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Home My WebLink AboutAvant • CERTIFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT 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. F1 Applicant Name Kew V P�srF ` � C. l�L,t fJC�iN Phone Number j (c)S)OSOGO Address ,-1SOS CouNTry C-14 I'M City ....)t L..S't'"trn- 5•+4 L r State N C� Zip 27 (O 4 Project Loc tion(County,Stat Road, Water Body, etc.) 1 a e-1,, 'N 1-S r k Prti1 / N rrJ • ` Type and Dimensions of Project 1Z(t1..41.1+t:ary "SOS Lb 1r)L. ' zA V% Vi-tN 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 cMN) V'c { ‘KYCQ j (SCALE: I 't — p! ) / ►I a • - _ .}J -rt. ftt liftiOn I Sf. -t-a--r LcCo .-1, 1 --- 9E.C-14 (P r ! e tnllNG- w AtA, , PS M j WPC.Cad, r J Any person who proceeds with a development without the con- ...4.,.., ` sent of a CAMA official under the mistaken assumption that the Applicant's sigi 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 t ficial's signature The applicant certifies by signing this exemption that (1)the ap- ` � Q , 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 1 `- j O 0 L. landowners certifying that they have no objections to the Expiration date proposed work. Attachment: 15 North Carolina Administrative Code 7K.0203 r _._-• DU1VC/W MA R/NE CONTRAleroRS, INC ' "I• I ..-, \ (J/i<'ii/r, 1)1/fic: ' • 9/0:.7(i_t (5,78 ^ ,23 Chn,A•v/ck Ave. ^ Wibninf(ton. NC 28401 ASAIIK • �/ly,.� ✓ Q r' L%�7C �l?� 5 1 ti ,:-E.71, /1)h f /- /'"' t- `;paS�� !�u!lG�c4d 0 o : E1 c;11 • . b r ti . v v k. Ep`per v t . ° Pr°P d 43 v!/l hca . . _ — — v _ /Z . — • . J S/r�c7 /?/�r9 lC . DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: __1/1)L-1/es 2✓9/1C44/45vu4A Address Of Property: /7( /��,'G �/� /r �1>e/fc rg80 (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 provided with this letter. ( k• I have no objections to this proposal . - If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or call 910 395-3900 within 10 days of receipt of this notice. No response is considered the same as no ob-iection if you have been notified by Certified Mail WAIVER SECTION . I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set 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 appro riate below. ) _ P blank X 2C I do wish to waive the 15'setback requirement. I do not wish to waive the 15'setback requirement. x � tsi: Li 714, G' L G C i o — i -( /5mature Dat_ X S.4/:i4 it i. t90 Riio& /1'T. lfloRRgL,r al-111W %`RoPegetE.s c.L C Print Name X (9/ 9) 7,7,1- -7.1-s"F Telephone Number With Area Code I . DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: eAarle,S Ddr9,•64/417��A. Address Of Property: ///; Az/lnrr' 2?/vim . 4,9-1,401,7 Lobs. Brotei (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 provided with this letter. /110, WI have no objections to this _ proposal. - If you have objections to what is being proposed, olease write the Division of Coastal Manacerent, 127 Cardinal Drive Extension, Wilminaton, North Carolina, 28405 or call 910 395-3900 within 10 days of receipt of this notice. No response is considered the same _- as no ob-lection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, moorinc pilings, breakwater, boat house, lift or sandbags must be set 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. ) Alprat) I do wish to waive the 15'setback requirement. I do not wish to waive the 15'setback requirement. ' X-A3EP2..(? -&- i-q--4X24 alit; )1) ) i S gnaturftfL Dane X WAV Q • Y4 D t T 199i2es 0 A)/?ft7T Print Name �1 X 7t -a, Telephone Number With Area Code - • i • • ' • • 4 /Z 4A0141 G : '6r ' DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: C' ,-/�5 ��r., //w/e,,L)- Address Of Property: /,‘ `1 n ��. z2 .- Aer,yA/,svu jlr (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 provided with this letter. X k • I have no objections to this r 0 11 proposal. - If you ave objections to what is being proposed, please write the Division of Coastal - Management, 127 Cardinal Drive Extension, Wilmington, North Carolina. 28405 or call 910 395-3900 within 10 days of receipt of this notice. No response is considered the same as no ob1ection if you have been notified by Certified Mail_ - WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access linles 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. 7."2(0 I Sign- ure Date X �(�t()t.$ G . <<fLE 4S Print Name Telephone Number. With Area Code y 1 CAThri ogeis- a -ES