HomeMy WebLinkAboutStephen Lovelace (2)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 7KAWJ or NCGS 113A-103 (5) (b) (5)
ApplicantNamed10h'n Lwe1ut . i&y
Address 5 70 u 4 f2 A -
City CIAC.,-10e State
F;� k , _ y lvi I O
r"i ` Pone Number �
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Project Location (County, S to Road, Water Body, etc.)
Type and Dimensions of Project f
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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.
Applicant's signs \
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CAMA Official's signature
3•I9 -2 W-0 -4- I R-202A
v
Issuing date Expiration Date
3/23/2020
Mail - Brock, Brendan O - Outlook
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorlmd by the State of North Carolina,
Department of Environmental Quality snd the Coastal Resources Commission In an area of
ormmrronmerftl concern pursuard to 15 NCAC Subr mvW 7lWZ or NCGS 113A-103 (5) (b) (S)
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ApoicantNarria&A%—Lo,,44m r n9Number-� �y(y (oxlip
Address S O Lay .
Gity �aSli_ state 1JG ZIP �- ,�a
ProjectLocatitxm (C,o�inty, Sfgte Roast, Water Body, etc.) L4 .�^l' u s4 . � A sn
1 c Il j.�tR�_l.
.1��.1�'LRIt1w_-W171'RR�*i21121 '�1-s� 7s1
laa�xrarar ttl• _
The proposed proilecito be boated and constructed as
described above is hereby certified as exempt hum the
CAMA permit requirements. This exemption to CAMA
pain Nt requkrnunb dose not a llwAsla the necessity of
your obtall>f V any other State. Federal, or local
aut1ortridw.
This wrtirtcaion of exampbon ham ro*wkg a CAMA permit
is valid for 120 days home the dole of issuance. FoiowkV
expiration. a re sxaminNion d rims projad and project ails rrlsy
be necessary to continue this cerd lived n.
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Any person who proceeds with a dereloplaant without the con-
sent of a CAMA olBplol under odsaksn sawmptlon that the
development 1s exempleC, will be In violation of the CAMA M there
Is a subsequent determination that a permit was required for the
devolopment-
The applicant oertMes by sign" this exemption that the
applicant will abide by the conditions of this exemption.
Appllwnt"s signature _
CAMA oltclers signature
3-14 Z.nuo-18-2ot.o
lasting 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: l_.f Uela,� e
Mailing Address: 1('e
2 S'_� 77
Phone Number:
Email Address:
I certify that I have authorized ill //tG'/+�r_S //lGc.ltt?i n s L! L rr
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the followingproposeddevelopment: hs �l tG/ir Sy in
at my property located at 12 zda fz A i u.T4 57—
i
in 5twR i"' County.
1 furthermore certify that / 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;
i r _
Signs re
1�4 e.^ Gd LrP�'C.
Print or Type Name
3 , ey 1 26
Date
This certification is valid through J 1 f 1 21
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