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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'S bbCra ter 7K .0203.
licant Name J 4 Phone Number
ress
State AlIZip
ect Location (CgLfnty, St to Road, Walgr Body, etr.) <
and•Di
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proposed project to be located and constructed as described
,e is hereby certified as exempt from the CAMA permit re-
ament pursuant to 15 NCAC 7,K �0203. This exemption to
IA permit requirements does �k lleviate 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 expi
a re-examination of the project and project site may be necf
to continue this certification.
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