Kenan

CERTIFICATION OF EXEMPTION
_Y 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.
cant Name �lG�,A Phone Number
'SS State Zip
ct Location ( ounty, State,�oad, Water Body, etc.) iLi
t 1A tr F, AiPLv TIr1 yr r _
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,roposed project to be located and constructed as described This certification of exemption from requiring a CAMA per
is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expir
ment pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be nece
A permit requirements does not alleviate the necessity of to continue this certification.
obtaining any other State, Federal, or Local authorization.
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ICAIVIA / CTDREDGE & FILL
BEN ERAL PERMIT
Previous permit #
[New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
•ized by the State of North Carolina, Department of Environment and Natural Resources
;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ,,2
�—�J '
ules attached.
t Name ! tnC071
Project Location: County 7Z
Street Address/ State Road/ Loot #(s)
�j 101i State_ ZIP_
)?e4GG,
(ZZ) �tFax # (_)
Subdivision
ed Agent C1,14,o illY3 ; k - C�h ��?',iClc►^
City w o* 1 11 tz�h ZIP �/►G'��' S
❑ CW ❑ EW ❑ PTA ❑ ES [IPTS
Phone # ( ) I River Basin L-Cd�Q
�EA (5�F M ElUBA ❑ N/A
Adj. Wtr. Body � � .�- H ``t / at7�
❑ PWS: ❑ FC:
`
Closest Maj. Wtr. Body
es / o PNA yes / no Crit.Hab. yes / no
Project/ Activity
(Scale: ;
:k)l n¢th
ngth
nber
i/ Riprap length_
distance offshore_
x distance offshore
cannel
>ic yaras_
ip
se/ Boatlift
.jIldozing
>./ M
ll°4lr'tl-�17
Length --�- --- - - SeC��✓! ���
not sure yes C-9
s: not sure 49 no
ium: n/a no
es no _ -
\ttached: yes
ng permit may be required by: /y if zij
"All- 1 '1 - -r "]
If I Al eel - -
J_
❑ See note on ba.A regarding River[Basin n