Roper

CERTIFICATION OF EXEMPTION /11
FROM REQUIRING A CAMA PERMIT P d'--12q I @ p
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
P,. in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Ttuff.P.,
Applicant Name ? ,}p ►2upc it__, G6 rc n►► setzer sr . Phone Number B 213 -758`22`V2.
Address 1 u°14 R b,Af\ \ i?cAr1 -1 2- V rr t n�r+ ce, t
City \_. r' ",,',r n , 1--(' State Zip zA 6,1.1.
Project Location (County, State Road, Water Body, etc.) $r a n��),,tr k_ Fl �� n
GiLA Monroe 5-K� r. , ore S'ste - 3 irk r MC f� dcJC nA
Type and Dimensions of Project 11
Les 4\A-r% 5o q„ vC 4 re , s u r 4urC
Qn.,rr.,i-1eC t,:. ►0 tempuc_J Run- f 0,-4‘0VnA \, d:.irltc1ai.fd 1ooA-t t. r ,s+y0e i-tLire
, c 1 zc-c 628 - -
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: ' )T --ri. )
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Any person who proceeds with a development without the con- li•- �`=�
sent of a CAMA official under the mistaken assumption that the Applican's signature
development is exempted,will be in violation of the CAMA if there 1
is a subsequent determination that a permit was required for the ' A)• �n -
development. AMAial s sig ature
The applicant certifies by signing this exemption that (1)the ap- Issuin `� t a W I
�ate�
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent a 5 I a oo 1
landowners certifying that they have no objections to the Expiration d to
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203

Certified Mail
Return Receipt Requested Date:__ \
Dear ill* W&C.Kut vo, •
This letter is to notify as an adjacent landowner of Mr. /Mrs .
plans to construct Ct ��, � ‘N A ----
on thier property, 0\ ���y��s�gk ��� in tip �Z0- e _ g_•
The sketch on the reverse side accurately depict the proposed con-
struction,
Should you have no objections to this proposal, please check
the statement below, sign and date the blanks below this statement
and return to: Grice Construction 6618 Beach Dr. , SW; Ocean Isle
Beach, NC 28469 as soon as possible .
Should you have objections to this proposal, please send your
written comments to: NC Division of Coastal Management 127 Carinal
Drive Extension; Wilmington, NC 28405. Written comments must be re-
ceived within 10 days of reeceipt of this notice.
Failure to respond in either method within 10 days will be
interpreted as no objections . .,
Sincerely„
I have no objections to the project as presently proposed
and hereby waive that right to objection as provided in
General Statute 113-229 .
I have objections to the project as presently proposed and
have enclosed comments .
e6f/Y
Signature
-.- ----------.-_---------
Date

Sme, D N
' `) 1\ pv,cywooc)

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 Delivery
item 4 if Restricted Delivery is desired. ! — -U
• Print your name and address on the reverse LFr. i :--
so that we can return the card to you. C. Signature
• Attach this card to the back of the mailpiece, CI Agent
or on the front if space permits. X`. �� '`
D. Is delivery address different from item 1? ❑ Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
F
1-0UlUhc\�n°rNC"' wn
\ Cio ,-Q 1`k<
_ 3. Service Type
T2 L V Certified Mail ❑ Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number(Copy(rpm service label) .
PS Form 3811. July 1999 Domestic Return Receipt 102595-00-M-0952

UNITED STATES POSTAL SERVICE First-Class Ma l
111111 Postage& Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •-
G;RICE CONSTRUCTION
318 BEACH DR., SW
OCEAN ISLE E3EA b•I NC 28469
[phone]

Certified Mail
Return Receipt Requested Date: ��
Dear1Aj aY� � •
This letter is to notify as an adjacent landowner of Mr. /Mrs .
plans to (construct Q c),cu=1 ujLi ecr/
on thier property, (-(-VA- `11� \6A.te0-F ���L in ia„Y� Q_.
The sketch on the reverse side accurately depict the proposed con-
struction,
Should you have no objections to this proposal, please check
the statement below, sign and date the blanks below this statement
and return to: Grice Construction 6618 Beach Dr. , SW; Ocean Isle
Beach, NC 28469 as soon as possible .
Should you have objections to this proposal, please send your
written comments to: NC Division of Coastal Management 127 Carinal
Drive Extension; Wilmington, NC 28405 . Written comments must be re-
ceived within 10 days of reeceipt of this notice .
Failure to respond in either method within 10 days will be
interpreted as no objections . t.
Sincerely„
WC1/1\-Aq )171).}4-
I have no objections to the project as presently proposed
and hereby waive that right to objection as provided in
General Statute 113-229 .
I have objections to the project as presently proposed and
have enclosed comments .
Signatu e
1//// PI
Date

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