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. CERTIFICATION OF EXEMPTION
�� FROM REQUIRING A CAMA PERMIT b{ 0 3 / L/ /c
_____) as authorized by the State of North Carolina,
0 Department of Environment, Health, and Natural Resources and the Coastal Resources Commis ion
in n area of environmental concern pursuant
ttto 15 NCAC Subchapte 7r j .0�K 3.
Applicant Name ' " Wyk c) F D a lk ITV s Phone Number
Address /- •./li ✓ D" b r ' ✓ e
City , �'f a K c� Bye �- Zip
S ,
Proier,t..Location (Coun y, State Road, Water Body,etc.) .� A/ WW
A d q VV I [ hD 0 c+. t g�u 1
Enr"JnSWtt. �'_� A t ,
Typ and Di me n5pns of Project _ ' /^ 4vCa 1 k 4 i g . p a lict c X-c- d
- , rN e,. 4> rr ?t r_ r
c,rlt !/h'AS /e/1� v a K 4 Apr- t, r rn0 t ! c. a i-;AJ
r'
el -c cf 0 t/A
-1-A 0 r t e e l b V -1 / j e XeM.Q ./(zit
The proposed project to be located and constructed as described / This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal,or Local authorization.
SKETCH (J ,e a t-1--�L k t 6. (SCALE: )
li , eso.,
Any person who proceeds with a development without the con-
sent
of a CAMA official under the mistaken assumption that the Applicant's ig ature
development is exempted,will be in violation of the CAMA if there cu\----
is a subsequent determination that a permit was required for the
development. CAMA Off i I's a sig ture
The applicant certifies by signing this exemption that (1)the ap- Issuing date
plicant has read and will abide by the conditions of this exemp- _ 4/ D
tion,and(2)a written statement has been obtained from adjacent /
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203

CERTIFICATION OF EXEMPTION _
- FROM REQUIRING A LAMA PERMIT .' 0 3 i L ici . ..
-,as authorized by the State of North Carolina,
Department of Environment,Health,and Natural Resources and the C a esources Commis ion
in n area of environmental concern pursuant to 15 NCAC Subchapte 7K:02 3. -
• Applicant Name -`!__w.h•.: d, •f (J a .." iT 4.�.
Phone Number
Address ' / ��4✓�0j/h �- 1 !,
V . , J St to C. Zip 6
Pro ocat' n(Coun y,- tat Road,W ter Body, tc. 5•� �- - i en d ' ,/
' t ' Urr •C (A 4 a • / WW A 0 •
-y r ) A I. — -
' Typ- an�f Dimensi./ns of Project� .� `' /� �a a , S ; � .n:. .. - .
0 U• -t". /!!' - . 'rnt are - �—..- , ., f ryo' p./(. 2
. on tAq MLINF ! aK4- ' Dr or . O .. ( ! C. a 1.-S'4j
el(—.Q '.q . ` I o r-t z•e ct. b V -71-4 i:j C xe,, (:4
-The proposed project to be located and constructed as described This certification of exemption from,requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance.Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to • a re-examination of the project and project site may be necessary
LAMA permit requirements does not alleviate the necessity of to continue this certification. V
your obtaining any other State,Federal,or Local authorization.
SKETCH C'E'C �� K L H e d (SCALE: .. . _ . '.. )
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j + I k I I ;
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Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the ` App5licant' ig ature
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 Off i ' I's sig ature
— .�
The applicant certifies by signing this exemption that(1)the ap-
plicant has read and will abide by the conditions of this exemp- Issuing date
tion,and(2)a written statement has been obtained from adjacent -/
landowners certifying that they have no•objections to the Expiration date
proposed work. .
;
Attachment: 15 North Carolina Administrative drip 7K mnr

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4601 E. Oak Island Drive • Oak Island, North Carolina 28465
Phone: [phone] • Fax: [phone] • E-mail: [e-mail] •Website: www.oakislandnc.com

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4601 E. Oak Island Drive • Oak Island, North Carolina 28465
Phone: [phone] • Fax: [phone] • E-mail: [e-mail] •Website: wwwoakislandnc.cotn

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4601 E. Oak Island Drive • Oak Island, North Carolina 28465
Phone: [phone] • Fax: [phone] • E-mail: [e-mail]•Website: www.oakislandnc.com