Chalybeate Properties, LLC

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CERTIFICATION OF 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
aAofLenvironmental
concern pursuant to 15 NCAC' Subchapter 7 K�4A3...02ti1-
Applicant Name �C�t f Vo t+Ll �L v D �W " �T�P�h^one umber NIA -
Address
I DO ty B;n CnA,(.}-
City C& ✓VI State N L zip 2-SI 1
Project Location (County, State Road, Water Body, etc.) 'Z8
N ✓
Type and Dimensions of Project "Ca_Vcl�tL (A"Wct,a 64 (oAAr4!tZ Ott l/l.Gl V14,ra l =
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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 .0202.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 certification of exemption from requiring a CAMA permit is
valid forX days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
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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 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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07*rl-�
icant's signature
CAMA Official's signature
7
Issuing date
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Expiration date
OZ02
Attachment: 15 North Carolina Administrative Code 7K .A283