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CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PEPMIT
x? 02195
m authortzefty the State of Norh Carolina,
Department of Environment and Natural Resources and the Coastal Resourc Isslon
In an area of environmental concern pursua-it to IS NCAC Subchapter 7K.•
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Phone Number 1is.+f5.qY19
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sect L cation (county, Stale Road, Water Body, @tc.)� W►C1�, U
et
e and Dimensions of Prot
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sroposed project to be located and constructed as described
Is hereby certitled as exempt from the CAMA permit
rement pursuant to 15 NCAC 7K 0JDJ . This exemption
1MA permit requirements does not alleviate the necessity of
obtaining other State, Federal or Local authoritatlon.
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re•exam' —m- of the project and project site may be necessary
to contlnue this cerdflcatlon.
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CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT / �� 021
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K_ q
Iicant Name h ✓ C'o C CkW (IAL Phone Number
ress 1110, Wa ✓p
i I State NC Zip Z93
ect Location (County, State Road, Water Body, etc.) 2
ano Dimensions of Project
roposed project to be located and constructed as described
is hereby certified as exempt from the CAMA permit
ementpursuantto 15 NCAC 7K . This exemption
,MA permit requirements does not alleviate the necessity of
)btaining other State, Federal or Local authorization.
This certification of exemption from requiring a CAMA pe
valid for 90 days from the date of issuance. Following expi
a re-examination of the project and project site may be nei
to continue this certification.
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i23i2013 08:35 FAX
Z 001
CERTIFICATE OF EXEMPTION
FROM REQUIRING A CAMA PERMIT NO. 0211,
as authorised by the State of North Carolina,
Department of Uvlronniont and Natural Resourcas and the Coawi Rttsour Itslon
In en area of anvironntental concern puiltuant to 15 NCAC Subchapter YK, Al � ,
Iicant Name _ G�(jft�� . Phone Number 10.E a
rag&statoI zlpzm
ill _ ►°r _
%A L Cation (County _ r Boy, Q
Stato R�ati,, Water �. _ _ .
e proposed protect to be located and constructed as described
ove Is hereby cardfled as exempt from the CAMA portent
quirement pursuant to 15 NQX iK 018 - This exemptlpn
LAMA permit requirements does not alleviate the necessity of
cur obtaining other State, Federal or local authorlation.
This certification or exernptlon from requiring a LAMA per
valid for 90 da from the date of Issuance. Following expin
a re -exam na of tits project and project Site may be nw
to continue this certification.
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IAL
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DGI. tAIILMINGTON,
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Any pamon who procoads with a development whhout the on-
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12/2013 15:34 FAX
'05/2013 15:27 9108463031
VAhN CARTER
16002
PAGE 01
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2112013 12:02 FAX
LA 001
North Carolina Department of Enviranment and Natural Resources
" Division of coastal -Management
Beverly Eaves Perdue ,imies H. Gregson Dee Freern
Govemor Director Secret -
AGENT AUTHORIZATION FUrtM
Date: X15
Name of Property Owner Applying for Permit:
&&v a.
Owner's Mailing Address:
t-�fL,, ,-
_ ,Zq41e!z. -
Phone Number (q ) "' -2
Name of Authorized Agent for this project:
AofV.- /-�,�-I.�4
Agent's Mailing Address:
IC707
C
Phone, Number (,I1,�,., -�
I Certify that 1 have authorized the agent listed above to Fact on my behalf, for the purpose of applying
for and obtaining all LAMA Permits necessary to install or construct the following (activity):
WE
(my property located) at , __.__1,2.00 "...•
This certification is valid thru (date)
Property Owner Signature Date