House

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 ccerrnn pursua ta15-NCAC Subchapter 7K .0203.
Dlicant Name 14vt4w oW �Gtl. // /� ��• Phone Number 23/ 05
Dress in
"1 P Stated Zip
aect Location Jqourlty, State Road, Water Body, etc.)
)e and Dimltsionsof P
proposed project to be located and constructed as described This certification of exemption from requiring a CAMA p
ve is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following exF
ement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be nec
OA permit requirements does not alleviate the necessity of to continue this certification.
r obtaining any other State, Federal, or Local authorization.
"ETCH (SCALE:
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RECEIVED
AUG 3 0 2011
D C M WA LMoa� ,