HomeMy WebLinkAboutRodney Norton Sr. 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.0103or NCGS 113A-103(5)(b)(5) .
Applicant Name gay('
110R`OPI S-P' PhoneNumber (c1i0)740 - 7577
Address 53?? T R uo,-r, "Px-,, •
City LA A cIz -0..r State AK Zip 283 51?
Project Location(County,State Road,Water Body,etc.) 2 rAIg_MuilT ''T. i 0 Cr4ti _Lc1-E
rA<.-t / /SIC. .=R41(s j j C/►Nm� o F F
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Type and Dimensions of Project �iRr PAI¢ 1juA7L IF-r C eke,. & Mo-'oRs am- . CRADLE
.lCLuna. s 'R..LNKs. vit_tpiel t=Ere,IP- is NtiT ALATNop.m E> 'IN Tis
EX EM 91 ICN.
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.
AEC(S): a W g. PTA SCALE: 1 " = .201
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//S /11
Any person who proceeds with a development without the con-
sent of a CAMA official under mistaken assumption that the - .. (cant's s' ture ./ /�
development is exempted,will be in violation of the CAMA if there I ,(,�c //
is a subsequent determination that a permit was required for the / / t /�
development. CAMA O ' ial's signature
The applicant certifies by signing this exemption that the ?/2'1/201 T t 2/2q/20 i 3
applicant will abide by the conditions of this exemption. Issuing date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ("R oc\,RA,1`b. tV
Mailing Address:
53$ De,r,401 ca,
LA,,vAkoer „ A1C_ 2$3sy
X10-�7L(O , 1S?9
Phone Number:
Email Address: '{S bn2i l�‘Prec"e f lPinb inC.C"
I certify that I have authorized rP1t c k- 0Q44-
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtainingrall CAMA permits
necessary for the following proposed development: 1• oc�l�t y,\-,5 T.i.b6,4nc5 :.
d - bsor.4 , sii cf Q s ., c Ms
at my property located at 2 z,emon# Sk. Oce,A-'. S.SLe 1`+ C
in 6rAASw1c\c- County. (�
1 furthermore certify that 1 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:
eek-i
Signature
bd�w•t . Nva Sr
Print or Type Name
Title
, ools
Date
This certification is valid through
4i-rd.',
or AJC-
ALL
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