01412D - Maxwell

7 4 I. 14, Is
CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT
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 p uant tQ 15 CAC Subchapter 7K, j i�
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licantName ,ilIIlpii -, KGt- 6i�ri)jLAXW
ress
ect Lo6ation (County, State Road, Water Body, etc.)
T—�-I; V4 rIcl\ati
and Dimensions of Project
[i
iroposed project to be located and constructed as described
is hereby certified as exempt from the CAMA permit
'ement pursuant to 15 NCAC 7K This exemption
4MA permit requirements does not alleviate the necessity of
)btaining other State, Federal or Local authorization.
State
014
hone Number "�J t S�VL Oic1L
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 ne(
to continue this certification.
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NCDEHR
North Carolina Department of Environment and Natural Resources
Division of Coastal Managemei "
Beverly Eaves Perdue, Govemor James H. Gregson, Director CDaits
Date
Name of Property Owner Applying for Permit:
Mailing Address:
MHCDO
Tyler Crumbley
LPO
DW Review
I certify that I have authorized (agent) Joel KIsIss to act on my
behalf for the purpose of appl3ing for and obtaining all C_AMA Permits necessary to
install or construct (activity) Install new bulkhead and deck ,
at (my property- located at) 126 Dolphin Dr. Holden Beach, NC
This certification is valid thru (date) C;2 - A S-"/3,
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RECEIVED
DGM WILMINGTON,
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JAN 11- 2015

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