Metts

�Y
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMITPA/ (X)
as authorized by the State of North Carolina,
0 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:-„6)/0 ,0 2..1/z-
Dlicant Name TA- i FS 1 C1,f C 7TS,T12 . (4- i _lf/ Phone Number �!J '9?
cress ,O/ rr tJ c 77
�vI
vu gA4 14 State 4/C— Zip '
ect Location(County, State Road, Water Body, etc.) ,/ 7 j Mdi,j 4W O /Ito, P .
177,�i "ei(`% %- .1 , %'-/17/O D 6 c a�/.f/, 7-/A/l �1 T_ 'el l� j/l 4-
414- z-Ln/2 D ,9 .
)e and Dimensions of Project e-, 4Cf / jL%- 5 c A¢Z-DA/l� A/.11-4
y(JIX'i ,opt/ , 97S ,Uri< _ To ,e -,---/E-,6,4c,es
proposed project to be located and constructed as described This certification of exemption from requiring a CAMA p
ve is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following exp
ement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be nec
VIA permit requirements does not alleviate the necessity of to continue this certification.
r obtaining any other State, Federal,or Local authorization.
7
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/24/09 FRI 09:52 FAI 919 7S9 350E STATE FARM RALEIGH
07-24i,- . ;WA:U4AN;SCQ.-:1U96 --'
Y - _ ,•: - 10 -
y' '
,; : :: F• ROM i IRI Ir. A AMAPERMIT J ` '
..... _•. •a4-auttitirued i1hi :S•tate of NodhlGarulina,
:•'!0 ;.a .`:. Depaitrna'Rr f'End►iro,'niiiont:,:1=1aalth:and:Natural Ho•
source%ar d ,.:`': •
an #h�:Coastal flesaurc'es:Cornrdission
in an.area'of envinincneritai conic n pursuagt to p.NOAC Subtha to 7K:8z ;_p'//p: .j y. tea:,.•.
:•Appficar t Nam.. f _ •
•Addre ;. • - .=:% l- Rhone:Nii i i-,i3 m •z
•
y :.. :st r
•-_ • •t?roecrCoc iot(Coci ate Roati.Waierpf iy,t ej.c: • • •T and Dirne - t .,. °i. _
Y nstonsof.r:Ojett��' � ,:•: • ..; ::
Me!. .1 • ice:' 1 �r ��1 - o�li
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r'
• a ...,., :401��
The proposed piojecttube located.`arid pnetliictedes dascnbed ThLs.4ari1(icatio
abv.,Xe Is(4areby°ceit'diad.as exerr ,t•4 ';:th'`. :permit.;o n romlhe data tl;5Uaflcb of wCAMA p
uiiemi:nYpi rsuarit•ta``d.. :NGAC 1GMq�o ,.: :i4 • Ya0.itfocpn.daye nor t�tha•da t10!..rc .F01 win9;.e4
•G I - amiiiatloho(.tha
LAMA"ermit'reguirerr.t. • not.alleviate-th�nocepsson•:t4, •▪ .: ::a.. prole!: ,.., eFtsits: Y
P ants'does: p J ma':be nec
yourobta State,fi �.. yf:;'',' :'to.contid'ualhisceititicatbn.
iriirig'.atiryotFer. edstalo -LocaatatithGrizatiort": '. .'` .
•
SKETCil, • -
- .e.:Y••-r�:',fn;:,.-.. w,irmr..YN:.• ;s,:r ': :• 'M/ �• -•v .'a'.•:! t,�`_.^ -
•
•
--1 :er ' "" _ • •�: :` 7 `• :..., ".77 .•:1-1' ,.▪i•7f''-*''' p •---� '.�,..15r.. A. •
• ,. - .-,F: .1-7 ..( •
I •i • r �' 's"'-'Z•• ..'•' '-..•'r?'` r+• �r::eti t "'.-^ j'T-_ ,�+.�.-- —•�_
�% .riiai.1.: .r •
r .I_ . . - --- —`:may : ii: •:.::" - y.4.7•,_,i' _ :.._� ;''r:. ._.
'_{---71."_. "'x .-.!7-.'^^Aa.:-.7-, e-i-yc•._;: ::y�;'•••7;4-•-•'% -••y' ••.'1`--. .-rr,;7 :.; '
:r.. , •.�. is + '� :j' ..r .�: t.. .. . 4 +.
•
_• -'ti.:+,..r: ':...i. '.'::•:.. •.�'=�':•V;_-:' •:t;. :':.• -•-�,,,-' y�--:•.i = _;� ..� . ,....y..,�
- ;;;IP,.t:. „„y,a.:,: ✓N r:.. :Y ••' i s° i,. - l ;; F,,
,,,=...-........:, -.1.,:••,..tr.v.....!,---,--,—.-.-r---1--,----y-.7-,f-tr::7-74,,-...--7-t-•--- --7i1--i- l'::..-. 4..,,•=•t-. ---r••--j----1„7.-,•t--•-
nY Person.who proce'sds:with.a;. •• - ' .�'.:.: :;• _ 1... µ • , .. . .. _ ...��
develop!netit.WithWtThe`cob- � ;: d. ,
nt.of•aCAMA'nffiaafunde 't ; - s•�:�
T-he`-mistaken aseiim t' , �•_�'t'
P i-ltrak tfie... .'.. _r .sg ' e ��•. {a1.�..,N>'dwne
.volapmertit is exempted,:tivifile,irr.violatidri ofthe',
•CAN1f,�#:there• - : •. .:=. ��
a subsequent:determinatiorithat'a permit.was required-orthe : �P�..
:velapment. - . . CA-A •
•= -Ps i 9 n ra
a.applirarrt i itifiss'b i'tln ..
Y.09 9:this'.exomption that-iiil the:;aR- _
icant-hes read and will'abidr3 6v.ttia.,,r,irre:n...:4,:r.:_-_::i__ .. lei •data.. . - '

Mallard Bay
RIc 34' 11 '
. 8 ' S,
4'
26'6"
House
145 '
Jim Metts
1175 Mallard Bo

/24/09 FRI 09:52 FAX [phone] STATE FARM RALEIGH el0
iTAT Atl State Farm Insurance Companiese CONFIDENTIAL BUSINES'1 Hone O11k Bloomington, Illinois
Oficinas Centreles:Bloomington,I linois EMPRESARIAL CONFIDENCIA
�NNRANC� FACSIMILE COVER SHEET
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