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Iject Locatior
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CERTIFICATION OF EXEMPTION ,��
FROM REQUIRING A CAMA PERMIT, -flu y, ,
as authorized by the State of North Carolina, '� n ' l'N Nt
Department of Environment, Health, and Natural Resources and the Coastal Resnurces Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203�
i© J 1 Phone Number
(County, State Road, Water Body, etc.)
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State
Zip
)e and Dimensions of Project xt (k f `i V
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proposed project to be located and constructed as described
ve is hereby certified as exempt from the CAMA permit re-
ement pursuant to 15 NCAC 7K .0203. This exemption to
VIA permit requirements does not alleviate the necessity of
r obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA p
valid for 90 days from the date of issuance. Following ex�
a re-examination of the project and project site may be nec
to continue this certification.
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