01769D - Doctor

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CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT ' ' 01
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 NCAC Subchapter 7K 10,90M
plicant Name Phone Number
dress
y cstate ip -4-2�
ject L cation Co nty, tat Road, Water ody, et .)
pe and Dimensions of Project 1 ' x
proposed project to be located and constructed as described
ve is hereby certified as exempt from the CAMA permit
lirement pursuant to 15 NCAC 7K d 0-)I)This exemption
:AMA permit requirements does not alleviate the necessity of
r obtaining other State, Federal or Local authorization.
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 r
to continue this certification.
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CERTIFICATE OF EXEMPTION
FROM REQUIRING A CAMA PERMIT N° 0171
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 NCAC Subchapter 7K oQaG�
Applicant Name
Address
City `__
Project Lgcatior
I ype anti
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit
requirement pursuant to 15 NCAC 7K y_(DThis exemption
to CAMA permit requirements does not alleviate the necessity of
your obtaining other State, Federal or Local authorization.
Phone Number
This certification of exemption from requiring a CAMA perr
valid for 90 days from the date of Issuance. Following expira
a re-examination of the project and project site may he nece:
to continue this certification.
SKETCH (SCALE: 1 tv -{1'
W1
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