Bowen (2)

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 tUF>IV }1 . wL .v Phone Number L9/0) 8`/4O 33�3
Address c_J , S-lARci s µ 1* J r
City ;?U I i),<i.- 'CAC t-' State ra.C Zip ,;� 6 /6Project Location(County,State Road, Water Body, etc.) SAME , �1-3/1-PF .,A- f .,4 Ai-AAA tom_-. c,4 to i
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Type and Dimensions of Project q' Y 3 o' 4 t`Q pin,P 3' *U ' ,C7014 1
7' S ' /6 / .M1` e4APt c-e
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.
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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 ! Applica si• y i
development is exempted,will be in violation of the CAMA if there
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is a subsequent determination that a permit was required for the I,
i
development. CAM" s : 's signatur
The applicant certifies by signing this exemption that (1)the ap- j,-y 9�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 3 - ` --,-7
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US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail(See reverse)
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Street&Num
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Post Office,State,&ZIP Code
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DIVISION OF COASTAL MANAGEMENT
-- ADJACENT RIPARIAN PROPERTY OWNER NOI'IF'ICATION
Applicant's Name: �uN, 1.j, 1
Address Of Property: (' -5' 4?_F1-51,.} De
Street #, Street Name, City & County '
Applicant's Telephone Number !t(O 46 3313
I hereby certify that I own waterfront property adjacent to the above-referenced property. The
applicant has provided me a drawing of the the proposed development. Please initial the
statement below if you have no objections to the applicant's proposed development. Initialling
this block does not constitute a waiver of the required 15'setback from the riparian corridor
lines.
-71 I have no objections to this proposal.
,./' / ,---cA-
i a re V
Date
rint Name dailpg Address4f g,�
,o(_->re;)(1 n) c c;--g l 3
Tel ne Number With Area Code
17 " 7Rh E6 3
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
•
Telephone:

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO1'LFICATION
Applicant's Name: c .k4ISIA.A.PAnki et: ry.4
Address Of Property: 17D � � �p • } oik_j.1
Street #, Street lame, City & County
Applicant's Telephone Number '11 0 846 4-S4S
I hereby certify that I own waterfront property adjacent to the above-referenced property. The
applicant has provided me a drawing of the the proposed development. Please initial the
statement below if you have no objections to the applicant's proposed development. Initialling
this block does not constitute a waiver of the required 15'setback from the riparian corridor
lines.
have no objections to this proposal.
Signature ate
ee/ f-re.J
hiC
Print Name and Mailing Address
qif r442 —/8/3
Teleph ne Number With Area Code
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
•
Telephone: