •ac 0,ou`j =i ii0 }-Oa -z 7 Ou S? • UGLiT44 _Tm 25E 5 T l2O LID cO EZ T` _STUD, _ o O_K _O S_2p _ -X.1 =A c-iQ L=:,;T p� 7 , _ ^`_SX O^'c0 �-:.a01� i:O= La paSOQOiQ �:.iaQ 5 i =�i:^ 1 =?00 O i:0�SiA-� . - .i Ot Si.iO;;.OaLCO aA-T-I nvA == • • • TSOQO_zq STi:; o. SUOT;Oa['?O Ou aA2u T • 2 Si,I l7 =?.i aTTr- _ 'jT_=_ S L U1 '�-M TLiaLdO'amT =1, M B`T}A 2. p _zo u0}ci}-'.OSap �_ uTso O.ZC� aQ p 1110:75 1 Q; 5UTM2zp a'. 'emu TSui o ^ -2 A=u, s'N52t� TTrr,_zaQ STu� SOT u VO2T=2 a={T u0 LIMOuS 52 aLI = c -� q u� O T : = Bu �dd 12npTAT.puT sqL •Agaaac.zd p a^.i=-TOSap q2 a' T uaO 2 A" ..zac o=ca LIMO T _2uQ _ O- _~a- a z �3; �a0 nca . a i • °h -moo - �= � / - A -S -s -,_aa-�,g -.TO -+ o off) • %in. Tado-za -O..SSa-=;p� "? :;z=zad �03 5uTn I dd T 2npTA:pui _O amaN . ,�,t �03 c_�=Ohl/li02LT�OT - - . ni 1 V"StiOJ dO NO-STATQ • • ( / L K C DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM hi 1 Name of Individual Applying For Permit: //� �u .eP e.c Address Of Property: // "" '� Ale /61eN epac/� /Y . . (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_.._ ._ If you have objections to what is being proposed , please- write the _ Divisions of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 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 , lift or sandbags 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15 ' setback requirement. Signatpre DateCant(s We/k/1 s • : ' Print Name it( • a�� HNF =I Telephone Number With Area Code 5,2/ "itty _ ®8 bc7 s c1 o &(2 ` 7 7vo52'- 'y ordiv /II )1 _ Ai:rays PICA l ~ J 05/20/2002 22:3E 9199676209 MELLOTT COtITRACTORS PAGE 01 Lk)uVI DIVISION OF COASTAL MAMA EMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name cf Individual Applying For Permit: t / e s', es- Address Of Property: /4;3 /4/Y 4jkr Sr 111 44.22P1 3 4c=tt u/VS4✓Z i' cp. (Lot or Street #, Street or dad, City & County) I hereby eartify that I own property adjacent to the above- referenced property. The individual appyinq ter 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. If you have objections to what is being proposer , please write the Divisions of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 , or call 91p 395-3900 within 10 dais of receiet 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 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. ) I do wish to waive the 15 ' setback requirement. I do not wish to waive the 15 ' slatbaok requirement. LA ture Date ,eraer7r . . 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