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HomeMy WebLinkAboutRick McCorkle (2)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. LO:,or NCGS 113A-103 (5) (b) (5) Applicant Name (_ t%" �_(f- Phone Number 7Oti"� � 2``II2 Address S7 v ; City L State A/C Zip -Z.I c> Project Location (County tate Road, Water Body, etc.) Type and Dimensions of Project Aj- • - k ' &, K 1►cti� The proposed project to be located and constructed as This certification of exemption from requiring a CAMA permit described above is hereby certified as exempt from the is valid for 120 days from the date of issuance. Following CAMA permit requirements. This exemption to CAMA expiration, a re-examination of the project and project site may permit requirements does not alleviate the necessity of be necessary to continue this certification. your obtaining any other State, Federal, or Local authorization. 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The applicant certifies by signing this exemption that the applicant will abide by the conditions of this exemption. App ' ant's si nature CAMA icial's signature 1-( q-,2oaa I tc6 Issuing date Expiration Date 3/23/2020 r Mail - Brock, Brendan O - Outlook CERTIFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina. Department of Environmental Quality end the Coastal Resources Commission In an area of environmental concern pursuant to 15 NCAC Subchapter 7K& dJor NCGS 113A•103 (5) (b) (5)_. AppiicantName e6,_W,- Phone Number 70f 2ol, lip-2Address I512 o j ... E. city + ti s state !�G za zgia y Project Location (County tateRoad,Wai ody etc.) �3 l sle L ..� �. 2&*A (o Ct Type and Dimensions of Prt>;ect ` r The proposed prciect to be located and constructed as described above is hereby certified as exempt from the LAMA permit requirements. This exemption to CAMA permit requirements doer. ml 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 Ilia date of issuance. Following expiration, a ro-oxaminabon of Me project and project site may be necessary to continue this certification AEC(5): rtar OWr SCALE: k1 T $ I •1 ---f -- I I 1 t ---I --.1 -7-------------7- -- --I --T------ -- 1 I i 1 1 1 —_f -- f 1 1 1 1 1 1 1 1 1 1 I 1 1 1 f 1 I ! 1 1 i 1 I 1 ( 1 1 1 1 1 1 1 I 1 i 1 1 I t 1 1 1 1 1 I 1 1 1 i t 1 1 1 1 1 t I 1 r--r--r--r--T-((((((-33TTTTTTr'''--r--,*l)-�-jlr--T--r--T--�--r--�-►-�1r�--t--r-r--T--T`p-�T---t,--r--r-r-T--r--��1 r--r--r--r--r—_r�—r--F_—r_ T"_TrS Ar _T_ 1_-r--�t'7__'_ r_Y_-t�^�T__T_rG i�=J^1 r--r--r--r--r r--r--r--r--T"r--T--T-- T-- rY--T--r--T--T--r-- r--r--r--1 t r--r--r--r--T—�P _r__r--r—_ T T__ _--r'--T_ f � JCT--T—F _T— rtP _P_-1 1 1 1 ! I I 1 I 1 1 I 1 1 1 1 I 1 1 1 1 r----r--r--T--r--r--T r--T--T--T--------r--T--r-r--�--{-- T--r--}-- -r-- -- ,"*--1 1 I 1 1 t 1 I f 1 i i 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 I L_�__j 1 1 1 1 t 1 I 1 1 1 I i 1 1 I 1 I I I 1 -_}.-}--ati�i-- �' i__j>V2__ A i LC44�`_4�! _- '. 1 1 I 1 I 1 I 1 I 1 1 1 1 I 1 I 1 1 I 1 1 I 1 1 1 1 1 1 1 1 t I e 1 1 1 1 1 1 1 1 1 I I I 1 1 1 1 1 1 1 I 1 1 1 i I I 1 I 1 1 1 i I I 1 I 1 i t 1 I t 1 1 1 1 1 1 1 1 1 I I 1 I I I 1 1 r 1 1 1 1 1 1 1 1 ( 1 1 1 1 1 I I 1 1 1 1 1 1 t 4--1"--L-- L--+— _ L--� _—�--a--a--a--a--+--� --+--a—_+—+—+--+--+_-1--+_—4--a--L—+ _ —� --� 1 1 t I I t 1 I I 1 1 1 1 t 1 t 1 1 1 1 1 1 1 I 1 1 1 1 1 Any parson who proceeds with a development without the con- sent of a CAMA official under mistaken assumption that the Ap t s sls ature development is exempted, will be In viotatton of the CAMA If there is a subsequent determination that a permit was required for the development. CAWfticialps signature t� The applicant certifies by signing this exemption that [tie 3_( I' Zl& iLa applicant will abide by the conditions of this exemption. Issuing date Expiration Date https://outlook.office365.com/mail/inbox/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQAONJYkmAFLIFrWurU6pl9j4... 112 0 0 cc p m Y m t_s# ad�v 141YV f,uv►Wr�•'a�n�d �anral,� z r �.•,•� d �,+ y, d� q wvlr h add„h er ad�d,,fk�G »'I�a•atr "Inr( SuorY�gvaL✓u!O��! svaJn�'�rv�7u ►s 3 z r� ,'1: z �i,' r61 _4S <-" vurv7upJ Cu,M / sa�,c�.fad �U+roL?rC(% .i'--- /7 S - -> hua�dr�as hvp amv °(Y -- U(y O r 3/23/2020 Mail - Brock, Brendan O - Outlook AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Bose Phone Number: Email Address: I certify that I have authorized Agent Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: /WSi�*%l r%o i � IW14 at my property located at ,-?3 in County. 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 the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: -r4 ,�ySignature /CrCk M eOtti� Print or Type Name Title 1 /O / 2-6) Date This certification is valid through 3 I l D 1 2-1 https://outlook.office365.com/mail/search/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQAE5ergbEGrBPpMNxlPhOQ... 1/2