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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 NaIgLqLBesources and the Coastal Resources Co s�q�n�
r in an area of enviro ental concern pursuant to}5 NC9C Subtt►apter 7K .0203. 1X��
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IicantN a /r 1�l 1/t�S '�ll�tc4 Phone Number
ress 15 7 k A k4
k-11 � tate AIC Zip
ect Location (Count , State Road, Wate Body, etc.)
e and Djmgnsions of
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proposed project to be located and constructed as described
e is hereby certified as exempt from the CAMA permit re-
ment pursuant to 15 NCAC 7K .0203. This exemption to
A permit requirements does not alleviate the necessity of
obtaining any other State, Federal, or Local authorization.
A
This certification of exemption from requiring a CAMA
valid for 90 days from the date of issuance. Following e:
a re-examination of the project and project site may be n
to continue this certification.
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