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Home My WebLink AboutMcCuiston (2) • CERTIFICATION OF EXEMPTION k FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources ommission in an area of environmental concern pursuant to 15 NCAC Subchapter 7K•03qpir NCGS 113A-103(5)(b)(5) M arks• N1c�Gui S+or� � � -- 477'- 6Sgt Applicant Name Phone Number Address CD $11 S to SSe-i- Pr• c E. • City go t 1 iv►Q State NC Zip a"g yg� Project L_o�c�ation(County,State Road,Water Body,etc.) c S un fe j� p S� Go j� via/ NC01 Sy2 Type and Dimensions of Project Re.fAir do.p/.0.5e,ei "r-i-& 4 Pier The proposed project to be located and constructed as This certification of exemption from requiring a CAMA permit described above is hereby certified as exempt from the is valid for 120 days from the date of issuance.Following CAMA permit requirements.This exemption to CAMA expiration,a re-examination of the project and project site may permit requirements does not alleviate the necessity of be necessary to continue this certification. your obtaining any other State, Federal, or Local authorization. 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CAMA ffi I' signature The applicant certifies by signing this exemption that the `e-" ( OO 1 /-3.0 applicant will abide by the conditions of this exemption. Issuin date Expirati Date \41., -- AGENT AUTHORIZATION FORC RUIT APPLUCATI[Mis• .. ' � __ -.. Nam�ofPropytiner3e�� a1�P�mrt - � �- �= _� mooing Address ft - f'. ... .. rc a 1 Vf , .. M :Phone Number. .....q(ØLftjt( Q5q () ' EmeilAddretti _ I that:! have authonzest M(:N,5 G `to act,on.my behalf,,for.the purpose;of a pplying liot ant ob dobtaining all CA1 p r n _ l<'t :neaesssi'y!or the,falik$Vn9 prop devalopmenc_ . is -- __--- - :at myYproperty located at `__ , T .,, a . a - (_ ' ` C ,-� . 1� iGK : County; t furthermore that tam authanzed td n and da rr fs � _ grartf igtrmrssrorr th% 'DMijoit of Cdtfstat Management s aff, thenLocat Pen nzt Qfcer - ragents to enter: , ofilh-0,1f.Ortmentionict lands Jo.fn connection.with evaluating info ircatari,related..to, this; , permit application . .tPr 104 Owner i tufts on: 46s, _ ,. ' 'i,- :_i_ , ..,,, .:::: ',:-.-,-.----.- :.; - fr , :,, 4 . t-1.0.,,, . . Prtnt or T P_Name: . , (7. Trlfe: - _ e)1 ' E?ate' . This:-c ertrfr afton is vaiid'tfiraugtt ! : - !