Sea Oats HOA, Inc C/O Monique Beech

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)
c k Mo VlQtne, ST-cc N
Applicant Name SEA OA-I; s �1U�, i.�c. Phone Number l(9t0)332 - 1008
Address Po sty. 3 q : ;
City Ir 9X414-rrV1#_&-r_ ecAcA State NC, Zip 2R4,'�c
Project Location (County, State Road, Water Body, etc.) I N• L N h I,vA A V r-
eEAC%4 4 t4C 284rD
lf1c. ot..t..IP�P OFF r/1�poLe So..ND .A1W W
Type and Dimensions of Project r�
KE rA%V- & MA%.V-rC.*rANCE TO Ex1S71N c, DocKwG F.Ac It l7
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.
Applicant's signature
J- "
CAMA Off i al's signatu
2. /1-7 /2o &% 1?/2o
Issuing date Expiration Date """

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 5LA 0025 HDA , .J-�
Mailing Address: VC &O�_ i
Phone Number:
Email Address: nas� CdB i,111 (Y
certify that I have authorized \'T ALc�*j_�A l,L4`1`i���j
Agent I Contractor
to act on my behalf, for the purpose of apVWg for and'obtaining all CAMA permits
necessary for the following proposed development:
at my property located at VEW
in NLU). 0
I 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 time aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
4L\" 4 -4 " ,, �'
Signature
i � I
nt or Type Name
Ule
Date
This certification is valid through I I

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