Hurricane Fleet Inc.

CERTIFICATION OF EXEMPTION
Applicant Name
Address 1 9(t r
City
Project Location(
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 7KJO or NCGS 113A-103 (5) (b) (5)
'\`f- -� C-. PhoneNumbera l3 lJ-© (01i3
State s c Zip 'Z 1 S'95L
State Road, Water Body, etc.) '1 �!-}� V-,A L_V_ '�} -
Type and 107Dimensionsf Projec�t A 1.
The proposed projectto 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.
S Fes- ' � l C-D
Appli is sic nature
CA A Official's signat re
Q
Issuin da Ex ati n Date

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 .rL13 or NCGS 113A-103 (5) (b)
Applicant Name H.y:/fr, � �-•"�
C Phone NumberW_ It-50 (.41
Address 1-1 U 11 1 ;
City_ �.�� M, r�Lr <.�• �% State d�c Zip
Project Loc ti n ( ounty, State Road, Water Body, etc.)
Type and Dimensions,.Qf Prw'eC�t
1..wr.\,1 A
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.
AEC(S):
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 Appi' is signatur
development Is exempted, will be in violation of the CAMA if there Ar c�]
is a subsequent determination that a permit was required for the 1 -
development. CA A r'ia yssignature
The applicant certifies by signing this exemption that the
applicant will abide by the conditions of this exemption. IS91Uir*(daJ4 Ex ratl n Date

0 o
0 cc

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: flUP P ,4L1'
Mailing Address -
Phone Number: l z� U13
Email Address: C14v� l��c'e����o ,tr,� 1 �L� -
I certify that I have authorized
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: )5 /" ),k6.- 1�1
at my property located at 7S_ �ArK6L-
inCounty.
1 furthermore certify that I am authorized to grant, and do in fact grant pennission 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 Inform io
l
Signature
Print or Type Name
Title
Date
This certification is valid through