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Home My WebLink AboutMickey 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 � ? 0 I '(-k ,-' 11 Phone Number ?`!' 5'ci r Address ` 1 " ' Li , . (3 s'S r —� L t 1 �, �' <� ' I J ' Zip Z_�--5 c.'/ City I +� State r Project Location(County;State Road,Water Body,etc.) Type and Dimensions of Project C i ' " 1 C 5 1.-1 .1,if i. - , i,t- ..- 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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CAMA O icial' si ature The applicant certifies by signing this exemption that the 1- y 0 2 d I l 1'f 2 o t. ') applicant will abide by the conditions of this exemption. Issuing date Expirati Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Ted Mickey. • Mailing.Address:. 4484 Camp Betty Hastings Road Walkertown,NC 27501 Phone.Number: 336-345-3394 Email Address: I certify that I have authorized Sea Dog Marine Construction Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Floater Pile Replacement at my property located at 59 Concord Street in Brunswick County. l 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: id ,Mieb Signatur Ted Mickey Print or Type Name, Title id rl gCl I a4-11) pto Date This certification is valid through 12 I 31 I 2025 i PIP III . apir iv 59 Concord St Legend Write a description for your map. 57 Concord St — r 1 Feature 1 Ilf .._ . Feature 2 :,•• �• SETBACK 4 la '• , ^ f 1•;* '''• r . - 1 , a • 57 Concoro aI � _ t . 1 7. ' . ._ 14 - - I - __tam_ i . t .i-i e� •• / ii re - 1 4 ;L. fril 1 , .,%. .. 1 Th -N___, . Google E rth I . ..,_.?_;16.,w,..... L...._ I i loc! - V ill 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-Vol or NCGS 113A-103(5)(b)(5) . Applicant Name I e 8 M'tCA Phone Number '33(3` -5 3? 'f Address cf 4 $f c...--? t3 e 1±-i_ A141STi/1 3 S i'�a ; City t^1 q Iv i� Q State N C. Zip 2--"7-5-u/ Project Location(County State Road,Water Body,etc.) 5.--, GA'1 ram--a SI CD[��.-. I Si-a— fAo,c� , r✓(- ZS-`{(Q 1 Type and Dimensions of Project i' P i<c-fr__ f n r- P'i S °n rim(1`-•',3 _"t'I '." 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). CL,..) (- T SCALE: 0 ( S 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 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 1 1 --I---I---I•--+--f'--FF-I�--�---+,-�-fr--+-- - I---'1--r--+--I•---i---+-- --+-- --►---+--r---I---1.' 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I 1 1 I I 1 I I 1 1 I 1 1 1 1 1 I I 1 _ _- 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I I I 1 I 1 1 I 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 I I I 1 I I I 1 I 1 1 I I 1 1 1 I I 1 1 I I 1 1 1 I 1 1 I 1 1 1 I 1 1 1 1 1 1 1 I 1 I I I 1 I 1 I 1 I 1 1 I I 1 I I I 1 I I 1 I 1 1 1 1 I I 1 1 I I I 1 I 1 1 1 1 I 1 1 1 I I 1 1 1 1 1 1 I 1 1 1 1 I I III 11 I I 1 1 1 1 1 I 1 I IIIII III II 1 1 1 I 1 I I 1 I 1 I I I 1 1 I I 1 1 1 1 I 1 1 I I I 1 1 I I I 1 1 1 1 1 1 I 1 1 I I 1 I I 1 1 1 1 1 1 1 1 1 1 1 Any person who proceeds with a development without the con- sent of a CAMA official under mistaken assumption that the Appllc gnat re____ 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 icial' sl nature i(ill--0 The applicant certifies by signing this exemption that the )7424jIapplicant will abide by the conditions of this exemption. Issuing date ExpiratlDate Scanned with CamScanner