Wamsley (2)

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." 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 7K 15 NCAC t an area of environmentalconcern pursuanto Subchapter .0203.
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Applicant Name a. N. YJ( (v /e. '�"6 567 2-
Address A. Q, QoX 4'748 I Phone Number
City r CI State 1ue, Zip
Project Location (County, State Road,Wfa4 Body, etc.) &S/ tJ C': t4n'1i/ , /01.1 l5f j-tre t
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Type and Dimensions of Project -bat k yel fef A l r / kle J 8 ` x !lo' dock..
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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: No-r it.) )
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'j Any person who proceeds with a development without the con L'� 9�.7 cif
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted,will be in violation of the CAMA if there
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is a subsequent determination that a permit was required for the
development. (CA iciall''s/s'iiggnature
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-
tion,and(2)a written statement has been obtained from adjacent y✓v�J 1 ' 9 98

.:etRrC/ � VANCE E.KEE,MAYOR
TODDNTHOMAS,MAYOR PRO TEN
QKENNETHDBAT7S,opuNCILMEMBERyvDOUGLAS C.MEDLIN,COUNCILMEMBEROJEF CITY LIONELL MIDGETT,COUNCIL MEMBER
� NORTH L RICHARD B.TURNER,COUNCIL MEMBER
NORTH CAROLINA 2 8 4 4 5 ROBERT KILROY,ATTORNEY
•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to C. N. WAMSLEY ,s
(Name of Property Owner)
property located at 1019 1st ST. , LOT 3, BLOCK 46, SECTION III, OLD SETTLERS BEA
(Lot, Block, Road; etc.)
on MANMADE CANAL ,fin SURF CITY and ONSLOW COUNTY , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
SEE OTHER SIDE
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Signature
.. C.\ \n a-� �\ e, Le_
Print or Type Name
`4, 9/9- 7792 -,725�S`
Telephone Number
Date)( t,7 //- /-Y
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yJct r- C/�� VANCE E.KEE,MAYOR
TODD N.THOMAS.MAYOR PRO TEM
VI +"�!/ _ Q KENNETH D. , UN
�� v DOUGLAS C.MEDLIN,BATTSCO COUCILNCIL MEMBERMEMBER
kflU LIONELL MIDGETT,COUNCIL MEMBER
Opt` ("' '� —` RICHARD B.TURNER,COUNCIL MEMBER
RTN NORTH CAROLINA 2 8 4 4 5 ROBERT KILROY,ATTORNEY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to C. N. WAMSLEY 's
(Name of Property Owner)
property located at 1 01 9 1st ST. , LOT 3, BLOCK 4 6, SECTION III, OLD SETTLERS BEAC
(Lot, Block, Road, etc.)
on MANMADE CANAL , In SURF CITY AND ONSLOW COUNTY , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
SEE OTHER SIDE Signature
Print or Type Name
g(a• ZJe13
Telephone Number
Date: a • 9 y
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