Moore (2)

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CERTIFICATION OF EXEMPTION
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/ FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina, Resources Commission
0 Department of Environment,Health,and Natural Resources and the Coastal
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K.0203.
cant Name /ADO- 6'70 a)7 C Phone Numbe(9/a)7 Y2
ess ti7 .1>aL 4,,,r 3a, zip 27
�yoldo,,. "e State NC p
;ct Location(County,State Road,Water Body,etc.) /3 7 T0� �,- _DR. e di.(Pc Dr'1 f G P,�^'
and Dimensions of Project P vi A c,F r x i s�, 7 41 AMe pt PIA f-e("
>roposed project to be located and constructed as described This certification of exemption from requiring a CAMA pe.
e is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance.Following expii
ment pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be nece
IA permit requirements does not alleviate the necessity of to continue this certification.
obtaining any other State,Federal,or Local authorization.
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LJG-03-2007 18:02 From: To:8429806
Agq‘
North Caroline Department of Environment and Natural Resources
Division of Coasts!Management
Michael F. Easley.Governor -Arno M. +,pkwor Wdkam C
Authorized Agent Consent Agreement
Cn-e- "H 0
WfiabdAbmitalAgenn is hereby authorized to act
in order to obtain any CAMA permits)required for the property listed below, The authorization is
specific activities described in the attached sketch
LOCATION OF PROJECT:
PROPERTY OWNER MAILING ADDRESS:
6 /h
• PHONE NO2/2 �`CZ- 70 9
AUTHORIZED AGENT MAILING ADDRESS:
1 Si90h- - cLo ..
PHONE NO, 970 in( z ?73

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