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Home My WebLink AboutWilloughby '-� CERTIFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT P O 2211 5 A 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 L 1 6f C w t i\0 Uc to,..1 Phone Number `a 1 U (Q'S3- 32t)'� Address I ? t- �5 " 1,,J III itc‘1-,k- Tu(1 1 City TR1ofl , State Nit, Zip o7844(0 3 Project Location(County,State Road, Water Body, etc.) 13eu nsw,c - e o wY.-k 1 "-A 22 C o 6,et 5 hc-7-ct Type and Dimensions of Project �)e.,�,1 p',.-.-e— C4 x 5') C e� �d A-Y1 P, i )Py I (\c, &I)c L.. 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: V-c- U ) - c r & C�-r A r i . ' f t _.. I f ( 1 f t I 1 i A. �, , -. - -_....----..�..-_._.._-J-. . -_-L-- i l i ,I I ' •} i * Ei ' •vt - i ` W �}' 4 ,? 1 SO' %U 1.-1 .-;\d`6. L U T -_ k 1 l H i _i , i L . . 1 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 theT`" { 1 development. CAMA Official's signature The applicant certifies by signing this exemption that (1)the ap- I ` 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 V) t� 4 ` CO t� landowners certifying that they have no objections to the Expiration date proposed work. Attachment: 15 North Carolina Administrative Code 7K.0203 J,T,\IDL-kdAj • \- 1)5 w A1w , OD 4 -\a\a(‘ C, v1 IBC 2_`tc63 R to -GSB- ill Cob‘ot S� Zecch re_ \cfc cloc\L. ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY I Complete items 1:2, and 3.'Also complete A. Received by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. �e r,),-/ d 477 I Print your'name and address on the reverse • nature so that we can return the card to you. 1 Agent Attach this card to the back of the mailpiece, or on the front if space permits. X. 6 ` `i ❑Addressee . Is delivery addre0 r-.- •y nn 1? ❑ Yes Article Addressed to: If YES,enter de e�r a d e• • kiw. ❑ No \ o\ aur.\a P o C3an \S I FEB E6 0 6 2002 Gee ct 5 `eA, N vC 2 3. Service Type i4 groom 13e Certified Mail az Ex Mail ❑ Registered Return Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) ❑ Yes Article Number(Copy from service k 7001 0320 0005 9189 6326 S Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952 UNITED STATES POSTAL SERVICE "` Fjret-Class Mail -- - " Postage 8 Fees Paid LISPS f` Permit No.Gtr- 1 '1, Cc. - • Sender: Please arname, address;-and ZIP+4-in thisbox`•- GptCE CONSTRUCTION S� 6618 BEACH An OCEAN ISLE BEACH 90 NC 28469 (910) 67 ^ . DIVISION OF COASTAL MANAGEMEN+ ADZACEKT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM �a�e 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 �roposing . A description or drawing, with dimensions, should be � p�u Cl ej ith this letter. _____ I have no objectives to this proposal . ' . objections to what is being proposed, please write the �ivis�on of- 'Coast��l Management�'�27 Carc(inal Drive Extension, Wilmington, NC 28405 or call 910-395 3900 within 10 days of receipt of ±his notice. No response is considered the same as no objection if you h��s� be... ed by certified mail . ............................... ..................................................................................... � . .............................�.........................� ...........................�.................................�............. �� _........................................................................................................................ ............................................................................_...._.........................................._ WAIVER SECTION I understand that a pier, dock , mooring pilings, breakwater, house, lift or sandbags must be sat back a minimum distance of 15' �rom my area o� 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. .................................................................._____......................................_ ........ _____........................................_..... _.........._................... ................................___ ��-�� -�`�-��_�-._�_____�-� ___________________�______ _______ ___ _~ ��~~��' D� 7.E.. .......�.... .......... � ��......... .................................................�.................... «� � ��'��..........�........��.............................................�............... / elephone Number with Area Code ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3..Also complete A. Received by(Please Print Clearly) B. Da of,Deli ery Q�/� LEQo k16� item 4 if Restricted Delivery is desired. x Print your'name and address on the reverse II so that we can return the card to you. C. Sigthture I Attach this card to the back of the mailpiece, X snn ❑Agent or on the front if space permits. 444.442-r✓ ❑Addressee D. Is delivery ress different from item 1? ❑ Yes . Article Addressed to: If YES,enter delivery address below: ❑ No e eS'Vme n�5 auW.n.a r‘.9bti K-11 4 c 2_c3413.i- 3. ,Sery e Type IO C;ertified Mail ❑ press Mail ❑ Registered Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑ Yes ?. Article Number(Copy from service label) 7001 0320 0005 9189 6548 'S Form 3811.July 1999 Domestic Return Receipt 102595-00-M-0952 UNITED STATES POSTAL SERVICE First-Class Mail ciel , LISPSPostage&Fees Paid Q ^Es 4so ' o: G-10 • Sender: Please print your name, address, an;P+4 in i V i GRICE CONSTRUCTION 6618 BEACH DR. 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