Kent Mitchell C/O Wayne Krahn

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environmental Quality and the Coastal ResourT
mission in an area of
environmental concern pursuant to 15 NCAC Subchapter 71CGS 113A-103 (5) (b) (5)
Applicant I�pme ��117VLk-�'PhoneNumberjfo
Address
City
The proposed projectto be located and constructed as
described above is hereby certified as exempt from the
CAMA permit requirements. 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 for 120 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- G( AT't- "
sent of a CAMA official under mistaken assumption that the A cant' signalof
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. CIA (�t
The applicant certifies by signing this exemption that the 6/ v 1
applicant will abide by the conditions of this exemption. Issuing late Expiration

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environmental Quality and the Coastal Resour mission in an area of
environmental concern pursuant to 15 NCAC Subchapter 7KNCGS 113A-103 (5) (b) (5)
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Applicantlme Phone Number 10 -�9�
Address
City
Proj
nty,
of Project
The proposed project to be located and constructed as
described above is hereby certified as exempt from the
CAMA permit requirements. This exemption to CAMA
permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local
authorization.
Y
State - Zip D(
Im
This certification of exemption from requiring a CAMA permit
is valid for 120 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- G
sent of a CAMA official under mistaken assumption that the A cant' si to
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development. CA A Off' ial' s a
The applicant certifies by signing this exemption that the L L
applicant will abide by the conditions of this exemption. Issuing late Expiration

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