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Home My WebLink AboutHarvin ,,,,�. -ram -.. •W,.flr-ar -- "flflr�- r � ...-.. V CERTIFICATION OF EXEMPTION r 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 t-1 Y V( -4, ./c) 1- S () ir�t i f\I6 Phone Numb 9 z—�30f Address � ac__ ,mot-1 �Sk 4-N City ' ' )i�.wN (NaState t--.) L Zi Z l I Project Location(County, to Road, Water Body, etc.) S it---.3?)isk ejfil\-;, t; (--ki*N , i-i—Al..Perzt—tr- Type and Dimensions of Project -1�RINi }E .oW-}Lk4 �7 11'R- �I 4 / �--1 D�k `ri.s--D 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: ) / 4'tA1 o ►3/7 '�/ Ioo/ �__. - /i5r - - ti __- - ft- i S C �-k -!v - Any person who proceeds with a development without the con- � 60-64--?Vi sent of a CAMA official under the mistaken assumption that the Applican sign e development is exempted,will be in violation of the CAMA if there �l'�,( is a subsequent determination that a permit was required for the Cr-s'`' 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 Ov DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM ti Name of individual applying for permit 4-5- �. ' t"h42114) �r. Address of property/SS, Bt' d ft 5o m 6°r1'6 C)dih' �r o 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.).ivilodkjegz /4,-; Please initial below if you have no objections. ,/ ' /'�.G'JL''T2 CRAI4 fGi li$ 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, 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,boat house,lift or sandbags must be set back a minimum 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. //-/5 -Signature & Date Le , Print Name 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 (910) 256-3062 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM Name of individual applying for permit PS. L // li("'"1) Ji`' Address of property fr �/ 'B? d ''�So /" . 'tJ l‘it �'° 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. )fl/ 134,/kierbt1 4ouLb Chm"9 ./r66.4.014' L, . 2_ 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,boat house,lift or sandbags must be set back a minimum 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. \ /(—S - C'? j r 2 m 9 , Signature & Date C'(2_,C, 1. C 472L SejN, , 2 , Print Name 3 36,- S ) L/- 3 6 6 9 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 (910) 256-3062 .4 • -.... :.*: \ - x 10 • ti, • - . /::,.... .0' , li ,-'^! I ti . . .. ' Concrete Drive•way/ ° �� ` 4 l/' ;'. ,/ !_ s.caa ! .. •g '16o E. , • -'7" Phip- Comer') • ` /k <' '/'��' , 5 1. 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