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HomeMy WebLinkAboutJin & Sandy Garttmeyer 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 .0t03or NCGS 113A-103(5)(b)(5) . Applicant Name rJ14 & ~A PV t-"tAR + v Phone Number (to i 0`30f' - 554-5 Address /�3 PrivoER- -)TRe. -r , City OCEA', `L 5t_r_ Sr-At-14 State Al' Zip 8f4'w Project Location(County,State Road,Water Body,etc.) SAME C A4,i�- o n! 038 Type and Dimensions of Project RE -A'-rAc�1AiG PIErz ?' x 4 ' To Can/�rr'Ir F...c.rllrAf, 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 icial's signature / t The applicant certifies by signing this exemption that the 47(.Z.41/2 0l i i z fz /,Z0 t P applicant will abide by the conditions of this exemption. Issuidate Expiration ate AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: r &6•N, \/ 6t.kr ttlelver Mailing Address: 3 Per\kQf nripc_t4 bt• <- \ Phone Number: 610 - Joh ` s L Email Address: 9C,X‘%',r‘CJY 14 VV.-S rr , CO.clr I certify that I have authorized ( (.,\\ ),- , Agen /Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMpermits necessary for the following proposed development: ` \i\v),--ct at my property located at J f:7 ,c4✓' in NN,cN.5 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. Pro. • Owne I i rmation: dr ii Ii!J r Signature a,"^ 6)J G4PY‘, K-A/ Print or Type Name ( Ucczo i 9\c4 � Title _t Date This certification is valid through / / r— I CIA, j--$7 eq2 1 (7tr.tr>Ti L9,1 did