Motts

icant Name
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 AP09.
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act Location (County, State Road, Water Body, etc.)
and Dimensions of Project X G
,roposed project to be located and constructed as described This certification of exemption from requiring a CAMA per
is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expir
'nent pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be nece
4 permit requirements does not alleviate the necessity of to continue this certification.
)btaining any other State, Federal, or Local authorization.
ETCH (SCALE:
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