Hazel

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.
licant Name I2-"IE;4-Itac1r1:7- ',\ra `L:. lr Phone Number 61-0 -
ress 5L. I (5iv,,De, v.-LE n0-
c State ►J (. Zip 7&-
act Location(County, State Road, Water Body, etc.) ' a.. - t\i-`11`)
and Dimensions of Project 2.c as +-- F, , (L - >. .) ;•• it- ,i r-.,,;
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 necE
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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7/21/2006 12:01 3366437101 uiPINING mum- N . .- _ __
21 06 09:52a Kathy azel 910 327 2336 P.1
ADJACENT ARIAN PROPERTY OWNER STATEMENT FOR CANIA •
MINOR PERMLTS
1 hereby certify that)own property adjacent to �/�n n 1 /1,1- Z c I 's
(Name of Property Owner)
property located at g-2 I Gn 6 . - .
(Address,Lot,Mock,Road,etc.)
on C 61: ,in SNc_x s rc Q 5Ns/c,s ,N.C.
(Watdlrbody) (Town sad/or Cb nty)
He has described to lie as shown below, the development he is proposing at that location, and,T have no.
objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing developmen )
Signs
"PA %mod em 0-r)
Prat otpe Name
- 6-d ( -- Elam--'
Telephone Number
Date 7—c;{/—e36

720'2006 09:06 9192350885 ATC1LAB r"^'�- "�'
4 06 08:36a Kathy Hazel all/ i I 'LJJO P•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA
MINOR PERMITS
Al)
rop
own I that
,S
property adjacent to_ A...,,
I hereby certifyP
(Name of Property Owner)
property located at 3 Z. I f i p t^1 e l v<< <�
(Address,Lot,Block,Road,etc.)
I ,in ,u c iz ' G N.C.
on � C- �-Q—
(Waterbody) ('1<'ovrn or County)
He has described to me as shown below,the development he is proposing at that location,and, I have no
objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development
3cc_ Igoc-- <
Si luxrij4
a X9r-eli'774
� °
Print or e Name
9 --_3y/— //
Telephone Number
Dame: - _-17,P.49cfc,