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HomeMy WebLinkAboutStephen Lovelace (3){ 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 7K4W7 or NCGS 113A-103 (5) (b) (5) Applicant NameJ-YT Address T -kp o u„ 04 �Icp&�Io ptk-04 S���.T r"L., P oneNumber� I, City IA , N o�14_ State NC_- Zip S Project Location (county, S( ( to Road, Water Body, etc.) j t 1 1 P G r N 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): 1^ J D7,4 SCALE: N 'T.. 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The applicant certifies by signing this exemption that the applicant will abide by the conditions of this exemption. Applicant's signat re CAMA Official's signature 3- i g -1_o z,0 • I 2oZ-o Issuing date Expiration Date 3/23/2020 Mail - Brock, Brendan O - Outlook CERTIFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT as authorized by uns Stem of North Carolina, Deparbrrstnt of Erlvgorrrler" Quality and the Coastal Resources co -mission In on area of envavrrnerttal mmem pureuartt to l5 NCAC Subdtapter 7KAol o► NCGS 113Ar103 (5) (b) (5L_- Applicant Mame—'ft��" • 0"Numher�� City ei� 1State IJL ZIP L 2 Ia ProjectLocation ( c nty, 5fgte Road, Water Body, etc.) f ��"""� "� `' s� • '•"' The proposed proodto be locsled and constructed as dssI 1111 above is hemby certified as eaempt from the CAMA permit requMamulb• This Sitertlplim to CAMA parttlit requirMtlenb doss not aMvlals to neceasily of your obtakft arty other Sues. Federal, or Local sultlor zedon. AEC(Sj: 1 1 I 1 I 1 1 1 I 1 1 1 1 1 1 1 1 r--r--r--r--r--r--r--r--r--s--r-- y--r--T--r r--r--r--r--r--r -- -r--T r--T -�^- T 1 I I ( 1 1 1 1 1 1 I 1 1 1 1 1 l 1 1 I 1 1 I 1 I 1 I 1 1 1 I I r-r--r--r--r^r--r``--r-r-T--r--T--�--r--�--r WW( i 1 1 1 I 1 1 1 I I 1 1 1 1 1 1 1 i-44-4--+-44--f--i-- - ;4` -'-- -- 1 1 1 1 1 t 1 1 1 1 I 1 1 1 1 -4--}--+--f--F-- +-}--+--+--E--i--F 1 4 1 1 f 1 1 1 1 I 1 1 i 1 1 I 1 1 1 1 1 1 This owtftaim of exemption from n quWq a CAMA po-* is valid for 12D days Mom the date of tssuarlce. Fo/owklp expiration, a ro-wmr -Abon d via projad and projed site may be necessary to oonbnue ftds csrWiic r ion. SCALE_ IV Tr 1 I I I 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 --T--r-t__T--T_•1 1--r__T-'Y-Y_ -_1 T-•r-T T--T--7 ? T-T- r"T--r--1 --T-- 1 1 i 1 1 1 1 I f I 1 i 1 I 1 1 1 1 i 1 i I 1 1 1 1 1 1 1 y'a'__a{�\_1�4�_(_�J+__a-a L_-1-_LA_ ±lu_/-��L/_. _j-�i>R --iLf Sa.. 1_-4-�i-f.i�c-a_ 1 1 1 1 1 I 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 t 1 1 1 1 1 1 1 t 1 1 1 I 1 1 1 1 1 1 1 { 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 1 r 1 1 1 1 1 1 �.eN�k�a. lov�l I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 a..-a-_a_-a_-a__a-- ---a ___a__a__a!_a__►--a__a-_a--�-r.._-a_-a__a_ a � t l { Any Person who proceeds with a development without the con- sent of a CAMA official under mistaken sawmptlon that the deveopment Is sxempted, will be la vidallon of the CAMA It there is a subsequent delernthwtlon that a permit ryas required for the development. The applicant certifies by signing this exemption that the applicant will abide by the conditions of this exemption. Applicant signet ��` A •l.J CAr1AA olflciars signature 3- jg -Loz43 '�-18-2os o Issuing dab Expiration Dat- https://outlook.office365.com/mail/inbox/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQAONJYkmAFLIFrWurU6pl9j4... 1/2 O �I N CD N cM N co ZS#ad{j u►Wr . f,-Wra4-v,•.2bld 1;?Algy `Z-7��fitrdl� rwril"V spba�lrl�,y an'►�»Js�( �ryraml COP ah ,0,s if.;o fM a01,0/ a►v!y CQ _L. Wl"'/'�W-j '? uIbrC Swo�traLdul�?l sv�,�n.��nv�u �a prmld ;0/ h-mm-0. A-- n S ---> �„ q vrrr �j �Q s�ss�'�PjO u� f•5 �5 Nh�1p /'����. `,l cy,,�4- q - sui�of.la� dwMztta r-h'►V � u �° � f If, d -4 O(y J 0 N LO LO z 2 F- 2 F7 3/23/2020 Mail - Brock, Brendan O - Outlook AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:�i{efr (rJU�/Gi!e Mailing Address: 70 ,�l'�ii�5i X� Phone Number: iO2 Email Address: 7% I certify that I have authorized ,l '//! g41"GS //l 1 f i'�t Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: /,VS A// S y<-X;"W at my property located at ! 2 z_R,dz/1 i u.1!2 ST elf�-:�� in 6rt(A-ak County. I 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: 3i�n� re Print or Type Name Title Date This certification is valid through 3 1 https://outiook.office365.com/mail/search/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQAE5ergbEGrBPpMNxIPhOQ... 1/2