Browning (2)

1
,46 CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT 1 1 zoo
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 00% c �- yr o tj n i n '�
c; Phone Number y
JO J4..2..,Li 51
Address 1 v? 6-roue Si-f-e .t.
City kA( Ar tc 1 d State v pt Zip 2LKcoS
Project Location (County, State Road, Water Body, etc.) `P r n 5 w'i c (— < u w r\ AM i l�r
k0r1 {--r-e:e4 , ti vld c-.\ 1 �c k in nn- lhAdCl C -t 1
Type and Dimensions of Project k3 u t 11,-h;. \c Z \n r F n1— -5 U' L T
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: )
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Any person who proceeds with a development without the con- /K / 4/i
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
\ itA.Q0-4.___(2.a---
is a subsequent determination that a permit was required for the — Y`r1
development. CAMA Official's signature
The applicant certifies by signing this exemption that (1)the ap- ~ to ,
2000
Issuing date
plicant has read and will abide by the conditions of this exemp-
tion,and(2)awritten statement has been obtained from adjacent MRs-c�� 6 2(7U 1
---+•j•.•.... +h-,t thov havo nn nhicrtinnc to tho Fvni.atinn rinfn

P.NOV-22-00 05 :33 PM SHERMAN 782875E 01
I I :1 ; ;'i1•+� 6r. 14 a:AC1G19 4h GNEG H�LL:EN
-.-r416
ADJACENT RIPARIAN PRCFDRTY CWNER STATEMENT
FOR CONSTRUCTION OF A
BULKHEAD
hereby certify that I own property adjacent to
"!±i 5.4 1' ti y property 1oca:ed a; -- .O 1c� +Q b- 3e4C
(streeL address,
e ,
or a man made canal in the Town of HOlden 1°t no & =Ul7divislon)
Bescr, . I rave no Obyection to a BULKHEAD being constructed at this
iodation. 110'10
AaJacant diejeyte..er'L.-
natUre
praperty own f
k4ilt
Name please prLnt or type)
A'Jacent property cwner l/7 S 1 's
v► a t. eclAy
Holder. Beach, Addd es?
Hal/ i-pfrRs k.AgG-
t'=j Norm Adareg9
reACnerl il L 2 c'o;t7
City, Etat• 6 2,p
LAMA requires property owners signatures before gene_s1
permits or exemptions are issued, CAMA' s Wilmington Regional •
Office eddress & phone number is L2i Cardlr.al Drive Ext . ,
Wilmington NC 2S42S, ( 919) 395-3900.

f
i` •.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CONSTRUCTION OF A
BULKHEAD
I hereby certify that I own property adjacent to J g C k Ir-?r '-
property located at j 5 5 ' '54/-t%
(street address,
‘141e..--(444 on a man made canal in the Town of Holden
of` no & subdivision)
Beach. I have no objection to a BULKHEAD being constructed at this
location.
Adfacent property owner
S gn -e
Name (please print or type)
Adjacent property owner ) 1,3 5ahsC,-v,y 14 0114 Fri
Holden Beaccl Address
A/4E
Home Address
City, State & Zip
CAMA requires property owners signatures before general
permits or exemptions are issued. CAMA's Wilmington Regional
Office address & phone number is 127 Cardinal Drive Ext . ,
Wilmington NC 28405, ( 919) 395-3900 .