HomeMy WebLinkAboutBrown (9) CERTIFICATION OF EXEMPTION \Z".
FROM REQUIRING A CAMA PERMIT 3 PS p (oo o L
as authorized by the State of North Carolina, --------
� 'u 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. ' I
Applicant Name I--- Rif t� l—"-)r" o (, )n Phone Number a.,_ ci 2 L(C ?
Address 10 (e) c_ke-., l it ,.,`
City c, b r State Zip7� IO.
Project Location (County, State Road,W ter Body,etc.) ter u �5 ICJ c 1-- ( emu , 5, A
`-hr ,1,t N Se' r r► r - c�c , Oct Loc& Laced - lr, L' .1•J r- C hf e i
Type and Dimensions of Project N ' h u\\ --�G'''far^i , \ '.\) t Ck QC UicA I f'rT-\U1. a
r-\t r' t'- (' x,5k ‘ ^r1
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: NUT I c )
L.00 ki00d ic) 1IA
Fay.nTI
V
f _. ,_..__ LH:-
\)- __�_� �... IL.� . .� _ a--
____ r- i
QD
v
'
Any person who proceeds with a development without the con- ik, L,
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
development. CAMA Official's signature
.mac. jv ) al c� UUU
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-
tion,and(2)a written statement has been obtained from adjacent Gw,,-,x 3i ,(0
- •
iNJI—I Q epos <ssY LjzTry ssqutnN wucudsTs;,
IMINEMIUMINIIWr
apmeggr Sg s;reN ZutZtd
s 0zn_eu5.g
kin&
•Zusmsa.Tnbsa xoeg4as, st suz anTvm oz ustt %ou b; I i—'--
-Zustue:Tnbea xoVq;es ,ST e42 an r QM oz usTA op
xueig szQTzdosdde st;Z TtTZTut rerM noA ' ( 'MoIsq
Xzvc. ItustI noA 3:) *OMIq panT'm sssTun ssaooe uetaedlssnzsM a;
}= ;o vsae Am mos=
, st ;o sou;Zstp mntuTutm a hosq Zss aq zsnw sbegpues ao ;TI '?snot
Zeoq 'asgerxes_q 'sbutTTd butzoom 'xoop 'avid it 4eu4 Pue4saspun I
xoIzo2s XZ&IA
!Teri ps fiT,.%ez nq peT;T;ou ::sac 0ne14 non t? ucTrteigcs DO st
n
01 006C-S6C 0t6 TtgD -%6 So 8r ' g oze
I 0 a..�ut 4+oH ruo,ou;cT;m
•uoTsui x3 sn:z: r4uTpae0 LZt • `::s.:ia:.eueW Ti sec0 ;o ud'Zsz,Td
sua $aT•A isrtstn 'pis000zb 3uTeq s: zyum 64 suo743• .go *Ain; non :Z
• Tesodoad sTt4 04 suoTgosGgo ou sneu I
.asZZsT stuZ uZtM pspTncsd OCT pinous
'suotsusmtp uitr,. 'bupeap zo uot4d7aoswp y •butsodoad wait nsuZ
Wemdotsnsp suZ bu'r'ezp Pol4z1=e sttZ uo uMous Is sm oZ psgiaosep
Seth Ztmted stuZ zo; butAtdde TenptnzpuT sty -A4zedozd psousaw=as
..snogs *44 04 qusoeipe AZasdoad umo I 41m4 414aso Agszsu I
(A4uno0 3 A4t0 'peon ao assazs ss2S ao ;o'I)
A 0 (7 ..T - 975 4 n :R;asaosd 30 sssappY
1'1� s t :4Tmzsd so3 buTAtddY tsnPtn?PuI Z0 s:IIet
ybd �t3[tIYt1IH��'3Ld30 0t 'I�13.'�.W .OS aN ISII i �dIT Zt NCrav
09/27i2000 14:49 9106E69590 R BRYAN CO PAGE 01
eyiwirA100 16:49 91084 9806 GF!EG HOLDEN
a PAGE 01
•
otaraLIZZLV2ASTUaltarArtivatiaujusihnoulamsaagm'
Name Of Zndividual Applying for Parwaoit: /��i ,Y/PWfr1 .
Address Of Property: .
(Lof or Street 0, trset r oa ity oSin y)
Z hereby certify that Y own prepsrty a i acent to the above-
referenced property. The individual applying for this permit had
described to as as shown on the attached drawing the development
they are proposing. A deseripltion or draining, .with dimensions,
should be provided with this letter.
t..-""'--� Y have no objections to this prs�posal.
v - • - - - 1 -
- • 'cline, 2 s as Z ' 71-
a a QrlYa Z't`� ."4
• r2. r3l;dared A04 >a:
mr
- ix ' z
I understand that a pier, dock, mooring pill s, break ,
house, lift or sandbags must be set bwrk a airliwmdLstanearofbll' '
from ay' area of riparian access unles:i waive byme, 'r� (
toy waive the setback, you alms initial t►e a {it e blank
below. ) appropriate blank
2
.......„ I do Wish to waive the 15's.tback requirement.
•------- I dp not Irish to waive tr. 15'sstbeok requirement- `
.40,°°1 4 1 0!7
E tors ..,�...'
p=Wit cams a .f Ihv.eio./ �K yq.✓ ,� . ATIrA
qia- A �=
•2 . 4D on. Number a re• o . INS