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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 Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K,926&
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licant Name ✓ C o ►`) ` /L1Gl r► Phone Number
ress
i State C Zip
ect Lo ation (County, State Road, Water Body, etc.)
f4 v Ad -i A1Wt,J.
and Dimensions of Project
Droposed 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 .02a6" This exemption to
IA permit requirements does not alleVt'ate the necessity of
obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA pe
valid for 90 days from the date of issuance. Following expi
a re-examination of the project and project site may be nec(
to continue this certification.
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Authorized jAgent
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B a/C !/ lI�1CII/�l is heroby Qurhon7,ld to �Ci pn ny oeFaM
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or tp obtain enY CAMA aC.-MR(s) rSQq &Od for Iht? prO WT/ fi6ted below. 'rta 2V&* %anon z rmred :C Me
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.71ON OF PROJECT.
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