HomeMy WebLinkAboutThe Bonanza Group, LLCCERTIFICATION 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 1910ior NCGS 113A-103 (5) (b) (5)
Applicant ame ► ' -- 6on� afh �(l� w c Phone Number
Address60
City � �, V-1 State �/ Zip
Pro
State Road, Water Bod
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
permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local
authorization.
expiration, a re-examination of the project and project site may
be necessary to continue this certification.
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person who proceeds with a development without the con-
of a CAMA official under mistaken assumption that the ` Applicant's signature
development is exempted, will be in violation of the CAMA if there ` r
is a subsequent determination that a permit was required for the
development. CAMA Off'cial's ignature
The applicant certifies by signing this exemption that the ,. 01 ( ()!
applicant will abide by the conditions of this exemption. Issuing ate I Expiration Date
1
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATI
LA-C
Name of Property Owner Requesting Permit:
Mailing Address:O�
Phone Number:
Email Address:"-
V
I Certify that I have authorized ► ��5�
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
�
at my property located at \
L.
in County.
1 furthermore certify that 1 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:
-:Z�f - Signature
Tint or Type Name
.ate pf L L C
Tale
lCP 5, O
Date
This certification is valid through
6