Fullerton

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. AJC-&5 / 1313
licant Name �� ����r t�� �� Phone Number 23 185'/4
ress 4
State A/C Zip
ect Location (gountf, State Road, Water 13ody etc.)
e and Dimensions of Project /1( a/C�e
proposed project to be located and constructed as described
ie is hereby certified as exempt from the CAMA permit re-
ament pursuant to 15 NCA 7K .9203. This exemption to
1A permit requirements dde9 ndYalleviate 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 expi
a re-examination of the project and project site may be nec
to continue this certification.
ETCH (SCALE:
1V ld

I