01214D - Andrews

Plicant Name
dress
lie
ct Location
e and Dimension fosion P
�a environmental concern pursuant to dNo the Coastal Resources Co p CAC Subchapter 7K t (I Q�tuion
_ Phone Number ��� ,�D
Road, Water Bod , e o� State
—1 U . _ ✓ I nr� ZiP — 5
n
roposed project to be located and constructed as described '
is hereby certified as exempt from the LAMA This certification of exemption from requiring a CA
MA
pursuant to 15 NCAC 7K _ pest valid for 90 days from the date of issuance. Following ex
"fA permit requirements does not alleviate theThis
neces necessity M'`� per
a re-examination of the project and project site may be necf
staining other State, Federal or Local authorization.
to continue this certification.
iC H
�Tk
4Y-e1Cr ��h�
(SCALE: Z n t
C-V/ �n4l PL
f