General Permits (898)

L
CERTIFICATION OF EXEMP11
FROM REQUIRING A CAMA PERMIT APR 2 7 2001
as authorized by the State of North Carolina, COASTAL MANAGEMENT Y
Department of Environment, Health, and Natural Resources and the Coast�IResourcMOSin an area of environmental concern pursuant to 15 NCAC Subchapter 7K 03.••
Applicant Name '4y-,J \,jL'r -'' ' ''f�`
Address
Citv
Project Location (County, State Road, Water Body, etc.)
Type and Dimensions of Project _ .4 •,vi - >.
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 Number,113) ' 46 z ,
State Zip
This ccrtification 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.
SKETCH (SCALE: J;;;Vs. )
,tt
.::-c�.L: t,6.'C� mot.-�,si C.� `���(,.F � `' -it-•
A.. k_ oilc uith o rlovolnnmont withni it the mn_
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.
C1 r
Applicant's signature �-
t1
CAMA Official's signature --
Issuing date i
Expiration date � e� c•avti� 1 t� F1,( Q �
Attachment: 15 North Carolina Administrative Code 7K .0203

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NO.267 v.3
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1TUE 07:26 FAX [phone] IdRA Southport
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Applicant Name
Address -? m ,
City
Project Location
7 (1 'mil
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
as authorised 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 NCAG Subchapter 7K .020.9. T
' `S7 _52Si-
�Prt�t6 t M the fJS. 'PJ. u { . Phone Numbe�q {,:)ZTiS
State Rpad Water Body, etc.)
Zip
Tho proposed project to be IOC8t&d and constructed as described This certification of exernptlon trorn 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,
quirernent 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 net alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization,
SKETCH (SCALE:
Anv person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the
deveiopment 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 ad)acent
I-7ndovrners certifying that they have no objections to the
pro -nosed wor'r.
App)icarrf s signature
u-�( A4—,—S
CAMA Off icial's signature
( 2- k
Issuing Id to
Expiration date �U 5 rq , Attachment: 15 North Caroiina Administrative Code 7K .0203