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CERTIFICATE OF EXEMPTION l,7
FROM REQUIRING A LAMA PERMIT �1 01
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K ° bZ DPI , / �t N y
plicant Name l.crd ram� _ Phone Number �'01
dress VL)
y State _hc Zip
ject Locatioi lCounty, St to Road, Water Body, etc.)
pe and Dimensions of Project ' X L
w4'IAA0 1V1i. WA1A1
proposed project to be located and constructed as described
eve is hereby certified as exempt from the CAMA permit
uirement pursuant to 15 NCAC 7K , n7 (4'f . This exemption
:AMA permit requirements does not alleviate the necessity of
it obtaining other State, Federal or Local authorization.
This certification of exemption from requiring a CAMA
valid for 90 days from the date of issuance. Following e)
a re-examination of the project and project site may be i
to continue this certification.
;KETCH (SCALE:
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