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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
ilicant Name Phone Number :MY- 4 -7:7-
Iress
State °' zip
'ect Location (County, State Ro d, Water Body, etc.)
39 �-%ia e• tom' < �` `� �
e and Dimensions of Project o ta11 rn
proposed project to be located and constructed as described
re is hereby certified as exempt from the CAMA permit re-
�ment pursuant to 15 NCAC 7K .0203. This exemption to
1A permit requirements does not alleviate the necessity of
obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA pe
valid for 90 days from the date of issuance. Following expi
a re-examination of the project and project site may be nec,
to continue this certification.
ETCH (SCALE: UT5
b
4
W C
k
up --
Jsting 5tructuresto
rain in same location
CANAL
Owner:
Bob Boone
133 Highpoint Street
Holden Beach NC
- up
N
Replace diagonal
bulkhead wall section
12ft long
Jane/David Edwards
139 Highpoint Street
VIOOA
HCMR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Bevedy Eaves Perdue James K Gregson Dee Freeman
Governor Direc br Seaetary
AGENT AUTHORIZATION FORM
Date: October 18th, 2017
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
Jane Edwards Will Richardson
Owner's Mailing Add om
1614 d JJe^l Torvsf 4m.
DaVI&(SPAIA AC .2-8,036
of
Phone Number (17 6'I'1 < 4/3,1/&
Agent's Mailing Address:
3235 Seacrest Ave. SW
Supply NC 28462
Phone Number( 910 ) 367-0335
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
Replacement of bulkhead wall
(my property located) at 139 Highpoint Street Holden Beach NC 28462
This certification is valid thru (date) 1-31-18
Property Owner Signature
16.2 a -/ 7
Date
io —.zt— 1-1