Ferguson

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.
,c G,Q,cC
tlicantName (P24�s�� P+J 0; AIC,11C O a---(Aetw� • Phone Number l
cress S490 1 fie_ L� P;.
State L Zip �2
ject Location (County, State Road, Water Body, etc.) 2 V I-ejf n,,r *9 Ar 1;'2eA0 �A
le and Dimensions of Project ' e • 2+ds 4 do 4 Z
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
CIA 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 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.
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07/26/2010 06:53 9105799096
GRICE CON
PAGE _ 01
N,rtfn Garc!i(:a (lepartmert{nviro
ni+riSion a` ConN M
Beverly Eaves Perdue James H. Gm
Governor :'asct.r
Dato;
Name of Pr�Dpon::v 0'Gr! �r,�.pvl;ir.:� fog 7ermit;
P C'MrAi : •> F �.!C L -C-
Owner's M. wl i~:f; A,117 SC.
-5QC) I F e.t d i r
Phone Number Ptl� i $51 " r1 95 3_...
I certify that I have authorized the agent listed above to ac
for and obtaining 1�' �•:a:�:�+ Furr,.Ao' n ;.=-ssatry to install or
and Nark rai Resout es
Dee Frm
Secre
ne of Auporized Aaent for this er, Oct:
M i ing Addrew
1'110 UC 1 l i l: l
Number
my behalf, for the purpose of applying
atruct the following (activity):
1. 1t'
This certificati'3n th_.------
I
Propert . Ij K i :::`signature Date

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