Hobbs (3)

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
0 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. ( >Pvf)
Applicant Name NAe 0 tl-o 6 63 ("A, c 4 /ES Q ,::r,t Phone Number, 9/u) J 5l'- 30 Sao
Address = `/U tv. 6,0,4 I) 5-17e-et (-
City SoiA'rk.QRn P;,ve S State VC Zip 32 i
Project Location(County, State Road, Water Body, etc.) -4',
0 __slAfe- Ar; -ir►4-D-e c 9 I , //z?,urr1%.2 '('�.) , ,
Type and Dim sions of Projectjl ;c. e giA /f ,,( v q8 ' 1,4A- .vvtrP 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: )
i - C1MA VA'"
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»,3' 3-) S ' 38.31
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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 Applic 's signet re
/
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. CA icial'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-
tion,and(2)a written statement has been obtained from adjacent (v- `(- S CI
1-,,,-I„1.,nn.o ro rfifvinn that thaw havo nn nhiartinnc to tho C....i...fi..n'l•sfn

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit:
Address Of Property:
(Lot or Street #, Street or Road City'
& ount County)I hereby certify that I own property
above-
referencedproperty. P P tY adjacent to the 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.
4czhir (--44Z14___
have no objections to this proposal.
If you have objections to what is being broposd write
'vision of Coastal Manacement 127 Cardina rive E tens ion .
d
Wilmin on Nogtrth Carolina 28405 or call 910 3gDr3900within
zvs of >Jt recei of this not . Noice res>7onse is considere 0d the same
as no ob 'ection if you have been notified by Cert
ified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater,
house, lift must be set g kwate_ , boat
from areat of riparian back a minimum distance of 15 '
to waive the setback, you accessmustn initialess s the ed yappropriateppyou wish
h
below. )
blank
I do wish to waive the 15 'setback requirement.
I do not wish to waive the 15'setback requirement.
I
Sic; u e �� «� �
Date
4,6„Pri e �, ,
Telephone Number With Area Code
Overbeck!Pippin Marine Contractors,LLC
P.O.Box 716
Wrightsville Bach.NC 28480
n 1hs it&WWI

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER, FORM
Name Of Individual Applying For Permit:
�- Z:r -i
Address Of Property:
c---\ Z .
(Lot or Street #, Street or Road, City` unty)
I hereby certify that I own property
above-
referencedproperty. P P ty adjacent to the 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.
•
If you have objections to what is being proposed please
ivision of Coastal Management 127 Cardinal write the
Wilmington North Carolina 28405 or call 910395 39 Extension .
days of receipt of this notice. No response is00 within 10
as no objection if you have been notified by certified
considered M the same
tified Mail
WAIVER SECTION
I understand that a pier, dock, mooring Pilings, breakwater, boat
house, areat of riparian c back a minimum distance of 15'
fromto waive the setback, access unless waived by me. (If you wish
below. ) 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.
anature2c) „ r i
(, A N&e L c Date
Pr 'nt N me ,
" /c-' G G -moo y
T lephone Number With Area Code ID NJ I=1
B H
Overbeclk/Pippin Marine Contractors,LLC
P.O.Box716
Wrightsville.Bach.NC 28480
,nniu vr'

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