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CERTIFICATION OF EXEMPTION
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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 Name �411 fildml i M4 r Phone Number wmrs- Z�
ress -f L Cr
►� tate Zip
ect Lo ation (County, State Road, Water Body, etc.)
1 01 �1i Y tj'11 A I i 1
n
and Dimensions of Project X 4 X
� proposed project to be located and constructed as described
we is hereby certified as exempt from the CAMA permit re-
'ement pursuant to 15 NCAC 7K".b203. This exemption to
MA permit requirements does notaleviate the necessity of
r obtaining any other State, Federal, or Local authorization.
This ccrtification of exemption from requiring a CAMA F
valid for 90 days from the date of issuance. Following exl
a re-examination of the project and project site may be ne,
to continue this certification.
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-�r- 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
Applicant Name Dn►1 MLion hiYhn CAfl1VAU Phone Number•$ IJ• 2`�Z•
Address -+2
City tate Zip
Project Lo tion (County, State Road, Water Body, etc.)
Type and Dimensions of Project
The proposed project to be located and constructed as described
above is hereby certified as exempt f CAMA permit re-
quirement pursuant to 15 NCAC 7 This exemption to
CAMA permit requirements does no vrate the necessity of
your obtaining any other State, Federal, or local authorization.
This certification of exemption from requiring a CAMA permit
valid fors from the date of issuance. Following expiratio
a re-examination of the project and project site may be necessa
to continue this certification.
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Any person who proceeds with a development without the con- \ ' %'ir
sent of a CAMA official under the mistaken assumption that the n ssi� nature(,,,
deveiopment is exempted, will be in violation of the CAMA it there L��

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