Gibson

P ('-7
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.
licant Name
t Mm (7!Cn4' Phone Number
ress ; -f L G !%
State - Zip - eF
ect Location (County, State Road, Water Body,) ) Z s
and Dimensions of Project tz-�
proposed project to be located and constructed as described This certification of exemption from requiring a CAMA pe
le is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expi
,ment pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be neci
1A permit requirements does not alleviate the necessity of to continue this certification.
obtaining any other State, Federal, or Local authorization.