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Home My WebLink AboutWebb .- ( CERTIFICATION OF EXEMPTION -Y / 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. t Applicant Name -..<.)e4 1 1(1%* Phone Number -0(46 Address 18ln9 i s ' ,ncl Lond City - State i..e...) Zip Project Location(County, State Papa Water Body, etc.) err e-(1(N , .i �- , T 3 , —6 roPS uve-u/ Z,�rene,, µAr^� d kid.), Type and Dimension of Project as 4 �.a.Ad retA Le -!1e k cks F i-'d c,1 rc-r 6rtc.i ''. / (Sic, f` ,14. -r k 44 clock— C,Pi n�oT exceed t '/3 \Ali d i(^ o{' Ups t.�r+-r"c it -e)r\e( 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: ) qi W/ kJ/ 4v �i/ V t ,r tV Yv-----)\--1,;.'lLhofir I .,••••i 4 i 4 to 4 iv I, / b, . ; 4 1 A, \v u v kr \i/ V,,v ,, 4,,r �4 I/J ass a vw, 4$4 v44 1U i W ,iny 'il Ili A -\-\E 1 (DO ' LOT Any person who proceeds with a development without the con- 1.41,,,-.I f+1.61 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 0is a subsequent determination that a permit was required for the . development. LAMA Official's signature __. ``t`r1 ' 5% 199 a 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 W.P.0L,J I 1 t LoT 3 4.\q(rp e' P•p Ot) - v N Zro g,b '>T.-.., LAN ... 13ti,z • • 0 .Js.v a) fri ii Carl rn• Q,as6 a 1 vi I hr � I r • t --? max. y _V ^J^ iv ts _--- 47 �+. / • `\.. y i ^- _ ,• • ---� -- • Vq; • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: �Nti 't j Webb Address Of Property: A 7 VE- (Lot or metre t #, 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. X I have no objections to this proposal. If You have objections to what is beino proposed, please write the Division of Coastal Management 127 Cardinal Drive Extension Wilmincton , North Carolina , 28405 or call 910 395-3900 within 10 days of receipt of this notice. No 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 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, you must initial the a below. ) ppropriate blank I do wish to waive the 15 'setback requirement. I do not wish to waive the 15 'setback requirement. • / z—/ g -q SignatureDate g Pith' ( • • Print Name �f/�� 3 9-31 �EHNR Telephone Number With Area Code DIVISION OF COASTAL MANAGEMENT • ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM Name Of Individual Applying For Permit: QNrJ k I-1 A W9 Address Of Property: LO'j"� 13,-o4c�'✓c�t,V, Owe ��F�►'hpstt(} Ai�c (Lot or St eet #, 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 proposed , please write the Division of Coastal Manaaement , 127 Cardinal Drive Extension , Wilmington , North Carolina , 28405 or call 910 395-3900 within 10 days of receipt of this notice. No 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 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, you must initial the appropriate blank below. ) I do wish to waive the 15 'setback requirement. I •� of wish to waive the 15 'setback requirement. dgigirAAMMOMPRINIMIIIIIPSIMIMIF A • - :21107r D.te Print Name = ��, C/D ��-� - 5'p .�7 N R Telephone Number With Area Code POWER OF ATTORNEY We, Cad M. Rose and Lu W. Rose of 44 Plymouth Drive, Berkley Heights, NJ 07922, hereby appoint Adger Wilson as our Attorney-in-fact for the purposes of applying for and securing all necessary permits to build or replace boat docks and their necessary ramps and piers on any or all of our lots at 116 Broadview Lane, Hampstead, NC. These lots are those shown on a map recorded in the Pender County Registry in Map Book 24 at Page 22. This Power of Attorney includes the authority to make all decisions regarding Riparian Rights with respect to this property and to sign any papers or forms on our behalf needed to secure the above mentioned permits. IN WITNESS WHEREOF, we have executed this Power of Attorney on December 2 -7 , 1993 6,,,,c 77) _G7', Carl M. Rose Principal ,-------Z . -,,.6?-2,----4... Lu W. Rose Principal STATE OF Al tttf _1 s c i COUNTY OF( Al ,6 t I, Al I C_i-f L i i ,u - v l'r.a, a Notary Public in and for said County and State, do hereby certify that(,N- K L n'l - c.< <= personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and notarial seal, this c7Z 77day ofi(iu tZ ,uz.) , 1995_. 514 My Commission ExpiraOTARY PzsF1'_;.: jsznszne Notary Public (Seal) STATE OF L d J L Xs y COUNTY OF I N t o ',SC-HE Avtf—ecc_4 , a Notary Public in and for said County and State, do hereby certify that ,r /,1! - oa_S (� personally appeared before me this day and acknowledged the due execution of th foregoing instrument. Witness my hand and notarial seal, thi , day off'';Lt�ziv wL , 199 . My Commission Expir , „"� `Y`� -;..ate Notary Public �- 6,_ • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_ FORM Name Of Individual Applying For Permit: ktdcdt,k ,..ktne- - 1,,,( Address Of Property: LO` _ (( 1`, G� �" � , ��1 bna 'hC (at,A,d UlCtAA �t ` (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. description or drawing,g' A d i p with dimensions, should be provided with this letter. • I have no objections to this proposal. If you have objections to what is being proposed , please write the Division of Coastal Management, 127 Cardinal Drive Extension , Wilmington , North Carolina , 28405 or call 910 395-3900 within 10 days of receipt of this notice. No 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 house, lift must be set back a minimum distance from my area of riparian access unless waived byme. of 15 ' to waive the setback, (If you wish below. ) you must initial the appropriate blank I do wish to waive the 15'setback requirement. I do w sh to waive the 15'setback requirement. S ' g to A • A Pr ' t N me Telephone Number With A ea Code H IV R • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER- FORM Name Of Individual Applying For Permit: e L!N L'� � F�6 Address Of Property: l.p'�" ,3 BrptAJU w Lpktve (Lot or S reet #, Street or Road, City & County) I hereby certify that I own property adjacent to the above,- referenced property. The individual applyin for permit has described to me as shown on the attached draw wing thesdevelopment they are proposing. A description or drawin should be provided with this letter. g, with dimensions, I have no objections to this proposal . • If you have objections to what is being proposed , please write Division of Coastal Management the naive Wilmington North Carolina . 28405 or7 call d910139D5r3900Ewithino10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Cert ified 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, 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. Signatr /i /s0 t ateArA Print Nam Telephone Number With Area Code IF-1N • POWER OF ATTORNEY We, Carl M. Rose and Lu W. Rose of 44 Plymouth Drive, Berkley Heights, NJ 07922, hereby appoint Adger Wilson as our Attorney-in-fact for the purposes of applying for and securing all necessary permits to build or replace boat docks and their necessary ramps and piers on any or all of our lots at 116 Broadview Lane, Hampstead, NC. These lots are those shown on a map recorded in the Pender County Registry in Map Book 24 at Page 22. This Power of Attorney includes the authority to make all decisions regarding Riparian Rights with respect to this property and to sign any papers or forms on our behalf needed to secure the above mentioned permits. IN WITNESS WHEREOF, we have executed this Power of Attorney on December 2 -) , 1993 6 adZ_ f Carl M. Rose Principal Lu W. Rose Principal STATE OF I'V GTh) _612,s COUNTY OF(,4 A) i o n) I, l Yl i C,i-1 L i / itJA- �vl't M, a Notary Public in and for said County and State, do hereby certify that(a-- gz L in • / ,o. i— personally appeared before me this day and acknowledged the due execution of the oreg ' instrument. Witness my hand and notarial seal, this oZ 7 Yday of ///�. , 1995 m!C:17.1; A- ::::CA��A iit i..i t 4/ Lam-- !-f�l - — My Com ,mission Expir Ta u PU i`:'-' ,1*”2 ;= Notary Public y .r.. ;±:.. td4.4,r..,,:.:�,.4.A.324,1993 (Seal) STATE OF td J i- kse y COUNTY OF l.(it) r 0 ti 1, //9C fl` Ni Pc-c-c_4 , a Notary Public in and for said County and State, do hereby certify that L iv - eee.l L personally appeared before me this day and acknowledged the due execution of th9 foregoing instrument. Witness my hand and notarial seal, this,Z/Vday ofzi( .24iA'vt6(-(4_ , 199 i . 4,dtilA ------/-) r:-!:_L.:: -;vim My Commission ExpirF - -,3 Notary Public