Bailey (4)

• • ,
CERTIFICATION OF EXEMPTION
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 .YWET S 06N-,1 e Phone Number ,1a)) 7� ► h(/ -I
Address i i , /Vk-f civh,)rr,
City 1 \w:,ti hur- State it/C Zip y pS-
Project Location(inty, State Road, Water Body, etc.) 5A frve +, ,,:; ti ' tni c '- ( , '2 rc
N&vJ 1-141/4n,oLlfr C4
Type and Dimensions of Project ( .6 n CA ►.N uz 6 t- (�, P r )f1,-w.p,r,
,( .1.1A t2R: t N ry; c RD e A,r-D a -Nd +-Kerr -1 - StO, K-
/trQ1`S ,) - 6 r•t2 .Ay(N) a k t ,_ S c, ✓y\A-l 'r p I c .
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 AA ! r v (SCALE:
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Any person who proceeds with a development without the con- - 1 ,41.
sent of a CAMA official under the mistaken assumption that the Applicant's signature cs.�t
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�ff cial'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 0 3- 11 1

•
• .
Permit No. Inspection Report
Location: / j to'N 0 e,Lit4 4-7 tsv Date: 1 Z
LI Mechanical Q Electrical 'El Building U Plumbing CI Other
Phone: [phone] 341-7144 341-7151 341-7155
This project has been inspected by: �`F and
the following discrepancies were discovered. J)aNE. : �j r
.
`1'
Q' G
For more information about this inspection call the number checked above.
CI Construction May/May not Continue Q Do Not Conceal
Note:
Inspector Copy -White Customer Copy - Yellow

CERTIFICATION OF EXEMPTION
IP
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.
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Applicant Name :f'�he S ,t ' Phone Number 910 -739.0 6i v-
Address e)IIS rrNA-•Sar. born R4 .
City w i tv ) t c l k ►.,,. - -7, ;; State tom; Zip 2840S
Project Loc tion (County ate Road, Water Body, etc.) Sh 2 f\ Lip- .w r AD< A c- -
Htske,9 (T k , Nc LAJ. (- l.i r Ca . V
Type and Dimensions of Project f t4cc/ R-o f Ic - x - Fpc
S'Trbr vyl `De P
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.
KETCH SH V v ir. 1 13 4< '-j•/_ CRee< (SCALE: _�D )
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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 'App• is signatur
development is exempted,will be in violation of the CAMA if there
4'sa subsequent determination that a permit was required for the
evelopment.
CAMA OZ"(-si n
C2/ 19
The applicant certifies by signing this exemption that (1)the ap- a�
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 'P,
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