Spicuzza (3)

.. CERTIFICATION OF EXEMPTION -6 �
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-Utf." A An,./ Sp'Ckzt A f/o M, C DEL (a R] Phone Number(`i fu ) 7 i3—4/V 3
Address 3-7 /3,4 N p/.e'` C4A/c
City +,v, I►'l;NCs►---t7or State ,v C Zip .)6-yo5--
- Project Loc4tion(County, State Road, Water Body, etc.) g ? 3-) 4s GL. L '-' / A-��',,41' "i
II7-0 / `c (Rc L K Aiew 14-A Iv)o tr.( ('-0 .
Type and Dimensions of Project eon,Yt '4c�iu�. P 96 'Jr5 ' /°,'E , /t' ' X/6 ' 4-H�4�� b 'x3o '
. F/04 '' ,,. ; L'1'1 (/Ji K i 31 4 pl '1 a 4 j
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.
Ai( 040,Df7104 )X . uJo j .5 ►% N i4)I)
SKETCH (SCALE: )
t C J ` r
.k"-D.-:- -1' )
\ _ , .. -- .4.- 7 ' -Cy_
\ 4,1 ?, ("I), .. \t.
k �'
b' ,� IT
—I \ \ -
v.) ''E
v ('--
sue— 3-:
10
I -� 1
. z..._.._...:....b.),.
°') -4- , "<-
i,
- W
...1 -.,i.1..f.z1I
L?b T F,
y
i�� 3
Any person who proceeds with a development without the con- /
of a CAMA official under the mistaken assumption that the Applica r '
sent p PP 9
development is exempted,will be in violation of the CAMA if there `
is a subsequent determination that a permit was required for the A
development. CAMA Official's signature
The applicant certifies by signing this exemption that (1)the ap- 1--/ ` /3/
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 7 3 ,O

' b5
imlina •
. arena •
onstruetion
KEN CONARD P.O.k 7303
MICHAEL CONARD Wihriiigon,NC 21403
'Sprcidinnp in Pion i h tichadt' (ro91q i99i43 0
37 13.4e) kIljte L44.1—`-- 1-JA 61,
1r o�cl 1a',13' iO,uootb
P 1314 L•it4 _ GIP .3() 1•10A+1LICI { r
L�/ D00.0 � �jvposed if r t3 7ClOU1�
-1 1.10 IT • • •
r 1ttJrL -4[
Sf Ra5/i.,fMy_
14'
14: 1(01x 1671
SUnIoke.<
(?rcpcf[d gar A ArG60
Edge- ec ;Sf_ •
H
!� 3�
V
fr,►ww 8': M 8G 3 •► qu

r U
' .
. pLVISION OF COASTAL MANAGEMENT
ADJACENT RIPARI&N PROPERTY OWNER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit: M4` CaJoy ,5n„r_d r,¢
I
Address Of Property: qri 37 v,,4tci c44 LA-Ai
IA.`, i, �.W ig* A'C ass(I,ot ortr a if, 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 rovided with this letter.
I have no objections to this proposal.
If You have objections to what is being proposed, please write the
Division pf 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 obiection if you have been notified !2y Certified Mai.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags 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.
V/
I co not wish to waive the 15'setback requirement.
77 224./re--4k)
-' `� /6r lizipp-A
nature Date •
• ofi-iv /= Horv.9 Aiti,,, r_
Print Name
%6'o FC-- // N
Telephone Number With Area Code

P u;
.* • I.
., piyISTON OF COAS3'AL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFIC}1TION/WAIVER. FORM
Name Of Individual Applying For Permit: ;r,xa Q1 ,may-;r4
Address Of Property: ,a 137 i5pf(f) r 1\
)4A4,1 .1(-frot.1 1U'(`, 0/890s
(Lot or Street 1, 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 rvvided 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,
Wilninoton, North Carolina, 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
aS no oblection tf you bane been notified 22v Certified Mail
WAIVER SECTION
.1 understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags 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 Ito not wish to waive the 15'setback requirement.
eiwa-,k; 34 2q r iirA
Sign re ,..J__ 1 L Date AT!
............ r
Print Name ,�i1 ...,.
9/0--(86. -/0 9/ CI I-1 N Fa
Telephone Number With Area Code