King (7)

CERTIFICATION OF EXEMPTION
/ FROM REQUIRING A CAMA PERMIT CI- PS Po o1 15 A
as authorized by the State of North Carolina,
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 IP- Ili,-, ,r, Phone Number ti I D 281 --,)- ()
Address 4-7 c l� ) k ', I�t� R LEA d N (A)
City State ►.)U Zip 26410
Project Location(County, State Road, Water Body, etc.) Zr v IThs LA!, C k Cvv ^ A4, o I
1/3 4-1,64-', n r p, ne Sly r 11-.,e4Nr In n r u)
Type and Dimensions of Project '1,0, V s t��F s.,�,��— - 'tT p��,� �j Z'
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: Np T -�-� )
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Any person who proceeds with a development without the con � 1t..�tirA
sent of a CAMA official under the mistaken assumption that the Ap Iicant'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
development. ! CA icial's signature
The applicant certifies by signing this exemption that (1)the ap-fr Quo r<
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 I OU
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203

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Certified Mail _ _��
Return Receipt Requested Date:
Dear CNL, 1�Q��w� •
This letter is to notify as an adjacent landowner of Mr. /Mrs .
1(4,- plans to construct , cj , ,. __
on thier property, '�,„�-{-)aR., ,Y,_Lj,�A s9)(�,1 in 0070,r) 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 .
•
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 .
Signature
d o r i/2 ` n/ T-----
Date

Certified Mail
Return Receipt Requested Date:_V L2 `;l
This letter is to notify as an adjacent landowner of Mr . /Mrs .
C plans to construct C\ I
on thier propert �C� , :�e F v r(4?lJ� in _ - �eC
•
The sketch on the reverse sidb acc1irately 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 methcd 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 proj -ct as presently proposed and
have enclosed comments .
1-(/
Si.n:tur
I-If-i
Date ---- -------
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