Munnkhuysen

CERTIFICATION OF EXEMPTION
FROM by the StateREQUIRING of NorthAt CarolinaCAMA PERMIT,
�� 1 f Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
�A in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name . b- /I L44'A KAuySen Phone Number( ci/v) Di-6 -6.3J�7
Address � Y , r rA iv L)A ,v e
City , '1 w. i'ti -�,,_ State rti r Zip Oct-Vol--
Project �(Cunt, Stateat Road, Water Body, etc.) S�-r..F' .4c-(✓ 4'ta.� /2.�j0' r £c�ae <
Type and Dimensions of Project `" /�f� (cal /, /� f (� .�,C? rX 1 1-/0 T-, ry b0CK
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 (SCALE: 3 r )
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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 Applicant's signature a y.
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. CAM I's signature
date/ `
The applicant certifies by signing this exemption that (1)the ap- Y
Issuing
plicantl
has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent /0 ' 4 — /C

•
RECEIVED
g- ' JUN 2 9 1999
1 �� — BY: *-1
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