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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)
ApplicantName P ju, 3Ane�//( PhoneNumber � r2-2IS3
Address A % , 6!!Y T o T c/mot @41.
City /?la,r � State Al<-- J7 i pv
Pplectloeati I) (County, State Road, W ter Body, etc.) !2-1
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Type and t)irnan ions of ro ect t ` ` 4PrT7anAt t L>zAIaK 'DS 1tf/2euGH Jam/ .rnf6S'�i-N4? wds/tZERS
The proposed project to be located and oonstructed as This certification ofexemption 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 rmquirements,This exemption toCAMA 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 Slate, 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 ca�,,qnttlTAC rZJ LAC F-Sa -f--P 11-f}
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. C A Official's signature / y
The applicant certifies by signing this exemption that the Cy / ( 3 Z2.-I / a 6 r
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 11,11a5 4- PCMd12,._ Phone Number 172-Y12-21S3
Address p , 6,y c ', `f99 g4tc\l /r cA",
City '41aAlJ�b State NC Zip Z79s
1' _ � � L L • L S/43l✓. rLt9ar�<lP►�l_L11iJ��L�Nii1���J0llr Ceti �Jlil�r
The proposed projeclto 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
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
C A Official's signature
Z- �Z3�13T
Issuing date Expiration Date
CERTIFICATION OF EXEMPTION
ApplicantName
City
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)
Phone Number
State Zip
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project
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 daysfrom 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
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
CAMA Official's signature
Issuing date Expiration Date
DocuSign Envelope ID: 710F9EBF-7E27-4F5E-BDA3-E2542A1EB64B
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Thomas and Pamela Lindner
Mailing Address:
Phone Number:
PO Box 2479
Manteo, NC 27954
770-412-2153
Email Address: tom.lindner54@gmail.com
I certify that I have authorized Emanuelson and Dad
Aqent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
repair existing bulkhead by installing 4
additional 3/4" 00' tieback rods through existing bulkhead pilings and waters
at my property located at 121 Gilbert St, Manteo
in Dare County.
1 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:
�oocosiaom by: ��
tZ �WkAt
Signature
Tom Lindner
Print or Type Name
Title
5/20/20?4 /
Date
This certification is valid through I I
W.J T t t
'Jim Alf
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