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Home My WebLink AboutForbes (2) t CERTIFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC Subchapter 7K• '`'` or NCGS 113A-103(5)(b)(5) . Applicant Name 1 S �C` i t. v`JEs-� 1. 2 5 -a�`S9 4S pp rGv be vvt ( 1 � L Phone Number Address U 6 c) X S ( � • City W 1,SOr State Nv Zip?---igl II LI Project Location(Con , tate R ad,Water B etc 1/4 I , �°� 1 �x ► , N etm 4-�ttA Ov t , At^ V-s C. hptc Type and Dimensions of Project,.o � I_j u� ic JYta M `c''/o o Q,KI Sj Gt 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 to continue this certification. your obtaining any other State, Federal,or Local authorization. AEC(S): C _}' SCALE: 5 I I I I I i I I I I I I II I 1 I I 1 1 I 1 1 1 1 1 1 I 1 1 1 I I I 1 I 1 I 1 I I 1 1 I 1 I 1 I I I I I I I 1 I 1 1 h--(-- --fir - --+--+--+--+--+--�--I---+--I---+--I---I---+--+--4--+--I---+--I---r--I---� it1 II1 II I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I •1-1 I I I I I I I I I I I I I I I I I I 1 - -r--r---,+--r--r--+--r--+- r--+--t--r--t--r--t--r-_---+--_____________--r--r--r--i I i - pal In l Oci i '�1 : i i i i i i i i . . i i . i i . -r--r--r--r -- --r--t— r-- --- --r--7--r--t--r- ---r--r--7--7--r--t--r--r--r--� yfj. ,�Q ;♦ !1 j 1 I I I I I I 1 I I 1 1 I 1 1 I I 1 I I I '1 1 1L �� 1 II I I 1 I I 1 1 I 1 1 I I I 1 1 r--r--r -r-- - --r--r --r- --r-- --r--r--r- ---r--r--r--r--r--r--r--r--r--i �/I l i fp' h III * I I 1 I 1 1 I I 1 1 1 I I 1 I I 1 '1 -t• 'f' �1 I I I J I 1 1 1 1 I I 1 1 1 1 I 1 1 1 1 1 I I — - -r--r— —I /--r ,/ F-- - -7--r-- — --T--r-,---r--r--T--T--r--r--r--r--r--� 1 1 1 I �1/ 1n/� F-��/I _ 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 111111 II I I 1 I I I I I I I I I 1 I 1 1 I I 1 1 I 1 I 1 r--1---1---r--r--r--r__r--r--T-- -1--r-- -- -Tr-r�-1'__TT-T--T--T--r__r--r__r'_r--� II „l.l n1 dt1 1 1 1 1 1 1 1 1 1 I 1 I 1 I 1 1 I I I 1 I I 1 /- 1 1 I 1 I 1 1 I 1 1 r--r--r--r--r--r--r--r--r--r-- -�--r-- -- - - r-�---r--r--r--r--r--r--r--r--r--i I I 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 1 1 1 I I I I I I 1 1 __I -_ I 1 1 T I T I 1 1 1 1 1 r r r r 1 r I r r 1 -1 -i- ;1 r 1 I I I I 1 1 1 1 1 1 II 1 I I I I I1.+ 1 •I -1 1 t--L--L_-L--1--L--L--1--L--1-- --11 1--L---1---1- -- Ll�� U—_ _ L--J I I I I I I I I i I 1 I -- I I .-1 /I 1 / 1 1 �— 1 1 I 1 I 1 i I I I I I I I I I III Q L I krp ��I� I AA L__L--L--L--1--L--L--L--L--1-- 1--1--L_-1--L —1— ___L__1-- '_ rif -� I I I I I I I I I I I I 1 I I� 1 � 1 1 1 I I I I I I I I I I I I I 1 I I 1 A 1 1 (--L--L--L--1--L--L--L— --1-- —L--1--L--1--L--1---1--1— — — — --L--1---L--J I I I I I I I ( I I 1 I 1 1 1 1 I I I 1 I I I I 1 I I 1 I I I 1 ,1 I' I I 1 /"I 1 I I 1 I 1 I \ ` I1 `GA I I 1 I I L--L--L--L—_1_4,Y_L —L--1-- --1 � 1 �1__L__1__L_J___L__1-- ..}_ _ L_ 1 1 1 1 `: ! M1/ "►, 1 I /f I + 'I I 1 I 1 1 1 1 I 1 I I I 1 1 1 I 1 1 1 1 I I " 1 It jj I I I I 1 1 1 1 I 1 1 1 I 1 __4__L-- 1 I I 1 1 1 1 II Pil 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 I 1 1 I 11 1 1 1 I I I I 1 1 1 I I 1 I I 1 G--4--4--4--}--4 -4--}--4-- --4--;--4--;-- '— ---J'--}--}--1--L--}--4'--4'--4—_a 1 1 1 1 I IT 1 I/ I 1 1 I I I I 1 1 1 I 1 1 1 I 1 I 1 1 1 1 I 1 1 ,,C71 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I 1 1 I I `1 I I 1 1 1 I 1 I 1 I 1 1 I I I 1 I I 1 1 I 1 1 I 1 1 II I I I I I I I I I I I I I 1 I 1 1 __ __ __ __1__L__1__L Any person who proceeds with a development without the con- sent of a CAMA official under mistaken assumption that the ritL4Lisi,g4ure development is exempted, will be in violation of the CAMA if there �� l)/is a subsequent determination that a permit was required for the development. CAM Official's signature The applicant certifies by signing this exemption that the ld1 1O j{X0 1 ID I 2- I applicant will abide by the conditions of this exemption. Issuing date Expiration Date _________- _.- ....__ I /q/,go CiL.,_ — 01 .. _. ( f_c�r e� /mac 04....). e,KenA'f'D f0n.) Ce✓ % (`cc(rif P. > 4,1-st, 'PO l 10 e 1 Ca ri ; 4--? -I A...),j_t-D 1'i e."---ti s L. C. C, 0, * v2 1 L f a ti rvd c.1(-- 73 1 c_) a ___._j�,.,_t .Li T-s�;_//-, 1� rccL it, _e ; (.0 )k- ,S 4/1 1 Fi 01 1 i i A _ — c A- i ik--S --1-3 c-1 c•- 0 rx_3 ()Ili t i r r.1(i &O'/AN-5 cCfZ a--,..- / 40_ „z/ i ''' .. .. JT11___________ - - � / L�C Name of Property Owner Requesting Permit: Pink- /M, J Y r ter.. J Mailing Address: 2413 `?r` y- Ll ti-l c o rJ f I'I. C. Phone Number: e � as- Email Address: VC/,(t/c) T"orbtth trr S -Ar - Coh4 I certify that I have authorized tint+ A 7.)° l .- Ai;Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: .it my property located at '�I/ 4)a j r �� 1n J� ".J I ri r�C=l)frCOUnty. I furthermore certify that 1 am authorized to grant, and do in fact grant permission Division of Coastal Management staff, the Local Permit Officer and their agents to enti on the aforementioned lands in connection with evaluating information related to th permit application Property Owner Information: Signatu Print or Type Name title /A /_____1 +2 Dime This certification is valid thrown I ! C3 n ,•4 ) C. i . . . . D ry rS W _� t4 0 .. C r Z Q -_J p rt x N U G G, r 1 w4IM s tt'3ii. I• • CERTIFICATION OF EXEMPTION 1 FROM REQUIRING A CAMA PERMIT • as authorized by the State of North Carolina, /NI Department of Environmental Quality and the Coastal Resources Commission in an area of environmental rxmcern pursuant 10 15 NCAC Subchapter 7K.OID3cx NCGS 113A-103(5)(b)(5) • OH ce> Wo r -c.y •Foa8Es Applicant Name -&R� ___EAMIt-V _r. r$7MEArt5 C,— Address 2�4 +`-�� -----Phone Number—__NSA ___- _._ 8 S''"G�+R�vg.--_:Pa So o b ..__312 4 City hltc Sol./ -- — State- l4/C zip 2-7.$.tCo Project Location(County,State Road,Water Body,etc.) I4 L1A ylv 1 c v, _ _ PIS F--) • ' Lu�Mth1.A Avid (lzeStve n/c- W k fill -osN , ,A/Ea" 4 lc v . Type and DimensioA of Project - - EaA 1 R- Rt-PL.4 cr- Alo -.M2Rt. TM/1N 50% OF -- -- 5-7C15TfA/C F�T1N4 1Decrs — The proposed project to be located and constructed as This certification of exemption from requiring a CAMA permit described above rs 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 to continue this certification your obtaining any other State,Federal,or Local authorization. (.0'3" 41311 AEC(S): E V� O/ PT /ti i /`7 �_ SCALE- A`r5- f I 1 1 1 1 I 1 I I I { I : 1 � 1 1 I t 1 1 1 1 { I • 1---1--4--t--+--:---*--1---- -- - �/ _ { I 1 I t 1 I { I 1 I I I -M- t t I I 1 1 I , 1 1 I 1 1 1 1 1 1 1 I 1 i--t--1 1 .10 Ld-I 1 1 1 1 1 I 1 1 1 1 t--t-- -t--t-- 1 -r-+1 I 1 1 , 1 1 1 1 1 1 1 1 `^ --1-- 1 1 -'1 1 --t--1 1^-F--7^-1 1---1 �-{ j. �1� V•� 1 1 1 I 1 I 1 I I 1'--r--r--,A) tx4-4--r--,- --1 1 1 I l l i 1 1 I 1 1 I 1 1 1 !-4-4-4--t-4-4-4-4-- - �f - _-r-_7_- ^ _-_ 7---1 r-- _ , 1 1 {1 I 1 r--T---I -r--1 1 1 1 I i--i ' '---;vY --i--7 i- t- 1 - ;- I 1 1 1 1 1 1 1 1 1 1 1 I I 1 I --T�rTT--TO-- r--I--'-r--r--T--1'--r--r--1--- -r--T---r � -- - -T--T--r�T 'r`__f-�t---1 I 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 I 1 - 1~ 1 ` 1 �I 1 1 1 1 1 1 1 1 r--r--r--r--T--r--r---T--t---T r--T----- -T--t---T--r-1--- 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 =T T I I" I 1 1 i I t 1 1 ttit:: :: :t: I11 1 1 I 1 I I I 1 -i1 I,- i 4- -- 1 .� iC.Y S7!� TX �QDJ l�/Ir13/y��d"31 K.z.�-� 1 I I 1 I I 1 1 1 I I I I I I 1 _1 8 1 ,IJ x L2 ` ' r 1 '"� 2 I 1 I f t 1 1 1 1 I 1 1 1 L 1 � l__L__L__L__1_ L_ '�__L__1-- 1_ I_-I I I I -A slIJ- Ix : 7 411 `ii.e jvil--ram 1 1 1 t k I 1 I I I I 1 -fpiiii i--i--t - -'�-- i - PiT i i--i -.11 _aL--_ '9 L--L--L-- ---1 -1---1.- - L-kc-.-L- 1_ ,d..�,.t-� I t 1 1 1 t l 1 1 1 1 1 1 1 '^A 1 1 1 - L--1--L--1---1--1--1--1--L--1--L--L--L--J 1 1 I 1 1 Y J,/ 1 I i:i t 1 1 I i 1 11111 1` � 1 I 1 /�^91 i x ; L--�__ --L- --L.,.�{, -Li--1-- -1- _4_ L__1__L_.�___1-_1-_1 -1--1._- __ if 11 I 1 1/ 1 1 -1 1 1 1 1 /' I 1 1 1 1 �--�-1---L--J 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ��J}I/ �/ /f/ L--_--1---t---1- -t---1.'-1---+ -}L:L:L:t:±±:t::LJ::f::EI: ---1 11 1 1 1 1 1 1 1 1 1 .,�1 I I I I 1 I t I . Any person who proceeds with a development without the con- � > ( I sent of a CAMA official under mistaken assumption that the Applicant Srsignattue 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 Offici signature The applicant certifies by signing this exemption that the ,21f V/ZO1 9 4 20?0 applicant will abide by the conditions of this exemption. Issuing date Expiration Date 1