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HomeMy WebLinkAboutJames Herring • CERTIFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT =a .... . as authorized by the State of North Caroline. Department of Environmental Quality and the Coastal Resources Commission to an area of environmental Concern pursuant to 15 NCAC Subchapter 7�QLto or NCGS 113A-103(5)(b)(5)w___. Applicant Name 12,wt4 ' A _Phone Number ` 141 - 6 34r Address 122. So.ti S - . City blot Aim a State AJC Zip t 2- Project Location(County, tate Ra- •,W- er: a dy, = .) " , - -- - • A Ir Type and Dimensions of Project .0-:. it _ ..do. Si. . . " • •. A - EM The proposed project to be located and constructed as This certification of exemption from requiring a CAMA permit described above is hereby certified as exempt from the is valid for 120 days from the date of issuance. Following CAMA permit requirements,This exemption to CAMA expiration,a re-examination of the project and project site may • --=------alpii permit requirements does not alleviate the necessity of be necessary to continue this certification. - your obtaining any other State,Federal, or Local authorization. gall AEC(S). 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III i I I I I I I 1 I i i i t i eicI 1 i t 1 it t i i it t II i t 1 i t I t I--I.._-1..._I._.-t- -}.--t.--1__ _ r t 1 r i t t r t i 1 r 1 I 1 t i 1 1 l * I i I r �•.••14 I F i j. l till 1 t t I 1 t � i - I 1 -- 4111414441111141 lit AI I r C 1 t 1 r } 1 ! 1 1 1 t 1 1 1 1 1 1 1 t 1 1 1 1 1 1, 1 1 1 1 1 1 t 1. 1 Any person who proceeds with a development without the con- A sent of a CAMA official under mistaken assumption that the Apl :nV. signal, e IP development is exempted, will be in violation of the CAMA if there is a subsequent determination that a permit was required for the 1044*--sart � development, CAMA O,ici81,s i attire The applicant certifies by signing this exemption that the , 01.1. fa applicant wilt abide by the conditions of this exemption. issuin• date Expi afbn Date CERTIFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC Subchapter 711102i0 or NCGS 113A-103(5)(b)(5) . Applicant Name Sa"."'c.-seAr'r' '�Q Phone Number 3 " 2-( 1 " �S 341 Address 122. SQi;S b4•Nry J ; City -1-Uo( /"J\ State AJC Zip 16162- Project Location(County,State Road,Water Body,etc.) i1 wv', 1:( C n �l-+..�1 AJC ti 1 ;i:- 'LA E w y ',..--).-1; - . i i � e.'. ka lJ , a • .l e444- 4- :lannla� CA4�19: } Type and Dimensions of Project i Xi S4,r.� ��v t hoot r+ The proposed project to be located and constructed as This certification of exemption from requiring a CAMA permit described above is hereby certified as exempt from the is valid for 120 days from the date of issuance. Following CAMA permit requirements.This exemption to CAMA expiration,a re-examination of the project and project site may permit requirements does not alleviate the necessity of be necessary to continue this certification. your obtaining any other State, Federal, or Local authorization. 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CAMA O !icial's ignature The applicant certifies by signing this exemption that the 6 24 f S 4) 74/41applicant will abide by the conditions of this exemption. lssui g date /// Expi ation Date `,,, AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: c.)cl,, • Mailing Address: )c /3 Si/5))r y 410 Phone Number: 523-3601 - "4 _(, 6q Email Address: I certify that I have authorized /'/f,'er/ /)1i , e„Kro'dyic 0ki, Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Peri f igalk7k(1/ at my property located at i,„o> 151•11' 11/1N/ ' in Gres , County. I furthermore certify that I 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 Information: . )7,07/_ Signat re HrvityPrint or ye Name °AY. Titie Dat 6Iitle i--;(2142_ This certification is valid through 30 I /D ti v)(40, "I'll°9 c'''' . ..„), ..,,,Ji). 1 yN"140 cio, -roo 'i `\_4,41 eva o ,.,1 77,, wift 4----zor- iroN (70,,) 0 0 t I i ryy0\31C 0 1 4 , CI' • Pit- i Q)_V) - ‘ 4--- 1 _ (),a u0 1/o ) tauU� �'���'� * (cm ri.f .Pqn ,_.„,,0 . fe etv.4,,) 7,._1,) 1)412fri J4)-(1 I I ci .r