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Y CERTIFICATION OF EXEMP N
FROM REQUIRING A CAMA PERMIT gAPR 111994
as authorized by the State of North Carolina, C__J13i.1Y:.i
Department of Environment, Health, and Natural Resources and the Coasieg-Peeo+�woest'C.-MaiiE6 ,,,,
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name AJ A& 5 HEAv G-oc.,t-" Li �,K s Phone Number 1744,�
Address P.Q. o Y [ 7 01
City U A rl. F-,Q. State AJ G- Zip 279 59
Project Location (County, State Road, Water Body, etc.) AIR E C C�+,~r . Ili #,J e � AJ A G 6 N6 AD r
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Type and Dimensions of Project Ale 4t-te-Ar-; i5 NW7►f0f.1LA9 To 4-d,-57'Xvc_7-
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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.
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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.
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.
CAMA Official's signature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203