Riggins (2)

• CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environmental Quality and the Coastal Resources Commission in an area of
environmental concern pursuant to 15 NCAC Subchapter 7K•b%Q3or NCGS 113A-103(5)(b)(5) .
1��
Applicant Name ✓ f\ �S c2z..GGI.N`_ Phone Number 7�Li -6,2Z -5 31(,
Address I 0)43 a- v AQ1r., 1 _ax\Q._ .
City C OX'AL\i &S State Zip a$o 3 {
Project Location(County,State Road,Water Body, tc.) Mr'"° 1 Nicul\e` ) 2=1'cLAnSw‘c c x
5412- w• On\iiit10 • flak lc
Type and Dimensions of Project 4\ackc.e.,,
e•' I S Dc.t'.�c�t1r\q gVl, w.�0.\� �Q4A� 7 � •�' .�`4'I hq T"a
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The proposed project to be located and constructed as -0` This certification of exemption from requiring a CAMA permit •
described above is hereby certified as exempt from the took l�CY is valid for 120 days from the date of issuance. Following
CAMA permit requirements. This exemption to CAMA ti expiration, a re-examination of the project and project site may
permit requirements does not alleviate the necessity off 1 be necessary to continue this certification.
your obtaining any other State, Federal,or Local b'r ( M
hauthorization. a ,, j\S I4 cit/ IA.erf 6 h meAri„,
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Any person who proceeds with a development without the con-
sent of a CAMA official under mistaken assumption that the Applic r0 signatur
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the "'•-
development. CAMA Official's signature Irk
The applicant certifies by signing this exemption that the �/I 1/Z'DZo I/E1i/Go Z. I
'applicant will abide by the conditions of this exemption. Issuing// date Expiration Date

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