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0 CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
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 pAy,, A •L • hlk ct- i t&); Ii i c.i . bore nk� Phone Number : 1U'7�19 -2- a
Address S .r56 3 0le ( r jc- 1)r', .1C._,
City ,I , } - State NV Zip a6Lib�
Project Location(County,State Ro ,Water ody, etc.) e--.c 1 -k.e •C b L. . I--oT �ce i 6-
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Type and Dimensions of Project 56' oC t.' p- (n p o f\ shot- I i nc_,- PI r`a, Ufhrci of
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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-
sent of a CAMA official under the mistaken assumption that the Applicant's signature z"
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the =���`+,�' \1`�
development. CAMA Official's signature
The applicant certifies by signing this exemption that (1)the ap- / 4 ,( ` 1 I
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 to p 0, 1 , 1 1 1 9

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D. CHAD KIMES
PENDER COUNTY MAINTENANCE ENGINEER
DIVISION OF HIGHWAYS
NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
401 N.SMITH STREET OFFICE(910)259-5413
BURGAW,N.C. 28425 FAX:[phone]

PENDER MA1NT. APR 1 6 1999
DIST. 1,4 APR 1 4 I999
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PAUL A. L. BLACK. M. D.
5553 OLEANDER DRIVE
WILMINGTON, NORTH CAROLINA 28403
TELEPHONE [phone]
April 19 , 1999
Willie Ray Bordeaux
102 College Circle
Mount Olive, N.C. 28365
To Whom It May Concern:
Willie Ray Bordeaux has my permission to build a seawall at
Mira-Mar Trailer Park, Lot #5, 517 Roland Avenue, Surf City,
North Carolina, 28445.
Sincerely,
Paul A. L. Black, M.D.

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