HomeMy WebLinkAboutEX - Jordan Trustee, Patrica W.f�
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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the Stale 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
Address A CJ
City le-, /�( I/ /i s
Pr jectLocation(County, State Road, Water Body, etc.) Z
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of
The proposed project to be located and constructed as
described above is hereby certified as exempt from the
CAMA permit requirements. This exemption to CAMA
permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local
authorization.
Number /S7 - "%'Sr62
A)C ZiPLZ- YC` C-
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This certification of exemption from requiring a CAMA permit
is valid for 120 days from the date of issuance. Following
expiration, a re-examinatlon of the project and project site may
be necessary to continue this certification.
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Any person who proceeds with a development without the con-
sent of a LAMA official under mistaken assumption that the Applicant's slgnalurr L.SF. IM 2 IN -
development Isexempled, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. %AMA Official's signature
The applicant certifies by signing this exemption that the s // 3 /✓- i/ 74/ 7 /2- I
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)
ame ► "
city �I U Ae11 / ,fills
The proposed project to be located and constructed as I his cemncation or exemption rrom requiring a LJAMA 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.
PhoneNumber�757 - 227"S5_62
Zip2'7 Y�
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Any person who proceeds with a development without the con-
sent of a CAMA official under mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that the
applicant will abide by the conditions of this exemption.
Applicant's signature 4.S.9 h-,AR INC
i zS r Ca-k,-�—
AMA Official's signature
2,�i3ZL-� 2�ZY
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).
ApplicanName
1� cic� ,Sordan / Phone Number i' '%S%-2.8%-SS62..
�I
Address 'v r ( ?-4
city State 1Ie✓', / H .//r State f.) <: Zipz_7y Y
Project Location (County, State Road, Water Body, etc.)_16� 1.
Type and Dimensions of Project
S�'"
u1't
The proposed projectto be located and constructed as
described above is hereby certified as exempt from the
CAMA permit requirements. This exemption to CAMA
permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local
authorization.
This certification of exemption from requiring a CAMA permit
is valid for 120 days from the date of issuance. Following
expiration, a re-examination of the project and project site may
be necessary to continue this certification.
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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
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: � k ^ `� °� l.J • , -tk,Q" -
Mailing Address: i7� i 3i5 t
2gc= tti
Phone Number:Z �s"I-SSG 1
Email Address: jIkA
I certify that I have authorized L 517
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: existing bulkhead & dock repairs
at my property located at _ VS_'S2. 2 .t:n f). ,
in County.
i furthermore certify that 1 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:
Signal"
Print or Type Name
a -
Title
Date
This certification is valid through
3 1 !2/Zi
MARINE
Construction, LLC
PROPOSED EXISTING DOCK EXTENSION @ 1832 BAY DR, KDH, NC
FOR PATRICIA W JORDAN & JERRY JORDAN
ESTIMATE DRAWING 1 OF 1 - 2/26/24 - NTS - BY: SCOTT C SMALL
OF LSI MARINE - 252-473-7695 - SCOTT@LSIMARINE.COM
NEW 15' X 15'
DOCK 2 NEW MOORING
PLATFORM PILES
�c EXISTING 4' X 20'
LOWER LANDING
r REPAIR
NEW 5' X 45'
DOCK 1,
EXTENSION
AREA OF DOCK
S REPAIR - 2ND
} SECTION
1.
EXISTING BOAT
HOUSE BOAT
LIFT TO BE AREA OF DOCK
REMOVED &� REPAIR - 1 ST
OWNER r. SECTION
SUPPLIED LIFT
TO BE
INSTALLED; \ -
MINOR DECKING �', 15' OFFSET
REPAIRS IN 1
SOUTH CORNERi -
15' OFFSET
EXISTING 1832 BAY DRIVE
BULKHEAD KILL DEVIL HILLS. NC
REPAIRS TO
INCLUDE NEW
FACIA, WALE &
HARDWARE
Carver, Yvonne
From:
Carver, Yvonne
Sent:
Wednesday, March 13, 2024 5:54 PM
To:
Monica Small (monica@lsimarine.com)
Cc:
Scott Small (scott@lsimarine.com)
Subject:
Jordan Exemption
Attachments:
JORDAN EX-03132024162452.pdf
Monica,
Attached you will find a Certificate of Exemption issued to Patricia Jordan for the docking
facility and bulkhead repair project located at 1832 Bay Dr., in Kill Devil Hills.
In order to validate this Exemption:
• Please review, print and sign the Exemption on the line marked'Applicant's
signature'.
• Scan and return a copy back to me.
Your prompt attention to this matter would be appreciated. Failure to return the signed
copy mayvoid the Exemption.
If you have any questions regarding this correspondence, please don't hesitate to call
me.
Thank you.
c VV00?1 e
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-621-6453
401 S. Griffin St., Suite 300
Elizabeth City, NC 27909