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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 NaBie {N-DftM Phone Number �7
ress
State G Zip %
ect Location (County, State Road, Water Bo y, etc.)
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e and Dime sions of Project
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proposed project to be located and constructed as described
re is hereby certified as exempt from the CAMA permit re-
;ment 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 of exemption from requiring a CAMA pe
valid for 90 days from the date of issuance. Following expi
a re-examination of the project and project site may be nec,
to continue this certification.
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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
1 0 in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0204
Applicant N e D� O Phone Number q1 Q � LEE -
Address
City State zip
Project Location (County, State Road, Water Bogy, etc_) �.. 1 /a f
Type and
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA ppm
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of Issuance. Following expiral
quirement pursuant to 15 NCAC 7K .02 This exemption to a re-examination of the project and project site may be necm
CAMA permit requirements does not allevlate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.