02233D - Morgan

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CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT 7Fi 02
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources (;Ommission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K.0 G3
cant Name UMVI Jy16Yti t/e �G�YY1My� �AL'UbS Phone Numbe
(0 2.
ject Locations County, State Road, Water Body,
pe and Dimensions of Project
proposed project to be located and constructed as described
ve is hereby certified as exempt from the CAMA permit
jirement pursuant to 15 NCAC 7K . 0 ("1 . This exemption
:AMA permit requirements does not alleviate the necessity of
r obtaining other State, Federal or Local authorization.
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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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06/07/2013 03:41
061071ZD13 15:31
Pat Mccmfy
Governor
3364314160
DWMORGANELECTRICCO I
FA*
PAGE 01
P.00210a
Cah
HCDENR
North Carolina Department of Environment and Natural Resources
W51on of Coastal Management
Braxton C. Oays John E. Skvarla, III
Director Secretary
AGENT AUTHORIZATION FORM
Date: Lp 1 w) leb
Name of Property OwrterApplying for Permit: Name of Authorized Agent for this projed:
D?-nf)i4b Mx5qy1 _mm� Coh�S
Owner's Mailing Address:
Pe do k S ?
Phone Number) #-jj-tlj'/(
`33l- 7 773
Agent's Mailing Address:
Phone Number
vty jac&s 3-+,) @ ahr,a. �,c,►�,
y
I certify that I ttava authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all LAMA Permfts necessary to install or eenstruct the foilowing (activity):
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i�GLt �' Lh�it�Q �QL_ _pl� 1Qi LQ r0 an
lr'1p l d�A�fV\v i Vl n V%A I 1 Il_ nn r4 A nna,1-..... r L I-- -
For my property locafid at
cartificatlon Is valid thru (date) —g- 2. 1 -3
Property Owner
- 7 - I -S
Date

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