Lewis (5)

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 Name112_,U SSE iI1 -.0(Ai I -• Phone Number q la 3a7-a aoC
Address P 0 /. so' BCD
City ,ne,f-Ndb l�f--rr' State N C.J Zip
Project Location (County, State Road,Water Body,etc.) /uu/ dr -A CQaf3 Con tA✓A k/
/PJ, Sht nds i-�'( , IV U . Az-Wm) e, Ai l 1 U�
Type and Dimensions of Project NP,tk! fl c' m-rI' dcr�
EKev p-fion uJns ,ssuc.-c.! 71 q I q7 km 5--tr(.4 chic eJ WAS n01 Lit It
* ►Jo por4'twn p{ '<r#-ruc-4Lt-fe. yhU:Lit back r-Inarne I or toe, - k;,-d r +0 Y\111)`t {;ol
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- fil //)
sent of a CAMA official under the mistaken assumption that the Applican's n %JJJ
..l
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the � a ^`�� 4+•—.)
development. CAtvIA Official's si ature
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- h
tion,and(2)a written statement has been obtained from adjacent _-.-. -- .� (�

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVEp FOR-'
Name Of Individual Applying For Permit: l iasse_ & I -
�E(13iS
Address Of Property: (028 Cori Fe:46'2 fe
De-
3tiE,s 284b
(Lot og Street #, Street or Road , City & County)
I hereby certify .. that I own property adjacent to the ab referenced property. The individual applyingthis ehas
described to me as shown on the attached
for permit has
ttached 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 er000sed ,• please write the
Division of Coastal Manacement ,
127 Cardinal Drive ExtEnsiO1-, ,
Wilmincton , North Carolina , 28405 or call - 910 395-3900 within 10
days of receipt of this notice . No resconse is considered the
as ne objectionCE
if you have been notified by r ; d sameE
_t-flE- Mall
WAIVER SECTION
• I understand that a pier, dock
house, lift cr sandbags us} mooring pilings , breakwater, boat
from mybe set back a minimum distance cf 15 '
area cf riparian access unless waived
to waive the setback, you must initial by me . (If ycu Wi=�:
below. ) the appropriate blank I do wish to waive the 15 'setback recuirement .
I do not wish to waive the 15 'setback recuirement.
•
Signe e `
C HARL-ES bp Date
Print Name
-PBLRNX iq<<c hoa_itz. ---=_
Telephone Number With Area Code 1-1 N R
Onslow County Planning Department
004 College Street
J.acksowalles 2.8.S44

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVE? FORM
Name Of Individual Applying For Permit : 61 .!: // Lewis
Address Of Property: (pa8 Con r= DEKti E
��(Ll1tr-C
(Lot os Street #, Stkeet or Road , City & County)
I hereby certify .sthat 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.
I have no objections to this proposal .
If you have objections to what• is being crocosed ,• please write the
• Division of Coastal Management . 127 Cardinal
Wilmington , North Carolina , 28405 or call 910 395
3900iveExtens withinJn 10
days cf receipt of this notice . Nc 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
t
house, lift Cr sandbags P �
must be set back a minimum distance cf 15 '
from my area of riparian access unless waived
to waive the setback, by me . (If you wish
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.
•
ty ature 3- to
Date
ON /3STD/1g • •
Print Name �'
Telephhcne Number With Area Code
H tV R
Onslow County Planning Department
60,1 College Street
J askoon ills,NC 88.5.40