Dove (2)

Re IS,ciiunc 1. c7F
CERTIFICATION OF EXEMPTION Pryor- "1/641.-"
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
r— in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203. •
/ ' 4 L Jv Applicant Name , C Phone Number
Address Z 3—f7 R;,Swc t i A✓t_
City State C Zip , A?r 7
Project Location (County, State Road, Water Body, etc.) L /t--i ,S ct , , r o n An -'," A do
r , A ,-t Sr Jj" l" J4Swt ,- P( ( _
Type and Dimensions of Project ( 41 4 r J - 5 J bri c, g+- b.,/ k h , d ,, as rep d Q 4(Ac
r - n -�.~ i 4 , /- ePi r . oAO3 .yX:-, it ci??/)j
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: 1- -r,, ,,,„,( )
'''''L.---- • M A l
II ,_. 7
4,iii
5Di
HI) 5 i , %-4,C. S-4- cT1"
r.
Any person who proceeds with a development without the con-
-- �
1sent of a CAMA official under the mistaken assumption that the Ap is s signature
development is exempted,will be in violation of the CAMA if therea.)•---,...1/4
P
is a subsequent determination that a permit was required for the
development. CAMA icial ignature'
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- ) y
tion,and(2)a written statement has been obtained from adjacent f 74 '�/ -