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CERTIFICATE OF EXEMPTIONIII^
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources Co mission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K D .
)licant Name
Iress
sect Location (County State Road, Water Boly, etc.)
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Phone Number
State V L � Zip
Oto
proposed project to be located and constructed as described This certification of exemption from requiring a CAMA p
e is hereby certified as exempt from thg CAMA permit valid for 90 days from the date of issuance. Following exp
rement pursuant to 15 NCAC 7K O I ( 4. This exemption a re-examination of the project and project site may be ne
kMA permit requirements does not alleviate the necessity of to continue this certification.
obtaining other State, Federal or Local authorization.
:ETCH (SCALE: 17
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