HomeMy WebLinkAbout01652D - CastelloeCERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT 01_1
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K . (916)41:71-2-0'
flicant Name i p C . bytu LaAmIna Phone Number 1 3 - 3
Tres L i cstyl v
State NJ C, Zip 14;
ject Location (County, State Road, Water Body, etc.) KUns;:7i L %mirt-4i- 1 a a-+tcl
� G i r M ttit 4-, a r - YVi G d i CO-V of 1 n 41,, ,< G TT 0A,
e and Dimensions of Project
proposed project to be located and constructed as described
e is hereby certified as exempt from the CAMA permit
rement pursuant to 15 NCAC 7K . This exemption
kMA permit requirements does not alleviate the necessity of
obtaining other State, Federal or Local authorization.
This certification of exemption from requiring a CAMA p
valid for 90 days from the date of issuance. Following exp
a re-examination of the project and project site may be ne
to continue this certification.
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AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FORM
Date: "
Nark of Propert)�OwnerApplying four Permit
Owner's Mailing Address:
Phone Number
e of AuthQrized Agent for this project:
Agent's iling Address:
i
Phone Number�•s��i'�L`� J
1 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):
For my property located at f',-,,,-,r7� �_ ,lye �:, 1- ice_ f� .-,Z-jT' <j
This certification is valid thru (date)
_' ,� (� / ram.•-. � i i' �Y tom+ � t�
Pr perty Owner Signature-I)ate./
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