General Permits (731)

CERTIFICATION OF EXEMPTION 9F, `ravfh�C,
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
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 5wo 1
Address b-voZ r j—, 17 PJ
City Ff7T1,7
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project t�
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
Phone Numbern
State A zip Z'i; 2 Z
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.
I SKETCH 1, . r ,; (SCALE: )
�1L Et
/t; �Ujt�Rcf
t✓putt
�t, TVtf#lT (1,;, 1J �� >lAAtt�.�
,%3i�
IwrCA(4
!�
fAy,ir, na5
lh4
11 cur, ariC►vf1 _�l.Fd �{
<A*, fA rtldss.
your project is subject to the NC, lljvision of
,later Quality Neuse River Buffer Rules due
,tuavttt + i't to its location within the Neuse River Basin.
Please contact Deborah Sawyer at
252-946-6481
L
"t FCC
G o
Any person who proceeds with a development without the con-
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.
n• 1Fi
---V iFtt
CAMA Official's signature
'!
Issuing date
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203

4F.Wil lurvl!fl��6! 'W
I batsby oa ft OW i ow FoWty aq &MFA b oQum It Ivovwtt
_ Ow+■r3
sty looewd o
.�r�rwsr r�.u■■r.r..r�rr� • ■...■w��rrr ��i u /� r ���� ■ N.C.
(1Natar6a�►) (Two avWw Corr)
M bra dso=*W to m, ar elbows bW w, des to is propoain6 st that
a load=, w, I bm no ID 16 yt+t - - -- , I miff grid dwrt a piw/mwda`
viUn&Wbo&diWbc&dmm mug be at back a ra Wmum diawo o[tifto Prat (15') ftm my area
Of e4wi:a N c 1 N moist wdivsd b)r ma.
I A,ad wi* to wraivs die t"Wrom at.
I do wilb to waive dug ar6wk 0 C T 0 3 2001
D�CR.Q'T'�O�N ANWOR DRAWiNGi O1 PROPOSM DCVZWT :
,mo w t3u1/� �1144
(60
ANV AA) A�
C'�RL e Pi
Print or Naar
T s Kumbw

1�11'11141 big
I booby acetify diW I owes peooputy 4saW to aAj
ftm
peetpaety IooaMd At
(WASM404) (Timm sower c"MY)
He iu deem bW to eaa, to Am, Wow, dw bs is p*podit at disc
kmdm, W, I leave so ob*dm to bit pcopowd. I uidwsmad 60 a OwI n crisp
pWnSwU&dUVbc&dwm must be Mt back a minimum Oasnas of MWM !lief (13') ftom my am
of d wian mom mak u waivri by me.
,V,5z,n_L/I
I A&" wuh b wd" so ad" es"ima"t.
I do'wirb b waive drat aMb"* :sggo}raNmat. OCT 0 3 2001
ANMR MAWWG ®1 Moroi DLNZWP%CMr:
�®0
f
Print or 'Type Nam
Telaplroaa Nwnbw
De": G} ., 6 " G