HomeMy WebLinkAboutJohn Corsi 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 7130210 or NCGS 113A-103(5)(b)(5) .
Applicant Names& C,ocS 1 i Phone Number 4011'3(.S' 3a0
Address 2001. eegac 2c. _ :--- _
City C P& State MC Zip 28l(
Project Location(County,State Road,Water Body,etc.) 8 • J • '' ' •' • •
__AitAA Q • . .. r..
•
Type and Dimensions of Project QLQta`/ aretc, oC -C-X.711\-Nsma'`'rs �Qy'
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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sent of a CAMA official under mistaken assumption that the rpl" ant's sign re
development is exempted,will be in violation of the CAMA if there
is a subsequent detbrmination that a permit was required for the
—
development. AMA9foci I's signature /
The applicant certifies by signing this exemption that the /0/16.116 1116(I f
applicant will abide by the conditions of this exemption. issuing date Expifation 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 7130210 or NCGS 113A-103(5)(b)(5) .
Applicant Name -N-oL+A CCS% Phone Number4.0`1-3‘5- 300�
Address ZOO( ef-X Cot- nr8. ;
City CLaoticlo44-c State MC. Zip 281(1
Project Location(County,State Road,Water Body,etc.) 838 yv4(k Dr= Li:(vn1'hd+r i3JC
kA 4-tivi►.o kre,r Caws. Cf-g,
Type and Dimensions of Project eq)(ace- a''nc.,LOr 4e 4_,X;VII rrlmr.' b..)o..(
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-
Si S Y%4.4I \n`a {, v\ , I
sent of a CAMA official under mistaken assumption that the Appy ant's sign re
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. AMA ffici I's signature (11'The applicant certifies by signing this exemption that the /0 f6 /6 / 1,applicant will abide by the conditions of this exemption. Issuing date Expi ationDate
AGENT AUTHORIZATION FOR CAMA PERMIT APPUCATION
Name of Property Owner Requesting Permit: ,1 dql ars; , VP.F Mmirraikuvl Nita NG1C
Mailing Address: zoo I Rex4srd R0.►rl J
(`6r1eate NC 215211
Phone Number: q - 3GS-'13eo
Email Address: ,/M tersi @rtGA not gjpsurri.ttm
I certify that I have authorized 1sth F Myst.I Jr. g Urlztvt Er,grnurs ,
Agent/Contractor t1
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: -ll,e emery,,rtj repA;r and re-dr v,r3
o� -134 dnckty 4r 4k dC4-acAcd Upriver nitwit, buo at-fit.. NCiC Wr'Cm;ngf,n,NC FlanF,
at my property located at 38 Sunny v�It D-
hf Irrjn 1*n, IIC 28412
in Neto Pitruvcr 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:
Signature /1
Print or Type Name
VPi ✓�aak` aCLIr;n
Title
It? I It I I $
Date
This certification is valid through 10 / I1 I 21
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