01762D - Copeland

CERTIFICATE OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
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 .
hone Number liuS11"I n4-N5 t
0171
giant Name
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
'ementpursuantto 15 NCAC 7K l . This exemption
AMA permit requirements does not alleviate the necessity of
abtaining other State, Federal or Local authorization.
State
This certification of exemption from requiring a CAMA pe
valid for 90 days from the date of issuance. Following expii
a re-examination of the project and project site may be ne(
to continue this certification.
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IV

North Carolina Department of Environment and Natural Resources
Division of Coastal Management
'Crory Braxton C. Davis
�vemor Director
John E. Skvarla. Ili
Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FuRm
Date: 9/5/2014
ie of Property Owner Applying for Permit: Name of Authorized Agent for this project:
John W Copeland
ier's Mailing Address: Agent's Mailing Address:
4008 Lynwood Sq Waxhaw NC
t8173 Grice Construction
me Number 704 2561037
6618 Beach Dr,
Ocean Isle Beach NC 28469
Phone Number 910 579 9095
mify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all CAMA Permits necessary to install or construct the following (activity):
r my property located at _32 Isle Plaza Ocean Isle Beach NC
469

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