Sea Oats HOA, Inc

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. O r NCGS 113A-103 (5) (b) (5)
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Applicant Name SEA QA-rc 1A0A., sir. Phone Number (glo)332 - 10u8'
Address FAO S bx
City 0R%Gt4-rrvtL1.c ?,CAC0 State /NC, Zip 284,?o
Project Location (County, State Road, Water Body, etc.) I7I I Al. LLAMI VA AVF_
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Type and Dimensions of Project
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The proposed project to be located and constructed as This certification of exemption from requiring a CAMA permit
described above is hereby certified as exempt from the is valid for 120 days from the date of issuance. Following
CAMA permit requirements. This exemption to CAMA expiration, a re-examination of the project and project site may
permit requirements does not alleviate the necessity of be necessary to continue this certification.
your obtaining any other State, Federal, or Local
authorization.
AEC(S): F_ W Bc P TA SCALE: NIA
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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 signature
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CAMA Offi al's signatu
2. /17 ho 10Z 17L20
Issuing date Expiration Date "'

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Name of Property Owner Requesting Permit: A CA16
Mailing Address: VC bot- �" I
Phone Number: 10 - 3 7sZ- 1 Do
Email Address: (` Iris OJ (r,7p, -7 �� LLLY1
certify that I have authorized jt- TCACOA-,`tipL LL6_1
Agent I Contracbr
rar"h ST, ill�
to act on my behalf, for the purpose of apvlying for and obtaining all CAMA permits
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necessary for the following proposed development:
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at my property located at LI I I N � L Lp;o _ . (,2b
in �01A p r County.
I 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:
Tff/e
Date
This certification is valid through I I