HomeMy WebLinkAboutJamie & Carie AustinCERTIFICATION 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 .0103or NCGS 113A-103 (5) (b) (5)
Applicant Name CA,9%C- Ajy t•H Phone Number `10118 7yIZ-
Address2.D(rr ^. t c CEO ;
City 9.o A Notc.C- State iti• VA Zip 2 'z.
Project Location (County,,State Road, Water Body, etc.)
Type and Dimensions of Project
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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 requia CAMA permit
is valid for 120 days from the datY'tion.
nce. Folloving 1
r. ,� . , L
expiration, a re-examination of thand projc{sife riiayt
be necessary to continue this ce
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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.
Applicant's s19 fiature` -7
CAMA O i s signature
Q JL 4
Issuing d e
r.�
Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: Jamie and Carie Austin
Mailing address: 206 DAVIS RD ROANOKE,
VA 24012-8972
540-798-7022
Phone Number:
I certify that I have authorized Charles Fox Homes LTD
Agent / Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of 2 r- PA, -f- ' ���R�� 1 k-ORZOY- 7A
at my property located at
in Brunswick SIGN
----- - - _- - HERE
This certification is valid throu
(Property Owner Informatio
Signature
Print or Type Name
UV --
Title
Date
Phone Number
Email Address
'ounty.
2/1 /20
Date
702 Riverside Drive, Lot 29 -
49'40 29/32'
- -Propose to repair 22'-24' of bulkhead
Austin Realdence
that blew out after Pou rlcane, water flow
102 Riverside DrIve
i undermining the bottom of the vinyl bulkhead wall
Sit Beach. NC
causing bottom of wall to blow out
14-10
24'-0"
Jere Dean LLC i
Property
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bids Setback
without variance
----
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, 24'4016' I
O 1/32"
Ank* Creek Feeder Canal
Stole Setback
with variance