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Applicant Name
Address_ 4
City j .A /i
Project Locatior
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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 .02c3.
/;/*I*) Phone Number
State Rgad, Water Body, etc.)
Type and Dimensions of Project
State
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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.
P. O. Box 868
Wrightsville Beach, N. C. 28480
AX .
Ed Flynn
256-3062
Durwood Sykes
256-2103
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