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Home My WebLink AboutConner CERTIFICATION OF EXEMPTION r 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 7K0t03 or NCGS 113A-103(5)(b)(5) • Applicant Name 7O AA A. C C.",rte.,- Phone Number }Q-2-, `1 °-1 i`��k Address IS 9 C4Tis arm A Vc•NikP., 1:jr . • City L7A' its %11e. State VA Zip?U I S S I. ..T 11 1 P<1 — C c.,C.. I i s f /LAC,,n '7 i Project Location(County,State Road,Water Body,etc.) ( c� c.,r c-,n L ,4 /t. S 1-Clw 1(95'.L ,t L CD'1-t t r t . ^c v - (,I 3•.„`'(rlq Type and Dimensions of Project �' -V" ,k 11�v 4- L'ON. r` r,_A j: i C ,.i A .A IN r , n i. �11 c. L Ft -I U S,..„�l r7`4 i r,,S I ," S'-.-.�_ a(t>4 4 r,�k 1 .! 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): (j I i i--t SCALE: N ` 3 r- r--r--r--r--r- I 1 - r C w` 1 I p 1 1 1 I \ 1 ElI I I I II 'y L-1 1 J ul' 1 1 �1 .'dl /\Ic ' 'JI- .r- - - 1----- t-- --1 -y+�-t-+*-�i� f--+ -f-1---+--+--t--+--r--+--Jr V"-r- C. 1 1 1 I 1 1 ► 1 I 1 I I I I(/�11 I I t 1 1 1 I 1 1 - 1 - --I 5\4'1'^ (''_q rie (111 1 i".Jl, .11 /�,14."t�zt` - r--Y--t-r--r--i -t--r--r r -t--YYYYY--'r t- r- t 1� y-S � � - rI , -1 y----I- r•-t(- V--t-�-t t—7-A11. 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CAMA Official's signature The applicant certifies by signing this exemption that the ' c)\Z- 12o2-0 t '%C,I2OZ.i applicant will abide by the conditions of this exemption. Issuing date Expir tion Date _..__. _ .. ,... ...... . _.. . .. ....,.... .,w. Ut I•Il..va I ion-Ira tDl W1 t�1 • Applicant Name D6n^t C ri4k, Phone Number ciq"' Address (2' C,k+kgript A V 0,1t e-, Car 4 City � .r►t�v 11� Q State VA zip 2aiS5 Project Location(County,State Road, at Bod ,etc.) L o ` AA �'`- c S I" No.^ S} Type and Dimensions of Pro act 'r hew{ CU , ,JG Coa4Cr1PA o... - alc.C- - -tO 3 rho proposed project to be located and constructed as This certification of exemption from requiring a CAMA permit lescribed above is hereby certified as exempt from the is valid for 120 days from the date of issuance. Following LAMA permit requirements. This exemption to CAMA is a re-examination of the project and project site may )orrnit requirements does not alleviate the necessity of be necessary to continue this certification. tour Obtaining any other State, Federal,or Local +uthorization. AEC(S): CS , 1 K SCALE: tJ T S I I � c X.M. i 1. 1 1 1 : 1 F'-- r--I -r=-r^�- .�__*•,�F -9'-�f].�I' Y Co ►- - , ---- 4--- -- A- .4 ��Ar 1G(� may► /� (�/]� 1 !II. 1 i�-%� -• --1 A,r4- 4. �1'-4 =iF � YR 1 x- `- i i 1 i , I �3 1 1�'� i i a i IVe -lt'� T� IrGi pSi rv1Ttr�- aj(1+� 1 1 '�S( -- 4I -y�-1i- 40_ )----r--r -r7r Y �--.-�- I r� 1 I i- 1 -�-`;--�--II ;lir : 1 . 01I I 1 1/�1� r, I •1 1 1 t I ` 41E 7OL a I 1 I 1 1 I I I r 1 1 r 1 1 1 1 1 r --r--r--r T-+*"��"YYY nr__r_-T--r__T--r-T--r-.4..-T--T-_r_-T__r--r--r--1 I i i 1 I I 1 1 L. . 1 ! 1 1 1� 1 1 1 1 I I 1 1 1 1 1 --I I 1 { ) " ' _-7- _ �ir-Q�OJA,_I OJr4,-r--T--r-Y-"r--1 r--r--- - T--r--r- T -r •••YY7� T �y �1 �[� 1 I 1 I I I !. -'1 I_; - IMr D'� r�i*�I 1 -1� i"-f=�+ 1 t 1 1 1 I 1 1 "� -_il I r--r--r--r--r--r--r-- -r--r--r- - T r--T- r_1-__r_(_�T�_�_Tj_ Ty_�-r,1--T--r--r r--1 1 I I 1 1 . 1 I 1 : ,: I i �,c 1 �I f/ Ii T--r--1,1 idel� � ,_ I 1 1 - A I 1 r 1 1 i ,'7 &kiplow 1 iire PIO trifill,i 0,'...9_fitil iii 1 1 1 1 1 1 1 1 1 1 I 1 4 AMA`it 111111 11.10.11106r I I I.�L_= tL-- _L ti,i._-L....1__L_-;.�--J- - 1 I 1 1 I I i I I I I "1 1 t r'1 I 1 I I I I I t I 1 I I I I I I 1 1 1 1 _ (/� _L__L-_L__L__1__L__ VJ__ -_1__L _1__L__L 40 -_1__1__L_-1_ �� J LY L__ I 1 1 n I I 11 I1 1 1 I I 1 I tt Lj P I I 1 1 It �Nt/1 r1 CIP I 1 I 1647 I I I .Ii 1 l I 1 1 , i 1 1 1 I 1 1 1 1 1 1 I I I I I I I I I I I I fa 1 1 I 1 1 I I 1 I 1 1 1 I 1 1 1 I I 1 1 I 1 I I I tiQr� I I t r 11111111111111111111111111111 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 I I 1 I I I I I I 1 I I 1 `� 1 ( I c 1 11 } 1 1 I ; �}�+ i i i . ~--~--ja I- I 1 1 1 I ,1 1 I Ia I I 1 I I I I 1 I I 1 �lM1 & 1 � - -- 1 , I I I I I I I I I I I 1 I 1 - -- --y-- --�--�--' Any person who proceeds with a development without the con- II is el naturo sent of a CAMA official under mistaken assumption that the Appl4, Ky��- development is exempted,will be in violation of the CAMA if there \/b Is a subsequent determination that a permit wes required for the CAMA Official's signature development. 1 Z I SO 2 The applicant certifies by signing this exemption that the lion Date applicant will abide by the conditions of this exemption. Iss ng r • ' AGENT AUTHORIZATION FOR.CAMA PERMIT APPUCATION Name of Property Owner Requesting Permit Conner.Donna W. • • Mailing Address: . •13279 Catharpin Valley Dr_ Gainesville, VA 20155 . Phone Number: • Email Address: Tim Jackson t �n I certify that!have authorized • Agent/Contractor • to acton my behalf,for the purpose of applying for and obtaining all CAMA permits necessaryforthe following proposed development Install sand basis alona . Fact Main At Palm nova$,ihriivicnn at my property located at Lot 7 Palm Cove Plat 84/81 in Rninewh k ,County. f furthermore certify that 1 am aUthodzed 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 i►t connection.with.evaluating information related to this permit application. • •Property Owner fnfomietien: Signature • Donna W.Conner Print or Type Mans Owner Tdla ee 2d2e Data •This certification is valid through 12/ 1 31/ I 2020 • • ..------ _ . .. . -- _ _.•-•• . .. _ . .._. 7-_•,,,.__-/-/-•-21- 7----N.. / \\77---- .1---' ,•.•'... -•\ / • \ / •• \ _........____....._ ---- / 7-- --- •-• Z.-- ---- i---s .....--. \\/ / ,././ \ /• \ j \/ .. /. \ 7 X: -----,. 4 / / \ / • / ' J// / i i / / / \ / r \7 . 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