Cox

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
flicant Name ow �0> ih 1%�iy/'y'�� ZG
i /� Phone Number
Iress y/,7i/ ri«
State Zip
je/ctt Location (Counfy State Road, Water Body, etc.)4,/i
YLiA/< ;'nIJI
e ana uimensions oT rroject
proposed project to be located and constructed as described
/e is hereby certified as exempt from the CAMA permit re-
=ment pursuant to 15 NCAC 7K .0203. This exemption to
1A permit requirements does not alleviate the necessity of
obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA pE
valid for 90 days from the date of issuance. Following exp
a re-examination of the project and project site may be nec
to continue this certification.
:ETCH (SCALE:
�iD✓ K S l / )-to' G�'Dne /P7 e' ca•�v� W-t4r--
vv l We/ %
14,, -11?�e ;W- �/z3

's-G
40