Lewis (3)

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
1� in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
licant Name Phone Number I /ZG "
ress h
- State / -, Zip
ect Location (County, State Road, Water B d�Y, etc.)
A—,(.1^ %/ o J— Go G
a and uimensions of Nroject
proposed project to be located and constructed as described
re is hereby certified as exempt from the CAMA permit re-
ament 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 expi
a re-examination of the project and project site may be nec,
to continue this certification.
ETCH Y'T�! �� (SCALE: �� f
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