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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 .0203.
licant Name O S Phone Number G.
ress
State Zip
ect Location (County, State Road, Water Body, etcr)
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and Dimpnsions of Project
proposed project to be located and constructed as described
fe is hereby certified as exempt from the CAMA permit re-
ament pursuant to 15 NCAC 7K .0203. This exemption to
1A permit requirements does not alleviate the necessity of
obtaining any other State, Federal, or Local authorization.
dux.
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 neci
to continue this certification.
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