Wolverton

CERTIFICATION OF EXEMPTION
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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.
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cant Name wfL11►&W t,»OLtJF-)(Tl)kI Phone Number �r-1 -'�--r
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State colt Zipy
ct Location (County, State Road, Water Body, etc.)
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and Dimensions of Project 6 io t-_r 15J LIC di�Q SHF"I TIp1� i�i P� j E-AA Fri , f nnm aourn
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roposed project to be located and constructed as described
is hereby certified as exempt from the CAMA permit re-
nent pursuant to 15 NCAC 7K .0203. This exemption to
> permit requirements does not alleviate the necessity of
)btaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA pen
valid for 90 days from the date of issuance. Following expir<
a re-examination of the project and project site may be nece!
to continue this certification.
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NCDENR
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
Applicant Name /�i�an� VOL, 6 &
Mailing Address 2 Z
I certify that I have authorized (agent) !' to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or cot
at (location)
This certifica ' n ' tth�ru { 0/
Signature