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HomeMy WebLinkAboutBaker Family Holdings, LLC C/O Estelle BakerCERTIFICATION 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 A103orrN-CGS 113A-103 (5) (b) (5) ' V.A1L£R FAMtii-i �L�•�n%C151 LLC• CA> L-5Tr-"r- BA (ojwr-P-) Applicant Name % C/o Cwl9-,c5 $Q,cC -a- (C. M.) Address)_' PO Dox /&3 City 09Z1G1ATS1/ILLf— 5F AC 'A Phone Number rrl 1o)-Z-5'& " G SSo State /11C Zip ,?4 Project Location (County, State Road, Water Body, etc.) 1414 A 1 v- t, Ir- 2 O-A D ' wlt-Mi,46-row C 2?403 A D J ACrAl T -r'o Aww WCO A-lpvr— V- Cc-Lkl- TY Type and Dimensions of Project a PIA 11Z 12r- PL AC C 95b �'/,. of irx t sT,,,r, 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. 'FL -OAT VVJPI Doc K 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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CAMAZfficiaLVsignature The applicant certifies by signing this exemption that the 2 1 /Z t� 5 /Z I A O applicant will abide by the conditions of this exemption. Issuing date Expiration Date f1Yilf Ilr A1�! }f fE? S,�p�' V "RCdcA ' � 11WfQ�lOIOM� NC 1GN sc AllA1RA CAo1AAlan[ NC v O 1% ��ivo O� ; r .' `? -1 �V04 •........ • '-C C v M N '+ n w ## O Lu mm O O k n - Mai & Ito rig I -Jill lAs"NT uNe 92Y _i 4 +� 55 r>-2 r Tr2-A A/5r 7 pOC G � Gd2 I�c'sr� v,QA�Vi ATLANTIC INTRACOASTAL WATERWAY r RECEIVED JAN 17 2020 DCM WI r N, N Q ,a O �U Gi �I AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: ��� ��' l D a/%V�S Mailing Address: 1� >n44 Phone Number: Email Address: o) -ass a CAA<',f e//l jt!�-!e.'^N_ e-d'`� I certify that I have authorized C r,,95744 <fOW5 - , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: �Gd 9�G .mock at my property located at o' '�7 in /%W 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: Signature c IE 222- Print or Type Name �Fiy/s/ZAG /r��9.d� G E Title 1/ -.5- 1 ;? v.-�v Date This c-.-rtification is valid through I I RECEIVED JAN 17 2020 DCM WILMINGTON, NC ?opo6{Cj C'q 13 C / X 3 (� �' d' -1 f oC G i N S o o c_ l� - 3 �c 7%ofCP� OCLGS �N C C�Ji�1lt 1111iNSS SrCcC/i�,� I fOC�"r;NC �C0C- �,� rj lace. U Toy a CtC�j C S�i(N� 1`(OC: iati� �OeJeS IM; 5°(Oki 0j.o. v iao3 RECEIVED JAN 17 ZK DCM WILMINGTON, NC IVA kv, 0 Wft