HomeMy WebLinkAboutCalvin Meetze (CK Investments)-Y
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
9
Applicant Name i r\L v N Q M E QT (' tC i Phone Number �?U_? Co00 3 .1 3 y
Address C 0 A rz L 14 C (' , �V (2
City CZ rA 0 State Sc Zip 2 9 c) C, �
Project Location (County, State Road, Water Body, etc.) Y 2 F C N s Lz c)
1 . ,, t I
Type and Dimensions of Project -c,U_� I uA/ �.J F -41 1� <<ti
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
sent of a CAMA official under the 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 (1) the ap-
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
Applic s signature
CAMA Official's signature
O /`/ 2 o I
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203
A
Aw"MR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FORM
Date: 7/26/19
Name of Property Owner Applying for Permit: Na of Authorized Agent`for this project:
Calvin Meetze (dba) CK Investments, LLC 74r cam- �r�6���-�►y'�
Owner's Mailing Address:
158 Greensboro Street
Holden Brach, NC 28462
Phone Number( 03) 600-3234
Agent's Mailing Address:
Phone Number �gIki) s-7q
1 certify that 1 have authorized the agent listed above to act an my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
For my property located at 158 Greensboro Street, Holden Beach, NC 28462
This certification is valid thru (date)
Property Owner Aignature Date
127 Cardinal Drive Ext., Wilmington. NC 28405
Phone: 910-796-72151 FAX: 910-3W3964 Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer
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