02198D - Daughtry

CERTIFICATE OF EXEMPTION
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 1�3
licant Name ANItj 5 + Q' o Phone Number 1 20I 2-3(
res i A ncl c . �c 64C
r; State Zip
ect Location (County, State Road, Water Body, etc.) i ✓ur1,�1 4- Zlo ti it -, ✓ -e
ljf�na,14
_T f) vl'A ,n A ki rwn D ,' ldc., I r'c.CA.
and Dimensions of Project
proposed project to be located and constructed as described
e is hereby certified as exempt from the CAMA permit
irement pursuant to 15 NCAC 7K �- I f . This exemption
MA permit requirements does not alleviate the necessity of
obtaining other State, Federal or Local authorization.
This certification of exemption from requiring a CAMA
valid for 90 days from the date of issuance. Following ex
a re-examination of the project and project site may be r
to continue this certification.
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?5/2013 08:35 FAX Z 002
CERTIFICATE OF EXEMPTION �a Q2198C
FROM PEQUIPING A LAMA PEWIT
as tiuthoriced by tna State of North Carollna,
Departrltent of Environment and Natural Resources and Olt Cp$stal Resaurc Co�mm"Off
In an area of environmental concern pursuant to 15 NCAr. SetbChapter iK .Qll� _ . 9 M Hw 3 '4" S &V
;untNema (j Vtd PhonoNumberT.�-mow
t�q _ state
State fined, Waller B0 ,etc,)
&M.WnA46 fIIr►rr iv►
and Dimensione of project
reposed pwiect to be located and constructed ai described
is htlreby certified as oXetnpt ft6m the CAMA hermit
,ntent pursuant to IS NCAC 7K . bi n3 . ibis axempdon
MA permit requirements dcKd not alleviate this neceaalty or
braining other State, Federal or Local authortudon.
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o"veck - -t vv4#,A-
v 15' SC+4ua --
s LLP) S►x
parson who proaaodo with a dovolgpmont without nnoe hn-
t ai a LAMA otlloiai under the mistakan aaoumpt
ionolopmont to axompted, will be in violation of iha CAMiA f thora
oubcoquem doforminotbn that a purmR wan rogtJlrod rprths
Poloprn ont..
t upptirant cartllioe by reigning thI6 b><omption that (i ) the W
;ant has ►nod and wni abide by the eondHieno 01 thie Qx0mp-
1, and
Thtc cerdfkagon of Ctoempdon from raWrtng a LAMA permit is
valid for 90 days from the date of lssuance. Nlowinij exph'stlon,
a re-examination of the wroltict and W*"t SO may be necessary
to Continue this cerdfl ation.
E pT�otian� a
( GA6C:
NOW
t
r
ED
DCM Wi GTON, NC
APR 2 [ui3

l/2013 09:39 FAX Z 002
� •t•�wr � v+ t
NoM Carolina Depart we of En*onrrierik aW NaM-A Resources
r Division oftoasWUmapamW
awady Eaves Perdue Jardes ti CMOM Ow F�
rnorDkOdDr Gove
AGE QRiZATI 1=0
Flame of Property Owner Applying for Psrmd: Name of Authorized Apent for this pro}eCt
QwrWs 11 NA9 AddrOW:
6
Ne- j;
Phone.Number 4
Agenrs afAng Addrem
Phone Number 14
I cert�y that 1 have audwtied the agent listed above to ad on my behalf, for the purpose of gPpty}nB
for and obtaining al CAMA Permits neoesawy to insGad or construct the Wowing (acclivity):
(my propwty loci sR
rropMW %twirwo