Matt Eaton

0 CERTIFICATION OF EXEMPTION
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 pu uant to 15 NCAC Subchapter 7K .0203. , d W3
Applicant Name PAG( t 6(4 1-b N C D -,0 1 'J) Phone Number I9( T59 -'Z7O
VO
�
Address ('• /, 6 p/ (2c i 'l.�+� 7if.Nr1
City Nf Z
OD ► . State ,}� (p
Project Location( ounty,State Road,Water Body, etc.) iStMT 2- W Cat t /h r't
k C.w I h, A-'114"/
Type and Dimensionso`Proje}ctt % -C c,__c ' G� 50,% 4 C,,sin_
,y, L,v k ' LS(- Cu)C y �C 0 17 li
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: )
1c
4.i. ' ' z----------- t x t3�`''N (O‘rf.ei
IR N
*S% f t
NAA .It. ,, iVn.4af� 5 4' r '` a n' 75 Cl C �� A
�I `may
. IeArel 'V Wo , ..
.._ _ _ _ _ /o - - 4 cxt s+,,,,s Pia 1-77,--v,,
Lx :i
Any person who proceeds with a development without the con- 124110d—
sent
24110 —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 / � —fr-aoinert+
is a subsequent determination that a permit was required for the -
development. CAMA Official's signature �(
The applicant certifies by signing this exemption that (1)the ap- ,; �/ l of
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 ).7
at7 (, I .
landowners certifying that they have no objections to the Expiration e
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Matt Eaton
Mailing Address: PO Box 825
Hope Mills, NC 28348-0825
Phone Number: (j 10) 7:72 C. 7611-)
Email Address. 1C,MG1 .17 1- AA ` 0411/11
certify that I have authorized - Joel Klass
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: replace pier and dock, install pilings
at my property located at 2072 W. Sea Aire Canal SW
in Brunswick County.
I furthermore certify that / am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application/
Property Owner ii $4. . $on- •
,-72
% Signature
7f •f47(-0r,
Print or Type Name
/ 5 avel -
Title
Date
This certification is valid through 3 / 3. 1 c77.10/

3.
•
v
i... f.
tr y.-,f,,, , `
ty..ck_.e
r c:3
<•. . a
1•V• V. •
r
_�