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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
k Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pp/rsuant to 15 NCACj Subchapter 7K .0203. 7 f
plicant Name �OY� C' �' Phone Number
dress
y t5 i / " State Zip
ject Locati n ( u tate Roa , Water Body, etc.) >
114 5
pe and Dimensions of Project e vl i i•,jr
/
proposed project to be located and constructed as described
Dve is hereby certified as exempt from the CAMA permit re-
rement pursuant to 15 NCAC 7K .0203. This exemption to
MA permit requirements does not alleviate the necessity of
jr obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA F
valid for 90 days from the date of issuance. Following exI
a re-examination of the project and project site may be ne
to continue this certification.
KETCH (SCALE: 5

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