Barbour (2)

7 • 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 J IUe' Prr 130 f Phone Number 't t M 67lo 54
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Address 0 6 —SA%l �e- r5 Ccuss --eonci
City �n So . State NC!i Zip .. "7504
Project Location (County, State Road,Water Body, etc.) t)n tou) C�u.n`iy , ej 1 09 '7 4h
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eC+ SrF Gif `� , ►�U , M PiY1- rdeI R-Y,yt\
Type and Dimensions of Project `3O Cti flea i 4'10 n (Cerd pry r-�to \\IA
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- (�A,t.� t�
sent of a CAMA official under the mistaken assumption that the A p cant's signature ,
development is exempted,will be in violation of the CAMA if there 1110
0
is a subsequent determination that a permit was required for the 1 ' Y. ~
• •ffici l's signatu,,,,,,,,\re
development. a- , , l8
The applicant certifies by signing this exemption that (1)the ap- Issuing i I
plicant has read and will abide by the conditions of this exemp- G
tion,and(2)a written statement has been obtained from adjacent (�ot3,Z,.Q,`,,,J , f [G u

DIVISION OF COAL TAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY MITER NQTIFICATION/WAIVER FORM
Name Of Individual Applying For P� rmit: Sc. £Ar IUDGX r
Address Of Property: -7 / CW4 7i q
curt-7 ('; 1 / X) -C
(Lot or Street 4, 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 descriptin or drawing, with dimensions,
should be provided with this lett+'r.
01;4- , I have no objections 1.o this proposal.
If you have objections to what is ?eing proposed, Please write the
Division of Coastal Manacement, . 127 Cardinal Drive extension.
Wilmington, North Carolina, 28405or call 910 395-3900 within 30
days of receipt of this notice. NS. response is considered the same
as no objection if you have been notified by Certified Mail
WAIVER S; CTION
I understand that a pier, dock, mtorina pilings, breakwater, boat
house, lift or sandbags must be se.: 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. )
OF45I do wish to waive :he 15' setback requirement.
I do not wish to waivi : the 15'setback requirement.
s
ture
34/the be. 17-sL,-)957
ql p N7J.43-agRq--
Telephone Number With Area Code

DIVISION OF COAS'I A4.L MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWN'.:R NOTIFICATION/WAIVER FORM
Name Of Individual Applying For
PF } ing Fe: mit : �� --�iP, 6/V-hyk r
Address Of Property: 7/d9 7 S/
.1.2I7 r
(Lot or Street # Street or Road, City k County)
I hereby certify that I own prc ?erty 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 des_riptiol or drawing, with dimensions,
should be provided with this lette] .
have no objections tc this proposal .
1/_yagnhAye cbiec io A to what is king Proposed 1 write the
Division of Coastal Management , 27 Cardinal Drive r:.l'C Extension WilmingtoIi, North Carolina, 25405 %1 c ,
days of receipt of this notice . No e_soa.�i 9�� 395-3900 within 10
oonse is considered the same
as no ob iect on if you have been nc tified by Certified Mai?
WAIVER SE_ _TION
I understand that a pier, dock, mocring pij.ings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15 '
from my area of riparian access uni ss waived by me . (If you wish
to waive the setback , you must : nitia'_ the appropriate blank
below. )
I do wish to waive tHe 15' setback requirement .
I not wish to waive the 15 ' sethack requirement .
S NiL; cd t,it rt? --'---------- -- �_ ? N b�
Fps int name
If e 0'�'e pO ._ -T7 p' t/ e (Inflow County
Telephone 1mbei With Area Code t7
Onslow County Planning Department
604 College Street
Jackecnviiip Nf' 9ARMI