General Permits (953)

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A
CERTIFICATION OF EXEMPi1 -�
FROM REQUIRING A LAMA PERMIT �.� 'AUG 01 2001 1..
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal,Reso p",ROW111 "ssion
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K.62b 9EHEAD
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Applicant Name , 14t- r, Phone Number Jr �1-[o?2Z
Address , J
City (C kState Zip
Project Location (County, State Road, Water Body, etc.) , .
C_ orrs A l u
Type and Dimensions of Project c.
�A,,d U A X 6 om_ 4-� C- SoAC k---, A{.
The proposed project -to be located and constructed as described This certification of exemption from requiring a CAMA.permtt is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days -from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination oftheprojectandproject:site may necessary
CAMA permit requirements does not alleviate the necessity of 'to continue this certification.
your obtaining any other State, Federal, "or Local authorization..
e L S Seumf Cno4
SKETCH (SCALE:
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Y
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Anyperson"who:proceeds-with:a development without.the.con-
sent,of:a CAMA _official .under the mistaken--assumptionthat1he -- -Appli ant'ssignature
developmentis exempted, will be in vioiation.ofthe-CAMA if there
is asubsequent determination that a..permit=was required for the t
development. AMA icial'ssignature
a gaol J
The�applicant certifies. by° signing. this exemptionthat(1) thew issuing date
•plicant has read and will abide by the conditions of,this exemp
tbn,.and (2) a written statement has been obtained from adjacent
landowners .certifying that they have no objections to the Expiration date
-proposed work.'
Attachment: 15 North Carolina Administrative Code 7K:- 0203

i
CERTIFICATION OF E)
FROM REQUIRING A LAMA PERMI'
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural ResourcE
in an area of environmental concern pursuant to 15 NCAC
Applicant Name ,r N k k 1 ,,
Address 1 _ 4 1 Y
City
Project Location (County, State Road, Water Body, etc.) _
Type and Dimensions of Project .� !
AUG 41 2001
mission
Phone Number�--
State Zip
� 4 j
The proposed project to be located and constructed as described This certification of exemption from 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,
quirement 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 not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
-k
I— SKETCH (SCALE: )
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.
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Il
Applicant's signature _
CAMA Official's signature
c) 4
Issuing date
w{ co I
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203