Richard Cody

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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 7a)i to or NCGS 113A-103(5)(b)(5) .
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Applicant Name - (r d Cody Phone Number
Address 'ot -ti%Pc evdk 5-. Un L 3210 •
City 1edE+ State ,'`JC- Zip Z4-6OI
Project Location(County,State Road,WaterBody�etc.) 21 "' � • .. ' . . k'''. All
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Type and Dimensions of Project &0 is(J 40)a (2) i7;1.1:0.sS tAn c1c r .e x+S4-;\-/ 8-c.c.-le
The proposed project to be located and constructed as This certification of exemption 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 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.
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Any person who proceeds with a development without the con- �/ fi'/
sent of a CAMA official under mistaken assumption that the Applicants'sig9 y r
development is exempted, will be in violation of the CAMA if there i _
is a subsequent determination that a permit was required for the L
— .-‘NS.---,.
development. LAMA Official's signature
The applicant certifies by signing this exemption that the /- - .1-0 1 ? /1 2-•0 -- / ?
applicant will abide by the conditions of this exemption. Issuing date Expiration Date

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1 JUL 1 6 2018
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RECEIVED
30it 167,804 34112 2 36,a,2 5.27x57 Degrees
All rights reserved JUL 1 6 2018
DCM WILMINGTON, NC
http://nhcgov.maps.arcgis.com/apps/webappviewer/index.html?id=cc3 a41687ab441 a995 0... 7/16/2018

07/17/2018. 16:12 910 920084 ALL WAYS GRAPHICS PAGE 01/01
AcsrMT 6,umnivirAMAN FOR CAMA PRIMILLAERLIQATION
•
Name of Property Owner Requesting Permit: ____,2.isic.___.ed21,--1----- .
Mailing Address:
Phone Number: AP J - a
email Addwico! r'-f!:' n(J� . 0 - r cif'
I certify that I have authorized
Ad.
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: t rp(4,g s J-- p ' f r
. at my property located at - - /` '
in "_,,2; �� ) f_County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management aonnectiontaff, the ocal Permit wlth evaluating� e'nfom►r and ta lolr nagents to enter
releted to this
on the aforementioned lands in
permit application.
nn ss. a6 - 3e( ',- S/G4
Property Owner Information: 0 t q�`
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_ i�/ �� ��� / rig- �l i y v v
Signature
Print or Type Name
�. Title '. JUL 1 8 21018
Date •
•
RECEIVED
• ceroneLui i is valid through_._-I. 3( f--/J
I rns JUL.1 8 ..o13
DCM WILMINGTON, NC