Ned Barclay

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, i3�/�6. r NCGS 113A-103 (5) (b) (5)
Applicant Name
Address Id
City WIL.Mw
F-t' V_ ^ C2-r-LAY
Irvit5
114
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State /'/ C zipze41 I
Project Location County, State Road, Water Body, etc.) S A'4,f- — Nat `''2 µ'DJ `'VAR Cc''
Type and Dimensions of Project Ex%STIN'c,a ,;LAWAA,r>
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.
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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

TI
Name of Property Owner Requestin%Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
q �id e* Yl
CAMA PER
4Mro 1
Agent / Contractor
ECEIVE�
NOV 0 8 2019
to act on my behalf, for the purpose of applying for and obtaining all CAVA permits
necessary for the following proposed development.
at my prop rty located at
in �U' J County.
/ furthermore certify that l 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:
'3.
1
e�
Pri t or Type Name
11 Title
Date
This certification is valid through 1) / -7 1 -
f & g#4mi* /0.
P.O. Box 868
Wrightsville Beach, NC 28480
[phone]
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Ad 9440W)4d #bt AIM G41W)72n
F&8 Marine Contractors, Inc.
Complete Marine Construction Service
For Over 25 Years
CAPT. ED FLYNN DURWOOD SYKES
Plots, Floating Docks, Pilings, Bulkheads,
Repairs, House Pilings, & Boat Lifts
P.O. Box 868 Phone/Fax: [phone]
Wrightsville Beach, N.C. 28480 email: efly@msn.c
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