HomeMy WebLinkAboutPaula BullockCERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
sa authorized by the State of North Carolina,
Deperurtent of Environmentaai Quality and the Coastal Resources Commission in an area of
enviraxnental concern pursuant to 15 NCAC Subchapter 7K.9M3or NCGS 113A-103 (5) (b) (5)_
App4ica7nt Name { wulLA�+L1t: Phone Number 9° 1 �4" 2609
Addren 2 4 DR
City _ _ O 66 A.V DQ State FcQIR I uA Zip 3 206
Project Location (County,State Road,Water Body, etc.) 151 5- r rw r ovist- 1IKlVL
Type and Dimensions of Prgect
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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
Perms 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
expira(ion, a re-examination of the project and project site may
be necessary to continue this certification.
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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 it 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
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Issuing date Expiration Date
u rye
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.0103or NCGS 113A-103 (5) (b) (5)
Applicant Name +aunt-A4 9iA"C.uf- Phone Number 67O) 406 - 2904
Address 4-0 2-4 DGEw A ilz Dx
City 0 94-A-/ 00 State _ FLOP-10A Zip 92606
Project Location (County, State Road, Water Body, etc.) 151 St) tins ESN omr— 'PKwJF_
lSRuL,WS"L.Ji C_1LL C-aµnlTY Ana -ID I -..I Xv 294(e2
Type and Dimensions of Project
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to T 5 0 % GF .�r.,%AL_ CoNPoAty_mTs -ro Exr,arsyri D*LAtgG F.►utjTy,
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.
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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.
Sr - A i TAc �-kED
Applicant's si ture
C
CAMA ial's signatur011—
e
'7 A co /111 t l Au A'I
Issuing date Expiration Date
�►3ENY AUeft
Name of Property owner Requesting PetmirQ,W�k�.�'-`=�- -
Malin B Address: l� `k ����%-•-'� ' t
LAJL
44 Ly GtAeSew"2F_
Of ku I, "one k 321r.
Emall Address: ouI Lei Las-ct _ g rn
I certify that I have authorized
to act on my behalf, for the purpose of applying for ar,cl c4ft.�, ,irk a:t '.� :. •r;
necessary for the following proposed develapnwt—CQCLY_. h 1 ut(,�
at my property located at__,
in County.
I furthermore certify that I am authorized to grant, sine ifn lrt
Division of Coastal Management staff, the Lccs! Pet grit CV-9. ar'j :N.' +"i •' �'' -
on the aforementioned lands in connection with ev&6w;Uag
permit application.
Print or type rvame
O I-t t
TWO
Date
This certification is valid through
A 10
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