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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
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Applicant Name VIJI VV'.r�& �. f0 �'1VrV1 Phone Number ��.5'�D•S-3Eo(a
Addres u
City I I n11 Y\ State Zip Li(�:3
Pro' t Locati (
n (bounty, State Road, Water Body, etc.) i 1`I
Type and Dimensions of Project 1ti k' � ric + l .f; J
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .63G This exemption to
CAMA permit requirements does not"'al0A:'a' to the necessity of
your obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
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Any person who proceeds with a development without the con-
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sent of a CAMA official under the mistaken assumption that the
Applican 's sfg
development is exempted, will be in violation of the CAMA if there
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is a subsequent determination that a permit was required for the
CAMA Qfficial
development.
The applicant certifies by signing this exemption that (1) the ap- i
Issu)ng. ate
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a,wrltten.state.m.erd hasbe-ep oblAin.ed. zaiadjaeent JL
landowners --certifying that-they--haye vne--objectieos•-to-#he Expiration dat
proposed--wor+c:
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natufe
s signature
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Attachment: 15 North Carolina Administrative Code 7K .0203