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Home My WebLink AboutGary BrownCERTIFICATION 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 71<44c& or NCGS 113A-103 (5) (b) (5) Applicant Name t�. Address 72 4 1 L Phone Number -536 "� Y,Ky City State N Zip 2 - 3 Sg Project Location (County, StatA Road, Water Body, etc.) - Type and Dimensions of Pro'ect ^ 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. AEC(S): 10-kJ 0-TA SCALE: N j I __---t__-__r__-__-__---� I I I I 1 I I 1 I I I I I I I I I I 1 1 I I I I I I I I I I 1 I I I I I I 1 I I I I I I 1 1 I I 1 1 I I I I 1 I I I 1•----►---F--+--F-->---.J+--t---+--t�-/-�/+ y-,�--yt---+--I---�+1,- t-C-1---+--+--+1-'jj+��y h--r--t--t--t--tf-�Y1 �F--�� Mly��'F`"'_'f -'(b�'rY1'f'�r.FY i--t�-i'+~t ,I��ri�_t•�`-r--i 1 I I I I I I I I 1 I 1 I 1 I I I I I I 1 1 I 1 I I I 1 I s4l r--r--r--r--r--r--r 11 1 I I 1 I 1 I I 1 I I I I I I 1 I I 1 1 I I 1 I I I 1 I I 1 I I I I 1 I I I I I I I I I 1 1 I I I I 1 1 I I I I I I r--r--r--r--r--r--r--r--r--r�-\-r`--T--�--rr-�-T--r--T--r-�`---(r�-�-r-_-r�--�lT.�--r--r--r--r--r--i --r--r-- --T-- All= -r -r- -\ -T i-'-ram-s' -S- If-�1r-r--T P-{�V--� --j I I 1 I I I I I 1 I I I I I I I I 1 IY 1 I TI I I 1 I I I 1 I I 1 I I r--r--r--r--r--r--r--r--r--T--r--r--�--r--T--r--T---�---r--r--T--T--r--r--r--r--r--i 1 I I I I 1 �Rw.1 14 1 f[�. _/% 1_ `li 11 �, �, y�,N f✓v 1 t i--r--r--r--T--r�`lt- r- r--T r--ir "f�+ r T--1 i T T- Tit--i"-i"--r-- i I I 1 I I 1 I I I I I 1 1 1 1 I I I 1 1 1 I 1 I I IL I I I t----L--L--1--L--L--L--L--1--L--1--1----1----1------1--1--1--1--L--1--L--L--L--� I 1 I I I 1 1 I I 1 I I I I 1 I I I I I I t I I I I I I JI I I 1 I I 1 I 1 1 I I I I 1 I 1 I I I I 1\ 1 1 I I I I 1 I I 1 1 I I I I I 1 I I I 1 1 I 1 I I 1 1 1 1 I I I I I I L__L__L_-L--J.__L�Lc_-L_LS='1SI.J_1_d=",_Ly,l-Yi' _1A�11dJ:-LDS I 1 1 I 1 I I I 1 I I I I 1 I 1 I I I 1 I I I I I I 1 1 I ��L--L__1__L__1__}__4�_`_1--/rL 4--4--1---4--}--"'�^r�`I. LIA L- 19Ji^_-L�■,--`K�-} 1=- �1�=1a-;--;--4'--1--4---4'--4--� I I I I I 1 1 1 1 1 I 1 1 t 1 1 I 1 I I I 1 I I I I I I I I 1 I I 1 I 1 I I 1 I 1 1 1 1 I 1 1 1 I I 1 1 I I I I 1 I 1 I I 1 1 I I I 1 1 I I 1 I 1 I I I I 1 I I I I I I 1 I 1 I I I 1 I I I I I I I 1 I I I I I I I I 1 1 I I I I I II 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. Applic signature CAMA Official's signature 2.,--1 1 __102-C,) -7 - 18-2-074) Issuing date Expiration Date 3/23/2020 Mail - Brock, Brendan O - Outlook CERTIFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT as authorized by ft Sta m of NorM Carolina. Deparpnent of ErwftnmanW Quality and the Coastal Resources Coerlliasion In on area of envitorm ental concern pursuant to 15 NCAC Subchapter 7K4ftZ or NCt:9S 113A.100 (5) (b) t5j= Applicant Name -b1 lam•► Phone Number 3X ".ry= Address SZ 44 _ 6 City 5,,.,.{„C- k State N zip Z' s8 ProjectLoclr' (County Ste R ,Wate—Wy,g etc.) Type and Dimensions d Project- tip. The proposed project to be loafed and constructed as This csrtlfialbn of exemption from mqui ft a CAMA permft daeoribad above is Hereby c@rK*d as exempt bwn the is valid for 120 days from the deb of iasuarme. FokwAng CAMA penal Iequ iri ments. This oxwTq* n to CAMA expratlon. a rotxenllnalanoHha proJactarld projectaite may pandit Iequiremunla doaa not alleviate the necessity of be necessary to continue this osrtl0ation. your obtaining any outer state. Federal. or Loose aut1wri:stion. AEC(s) SCALE: N T 1 1 I 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 f 1 1 1 I 1 I I I 1 1 1 1 1 1 1 ! ! 1 t 1 1 1 1 I I 1 1 1 1 ! 1 1 I 1 1 1 1 1 1 I i1 1(1�/ 1 1 1 /I � 1 ! I I ► I�1vc� �--t--r--r--f--1 f, R--Pw��-rlw'S�f 1 Y-�-f�--f`_•--� �rs Y/� I 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 ! 1 1 1 r 1 1 1 1 I •--r-_�'--►' - _'� --r -- t --•-- r--* _-�--f--.1--r--7t-r-- 7"-r-'�'-----'►-r � �-t-T�'--r--�-'�---__- n Any person who proceeds w M a de"s op wit withoW the con- sent of a CAMA ofRcfal under saetabn sswmWdw Thal ft developmaM is exempted, will be in vial~ of to CAMA a there is a subsequent determination Mat a par" was "Wed for His TM spplkwd cwtdkm by signing this exemption Mat the sppocanf will abide by the conditions of this exemption. f 1 1 1 1 1 1 1 1 1 1 1 I 1-- - � T--T--T-_-T--T---f--1 1 1 I 1 1 1 111 1 1 I I 1 1 1 t 1 1 1 1.+ 1 I t l 1 1 ! 1 I 1 1 1 1 1 �a ►�yr� it I 1 t 1 1 1 1 I 1 1 1 1 1 1 1 n � v CAMA Offtlsrs signature -iq 1aki IT- 1a-2.0Zo issuing dab Expiration pate https:Houtlook.office365.com/mail/inbox/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQAONJYkmAFLIFrWurU6pl9j4... 1/2 3/23/2020 Mail - Brock, Brendan O - Outlook AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: cfll� /Drown Mailing Address: Phone Number:b Email Address: I certify that I have authorized 1�l IkdrriaS C1��tf711-oG9��?�y' Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development:~/ -<:� 5'e' . 6e� Z/r,/ Etc/K"lce at my property located at in QR.u►sWfCJ- 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: ■ Signature Print or Type Name Title Date This certification is valid through 3 1 1 2 i https://outlook.office365.com/mail/search/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQAE5ergbEGrBPpMNxlPhOQ... 1/2 0 0 0 0 c 2 m U 0 m SaorMpvaL✓�O'��J ,rya,1ntat�r�v�7U r:4S O N O N M N f7 7 S, - �,- I Wa� DS y10 `9�1=� 1,-IAA?j?70-i iris ad.d i �-IfIly