Stewart (2)

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.
Applicant Name l t~a r �,} 1, Kt Phone Number'•'1 I H ICE )D
Address �(A- C L A n(
City. (71 State it.)d Zippy ')'3 0
Project Location(County, State Road, Water Body, etc.) '$(N Os IA)•c K ( o U. eN' 4 , CobtA 5tr ct
Type and Dimensions of Project A C 's.S
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,� t lac �' 1,5 t. • d e.,rt : h o r tE
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-
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
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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-
firm andl2l a written statement has been obtained from adiacent r---11 LS A A I . U U 0

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
Applicant ' s Name M Q 0 tlfal,
Address Of Property `V3� COb‘q SUr e� \fc110l
Street #, Street/Name, City, & County(
Applicant' s Telephone Number '1\C\ --1-1 LD' '� 1-1
I hereby certify that I own waterfront property adjacent to the
above referenced property. The applicant has provided me a
drawing of the proposed development . Please initial the statement
below if you have no objections to the applicant' s proposed
development. Initialling the block does not constitute a waiver of
the 15 ' setback from the riparian corridor lines .
LW/ I have no objections to this proposal .
Signature Date
_ /7 /- o V/1/6 • 5 44 74 Z/4 d© i ems,
Print Name and Mailing Address
7,03-
Telephone Number with Area Code
If you have objections to the applicant ' s proposal, do not initial or sign
this form. You should contact the Local CAMA Permit Officer listed below
as soon as possible to register your concerns :
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
Applicant' s Name mQ 0� S�eWQr I�
Address Of Property A36 C o\:)\ 4. yS€-\ N:3ec c\
Street #, Street '<lame, City, & County
Applicant ' s Telephone Number \Ck (_p -.
I hereby certify that I own waterfront property adjacent to the
above referenced property. The applicant has provided me a
drawing of the proposed development . Please initial the statement
below if you have no objections to the applicant ' s proposed
development. Initialling the block does not constitute a waiver of
the 15 ' setback from the riparian corridor lines .
I have no objections to this proposal .
.( ;)0--G-er76 /69at,-, 2-a-e6/
422gure Date
it
Print Name and Mailing Ad es "/C 2_774 '
Telephone Number with Area Code
If you have objections to the applicant ' s proposal, do not initial or sign
this form. You should contact the Local CAMA Permit Officer listed below
as soon as possible to register your concerns:
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SENDER: I also wish to receive the follow-
o Complete items 1 and/or 2 for additional services. ing services(for an extra fee):
Complete items 3,4a,and 4b.
❑Print your name and address on the reverse of this form so that we can return this ai
card to you. 1 ❑ Addressee's Address •u
❑Attach this form to the front of the mailpiece,or on the back if space does not E
permit. 2. ❑ Restricted Delivery in
❑Write"Return Receipt Requested"on the mailpiece below the article number.
❑The Return Receipt will show to whom the article was delivered and the date a
delivered. a>
3.Article Addressed to: 4a.Article��u ber cp
��(/ 2- `- 5�� �` 213 r
10r\Cl e �`(—`•-• Vtu yy) 4b. Service Type / d
} ❑ Registered i Certified cr
21� C Pda rG, 0 Express Mail ❑Insured E y
\`-\S\-b\\ ern NC g'Return Receipt for Merchandise 0 COD
0
f —l0 7.Date of D l ery o
5. ce' eci y. (Pri ame 8.Addresse s Ad ress (Only if requested and c
co
it fee is paid)
i 6.Si ture(Addressee or Agent)
4
PS Form 3811,December 1994 102595-99-B-0223 Domestic Return Receipt

SENDER: I also wish to receive the follow-
❑Complete items 1-and/or 2 for additional services. ing services(for an extra fee):
Complete items 3,4a,and 4b.
❑Print your name and address on the reverse of this form so that we can return this a;
card to you. 1. ❑ Addressee's Address L
❑Attach this form to the front of,the mailpiece,or on the back if space does not
permit. 2. ❑ Restricted Delivery in
❑Write'Return Receipt Requested'on the mailpiece below the article number.
❑The Return Receipt will show to whom the article was delivered and the date a
delivered. .6
U
3.Article Addressed to: 4a.Article Number d/
�k< i 1At--vn Z ? ; 0B 12
/` 4b.Service Type � u
y, CO \:� luA'\IN 1—N ❑ Registered fCJ6ertified cc
rn
r ' \I ❑ Ex ress Mail ❑Insured j
`� ` IT N
v G n J V 1 1 Return Receipt for Merchandise ❑COD
o
-20 .1 S 7. Date of Delivery
o
5.Received By: (Print Name) 8.Addressee's Address(Only if requested and c
Avv r, I 41 �°6��r� fee is paid) co
6.Signature(Addressee or Agent)
PS Form i
1.'December 1994 102595-99-B-0223 Domestic Return Receipt