Brawley

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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.
Y Phone Number
licant Name :i'2,Q.��� ,(S�Z AwL, u� �2�Ar� �1�i66„�
ress X� / 2 /71Al ,?ai3 4.c5 Glr .
._'AF 'I. State , /C Zip 2
ject Location(County, State Road, Water Body, etc.) /J's f c At,A 13.,n 'f. dJ'el(1 f
A 4,p /'/'r A l A a /SJw/ e OF 6,.:7,— s hi, Ch.' efe„,-
e and Dimensions of Project Gi�Zn c.e / . , s y • j /2 � K ' ,, ie,t e r<0A70C,
proposed project to be located and constructed as described This certification of exemption from requiring a CAMA I
ve is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following ex
ement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be nc
MA permit requirements does not alleviate the necessity of to continue this certification.
r obtaining any other State, Federal,or Local authorization.
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. �I Agent
• Print your name and address on the reverse X j�'� Addressee
so that we can return the card to you. B. Received0i Tinted Nan1ej . C Date of Delivery
• Attach this card to the back of the mailpiece, -> _
or on the front if space permits. ,;'o\
D. Is delivery dress different from Rem i? ❑Yes
1. Article Addressed to: If yES,enter delivery address below: ❑ No
m\ ✓l t2 L vv�I�-Pc� �t FEB 13 2QJ1
a h c ( Lf'k I ) 3. Se ice Type
Certified Mail 0 Express Mail
L; C-/()"C, 0 Registered 0 Return Receipt for Merchandise
l 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7006 2150 0002 7294 8681
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540:
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sign, re
item 4 if Restricted Delivery is desired. 0 Agent
• Print your name and address on the reverse Lf'/Z- ` ��C- 0 Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits. '- 13 t'j
D. Is delivery address different from item 1? El Yes
1. Article Addressed to:
If YES,enter delivery address below: ❑ No
` 1rrcf 7e; IAn
VI D( Ir►1Pt,1►1c vci 1 c4
/
5,Am e-,e,-- , tid., N c 3. Se ice Type
Certified Mail 0 Express Mail
a 1 3n 0 Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7006 2150 0002 7294 8650
(Transfer from service label)