Richardson

VL cIl7
-v�
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 AC S�ha ter 7K .02
1 � J� — c
cant Name. Phon��`er
ess
State Zip 3f<L
;ct Location (Q)unty, State Road, Water Body -.etc.) 1
iroposed project to be located and constructed as described
is hereby certified as exempt from the CAMA permit re-
ment pursuant to 15 NCAC 7K .0203. This exemption to
A permit requirements does not alleviate the necessity of
Dbtaining any other State, Federal, or Local authorization.
r
This certification of exemption from requiring a CAMA per
valid for 90 days from the date of issuance. Following expir;
a re-examination of the project and project site may be nece.
to continue this certification.

CAMA MINOR PERMIT PROGRAM
❑ MODIFICATION ❑ EXEMPTION
r Oak Island
Minor Permit Office
Drized by the State of North Carolina
Coastal Area Management Act of 1974
licant Name"bop'�1�e�A��Sz�r
ress R1� -7 -S�3
Re # c1 10 � -19 C4 S 3q
AMAINTENANCE AND REPAIR
Permit #
Date previous
permit issued
Project Location Information
Street Address 1 L L
�, '►�A !� i^ip ff-,Left✓ /43 C
Adj. Water BodyJ�1
torized Agent 16 t cc., I [ AEC: ❑ CS ❑ OE ❑ HH ❑ IH
of Project
ription of Activity:
i or special
itions: Cost of project.
/. UU
SITE DRAWING

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Irunswick County GIS
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•16 1-11 1 1 209514336081 251 NBO34 RICHARDSON DOROTHY S P 0 BOX 1109 REIDSVILLE NC
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