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Applicant
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City
Project, Lc
CERTIFICATION OF E
FROM REQUIRING A CAMA PERMI-
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural ResourcE
in an area of gnvironmental concern pursuant to 15 NCAC
i ype ana uimensions or vroleci
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 .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
fill.
1 dt
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
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Phone Number
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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Applicant'ssignatuT t
LAMA Offici I's Isig��lturePq
Issuing datEl''
Expiration date l
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Attachment: 15 North Carolina Administrative Code 7K .0203
�� S /I V �aa-� Contractors, Ins_
P. O. Box 868
Wrightsville Beach, N. C. 28480
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Ed Flynn
256-3062
Durwood Sykes
256-2103
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