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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 ComM%iss n
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.%3.�
'icant Name H104h rtl V46''1%3., Phone Number 36,
,ess 0 tA
13 e.4, e State 4/e Zip
act Locatio County, State Roa , Water Body, etc.) Alky:a- If W.
aid Dimensions, of Project 1 %+ i i,-
)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�eoes'rfbt alleviate the necessity of
obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA pei
valid for 90 days from the date of issuance. Following expir
a re-examination of the project and project site may be nece
to continue this certification.
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