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Home My WebLink AboutRose - (C CERTIFICATION OF EXEMPTION 1 7) 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 C`-t �C'. R05e Phone Number r�(3� II.35' S 9\ Address i u, 0 x'' S 3 i-j H 1 City r. 1 r He v i l l o Sate A/C. Zip X S� S Prgj ct Location(County, State Road,Water Body, etc.) I o. o. D—/pi; Or 1 v t' D n t`P (IC n 11.. eK`k 0,11 mu A - I . 0 ck ( c14 . a I i;. R r 5 w lk--k Co v Type and Dimensions of Project D c / 2.. ' / a 1/n \v D `4 u" 1 in itix,fo' 5-.,N p . Al `4 t1L 1l ri . l/747 uL 4" N -,lc./e.r />c,A -,Asp* #4'i'o„ , �} r / V,/ei /a perX, r4"- 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 (SCALE: ) .4.2- , ivi U r1 — mac ( cI t < 0 � V' <-- 15 ' > 8' < 15' Ioi E>0s I,A ga1 k (4 ,. 7 A ) Void i'n Dr-ye _,,/c/c.• ge„„_t' / Nc Any person who proceeds with a development without the con- -71 is (A - /�./ x-- sent of a CAMA official under the mistaken assumption that the Applica sig e development is exempted,will be in violation of the CAMA if there L n' / a v "(" "'� is a subsequent determination that a permit was required for the development. CAMA Official'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- -3 - 3 / — q v tion,and(2)a written statement has been obtained from adjacent / O GEORGE M. ROSE P.Q Box 53441 Fayetteville, NC 28305 (910)485-5822 • December 4, 1998 Mr. Jerry Parker N.C. Department of Environment and Natural Resources Division of Coastal Management 127 Cardinal Drive Extension Wilmington,NC 28405 Re: 122 Dolphin Drive Holden Beach,NC Dear Mr. Parker. Enclosed please find a copy of my site plan for the proposed house and floating dock at the above referenced address. Also enclosed are the original signed property owner notification forms from each of the adjacent property owners. I met you at the site on November 24th and signed a blank permit that day. Your instructions were for me to send in both signed forms(the$50 fee would now not be required)when I was able to obtain the signature of one neighbor I did not have that day. Please contact me at 910-485-5822 if additional information is needed. Thank you for your assistance in this matter. Sincerely, 7titrtrA. George M. Rose r . DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NO1'Lt+"1CATION ----------------------------------------------------- ------------------------------------------- Applicant's Name: 2i 7 6iE M M . (a,07E. Address Of Property: ( 2 Pb1,13141 dl21/E NDI,D.IEI F' bR-UM WV CO. Street #, Street Name, City & County Applicant's Telephone Number °lie -4�5-582� v 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. I have no objections to this proposal. SiD1,112 / Date Stir m ' hwr� `Ir0 A1os Of,.r my $ 1G g�C.�, v. 245y7. Print Name and Mailing Address Telephone 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: DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM Name Of Individual Applying For Permit: � � f`A , (40 � Address Of Property: l22 °owlI-I)4 p�tVE f-ivuoa4 .k3EpG{-1- r r� 5?-W w 1 - -GO. (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 with this letter. 1?eI___ ave no object Ni( �� I h tions to this proposal. If you have objections to what is being proposed . please write the Division of Coastal Management . 127 Cardinal Drive Exten_=ion . 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 objection if you have been notified by Certified Mail • WAIVER SECTION I understand that a pier, dock, mooring pilings , breakwater, boat house, lift or sandbags_ must be set back a 1 . fromminimum distance of 15' mv .are_ 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. �. J ri I) (:. J: /2- 19 S l cnatur e • ,,Ak 0.:10s pg 0/;6 L4cc em.4_, � s;/.o,e Date - _________Ir Print Name 7-04-1 7S1./- F/3S -�--�� Tel phone Number With Area Code NJ R