Coleman

wan
CERTIFICATION OF EXEMPTION
/ FROM REQUIRING A CAMA PERMIT (� O
as authorized by the State of North Carolina, 1 05 `�j
et h
0 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.
Applicant Name Lok-i'n ( C 0 IE- -n ' fl S tQUd
\+ f ) Phone Number Rib 679 -02 3
Address 112 ' riJC', PU(cd
City CA; Its hfl5t-k, State )J( ' Zip
Project Location(County,State Road,Water Body, etc.) -ET A t'\SWfi c Imo-- C r)%J..4 ql 3 I
Nnrnc c_ S-tree+ ,C—A 16 br C olc.y-.e-n'S Cyr;c- r\A 11 5 c oc�li
-Pr• 5+� r r-u, el+. +-ham C P,\A bn sh "J e
Type and Dimensions of Project pA►(' ref e x 0 5+1r� c3c.K C'b — ` eT IA cc. 2 4-11 AA'ir
k'( 'r--. w1 ,\-u-1 c.r\t .• ' x o7U' c1U \+ W► f1e�) tA-04? t
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.
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Any person who proceeds with a development without the con- 131144
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the = ^A°A-
development. CAMA Official's signature
The applicant certifies by signing this exemption that (1)the ap- Issuing data 1
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent 8 t a oo:t_
landowners certifying that they have no objections to the Expiration date '
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203

CERTIFICATION -OF EC mr- _MPTION
FROM REQUIRING A-LAMA:PERMIT
as authorized by-the State.of-North Carolina,
0 Department of-Environment,Health,:arid Natural Resources and.the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K.0203. •
-
. ar .
ApplicantName \J,ru'. 1 fit,i on,--, •Phone'Number G I D 5'7 61-(r i
Address' Ile Se k:�tu:-.- .LoPs-d `�
City AN t,A I^-A c,I-. State K 10_) Zip ' •
Project-Location(County,-StateRoad,'WaterBody,:etc.) -rIA"4,t, r,-cL ( rA-AA - GR3I NI.ftc S eeT .. 4I I
<,r l t r,r evovN'-c, f'lr;A't-+c, 1 - -e s+pro --",; ('-f+- f . I`A-.k. ^ A IA b A s ' l C i Jc-t' -`
Type and Dimensions of Project TeibAV' + e ,c-i l r o, ••l„r tC- - r<_'-sTa f,., I; ta�F,:u,",'4,... t1
, l�nC. t t,i L11N , • I��'.O if r-t r'\,4- t1P�..j rr- jS)F'T wr\c tom' lc1S r,-1-; r\G to Or ..L--
l •1
The proposed project to.belocatedand constructed asdescribed This certification of exemption-irom requiring.a:CAMA-permit is . ..' :.'
above is hereby certified.as exemptfrom:the CAMA-permit re- valid for 90 days-from°the.date:of.issuance.Followingaxpiration,
quirement-pursuant to'15`NCAC7K :0203.This,exemption to -are-examination of the project:and.projectaite°may:be•necessary "_'i
CAMA permit requirements does-not-alleviate'the necessity.of -to continue this certification.
your obtaining any.other State,Federal,or.Local authorization.
SKETCH . `(SCALE: . )- . •. ,
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f! f_._ I' •1 of, a- '
Any_person:who-proceeds-with:adevelopment without the-con- r /A ,. / : ^ ef. - ..i,.,;9 ,,, EI.
sent:of_a.:CAMkofficial under the'mistaken_assumption.that"the --Applicants signature
-development isexempted;will be in violationof the CAMA if there �?I_ .L '� j
As a subsequent.determination that a permit was required for the l i' "`=" tt,,
`:. '• LAMA Official's_signature j -
_s elopment., 1;
` !/r ,,,c_.--. 0 , -�U()`i,
The.applicant certifies bysigning this.exemption that(1)'the ap- Issuing date -
:piicanthas•read_and will abide bythe:conditions of this exemp- -
lion,-and(2)'a-written statement has been obtained from adjacent -- .11 N-r id, - -) 00'C2 - •
•
-
landowners -certifying -that-they have no"objections' to-the .Expiration date -
proposed work. •- ,
Attachment: 15 North Carolina Administrative Code 7K.0203