Easley

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
k ` Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
ram, in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
'icant Name MI 1�2
,ess 'AIA < t
act Location (County, State Road, Water Body, etc.)
Phone Number `119-K35-491
State i`.i i, Zip
and Dimensions of Project U' G iI J 0i LL iV� r�✓th ����ILt(C1Tt=ti��
)roposed project to be located and constructed as described
e is hereby certified as exempt from the CAMA permit re-
ment pursuant to 15 NCAC 7K .0203. This exemption to
A permit requirements does not alleviate the necessity of
obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA pei
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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0/11/2010 10:32 FAX Q 001
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director Wiliam G. Ross Jr., Secretary
Date / l� Z J��j L�
Applicant Name c �p
Mailing Address _ I f C 1� �
C
I certify that I have authorized (agent) ` fe nii 1 1, 4 j n _ to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) c, t!j
at (location)
This certification is alid thru (date) I, / lj Iz
Signature�eyl
R EIVEr'
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CEIVED
OCT 11 2010
vdILMINGTON,
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