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CERTIFICATION OF EXEMPTION
_Y 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,4Subchapter 7 .020
_
cant Name tt's'--O A- L DA �i►/" Phone Nummbber)7l D —ZCY �
ess q01
r State Zip
act Location (County, $�a Road, Water Body, etc.) p
and Dimensions Dimensions of Project
>roposed 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.
This certification of exemption from requiring a CAMA pei
valid for 90 days from the date of issuance. Following expir
a re-examination of the project and project site may be necE
to continue this certification.
(SCALE: ��;
ETCH

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