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Home My WebLink AboutWilson (3) . K 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)5 NCAC Subchapter 7K•EIO; or NCGS 113A-103(5)(b)(5) . • AApplicant I�� ' ` W t un Cc/0 • i/`I SGI pp Phone Number Address ' \ !r i P/' c City ()cc"- (s j t_ (,)<-t t-. Stt/ll N ate - . Zip -2 71-- 1 l' 1 Project Location(County,State Road;Water Body,etc.) ; ' i • 4 Type and Dimensions of Project 17 c.' / � �O e1n U� *'tic I 64lk {, SJ. S / `- _ .L i'- -,, tN rt .. & , 7 t The proposed project to be located and constructed as This certification of exemption from requiring a CAMA r rmit described above is hereby certified as exempt from the is valid for 120 days fromthe date of issuance.Hollowing 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): ('v S. SCALE: _ - II I I II I II 1 1 I I I I I I I I I I I I I I I I I 1 II I I II I II I I I I I I ` III I I I I I I I I I I I I 1 F1 i i--i �`k-- -+-- -+r G/� 1 lY,\'\ Ow- F iL� --#--+--1--+ --�-�--a I I 1 I 1 I I 1 I I 1 I I I I I I 1 I 1 I I I I I I 1 I 1 I I I 1 1 1 1 I 1 I I I 1 1 I I I I I I I 1 I I I I I r--r--r--r--r--r--r--r--r--t--r--t-- --r-7Y-- -r--r- ---r--r--r-- dirt...„,-- -r--r--r--, F iiii 1 , I I 1 I I I I I 1 1 I I 1 r--r--r--r--r--r--r-- r--r--r-- �--r- T-- r--r �-- r--r--r--r -r-- r--r-Tr--i F 1 1 I 1 1 1 I 1 1 1 1 i I I I 1 I 1 I I I 1 FI- I 1 I 1 r--r--rr--r--r r'-r- r- T' -r--T ,--T--r-- --r- T- -1---r-- --T-�r-y -r-c--r--1 1 I �1 I „ I I I ,_ I i „/ Tn fv I IL 11 1 L 1I IL 1 JI 1 1 I11 I I 1I__ --L--1--L--L- L__ _ 1 __ L _L_6f __1-_1--L-- __1II1I ` 1 I 1 1 II 1I I II I II I I I 1 I 1 1-- 1 1 d1 �,,11_� �Ie I 1{[y^) I I I 1 I 1 I ii, 1 1 1 I I I I I I 1 I I I I 1 I I } I I . . I I 1 1 I I I 1 +-�}JJtt�I I I I L_ 1__L._ F1 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 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 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 1 1 1 1 I 1 1 1 1 1 __L__L__L__i__L__L__i__L__i__L__L__.J__L__i-_L__J.__V_J___i__i__i__i__L Any person who proceeds with a development without the con- sent of a CAMA official under mistaken assumption that the A '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 Offi ial's si nature The applicant certifies by signing this exemption that the 5 23 �2 d2 l> IZ.S 1? „rsJ applicant will abide by the conditions of this exemption. Issuing dale Expiration Date .� AGENT AUTHORIZATION FOR CAtVIA PERMIT APPLICATION Name of•Property Owner Requesting Permit: Mailing Address: (3 ZA .O/4 , vG ZS la q Phone Number: S.W • Litf 3C0: Lf Email Address: (5 Aks/Sv s : - - c C? ,tea: /, I certify that I have authorized 6 le'' 6D s"?'" Agent/Contractor to act on my behalf,for the purpose of applying for and obtaining all CAMA permits necessary for the following riroposed development: " at my property located at 357 s�E 7L D/ 6, /vG in 13. 144/5.ks4t,14---- County. C 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: ;AinL — Signature Print or Type Name Title 5` / /3 / Date ij joJgLE%l.Dnf This certification is valid through I / NNNN L,z a\1 ►KC1 -u .� I --,q VDID\d, savmw-3 41?)\1° ..6�Lz �� ) � �-�� 7 k�a 'yua 1 1 QS\ (`c\ \ I 196Z 9 2.. 1 �"' V1 �i , i c"I'V' &2. L.\2h rocm.9o-j trtd. , r I I- T L� sr_z- "b.-Pall-4w s)o-yt,Q