2140_BRATTON, MICHELLE_20121119

Applicant Name
Address JE
City kki i
Projekt Location
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CERTIFICATE OF E
XEMPTION ✓ �E
FROM REQUIRING A LAMA PERMIT 02140
1
as authorized by the State of North Carolina, DEC
Department of Environment and Natural Resources and the Coastal Resources Comm' ion
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K
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� Phone Number
State Road, ater Body, etc.)
Type and Dimensions of Project
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit
requirement pursuant to IS NCAC 7K /" . This exemption
to CAMA permit requirements does not alleviate the necessity of
your obtaining other State, Federal or Local authorization.
State /Le,
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
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sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
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
landowners certifying that they have no objections to the
proposed work.
i
Applicant's signature >
CAMA Official's si nature
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K