Long

}//' , CERTIFICATION OF EXEMPTION 9-9
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
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 101JN t� L (� k .A Sir\ IN%�I aw. �f,.,,vAq PhoneNumbe01)27s. II
Address `-t too i, C . �.151,4IC, tD .
City '-�rv, State IV C Zip
Project Location unty, State Road, Water Body, etc.) &-trill) - S(� t'I A! G-
11�fj C
Type and Dimensions of Project gtAL -I— L� /� 1 1P M I-� (� - -/ UW c1k D
u w ns
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: I = 30 )
D - V IS CWAtt
E� �
4 If
New 3Q1-1 hed F Pc
tN AtLV
ll� I ST L.ACE sc tY,w,
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the Applicants a
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the O�'
development. CAMA Official's signature
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-
tion,and(2)a written statement has been obtained from adjacent _ 99 113

GU l,zJ" r —i--
• m SENDER:
P 509 280 200 -0 ■Complete items 1 and/or 2 for additional services. I also wish to receive the
M •Complete items 3.4a,and 4b. following services(for an
a ■Print your name and address on the reverse of this form so that we can return this extra fee):
US Postal Service card to you.
> •Attach this form to the front of the mailpiece,or on the back ifspace does not 1. ❑ Addressee's Addres
Receipt for Certified Mail m permit.
No Insurance Coverage Provided. • ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery
6 ■The Return Receipt will show to whom the article was delivered and the date
Do not use for International Mail(See reverse) c . delivered.
Consult postmaster for fee.
Sent to o
MR . L .E . P I N K E R T O N orticle Addressed to: 4a.Article Number
Street N0umber eny
a SC 2B P 5 0 9 2 8 0 2 0 0
BOX 10998 y
Post Office,State,&ZIP Code E • M R . L .E . PIN ‘q,N 40 4b.)Service Type
S O U T H P O R T , NC 2 8 4 6 1 0 PO BOX 1 0 9 9 a OrRegistered Q!Certifit
Postage $ 3 S O U T H P O R T , 2 8 ❑ Express Mail 0 Insure
�� �� Gj 0 Return Receipt for Merchandise 0 COD
Certified Fee 1 .35 , vgQ 7.Date of Delivery
Special Delivery Fee
5.Received By: (Print Name) 8.Addressee's Address(Only if requested
Restricted Delivery Fee and fee is paid)
n
I') Return Rec pt wing to Ile) .56.Signa - or )
Who a COIjge r /. •
iRe Re� owi �7 a /
Q ID , ptidrgssee'sAddr -� .' ! PS orm 3811, December 1994 102s95-97-B-o179 Domestic Return Recei
Z:
D or4LApSt gees $
o i, ? Go?.
E rk or Date :
o 0ti0 J
n
1
P 509 280 1,98
SENDER: I also wish to receive the
•Complete items 1 and/or 2 for additional services. US Postal Service
•Complete items 3,4a,and 4b. following services(for an Receipt for Certified Mail
•Print your name and address on the reverse of this form so that we can return this extra fee): p
card to you. , No Insurance Coverage Provided.
•Attach this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address Z Do not use for International Mail(See reverse)
Wnte■ Return Receipt Requested'on the mailpiece below the article number. 2. 0 Restricted Delivery N Sent to
•The Return Receipt will show to whom the article was delivered and the date MR . WALTER MOORMAN
delivered. Consult postmaster for fee. ma strut t Water PUGH STREET
rticle Addressed to:
3 4a.Article Number 0
5') 09280198 E SNfi Postcl, tater3�ZIPEonE , NC 283C5
MR . WALTER MOORMAN 4b. rvice Type
o Postage $ 3,
1 6 0 9 PUGH STREET • Registered Certified °C
to
F A Y E T T V I L L E , NC 28305 0 Express Mail 0 Insured a Certified Fee J. 3 5
O Return Receipt for Merchandise 0 COD
7.Date of Delivery F Special Delivery Fee
o Restricted Delivery Fee ��5.Received By: (Print Name) 8.Addressee's Address(Only if requested c sr., Return Receipt S n to J•I •
l��y/, /� and fee is paid) t Whom&D gli4�reg)
/� J (J� •e E U�''lY1/1 C ~ a Return R o ?
6 Signature: A ress a br'Agent) a Date.& rsssee;add '5" -- • —7
X o TOT/iegsta5& ss^ C �'
PS Form 3811, December 1994 102595-97-8-0179 Domestic Return Receipt post ��a•_, ? ,'.;�E Date
o `I/ 2
� O \)
rn
a.