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HomeMy WebLinkAboutSmyly r CERTIFICATION OF EXEMPTION __)\ FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, 0 Department of Environment, Health, and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC Subchapt r 7K.0203. Applicant Name I M SA^ / Phone Number(IJ�5 71- 5 97,Z Address ^b c) I-I N a r +k 5 i .5 C) .- k � City .` ,,h ,, ...1, I3 , L. State /V C Zip Project Location(County, State Road, Water Body, etc.) (60 y n/,,r--I-k sA.. re br •, suAsr -I- 93 e[A- 1-, , I3 r .in�ki,-k CO n 1') D n Q /G^f C r °e K Type'and Dimensions of Project Cnn5-,I c'I`r.. " /? ' X /O' vnc,ov ere /5 oq -F /, f 5c prr" c11'rut4cd cl.tk J143 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 P e I- I f ,\, At d (SCALE: ) P/1 PS -I- c -iIUi- SA ) I 6-4t WII-I' G c ppI► c 4 o� uo S / , rI0v, rl (Ge\ Cor' rI �Oc , ..* 50 4-11 of 1)A , f-- ) . A// ('en J 1 ,c; 4) p a H(AcGx C 7/I . ( c)3 Ad/ P np 9, n (--r 74 / Any person who proceeds with a development without the con- 4 LC---- ► ' sent of a CAMA official under the mistaken assumption that the '.plican' ignature development is exempted,will be in violation of the CAMA if there a . c9-z,k____ is a subsequent determination that a permit was required for the development. 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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 obiections 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 Caine as no objection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, moorin house, lift must be setg pilings, breakwater, boat back from my area of riparian access unless wai ednbyume. m distanceyou of wish' to waive the setback, you must initial the approprif teblank below. ) L I do wish to waive the 15'setback requirement. 7/ I do not wish to waive the 15'setback requirement. • .1d4JK,f/M- /a �/�Z 7 . Siena � DateAiAlik 7 /6I 1 L/ Print Name Telephone Number With Area Code H R • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIvER_ FORM Name Of Individual Applying For Permit: T C Address Of Property: ��; l . 4),49• Ate/ G 2 (Ael/Aiitelei< (Lot or Street #, Street or Road, City & County) I hereby certify that I own property referenced property. The individualapplying adjacent tocthe above- peit has described to me as shown on the attached drawing the for -thi-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 nromosed , please write the Division of Coastal Management, 127 Cardinal Drive Extension . Wilmincton , 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 Iou_ndersifnd that a pier, dock, mooring pilings, breakwater, boat 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. 177 icnature Da e Print Name / Telephone Number With Area Code H NI R