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Home My WebLink AboutHuff ,p/;4 , i CERTIFICATION(*:-. OF EXEMPTION �° e`''""�c _Y 54�/'t , Sc FROM REQUIRING A CAMA PERMIT 5/S as authorized by the State of North Carolina, 1 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. -1 Applicant Name 4pe7i4 j � `h ,.r Phone Number ?to ) &t(.) - 6,00 Address yi 3 6 ShPE:f City vlr.re-7 f 3 kk State ri, '. Zip .aer 1/64— Project Location(County, State Road, Water Body, etc.) '7 .C." .¢nj-< 4 r�r.- •414-bi 644- *1 ( ivlso 1- (. Type and Dimensions of Project 6 ' ,3tj 1 KI 4 , vr' ., ) P (0Ac7'4 l u & 7/44-D i( �,.,n, )„ -0 o f jf el J 0 1 S[la-t l 4--ePt V 4, 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: / ' .201 ) ..ram lei At N —M 4&r C74/tiA f ,-• 41 v \ 3 / f��)kAkAt Lk' if�/ 4 1 -, C SSA �} L- �Any person who proceeds with a development without the con- �.�-.i7% Pi it/ L?.A/i///1'ihil sent of a CAMA official under the mistaken assumption that the Applicant's signat development is exempted,will be in violation of the CAMA if there is a subsequent determination that a permit was required for the ,,�� Oi, development. CAMA O ffcral's signature'" The applicant certifies by signing this exemption that (1)the ap- —'t 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 5" - //- y 1 d SENDER: • •Complete items 1 and/or 2 for additional services. I also wish to receive the N •Complete items 3,4a,and 4b. following services(for an d •Print your name and address on the reverse of this form so that we can return this extra fee): • card to you. 1 ■Attach this form to the front of the mailpiece,or on the back if space does not 1. El Addressee's Address 1 d permit. I •Write'Return Receipt Requested'on the mailpiece below the article number. ivp q P 2. El Restricted Delivery L, •The Return Receipt will show to whom the article was delivered and the date c delivered. Consult postmaster for fee. o ' v 3.Article Addressed to; 4a.Article Number a c tcxi�5 rltt" A) c c �-y�, Cse �1e� _ 4b.Service Type • J JV ❑ Registered El Certified 1/( (j I r)e .��t 1. � i l� l 0 Express Mail 0 Insured cc �► ►�^- 0 Return Receipt for Merchandise 0 COD a 7. Date of Delivery C z 20 - 1I ; D 5. Received By: (Print Name) 8.Addressee's Address(Only if requested i w and fee is paid) J It I. N 6.Signa re: (Addressee or Agent) o• X oc c......'IQ11 n.........1....1(VIA 1n9F0F_o7_a_n17Q flnmactir Ratiirn Rartaint • Vanwm S DOCKS & BULKHEADS 86 Varnamlown Road SW • Supply. N(' 28462 Sammy Varnam • 910-842-6007 Dear Property Owner, Varnam's Docks and Bulkheads is in the process of obtaining a permit for the construction of G b cat kbtGad • C1h1A requires adjacent property owner's signatures before permits are issued. Please read and sign the enclosed form and return . it to me as soon as possible. 11 you have any questions, please feel free to call me at 910-842-6007. Thanking you for your time, I am Sincerely yours, Sammy Varnam Owner • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM hr Name Of Individual Applying For Permit: Lance/ 0L Hatt Address Of Property: 413 (eit • Cr -#t 6€.-h,-ecti) SunsC.+ r& cir , N C., z lid (Lot or Street # , Street or Road , City & County) I hereby certify that I own property adjacent to the above- referenced property . 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 ovided with this letter. I have no objections to this proposal . If you have objections to what is being proposed, please write the Division of Coastal Management , 127 Cardinal Drive Extension, Wilmington, North Carolina , 28405 or call 910 395-3900 within 10 days of receipt of this notice . No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings , breakwater, boat house , lift or sandbags must be set back a minimum distance of 15 ' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below. ) I do wish to waive the 15 ' setback requirement. I do not wish to waive the 15 ' setback requirement. c:44-6:a ,-4r //,9 u f'd'x' � AA-S L• cc/ 2(%l" _ _ Print Name 3 7 E NI Y/o - 7 .r5`- `? o Telephone Number With Area Code P(OpO5a.a 60v14ciati 413 021 . tLfl5E4- 8 , WC d SENDER: I also wish to receive the 1' •Complete items 1 and/or 2 for additional services. followingservices(for an TO •Complete item%3,4a,and 4b. •Print your name and address on the reverse of this form so that we can return this extra fee): card to you. > ■Attach this form to the front of the mailpiece,or on the back if space does not 1.IDAddressee's Address m permit. 2.❑ Restricted Delivery■Write'Return Receipt Requested"on the mailpiece below the article number. 2 •The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. 8 3.Article Addressed to:- 4a.Article Number a /,� �(� 4b.Service Type ,l 3 q 3� d( ❑ Registered 0 Certified c N 2.6(0b El Express Mail nsured �"' � ❑ Return Receipt for Mer 7. Date of Delivery ,, 5. Received By: (Print Name) B.Addressee's Addr‘i fi7:que : and fee is paid) i /j s . 6.Signature: (Addressee or Agent) \N 1 1 PS Form 3811,December 1994J w 102595-9e-B-0229 Domestic Return Receipt ,. •--ate DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Pr Name Of Individual Applying For Permit : 111W&I& flArt Address Of Property : Z l 3 (C . ( �0. r n i r f) StjflSiL 13 Ch, NC gq4,11 (Lot or Street t/ , Street or Road, City & County) I hereby certify that I own property adjacent to the above- referenced property . 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. V I have no objections to this proposal . If you have objections to what is being proposed , please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington , North Carolina , 28405 or call 910 395-3900 within 10 days of receipt of this notice . No response is considered the same as no ob-jection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings , breakwater, boat house , lift or sandbags must be set back a minimum distance of 15 ' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below. ) ‘, I do wish to waive the 15 ' setback requirement. I do not wish to waive the 15 ' setback requirement. /te y—fr 02 V- 7 7' Signature . Date 1 • • Cc'://;aw. G. C/vain ,r► qer r Print 70 Name 8' E N y.s� a �8'�' Telephone Number With Area Code