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.Y 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 GW3.
plicant Name ba+i, Uqi� Phone Number 110 330 AS
ress i4l 5. Aaein-e
trIv+ 14 State Zip
)ject L cation (County, State Road, Water 6, Ady, 1�c)
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proposed project to be located and constructed as described This certification of exemption from requiring a CAMA F
)ve is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following exl
rement pursuant to 15 NCAC 7K .p2p2l. This exemption to a re-examination of the project and project site may be ne,
MA permit requirements does not aifeviate the necessity of to continue this certification.
it obtaining any other State, Federal, or Local authorization.
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-29-2011 03:35 PM
P.01
�r 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 env ranmertal concern pursuant to 15 NCAC Subchapter 71K,pQ�f3,
•01�� 3 (�
3licant Nay' 3 Bone Number
press rt
i ilk -__ State _ .__. _Zip._
Je t Cali n (County, Sitate Road, Water dy, c.}E�
A'U vl't
lik
IJIL,
to and Dimensions of Project
proposed project to be located and constructed as described
ve is hereby certified as exempt from the CAMA perm t re•
errant pursuant to 15 NCAC 7K his exemption to
u1A permit requirements does not' a e I a the necessity of
r obtaining any other State. Federal, or Local authorization,
N1
This certification of exemption from requiring a LAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a ra-axamination of the a•oject and project site maybe recessary
to continue this certification.
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