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Home My WebLink AboutForbes Family Investments LLC C/O Wortley ForbesCERTIFICATION 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.01a3or NCGS 113A-103 (5) (b) (5) e-/v W012_1Tt-£-4 fc�Sc5 Applicant Name FAKILV ..1^NV-S'FKLA'rS . W—C. Phone Number /kJ1A Address 2-2®Y SLA1. rzAVr_ VIE SLJ po 6.x 312-4 City Al-50,t State N C Zip 27 89(0 Project Location (County, State Road, Water Body, etc.) 14 IAA YN l cK &V D (PI>EL-) 214 5. t-LA Kt,JA A ,� C V-05"W,'#c%' Type and Dimension 5 of Project cA ► cz R� Q I_ A C. f. /U,, MST. -r r-� A� 50'/• OF r, x I S i I AIC-1 V'LOA'T I N G -Dx v_s 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. G' 3" M43, AEC(S): W & T A SCALE: dT S __-__-__-__� I I 1 1 I I I I I 1 I I I 1 1 I I I I I I I 1 I I I I I 1 1 11� I1 9ry 1 1 I I I 1 — - I. 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CAMA Offici `signature The applicant certifies by signing this exemption that the ti Z/( (I / 201 9 4- / 1(0 /�020 applicant will abide by the conditions of this exemption. Issuing date Expiration Date 4" _}z Ll AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: /� �� . �,d 42 e s Mailing Address: L 0� Phone Number: Email Address: 0 rt aw b e t (0) M (4e l,) L. c 0.7 1 certify that I have authorized Agerft / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development:cRCl,�r— �G' Goo C at my property located at / ��N%� �� W J. 17 A), in Apc, s 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: V) LtSi nature (-.e-2�4a- Print or type Name Title ate j RECEIVED This certification is valid through I � / � � / DEC 13 Z019 DCM WILMINGTON, NC ON 12/ 1612019 North Carolina Secretary of State Search Results • File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online • Add Entity to My Email Notification List - View Filings • Print a Pre -Populated Annual Report form • Print an Amended a Annual Report form Limited Liability Company Legal Name Forbes Family Investments, LLC Information Sosid: 1173838 Status: Current -Active Annual Report Status: Current Citizenship: Domestic Date Formed: 11 /2/2010 Registered Agent: Forbes, Vance T., Jr. Addresses Principal Office 2208 Sulgrave Dr NW Wilson, NC 27896-1352 Reg Office 2208 Sulgrave Dr NW Wilson, NC 27896-1352 https://www.sosnc.gov/online_services/search/Business_Registration_ResuIts 112 12/16/2019 North Carolina Secretary of State Search Results Reg Mailing PO Box 3124 Mailing PO Box 3124 Wilson, NC 27895-3124 Wilson, NC 27895-3124 Company Officials All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3- 20. Member 2010 FFI GST Trust PO Box 3124 Wilson NC 27895 Manager Wortley H Forbes PO Box 3124 Wilson NC 27895 Manager Vance T Forbes Jr PO Box 3124 Wilson NC 27895 https://www.sosnc.gov/online_services/search/Business_Registration_ResuIts 2/2