Monroe

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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.
cant Name ii 1i9Z-a Me," ei e NuL e.. Phone Number //C)ff 92 -
ess 960 Qc0,47,' Plod. L1c$
/i)tdoel Lf?.q< .4 State A/ C Zip 27,
Id Location(County, State Road, Water Body, etc.) V O (7 coo., 6 d •�..�
rn t.-" /1/9,-,4 .FCC 4 11,z ,c,e
and Dimensions of Project / `%p/LA a /�1 G A-"S DA' y o- EX S�,. . 7c,L71,,
5
Pipes ,,�r:.
,roposed project to be located and constructed as described This certification of exemption from requiring a CAMA per
is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expir
rent 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.
Dbtaining any other State, Federal, or Local authorization.
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i-03-2007 10:02 From: To:8429806 --
AAT4.4
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F,Easley,Governor dames H.Grown,Dkscio► William G Ri
Authorized Agent Consent Agreement
CN' 4./. is hereby authorized to act on
(Primed Nona of AVM)
order to obtain any CAMA permit(s)required for the property listed below, The authorization is In
pecific activities described in the attached sketch-
.00AT1ON OF PROJECT:
(o Q c
)ROPERTY OWNER MAILING ADDRESS:
4‘0. 0 DBLA)
eeG
111111111111111 - V. PHONE NO. 19 e 7
AUTHORIZED AGENT MAIUNG ADDRESS:
/5-p2 S �h .t G1vkthej 11
PHONE NO, ? 7/ 7 7 2./