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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 ► �
�plicant Name 1/ vl ti& I c1c, ki t fiaadst i—A' WyntuP4- lumber t�t1
Idresekel ►-
:y ` State Zip
p ect Location (County, State Road, Water Body, etc.) of 1 h
pe and Dimensions of Pr 'ect G tlJurlt V')1 a �+
i1► r 0 4
proposed project to be located and constructed as described
ve is hereby certified as exempt from the CAMA permit
iirement pursuant to 15 NCAC 7K, O!r� . 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
valid for 9"ays from the date of issuance. Following ex
a re-examination of the project and project site may be r
to continue this certification.
KETCH (SCALE:
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28-2013 12:17 From:THB PLAN&INSP 9108427003 To:3953964
P.1'1
' CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT Na 02162L
as auft ted by dle State of North (irdtm, De `
par mere of Emrlronmerlt and hluou ural Resource and the toxin ae>tsorCH C.Pnlndufon
In an ar Iwlo_I onrlronmenml concem Iwnwnt to t 5 NCA/C�SUkheptcr 7KQ�S D . S��� _�'4CPC,
Applloant a e _ � o (�� kwk sQn" g CW:— 40tummhnr %0.3 J S
fsddre _
City eAr ^6
Tect Locafim .unly. Slate Dad. WatorBcq, otc.J _ ink nl
+`' J�n� Gi YAM IM1 -Yhd _ 0 _ A lYl o n n _
Type and olrmrtolat?s of P -
tr
17
The pI "RW proka ra be bated and cavarueted as deperbad 7Nt cWlCllft of a HMI)hon from requfrlrr a CAMA permit h
,hove Is hereby cerdfled as eatetnpt "rrqn the LAMA permit vaad far 499,Introni the dM of bmnco, FclbWrt expiration,
reoulmmentpurnamt to 15 NCAC 7K.0l0.3. This exrmptlgn a F"xP r lsatlon of the lim" and pratm she may be neetw ye
to LAMA permit t"UhMeW does not alkvlate the necesshy of en amdmre this w0callon.
your obmmktg either State:, federal or Local aufttmlon,
SKMT H (--GALE, l
CA
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od loll
Ar
Any pornon who procoads *h a dbvolopnhvnt wilhout the coa-
sort of a CAMA offletal undor the m{eto<on aswrvrrbn that tho
dovalopmont Ia exempted. wil be in viabAbn of tha CAMA a there
Is 6 aetbeogervnt dCW rmin0lon that a 09rhtl *33 e0vM4 for the
dcvolopmw-
Thu appltAam rodliles by alpnNg thi-j exemption that (r) tho ap-
plieanl has road and will ab1Co by Ito Cbndhlonb el thlr esomp-
nan, and
is
pr+A+aadMeMt-
y I aS t
date
AhLohaglq IS North Cwollne Admirrhimtivu Cale 7K
s
Nortuh Caroii^"n Dopattn ent of tmAronment and Natural Resource,.-,
Division of Coastal Managerneni
Beverly Eaves Pei due James H. Gi-i�gsW, Freeman
C;0VPmnr Director secretary
Af;PNT AI iTHORi7ATION FORN.4
Name of Property Owner Applying for Permit- Name of Authorized Agent for this project:
Owner's Mailing Address
�er_��1(
PiFuife iVlititUCt , � 6o -: -S'rJ
Agent's MaRing t;aaress_
�S�--41Q114 At C %
phn..a AJ;irmhnr L ti.2�t' �`� '�.��
I certify that i have authorized the agent listed above to act on my Arlan, for tale purpose of appiyii to
for and obtaining all LAMA Permits necessary to install or construct the cQiiopwing p(activilyj.t
Imo„ :+.r.nrti. In Yorll at tg '-3 t hT \ T .
Tiiic rc+r#iftratiffi5 k V;4Iii'1 ttlriJ ((12te) CX�'
J",
Property Owner Signature Date
"Repair 20ft hi,ilkhead
-vvall and replace 2
float p1hrigs
, Dean Hall
ghpoint 'E")'t
i,
, Reach NG '418462
repair 20-ft
bulkhead at same-,
k
Pocation,
float pilings