Coleman

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\ 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 Csources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapt r 7K.0203.
Applicant Name lJ e or o I,'"-‘ (A Phone Number
Address $ D a�. t 20 tit
C
City ro. .1 ( -P vi �! ( State N C. Zip V 7-'
Project Location
/(/County, SttJate Road, Water Bod , etc.) // .• ,, -I, X X. it. 4(
. tie
Type ar d Dimensions o Project a P. L + -F�' Al k (At) in 5 G ( Ill n .t c,S
-TA! //�] t X► 1 of
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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- I v ----71:17
sent of a CAMA official under the mistaken assumption that the Applica s s gnature
development is exempted,will be in violation of the CAMA if there / Cf./A.)
is a subsequent determination that a permit was required for the (,fit •
development. CAMA Off' ie s nature
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- _ �j
tion,and(2)a written statement has been obtained from adjacent l
lanrinwnorc rortifvinn that thaw haves nn nhiectinns to The Pvniratinn rlato

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°Certified Mail
Return Receipt Requested
--------------------------- Date: ____________
Dear ------------------
This n adjacent r,-
par3 l
of Mr. /Mrs o con _
on their propert��, _ in
The sketch on the reverse depict the proposed
construction.
Should you have no objections to this proposal , please check
the statement below, sign and date the blanks below this statement and
return this letter to: GRICE CONSTRUCTION 6618 BEACH DRIVE, SW;
OCEAN ISLE BEACH, NC 28469 as soon as possible.
Should you have objectives to this proposal , please send
your written comments to: NC DIVISION OF COASTAL MANAGEMENT 127
CARDINAL DRIVE EXTENSION; WILMINGTON, NC 28405. Written comments
must be received within 10 days of receipt of this notice.
Failure to respond in either method within 10 days will be
interpreted as no objection.
Sincerely,
I have no objection to the project as presently proposed and
hereby waive that right of objection as provided in General
Statute 113-229.
_______ I have objections to the project as presently proposed and
have enclosed comments.
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Signature '
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Certified Mail
Return Receipt Requested
------------------------ Date: _
Dear.
This letter is to notify as an adjacent riparian landowner'
of Mr. /Mrs' constri
th d v
on ezr property/per�y, ' zn
The sketch on the reverse side a6 :ura iely depict the proposed
construction.
Should you have no objections to this proposal , please check
the statement below, sign and date the blanks below this statement and
return this letter to: GRICE CONSTRUCTION 6618 BEACH DRIVE, SW;
OCEAN ISLE BEACH, NC 28469 as soon as possible.
Should you have objectives to this proposal , please send
your written comments to: NC DIVISION OF COASTAL MANAGEMENT 127
CARDINAL DRIVE EXTENSION; WILMINGTON, NC 28405. Written comments
must be received within 10 days of receipt of this notice.
Failure to respond in either method within 10 days will be
interpreted as no objection.
Sincerely,
I have no objection to the project as presently proposed and
hereby waive that right of objection as provided in General
Statute 1 13-229. �
_______ I have objections to the project as presently proposelb and
have enclosed comments.
x - '
�1
Signature �
Date

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