Edward Curtis

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 7K.M103 or NCGS 113A-103(5)(b)(5) .
Applicant Name Edward ( ts ,/ GrySit"5 (a
Phone Number 9/0 3/703 (Q7 i-0
Address ' f itF lane
City ►�K� trA State MT Zip OS 05 7
Project Location(County,State Road,Water Body,etc.) ` _ . ' `' �'
Type d Dimensions of Project
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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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Any person who proceeds with a development without the con-
sent of a CAMA official under mistaken assumption that the Applicant's sign ture
development is exempted, will be in violation of the CAMA if there /'‘�, lT� ��
is a subsequent determination that a permit was required for the /' l2 / �v
CAMA Official's
development. signature
The applicant certifies by signing this exemption that the g///20/3 !(/1 /. of
applicant will abide by the conditions of this exemption. Issuing date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
•
AGENT AUTHORIZATION FORM
Date ( 1i/
Name of Property Owner Applying for Permit:
Mailing Address:
95 K, ., ( 4 -
_ ILS '
N s QHS
I certify that I have authorized (agent) b1f t cJ 4 S to act on my
behalf,for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity)
L 1 b8( t
at(my property located at) `.C)t`1 �t�� COL-
I his certification is valid thru (date) � { —i -- )I
- --)/ 1-Y\ '
Property Owner Signature bate
RECEIVED
DCM WILMINGTON, NC
JUL 2 7 2018

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REPAIR SECTION
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` . 1904 W Yacht Dr
No. Oescription Date
BASSWAVES INC. EDWARD CURTIS PAGE 1 OF 2
356 DOUBLE EAGLE RD. 25 Michael Curtis Lane Propel None 1904 W.YDd1 Rd
Wallington,NJ 05057 Date
Drown
— PAGE-01 >z
BURGAW,NC 28425 9 Drown by coal
Ched.d by B.BASS Scent WA i
R
RE1.!OY I
att
JUL 2 7 ?1113
QCM WILMINGTON, NC

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EXISTING BULKHEAD
1904 W. Yacht Dr, Oak Island 28465
DAN
BASSWAVES INC. EDWARD CURTIS PAGE 2 OF 2
356 DOUBLE EAGLE RD. 25 Michael Curtis Lane prood Wm, 1904 W.YwhtRd.
MNWallin ton,NJ 05057 N 23"'"2018 PAGE-02 Z
BURGAW,NC 28425 9 Dmwrby OOPS
Chocked by B.BASS Sri WA i
R
RECEIVED
JUL 2 7 21)'
DCM WILMINGTON, NC