25452_MEEKINS, PRESTON_20000612 (2)

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A CAMA PERMIT JUL 0' 20,00as 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 .0203.
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project
The proposed project to be located and constructed as described
above
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CAMA permit requiremeniq does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
SKETCH
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This 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 .
(SCALE: )
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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 ISINWAinthat (1) the ap-
plicant has read and will abide by the conditions of this �
Or, 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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Applicant's signature
CAMA Official's signature
Issuing date
"E�m
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203