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CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
0 Department of Environment,Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K.0203.
Applicant Name ,q Oft ES AE,£N I roe SE/210/ /7 Phone Number 0/6) f� —S3 Z -<
Address 2)1f L3 OC 4A) 13t- UD
City T U /4/t St to Zip �gYc/�
. J Project Location(County,State Road,Water Body,etc.) pE OF_/-t (JO il A 7i C
('70FAld .r _ ,r n.) !,IN) 17_ -7 lO g L3 Z////9 cP,qi'V1/7
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Type and Dimensionscln of Project I�.A,AN f C,i,oC4d 44._ci�Yc/�w4 ,S'A/up C d/9H /�A('CPSS w/1-�
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(heel-?N A t- ( i 1)
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification. 1
your obtaining any other State, Federal,or Local authorization. /5/9 NC4(2 07h 001a(S,) i /
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Any person who proceeds with a development without the con-
sentr
of a CAMA official under the mistaken assumption that the nt's sig
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development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the 0 n Q- -
development. CAMA official's signature
` ' at U_3
The applicant certifies by signing this exemption that (1)the ap-
Issuing date
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent . /( _03
landowners certifying that they have no objections to the Expiration date
-- ----� ork.
�- Attachment: 15 North Carolina Administrative Code 7K.0203