Oak (33)

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 p I o�r NCGS 113A-103(5)(b)(5)
its.fd S
Applicant Name I ot�v, °C oale I 1� Phone Number q/1i - Ze,r - ed SZ
Address ADO , -d Or ;
City ()A k- T c I a d State - - Zip ,-2A GC.
Project Location(County,State Road,Water Body,etc.) /�I�g V till f 6"1 / J ?E. to ��yS I r ell-
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Type and Dimensions of Project ���C ��� �r�r
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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.
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Any person who proceeds with a development without the con- '.C, /�
sent of a CAMA official under mistaken assumption that the Applicant's signature
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 Officialfs signature
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The applicant certifies by signing this exemption that the (I�J6; 7--
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applicant will abide by the conditions of this exemption. Issuing date Expiration

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.�� r }; p .,. ttCCERTiFI�CA�TI-_ri.�N OF EXEMPTION'
. r F' ;, ,� 1dr FROM1REQUiRINt A.LAMA PERMIT
•tt ;, ., -— `as authorized by the State;or North�Cardtina,
„5 - Department of Envik nnmentai Quality and the Coastal Resources Commission in,an area of
`L ;4", ` environmental concern pursuant to:15 NCAC Subchapter 7K Df a or NCGS 113A=103(5)(b)(5)_.....
.. Applicant`N►ame.._ ,{roL ii' a QCLt T' _ �-. - - P110ne Prrgler_ ld .;:.
i= Address L OOA_6 tact kc-:co-e a-,
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Project='ocati-n..Coynty,State Road -ater Body,etc ) i 1
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The p`oposed'proiect lobe located:andconstnicted as' This cerbfitration of exeinpbon from requinng`a'CAMA perritit
destxiibed above is h fied ereby certi as.exempt from•the is valid.for 120 days from thedate of issuance Following
CAMA permit requirements.This exemption to LAMA: expiration,a reexamination of the projectand projectsite may,
permit.-requirements does_not atieviateethe necessity of benecessery to,continue.this.ceriification.
•
your obtaining'any other State,Federal,or Local
authorization. ---- ` _
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SCA•LE. to
,_ vel ark area unit;Re-gra , p
j re�nsfalLbenches and:awing - r--r- r r-
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r;- 1- r- r Repair/replace sidewalk ' a ; " I T I' -1-
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An erson>who proceeds with a development:wilhoUt the con= �h - ��"�--1� i
sent of a CAMA.oicial under mistaken assumption that the; Appilcan igeatu
development le,eiemeted.will be In violation of tile CAMA`if there, _
tea subsequent determination that a:permit was:required-for the C MA Offici its signature _ ,• '.
development ) 1 j!t 7 �(} '
The.applicanfcerlifies'b signirigtthisexemptionthet:the- (II/11�3 �a �g., 1.,
applicant will:abide by-the coriditions_of this exemption. issuing d, a Expiration,Dale -2 > M, •

Town of Oak Island
SE 40 Park/Sidewalk Repairs
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-. = Re-gravel park area and ;_ *V...-
s �+1' }�.a
'p reinstall benches and swing .. .`
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November 17, 2020

CAMA MINOR PERMIT PROGRAM •
El MODIFICATION ❑EXEMPTION lI MAINTENANCE AND REPAIR
Locality: Town of Oak Island Permit#
CAMA Minor Permit Office Date previous
As authorized by the State of North Carolina permit issued.
per the Coastal Area Management Act of 1974
Applicant Name Town of Oak island-Steve Edwards Project Location Information
Address 4601 E. Oak Island Dr. Street Address SE 40th Street-Park/sidewalk
City Oak Island, NC 28465
Adj.Water Body Davis Canell/Montgomery Slough
Phone# [phone]
Authorized Agent AEC: 0 CS ❑ OE ❑ HH. ❑ IH
Type of Project
Description of Activity:
" Re-gravel park area, reinstall
swing and bench, and
repair/replace sidewalk as needed.
See attached site plan
Notes or special
conditions:
•
Project Drawing
Town of Oak Island/Steve Edwards
Owner's Name(Print) LPO Signature
Steven B. Edwards •
Signature(owner or agent) Issuance Date - Exp.Date