General Permits (848)

? T ,11. Alf 115 f/
E:F�TIF-#CATION OF. EXE ��►
_Y FROM REQUIRING A CAMA PERMIT MAY � � 2001
as authorized by the State of North Carolina, NT s
Department of Environment, Health, and Natural Resources and t e � E�ommi Sion '
in an area of environmental concern pursuant to 15 NCAC Subch pter 7 1
Applicant Name i-Fi t..d
Address ` V_ '--
City rJ,:�J 1'J
Project Location (County, State Road, Water Body, etc.)
lc� p MA"AC- Phone Number %4;, 3 3 * (40<D I
State _h�
Type and Dimensions of Project Y PA? `Z c6f- t : Ttr.Sb 9Lx_,,/_ 0EAb w tT41J
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.
1011a0r3:i
This certification of -exemption from -requiring a -LAMA permit is.—
-- valid for-90 days -from the date of -issuance: Following expiration,
a,xe .examination of the project -and -project site maybe necessary
-to continue+hi"ertification.
(SCALE:
1.3i1c> k i�iilr�4
4-r
�Lrtt��1D
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.
s
s Sig
CAMA OffidW's signet
5
Issuing date
Attachment: 15 North Carolina Administrative Code 7K .0203