Town of Holden Beach

-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.
Applicant Name (DW N of ttoL-DF_1>r—Ac"
Address j 1 U Rol
City 1 OL- 15-A! 112GAcN
Project Location (County, State Road, Water Body, etc.)
13"e a A C c s-- 5!5 UJ A ti (,1 2 X'li 2 9 1 no:
State
Phone Number
C
Zip 2 a 44 2
C41
Type and Dimensions of Project — c.ss
D�r+�E�rsro.Ns 9 � x / b73'
I Gt�CTi.r a &g A c a+ A c cEls LJAy� SAAc-t_ T�o0.MWA-r G Wlrr G3..L/A R1 rEP_ ToC OF
Tt1t� ftoOXT-AL- r)t,Afv-.
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
SKETCH (SCALE:L"1 30 )
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;;Kg r7 -259
PL
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Any person who proceeds with a development without the con-
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.
SE>- A-TTAGNE-D
Applicant's signature
CAMA Official's signature
ic
(Grl"/9
Issuing date
= 2- / 15 /ao
i ri-
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

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.
Applicant Name 7C3WAl vF �0,-,DF4 r--AcI1
Address— ,_[o -r14 se__k_k(--D 5-r
City kA ot�y crJ tar-.,AcM
Project Location (County, State Road, Water Body, etc.) t'rtu�1
Type and Dimensions of Project
Phone Number
State Zip _ 2_&4<, 2
C-"
�5-rJ;ul n.rw._ $4cncu ea SsLV,5 �44A�L_ �CP-*Al�lnct �i tJhT�i+e�/4�A �tFE� "i�O tit=
i ttG ft;-t20?frA G...
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
SKETCH (SCALE: 0 )
t'ti - Pi
Pt-
P L_
Any person who proceeds with a development without the con-
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
devolopment.
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.
!!Swum utr��.
CAMA Offal's signature or
Issuing date
I ;7- � 15 Z;7-01t
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit —7o—kn a P%/(, eo /5t4L�6
Mailing address: J 10 e';RO*SCnt-.ad
Phone Number: q 1 o - s%� " IrD$0
I certify that I have authorized,,.. k! o - 00f-:
Agent / Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of
at my property located at ,2 0U&vl bIvd w#-at
in &"S w ck, County.
This certification is valid through
Date
(Property Owner information)
i
Signature
L" dC,)e7�-'
Print or Type Name
1'0� Li
Title
11 4 '!
Date
Phone (Number f
rih� e� h b �'j'Aq[t- Lowy,
Email Address

Town property at 289.1 located between 289 & 291 Ocean Boulevard West.
ITOWN OF
I HOLDEN BEACH
I QREPuqP OWNER)
Existing single c
Fondly residence N
v
LOT 2 4
f
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1
TOE OF DUNE .
1 RAG= aY THE TOW
I OF HOLDEN aEAcN
LOCATED 02-18-15
I
I FROM
FIRST UOF KVEOETATION
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(
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LOT 12
L
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OCEAN BLVD. WEST
80' RIGHT—OF—WAY
of
N
289 Ocean Blvd. West I I I
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Existing single (II Existing single I I
t F."Y residence I
Family residence E I I
LOT 4
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LOT 3 I I
SE CKd L I I
RHODA WMILLAN j
13.5 14.5 SUBDIVISION
I AAP 800K 2-1/$ PAGE 134
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7 +9.9 70{.0 .
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Iro I I
s 1 w2.7 I
LOT 13 11 LOT 14 i.
1 I I
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FAST LINE OF VEf;£TATKIN I I
FRAGM BY THE TOWN 1
OF HOLDEN BFAG1 I
LOCATED 02-18-15 I
I
55.18
30 , a 30 so C/x�
SCALE 1" 3W I �✓