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HomeMy WebLinkAboutGirone 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. A6E1.ST Applicant Name k.e C/o t- S r r) a r i N C Phone Number cite) ?S C.3O6 a Address 2.4 : A Nny V0( 'sr T- I C-�, 8 t�a�0 City '� ►,� i► . + State N C_ Zip -zs 4-as Project Location(County, State Road, Water jBody, etc.1 ,.,,e iSf k' Ft a N tkJ t-- w Type and Dimensions of Project (mid 6 c�-t e ke>Q — A$pu n'- - W L-A-fJ Dk13ro (t. (� -T L J rL)'p.S The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration, quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary CAMA permit requirements does not alleviate the necessity of to continue this certification. your obtaining any other State, Federal, or Local authorization. SKETCH (SCALE: 1 L; Z4 SAD ) _P-r COI co..)e) 10$ A �6/tt7 ;aal_. 39Y2. 4 X 4 4 J. Pik ti` _- A- L- Any person who proceeds with a development without the con- 6)60-'1 sent of a CAMA official under the mistaken assumption that the Applicant's turn (" /-.1— 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 Office l's signature — a-- °I 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 �l _ CI tion.and(21 a written statement has been obtained from adjacent 4 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM Name of individual applying for permit /1/i7(& h/10ti Address of property �7 Ar✓tJ Ph°6-rdv 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 of notification. Please initial below if you have no objections. )t rA/[ 'dam�kfr RID A-.7"-- (' eAirntr/7- 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, N. C. 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 p dock, mooring pilings, breakwater,boat house,lift or sandbags must be set back nimum of 15' from my area of riparian access unless waived by me.(If you wish aive the ack, you must initial the appropriate blank below.) �- I DO wish to we. a 15' setback requir ent. I DO NOT wish to waive the 15' setback requirement. ruti. Signature & Date /4%/is Print Name 9/P _,2/6-- 9 4/ Telephone Number w/Area Code PLEASE SIGN AND RETURN TO; F&S Marine Contractors,Inc. P.O. Box 868 Wrightsville Beach, N.C. 28480 Phone/Fax 256-3062 i DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM Name of individual applying for permit ini ke C/aohc1 Address of property 7 $) J A'(' 7 1"/6v E&6,,�A11`10 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 of notification. Please initial below if you have no objections.A;i,ef/fi"/k, Rt, r )11 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, N. C. 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 t house,lift or sandbags must be set backaminimum of 15' from rea of riparian access unless waived by me.(If you wish-1 o`aive th,,setback, you must initial the appropriate blank below.) I DO wish to wlhe 15' setback require t. 100 NOT wish to waive the 15' setback requirement. 2L'4 .Q-' C.,�� � 1213.419V Signature & Date MIA in C . S �r,—ieQ Print Name C3'/G gq 3 42-4 6 Telephone Number w/ Area Code t 1 • . ...i - 3/4.**4% •••..- . ..%.** ----- - . . • ,,, .- • -----------_o.•--- • —5-FP4• (2' ••i PP;po,-,0) 34/k0.0 .A1" :.\\•?., :• • . \_______ al ,_-- .. \ 4 \.-7 • ,... O. • , t C'1:1-• - . V, \ : > J\ ''%1 -'1V / Ck() . \\ 4t, > I <5 4 & \c‘.1 • —W1411 PIO'g -LO 1 e•Attv 2.6 *\ .'3 1.. Zt,r • 1151004 \ _ -.or •I'\)\ tNi teo(sI32'0J ill II) . - 54-61JOY • t2t1\i'r • er , ....cs, w .4.b... .- :• ,. ...%%% •ip....'.+-7 - . • . . .. .. • .. • k_9Aai- ifd - . . . THIS LOT IS LOCATED IN fA v iiqc L . HAZARDOUS AREA, ZONF fi-- O. - . - . :. ..e c-: e-\.• °. vA •'..e.•LI 11.4........403 , ''• -TO *** 0 0 10 SI.1111141110° / PLOT PLAN 1 . •. for LOT-J-241:-S-E-C- TiON-7-1-T1 • SUBDIVISFON-- --•-ri-6:0Pli •-t-414'r • is(-4017 WNSISIP NEW NA VER O. N.C. 46.1._ SCALE_1 1-21- "Iv DATE 4--e-1-4 JACK G. STOCKS . ... N.C. R•gistraffeet No. L4Sf. . ,.. . ..... :OPYCAT TECtrhiCAL SERWCES ---, &g.