02246D - Lucian

,. _ wm�w'uRwysr�nP�Tf7l�'4�'+ca.4F�.e+�..r..sR+..,a3*!�.r.�..�4--w„-.Y��pmn:�r^w�rr•-,sv�-:r--srr�rv.,s^-rc^-.^...•�
� 1
CERTIFICATE OF EXEMPTIONw:�-��'
FROM REQUIRING A LAMA PERMIT 02
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 )26-
�plicant Name x'r, N Phone Number 510 `Z-7S2 -G
dress vC
y State w ` Zipt
Dject Location (County, State Road, Water Body, etc.) i& r ,k
pe and Dimensions of Project K i UO `-7t r
proposed project to be located and constructed as described
ve is hereby certified as exempt fro the CAMA permit
iirement pursuant to 15 NCAC 7K T� This exemption
!AMA permit requirements does not alleviate the necessity of
r obtaining other State, Federal or Local authorization.
This certification of exemption from requiring a CAMA I
valid for 90 days from the date of issuance. Following ex
a re-examination of the project and project site may be n
to continue this certification.
KETCH (SCALE: N T`-
+ /- 106' 1
I

548496
CUSTOMER'S ORDER NO. (DEPARTMENT IDAJ r
ADDRESS
CITY, STATE, ZIP j D J
SOLD -BY
Imam
©-am
* .�
am
©m
ANN
am
V �sRmi
�-
• � ,
ANSI�-
�-
MEN
11011WIMM
mm:
11111
mm
m1111111
_
ANSI
mm
. __
ANNE
mm�r��
..
mm
-
mms�-
RECEWED BY ..
L
-66
T-46320/46350 KEEP THIS SLIP FOR REFERENCE Tyler Crumbley
m
LPO