Herman

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 Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K.0203.
Applicant Name rf e r M u ✓\ Phone Number
Address `�°o ! • �n ljrt4y( Or
,
City { St to N Zip o v�
Protect Location (County, State Road, Water Body, etc.) r
P 0 /1 dhat /Huc1( `Gv, a / 5 (3
•
Type end Dimensions of Project �- t�' N p / F ti�� r'n, ✓1%;i cf r r #
/pn t e I 1� { i, l' b ../ciaLt
kl w p) -4- n 5 TO I l rn r C ' k �r-/a r'
O r,{p�G n. iF-e p
N r + /� // 4t l 1 ..,.J � - �] , . 2 SA�_ /r ymP/fr X 1,,is 1� 4,?K C ') T- P/In co \ r,•_. t /� /)J //►et. rct� (f S 4h
The proposed project to be located and constructed as described This certification of exemption frbm 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:
!y, „ < (
•
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the pli nt' sign re
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. CAMA i 'al's natu e
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= - cf
tion,and(2)a written statement has been obtained from adjacent

FROM KEN'S MUFFLER AND AUTO REPAIR PHONE NO. 1+910+867+0040 Dec. 04 1998 1O:25AM P1
191096 @cam P.@2
12-03-1998 02!1.Pry FROM COASTAL DE�.�ELOPMT REALTY To •
.
DTVZs2Qju Q:A.Ia�.,7ACEIdT RIPARIAN,F'Rc?ERTYTr'QRM
Name (4 Individual Applying For war/nit: Sq M�
A0dree C: Property: J. 8 SaALLsieseip.134 T 1
d Ak. a ;
(Lot Or Street t,. reet or a ; Cry & County)
•
•
i her+ by certify that. I owns ro ert:
F p Y adjacent .t4 tl~.e above-
referee ced property. The Individual applying for grim permit hes
described to me as 'basal on the attached drawing the development
t#ay aie proposing. A description or drawing, with dimensions,
shouldibs„provided with this letter,
•
I have no objections
1�t to this propCa i.
ll " y : •
•
T obi t
' g].G
• - • t� • - - - a • 3- -3 900 }„it c
■ response - t
ao a_n i f ycu 2 y tisa npt i f t e i by C. f t e
•
•
w'AIVTR gZC:It,N
• Understand that a pter,, dock, mooring
house �;ft � 5 pi33rtga, briak-■ra,.e_, • boat
from m urea of riparian access unmust be lesscwa waived za. y of is•
Y by ( ycu wish
to weiv}e the setback, you AmAI init.ie= this appropriate blank
be/ow. ) i
I do wish to waive the 15'setback regu cement.
I ga net wjeri to waive the 15'setback requirement.
•
re
' - Date AV%
Or cor
ar eph a Nurffet h Area Cc' s
•

KROI'1 : KEN'S MUFFLER AND AUTO REPAIR PHONE NO. : 1+910+867+0040 Dec. 04 1998 10:26AM P2
12-03-:998 2'12Ff1 FROM COASTAL DEUELOPM- REALTY TO 191;1'96700LO F.03
• I
REGARDING 128 SALISBURY ST. REPAIR TO BULKHEAD
I UNDERSTAND THAT THE EXISTING BULKHEAD WILL BE
REPAIRED BY REMOVING THE FILL FROM BEHIND THE
EXISTING BULKHEAD, REINSTALL THE DEADMEN,
REINSTALL VERTICAL WOOD AND SHEATHING, AND RETURN
DIRT BEHIND THE ULKHEAD.
•
��- ((OWNER OF ADJACENT
f PROPERTY)
(OWNER OF ADJACENT
PROPERTY)
•
•
•
I '
! i
i 3

Dec-03-98 02 : 20P Town of Holden Beach P.O2
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/riAIJER_ FORM
Name Of Individual Applying For Permit : SRMM).J VARJAMil
Address Of Property: 12. 8 --RLts $24.143 St-
+- z>i AJ 13 ff , �� a gwoz.. 63.4.4)5i4i.a)
(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.
I have no objections to this proposal.
•
If You have objections to what is being Dr000sed . please write the
Division of Coastal Mar.acement, 127 Cardinal Drive Extension ,
Wilminctcn , North Carolina . 28405 or call 910 395-3900 within 10
days of receiot cf this notice. No response is considered the same
as no obiect?cn if vcu have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift 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, ycu 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.
CONV0 417
E. RFeVeat-i
Date ! • •
Print Name
T/0 - "14 �77 C> I-I NJ FR
Telephone Number With Area Code

1
REGARDING 128 SALISBURY ST. REPAIR TO BULKHEAD
I UNDERSTAND THAT THE EXISTING BULKHEAD WILL BE
REPAIRED BY REMOVING THE FILL FROM BEHIND THE
EXISTING BULKHEAD, REINSTALL THE DEADMEN,
REINSTALL VERTICAL WOOD AND SHEATHING, AND RETURN
DIRT B IN THE ULKHEAD.
(OWNER OF ADJACENT
PROPERTY)
,;(2./,01(t}/a
�� (OWNER OF ADJACENT
PROPERTY)