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HomeMy WebLinkAboutOCP 1 CERTIFICATION OF EXEMPTION - ,t; F ` : FROM REQUIRING A CAMA PERMIT sue} 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 �G P� �-L C, ( -'i \�L�l Phone Number LI OH -�""1(.. bo SS Address 1109 E • etc cL. Or - ; City Da'- Tc(ar\CI State NC- Zip at`t(o S Project tion(Co�u`nty,State Road,Water Body,etc. Qjr�11^��1L� 1 1 y �je a; Pr i %c v' ,L Dc.e an I cyc a►^. 1.1 cc-t-- V t t Type and Dimensions of Project ell 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): pl.k/oEfr 50, SCALE: N-t-c 1 I I I I I I I I I 1 1 I . 1 . 1 1 I 1 I 1 . . 1 . . . I I I I I 1 I 1 1 I 1 I 1 . I 1 I I I 1 I I 1 . 1 I'--�--F--F--t--}--�--t--t'--+--t -+--f--F--t--t--t--F-1---t--t--t--t--F--t--F - --� I I I 1 1 I I I 1 1 1 1 I I . . I I I I I I 1 :ay I 1 1 1 I I I I I I I 1 . . . I I . . . 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I�J (y�`y� 11111 try 1 1 I I I I I I I I I 1 `•1 I I 1+41I ` I4_ 1 1 1 1 I 4 t Yet , 1 L__L__J.__L__1--L--J.__ __L__1__L_-i__L_ __J.__i__J.__i__L__ � _ L__J Any person who proceeds with a development without the con- LJ / 1e ' ;/2 sent of a CAMA official under mistaken assumption that the Appl gant' signat development is exempted, will be in violation of the CAMA if there is a subsequent determination that a permit was required for the development. CA A Official's signature �t f / The applicant certifies by signing this exemption that the CVO h"Cri*0 D�[&/ ?°?I applicant will abide by the conditions of this exemption. Issuing date' Expiration Date ))Name of Property Owner Requesting Permit: `t c-feve ndr&cu5 Mailing Address: a. O t 6 \I� 01 dC K ncis [A 19 hwa�( Nbv�11 r14 �Cr-r��eF3c h 5c. a 9 50 ?- Phone Number: T- all- 00 ca.) Email Address: "� GY'C w An d.reuus male • Con1 � ICY I certify that I have authorized E.a Wd'' Prince Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: -P e 1 v D F e- Cre. 5 C k- at my property located at 1 404 a as+1")C ac.h -Dr OaY- 1 V.and,, /v G in UAT WI Gk, 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 rmation: Signature 5 Print or Type Name Title / /O l ;ZOAo Date This certification is valid through I I RECEIVED I - 1n,'j ON 'NO!0NI T-f M bvoa oZZLi9nb a3tI33 J --ers} --t p g a 5 ��� h. hi r 1 _x� OCEAN CREST PIER 1409 EAST BEACH DRIVE OAK ISLAND, NC 28465 So' ;, \ 5vi -.re e ..____:...."7 ' '''' " '..\--/-1---'\--r'll - 5 t, -DI sTra ue 6 1 1•1 i-a u rlto ►can t. PLa n f-or- 1 n.n- ' r.i a4 - 6 -4- -4ozd P1 2r R42-1- .-1 1- {IIIILSWiimlwwar+n • ° CLaSe ca4-4 .p1 e1-- ; __ - T , Lb6e, O- w t-+h - - , . 6_114. or P1e✓r AIoT Ig-e.Ftaca r• S N►h ►Qt ►nforcc w 1-''� Tee- t -h1S Ti m and S ,/ �3 r a ce_s i3o WILL ..o, 1S1de-v- j oG f.t., ou► l -iv‘cA ►�—%S h 1 rlAl Q -ref- a* omQ., eo t n + I Ir1 the F �A-uY - & ' ' 5dm-e, d 1 Ov-rsa-ion 5 wr 5 ca . ; VI RECEIVED an -7- k ``I Pier 6u5e silo AUG 1 7 ". DCM W�L :^iNG I�:v, i.