02250D - Sweatt

CERTIFICATE OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
024
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 • tj ", �V0291 431
L()Viler /A/ ( 1)1Y1jXt Phone Number
)roposed project to be located and constructed as described This certification of exemption from requiring a CAMA pi
is hereby certified as exempt from the CAMA permit valid for 90 days from the date of issuance. Following exp
rement pursuant to 15 NCAC 7K t" ( r 2 . This exemption a re-examination of the project and project site may be ne
kMA permit requirements does not alleviate the necessity of to continue this certification.
obtaining other State, Federal or Local authorization.
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FAN-19-1996 08:29
P.01/0
CERTIFICATE OF EXEMPTION
FROM REQUIRING A CAMA PERMIT N$ 02250b
as outhorized by the State of Wnh Carolina,
Department of &Mrarimcnt and Nxural Resources and the Coastal RalotinceipmWiplun
In an area of envlrohmitnnl concern pursuant to 15 NCAC Subthspw 7K. . q 2m , 26 y
Appgvdn d 1 9 0 Phone Number
PhoNumber
Addra^ Vj__ --
City _ Stele Zl L
P eo OC ou State Road, water Body _
Type and 171tnpnston5o r► ol�Ct�4x ,c
The omposed prolea to be located and emirucsed as detuitxd
above If hereby cerr)fled w cxemlx from the CAMA permit
requkamcntpursuw+slo I NCAC 7K _01a. Thls exemPdQn
to LAMA petmk requirements don rot Alevpate the he=try of
your obi rdrs6 other State, Federal or Lacil audfortiatJon.
SKETCH
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pled. , p,�d ►�A�ID i�
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Any por7on who procoods whh o darolepmont wAhout the r*n-
sanf of a CAMA ollicial under the mApken oaovmptwn thOl the
deVelopmont 19 oxemplod, will be In **anon of the CAMA I thorn
12 n oubsoquont determination thou a pofmit nae 160rod lCr the
dovelopment.
This certlftodon of exemption from requtr#q a CAMA permit Is
valid for 90 days from the date of!nuance. FQkmft exdrAloh,
at re-euamIkaWn of the protttt ind ptvka ske may tx necessvy
to condltme this rerdfkatlon.
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The applroant corlNlo7 by 3190111 tails gXomptlort that (1)1ho op- Inaulnp date
ptcant hoe rood and will BbW k by oho eordiUanu of thin oxofW
don, and (
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'Mew Attachment: 15 North Caroline Adrainiumlivo Cods 7K

Pat McCrory
Governor
JAN-18-1996 10:28
IM
EWR
North Carolina Department of Environment and
DivlSion of Coastal Management
Braxton C. Davts
Director
Natural Resources
P.02104
John E. SkWa, III
Secretary
AGENT O 10 FO
Date:
arric of Prope. Owner Applying for Permit: N�amme� of Authorlied Agent for this project;
ovner's Mailing Address;
�aK_y�an
lone Number 19 D 1
Agent's Mailing Address:
Phone Number! 9i01 Zal -R031
ertify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all CAMA Permits necessary to install or construct the foAowing (activity)'
r my property located at
SupriYl N.G. Zglf ipZ
is certification is valid thru (date)
Property Owner Signature Data
W

JA���N-18-199S 10:28
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P.04104
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