Cannon, John C/O Eine, T. D.

CERTIFICATE OF EXEMPTION
FROM. REQUIRING A CAMA PERMIT ;k=�
F as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources Commission
In an area of environmental concern pursuant to 1-b-Ngb2fi
Applicant Name (k 0 ,C n IT ; � % �, i a: Phone Number
Address .10 1 U JV(
city State
Project Location'(County, State Road, Water Body, etc.)
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit
requirement pursuant to . This exemption
to CAMA permit requirements does not alleviate the necessity of
Any person who proceeds with a development without the con-
sent of a CAMA official under the 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 (1) the ap-
plicant has read and will abide by the conditions of this *exemp-
tion, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
This certification of exemption from 'requiring a CAMA permit is
valid for 90 days from the date of Issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
Applicant's ignature�
CAMA Official's signature —
Issuing date
Expiration date
Attachment: 15 North Carolina-Adrninistrative,% e�7R�'
►'VC.