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�' CER ICATION, OF EX PTIO'N
JY FROM REQUIRING A CAMA PERMIT RECEIVE®
as authorized by the State of North Carolina, JU'N 0 4 2018
Department of Environment, Health, and-Natr7ral Resources and the Coastal Resources Commission
in an area of environmental concern pursuantto 15 NCAC Subchapter 7K .0203. A
Applicant Name TOF 4-ELLFIV 001VIC,
Address 312 CZ4 F i�rn/Nr)USC 21�
City Mc s? R.Y w lU-
Project Location (County, State Road, Water Body,
State
Phone Nummb"er,1SW LM - 2q 5 d
Zip
Type and Dimensions of Project IIU VA W., .S6tn li lF-_t? MOST r,2oid rl GX rr, A10td rr Q.5',,F
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The.proposed project to be located and constructed as described This certification of exemgtiori fromrm _reguiring_a CAMA_peit is_�
-above is hereby certified as exempt from-th-e 'CAMA' permit re= � L~� ,valid for 9'0 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. ;
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Any person who proceeds with a development without the con -''
sent of a CAMA official .under the mistaken assumptiori'that the ' . Applica "t's ig
development is exempted, will be in violatiori of the CAMA if there .
is a subsequent determination that a,permit was required for -the"
development. CAMA Official'
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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Issuing date SE�,f 0 _
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203