Motsinger

CERTIFICATION OF EXEMPTION
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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.
icant Name ',-Ay 'MO `�I nX- 1� Phone Number 2.3 (c ' (✓ -
ess W f=r\C? qP "
State NJ(... Zip 'L.7
)ct Location (County, State Road, Water Body, etc.) i ; I C ASWELI- ` t_-N QO.1
and Dimensions of Project Cn1.13TY Cl" ftp Jr Ait.S GN r GI�C.
It i., E ; r
>roposed project to be located and constructed as described This certification of exemption from requiring a CAMA per
a 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.
Dbtaining any other State, Federal, or Local authorization.
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rom:0ak Island Accomadations 910 278 3050 11i20/2008 13:53 #606 P.002/OC
�F'�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F Easley,Governor James H.Gregson, Director William G.Ross Jr.,Secre
Authorized Agent Consent Agreement
// `C,5 (;QAl5 tie C1,di✓ is hereby authorized to act on my behalf
;Printed Name of Agent)
n order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to th
specific activities described in the attached sketch.
...00ATION OF PROJECT:
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PROPERTY OWNER MAILING ADDRESS: .
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„ 6Acic9 t- 3:5? PHONENO. .J<3 -617/7_ 9O '
AUTHORIZED AGENT MAILNG ADDRESS:,
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Signature of Property Owner: i �----G ��
Signature of Authorized Agent: ,, , de.--- '

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rom:0ak Island Accomadations 910 278 3050 11/20/2008 13:53 #606 P.001/0C
OAK ISLAND ACCOMMODATIONS,INC.
8901 East Oak Island Drive
OAK ISLAND,NC 28465
1-800-243-8132
910-278-6011
FAX: [phone]
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From: J 2l Date: 7:d 3 -&C)1
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