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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 of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
)licant Name fla I KI lX
Iress I_H- Al (L4 a,tivA
ject Location (County, State Road, Water Body, etc.)
proposed project to be located and constructed as described
/e is hereby certified as exempt from t e CAMA permit re-
:ment pursuant to 15 NCAC 7K .020 E This exemption to
QA permit requirements does not alleviate the necessity of
obtaining any other State, Federal, or Local authorization.
Phone Number +�
Zip
This certification of exemption from requiring a CAMA pE
valid for 90 days from the date of issuance. Following exp
a re-examination of the project and project site may be nec
to continue this certification.
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