Harold & Trudy Golding

-Y
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name WAQot-o & TRNpti C oxyi /c, Phone Number ?7& - 733 - `9+5'
Address ! O "I Wr-5s CAAIAI_ A- NvAr_
City 5,11,45e, 13EAcu State /V C, / zip zb`4(.0B'
Project Location (County, State Road, Water Body, etc.) lgizkA s w: % �K 000nS MT)/ ( AME :;�atizcrr)
A-ri AA.1, or 71.d T'?Ar �t1r.v
Type and Dimensions of Project FKr_PA,1;Ls Tio 17oc-K„A/c, FAC11-ITy T,,,
T_n/CL. Qr_ REPLLACiwG 04L-y 3 eIL.1-dG C
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .0203. 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 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.
SKETCH e V/ & F (SCALE: 2 " = ' )
8 0" F E D'E{ZAL C 14AWAt E I- 5 E. T sA C K
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.
> ATTACHCD
Applicant's 09nature
CAMA Official's signature
('1 � O
Issuing date
Expiration date
N
Attachment: 15 North Carolina Administrative Code 7K .0203

W
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as aullicalzed by the Stale of North (:nrnlina,
h`T t Department of 1.nvlronmuni, I Ioallh, and Ntilt taI Itosourcoo aimi the Coastal Hosourcoo Gommissrnn
In an area of onvitonmenlal cowein pursuant It, 16 NCAC Subx;hopter /K .0201
Applicanl Nanw ��go%► Q A TRtwpy 60L-p►NQI i'hone Nun►hnr 27(o - y3a '184
Address -IQ a 1'ji C.AMAt, Avitvwn:.
C11Y esA"6ET 139AtY /V C. Ali 2 ff-1{,4if
Proloct 1 ocation (County, Slato Road, Waloi Body, ott: Y (%AM& ~e"Z) _
Azit XNTAAceAaTAL. WA -Balmy
l Yptl alld 04110116011c of Pm100 fkf-f ►►" To *)(is I id cy PoG►LIac, T-At uj-Y V Ta
L!`l�bMpE Ktav1.AC_►N6 Qdly �IAdNGS
The prolu_,sud project to ha kivetlod and et>rtstruclad nee tluycrihod
atxwo is hatoby carlltlai as oxompt from the LAMA permit to
quuunrent pursuant to VS WAG IK 0201, this axomptkin to
LAMA potmit (Oeltiliontents door nol allovlalo tho novossily of
your nhfnininu nny other :�Inte, 1 odurell, or I oral authori/1%lion
Ibis crttihnnhon eel exemption from requiring it LAMA paring to
valkf lot 00 days from ilia (late of Issuance t 01k)M tq exprratbn,
n to examination of the prolact and project site maybe necessary
to continue this cortllicallon
5ht IC11 (SCA1.1 1 "' = - 2 0' I�
AT-wW
g 0 ' F L V >i=` K I �C 11 ANM IJI 4 _ 1" Il1A (' K
Any person who p►ovoods wilt] At (io�ultt►�ntont without the (vil
3ont cal a LAMA ollitial under the nutitakurl ihat the
etew>Icapnienl is exempted, will be in vf(),%twltrtut GAMA itnrttha
1:� ri subswqui�nt deteimin(tllon that a l ntlti
tiltod devokipment-
14 VL Arr.
As,leli�n,tlurit
tic
t•ANIIA O
1 he 40w,lot colillles by Leaning ihiq 111,11 (11 111e) .tl% I.,.-tilii(I tletlte
plh ant hatq in(Id and will Attitla by tiro c'011detio,t•. if line. oxonts'
11,111, aild (.1a wi itlell r;l:tioiitttitsbotlteallod loill►t'ie
,0111
Ieuldawrldis coltrylilk t he1 urt0 ioclIlia (xlaiathnl ci.tty
pfo$V stkl ythllh All;p ttrnuttl IF, NolIt► Cill%timct Admo1%11AINO i odtt 'K 0.: 0:1 r
_.

in
County.
1 furthermore certify that I 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 . this
permit application.
Property Owner Information:
Si ature
QL re LT L G 0 �
Print or Type Name
Title
7 /-.2 /
Date
This certification is valid through !/

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