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Home My WebLink AboutLund v 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. Applicant Name .-K1 r N F- c t—u ^l Phone 146��►�a Address 440 1 -, r Co v-N -r b fn r I-4.1 i City State I. Zip _Zegici Project L cati n(County, St oa ,Water Body, etc.) r-- Type and Dimensions of Project -PU Lt-14P ' 11-c 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 KCC( , •\ ,, , , (SCALE: ) i \if 18jz. ( /t0. l �x.1 ,. Pi ----------------- / ,.„ \ 4.-0 CA:2Th E..../ if . IGADvl€4. 5-CA 4 Ot 14 v-z) S. lie • Any person who proceeds with a development without the con- sent of a CAMA official under the mistaken assumption that the Applicant's sigmatU1' 1:1VV(2..._ 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 signatu 74 _95 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)awritten statement has been obtained from adjacent 1 0 -- t?- �� `.Ii 1J_•U +._. .._ �i Ui.._.»l.i_ �U�J —_1..`.�1 .." �aJ a. II,AL _li 1PHY_SI[C SURVEY CERTIFICATE OF SURVEYOR General Notes: t T 1, David U. Floyd du certify —Vacdint lot as of dote of survey. " that under my direction and supervision, the —Property located in the 100 Year It,: . ottod survey phyrbal su cy wan dram /ran en Flood Boundary. '� :,i eternal survey mode under my'pension. That —Building setbacks based upon New l� the retie of deperhirca is 7:10,000+. IMtness my Hanover Co. Zoning. (Zone R-20) Schad ilit tad and seal this 27thday of 1JIgy , inga. 411, DAVID 9- RIM R.LS. L-3840 I lir lia ; ' • NA VICINITY MAP N.T.S. " ROGERS LANDS DB. 824, PG. 772 N 66 46 OO" W 1130.001 ____ - 7 ob. ;,.. r~ ; t; - z 0 c a .cr Cr) o` 4icit tr 1 3 m (1) Nr R �< ' 28 �4 S.F. 1.0 d Z 75' oo.u_ S 4 a, ULi to , - \t 4 • " t' ''= , �N' .. Lai 7. \ , - 'rk q 0 - ( 15 ii •••,.. . , CC C.,1 sty .� rJ 1 }O' - is o' 1$.. z ,s, 9g -'` • Serb (/ 1.7 _ / ,F4 \ 1 I ...‘,61\1;(\ C A R 0 7, \ Q otoK 4..... q- e,`,0 t":, \ * 51 a% / .? d GIS7'c SEAL ., - �! L-3540 j 2 W. {9 : r o a r .....:� "�_ ti : co s?aA DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM Name Of Individual Applying For Permit: Lux) Address Of Property: 56_23 MQrd. I LEI,'" i (Lot or Street #, Street or Road, ity & 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. 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 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. w 301Are Sg S®`� p — Da a - _4 cno Print Name . • 9Io 3So Qg(/o - IEDEHNR Telephone Number With Area Code 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 & 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. 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 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. ) e41;P I do wish to waive the 15'setback requirement. I do not wish to waive the 15'setback requirement. Signatur Date � • Print Nay �, G!�/G r .-..��- g�� - / tH NI PtTelephone Number With Area Code