General Permits (786)

CERTIFICATION OF EXE
FROM REQUIRING A CAMA PERMIT
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the
in an area of environmental concern pursuant to 15 NCAC Subchapl
Applicant Name c: t/itf r/tc US6. f Phone Number
Address 171 AL Sri
City �,",I/ ; )E. �!,,ti1
Project Location (County, State Road, Water Body, etc.)
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APR 3 0 2001
Type and Dimensions of Project 1 `> : '�!� �� 'S r� Ar;
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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.
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State Zip 4
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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Any person who proceeds with a development without the con- x t�
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 ----------
CAMA'Official's signature
development.
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
F landowners certifying that they have no objections to the Expiration date
tg proposed work. 1
1 &?'/. Attachment: 15 North Carolina Administrative Code 7K .0203