01591D - Barber

T
Acant Name
cress
<
ject L taco or
CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT
/0/3/�U
011
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources Co fission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K :) b . \,
�d k%Q t��,_ �G LEA f ICU'! Phone Number �Dg
SON
• • • 0 - . a ii�/. + tif•1�11/.���►�•A WWA'!GJMWM 1
. mminumm mn.�nmrsrmr
proposed project to be located and constructed as described
e is hereby certified as exempt from toe CAMA permit
irement pursuant to 15 NCAC 7K n jP L . This exemption
AMA permit requirements does not alleviate the necessity of
obtaining other State, Federal or Local authorization.
This certification of exemption from requiring a CAMA p
valid for 90 days from the date of issuance. Following exf
a re-examination of the project and project site may be nE
to continue this certification.
'ETCH (SCALE: vQ
(AV\ 4
(Aky' )fv-efti
E-Xt J-)'nSo'

I
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
it McCrory Braxton C. Davis John E. Skvarla,
'ovemor Director Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FuHm
Date: _August 22,2016
ne of Property Owner Applying for Permit
'.ward Z. Barber
ner's Mailing Address:
D Valley Vista Road
irua, GA 30080
,ne Number 404 680-9536
Vfire of Authorized gent for this project:
V'IC�2 �;115 NCVtC►\
Agent's Mailing Address:
LUu q 451� 64 c 1; 1 ►4C
M,
Phone Number 1b57 -cq�
,tify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
ind obtaining all CAMA
I -
to install or construct the following (activity):
my property located at 409 Dolphin Street, Sunset Beach, NC
certificaf n is valid thru (da _March 31, 2017
Property Owner Signature Date

I