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C'ER-TIFf`C,A-Ti�fl' O-F-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-te-_15,-N.GS.C.Svubotmpter 7K .02.93.
Applicant Name ti ?r^/Q cam} ,•`! Phone Number SVV- /,f V
Address • /has
City .. nh State Zip '0 9?/�
Project Location (County, State Road, Water Body, etc.) ��� p - �< �. _Al, l' 04/4
Type and Dimensions of Project s 'Y/.Sk-+ a // 226 ' nk-145,,,,
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--Q2-03. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
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This ce ification of exemption from requiring a CAMA permit is
valid for-9"ays from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
I SKETCH (SCALE: ,{/) I
/U'7�/15,
v/9 "6 ?05 -'1 I.,A 1r11/
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)awrkten.statement-has..been.obtainedfrom.adjacent
landowners ,,certifying.--.that-=they- have --- no -objections -~to -the
proposed work.
A
CAMA Official's signature
/ ?,' el- 7
Issuing date
1
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203