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Home My WebLink AboutHurricane FLeet IncCERTIFICATION OF EXEMPTION Ap'ivv Applicant Name Address 19(>,'.' city N --11, 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 7KJ1; or NCGS 113A-103 (5) (b) (5) �714_8-t W C Phone Number 1•t yyo (Ji3 State S.. Zip 2 r1 S9a Project Location (Pounty, State Road, Water Body, etc.) Q ! : &=A C-P (�' IV Type and Dimensions/�(y�f Pro1\'e 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. AEC(S): PT A 1W SCALE: P Fs r--r--r--r--r--� I I I I I I I 1 I I I I I I 1 I I 1 1 I 1 I I I I I I 1 I I I I 1 I I I 1 I I I I I I I I 1 I I I I 1 1 I I I I 1 1 f--1---1---F--t-- ----+--*--+-- --+----f--t-----+--I--1---t--+--t--+--F--+--f--r-_t--� I I I I 1 I I 1 I I I 1 I I I I I 1 1 I I I 1 I I I I I I --i --' --i -- i --i --' -- i --t - -- - --i +f'. h'n'Ir�-►t�"�r�-t��`�`-'��-r- r--r--r--r--t--r--r-- -- �-r- - 1 I I I I I I I 1 1 1 1 I I I I I I I I I I I I I I I I I 1 1 I 1 1 I I 1 I 1 I I I I I 1 I I I 1 I I I I I I I I I --i --; --i -- i --i --i -T-r - i --i --T''r r--r--r--r--r--r--r--r--r--r--r--r--�--r--�-- - - r--I---r--r--T-- - r--r-- r--r--i 1 1 I I I 1 I I( 1 I 1 1 I I I I I I I 1 1 I _ . 1_ +�QQ�� I I� �'IT r--r--r--r--r--r--r-- -r r- T -- - YT r T--T -r r -r--r--i --------- - 1 1 1 r--r--r --, -- ,--r--r---r-- �-----r--r---r--r---� ---, --1-_T_-T- -F1T=r-I; -�--r-- 1 I I 1 1 I I I //�� I •// I ��tt ((�� }} M y� 1 I� 1 I I 1�- '1 111I j 1 - i --1 -- I I 1 I 1 I I I I I I I I I I I I 1 I I I 1 I I 1 I I I 1 _ L_ L_ L__J I I I I I I I I I I 1 I I 1 1 I 1 1 I I I kJ!, I 1 I 1 �L I I( I LLL_]`a _L__ L1--L-- --=-L_�.JLJ►LL_1G�1 ___J I 1 I I I I I I 1 I I 1 I I I 1 I I I I I I I I 1 I I I L__1 1 1 1 I 1 I 1 I I I I I I I 1 I I I I I 1 1 I 1 I I I 1 I I 1 1 I I 1 1 I I I 1 I I I I I I I I I I I 1 L--L--L--I---1--L--L- -� - I---1--1--L--1--L--J'--L-J---L--L--1--1--L--1--L--L--I---J I I I 1 I I 1 1 I I I 1 I I I 1 I I I 1 I I I I I I I 1 I I I I 1 I 1 1 I I I I I 1 I I I I 1 I I I I I I I 1 I I----I---i---+--I•--i---{'--}'--1--I•--}--4--I---4--I---+--L--4---4.--1--4--4--L--4--L--L---I---4 I I 1 1 1 I I I I I I I I I 1 I 1 I I 1 1 I I 1 I I I I I I I 1 1 I I 1 I I I I I 1 1 1 I 1 1 I 1 I I I I I I I I I I--F-- --I'--+-- -- -- '-- --+--I•--+--4--I---{--I---+-4---+--+--+--+--� ---+--F--F--F--a I I I I 1 I 1 I 1 I I I I I I I I I I 1 I I I 1 I I I I I I I I I 1 I I I I I I I I I I I 1 I I 1 I 1 I 1 I I I I 1 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. 7 A- C D Appli is signature CA A Official's signat re Issuin�_da�Ex ati n Date 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 ..iC'13 or NCGS 113A-103 (5) (b) Applicant Name `___ z� _ t >k) (- Phone Number-XV itS C> 6.�/,3 City---�.).ar.. P%,-, J-lrState SC Zip Project Location ( ounty, State Road, Water Body, etc.) -1 �C S N^.^ k N <10 Type and Dimensions Pr 'e 12 r .°� .-. . 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. AEC(S): 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. SCALE: fJ ( f __ __ __,.__ __,.__,...- .-_'.-_. __,.-_ __ __ __.'-_•.__ -- - --- .--r-----T--------------�__� I I 1 I I 1 1 1 1 I 1 1 1 I 1 I 1 1 1 I I 1 I 1 1 1 1 1 I I I 1 1 1 1 1 1 1 I I 1 1 1 I I I 1 I I 1 1 I 1 I I I I I I I I I 1 1 I 1 1 I 1 I I 1 1 I I I 1 I I 1 I 1 I 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 I I I 1 1 I I 1 1 1 1 I 1 1 1 1 I I ►--1---1---h_-t--t--t--t--t--t--t--t--1--r--t--r--T--1'-1---t--t- --t--t--t--r--r--1---� J�Q1 /V�u�c• I 1 1 1 1 I I 1 1 1 I I I 1 1 1 I 1 I 1 1 I 1 1 1 � 1 1 1 I 1 1 1 I I I 1 I I I 1 1 1 I I I 1 1 1 I I 1 1 I I --i --; --; --;--; --; --r--; --;--i --(T,r-�11-nr/--;--jJ"y1,\-�7-i -,---{;�--1--,t�--;--r--;--jr--r--i -- f--f--r--r'--T--r--r r-T--r--1T611 7fi.t_"1 ""T_SI.._'1'T_ T- 1 \\,�., --r--j I I 1 1 1 1 I I I I 1 1 1 I 1 1 1 1 1 I 1 1'� I 1 1 1 1 I r--r--r--r--r--r_-r--r--r--r--r--r--�--r--r-_ 1 I 1 1 1 t 1 I 1 t ,�( I T1y� S �(1`4 1 ,I r--r--r--r--r--r--r--r-r__r� ' -*r- - __r`-�-,- ';r--r--r--T--r�-sr--r--r--r--i I 444 1I I 1 1 1 f I I I I I I lu: I I I I I 1 I I I I I _ 1_ - 1 1 1 1 1 t 1 I I I I 1 1 "//,, 1'• I /� yy ll 1 1 1 1 R, 1 , �� L�1 1'r _�S_ LC�I�S T _x'C�r=_1iSi'�•13i1_L _C<<1�1 T- i-- I 1 I-1 ---- 1 1 1 1 I 1 t 1 1 1 I I 1 1 I 1 1 1 1 1 1 I 1 1 1 1 t t 1 L_ L__J I 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 (,I1� 11�{/�1 t ry 1 1 I �;^' t� J 1 �'tI^.�\ - 1 1� {1- 1 ,.,) __L__L_=L`:�IL� :1 li.�iJ__L �__lJ__1__L_J_.ei� _ �-1V_L---1=L� L'_`_ t 1 1 1 1 1 ( I I 1 1 1 t I 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1_^1L__1__L__1__L_J___L-_1_-1-_1__L__1__L__L__L__J 1 I 1 I I 1 1 I 1 1 1 1 1 4-_ 1 1 1 I 1 I 1 I 1 I I I 1 I 1 I �--4--4--4--1-_4-_4- ---L--1--�--1'--j--I---1--I--'I---L--1'--1--1--4'--1--�'--L--L--� 1 1 1 1 I I I 1 1 I I I 1 1 1 I 1 1 1 I 1 I 1 1 t 1 1 I 1 I 1 1 I I I 1 1 I I I I 1 1 1 1 1 1 I I I 1 I 1 I 1 1 1 1 1 1 I I I I 1 I I 1 1 1 1 I 1 1 1 1 1 I I 1 I 1 1 1 1 1 1 1 1 I 1 1 1 I I I I I 1 I 1 I 1 1 1 1 1 I 1 I I 1 1 I 1 I 1 1 1 1 1 1 I 1 I 1 1 I I 1 1 1 I 1 I 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 I 1 1 I 1 1 I 1 1 1 I I 1 1 1 1 1 I 1 I L-_L__V__L__L__L--L-_L-_L__i__L__L__J__l-_J__L--1--L-J-__L_-L-_J-- __L __L__•.__L__I Any person who proceeds with a development without the con- . sent of a CAMA official under mistaken assumption that the Appl' is si natur development Is exempted, will be in violation of the CAMA if there ,r l is a subsequent determination that a permit was required for the ` - "~- development. CA A O lat's signature The applicant certifies by signing this exemption that the - - 6., )' o kla applicant will abide by the conditions of this exemption. Isfiuini(daf4 Exa(ratl6n Date J -ch o�� 4 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �u� Qic1 "+ - FL E I Mailing Address_ I �S Phone Number: Email Address: �'� l�/��'tJ�tCD 1 'J I AL�- I certify that I have authorized (v r Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development YviLI% KI1, 111 �1 at my property located at 7S �rK6 S T C 4 A-16 in�C1" �� 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 Inform Po l Signature Print or Type Name Title Date This certification is valid through /