HomeMy WebLinkAboutNewton 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 Coast urces Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter,\7K.0203.
Applicant Name J y AM C j 1� W e'1."�°r' Phone Number
Address j -A o NO/6^ el c-/re el'
City F, I(� (IL,L r i. I., State ✓a Zip '), o`/
Project Location(County, State Road, Water Body, etc.) H 6 Fa ism. 4- S',! (;1)., 1 c e,,,, TS/A R,t,4
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Type and Dimensions of Project (��n 5/r„c+ S O /,n r,�,/I f-f /kh( el9'/!L ,�,
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The proposed project to be located and constructed as described This certification of exemption from requiring a CAKI1A 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 'Apptifcan ignature
development is exempted,will be in violation of the CAMA if there t
is a subsequent determination that a permit was required for the •0 CIA-,
development. CAMA Offi al's 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- /� _/,
tion,and(2)a written statement has been obtained from adjacent / - '�+J
' SENDER: ' -
i ■Complete items 1 ancVor.2 for additional services. I also wish to receive the
o ■Complete•iterris 374,and 4b. following services(for an
i •Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. ti
•Attach this form to the front of the mailpiece,or on the back if space does not 1. Cl Addressee's Address u
r
permit. d
■Write'Return Receipt Requested'on the mailpiece below the article number. 2. CI Restricted Delivery fn
•The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. a
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3.Article Addressed to: 4a.Article Nuinber
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, �� ""- \ 4b.Service Type
m❑ Registered Certified °Ctv.,,,...,
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Retum Receipt for Merchandise 0 COD
1_ (\Qp V c6 1 C 7. Date of Delivery °
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5. Received By: (Print Name) 8.Addressee's Address(Only if requested g
5"4 i -- ,,L -,5 :::56L,,r�il/P'' and fee is paid) L
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6.Sign : (Addressee orAg )
PS Fnrm R11_ r)anemher 1994 Domestic Return Receipt
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Certified Mail
Return Receipt Requested
------------------------ Date: _ _ ��
uear "�����n -------_:
Th ter is to notify as an adjacent riparian landowner
of Mr. /Mrs' � plans to co
ty, _
on their projor A ______ in
The sketch on the reverse side accurately 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.
9zgvna�"re
/m «�
----------
Date
'
'
. .
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying _
Address of Property:
6q_
L. cnr---ree- #, StrE-.�e t-or-Ro City & Coun�y)
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 pr o opsing. A dsc eriptin o or draw mn ing, with diesions, should be
provided with this letter.
^/
no objectives to this proposal .
If you have objections to what is being proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, NC 28405 or call 910-395-�900 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, brea kw ater, boat
house, lift or sandbags must be sat 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. )
do wish to waive the 15` setback requirement.
w~� I do not wish to waive the 15' setback requirement.
_ __........ ____________
_____________________________________
_��L
Si�nY��ure � Date
. /
� -��---�-�r�-- -----------------
Prlrit~ Name
�/�
4� ���.� .-''-'--------'------
Tele Number with Area Code
~
Certified Mail
Return Receipt Requested
________________________ Date: _��_ �� / -'/��
Dear ACJ'���__:
This ter is to notify as an adjacent riparian , lay0owner
of Mr' /Mrs. plan
to co t
on their pro�erty, _^��o ./��-__ in
The sketch on the reverse side accurately 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,
JJvLA-
have nq 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.
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying F
Address of Property: __................
__________
�-\ ��^���^r
(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 ith this letter.
I have no objectives to this proposal .
If you have objections to what is being proposed, please write the
Division of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, NC 284O5 or call 910-395-3900 within 10 days of receipt of
this notice. No response is consider th sa ed e m e as no Cl bj ect i on if
you have been notified by certed mail .
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be sat 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.
ish t ve the 15 setback requirement
__.__= i .
»r' gnature- �~^� Date
,
_..... ...
__~'______
Print Nam
__..........
Tele��one Number with Are Coc e '