Johnson (7)

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.
icant Name L. € 5 - 4�+��JS 3r/ Phone Number )1,7
ress LLD I HP
State ►J G Zip 2a"
ect Location(County,State Road, Water Body, etc.)
)SLo\,J raT .... v✓
and Dimensions of Project S X I �E_
37)
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 expi
ment pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necl
IA permit requirements does not alleviate the necessity of to continue this certification.
obtaining any other State, Federal,or Local authorization.
ETCH (SCALE:

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION nN DELIVERY
OF,
• Complete items 1,2,and 3.Also complete A•
item 4 if Restricted Delivery is desired. ❑Agent
• Print your name and address on the reverse El Addressee
so that we can return the card to you. B. -- •ived by(Flinted a C. Date.of Delivery
• Attach this card to the back of the mailpiece, AXES
/•/lt1'f lV.-1"))
_1�2, it,
or on the front if space permits. /���l C Iry J \ J
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: . , If YES,enter delivery address below: El No
. - -
V—eiryour.....4_,
366 PA-4.—ALL Sic,
Arc-
3. Service Type
„,2 g 3,5 Certified Mail ❑Express Mail
CIegistered ❑Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service labs 7006 0100 0004 0808 7759
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. ature /
item 4 if Restricted Delivery is desired. /
d
❑Agent■ Print your name and address on the reverse ►0
so that we can return the card to you. ❑Addressee
• Attach this card to the back of the mailpiece, ceived by(Prin ed Name C. Date of Delivery
or on the front if space permits. gpro6k6 r a, i //-1s 4 -
1. Article Addressed to: D. Is delivery address differen .m item 1? ❑Yes
I If YES,enter delivery address below: El No
Aaihn b /-�I a 15 l ir?
a o2 m/ X 494 d as 4--6-r A,
3.,Certice Type
�, .3�/ � ° Certified Mail ❑Express Mail
❑Registered ❑Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) El Yes
2. Article Numb7006 0100 0004 0808 7766
(Transfer
from
rom
(t service label)