HomeMy WebLinkAboutEX Monteith, Alan I
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 13A-103(5)(b)(5)j <.
Applicant Name (jail fYôi/i / ( hell' !"" P oh neNumber ---- . ,
Address ,
City State Zip
Project Location(CounV,St�lte, oa ,Wate s t ,
Type and Dimensions of Project _--'* (Y/� Wa �d f
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- t...'.."
sent of a CAMA official under mistaken assumption that the A pl c s sig t�
development is exempted,will be in violation of the CAMA if there .
is a subsequent determination that a permit was required for the i .
development, A 1fflai I's signet ire
The applicant certifies by signing this exemption that the 7' .'.J >
applicant will abide by the conditions of this exemption. Issuing date Expiration Date
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 v
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Name (Y)10f)4/111A ( �l Phone NumberAddress 1i 5 t( (AA ( �,Q ;
City State / V (.) Zip(206a
Project Location(Cou1y,State aatef B , tc.
Type and Dimensions of Project Atfel;K J1-/NictZl 4 / .wa" 1/01I
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-
sent of a CAMA official under mistaken assumption that the Appl' 's sig t
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.e XyDdficiar signal re /� /��s
The applicant certifies by signing this exemption that the3
applicant will abide by the conditions of this exemption. Issuing date Expiration Date
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 Phone Number
Address ,
City State Zip
Project Location(County,State Road,Water Body,etc.)
Type and Dimensions of Project ...—
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): SCALE:
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Any person who proceeds with a development without the con-
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 Official's signature
The applicant certifies by signing this exemption that the
applicant will abide by the conditions of this exemption. Issuing date Expiration Date
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 Phone Number
Address .
City State Zip
Project Location(County,State Road,Water Body,etc.)
Type and Dimensions of Project
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-
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 Official's signature
The applicant certifies by signing this exemption that the
applicant will abide by the conditions of this exemption. Issuing date Expiration Date