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Home My WebLink AboutShedan CERTIFICATION OF EXEMPTION • FROM REQUIRING A CAMA PERMIT \\°\•C t \ qCIA`�S as authorized by the State of North Carolina, �� Department of Environmental Quality and the Coastal Resources Commission in an area oT" environmental concern pursuant to 15 NCAC Subchapter 7K•0l03or NCGS 113A-103(5)(b)(5) . t 14 Sk J �qg_ i -?707 Applicant Name Phone Number Address -Co\-7') QGr C*• • City f•a 6 ‘. 1 State NC Zip g7 Co( Projec Lo tion Coun Water Body,etc.) .ime\C�`'4vtk_ 13 - Li on Petw 40c, f �a ty State Road, } b� �,. aC\.. i Carte Type and Dimensions of Project dJcl)(Pd (_,�- t'✓\ 6 r 19 ;blot] -G0417 Pi 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 expiration,a re-examination of the project and project site may permit requirements does not alleviate the necessity of be necessary continue this certification. your obtaining any other State, Federal,or Local PAD authorization. 1r 1 Z e b 14 5 AEC(S): Er.)1 PTA SCALE: , 1' : 26 V t __'.--1—_T__T--T--r T_—r--T__r__T__T__7__T__'.__T—_—_ ___T__T__T__T—_r__T—_,..--r----_1 ��-1 I 1 1 1 7 1 1 I I I I I I I I I I I I I I I I I I �`1T1 T T 1 _I 1 I I I I I I I I I I I I I 1 I I 1 I -F - --F JFa1 tI I 1 I 1 1 IIII1I 1 I I II II I I III (h� ' _ ' 11 1 1 1 1 I11III1 11 1 1 III I�Tv?`r � -- 4- -- --r--1 1 I I I 1 I I I I 1 I 1 1 I I I I I I I 1 1 I I I l I ,_1 I I I 1 �� I I I 1 I 1 1 1 I 1 1 I 1 r- r- - -r--t--r--t--r-- �.- --t -r--t--r- - - - t--t--r--t--r--r--r--y I 1 I I I I 1 1 I I I I I I I I I I I I _ 1 I I 1 I I I I I I 1 1 1 1 1 1 1 1 r--r r - --r--rTr--T - --r--7--r- j'� v-- - T--T--r--T--r--r--r--I I �I 1 1 1 1 1 1 I I I 1 1 1 I I 1 I I I I I 1 Ji' 1 1 1 1 1 1 1 I 1 4d — 1 1 1 I 1 �1CCCC..JJii✓✓✓��✓f� IIIIIIII r- r--r- --T-rr--r--r--r--T--r--T-- - --r--T--r i- r- r- T--r--T--r--r--r--i I 1 (AVY1r� 1 1 1 1 1 1 1 1 I II IIIIIII I `r 'l,r 'I I I I I I I I I I 1 I 1 1 1 1 r--r r- r--r--r--r--r--r--r--r--r- --r-- --r--T- - - T-- --T��-+++-rr -r--r--r--i 1 I I 1 11(' 1 1 I 1 1 1 I I 1 I - I� I I I I 1 I /�q W 1 1 1 1 I I 1 1 I I I 1 I �1dreFY'j7 I I I I I MITT -1 -�--r--r--T--I I_ __ __ _- - - -- T--{--- --r--1 II IIIIIIIIIII I I I 1 I 1 I' ' I I I I I I I I I I I I I I I I I I I I I I, I 1 I I I I II r r 1 r r 1 1 1 1 1 T r - -- - T T ,/�T j. 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I I I I 1 1 I 1 I 1 I 1 I I y I 1 1 1 1 I I I I 1 I I J.— r I I 1 1 1 �--L--L-- --1-- --L--1--L--1--L--1--1--I"--1--L--1--�--'�---1f -1--1-- 1 I I I I Q 1 I 1 I 1 1 I I I III 1 1 I I I ry III 1 1 1 1 1{f1b 1, 1 1 4. 1 1 1 1 1 1 I I I fill I I 1 I I 1 I.--I---I-- 4 --�-- --�--L-- -- — �1--1--�---1— 1--*--;--L —1--4'--L--1---a III IIIIIII I II 1 1 1 1 I I I 1 I I I I I 1 II 1 I I I I I I 1 I 1 1 I I I 1 I I I 1 ',Leto' 'l I 1 1 1 1 + 1 1 1 1 1 1 1 I 32,U 1 V''ii 1---1 -1 - 1--1 1 , 1 }s i 1 II I I I �rr/� I I I I I I I iftox4 JJJ I 1 1 1 1 1 11 L I 1 I _ , j—J___1__1__1—_1__V__I — —_L__1 _____ Any person who proceeds with a development without the con- sent c v \��. of a CAMA official under mistaken assumption that the Applica ' signatur development is exempted, will be in violation of the CAMA if there is a subsequent determination that a permit was required for the development. CAMA Official s signature The applicant certifies by signing this exemption that the I b f 29/ZOZ'0 Co!rj 2-02 applicant will abide by the conditions of this exemption. Issuing date Expir/atioV('Date N M �,t, vr�� Y' �f, /7i 3,2 ./.,a,..".5- ,/v` /f' V i s/.' v 7/7 Y 77 77 fli''psi?otk ' k e, -� it,f �4P1,4 aefk. �� .' a O61G14 / *04 �p Qa4 t /6 ' --1 gee/ M i6 . AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: �O/� /�Eaf��r,f� cf Phone Number: j`"/ Email Address: clj�@�� y I certify that I have authorized oz Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Cc 4t /"` l5 oG� at my property located at �� i�v.; /� G� //4—v in .7.,7rU,Jlt.%c/f County. I furthermore certify that I 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: Signature Print or Type Name Title / 3 f222' Date This certification is valid through I .1/ I �v"