Jerry Topp

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C CERTIFICATION OF EXEMPTION
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FROM REQUIRING A CAMA PERMIT
/ as authorized by the State of North Carolina,
Department of Environment,Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name cj ERRy r l oDo Phone Number (110)622-
Address 3 3 Z Meru 01.y T-Ivr
City f-koLor.J State ,,,,./c. Zip 2 Cc
Project Location(County, State Road, Water Body, etc.) RPu�_;.. I, '`^m„✓-ry A I
<AM6.
Type and Dimensions of Project rPA)1Z iOANA(AEA, i'-'1 4...t AI CIS -ra E x,<7,./C,
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of 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 the mistaken assumption that the Applicant's signature
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for they '
development. CAMA Offfiicial's signature
4172 01 R•
The applicant certifies by signing this exemption that (1)the ap- Issuing/date
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent 12`g poke'
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203

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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
F
James H.Gregson Dee tee
Beverly Eaves Perdue Seer
Director
Governor
6_,Q.ENTIMHRTIp_tligata
Date: August 7th, 201.8
Name of Property Owner Applying for Permit: Name of Authorized Agent for this proiect:
ferry Todd Will Richardson
Owner's Mailing Address: Agent's Mailing Address:
332 Marker Fifty Five 3235 Seacrest Ave. SW
Holden Beach NC 28462 Supply NC 28462
•
Phone Number(910 )622-7271 Phone Number ç 910) 367-0335
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applyin
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
Repair damaged pilings
(my property located) at 332 marker Fifty Five
This certification is valid thru (date) 9-18
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Property Owner Signature Date
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MISG PILING REP ' IR
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CANNER:
JERRY TODD SCOPE OF NORK:
NTS
332 MARKER FIFTY FIVE MISC PILING REPAIRS
HOLDEN BEACH NC 28462 GENERAL MAINTENANCE
(110-622-1211 CELL
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