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CERTIFICATION OF EXEMPTION
FRE CM
as auOMthorized R by the StateQUIRING of NorthA Carolina A A PERMIT,
ti. - ` Department of Environment, Health, and Natural Resources and the Coastal Resources omm}ssion
in an area of environmental concern pursuant to 15 NCAC S chapter,7,jc0203. /f/ rot r
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plicant Name ('44ra,- / WA'i'C / 4 -- i,o Ile"if Phone Number z;2/1' �//
dress /53 (7i 711/n S Cd'
y 'vr^/i 4IS`/4- , Gr'• State //' Zip
)j$ t 17ocatiotf(County,Sta e/Road,Water Body, etc.) /U/ry "/ vs,,-- --
47eln he / 11.' 1 lIivy/,7 f ////1 / /-/G�l..r/0„ /- /j' �! J C'e-e T
,pe an Dirfiensions of Project /7 ' d3=h6�' " .1/iJ -f'.r L -s 7 fy �ii // 7 e�L
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e proposed project to be located and constructed as described This certification of exemption from requiring a CAMA
ove is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following e:
irement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be n
\MA permit requirements does not alleviate the necessity of to continue this certification.
ur obtaining any other State, Federal, or Local authorization.
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