Delores S. Camp (2)

CERTIFICATION OF EXEMPTION
/ FROM REQUIRING A CAMA PERMIT
V as authorized by the State of North Carolina,
+0 LA Department of Environmental Quality and the Coastal Resources Commission in an area of
environmental concern pursuant to 15 NCAC Subchapter 7Kopiajor NCGS 113A-103(5)(b)(5) .
Applicant Name Ddines S, Ca rop Phone Number(g64) Fas-6696
' Address R„op Boy( 17.$i .
City Chi/*iy/hi/Pi State SCS Zip 42 9304
Project Location(County,State Road,Water Body,etc.) .14'24744,?/ Cvifr. %. Gal u.:K7` -71-c' Me-
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Type and Dimension of/Project Y �/� t-
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79,94'"1l1c1 a2`/L- 1e/�f'4ct 'i£215� dee/C(115 A 1.-i r Q r (1. < ` 3 ( V11('f4Yl
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The proposed project to be located and constructed as This certification of exemption from requiring a CAMA permit
described above is hereby certified as exempt from the is valid for 120 days from the date of issuance.Following
CAMA permit requirements.This exemption to CAMA expiration, a re-examination of the project and project site may
permit requirements does not alleviate the necessity of be necessary 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-
4,4104411"*011el
sent of a CAMA official under mistaken assumption that the icant s signs ure
development is exempted, will be in violation of the CAMA if there
��6�%� �--.
is a subsequent determination that a permit was required for the
AMA Official's signature
development. 9
The applicant certifies by signing this exemption that the ?i/_5/ie ri;h3he
applicant will abide by the conditions of this exemption. Issuing date Expiration Date

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