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CERTIFICATION OF EXEMPTION -
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i) as authorized by the State of North Carolina,
,,5 0 Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC S bch ter 7K.02 —
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Applicant Name JOc,A7I ".. /1(' -1 `:/?L JJ"! . (i /u u Phone Number S /? — 87y3
Address 7'0 Li_ 0. I_�JJ Yl5 i1' 1L (O D
City TO fI L o ti State Ai C Zip 2 5—
Project Location(Cou ty, State Road,Water Body, etc.) ,v &C. CO u 11
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Type and Dimensions of Project w L L O L.r7 3,S ' k yo 'Sc-C7/dY1 (sr. OW C r'e 7 - n)
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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.
your obtaining any other State, Federal,or Local authorization.
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Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the Applicant's signature
development is exempted,will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the _/6/./4 1._
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development. CAMA Official's signature
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 6
landowners certifying that they have no objections to the Expiration date
proposed work.
Attachment: 15 North Carolina Administrative Code 7K.0203