HomeMy WebLinkAboutRalph Lewis Jr�/tMat�-c p
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 RALrN L-r--w is --j v • Phone Number
Address Po Vox l>Zog93
City C NA RL OTT1_ State 14 C Zip ;ZR�� Z
Projec Location (County, State Road, Water Body_, etc.) Z R LAW SW I c K Cfl A 4TY
9 comcoRl� 5-rRVII 0 Ot.CAN �1 S+ L IQi ACIA ZS4:D�I
C^iJAL- -- V AI W W
Type and Dimensions of Project
IE
The proposed project to be located and constructed as
described above is hereby certified as exempt from the
CAMA permit requirements. This exemption to CAMA
permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local
authorization.
IST
This certification of exemption from requiring a CAMA permit
is valid for 120 days from the date of issuance. Following
expiration, a re-examination of the project and project site may
be necessary to continue this certification.
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Any person who proceeds with a development without the con-
sent of a CAMA official under mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that the
applicant will abide by the conditions of this exemption.
SEE Al --ACHE
Applicant's si ture
/ eel—
CAMA Off 1al'ssignature``
3�4 12019 7/4 /2019
Issuing date Expiration Date
IF
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.oiO3or NCGS 113A-103 (5) (b) (5)
Applicant Name "R-ALPN L-c-tA+S �i� . Phone Numbert�d4)23t,-9�24
Address P O Sox (P17- 0 3
City GRAFLILo-r-rt= State /�C zip Z82&Z
Project Location (County,State Road, Water Body, etc.) �F't�wsw'cK GueJTy
--lit__ C-1V -oP.D JTR� fl�C.�N 1,ft£ gEiSN+ 9
A t W W
Type and Dimensions of Project
A I AM6Ar wc-r- _& 9f-rA I IlL 11m- Sr/ / n
l' I t A 8t f j X log i� Pb AT FsatRM
The proposed project to be located and constructed as
described above is hereby certified as exempt from the
CAMA permit requirements. This exemption to CAMA
permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local
authorization.
This certification of exemption from requiring a CAMA permit
is valid for 120 days from the date of issuance. Following
expiration, a re-examination of the project and project site may
be necessary to continue this certification.
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PL_ PL v/
Any person who proceeds with a development without the con-
sent of a CAMA official under mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that the
applicant will abide by the conditions of this exemption.
Issuing date Expiration Date
i
AGENT*AUTHORiZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
�w>
Mailing Address:
Phone Number:
L ,Ld .•
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� s •ir
Email Address: Xei�✓/S, '00u f Ce/'Yt,
—
certify that I have authorized / ,7,,,S ,
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Z_Ceaz� ,;�"6;f.
�/.,/�. �% ,r //X"/ch,�..n 1 �M»?frr/,t /�N� .1/n . Q /,., n r-.,. �i�. .�.�Ji /,__ �/7 �1.G.�� __ •
at my property located at A 7 ��� �Qf,2
in LrNmck County.
1 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:
This certification is'valid through P / '? '-' / / ✓
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