Sands

CERTIFICATION OF EXEMPTION
FRE A CM
as authorizedOMR by the StateQUIRING of North Carolina A A PERMIT,
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 E-RITI.W- Vt.a Phone Number C(;43)S a a 4000
Address i 10,0 a r-te, (O O C)
City , State V Zip �Z 20
Project Location( t , State Road, Water Body, etc.) LOT* ID— OCf r., , I_ A-Lan
n FALL.
J �+e,,..J ttnJ o r
Type and Dimensions of Project t I LI t RAP XS f w t«{' �J�-O S►E3tR.Q.
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 AL W (SCALE: 1" < ; 3 ©f
4,,
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lot 11.1 k- . I d
SPCt.1�s
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the Ap icariL'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. CAMA Official's signature
The applicant certifies by signing this exemption that (1)the ap- O
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 ( k �'— - © V

Sent By: Sands Capital Management; 703 528 4001 ; Sep-5-00 2:24PM; Page 2/3
Neceived: 0; 5;00 71 :45AM; 30�. 345 3325 -,. 5ana.s capital Management; Page 2
09/05/00 TUE 10:30 FAX [phone] TIOMAS P HARONEY L C IejOO2
Sent,By: Sands Capital Management; 703 628 4001 ; Sep-5-00 10:S2AM; Page 2/2
DIVUT=_CE CO?S2AL i"7tNAG',� •..
n?ACBNT RSFAR� N �g0>PEAZ'v �S TT iVCTIFrcn�ION WazvES Forty.
Wane Of Individual m
Applying For Pe, it_ TZ.Zzt, _ f iy2Ar
Address Of Property: Gr/A- 4't C7C�f'G'� 0c,eis�____/7- Fes .
- (Lot or street 0, Street or toad, City & Count>Sr)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to roe as shown on the attached drawing the development
they are proposing. A description or drawing, with dimnnsicna,
should be provided with this letter.
._/K. I have no objections to this proposal.
If you have objections to what is beino br000s_ed. ple;, a writ* the
L vision of _comet.el Manaaenant. 1.47 Cardinal Drive Extenelor,
A7 lIn}poton. Forth Ceretine a$405 or Cali 910 _3211900 with„ n _10
diva c hisf receiflt of t notice. No rtstonse is ��n_fdered the 'ame
as. no obiection„if you heve been r r jfisd _b i Certified Mail
wAI P5teno*
I understand that a pier, dock, mooring pilings, breakwater, beat
house, lift - 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 multi initial the appropriate blank
below. )
I do wish to waive the 15•setbeck requirement.
I do not wish to waive the 15'setback requirement.
}
ediallike - mob�!-.+M_
Signature . __ Dat----__ Al, • A
Printltir
Narna �— _
Telephone Nuiaber with Area code
6tarbeC .0
C]o.�rtieeltf NC

Sent By: Sands Capital Management; 703 528 4001 ; Sep-5-OC 2:25PM; Page 3/3
ne,.eivau: '/ fuu 1U:�3AMg 910 692 0550 Sands Capital Management; Page 2
07_21_00 FRI 10:16 FAX [phone] Centre K'. Holmberg 2CO2
•
PIviSiON OF COASTAL MANAGtnENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit: Fr2V7 57 i6e
Address Of Property: 42. OG•bjI A_C/yt�- 'i v e
/
(Lot or Street I, Street oRoad,�/City & coanty)
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.
?/ I have no objections to this proposal.
•
f you have objections to what is bernc t please write the
Division of Coastal, M,anaaement, 127 Cardinal Drive Extension,
Wilmington , North Carolina, 284Q5 or call 9lo 395-39C0 withir, Ib
jlzvs of_receitat of this notice. No resoonse is considered the sere
as no objection it you have been notified Iv Certifies Maxi
ABIDER ScCTIDN
I understand that a pier, dock, mooring pilings, breakwater, beat
house, lift 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.)
A Y /T I do wish to waive the. 15'setback requirement.
I sto not wish to waive the 15 'setback requirement.
•
�r� 6 0
Signature C to
Print Name
rD ! iFR
Telephone Number With Area Code
•
owsber.0 Pti,ck 6Coase �*
Wf Iw l k NCB
(910)2501X2