Barton

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.
olicant Name .kou4i dl erfe-iC Xo e5 Au r�e Phone Number
dress -IL h ;F4cl Y.c
y I"g a e'V -f 6" a ( State /V zip ?
)ject Location (County, State Road, Water Body, etc.) / O f S.9L., -4 c//r v IT, d; o Co-, -, ".10
/-,,74 m o d -e ( ,4 ( /R/'✓Gd Ale, Z e/,- N 'ff pR e-ii ,&" u �_f i✓i f-yk e u
)e and Dimensions of Project
N e f e- &PCk f I YPO ,t7 1,v
proposed project to be located and constructed as described
we is hereby certified as exempt from the CAMA permit re-
,ement pursuant to 15 NCAC 7K .0203. This exemption to
MA 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 exF
a re-examination of the project and project site may be nec
to continue this certification.
<ETCH (SCALE:-
- L f1
C'Iq"�F,L -�--

21/2010 THU 17:50 FAX [phone] Hampton Inn & Spites 4001/0
.A A,�..�
tNCMNR.
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date 10 1,A 2�Y0
Name of Property Owner Applying for Permit:
_ln�l bkc�s 1�KN�
Mailing Address:
Rog
I certify that I have authorized (agent) C s Y1\ 1-1 to act on mv
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 4-K\ 1 %QL)0 hb
at (my property located at) I b% SJ-USQJR C S�, "166.0
'This certification is valid thru (date)
r-�
0--- ------- X._.._-- a- -- -.-
-

ting Dock
W-A
Canal
108 Salisbury
12,
Area of .Bulkhead to. be repai►