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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environmental Quality and the Coastal Resources Commission in an area of
environmental concern pursuant to 15 NCAC Subchapter 7K or NCGS 113A-103 (5) (b) (5)
Phone Number 1/0 2-
zip
State Road, Water Body, etc.) 11 �a4"t -(u &LI. t � �
e and Dimensions of Project
)roposed project to be located and constructed as
-ibed above is hereby certified as exempt from the
A permit requirements. This exemption to CAMA
it requirements does not alleviate the necessity of
obtaining any other State, Federal, or Local
Irization.
This certification of exemption from requiring a CAMA pe
is valid for 120 days from the date of issuance. Following
expiration, a re-examination of the project and project site
be necessary to continue this certification.
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