Graham

CERTIFICATION OF EXEMPTION
•t
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
0 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 Jc \ 1 \ f A hf1� 'jr Phone Number c$-t�'SI SU
Address ,; (�1 l.0 • f \P'%f\. � C�f Q( i2_ U c 10)
City _' ���r. State iv u � U�� Zl i���t t Project Location (County, State Road, Water Body, etc.) w r toc.J ( Oun -11 5
Nlnn-t'kPric rgr,A 1
Type and Dimensions of Project Nekki cI o d ) ne_k 1 \ X\ co L)M' 1-,,Pi- b u wilt-leg
re_kk A cec rat' Qa' 1ur,c\
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: Wo- . 7 )
„ grii-rvv,at cit,---/ ,,F.\
- >
,, i
, ...,
< › .: 6,/
_ _ ,N. 0 _,v-i ______.______
. , ,
1D ye. ,..„ ),.._....
s` c)Co cA.I 'd
,....,_,.. ,..._. ,,, 0
18) x U Jam'
lei
-----) d o cK-
1 ' i Y____-
C„QrrCCe_4(d ._._
boN-1 ram( 'C'e'-- a 7 PL
4.iL. - v rv•"\ fi rre,
Any person who proceeds with a development without the con-
/ / ....."_„,-
s s
sent of a CAMA official under the mistaken assumption that the Ap issignature / /
development is exempted,will be in violation of the CAMA if there t 1
is a subsequent determination that a permit was required for the �L.-
development. C A icial's s g ature ++
The applicant certifies by signing this exemption that (1)the ap- g I I ��
Issuing dat
plicant has read and will abide by the conditions of this exemp- G
tion,and(2)awritten statement has been obtained from adjacent _'. ` '0, ,-tqi9

i
r
L'J Wl°, iCif°‘
Inp Tps - --- --- -
-yISTINO ), I
4
•
J
-

3(1 w mg in • Pc) t3o to) 8 o"J IBC 7So'4
DIVISION OF COASTAL MANAGEMENT c( q P7'T - 515©
ADJACENT RIPARIAN PROPERTY OTTER NOTIFICATION/WP.I�ER- FORM
Name Of Individual Applying For Permit: iJ A C\Rk M ) Ik
Address Of Property: cb3�3 qdi '\ -
Lot oUCF G b M nosLoI�
( 5 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 rr000sed ,• nle_se write the
• Division of Coastal Manacernent, 127 Cardinal Drive Extension .
Wilmincton , North Carolina , 28405 or call - 910 395-3900 within 10
days of recelot of this notice . No response is considered the same
as nc obiection if you have been notified by Certified Mail
WAIVER SECTION
•
• I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift er sandbags 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, 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.
•
•
•
/6 ' 96
Signature _ Date
VE.v r; S`TflL L1� CS
Print Name
Telephone Number With Area Code H N R
Onslow County Planning Department
604 College Street
JACIU oniille.kiC 2,8.8140 ��

•
DIVISION OF COASTAL MANAGEMENT
` ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER- FORM
Name Of Individual Applying For Permit: ; 3t) A, G M A#L �j(.
Address Of Property: q0 3 3 On al-
•
(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 ,
hould be provided with this letter.
l.� I have no objections to this proposal .
If You have objections to what is being or000sed ,• ole=_se write the
Division of Coastal Manacement , 127 Cardinal Drive Extension .
Wilmincton , North Carolina , 28405 or cal1 . 910 395-3900 within 10
days of receipt of this notice . No response is considered the same
as ne objection if you have been notified by Certified Mail
WAIVER SECTION
• I understand that a pier, dock, mooring pilings, breakwater, beat
house, lift er sandbags 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, 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.
•
•
--/24 s - -
Date A • A
L./w rA), .t yr5
Print :ne �.Telepha Number With rea Code H N R
Onslow County Planning Department
604 College Street
J.clakaowdale.LiC 2,8t4Q �