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CERTIFICATION OF EXEMPTION P 'D �At"'f-A
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 environmentalr concern pursuant to 15 NCAC Subchapter 7K .0203. �q
Applicant Name 7 , c� 1� f" tt Phone Numbe( t5041) -a 3 is
Address Lu C N
City rMi h State I / Zip 23// -3
Project Location(G�ounty, State Road, Water Body, etc.) Li/ SN , i rSil 5 4 o
Mu /1- iv..4 tJ{ Cuncl ) /.1 ni ( / -e•1cA / gr ✓4 �u.'Lk (-s .
Type and Dimensions of Project C 1, y Jr ..)c-,-k- 0 f,h C L f •i ✓l/� d4N � 4`
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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 '•„'ac%a tuts
development is exempted,will be in violation of the CAMA if there /�
is a subsequent determination that a permit was required for the O----?'•
development. CAMA Off aal s nature
q - ii - cr 1(
The applicant certifies by signing this exemption that (1)the ap- date
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent 1, -- // ' q
L,.,.-1.,,.,nnre, n.,.tifvinn th,t thou hwo nn nhiantinnc to tho C...,iromtinn"-loin

K:.tsy..„1Ace 0f t-
r CERTIFICATION OF EXEMPTION Pr '°`" "t , ,.'
—1F-
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
7
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name k 41- T" 1,=. I/ / Phone Number '( ) f ,e'2 15
Address 1-u e s 4 k1c i
City " I is. State V Zip ) -7/i "?
Project Location(County, State Road, Water Body, etc.) !'j f t S., ,_I , in ,l G>p
ftc. A - ;' t ti { I : r1 a i /.1 �A , gI', Zh Tsar ,r:tSa ,,, ii ( -, .
co Type and Dimensions of Project ,, , ; c� "� ,r ,a 6 .rl I, r,. K S
r- 0 /ci ' ✓h]c A `A (i !d'' 5.( .tie • i 1 , � A .,, -f - Ai1
7 r7 /C , o a � 3
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 `Applitartt' tu ---
development is exempted,will be in violation of the CAMA if there U A
is a subsequent determination that a permit was required for the i' r , ~. ..
development. CAMA Off igial sq -signature Issuing da:e — ell
The applicant certifies by signing this exemption that (1)the ap-
plicant has read and will abide by the conditions of this exemp-
tion,and(2)a written statement has been obtained from adjacent '• ; 4/ "may
,___,_...__.... ,..—;A,:...... +k.,+ ♦h.,,, hnvn nn nkinntinnc to tho Cvnirntinn Aoto