HomeMy WebLinkAboutGP EX - Vaughn, Douglas and BarbaraCERTIFICATION OF EXEMPTION
FROM REQUIRING A LAMA 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 113AA03 (5) (b) (5)
AppiicantName 000�kS 9-A D!+rbgrnya lgl ,,,, PhoneNumber 2rx-tax-%�'f
Arldrwse 39L6 PincwAv Dr.
City kt+ty Hawk State N f- Zip 2 7141
Project Location (County, State Road, Water Body, etc.)
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2794R
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Type and Dimensions of Project
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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.
This certification of exemption from requiring a CAMA pannit
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.
1
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CAMA Officias PsiCAMA nature�e
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)_
ApplicantName 000JI 5g" earb4re, Vg0�9ti,,n Phone Number 2S1-2.o7_—`i771
GArtrcee 3gz6 Pirewgy or.
City
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State N C, zip 2 7 g 9 9
Project Location (County, State Road, Water Body, etc.) 3 92 6 P; r e wq y D r-1 k; } fy Hg„ t
NC . 27999
Type and Dimensions of Project
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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.
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 _siggnnaturee
's�
CAMA Official's si nature
10/g/2 2/8/ 25
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
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
i
CAMA Official's signature
Issuing dale
Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Douglas and Barbara Vaughan
Mailing Address: 3926 Pineway Dr
Kitty Hawk, NC 27949
Phone Number: 252-202-4771
Email Address: bvaughanl20l@hotmalf.com
I certify that I have authorized Emanuelson and Dad
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: replace filter cloth on exteting bulkhead
at my property located at 3926 Pineway Or, Kitty Hawk
in Dare
County.
I furthermore certify that / am authorized to grant and do In fact grant permission to
Division of Coastal Management staff, the Local Permit Offlcer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
Permit application.
Property Owner Information:
Sig ture,17
tt YY1 V a t c
Pnnt or Type Name
Title
Wzy
Date
This certification is valid through
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