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Home My WebLink AboutBrannock CER# IFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT p O140319 E 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 C_d t&tl C\ 4- j C Phone Number 919 8 ?-3C IS Address '5;S.O1 •-;Su r\ 1 I AC 1- FueNci City ,.1n State Kii:__, Zip c'')(CIli Project Location (County, State Road, Water Body,etc.) P. ,.►,if,to.c 1_._,. " u,.r.i-. 14 j :jn k-k--(. €._ , . I, 14,)1r iv , �Z Luu) Type and Dimensions of Project ie.,,t} 1Zu 11L 1.c-r\c) I ,Anri t..)A- -ci r) f- PI 1r1 wei (Ard 5 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: IQ V T T ) .. .: _.. .__.......... .. ......_.... r,...... �.....,..._.._..__. ..- -_._ - .-- ----- - , ----7--,-- i f uc P; 'A = w A) 4 4� i, qr \► W , V v �u 1�- � d Tv te. 1.10c A -c. a-4 �_ _. ( 1,- ,- ` �_� , see i ' ' . i I Any person who proceeds with a development without the con- A-, C tN. ........., sent of a CAMA official under the mistaken assumption that the Applicant's signat e 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 UV 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 L4 t 3 , a V°e landowners certifying that they have no objections to the Expiration date proposed work. Attachment: 15 North Carolina Administrative Code 7K.0203 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) : Date 9(,a=' erg item 4 if Restricted Delivery is desired. • Print your name and address on the reverse C. Sig ure so that we can return the card to you. ■ Attach this card to the back of the mailpiece, D' ❑Agent or on the front if space permits. Q �W(� ❑Addresse< D. Is delivery-••ress different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No -1S e-t+y st;ke__ NO 3 -Brejrtonl Ct. w:1 rxf' neodi A/C alJY-0.3 3.it Type Jd Certified Mail 0 Express Mail O Registered 0 Return Receipt for Merchandise ❑ Insured Mail 0 C.O.D. • 4. Restricted Delivery?(Extra Fee) In Yes 4,-2. Article Number(Copy from service label) 'l Ooo 0�00 oo c 9ss7 goo PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952 UNITED STATES POSTAL SERVICE -v I L( Eiraxoa5 -if • ,19 �`� • Sender: Please print y• pa $, - dress, an11 I -►2Ai✓nEacK /SSD I -ossurn hI R . e_04 Wc-- ov04 ,� l,�l►11ti►,1►1l►,1��!!�l��i11i1��i,�1�►Il111st�11„��ll��i1�1 ' SENDER: 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. 3(S-CJ Z ■ Print your name and address on the reverse C. Signature Fc,so that we can return the card to you. • Attach this card to the back of the mailpiece, ❑Agent or on the front if space permits. 0 Addresse D. Is delivery address different from item 1? 0 Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No 1n I a-- Se_o N Po i I;"1-I- I o I B I4 rco( LRiooceS CCha,pel ; I l , 4c-- a.7S-1 L. 3. Service Type Certified Mail 0 Express Mail ❑ Registered 0 Return Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number(Copy from service label) Ion° 676.0 00a8 qssY eve PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952 UNITED STATES POSTAL SERVICE. ss\ Y First Class Mail— ,,T i{l�a ` (( ; � Postage 8-Fees Paid if pM `�a PermSt No. G-1UJ • Sender: Please print your name, address, and ZIP+41n this box •• /5541 To s 5 u rK �ie,4e_k led . -Rate ,9k, AI C.- Arl 4- / 70�,Lq,.+ •30,7.c, I„I.i1,,,1,►1,,,..10.N.Inil,,I„IIifluittuimiinii:i ,01 9:86RM NCDENR WIRO NO.828 P.5 DIVISION_OF COASTAL MANAGEMENT , ADJACENT RIPARIAN PROPERTY OWNER NOTIPICATION[WAZVER. FORM Name Of Individual Applying For Permit: 4J7 Zt191. .f./06//� Address Of Property: 114. 0 4 (Lot or Street #, Str t 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 ma 'as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, ► • should be. provided with this letter. / I 1. I have no objections to this proposal. • ► If you have ob'iections to what is beinc uronosed , please write the pivisdon of Coastal Management, 127 Cardinal Drive Extension, Wilmincton, North Carolina . 2840.5 or cad1 910 395-390Q within 10 days of receipt of this notice. No response is considered the same as no obiecti.on if You have been notified by Certified Mail m WAIVE; t JECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift must be sat 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 r1ot wish to waive the 15'setback • • 1 Signature . Date Aipe e) Print Name t 19) 5�Iz s�s-Z:j E NI FR Telephone N mber With Area Code __-'• ,-.., 44 / ly .s-/ / . • . -----H S117 / 7 _ r '- ',-... • ! _ 1 . . . ... : . .. .. s- __ yj,//t. i . -' ' -.- - al_tr 711-1-S1 -- -- • i . c Yii/ } ?to a 1 . •— . \-- ; . •i ' 1 . :t . • . t . - , - . i • .1 . 1 >V2 --.,n'7/k/-1".6°V17/ _._ ;OX 1 ;;'• - 1 i .•—• -----,, .„. . L-----L---- __._._------ ------- , -,..„, . • , . . . . __ .______. .5-7 ,)•E----6/3& - Z /A l' -- . .__ ___.___ • /5z..e 9 7), ,'/-;Y7Y.Y1 ----- i -_- ..,z• , 0-' 4/ a/, ,77 1,/.., ,7 5_s if, y 0 5'S ....---' •_.., '....•• , ---, , - ....___ _ y • A