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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.
dicant Name Own i vY1 a (. � Phone Number
Iress
State ;,; L Zip $
ject Loation (County, State Road, Water Body, etc.)
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e and Dimensions of Project
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proposed project to be located and constructed as described
/e is hereby certified as exempt from the CAMA permit re-
Dment pursuant to 15 NCAC 7K .0203. This exemption to
1A permit requirements does not alleviate the necessity of
obtaining any other State, Federal, or Local authorization.
This certification o= exemption from requiring a CAMA PE
valid for 90 days from the date of issuance. Following expl
a re-examination o= the project and project site may be nec
to continue this certification.
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