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Home My WebLink AboutGarneay ---- , 'CERTIFICATION OF EXEMPTION Y FROM REQUIRING A CAMA PERMIT p C.1 U 21L Pt 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 environmentalvi concern pursuant to 15 NCAC Subchapter 7K .0203. Applicant Name -bob v[ A f (\E� A VA Phone Number `-119 510-025 A Address '7Cru1, G1,r\ c;wc-( Wor�c1 City A 1< 't State IQCJ Zip ar 7Cc1_'; project Location(County,Statee1oad,Water Body, etc.) �ru nSu)'I C I•-- Coo u.. .i. t 4 2- P,.,r.,4r.1 .� '-e_,:k nr- pt-rN ?S1_ Zr,,f1 r h , Or\4'M- M A(4,.-. 1 c ft Type and Dimensions of Project 1Wct..° iNi e-1 ft-e,dl f k.t 4 nc{ d u c k lc '5^1-ac A.,k rc_S uVt-r 'Pi \A-nca c 6 hem A.A3t I•.or', -- r a .\1 - .c:. "Tri.wy, (-)r rfs,i"1 Tr'k__ ""?..,' (\r 4r,. 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: Jul- - ) to - V\Ac.k>✓ Al 4 t-- n rive,+ % 1 g' c--to Pi- t c; � e., eel Lit IN W , W1{1 cr 4 7 Ott, scri tv 1 rMc! d,eraccrit-c. I .. shu rc V,f.c. 1 50 L 0-17- t \\c \\ S\.ore - 1', ,.c_.) `51^� 11 - C'y..i S l:r1 c r)t R[ 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 "^ \CV-\, Cc2, develo ment. AMA Official's signature P The applicant certifies by signing this exemption that (1)the ap- 1t 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 U Oa , c UO e), landowners certifying that they have no objections to the Expiration date proposed work. Attachment: 15 North Carolina Administrative Code 7K.0203 I 6b e)-(X1 n eau G\e,n6,6w .u:V\cl ea\n NC ` -1t0t3 q\q - 5 10 - 6a53 e-s,3 do C,\L rl -0ehdr 1 @j .ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY Complete items 1,2,and 3!.Also complete A. Received by(Please Print Clearly) B. Date of Deliver) item 4 if Restricted Delivery is desired. I Print your name and address on the reverse C. Si to so that we can return the card to you. / I Attach this card to the back of the mailpiece, x - CI Agent or on the front if space permits. 0 Addressee g. Is deliv- ' . ?!_ :P ? item 1? 0 Yes . Article Addressed to: ��_ rrr111 If Y .,ente every angreas• ow: ❑ No 1h \ FY\e nq 4 PR 15 2002 �1�t5 ShAet\;eA) D"- 1�1C2&Y -5 • W Certifi=• 110•4 •ess Mail 0 Registered CirReturn Receipt for-iihewliaarlis4 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes '. Article Number 7001 0320 0005 9189 6456 (Transfer from service label) 'S Form 3811, March 2001 Domestic Return Receipt 102595-01-M-14; UNITED STATES POSTAL SERVICE First-Class Mail 11 Postage&'Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • GRICE CONSTRUCTION 6618 BEACH DR. SW OCEAN ISLE BEACH NC 28469 (910) 579.9095 2o I��I�II��I��I��I�II��I� �� Ilitilesi(III IIl��IuIJsl�l epo3 eejV Ulm AeqmnN euoqdeIel __.................................._�-_______________--___________ ` C- �� .� � __ 7° ��~� �� 0 � �� ^^ �� J� �~ � �~ ' � emeN +u ! . ..........__ ....................._......... _______....._____......... ____ �� s�eO _... ........_.................... _ �/ _�_ - ' _____________________________________________________ ______________________________________________________________________ , ^quemejInbeJ j3eq4es �T eq� ex�em o� qs7m �ou c'p I -- `-- ' ^ , ^quemeipnbei zeqqas ,qT eqq exTem 04 qsTm op I -------- ( ^molaq Iuglq a4ejjdojdde eqq Iej4TuT qsnm noA ^qzeqles 644 e^ Te� oq qsjm noA fI ) ^em Aq pexjem sseIun ssezze ue1jedli fo eeje Am mu �+ ,gT fo ezuelsTp wnmjujm e Mzeq qes eq qsnm s5eqpues jo jf7 I ^esno'1 , qeoq QeqemMeejq ^s5ujlTd buljoom 11zop " jeld e 4eqj pun;sjapur � ' NOIlMS MAIUM ____________________________________________________________ ______________________________________________________________________ ^ ljew peTf14jen Aq pej + Tqou ueeq axe4 nn � f � uoTqzeFqo ou se emes eqq pejepisuoz sT esubd saj ON ^ez14ou s "q'! fo qdjezej fo sAep Of u!qQm 0062-962-016 Ilez AO 90%3 3N ^uoMM !� 6u0 "sue;x3 exjJO leuTpJe3 .L3T Oueme5eueW Mseo3 fo eoTsMTO eqq eqjjm eseaTd ^pesodoAd 5uTaq sj-4eqm o4 suMzeNo Weq/ WA A ^ Iesodoid sTqq oq saxQzaFqo ou e^eq I �/---- ^W44el sTM q4Tm pmpPxo4d ^ eq pInoqs ^suo;suemlp qqjm ^bu?meip jo uojqdTjzsap U ^5:Tsodoid ewe Aeqj quemdolexep eqq BuTmeJp peqzeq4e e;q uo umo4s se am 04 peqTjnsep spy jymed sTqq jof bulAIdde IenpIxTpuT eql ^Ajjedo�d pazuajaje� -e^oqe eq4 oq 4uezerpe Aqjedoid umo I qeqq AflInez Aqejeq I - (A4unoJ 1 4413 'peo8 Ao qaajqS qeejqS wo 4o-\/ -- --------------, �� -�� Yr r--- Kjjedoad fo sseippij CA------��- '- - :4Tmjed joA BuTAjddV [rnpTxTpuj +a emeN ' WHOA WAIM/N0I153IMlON 83NMO A1836O86 NUI8MIU lN3W30VNVW lVlSVOJ JO NOISIAIO ' . ' " 1 ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1, 2, and 3.Also complete A. Received by(Please Print Clearly) B. Date of Deliver item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. C. Signaturef p,//21—‘7A • Attach this card to the back of the mailpiece, y `,�l� ❑Agent or on the front if space permits. J // Addresse D. Is delivery different from item 1? ❑ Yes 1. Article Addressed to: If YES,enter delive r • ❑ No C� Cu to 1r6 n p. U. t3an 10\ I ZOOZ 9 1 ddV C ��\ b 3. Se e Typ �Q h�, � N IU VCertified 84' ❑ Express Mail �3 ElRegistered j 1.4,6111 ❑ Insured Mail 4. Restricted Delivery?(ExtraFee) 0 Yes 2. Article Number 7001 0320 0005 9189 6463 (Transfer from service label) 'S Form 3811, March 2001 Domestic Return Receipt 102595-01-M-14 UNITED STATES POSTAL SERVICE First-Class Mail 11 Postage&Fees Paid LISPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • CONSTRUCTION r;i6 18 BEACH DR. SW OCEAN ISLE BEACH NC 28469 (910) 679-9095 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM ��^ Name of Individual Applying For Permit: __��_�� .....___ ... � � Address of Property: ____�_��_ _/��........................................................ _____ �� (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 , p�ovided with this letter. ' ___ ___ I have no objectives to this proposal . _ - - I� y;au ]nave objections to what J. roposed, please write the I� vt �i`dn bfCd��t�l- Ma� �gennert� 127 Cardi �al Drive Extension, tom, NC 28405 or call 91O 395 3900 within 10 days of receipt of this notice. No response is considered the same as no objection if yo� ha�e been notified byzertified mail . — ...................._...................._......................................................................................................................... ............................ _..............................._......................................_..................................._ ..................._........ ....................................................................... .................................................................... ........................................................................................................ WAIVER SECTIQN I understand that a pier, dock , mooring pilings, break�ater, boat house�_lift or sandbags must be sat back. aminimum c|istance of 15' from my area of riparian access unless 'waived waive the �setback, you must initial the appropriate blank below. ) ________ I dp wish to waive the 15' setback requirement. ^ ` �`__ I do not wish to waive the 15' setback requirement. . ......................................................................................................... ____.....__________________................................................................_....................................._..... __�� ................._.............................� ....... ........�___�_=^_�_��_____.............._................... .............................. ~ � ��.............................. ��~��-��'��__________________ 7,rint Name ~ - _�-�_�_�-n��m-_��_c��_................................................ .................... Telephone Number with Area Code H ,o, f dueax-D aye .)-ap.Ae1 I` p ?zJo'. fV V -LON `-kx''g • \0-3S c