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Home My WebLink AboutBob SaahCERTIFICATION OF EXEMPTION Applicant Name Address__ 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 J3or NCGS 113A-103 (5) (b) (5) An 0i -°h"'s < < C Phone Number 2-`JQZ;,3;LSS-33 City State PAU Zips S6 Project Locati n(Copnty,;StateRoad WaterBody,etc.) �a � Sic..--4 S fJ� 4 L,1 Aj C Type and Dimensions of Project fit'` 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>-rlr f:-err SCALE: A /-T-C, I I I I 1 I I I I 1 I I I I I I I I I I I I 1 I I 1 1 I I I I 1 1 I I I I I I I I I I I 1 I 1 1 I I I I I I I I 1 1 I r--F--f--1---t--1---F--t--F--+--�--t--i--t i--t--t--F-1---t--t--t-- F--t--r---F--t--i 1 I I I I 1 1 I 1 I I I 1 1 1 1 1 1 1 1 I 1 I I I I 1 I I I I I I 1kli� I �Q ICI [ j..n 1(�/y Q� VI r--r--r--r--t--r--r- t t--r-�� -�---t--r--t--r---ti---t t--t-- -- - t -r-r--r--1 1 I I I I I I I 1 I 1 1 I I I I 1 I 1 I I I 1 I I 1 1 1 I 1 I I I I I 1 I 1 I I I 1 1 I I 1 1 1 1 1 I I I 1 I I I 1 r--r--r--r--T--r--r--t--r-l-�t--/1r/�1r-ti---r--t--T--t�--r--[ Jtjj-�-r--r--r--� r--r--r--r--T--r--r''L --� �F--P-�Ts-T--r--T'- r Orr 1 T- T--7--�T�- t I U �-1'�r--r--4 I I I I 1 I 1 I I 1 I 1 1 1 I I I I I I I I I I I 1 I 1 I '�•I_ �1 Y�C►VI'I 4T__r_ _ rr`C_T ic"r�� 1TG_, flr`� ,I �z T �1 --V �r-rr--j _ _ I I I I I I I I 1 I 1 t I I I I I I I 1 I I I I 1 I I 1 I I I 1 I 1 I I 1 I I 1 I I I I I I I I I 1 1 1 I I I I I I r--r--r--r--r--r--r--r--r--r--r--T--1----T--r--r--r-�---r--r--T--r--r--r -r--r--r--i 1 1 1 I I I I I I 1 t 1 I IZ 1 nl J.. 1 I 1 -r--T- r---- r--r--T-r--r-- -- r--r--� I 1 1 1 I I I 1 I I 1 1 1 I 1 1 1 I 1 1 I I 1 I I I I I 1 t--L--L--L--1--L--L--L--L--1- L--1--1--L--1--L--1--t---I---1--1--1--1--L--1--L----L--� I 1 I 1 I 1 1 1 I I I I I I I 1 1 I I 1 I 1 1 I 1 I I 1 I til1_^_*7L_=�=L"_Lr--L--J I I 1 I I I I I t 1 I I IR'r�J I „J I I I I 1 I 1 JI I I I 1 I L_ J 1 1 I 1 1 I 1 1 I I I I 1 I I 1 I I I t 1 I I 1 I 1 1 I I _YL_L_�L _111Jk.LJ I I I 1 I 1 I 1 I I I I 1 I 1 I I I 1 1 1 I I I I 1 1 I 1 �--L--L--1'--�--4--�'--��Jjj'l�--L--1--L--�--jj�!!--L--'1_-6--1--L-�-r-1--�--1--1--L_-'L--L�--!�'--L--J -- -- --; --; -- -- - -1--�llrsi-- -4=� ; - '---�-- i - i--11+�--'�"`Q I 1 I I I Any person who proceeds with a development without the con- sent of a CAMA official under mistaken assumption that the Appllc natur development is exempted, will be in violation of the CAMA if there is a subsequent determination that a permit was required for the development. CAMA Official's signature f The applicant certifies by signing this exemption that the t 4 � pe,12.0 applicant will abide by the conditions of this exemption. lssuingfdatef Ex iration Date �Id � "",af1?tl '1Q +i�-evs Oh %2 -7N -V-91Pl07l f.5 1! 2 yxl/ �, bY / .?X , x�u�d-d 'uirQ-%woesosa 'o 41144s"1 su+y�1ptiq -� uq'O� 9 �W -7N -s*�) 5b`q d aid ,ca)jv -� x 7.c� 1 2ghll- NIT" 4afIIt 'ro ,S z I 0 N 1 11/12/2019 ' Mail - Brock, Brendan O - Outlook AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: /�4SS &IS /Ul1 Lc - Mailing Address:na r� Phone Number: Email Address: -Sl<�A 95't" >-1 I certify that I have authorized 1V%// 11,fO/ha5 Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: A� Z� S'c%�law at my property located at 1,2 % in & 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: -:5zj l -lam Signature �b -�GfR6 Print or Type Name Title /0 1 3'-�) l/�7 Date _..%� rS Ce�c-��1 Sian is c'��' ZCz e�cj- � l•�/30�� 0 https://outlook.office365.com/mail/search/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQAOaTX3dBg29GuUuPwuQ... 1/2