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CERTIFICATION OF EXEMPTION
iFROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment,Health, and Natural Resources and the Coastal esources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K. 03.
licant Name 6 r7 C/U �dr ke-� z /!� Z3� c
r� 1 kJ gyp(' Phone Number
ress J ', / Eli, H r�c 5t iv . tom/.
_V1/4 Ski h State aC Zip '2
ect Location( ounty, State Road, Water Body, etc.) T
4T-5- ,^ ��7 1 ��� /� " , Q A'- 1-""C'r41'
and 'mensions of Project /Ze�rfr%4i%t.4is7/ -7 � 5 7
tv7 2 f - /5'xc' #i - '641 y .
proposed project to be located and constructed as described This certification of exemption from requiring a CAMA pE
'e is hereby certified as exempt fro the CAMA permit re- valid for 90 days from the date of issuance.Following expi
iment pursuant to 15 NCAC 7K .003. This exemption to a re-examination of the project and project site may be neb
IA permit requirements does not alleviate the necessity of to continue this certification.
obtaining any other State, Federal,or Local authorization.
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3/29/2007 16:04 9192846950 CORKEY FINCH PAGE 08
-29-2007 15:23 From: Td:9192846980 P.R
COCERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
I - ibyhSofNoCrolinarDepartment of environment,Health.and Natural Reeourooe and the coastal oaourcoa Commission
M an area of environmental concern pursuant to 16 NCAC Subchapter 7K 09,
pplicant Name I. ! ex, r k�"J Phone Number /e. 2.d/.a�i;
:Wren • - .pi R 4` _
ity 1A1a , ,Stata Zip
r. - Loca on( •unty,Slats Road, Water Bod1yy, etc.) .,lr'r.. . " '_
_ +J.'i y �i 4 atria .
rpa and men8ions Ot Pr9je� r. ' �i. 1,..tt r7/.y .
io proposed project to be located and constructed aadeocribed 7hlo certification of exemption from requiring a CAMA perm)
ova Is hereby certified ae exempt fro the CAMA permit re- valid for 90 days from the date of issuance,Following expiredcp
iromont pursuant to 15 NCAC 7K .0 . This exemption to a ro•o!aminalion of the project and proJeet site may be nos
►MA permit requirements does not leviate the neceatfy of to continue this osrtlfkatbn.
,r obtaining any other State.Federal,or Local authorization,
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3/29/2007 08:49 9192846960. ' CORKEY FINCH PAGE e
GNU(' vari cote No
*EICAMA/HDREDGE it F11.1- �If10-k ��dCr �'d5rr~13
W G E N ERAL PERMIT j�ev{otJs pertnit/i '�7 46,4-1)
ham' DNsw 6 1odilladan QComp ete Reissue OPxtial Reissue Due previous permR Issued . [.f)-ct-Q 1
aut}weized by d»StYta of North Carolina.Peputment of EnvIrixtMent aauf Nawral ResoArces `� 1 f��G�cacli.d �
.the Coasal Resources Cony-140 n in en area of environmental concern punwu,t to i SA NCAe_, II 1rcri
.pacant Nameytc1 TjaNbag. _ ProJ«t L•ocu tfan: ()Weer. J u) 1-k all r
drew 1R�� '• `•• •tl • , • i'
-. ' .street Addrelt/State'Wadi Lot OW-Dv
a�b; stue til v>� 2fi t tl _ ) e-+- L->�ti kJ
'hone#(Q10) 1GI Mkl._Tax 4111 4).3 q)`1� { . Subdfvis$On cC l ire 7 sls�y[yt
• .ed Agent_DIY it)1 .\Virn City_VJ'i k 11^„ 510(1 7JP 2,8411
D CW OM O rrre 0 Es ❑"TS Phone ilk ( ) River Basin
• forted ,arof..A A riHc DIM MBA A In NIA Ad.Wtr,Body �4rL'li1J Offal') `!un )
AEC-4): ,
O rNfS: - a _-- -- Closest Maj.Wr:BM- > e-
ORW: yes 1 631 PHA yes / . Git HA'. yea
Type of Project/Activity *14 1
ry � (see. I,1� Ll0' )
I'er(dodo)ketchI. .1 r f-�- 1 1 I IM■
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a P well
•
ass d abhor,
ore fr cesp r...r_ ;a 10 e
.d�a,efshoe si �el■I* 0e■.115 �. LWA:■■■ i IF i • ' •
et
Boat rernv C ; . i .j - - i 1 1
boathouse/Jbade! l ? t - f I _■■ ■j ■� 4
�t -, a 1��r •rrim..2
Belo Bulidnote --E� V-V IMP' .i �
o'er IMMOUNIVeNAAINAMI _ w—�-�j_lr3 r��w�,1s-,
immimmtgaigimis
SAY not,,.. ref•,-40■■IITIM I ili ligI�.�-.► 11-1�■111■�11 i !'�7ir!]r
saj "dal'. CY ' MIEPAIN fa IlliaLtd=dram_ ■■ram 10111111.1. ra4
Maxo(Marn: Na user. ,y ■■►� .�\cite,"'••y." _i ■1���■■■ n
Photo: . •r it•MIEN 1 i ,
A building permit may be required by 14 t- CID, , 'ry . 0 sae►ote on back rojardt�River Basin rules.
Notes/Special C4nditiatu S ci `' Lc_ C Dr C1 i``�1- t j7C-y D� --
i 0R •07e e: \1C.�
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