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CERTIFICATE OF EXEMPTION
FROM REQUIRING A LAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment and Natural Resources and the Coastal Resources ComWJssion
in an area of environmental concern pursuant to 15 NCACjubchapter 7K 4�G'
Acant Name f(� �j. Phone Number
Dress . 1 Il Z
i ,'h State
eject Location County, State Road Wat r ody, etc.) r I
>e and Dimensions of Project
proposed project to be located and constructed as described
e is hereby certified as exempt from the CAMA permit
irement pursuant to 15 NCAC 7K >/'/l�3 . This exemption
AMA permit requirements does not alleviate the necessity of
obtaining other State, Federal or Local authorization.
02,
This certification 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 n�
to continue this certification.
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