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aplicant Name
Jdress_
ty
'o!Dct location
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 esources Commission
In an area of environmental concern pursuant to 15 NCAC Subchapter 7K ,V3.
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Zip
,e proposed project to be located and constructed as described This certification of exemption from requiring a CAMA perr
ove is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expira
irement pursuant to 15 NCAC 7K . 03. This exemption to a re-examination of the project and project site may be neces
WA permit requirements does not 94eviato the necessity of cpntiV certification.
ur obtaining any other State, Federal, or Local authorization.+,,, ;
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licant Name
ress
act Location
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.
Phone Number
and Dimensions of Project P �/'
>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 pe
valid for 90 days from the date of issuance. Following exph
a re-examination of the project and project site may be nece
to continue this certification.
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