Gore

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.
C`i
licant Name s,cll S �roa-e o fr2 � t .� t. a�S�, Phone Number %/� i0 y6'
ress X b 7 PLP,o e-A.. i°Lia, c "d,
)k a,e y, /l -e
ect Location (County, State Road, Water Body, etc.)
%7 n h.g d p /� c ,0 " /;' t I t, L,
s and Dimensions of
proposed 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
IA permit requirements does not alleviate the necessity of
obtaining any other State, Federal, or Local authorization.
State
i )C/� Zip
,- Z el 40 US O q,,- h -- J< ^ r ./,. r u, r
, i 1w , i
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 nea
to continue this certification.
ETCH (SCALE:/` 2

11
604% f Jaw 914A
KC - D r Nm"Rr
Amon"
mx! Z's ��.4
a r
jwo.,V* &,� 4 1-4
(WWI, l'okol 1 40 *a hile fo -4 0
IR

I
b
�e
Q—