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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.
licant Name NeS,6, r c/o 14), /72 'de ANo Phone Number 7/ep 9.0-e
ress / GAI,.t,,i4v4,
Orate,., Z cL* Tj v,9c State ,e," C Zip 2 Y
act Location(County,State Road, Water Body, etc.) 14 /b arr.cor S 7 g dig(-—;) i 2,/^1-
and Dimensions of Project (uvw()9(,P tr S Tfe,trr
Proposed 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 expir
ment pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necE
A permit requirements does not alleviate the necessity of to continue this certification.
obtaining any other State, Federal,or Local authorization.
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
ael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., S
Authorized Agent Consent Agreement
Gdi Mark.. Al C,4O One d 64.-tanio,..s lock. s'"iste er by authorized to act on my ber
(Printed a e of Agent)
ier to obtain any CAMA permit s) required for the property listed below. The authorization is limited tc
fic activities described in the attached sketch.
ATION OF PROJECT: //
4. 7'yl Olrae_ �'i-t"cej
)Cea 4-, _[s lam—. &ark, 71 C-.•
PERTY OWNER MAILING`ADDRESS:
4 /
291l/./ ;/,, v�y .f',/
«4'.+i --/ s/e A-le J--cP// PHONE NO.Y/O ^S - d e;'--?,,II
1/
HORIZED/AGENT MAILING ADDRESS:
02(0i /far_ PA- /tQ.t [ .)
PHONE NO.