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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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.
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
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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
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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
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