01409D - Carolina

Df-1 15
CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT'
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 NC,AC Subchapter 7K U1�
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icant Name �---G- �/%r" � f C �u� � _Phone Number
,ess
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e ocatio (Count , State Road, Water Body, etc.) Ij)
and Dimensions of Project
proposed project to be located and constructed as described
e is hereby certified as exempt from the CAMA permit
irement pursuant to 15 NCAC 7K This exemption
!AMA permit requirements does not alleviate the necessity of
r obtaining other State, Federal or Local authorization.
State / t Zip
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This certification of exemption from requiring a CAMA
valid for 90 days from the date of issuance. Following ex
a re-examination of the project and project site may be n
to continue this certification.
KETCH (SCALE:
1-7

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