HomeMy WebLinkAboutLong (10) , r- CERTIFICATION OF EXEMPTION
N.,
4 ,,,7,..... .y.—
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.
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Applicant Name J.g `tc . ()UlrL3Qc^ tL Phone Numbe iID� 2.S7o
Address ./7 i�ee .S _ 1- 1/...� . 52, rSl_to►-,2C
City -J i l_..►-,.. ei.. 47.1%,, State iJ C Zip 2$4I
Project Location(County, ate Road, Wafer Body, etc.) SkmQ. r A-y -I'b
f` 'S C' ‘-of--, QQ / 1..3,E-oJ Ir+ r Lo , 4
Type and Dimensions of Project 1-- r , v-rer, a iOtA 11tN-e Atj.n-- m 4t-
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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.
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Any person who proceeds with a development without the con- \ '\_. �nl
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 the �� 1
development. CAMA Official's signature
The applicant certifies by signing this exemption that (1)the ap- Issuing date
plicant has read and will abide by the conditions of this exemp 'Th-
tion,and(2)a written statement has been obtained from adjacent - 0 I '
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244 DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER- FORM
Name Of Individual Applying For Permit:
Address Of Property: 1 -1 ,�
5 iJ u./CVN
- l-•v \Sl.ar.&
(Lot or Street , , Street or Road, City & County•
)
I hereby certify that I own
ro ert property adjacent to the above-
referenced
property.y. The individual applying for this
ermit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimens
should be provided with this letter. icns,
I have no objections to this proposal.
•
If you have objections to what is being nromosed
Division of Coastal Management 127 Car ple=5e write the
Wilmincton North Carolina 28405 or calldi
Drive Extension
days of receict of this notice. No resnonsegis considered 10 thelsame
as no objection if you have been notified by Certified Mail same
WAIVER SECTION
I understand that a pier, dock, mooring pilings,= P � g breakwater, bc�t
house, lift must be set back a minimum distance of 15 '
from my area of riparian access unless
waived by me. (If you wish waive the setback, you must initial the appropriate blank
I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15 'setback requirement.
•
Signature
q.t.) CC4Thte •AIWAPrint Name
Telephone Number With Area Code H N R
.. _�. .V r a...si„Marina rrw,trgrtnrs.LLC
Sep 25 00 11 : 14a p . l
i
�671 Date 97' 'fin, Page;
Post-ir Fax Note .L'-
e ver ry to ,,I, : "Boy ^ •
TO'SA.r... SO�sa •
.
Co.DePt - 0. ;—,4A -r- A!n,lati• ,6: I 70AST'L M�.NA0!MENT
Phone= K�C` �15 Nn �e: OFiN:P NCTI F ICATT_CI1!A-'y_I v EM. 'OR'1 ..
lam F of ) 7 0aG I
Name 0f Individual Applying For Permit: s�io� �c r,q
Address Of Property: -1"1 � .. S o,.- ,
\~ c•\.y -G \CIx'c\ \\
- (Lot or Street #, Street or Road, City & County)
T he:eby certify that T ow-:; e ty adjacent to the e.ove-.
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the ve l cp rent
they are proposing. A description or drawing, with dimensions, •
shcu:d be provided with this letter.
I have no cbj ecticns to this proposal.
•
•
If you have ct-iections *c whet is 17,einc crmTlosed . tlee_e write the
Division of Coastal Manacerent. 117 Cardona? Drive Extens on ,
W_: noton . NCr `! Ca-,-line . 28405 or Call 910 35_-3900 within 70
day! of receir`_ of this notice. No resoonse is considered the same
as no c.c'ec-ion if vcu have been notified by Corifje,d Mail
•
Ar7 Z SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift must be set back a minimum distance of
from my area of riparian access unless waived by me. (If you wish
to waive the setback, you must initial the approcni_t= blank
'below. )
I do wish to waive the 15 'setback requirement.
• 1 do not wish to waive the 15'setback requirement.
•
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Te'_eo .one Nunoe Witn Area Code