Sineath

*/ CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
I✓� 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 ti f, '/p �- c J L� Phone Number 7 (-7 2¢
Address 31 ci 1^nor-t-‘ c Q'Pv Dr.
City ��_. ~Q�t ixG.t State N L Zip 2 7c1-2,.,
Project Location (Coun ,Sate Road, Water Body, etc.) ko t a. W too a c`,. D Q. l cr.",
NC, / 441 iVi.S C b / D, ry tig (-Le, Co
Type and Dimensions of Project i*ZPQ( CP
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:
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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
development. CAMA Official'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 ,—

Coleman Dockworks Inc.
P.O. Box 222
Long Beach, N.C. 28465
Francis Hale III
1329 Duplin Rd.
Raleigh,N.C. 27607
Re: Floating dock replacement for Jim Sineath Jr. owner of 6012 W. Beach Dr.
Dear Sir :
To satisfy N.C. General Statute requirements for CAMA Permits adjoining property
owners must be notified of proposed waterfront construction and give written
certification of such notification.
I would like to inform you of the proposed floating dock replacement
for the above referred lot . If you have no objection to this project please indicate by
signing the space provided below.
If you have any questions please call my office. phone: [phone]
If you have any objections please send them to the following address :
DEHNR
127 Cardinal Dr.
Wilmington, N.C. 28405-3845
If you have no objections please sign this form and return it in the self addressed stamped
envelope provided within ten day.
I do wish to waive the 15 ft. setback requirement.
I do not wish to waive the 15 ft. setback requirement.
(Please note no waiver is required) ere1
Si
Cheryll . Coleman
Signature

•
Coleman Dockworks Inc.
P.O. Box 222
Long Beach,N.C. 28465
Mrs. Venice D. Fitts lA RS
1900 Corner Rock Rd.
Midlothian, Vaa. 23113
Re: Floating dock replacement for Jim Sineath Jr. owner of 6012 W. Beach Dr.
Dear Sir:
To satisfy N.C. General Statute requirements for CAMA Permits adjoining property
owners must be notified of proposed waterfront construction and give written
certification of such notification.
I would like to inform you of the proposed floating dock replacement
for the above referred lot . If you have no objection to this project please indicate by
signing the space provided below.
If you have any questions please call my office. phone: [phone]
If you have any objections please send them to the following address :
DEHNR
127 Cardinal Dr.
Wilmington,N.C. 28405-3845
If you have no objections please sign this form and return it in the self addressed stamped
envelope provided within ten day.
I do wish to waive the 15 ft. setback requirement.
I do not wish to waive the 15 ft. setback requirement.
(please note no waiver is required)
Si erely,
Cheryll G. Coleman
0.7(
i ature
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