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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.
Dlicant Name bKI i C ft t C' 0 Phone Number c I`i� (W7—
Jress
SL N 1L- L. State NL Zip
1ject Location (County, State Road, Water Body, etc.) , ;e�n,I i � . , S_
)e and Dimensions of Project iN1-�lhK L:xS9)10 r 6�) Lk►-� -AZ --,-- fv' ,t-J -LNc,,
proposed project to be located and constructed as described
ve is hereby certified as exempt from the CAMA permit re-
ement pursuant to 15 NCAC 7K .0203. This exemption to
OA permit requirements does not alleviate the necessity of
r obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA p!
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.
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Govemor James H. Gregson, Director William G. Ross Jr., Secretary
Date 1 y % �� CAI
Applicant Name i t LI
Mailing Address
0-,r4QO'QI 'HIM NL Zi
I certify that I have authorized (agent) ham, . I�r -c Jto act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
C
at (location) 07 Q_ II h
v. I '- / ., r
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