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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 /k vjc,cf fit'Cr /D (.1k9,1,1e /12 ,y r e Phone Number s� �/.. •'7
ass :j/0 QR(-r.✓/.'y T/Zc r/r
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ct Location(County, State Road, Water Body, etc.) /p 7 '2 9c Li,✓ Piz, g 4 c c-if i-0 4
No• 'i d (1,9N/' L' /-/„/,JNN i .Zy. sw,c� CGN 7c 4
and Dimensions of Project RCif",144 i /O ' $Cc,' .'' of 9-' i 'sI y 13uC/eh•.4),1
roposed project to be located and constructed as described This certification of exemption from requiring a CAMA pe
is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expii
nent pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necE
permit requirements does not alleviate the necessity of to continue this certification.
)btaining any other State, Federal,or Local authorization.
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;Nov. 20__2008 _7.41%arecCAROLINA THOMAS LLC 910-842-W49 No. 5/14 I'. 1
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor Charles S.Jones,Director +MIIiam G. Ross Jr„Secrete
Authorized Agent Consent Agreement
/►A2fPLr is hereby authorized to act on my behalf
(Premed Name of Agen°
order to obtain any CAMA permit(s)required for the property listed below. The authorization is limited to the
ecific activities described in the attached sketch.
)CATION OF PROJECT:
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:OPERTY OWNER MAILING ADDRESS:
V f`{r dnck •
r4 7 tHf /fie 27211
PHONE NO.3 '-2'6----
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THORIZED AGENT MAILING ADDRESS:
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,19i ZY2t z C1P
PHONE NO. 7 o ‘jq - e ax
►nature of Property Owner.
nature of Authorized Agent