Gettys

CERTIFICATION OF EXEMPTION
_ W 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.
giant Name f S Phone Number 2ZB W SO,�-
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ct Location (County, State Road, Water Body, etc.)
and Dimensions of Project
roposed project to be located and constructed as described
is hereby certified as exempt from the CAMA permit re-
ment pursuant to 15 NCAC 7K .0203. This exemption to
A permit requirements does not alleviate the necessity of
Dbtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA per
valid for 90 days from the date of issuance. Following expir
a re-examination of the project and project site may be nece
to continue this certification.
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FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, al Resources Commission
Department of Environment, Health, and Natural Resources and the Coast
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203,
ant Narpte ty\ ( -.tf
t Location (County, State Road, WaterBody. etc.
ind Dimensions of Project
I
Phone Number
State i--- Zip
oposed project to be located and constructed as described This ccftification of exemption from requiring a CAMA permit i
is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiratior
tent pursuant to 15 NCAC 7K .0203. This exemption to a to -examination of the project and project site may be necessar
permit requirements does not alleviate the AsCOSSOY Of to continue this certification.
btaining any other State, Federal, or Local authorization.
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North Carofina DepartrTwt of Environment and Natural Resources
PerdueDivision of Coastal Markigerwnt
Beverly Eaves Jwses H. Gmgson
QUIlemor DkOCbDr
Dee Freeman
Mari
AGENT AUTHORIZATION FORM
Date: 12-13-2017
Name of Property owner Applying for Permit: Name of Authorized Agent for this project
William Gettys
Owner's Mailing Address:
150 David Biddle Trail
Weaverville, NC 28787
Will Richardson
Agent's Mailing Address:
3235 Seacrest Ave. SW
Supply NC 28462
Phone Number( 82§-989-5058 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 LAMA Permits necessary to install or construct the following (activity):
Replacement of floating dock pilings. _
(my property located) at 157 Swordfish Dr. Holden Beach, NC
This certification is valid thru (date) 1-31-2018
13
2-017
Property Owner Signature Date As,
O

CANAL
8x16 float
VP
N
Scope of work:
Replace pilings
float in same location
Existing structures
Owner:
YNilliam Getty
15'1 Swordfis
Holden Beacl