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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.
>licant Name �� rr 99,o L e Yo 06" l t r4., ,.gJ Phone Number S -
iress c _;,J a,
Ca L �, 2_ State S c Zip 2 5
ject Location (County, State Road, Water Body, etc.) g 7 : , A r/
�A �P %'.c'��' � I '[�'' ��L✓�i✓ � �C P/�./ is �P !� O A Cal f3Q v�� h/� C� �Ov r y
e and Dimensions of Project 4 v w Q nc 1 y
proposed project to be located and constructed as described
✓e is hereby certified as exempt from the CAMA permit re-
ament pursuant to 15 NCAC 7K .0203. This exemption to
4A 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 exp
a re-examination of the project and project site may be nec
to continue this certification.
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-2010 10:24 FROM:MRRITIME BUILDERS 9105458222 T0:16039311448 p.2•
North Carolina Deparirr mt of FJtvirQflnlent ei Nak al Resou=s
DiviM" of Coastal Mwagomerd
6everly Eaves Pordue .lamps H. «erg w Me Freeman
Gove"W Mvctrx SeOWary
AGENT AirnliD� T10N� �
Data: 0
Namo of Property fawner Appiyhg for Permit: Name of AsAborfmad Agent for this W & f �* 5
Owner's MaBfng Addmss:
1/ � � �xc%�c G•/cu.
Agent's MaftkwAddreM.e:
Phor+�► Nurr,eer (�'�% ti _ 8 �lo�' "'� � .2 �
I cerWy that I Have aumorked the agE:trt Hated above to lad on my-b". for UK purpose of aDwtm;
for and cMairurtip atl CAMA Permits f*09 sary to Install ar construct the faaondrng (gc tMty)'
(my oroporty kmatea) at _ L...,! if r<ngfir. S_ o&,a*,-
This oertific.abon is v&IW tnru (date)
k I
Prowt„ &4QSiCjnatMr& Date
127 CaF*W 00va lam, W&Wn pony No 2MM
Pnona 61Q7�.i 2i51 FA7C 8t6�9b hAwtirc ~-
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