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Home My WebLink AboutDavid KeithCERTIFICATION 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•0103 or NCGS 113A-103 (5) (b) (5) ApplicantNa_me -Vk� �`�� Phone Number �I/O Address �'n 0.1 t� l( ! ? ?"(p City P he - s�,n State f J ��- Zi � (u 15 P Project Location (County, State Road, Water Body, etc.) ' ' ' ' ` v ' ' -- L., ^ `- 5 1AJ Z, h: 4 .-,+ c. .� 7 Ci pr- Type and Dimensions of Project J 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): y T f� SCALE: __-__-__-__r__-____r____�._—�.__.r__-__�__t_--__r__—_—___t.__r__t__t__�__r__-__—__�__� I I 1 I 1 I I I t I I I I 1 I I I I I 1 1 I 1 I I I I I I 1 1 I I I I I 1 I I I I I I I I I I 1---I- -+--}--*--+•--�--t--1---t--i-- --i- --F-1- Tt--+- t-�� r t--I---H--1---i 1 1 I I 1 I I I 1 I 1 1 f4 I ( Il 1 I I I 1 I I I I I r--r-- ----t--r--r--r--r--t--r--t---►-- --t ,r--t--r--t--t--t--t--t--r--t--r--r--r--i I I 1 1 I I 1 1 I I I I I �• I I 1 I I I I I I I I I 1 I r--r--r--r--t--r--r--r--r--t--r--t--�----```j"""t��-r--t--r-�---r--r--Y--Y--r--t--r--r--r--y I 1 1 I I I I 1 I I I 1 I � I I lIF 1 I 1 I 1 1 I 1 I 1 1 1 I 1 r--r--r--r--r--r--r--r--r--r--r--r--�- r--�-r--r--r-�---r--r--r--r--r--r--r--r--r--i I I I I I I I I I I 1 1 I I II I I I I I I I I I I I 1 I I I I I I 1 1 I I I I I I I I I I I I I I I 1 I 1 I I I I r--r--r--r--r--r--r--r--r--r--r--r--�-- ----r--r--r-�---r--r--r--r--r--r--r--r--r--i r--r--r--r--r--r--r--r--r--r--r--r--�-- -x--r--r-- -�---r r- r--r- r--r--r--r--•I I I I I I I I I I I I I 1 I I I I 1 I I I I I 1 I I 1 I I I I I I I I I I I 1 -�, I -1 I I 1 I I 1 I I I I 1 1 f--r__r__r--T--r--r__T--r--T--r--T--�-- --r-r--r-1---r--r--r--r--r--r-- I 1 1 I I I I I I I I I I K I I I I I 1 I I I I I I I 1 --r--r--r-----r--r----r--r--r--r---r---r•--i I I 1 I I I I 1 I I I I I I I I I I I 1 1 I I 1 I 1 I t--L--L--L--L--L--L--L--L--1--L--1--1-- ----L--1--�-J---L--1--1--1--L--L--L--�--L--J I I 1 I 1 I I 1 I I I 1 I I I I I I I I I I I I 1 I I I I I I I I I I I 1 I I I I I I 1 I I I 1 I I I I I I J.__1__ ____L__1__L_J___1__1__1__1__L__1__L__L__L__J I I I 1 1 I I I I 1 I I I 1 I I 1 I I I I I I I I I I I I I 1 I��1 1 y1�_I��yI IL..._t��,..1�'" I fir~ I "T_"(r__'?=- -- �r-=•' L I =- — I 1--t--- --� --� --� -- I I I 1 I 1 I I I I I I I I t I 1 I I I I I 1 �i•�-4---"1•_A- I L__1__L_J___1__1__1__1__L__1__L__L__L__� I I I 1 1r 1 I I 1 I I I 1 1 1 I 1 1 1 I I I 1 I 1 I I I W--I--j�J 1 --J.-- I I Cc. a I 1 I I I I� > �= K� <�il',t.i,/ � I I I I I {� 1i1`�I{�1.� I 1 I �i •..i,,�J j1 i J1' i V 1 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. App ' ig t re r " CA A Offici I's s' nature Issuing da Expiration/Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: DAVID KEITH Mailing Address: PO BOX 1386 ABERDEEN, NC 28315 Phone Number: 910-639-2745 Email Address: I certify that I have authorized WILL RICHARDSON , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: AND GENERAL MAINT. PILING REPLACEMENT at my property located at 3559 RIVER VIEW LANE SUPPLY NC 28462 in BRUNSWICK County. 1 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: l Signature DAVID KEITH Print or Type Name OWNER Title 11 106 / 19 Date This certification is valid through _12 / 31 1 19 5GOPE OF WORK: REPLAGE UP TO 10 EXISTING PILIN65 SAME LOCATION. GENERAL MAINT. OWNER: DAVID KEITH 3559 RIVER VIEW LANE SUPPLY NC, 25462 910-639-2745 AIWW