HomeMy WebLinkAboutMichael RogersCERTIFICATION 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 7KOe6L or NCGS 113A-103 (5) (b) (5)
Applicant Name ( r (AetQt a '.' s Phone Number ld
Address' ,�1�.� ��.� r f��. ;
City 1>,rc-11 State W Zip 3
Project Lotion (County, State Road, Water Body, etc.)
Type and Dimensigns of Project
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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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.
Appli is signature
i
CAMA icial's signature
Issuing date Expiration Date
3/2312020
Mail - Brock, Brendan O - Outlook
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the Slate of North Carolina.
DeparbrbM of Envirorxrmordal OwNty end the Coastal Raaouroes Commission in an area of
xwironnbrow oorroem pursuant to 15 NCAC Subo haptw 7K4Id3 or NCCsS 113A-103 (5) (b) (5)_-.
Applicant Name Lk-, Phone NumberglQ �11t) ZlfryV
Address a �•.
City 'UA'Winryc� State W - ZIP, Z -"
Pmjed LoVtial (County, Stale Road, Wager Body, etc.) 2.1 {.asyu r �.. �( Lf t�C,--
21416
h
Type and Dirrteftagns a�Pr�d
The pro{wsed project to be bcated and coratruclsd Iss
described above is hereby omtflad as exempt ham the
CAMA permit rewwwrherhts. This warrlplion to CAMA
permit requlrenanls does not Movies the raoeasity of
your obtain" any other State. Federal. or Local
auum ritallon.
Thi . asrffiatlom of exempion ftm raQ{rwv a CAMA perntlt
is vaNd for In days horn the dab of lama". Fok -klg
oslViration. a ressaarninalion of the project and project age may
be neosasary Io oorhtflsJa thi cwdr$ atlon.
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AnY (Jerson MihO prOm"s wish a dwebpsanl haithout the Don -
sent of a CAMA official under mistaken assumption that the
development Is exempted. will the in t/lolation of the CAMA If there
is a subsequent OeamNnaton that a permit was required for the
dsvelopmleM•
TM Wpnm nt owtHiss by alp" this exemption that the
appikant will abide by the Condition of this exemption.
Appll a a �WW��i�
CAMA O days signature
3-19-vim -1--1 t-),e >�
Issuing date Expiration Date
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3/23/2020 Mail - Brock, Brendan O - Outlook
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: _`� //Crate x� 2 S-"
Mailing Address: ,�7Z Ae;m,i/ 4
Phone Number:
Email Address: RIC, 4' Us 160, K4u�.r/s'
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following jproposed development: f s l 11�e�
a417 Jsr�
1/41
at my property located at
in -&mWiCK County.
2-V yl I'
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:
Signa re
Print or Type Name
Title
3 1/3124U
Date
This certification is valid through _ 3 1 i3 1 ' ---'
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