Exemption Chadwick, Bryan

CERTIFICATE OF EXEMPTION
FROM REQUIRING A CAMA PERMIT 01271
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-Ix�NE*C-5ubrhapter-7.K _A[_.. C.S /13 14 Wes-)
Applicant Name WiAIV C'10 �Jtl t I�f,Jal f -If "iriv�i•iitl ^tGl� Phone Number . "2je' %. 3 �T
Address _r " Z,10 Ze " r 4yie 64-ra lZ �*-
City 77f Al. "4 0k) le-'q! f State /U e_ Zip
Project Location (County, State Road, Water Body, etc.) C ;eF A'A J ""r __
A -r i_AA.,T • G 11 c F a1
Type and Dimensions of Project ReAiizi4,r /*R'7 b u -,r U.,dz4
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit Is
above Is, hereby certified as exempt from the C,AMA permit valid for 90 days from the date of issuance. Following expiration,
requirement pursuant to 44RkGAZ"1RY-,V ,� his exemption a re-examination of the project and project site may be necessary
to CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining other State, Federal or Local authorization.
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
sign e
is a subsequent determination that a permit was required for the
development. CAMA Officia's si natur
The applicant certifies by signing this exemption that (1) the ap- Issuing date
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 Expiration date
proposed work. !t/CG i/;rA- J'03 (' i� •
Attachment: �-Neii fiir ,4dmifztg iratKc+-"&4ii

" Stewat L M. Pickett, Mayor
Bob Ivey, Mayor Pro Tem
Joel .Fortune, Commissioner
Jack Goldstein, Commissioner
Dale Williford, Commissioner
--(Z,oYI
1400 Salter Path Rd.
Salter Path, NC 28575
Phone: [phone]
Fax: [phone]
www.indianbeach.org
Town of Indian. Beach�AN�tG
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